Certification Examination in Neurophysiologic Intraoperative Monitoring

Credit Recommendation

  • Clinical Capstone: 2 credits, lower division level

  • Clinical Practicum I: 2 credits, lower division level

  • Clinical Practicum II: 2 credits, lower division level

  • Clinical Practicum III: 2 credits, lower division level

  • Clinical Practicum IV: 2 credits, lower division level

  • Electroneurodiagnostic Technology I: 3 credits, lower division level

  • Electroneurodiagnostic Technology II: 3 credits, lower division level

  • Electroneurodiagnostic Technology III: 3 credits, lower division level

  • Electroneurodiagnostic Technology IV: 3 credits, lower division level

  • Fundamentals of Healthcare for the END Technologist: 1 credit, lower division level

  • Monitoring Modalities I Electroencephalography and Electrocorticography: 3 credits, lower division level

  • Neuroanatomy and Physiology for the END Technologist: 3 credits, lower division level

  • Neurological Disorders I: 3 credits, lower division level

  • Neurological Disorders II: 3 credits, lower division level

Effective Dates

January 2014 through December 2023

Issuing Agency

American Board of Registered Electroneurodiagnostic Technologists (ABRET)

2908 Greenbriar Drive Suite A, Springfield, IL 62704

About the Credential

The Certification Examination in Neurophysiologic Intraoperative Monitoring (CNIM) is designed for neurodiagnostic professionals or formally trained intraoperative neurophysiological neuromonitoring professionals.

How to Apply for the Credit

Credit Recommendation Details / Competencies

Clinical Capstone: 2 credits, lower division level

  • Utilize combination of online didactic instruction and technical skills performed in the hospital setting.
  • Apply didactic instruction in the clinical setting.
  • Demonstrate understanding about the various hospital departments, policies and procedures, teamwork, the importance of performing accurate tests, the significance of documentation and effective communication, establishing patient rapport, and ensuring patient safety, among other principles.

Equivalent to IOM 405 - Clinical Capstone as taught at the Institute of Health Sciences and for which a CCAP credit recommendation was made.

Clinical Practicum I: 2 credits, lower division level

  • Demonstrate clinical competency in performing basic EEG skills, routine EEG testing procedures
  • Demonstrate ability to utilize and maintain laboratory equipment to perform EEGs under the direction of a registered technologist.
  • Demonstrate ability to perform a routine EEG on a cooperative patient in two hours

Equivalent to END 103 as taught at the Institute of Health Sciences and for which a CCAP credit recommendation was made.

Clinical Practicum II: 2 credits, lower division level

  • Demonstrate clinical competency in complex EEG recordings
  • Demonstrate understanding of effects of medications in END studies as well as sedation practices and common medications with a focus on antiepileptic drugs and their effect on the EEG
  • Demonstrate understanding of cerebral brain death studies
  • Demonstrate knowledge of pediatric recording requirements

Equivalent to END 203 as taught at the Institute of Health Sciences and for which a CCAP credit recommendation was made.

Clinical Practicum III: 2 credits, lower division level

  • Demonstrate technical skills required for performance of routine and advanced EEG procedures
  • Expand knowledge base of pattern recognition of EEGs on patients with seizure disorders

Equivalent to END 303 - Clinical Practicum III as taught at the Institute of Health Sciences and for which a CCAP credit recommendation was made.

Clinical Practicum IV: 2 credits, lower division level

  • Demonstrate clinical skills and knowledge to demonstrate clinical competency for EEG procedures.
  • Expand knowledge base of advanced pattern recognition and interpretation of complex recordings

Equivalent to END 403 - Clinical Practicum IV as taught at the Institute of Health Sciences and for which a CCAP credit recommendation was made.

Electroneurodiagnostic Technology I: 3 credits, lower division level

  • Demonstrate performance and understanding of patient history taking
  • Demonstrate knowledge of published guidelines for performing adult EEG, basic concepts of montage development, activation procedures
  • Demonstrate knowledge of normal awake and sleep patterns

Equivalent to END 102 as taught at the Institute of Health Sciences and for which a CCAP credit recommendation was made.

