Fayas Pulikkal

-Provide high standards of neurological services to patients.
-Work closely and respectfully with colleagues to ensure high‑quality patient care.
-Plan and perform routine and sleep‑deprived EEG tests for both adults and paediatric patients in a dedicated environment, including activation procedures safely, according to departmental protocols and in line with national standards for clinical neurophysiology, and take appropriate action when needed.
-Carry out more complex EEG tests independently, such as urgent portable EEGs in non‑dedicated environments.
-Plan and adapt appropriate strategies to perform EEGs for patients with complex needs, including autism, learning disabilities, and Down syndrome, to reduce anxiety and create a calm, reassuring environment during procedures.
-Ensure accurate EEG recording. Review tests carefully, annotate all relevant features, mark and clip video of suspected events, and write detailed factual reports including all relevant information for consultant review. Prioritise urgent cases to support swift diagnosis and timely patient care.
-Communicate promptly and appropriately with colleagues and senior staff regarding any concerns, including patient‑related or equipment‑related issues, to ensure a safe and effective working environment.
-Communicate clearly with patients and their families about the procedures, including taking patient history, explaining risk factors, helping them make informed decisions, and obtaining consent at each step.
-Assist neurophysiology consultants during EMG clinics to ensure the smooth running of busy clinics.
-Perform upper limb NCS in line with national standards.
-Provide informal teaching and training for work‑experience students, new staff, or new STP trainees when required.
-Take care of cleaning and maintenance of recording equipment and other apparatus within the department. Troubleshoot any technical equipment‑related issues and escalate them to senior staff when required.
-Attend and actively participate in departmental meetings, reflexivity sessions, and departmental audits. Utilize CPD time appropriately and contribute to discussions on interesting case studies.
-Attend and complete all mandatory NHS training on time and ensure service delivery is always aligned with NHS values and relevant legislation.
-Follow infection control and safety procedures to maintain a safe environment for patients and staff.

- Worked collaboratively with colleagues, diagnostic service staff, and neurology consultants as part of a busy neurodiagnostic department.
-Independently performed routine and sleep‑deprived EEGs for adult and paediatric patients.
-Conducted urgent bedside EEGs for in‑patients in ward and ICU settings, ensuring timely recordings in acute clinical situations.
-Performed long‑term video EEG monitoring in the LT video EEG lab within the neurology ward by properly and comfortably preparing the patient, setting up the equipment, and providing clear instructions to the patient, patient attender, and ward nurse to ensure safe and effective practice.
-Independently performed nerve conduction studies (NCS) for both upper and lower limbs, using protocols such as CTS assessment, routine peripheral studies, and plexus protocol. Also performed facial nerve conduction studies and H‑reflex studies when requested.
-Independently performed repetitive nerve stimulation studies (RNS) and blink reflex studies.
-Independently performed various evoked potential modalities including visual evoked potentials (VEP), somatosensory evoked potentials (SSEP), and brainstem auditory evoked potentials (BAEP).
-Assisted consultants with EMG procedures.
-Maintained clear and consistent communication with the neurology consultant to confirm or clarify test requests and discuss any doubts about the referral, ensuring safe and effective practice within the direct same‑day diagnostic pathway where patients were sent immediately after consultation for neurodiagnostic testing.
-Completed detailed findings reports, presented them to the referring neurologist, and discussed the procedure and report when required. Took these opportunities to update and improve my clinical knowledge.
-Provided informal teaching and training for new staff to help them learn the work and settle into the neurodiagnostic service.
-Explained procedures clearly to patients and answered any questions they had.
-Followed hospital infection‑control standards, cleaned and maintained neurodiagnostic equipment, troubleshot equipment issues, and escalated to the biomedical engineering department when needed.