NeuroMonitoring

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Thursday, January 19, 2012

IV needle and nerve injury?, hmmmmmm...!!!

You probably never thought if this kind of nerve injury happens in the OR or at the holding or recovery?, yes it does, this incident actually has gone up to a law suit??...as far as patient care is concerned, there is no excuse for callousness or crappy job, you must do the best and give the best of your service to your patient! I am not sure if there is any such cases or risks using needles for median, ulnar or tibial nerve Evoked responses monitoring..!, caution is the word.

Who's to Blame for IV Start That Caused Patient's Nerve Injury?

Technicality spares hospital and nurse who inserted the needle.

Published: January 19, 2012
An IV needle may have caused the nerve injuries to a patient's wrist, but neither the nurse who inserted the IV nor the hospital she worked at are liable for the damage, according to a Texas appeals court.
The patient alleged that an initial IV start caused nerve injuries she sustained to her wrist. A doctor's expert report supported that claim, but his failure to define an appropriate standard of care or specifically implicate any of the individuals named in the suit led to its eventual dismissal.
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Search about: Neuromonitoring

NeuroMonitoring Companies: Europe

Providers in Europe:
Intraoperative Neuromonitoring Practice at UniversitatsSpital Zurich:

NeuroMonitoring Suppliers in Europe:
1.CPS Medical: NeuroCode AG

NeuroMonitoring Supplier in Russia:
1.Neurosoft, Medical Diagnostic Equipment
Worldwide Distribution list

IONM in New Zealand:

What are the chances of getting a job?

Opportunities to get into neurophysiology technologist jobs are very limited, as there are only 20 neurophysiology technologists employed in New Zealand.

IONM in Switzerland:
Anandic Medical Systems a local Swiz company with GE Partnership that does neuromonitoring and neonatal pediatric neuromonitoring monitoring.

Medical/Health Care: Insurance Companies and IONM Policies, in their Eyes!?

Here is what the insurance Co Anthem Blue thinks about what is medically necessary or investigational as per their policies!

BlueCross BlueShield of Tennessee Medical Policy Manual

  • Intraoperative neurophysiologic monitoring, including, but not limited to the following: Somatosensory-evoked potentials, brainstem auditory-evoked potentials, visual-evoked potential, EMG, motor-evoked potentials, and EEG, when performed during spinal, intracranial, or vascular procedures, is considered medically necessary if the medical appropriateness criteria are met. (See Medical Appropriateness below.)

  • Intraoperative neurophysiologic monitoring for other indications is considered investigational.

  • Any device utilized for this procedure must have FDA approval specific to the indication, otherwise it will be considered investigational. See also: Visual and Auditory Evoked Potential

Beware:- Do We Need this column?

Moved from Main page:-
Do Not Become victim to some New Org, association or society...! WARNING:- Be careful in signing up to some rogue organizations and memberships, You must realize that even professionals become prey for such tactics of bottom feeders, just think before you pay that fee, do we need another neuromontioring group, or organization or association bullshit?. They do not deserve to be even in the radar of scientific and medical communities, sorry!!!. I can only alert you, the rest is in your own hands, just because some one claims to have done or do the same kind of job a Professional and trained scholar can do, it means a jack shit!!!?, A doctor and a Doctarate cannot be replaced, those who claims to be doing some jobs can do something, but be careful to assess or compare it to a Doctor or Doctorate, such comparison will fail!!!. Society for Neuroscience and American Association of Anatomists are some of the most respectable and reputed scientific organizations, I dropped off my membership mainly because of their increased fees, I thought it was unjustified and unreasonable, but my respect to those two organizations will never be altered, they deserve great respect for what they do. Tthis message is not about such great associations, on the other hand it is about some rogue individuals trying to con the school students in IONM field or undergraduates who call themselves to be a neurophysioliogist??.Do not think that all the scientific or clinical organizations out there deserve the same respect like that of society for neuroscience or American association anatomists or American clinical Neurophysiologists or least they do the right things!!. Oh wait that is for those established organizations are out there already not for some rogues, but I have been seeing some internet activities of some rogue and decorated Neuromonitoring associations and societies trying to sprung up, just be careful about such org.The above message I had put up on my LinkedIN is to alert you, there are only a couple of Neuromonitoring associations established and in business already and they are good enough, we do not need every tom, dick and harry who did not even go to graduate school to start a association in the name of he or she is a tech for 10000 surgical cases, a Doctor and Doctorate cannot be replaced and there is no exception to it, so beware about rogue people starting societies and organizations and do not waste your hard earned money and resources to it...... stick to the deserved.