Training activity information
Details
Prepare patients undergoing spinal surgery in readiness to record the following intraoperative neuromonitoring modalities:
- Lower limb somatosensory evoked potentials
- Upper limb somatosensory evoked potentials
- Lower limb motor evoked potentials
- Upper limb motor evoked potentials
- Upper limb free-run electromyography
- Lower limb free-run electromyography
Type
Entrustable training activity (ETA)
Evidence requirements
Evidence the activity has been undertaken by the trainee repeatedly, consistently, and effectively over time, in a range of situations. This may include occasions where the trainee has not successfully achieved the outcome of the activity themselves. For example, because it was not appropriate to undertake the task in the circumstances or the trainees recognised their own limitations and sought help or advice to ensure the activity reached an appropriate conclusion.
Reflection at multiple timepoints on the trainee learning journey for this activity.
Considerations
Considerations are suggestions about what may be useful for the trainee to think about while undertaking a training activity. They should not be considered as a mandatory checklist. Trainees should not be expected to demonstrate or provide evidence for each of the considerations listed.
- Electrode types and characteristics
- Skin preparation, conductive and adhesive agents for electrode attachment
- Patient positioning
- Impedance
- Sources of artefact
- Positioning of amplifiers and stimulators (input and output electrodes)
- Sources of electrical interference
- Infection control protocols and procedures
- Health and Safety
- Ergonomics
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 |
Outcome
Follow the pre-operative plan for intraoperative neuromonitoring for spinal surgery, making any necessary adjustments based on information available on the day of monitoring. |
| # 2 |
Outcome
Set pre-operative baseline recordings for intraoperative neuromonitoring for spinal surgery. |
| # 3 |
Outcome
Record free running and/or triggered electromyography during intraoperative neuromonitoring for spinal surgery. |