Technologist Training

Real situations. Real awareness. Real hands-on.

NVL Solutions provides immersive, hands-on technologist training grounded in real clinical environments. This is on-site, real-world education designed to build technical confidence, clinical judgment, and exam consistency in ways that cannot be replicated in a classroom setting.

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Training emphasizes not just how to perform an exam, but why specific techniques, adjustments, and decisions matter – ensuring technologists acquire the skills needed to deliver accurate, reliable data that providers can trust.

Technologist training is tailored to the clinical environment in which exams are performed. A neuro-ICU or Level 1 trauma setting requires a different scope, pace, and depth of training than an outpatient neurology practice. NVL structures training accordingly, ensuring technologists are prepared for the demands of the specific clinical context.

The technolgoists trained through NVL Solutions are both a reflection of your institution and an extension of NVL’s standards. Training is delivered with the expectation that technologists will perform at a consistently high level, demonstrating technical precision, situational awareness, and professional accountability.

Having performed these exams at the highest clinical levels, NVL undersands the depth of skill required to perform advanced neurovascular ultrasound accurately and consistently. Compentench is developed over time through structured mentorship and repeated real-word exposure – not through short, generalized training programs.

NVL words alongside your technologists and patients in real clinical situations. This approach fosters practical skill development, clinical confidence, and durable expertise, translating directly into improved exam quality and patient care.

We’re invested in you. We want you to succeed.

Knowledge Gained

  • Applied ultrasound physics and hemodynamics (a primary focus for those that are currently not a sonographer).
  • Intracranial and extracranial vessel anatomy and anatomic variants
  • Acoustic “windows”, vessel identification, and normal values
  • Navigating an ICU room/patient and understanding the clinical do’s, limitations, and safety considerations
  • Relationships between intracranial pressure, mean arterial pressure, cerebral perfusion pressure, and the affect on flow dynamics
  • Normal and abnormal intracranial and extracranial waveform morphology
  • Abnormal velocity ranges for varying disease and age related compensation
  • Pulsatility Index and its relationship with pressure.
  • Physiologic affects on blood flow (ie: hematocrit and body temperature)
  • Extracranial disease and its effect on intracranial hemodynamics
  • Determining collateral flow
  • Understanding intracranial disease such as aneurysm ruptures, subarachnoid hemorrhages, moya moya, arterio-venous malformations
  • How to review other imaging modalities: CTA, MRA, DCA

Exams Learned

  • Non-imaging (blind) TCD complete and limited for vasospasm, stroke, and sickle cell
  • Transcranial Color-coded Sonography (TCCS) – ultrasound imaging of intracranial vasculature
  • TCD bubble studies for intracardiac shunting
  • TCD emboli monitoring exams
  • TCD Vasoreactivity
  • Intraoperative monitoring / Balloon test occlusions
  • TCD cerebrocirculatory arrest
  • TCD with head rotation for vertebrobasilar insufficiency
  • TCD reactive hyperemia for subclavian steal
  • External Carotid Artery to MCA via STA bypass graft (based on equipment availability and background)
  • ONSD (Optic nerve sheath diameter) testing for elevated ICP (based on equipment availability and background)
  • Temporal Arteritis – Assessment of temporal arteries for GCA (based on equipment availability and background