American Intraoperative Monitoring (AIM) is deeply involved in your surgical procedure. To help you better understand our involvement in your surgical procedure, and to get a good sense of each step in the lead up to your surgery, the day of surgery, and your successful recovery, we’ve created a short guide for you.
IONM brochures and paperwork are sent to you before your procedure. Your visit with a surgeon reveals the need for surgery coupled with use of IONM services by AIM. We were scheduled to do your case when the surgeon’s office calls AIM and books IONM services for your surgery. Demographic and other pertinent information is given to AIM’s surgical coordinator by the surgeon’s office. At this point, AIM confirms availability for the procedure.
The Day of Surgery
The Neurophysiologist will talk with you before your procedure. The Neurophysiologist enters the hospital well in advance of the scheduled surgical time and prepares all the necessary equipment and electrodes. Prior to surgery the Neurophysiologist meets with you and your family, if available. After introductions are made; a brief medical history is taken which includes the reason for surgery, type of surgery and a description of the current symptoms. A short physical examination is performed to establish pre-operative functionality.
The Neurophysiologist meets with the surgeon and prepares a plan for the type of monitoring to be performed. Electrodes will be applied to various sites of your body depending on the preferences of the surgeon and type/site of surgery to be performed. Depending on the hospital’s protocol, additional electrodes may be applied once you enter the operating room.
Entering the Operating Room
The Neurophysiologist will attach electrodes in certain areas of your body. The surgical team greets you and explains the process for anesthesia as well as outlining expectations prior to going to sleep. The Neurophysiologist prepares to attach electrodes to your body in order to obtain pre-operative baseline data. Once a baseline is established the information is stored and is used as a guide throughout the surgical procedure. Depending on the site of the procedure, a number of different electrophysiological tests may be employed throughout the operation.
Data is fed to the surgeons during the procedure. All the information that is acquired as the procedure progresses is transmitted to the surgical team, as is necessary. Should changes in the data occur, they are immediately reported to the surgeon in order to determine if a different course might achieve a better outcome. The goal of IONM is to report neurologic information that may improve your final disposition.
End of Surgery
A short examination will occur before taking you to the recovery room. Once the surgery is completed the Neurophysiologist will remove all the electrodes and in many cases wait in the operating room with the rest of the surgical team for your awakening from anesthesia. Once that has occurred, a short neurological examination is performed by the surgeon and if satisfied you will be taken to the recovery room.
After surgery an IONM report is generated. An insurance claim form is completed and an invoice is sent to your insurance carrier. We work very hard on your behalf to obtain the best reimbursement results. If you should be in need of any reimbursement assistance, all inquiries should be directed to our billing department at 484-351-8459; a collections specialist will be prepared to answer all your questions.
It is our heartfelt wish that you have a complete and speedy recovery.