10/15/2026
Build your display around the questions you need the data to answer. A thoughtful window layout can make trends, changes, and data quality easier to recognize in real time.
Here are a few ideal window layout options and some of the thinking behind them:
• An “all modalities” or summary view that includes all primary modalities can reduce the need to flip between screens and views, helping the Tech and Reader interpret the data more efficiently.
• A well-designed MEP view should support data reliability checks. TOF 4/4 and a stable anesthetic state are important considerations when evaluating MEPs. Including TOF and EEG alongside the MEP data makes those checks easier to assess in context. MEP stack data can also help both the Tech and Reader identify variable CMAP responses, recognize trends, and distinguish gradual changes from acute changes associated with a surgical maneuver.
• Stack and waterfall views can make trends and variability easier to recognize. Optimizing the data display to include these views can provide additional context that may not be as apparent when relying on a single default waveform view.
• For tEMG, stack and waterfall views can provide additional confidence when reviewing threshold testing. Setting auto-store to “On Valid Stimulation” also creates a clear record of stimulus titration, helping demonstrate when CMAP responses appear or disappear and the stimulation intensity associated with those changes.
• A well-designed SSEP and EEG layout for a CEA procedure might include both default and stack views to provide context for anticipated changes associated with this case type. Being able to review stack data alongside real-time data can help the IONM team and surgeon quickly assess changes in vascular function and recognize meaningful trends. In this example, that additional context can support timely clinical decision-making, including shunt placement and resolution of the alert.
In addition to layout, importantly, your template setup should support objective documentation of the data being captured. A quality medical record should contain the stored data that supports the observations and conclusions documented in the report.
When templates are not optimized to capture and store data in its various forms, it may be more difficult to fully demonstrate what was observed during the case. Storing data alongside the narrative documentation provides helpful context and supports a more complete medical record.
The documentation tells the story, and the stored data helps provide the supporting detail.
