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Intraoperative Neuromonitoring Course Descriptions

All IONM courses except Clinical Education and Practicum are delivered online, utilizing eLearning, a web-based courseware program designed to assist the learner in the attainment of theoretical knowledge and clinical skills. IONM courses are only open to students enrolled in the IONM Certificate program.

IOM 1010 Introduction to Neurodiagnostic Technology (NDT)/ Intraoperative Neuromonitoring (IONM)

2 Credits
This introductory course provides a foundation for concepts and objectives based on National Professional Competencies, Professional Standards of Practice, and evidence-based theory. The role of the technologist, the operating room (OR) environment, infection control, safety, ethical and legal issues are examined. OR entrance credentialing is accomplished. The IONM industry, oversight model, job descriptions and professional organizations are analyzed. Theory to complement the course “Introduction to Clinical/Lab” is incorporated, including communication, medical history taking, basic brain anatomy related to the 10-20 system, and musculoskeletal anatomy.
*Not required for students with NDT credentialed background and NDT experience passing placement instrument.

IOM 1020 Intraoperative Neuromonitoring (IONM)

2 Credits
Introductory course designed to provide a foundation for the entering student more specific to IONM. Concepts and objectives are presented based on National Professional Competencies, Professional Standards of Practice, and evidence-based theory. Concepts will build skills that include a fundamental understanding of all neurophysiology modalities utilized in the operating room, recognizing basic normal patterns and associating basic medical terminology with each modality introduced. Basic physiology and anatomy related to terminology will complement the knowledge base for future modules. IONM instrumentation, system components, digital concepts, electrical safety and basic electronics are introduced that will be applied in the lab to enhance to skill building.

IOM 1030 Introduction to Clinical Education/Laboratory

3 Credits
A simulated laboratory stresses patient preparation, safety, and basic recording techniques. Clinical experience promotes critical thinking and assists students in the application of theory and fundamental IONM skills. The lab experience is accompanied by a web-based course designed to assist the learner in the attainment of theoretical knowledge to be applied to clinical skills. This course prepares the student to attend clinical in one of several healthcare facilities.

IOM 1120 IONM Anatomy and Physiology

2 Credits
This course examines anatomy and physiology while reviewing the surgical procedures typically monitored in the operating room, including the brain, spine and vascular systems. It provides a foundation for an understanding of diseases and disorders, with an introduction to their effects on neurophysiologic signals. The course will assist students in critical thinking in the application of newly attained disease and disorder theory.


IOM 1130 Intraoperative Neuromonitoring II

2 Credits
This course builds upon fundamental concepts acquired in NIOM I. A focus on the National Professional Competencies, Professional Standards of Practice, and evidence-based theory continue as more complex content is developed. Somatosensory and motor evoked potentials, brainstem auditory evoked potentials, electromyography (EMG, live and triggered, SEMG, TEMG) and train-of-four monitor are examined. More advanced skills are introduced, while further application of instrumentation and recording techniques are emphasized. The integration of abnormal patterns, artifact recognition, troubleshooting techniques and age-related patterns are an integral component of this course. Perioperative medicine, anesthesia and its effects on IONM signals are examined.

IOM 1140 Clinical Education I

3 Credits
The simulation lab portion of this course builds upon patient preparation, safety, and recording techniques from the Intro IONM Lab course. Clinical experience begins one day per week, which takes place in one of several healthcare facilities. Emphasis is on assisting in the preparation of patients and shadowing the technologist during cases and related practice. Clinical experience will assist students in critical thinking and in the application of newly attained theory.

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IOM 2010 Intraoperative Neuromonitoring III/Modalities

2 Credits
This course builds upon foundational concepts acquired in NIOM II. A focus on the National Professional Competencies, Profession Standards of Practice, and evidence-based theory continue as more complex content is presented. More advanced skills are introduced, while further application of instrumentation and recording skills are emphasized. This course will examine electroencephalography (EEG), cranial nerve (CN live and triggered, SEMG/TEMG) and peripheral nerve (PN) monitoring techniques. Emphasis is on utilizing the highest professional standards and evidence-based practice. Combining research, course theory and clinical experience, students present case studies and record review incorporating modalities studied in previous modules.

IOM 2020 IONM Communication and Information Technology

2 Credits
Interdisciplinary communication within the present day healthcare arena encompasses many forms. This course will examine the role and impact that effective communication skills have on patient surgery with monitoring and outcomes. Essential information technology (IT) skills will be presented as they relate to IONM systems and communication methods. The effect of new advances in technology on the future of the IONM business will be explored. Contemporary business, legal issues and trends impacting the profession are discussed. A research paper is a required assignment.

IOM 2030 Clinical Practicum II

2 Credits
This is a total clinical experience course with a focus on practicing patient-centered care in accordance with the ethical and legal framework of the IONM profession to ensure the highest standards of practice. Hands-on experience in more advanced skill areas will be included. The student will be a present and active participant in the set-up, troubleshooting and monitoring of each case listed in its entirety. This will enable to the student to document cases towards certification. This course utilizes an eLearning web-based courseware program designed to assist the learner and to document skills and competencies.

IOM 2120 IONM IV/ Advanced EEG and Related Procedures

2 Credits
This course builds upon fundamental concepts acquired in NIOM III with a continued focus on the National Professional Competencies, Profession Standards of Practice, and evidence-based theory as even more complex content is presented. Functional brain and spinal cord mapping and monitoring are explored. An overview of advanced EEG, including corticography and after-discharge monitoring, will be a focus of this course. The course requires utilization of research skills to explore the latest protocols and standards of practice. A research paper is a required assignment.

IOM 2130 CNIM Prep

1 credit
This course prepares the student to take the ABRET Certification Examination in Neurophysiologic Intraoperative Monitoring (CNIM). A practice exam and strategies for taking exams will be the core of this course.
*Not required /optional

IOM 2140 Clinical Practicum III

2 Credits
This course is a continuation of Clinical Practicum II, with a focus on practicing patient-centered care in accordance within the ethical and legal framework of the IONM profession to ensure the highest standards of practice. Hands-on experience in more advanced skill areas continue. The student will be a present and an active participant, gaining more supervised independence in the set-up, troubleshooting and monitoring of each case listed in its entirety. This will enable the student to document cases towards certification. This course utilizes an eLearning web-based courseware program designed to assist the learner and to document skills and competencies.