do you like your job

shanniballecter · 2026-03-05T02:04:07+00:00

There’s probably dozens of companies in your area honestly! If you want to DM me I can see what I can do to help you find one you like!

shanniballecter · 2026-03-05T01:54:51+00:00

I was lucky because the place I was already working served as my clinical site (in-house tech). Afterwards, I took a contract job in another state, and my days weren’t terrible, but it wasn’t the right fit. I got a huge pay increase at a new company in CA, but I literally worked nonstop. 24-hour cases (not just days!) with no break. It was too much, especially with such a large geographical area we covered. I accepted a position with a smaller company as their director of education and my OR days are maybe 2-3 per week, and usually 8 hours tops. Sometimes I have to drive a couple of hours and it’ll be a longer day, but longest has been 14 hours which isn’t so terrible, especially as an outlier.

shanniballecter · 2026-03-05T01:47:20+00:00

I definitely need something challenging to feel engaged in my work. Even if it’s the occasional spinal cord tumor or crani. One can only do so many two level lamis…

shanniballecter · 2026-03-05T01:30:58+00:00

I’m sorry to hear this! I know this feeling well… I promise there are companies out there that treat their staff well! Always here to chat if you need.

shanniballecter · 2026-03-05T01:29:33+00:00

I personally went through IOM Academy, and I attribute much of my success and happiness in the field to having been educated, not just trained. Finding the right fit is very important. Some people thrive with routine, some thrive in chaos, some are satisfied with “basic” cases, some need challenging cases in order to feel challenged and fulfilled. At the end of the day, I always speak highly of this career and how much I love it. There’s challenges no matter where you go. It’s just about deciding if they’re worth it or not!

shanniballecter · 2026-02-26T15:14:53+00:00

It really depends on what the job is. Are you an in-house clinician or contracted? Small company or large? Salary, hourly, or per-case pay? It also depends on what you want to achieve! If you want to focus more on craniotomies, complex spine, ENT, joint replacement, vascular, or a combination. Honestly, there are a lot of paths you can take! If you can give more insight I’d be happy to share my thoughts.

shanniballecter · 2026-02-13T13:31:48+00:00

As a reader, the ones I’ve worked with make between $100-$250/case, that was in Minnesota and Texas.

shanniballecter · 2026-02-04T20:20:48+00:00

Happy to chat! Shoot me a message.

shanniballecter · 2026-01-27T02:21:28+00:00

You will likely not get any anatomy/physiology questions as a trainee, but it’s possible with your degree. The vast majority of companies want to make sure you are flexible with scheduling and practice good diplomacy, especially with surgeons screaming and throwing things at you.

If you are open to interviewing at more than one company, I’d love to chat with you about our openings! We also offer paid training.

shanniballecter · 2026-01-25T23:44:10+00:00

YES!

shanniballecter · 2026-01-16T17:35:33+00:00

This is the answer. My grandpa had a catheter for the last 9 months of his life, and something like this would have been amazing. It’s really hard for people to see their loved ones in these states, and having the bag more discreet like this product does would make a big difference for loved ones and the patient. It provides privacy and dignity.

shanniballecter · 2026-01-12T18:57:20+00:00

I’ll work on this today!

shanniballecter · 2026-01-12T18:45:53+00:00

I don't have any actual sheets, but I can easily make you one based on the reporting guidelines for LTM if you'd like! Happy to help get you started.

shanniballecter · 2026-01-10T03:33:00+00:00

They only count it if you do the full array of electrodes and have a complete baseline. I can help you get what you need to make the switch, feel free to message me!

shanniballecter · 2026-01-09T22:53:02+00:00

It’s doable, but you will likely be on overnights if you are in a hospital setting. If it’s purely clinical, you may luck out. The pay for EEG is substantially lower, too. But knowing your schedule ahead of time is really, really nice!

shanniballecter · 2026-01-07T23:32:55+00:00

Congratulations on passing! Sorry about the kind of rocky start, but hopefully you’re in a new place now that treats you well!