Electroneurodiagnostic Technology II: 3 credits, lower division level

  • Demonstrate understanding of EEG, abnormal patterns, and patterns of unknown significance including polarity, localization and filters
  • Demonstrate knowledge of various epileptiform EEG patterns such as spikes, sharp waves as well as non-epileptiform patterns in adults
  • Demonstrate knowledge of pediatric EEG patterns from prematurity to adolescence.
  • Demonstrate methods used to localize events using polarity rules
  • Apply ACNS guidelines to gain knowledge of complex EEGs and recording methods

Equivalent to END 202 as taught at the Institute of Health Sciences and for which a CCAP credit recommendation was made.

Electroneurodiagnostic Technology III: 3 credits, lower division level

  • Demonstrate clinical knowledge and technical skills to perform advanced EEG recordings
  • Acquire ability to differentiate EEG abnormalities associated with seizure disorders, epileptiform abnormalities and artifact recognition.
  • Acquire knowledge to differentiate types of seizures using advanced recordings including LTM (long-term monitoring), ICU (intensive care unit) monitoring and AEEG (amplitude-integrated EEG).
  • Acquire basic understanding of digital EEG including digital signals and advanced recording processes.

Equivalent to END 302 - Electroneurodiagnostic Technology III as taught at the Institute of Health Sciences and for which a CCAP credit recommendation was made.

Electroneurodiagnostic Technology IV: 3 credits, lower division level

  • Demonstrate knowledge and technical skills to perform polysomnography
  • Demonstrate recognition of sleep stages, common sleep disorders, identify normal sleep architecture
  • Recognize abnormalities in respiration and cardiac events

Equivalent to END 402 - Electroneurodiagnostic Technology IV as taught at the Institute of Health Sciences and for which a CCAP credit recommendation was made.

Fundamentals of Healthcare for the END Technologist: 1 credit, lower division level

  • Demonstrate understanding of the scope of practice of the END technologist
  • Demonstrate knowledge of the professional code of ethics of the practicing END technologist as well as a historical perspective of the profession.

Equivalent to END 101 as taught at the Institute of Health Sciences and for which a Connecticut Credit Assessment Program (CCAP) credit recommendation was made.

Monitoring Modalities I Electroencephalography and Electrocorticography: 3 credits, lower division level

  • Demonstrate understanding of intra-operative electroencephalography and electrocorticography monitoring modalities.
  • Identify electrodes, application techniques, recording montages, equipment and instrumentation
  • Outline guidelines, criteria, and the effects of anesthetic agents.

Equivalent to IOM 404 - Monitoring Modalities I Electroencephalography and Electrocorticography as taught at the Institute of Health Sciences and for which a CCAP credit recommendation was made.

Neuroanatomy and Physiology for the END Technologist: 3 credits, lower division level

  • Demonstrate knowledge of neuroanatomy and physiology including directional terms with other organ systems
  • Demonstrate knowledge of structure and function of general sensory receptors
  • Demonstrate knowledge of basic anatomical terminology used to describe body direction, surfaces, body planes, directional terms used to perform END testing
  • Demonstrate knowledge of various types if tissues, body membranes

Equivalent to END 201 as taught at the Institute of Health Sciences and for which a CCAP credit recommendation was made.

Neurological Disorders I: 3 credits, lower division level

  • Demonstrate knowledge of the CNS and common abnormalities such as neoplasm, infection and trauma
  • Demonstrate understanding of the clinical signs and symptoms of coma, impaired consciousness
  • Demonstrate knowledge of abnormal PNS testing- EMG, EP testing
  • Demonstrate understanding of abnormalities in common diseases such as Multiple sclerosis, demyelinating diseases and spinal cord disease

Equivalent to END 301 - Neurological Disorders I as taught at the Institute of Health Sciences and for which a CCAP credit recommendation was made.

Neurological Disorders II: 3 credits, lower division level

  • Demonstrate knowledge of the CNS and common abnormalities such as neoplasm, cerebrovascular disease, developmental disorders, metabolic/toxic disorders
  • Demonstrate knowledge of patient symptoms such as headaches, dizziness and vertigo
  • Demonstrate understanding of the presentation of various levels of consciousness, including coma
  • Demonstrate understanding of the indications for surgical monitoring in the IOM neurosurgical procedures and the expected changes that may occur during neurosurgery.

Equivalent to END 401 - Neurological Disorders II as taught at the Institute of Health Sciences and for which a CCAP credit recommendation was made.