Real Time Neuromonitoring Associates - RTNA

Real Time Neuromonitoring Associates - RTNA Real Time Neuromonitoring Associates (RTNA) is the country’s leading professional oversight practi

🔍 Can you identify the source of the noise on this image of MEP data?  💡 Notice that if you count the number of noise “s...
07/24/2025

🔍 Can you identify the source of the noise on this image of MEP data? 💡 Notice that if you count the number of noise “spikes” seen in this image you’ll see ~12 spikes in 10 divisions. Some quick math (12 spikes x 10 divisions) tells us the cycles per second = 120Hz which is a harmonic of 60 cycle noise from surrounding equipment.

Have any tips on how to identify cyclical noise from a piece of OR equipment? Tell us below ⬇️

Check out this incredible before and after containing 60Hz Noise.  The solution?  Unplug the bed controller.  How often ...
07/16/2025

Check out this incredible before and after containing 60Hz Noise. The solution? Unplug the bed controller. How often does this happen to you? Tell us below ⬇️

The image below shows EKG Artifact in EEG, Biological Noise.  In this example, we will likely not be able to eliminate t...
07/10/2025

The image below shows EKG Artifact in EEG, Biological Noise. In this example, we will likely not be able to eliminate the biological noise entirely, but we can take steps to reduce it!

✅ Keep impedances low and balanced
✅ Ensure electrode wires don’t overlap EKG leads
✅ Bundle IONM cables neatly
✅ Avoid parallel runs next to non-IONM cables (like anesthesia or bed plug ins)

Wishing everyone a happy and healthy 4th of July!
07/04/2025

Wishing everyone a happy and healthy 4th of July!

Noise got you down?  Make sure to check any physical environment and equipment that can contribute to noise: fluid warme...
06/25/2025

Noise got you down? Make sure to check any physical environment and equipment that can contribute to noise: fluid warmer, OR Bed, and electrical outlets.

💡 Tips: Try increasing averages for SSEPs, adjusting rep rate for type of noise, and/or applying a smoothing filter.

Hagrid finds fresh air is necessary when developing new and creative ways to promote RTNA and connect with our clients. ...
06/20/2025

Hagrid finds fresh air is necessary when developing new and creative ways to promote RTNA and connect with our clients.

When boarding a case, Hazel has got you covered!  Our scheduling and clinical coordination team is the communication hub...
06/19/2025

When boarding a case, Hazel has got you covered! Our scheduling and clinical coordination team is the communication hub for our daily clinical operations. Call 877-836-2408 to schedule a case.

Phoebe and Gaius keep our physicians plugged in to the best CME opportunities, ensuring they stay current with ever-evol...
06/19/2025

Phoebe and Gaius keep our physicians plugged in to the best CME opportunities, ensuring they stay current with ever-evolving technologies, practices, and innovations.

Spike is working hard today helping one of our physicians monitor a case.  Can you guess which doctor?  Comment below ⬇️...
06/18/2025

Spike is working hard today helping one of our physicians monitor a case. Can you guess which doctor? Comment below ⬇️

When taking a break from toys, Cash works diligently to ensure our clients have access to the coverage they need.
06/18/2025

When taking a break from toys, Cash works diligently to ensure our clients have access to the coverage they need.

Chippy, the Giant Praying Mantis, is the might behind the man who established RTNA in 2009 and grew the practice into th...
06/17/2025

Chippy, the Giant Praying Mantis, is the might behind the man who established RTNA in 2009 and grew the practice into the largest IONM tele-neurology practice in the USA.

Daisy and Knox ensure our physicians are credentialed in hundreds of hospitals and licensed nationwide, providing covera...
06/17/2025

Daisy and Knox ensure our physicians are credentialed in hundreds of hospitals and licensed nationwide, providing coverage in all 50 states, including the District of Columbia & Puerto Rico.

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Nashville, TN

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