EKG_TECHNICIAN_SKILLS

		EKG TECHNICIAN SKILLS CHECKLIST
NAME

LAST 4 OF SSN

DATE

	I hereby certify that ALL information I have provided to IMCS Group on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale:	1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently

Rating Stars (Click)	Cardiovascular Electrophysiology		1	2	3	4
	Cardiac cycle
	Electrical conduction system
	Refractory
	Transmembrane potential
	Polarization
	Depolarization
	Repolarization
	Action potential
	Phase 0 – Phase 4
Rating Stars (Click)	EKG interpretation		1	2	3	4
	Ventricular tachycardia
	Ventricular fibrillation
	Atrial tachycardia
	Atrial fibrillation
	Atrial flutter
	Junctional escape rhythms
	Asystole
	PEA (pulseless electrical activity)
	Normal sinus rhythm
	Sinus Tachycardia
	Sinus Bradycardia
	Acute myocardial infarction patterns
	Cardiac pacemakers
	Wolff-Parkinson-White
	Heart blocks
	First degree heart block
	Second degree heart block
	Type I
	Type II
	Third degree heart block
Rating Stars (Click)	ECG Techniques and Recognition		1	2	3	4
	P, Q, R, S, and T waves
	Baseline values
	ECG measurement
	Time
	Heart rate
	Voltage
	Axis/ hexaxial system
	Intervals
	Segments
	Complexes
	Normal and abnormal ST segment
Rating Stars (Click)	Recognition of Recording Errors/ Artifacts		1	2	3	4
	Incorrect standardization
	Incorrect paper speed
	Lead reversals
	Incorrect lead placement
	Electrical interference
	Somatic tremor
	Wandering baseline
Rating Stars (Click)	ECG, Holter, and Stress Testing Instrumentation		1	2	3	4
	ECG calibration methods
	Single channel
	Three channel
Rating Stars (Click)	Stress Test Techniques and Contraindications		1	2	3	4
	Protocols
	Bruce
	Modified Bruce
	Naught on
	Prep techniques
	Test interpretation
	Calculation
	Double product
	Bicycle procedure
	Ergometers
	Arms
	Leg
	Treadmill
	Pharmacologic
	Dipryridamole
	Dobutamine
	Thallium
	Cardiolyte
	Holter Monitoring
	Preparation techniques
	Lead placement
	Interpretation
	Recognition of artifact
	Cardiac Medications
	Antihypertensives
	Nitrates
	Calcium channel blockers
	Beta blockers
	Cardiac Glycosides
	Antiarrhythmics
	Emergency medications
	Epinephrine
	Atropine
	Verapamil
	Lidocaine
	Oxygen
	Isuprel
Rating Stars (Click)	ECG Leads		1	2	3	4
	Bipolar leads
	Unipolar leads
	Precordial leads
	Einthoven’s triangle and law
Rating Stars (Click)	Skin preparation		1	2	3	4
	Shaving
	Alcohol prep
	Diaphoretic patients
Rating Stars (Click)	Phlebotomy		1	2	3	4
	Butterfly ‘stick
	Vacutainer method
Rating Stars (Click)	Vital Signs		1	2	3	4
	Temperature
	Oral
	Tympanic
	Axillary
	Rectal
	SpO2 (Pulse oximeter)
	Pulse
	Auscultation
	Apical pulse
	Palpation
	Carotid pulse
	Brachial pulse
	Radial pulse
	Femoral pulse
	Blood pressure
	Automatic
	Manual
Rating Stars (Click)	EMR		1	2	3	4
	Epic
	Cerner
	Eclipsys
	McKesson
	Meditech
	Other Computerized System
	Computerized Physician Order Entry
	Bar Coding for Medication Administration
MY EXPERIENCE IS PRIMARILY IN:
Unit	No. of Years	Unit	No. of Years
BURN		POST PARTUM
CRITICAL UNIT		LABOR & DELIVERY
PACU		NEWBORN NURSERY
NEUROLOGY		LEVEL II NICU
TELEMETRY		LEVEL III NICU
MEDICAL		PICU
SURGICAL		PEDIATRICS
ONCOLOGY		OB/GYN
ORTHOPEDICS		PSYCHIATRY
OPERATING ROOM		RRT
EMERGENCY ROOM		CRT
TRAUMA CENTER LEVEL 1
COMMUNITY ER
RURAL ER
Rating Stars (Click)	Age Specific Competencies		1	2	3	4
	Infant (Birth - 1 year)
	Preschooler (ages 2-5 years)
	Childhood (ages 6-12 years)
	Adolescents (ages 13-21 years)
	Young Adults (ages 22-39 years)
	Adults (ages 40-64 years)
	Older Adults (ages 65-79 years)
	Elderly (ages 80+ years)
CERTIFICATIONS			Expiry Date :
	BLS
	ACLS