EKG Tech Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1-2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

"*" indicates required fields

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

MM slash DD slash YYYY

Age of Patients Cared For

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler/Preschool (13 months to 5 years)
School Age Child/Adolescent (6 years to 18 years)
Young Adults/Middle Adult (19 years to 64 years)
Older Adults/Elderly (65+ years)

General Skills

Hospital Experience
Clinic Experience
Vital Signs
Normal Lab Values, cardiac enzymes,Troponin
Use of Pulse Oximetry
Emergency Defibrillation/ Cardioversion
Electronic Documentation
IV Pumps
EKG lead/Pad placement
EKG Interpretation
EKG Monitoring
Use of Doppler
Knowledge of "Do Not Use Abbreviations"
Do you have charge/supervisor experience?
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores

Cardiovascular

Heart Sounds
Coronary Anatomy and Circulation
Conduction System
CHF
Ischemia
Pulmonary Hypertension
Systemic Hypertension
Diseases of the Aorta

Stress Testing With Treadmill

Preparation of Equipment
Monitoring
Complications

Holter / Event Monitors

Preparation of Equipment
Application of Leads
Monitoring

Equipment / Instrumentation

Temporary Pacemakers
Permanent Pacemakers
Defibrillators