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Intraoperative Neuromonitoring 

While a patient is under anesthesia and the doctor is performing surgery, the intraoperative neuromonitorist is monitoring the patient to ensure their safety. Through electrical potentials emitted from the patient’s nervous system, the neuromonitorist can determine if the patient is losing oxygen to the brain, or about to have a stroke, and immediately alert the surgeon. In a situation where every second counts, the presence of a neuromonitorist during surgery has become invaluable and is increasing the demand for certified IONM professionals in the operating room. A respected member of the operating team, the neuromonitorist is a patient’s guardian angel in the operating room.

To better understand the history of IONM and what a day in the life of a neuromonitorist looks like, read our article Angels in the OR.


Labouré College’s Intraoperative Neuromonitoring Certificate represents the latest technology in this growing field and will prepare graduates to confidently enter the operating room. Taught over two semesters, the program is predominately online. Students must travel to the College’s Milton campus on three Saturdays during the program. Students also complete 16 hours per week of clinical attendance for the duration of the program.

A neuromonitorist performs a variety of specialized recordings, including electroencephalograms (EEG), evoked potentials (SSEP, BAEP, MEP), electromyography (EMG), cranial nerve (CN live and triggered, SEMG/TEMG) and peripheral nerve (PN) monitoring techniques.

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After completing this program and documentation of 100 cases in an intraoperative setting, students are prepared to take the American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET) Intraoperative Neuromonitoring (CNIM) exam.

The IONM Certificate program at Labouré College provides high quality education for entry-level neuromonitorists. Completing the program at Labouré College indicates that students, measured by the program’s goals, have demonstrated the ability to:

  • Function in an entry-level IONM position as a primary monitorist under supervision, in accordance with guidelines and standards of practice established by accrediting bodies, individual facilities and state regulatory agencies.
  • Meet competencies designated by the accrediting bodies and adopted by the American Society of Electroneurodiagnostic Technologists (ASET), the American Clinical Neurophysiology Society (ACNS), and the American Society of Neurophysiological Monitoring (ASNM).
  • Utilize the skills necessary to collaborate as an integral part of the interdisciplinary operating room team, delivering professional, competent neuromonitoring, which results in improved patient outcomes.