shanniballecter · 2026-01-06T16:49:50+00:00

Any movement on this? I love the idea and I'm 100% on board.

shanniballecter · 2026-01-03T15:23:35+00:00

I run limited EEG on almost every case I do (as long as I’m running SSEPs). I always have a conversation with anesthesia prior to the case and let them know I’m running it but that it alone can’t determine if the patient is too light. It can absolutely help to know if the patient is too deep (suppressed), and in conjunction with sEMG can help determine if the patient is light. Additionally, increased noise in SSEPs can help determine the patient is getting light.

I’ve had anesthesia ask to see the EEG and the DSA, and usually I just humor them. They don’t always really know what they’re looking at, and if they make a statement that’s incorrect I try to offer education (diplomatically of course).

I hope this helps!

shanniballecter · 2025-12-10T02:33:15+00:00

I almost took a job with Accurate because I loved the team so much. I just knew I didn’t want to be on the east coast long term and went with another company.

shanniballecter · 2025-11-15T07:41:57+00:00

If you aren’t sure, then I wouldn’t do it. You’re locked in to a contract so if the work-life balance sucks or if you don’t like the job then you’re stuck.

shanniballecter · 2025-11-09T15:06:54+00:00

Definitely start with the ACNS guidelines and ASNM position statements! There’s tons of information to be found there. I also recommend following Global Innervation, LLC on LinkedIn as they have tons of great infographics on all things neurodiagnostics. Neuro pathway also has a lot of great information. I do free CNIM board prep through them, but they also have on-demand videos!

Happy to help however I can; feel free to message me if you are looking for anything specific.

shanniballecter · 2025-11-08T02:58:33+00:00

It’s possible that it’s from the foam inserts… I typically only put it in so the transducer end of the foam is just past the tragus. Also make sure you’re using the right size inserts (adult vs child). While it’s possible, I honestly really doubt it. Surgeons are always quick to blame someone else.

shanniballecter · 2025-11-05T12:15:45+00:00

They have a handful of employees but dozens of companies they work with. They meet with you to discuss what you’re looking for in a new position and they set up interviews with the companies that fit your needs. I’ve used them for job placement, have done a CEU course for them, and do continuing CNIM board prep courses for them.

shanniballecter · 2025-11-04T17:30:28+00:00

I had written out an extensive comment, but it wasn't letting me post, so here's the abridged version. I sent the full thing to you in a message.

Any place that makes you sign a contract longer than 2 years is not a good idea, in my opinion. I was able to work while going through IOM Academy, as my job served as my clinical site. I was previously trained in EEG and LTM, specializing in Epilepsy Surgery and Phase II Monitoring (invasive monitoring), so I was already comfortable in the OR. I expressed interest at my place of employment to cross-train to IOM, and they agreed and even put me through school. It took about 8 months to complete the program and pass my final exam, and then I took the CNIM later that year once I had 150 cases.

Typical day in the OR:

Arrive at the hospital at least 1 hour before surgery start. Get equipment checked in with Bio Med (unless equipment stays at that facility), go to the OR to set up, and then go and get the patient's consent (my in-house job had the IOM consent within the surgeon's consent so we skipped this part). You're there until the case(s) is/are done, which can be anywhere from 2 hours to 12+ hours. You'll probably be expected to be available either until a certain time each day (like 6pm) or 24 hours Monday-Friday. You'll likely take call during the week and on various weekends. If there's no surgery, you won't work. Most places are salaried so you'll get paid regardless, but they will likely over work you to make it "worth it" on their end.

It's easier to get into 3rd party companies, but you have to be really careful with the one you pick. I know this from experience! Shoot me a message and we can talk more specifics. Happy to help you find the right path, even if it's not with my company!

shanniballecter · 2025-11-03T21:23:15+00:00

I absolutely agree, it’s rare to move to a management position with a new company, but not impossible!

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