Joanne Best Laura Caddy Senior Clinical Physiologists JCUH

South Tees NHS Foundation Trust… Comprises of JCUH, FH, district and community hospitals Provides a range of highly specialised regional services to 1.5million people, including Neurosciences

Diagnostic investigations of the central and peripheral nervous system function Including: Electroencephalography (EEG). Measurement of the electrical activity of the brain. Nerve conduction studies (NCS) and Electromyography (EMG). Measurement of peripheral nerve function. Evoked Potentials (EP). Measures the electrical activity of the brain in response to stimulation of specific sensory nerve pathways. What is Neurophysiology???

Small team consisting of: 2 Full time and 1 Part time Consultant Neurophysiologists Dr Simon Taggart, Dr Hanny Seow and Dr Chris Fisher Department Manager- Helen Brown The department of Neurophysiology 3 Senior Physiologists- Jo Best, Andrew Poulton, Laura Caddy 2 Clinical Physiologists- Rob Tobin, Cassie Fawcett 2 Admin staff- Jade Jamieson, Rachel Douglas

Used as a diagnostic tool in the investigation of many neurological conditions affecting the brain. Including: EEG *Epilepsy and its syndromes *Status Epilepticus *Brain infections *Dementia *Hypoxic brain injuries The group of patients referred: Neurology/ Paediatrics- neonates/ Learning disabilities/ Elderly/ Medicine/ Critical and Intensive care/ Psychiatry

ROUTINE VIDEO SLEEP DEPRIVED/ SEDATION 5 DAY VIDEOTELEMETRY 24/48 HOUR AMBULATORY NEONATAL INTENSIVE AND CRITICAL CARE DRUG WITHDRAWAL/ ADMIN EEG EEG investigations

EEG Findings…..

Used as a diagnostic tool in the investigation of disorders/ diseases affecting the peripheral nerves and muscles. Including: *Carpal Tunnel Syndrome *Ulnar Neuropathy *Motor Neurone Disease *Critical Care Neuropathy *Guillian Barre Group of patients referred: Neurology/ Orthopaedic/ Trauma/ GP/ Surgery Nerve Conductions/ Electromyography

CONSULTANT CLINICS TECHNICIAN LED CTS PARALLEL CLINIC PORTABLE ONE- STOP ORTHOPAEDIC CLINICS NCS / EMG studies

NCS - Carpal Tunnel Syndrome

A variety of studies used as a tool in the investigation of disorders of the sensory nerve pathways in the brain and spinal cord. Including: *Multiple Sclerosis *Optic Neuritis *Inflammation *Demyelination Patient groups referred: Generally Neurology only Evoked Potentials

VISUAL UPPER LIMB SOMATO-SENSORY LOWER LIMB SOMATO-SENSORY BRAIN STEM AUDITORY E.Ps Evoked Potentials

MS is a disease in which myelin in the brain and spinal cord are damaged, disrupting the ability of parts of the nervous system to communicate, Some of the most common symptoms include: extreme tiredness (fatigue) numbness and tingling blurring of vision problems with mobility and balance Visual Evoked Potentials- M.S

Recent amalgamation with diagnostic sleep services Physiologist/ Epilepsy nurse led pre-assessment clinics (PAC) for videotelemetry Blackout clinic First fit clinic Chronic refractory epilepsy clinic Vagal nerve stimulator clinic Other services we offer

As a result of connections with local charities: Abbie’s Love and The Mike Findley MND Fund, several pieces of vital medical equipment have been donated to us over recent years….. Community connections

Full integration with diagnostic sleep department Satellite VT/Ambulatory service within local Learning Disabilities Centre Home Video-telemetry Community based Evoked potentials on Intensive Care patients Spinal monitoring Future of Neurophysiology and services

Your expectations: Our expectations: To be inducted to the department, the team, the trainers and the trust To be trained by professional and knowledgeable staff For mandatory training needs to be met For staff of all levels to be approachable Placement based mentor offering regular 1:1 meetings to discuss progress and training needs Placement based assessor Adequate resources available To be offered opportunities to assist with National Audits and departmental developments For the student to maintain professionalism For the student to conform to clinical dress code and code of conduct For the student to be motivated and show initiative with their training needs For the student to maintain patient confidentiality and dignity at all times To be approachable Student Training

Year 1- 4 Clinical Placements- Neurophysiology - Audiology - Opthalmology - Pathology Years 2/3- Specialist training with an elective placement (to be arranged by student) Access to OLAT for online work and assessment Training programme

For further information please contact us….. The Neurophysiology Department The James Cook University Hospital Marton Road Middlesbrough TS4 3BW