Real Time Neuromonitoring Associates - RTNA

11/19/2025

Establish an early connection with your OP to go over your game plan. Talk about:

✅ Planned procedure and levels
✅ Modalities with muscles + nerves monitored
✅ Diagnosis(es)
✅ H&P info
✅ Anesthesia Plan
✅ Any special/unusual quirks from your surgeon that deviate from standard protocol

11/13/2025

Question for all the IONM Managers out there: How do foster unity in your team? Tell us below ☟

11/11/2025

“As we express our gratitude, we must never forget that the highest appreciation is not to utter words but to live by them.” —John F. Kennedy

11/05/2025

Our physicians are committed to quality care and responsiveness, building trust with our clinical partners since 2009.
Meet our team: https://rtnassociates.com/our-team/physicians/

10/29/2025

RTNA physicians and staff support a number of professional medical organizations including the AAN, , AES, ACNS, and . Together, they serve on several boards as well as national committees and advisory groups, insurance payor committees, and committees that develop graduate competencies and curricula in electrodiagnostics. We have a presence in organized medicine on the state level and within the AMA, as well as an individual who serves as the medical director for Vanderbilt University’s Electroneurodiagnostic Technology Training Program. In addition to serving as a resource for regulatory and practice issues in IONM, we provide lectures on various topics in neurophysiology and neurodiagnostics including those for both technologists and physicians.

10/23/2025

💡 Delete unused channels from each mode. Erb’s point, for example 👇, is often disabled if not in use. However, if you are battling noise make sure to delete it. It can aid in noise reduction. 🔉

10/16/2025

💡 Quick Tip: Remember that disposable electrodes are, well, disposable. They’re not built to last, and every now and then you’ll run into a “lemon.” When noise is isolated to a singular muscle group, sometimes replacing the electrode is all you need to do to get back on track.

10/09/2025

Are your recording components compromised?
❌ A frayed amplifier cord
❌ Exposed wires on the recording pod
❌ A pod with faulty inputs

Remember that recording components in poor shape will be prone to picking up more noise and can cause technical issues intraoperatively. Always inspect your equipment for clean, reliable data and request replacements when it becomes compromised!

10/02/2025

💡 Recommendations for Upper Extremity Monitoring in Cervical Spine Cases
✅ For surgery levels C5 and above: median nerve (MN) and/or ulnar nerve (UN).
✅ For surgery levels at C6 and below: UN (addition of MN is optional and may add segmental benefit and aid in localization).
✅ When surgery includes both upper and lower cervical levels, UN (addition of MN is optional and may add segmental benefit).

Questions ❔ Comment below 👇

Image Credit: Modified from https://www.goodmancampbell.com/conditions/spine/spine-anatomy/

09/24/2025

💡 Optimize your view! Keep sEMG, TOF, tEMG, and tEMG waterfall views on the same screen. This will cut down on any confusion and be informative to you, your Oversight Physician, and Surgeon.

09/23/2025

Love seeing RTNA represented in this screenshot from Saturday! Thank you Dr. Greg Schaublin and Martha Sellers for your hard work and commitment to IONM. And a huge thanks to the ASNM organizers for creating a space that encourages professional development and fosters excellence in our field!

09/17/2025

Make sure to catch our Director of Clinical Support & Collaboration, Martha Sellers, this weekend where she'll discuss the importance of EMG equipment setup for accurate diagnostics.

Martha Sellers discusses the importance of EMG equipment setup for accurate diagnostics. Proper configuration is crucial, as it directly influences data interpretation and patient outcomes.

Join us to enhance your skills in this vital area! As long as you register you will receive the full recording! Watch in the comfort of your own home.

Register today: https://asnm.memberclicks.net/fall2025