Introduction to Intraoperative Monitoring ENPY 1010

Upon successful completion of this course the student will be able to:

• Define the technologist’s role in the operating room.
• Define the roles of each member of the surgical team.
• Demonstrate techniques to maintain sterility in the surgical environment while maintaining optimal monitoring.
• Describe safety, ethical and medical legal issues associated with surgical procedures.
• Define the ABRET code of ethics and Health Insurance Portability and Accountability Act (HIPAA) standards.
• Demonstrate how to appropriately and optimally use electroneurophysiology technology, instruments, stimulators and equipment during intraoperative monitoring.
• Describe the anatomy and physiology of the following systems and how each system relates to intraoperative monitoring and surgical procedures:
• Central nervous system
• Vascular system as it relates to the nervous system
• Visual system
• Auditory system
• Peripheral nervous system
• Describe how to perform the following monitoring modalities in terms of the pre-operative, intraoperative and post-operative phases:
• Electroencephalography – Free and Stimulated Responses
• Visual Evoked Potentials
• Auditory Evoked Potentials
• Somatosensory Evoked Potentials
• Electromyography – Free and Triggered Responses
• Nerve Conductions
• Motor Evoked Potentials
• Analyze various surgical procedures, patient histories and structures at risk to determine the appropriate monitoring techniques to use in the operating room.
• Describe how anaesthetic techniques and medications are used in the operating room and how they affect intraoperative monitoring.
• Describe how non-physiologic and physiologic factors that are common in the operating room affect intraoperative monitoring and how to appropriately and effectively avoid/troubleshoot them.
• Describe alarm criteria for various monitoring modalities and the rationale behind them.

Effective as of Fall 2013