Nerve Conduction Study Technician

The Nerve Conduction Study Technician also referred to as a Nerve Conduction Technologist or NCV/NCS Technician performs high-quality nerve conduction studies under the direction and supervision of a neurologist physiatrist or other qualified physician experienced in electrodiagnostic medicine. The technician is responsible for preparing patients obtaining accurate technical recordings maintaining electrodiagnostic equipment documenting study data and supporting efficient clinic workflow.

This position requires technical proficiency attention to detail excellent patient communication skills and a strong understanding of patient safety infection control confidentiality and the clinical purpose of electrodiagnostic testing. The technician does not independently interpret nerve conduction studies or establish diagnoses. Final interpretation and clinical correlation are the responsibility of the supervising physician.

Patient Preparation and Communication
Prepare patients for nerve conduction studies by explaining the procedure in a clear compassionate and professional manner.
Review the physician order indication for testing relevant medical history symptoms limb temperature considerations prior studies when available and any patient-specific factors that may affect testing.
Confirm patient identity using approved clinic procedures and ensure appropriate consent or acknowledgment of the procedure according to clinic policy.
Assess patient comfort mobility limitations anxiety pain sensitivity skin integrity implanted devices anticoagulation status when relevant and other clinical considerations that may affect the testing process.
Position patients appropriately for upper-extremity lower-extremity cranial nerve repetitive stimulation late response or other ordered nerve conduction protocols.
Maintain patient privacy dignity and comfort throughout the procedure.
Technical Performance of Nerve Conduction Studies
Perform nerve conduction studies in accordance with physician orders established laboratory protocols payer requirements when applicable and professional standards for electrodiagnostic testing.
Accurately place stimulating recording reference and ground electrodes using appropriate anatomic landmarks and standard measurement techniques.
Obtain technically reliable motor sensory mixed nerve F-wave H-reflex repetitive nerve stimulation and other nerve conduction responses as directed by the supervising physician and clinic protocols.
Measure and record latencies amplitudes conduction velocities distances temperatures waveforms side-to-side comparisons and other technical parameters required for physician review.
Adjust technique as needed to optimize signal quality reduce artifact and obtain reproducible waveforms.
Recognize common technical problems including poor electrode contact excessive impedance electrical interference movement artifact suboptimal stimulation temperature effects volume conduction anomalous responses and equipment malfunction.
Communicate with the supervising physician during the study when findings suggest that additional testing protocol modification or physician assessment may be needed.
Assist the physician during the electrodiagnostic encounter including preparation for needle EMG when appropriate while remaining within the technicians authorized scope of duties.
Documentation and Data Management
Accurately label and save all waveforms measurements test conditions limb temperatures technical comments and study data for physician review and interpretation.
Document the technical portion of the study in the electronic medical record or electrodiagnostic software according to clinic policy.
Ensure that reports waveforms and study files are complete organized and available to the interpreting physician.
Maintain accurate patient records while complying with HIPAA and all applicable confidentiality requirements.
Notify the physician or clinic leadership of incomplete studies patient intolerance adverse reactions technical limitations or other issues that may affect interpretation.
Equipment Supplies and Laboratory Maintenance
Operate calibrate clean disinfect and maintain EMG/NCS equipment electrodes stimulators cables temperature probes carts computers and related accessories according to manufacturer instructions and clinic policy.
Perform routine quality checks to ensure equipment safety and reliable recordings.
Identify troubleshoot and report equipment problems software issues electrical interference or supply shortages.
Maintain adequate inventory of disposable electrodes alcohol wipes gauze tape measuring tools skin preparation supplies gloves disinfectants and other testing materials.
Prepare clean and turn over examination rooms between patients according to infection control and clinic safety standards.
Patient Safety Compliance and Professional Conduct
Follow all clinic policies related to patient safety infection prevention equipment safety emergency response documentation privacy and professional conduct.
Monitor patients throughout the procedure for discomfort vasovagal symptoms anxiety pain skin irritation or other adverse reactions and respond appropriately.
Maintain a calm professional and reassuring manner with patients who may be anxious medically complex disabled or in pain.
Communicate respectfully and effectively with patients families physicians residents medical assistants front-office staff and clinic leadership.
Participate in quality improvement activities protocol review equipment updates continuing education and training related to nerve conduction studies and electrodiagnostic medicine.
Support the educational mission of the clinic by assisting residents fellows or trainees in understanding the technical workflow of nerve conduction studies when appropriate and as directed by faculty.

Required Qualifications
High school diploma or equivalent required.
Ideally a minimum of two years of experience performing nerve conduction studies EMG/NCS technical support or closely related neurodiagnostic testing.
Demonstrated ability to perform technically reliable upper- and lower-extremity nerve conduction studies.
Knowledge of peripheral nerve anatomy electrode placement stimulation techniques waveform acquisition artifact reduction and basic electrodiagnostic terminology.
Ability to work under physician supervision and follow established protocols while recognizing when physician input is needed.
Ability to work with learners including resident physicians and medical students.
Familiarity with EMG/NCS equipment electrodiagnostic software electronic medical records and routine equipment troubleshooting.
Strong interpersonal skills and ability to provide compassionate care to patients with neurologic neuromuscular orthopedic pain or functional limitations.
Ability to maintain patient confidentiality and comply with HIPAA requirements.
Current Basic Life Support certification preferred or required within a defined period after hire.

Preferred Qualifications
Certified Nerve Conduction Technologist certification through the American Board of Electrodiagnostic Medicine preferred.
Ideally prior experience in a neurology physiatry neuromuscular medicine academic medicine or electrodiagnostic laboratory setting.
Experience assisting with studies for carpal tunnel syndrome ulnar neuropathy radiculopathy plexopathy peripheral neuropathy mononeuropathy multiplex motor neuron disease myopathy neuromuscular junction disorders and entrapment neuropathies.
Experience with repetitive nerve stimulation F-waves H-reflexes temperature monitoring and complex multi-limb studies.
Experience working with residents fellows or other trainees in an academic clinical setting.
Bilingual ability preferred but not mandatory depending on clinic patient population.

Physical Requirements
Ability to stand sit walk bend and position patients during testing.
Ability to assist patients with limited mobility using appropriate safety techniques and clinic protocols.
Ability to use hands and fingers for electrode placement measurement stimulation equipment operation and documentation.
Ability to lift and move equipment or supplies within clinic policy limits.
Ability to perform repetitive tasks requiring fine motor coordination and visual attention to waveforms and equipment displays.

Core Competencies
Ability to obtain accurate and reproducible nerve conduction data.
Ability to recognize technical artifacts and correct them during testing.
Ability to communicate clearly with patients before during and after the procedure.
Ability to work efficiently while maintaining accuracy and patient comfort.
Ability to prioritize patient safety clinic flow and high-quality diagnostic data.
Ability to maintain composure with medically complex patients or patients experiencing pain anxiety or frustration.
Ability to work collaboratively with neurologists physiatrists residents medical assistants and clinic staff.
Ability to maintain professional boundaries and remain within the technical scope of the role.