EKG Tech Skills Checklist
   NAME  
   Email-Id
   DATE    
I hereby certify that ALL information I have provided 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 1
2
3
4
Heart Sounds
Coronary Circulation
Vascular System
Conduction System
CHF (Congestive Heart Failure)
Ischemia
Pulmonary Hypertension
Systemic Hypertension
Diseases of the Aorta
Rating Stars (Click)
ELECTROCARDIOGRAM 1
2
3
4
Application of Leads
Interpretation
Monitoring
Arrythmias
Rating Stars (Click)
STRESS EKG WITH TRADMILL TESTING 1
2
3
4
Preparation of equipment
Monitoring
Complication
Rating Stars (Click)
EQUIPMENT / INSTRUMENTATION 1
2
3
4
Temporary Pacemakers
Permanent Pacemakers
Defibrillators
Event monitors
Rating Stars (Click)
ECG, Holter, and Stress Testing Instrumentation 1
2
3
4
Hemovacs
Jackson Pratt
Patient/Family Teaching
Rating Stars (Click)
HOLTER MONITORING 1
2
3
4
Preparation of equipment
Application of leads
Monitoring
Rating Stars (Click)
PATIENT CARE 1
2
3
4
Vital signs
Normal lab values
Emergency procedures
Pulse oximetry
Documentation
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