EKG Tech

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Name*

First Last

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Age Specific Care

Proficiency Rating

Frequency Rating

Newborn/Neonate (birth - 30 days) *

Newborn/Neonate (birth - 30 days) proficiency*

Newborn/Neonate (birth - 30 days) frequency*

Infant (30 days - 1 year) *

Infant (30 days - 1 year) proficiency*

Infant (30 days - 1 year) frequency*

Toddler (1 - 3 years) *

Toddler (1 - 3 years) proficiency*

Toddler (1 - 3 years) frequency*

Preschooler (3 - 5 years) *

Preschooler (3 - 5 years) proficiency*

Preschooler (3 - 5 years) frequency*

School Age Child (5 - 12 years) *

School Age Child (5 - 12 years) proficiency*

School Age Child (5 - 12 years) frequency*

Adolescents (12 - 18 years) *

Adolescents (12 - 18 years) proficiency*

Adolescents (12 - 18 years) frequency*

Young Adults (18 - 39 years) *

Young Adults (18 - 39 years) proficiency*

Young Adults (18 - 39 years) frequency*

Middle Adults (39 - 64 years) *

Middle Adults (39 - 64 years) proficiency*

Middle Adults (39 - 64 years) frequency*

Older Adults (64+ years) *

Older Adults (64+ years) proficiency*

Older Adults (64+ years) frequency*

Elderly Adults (over 79+ years) *

Elderly Adults (over 79+ years) proficiency*

Elderly Adults (over 79+ years) frequency*

Cardiovascular Electrophysiology

Proficiency Rating

Frequency Rating

Cardiac Cycle *

Cardiac Cycle proficiency*

Cardiac Cycle frequency*

Electrical Conduction System *

Electrical Conduction System proficiency*

Electrical Conduction System frequency*

Refractory *

Refractory proficiency*

Refractory frequency*

Transmembrane Potential *

Transmembrane Potential proficiency*

Transmembrane Potential frequency*

Polarization *

Polarization proficiency*

Polarization frequency*

Depolarization *

Depolarization proficiency*

Depolarization frequency*

Repolarization *

Repolarization proficiency*

Repolarization frequency*

Action Potential *

Action Potential proficiency*

Action Potential frequency*

Phase 0 - Phase 4 *

Phase 0 - Phase 4 proficiency*

Phase 0 - Phase 4 frequency*

EKG Interpretation

Proficiency Rating

Frequency Rating

Ventricular Tachycardia *

Ventricular Tachycardia proficiency*

Ventricular Tachycardia frequency*

Ventricular Fibrillation *

Ventricular Fibrillation proficiency*

Ventricular Fibrillation frequency*

Atrial Tachycardia *

Atrial Tachycardia proficiency*

Atrial Tachycardia frequency*

Atrial Fibrillation *

Atrial Fibrillation proficiency*

Atrial Fibrillation frequency*

Atrial Flutter *

Atrial Flutter proficiency*

Atrial Flutter frequency*

Junctional Escape Rhythms *

Junctional Escape Rhythms proficiency*

Junctional Escape Rhythms frequency*

Asystole *

Asystole proficiency*

Asystole frequency*

PEA (Pulseless Electrical Activity) *

PEA (Pulseless Electrical Activity) proficiency*

PEA (Pulseless Electrical Activity) frequency*

Normal Sinus Rhythm *

Normal Sinus Rhythm proficiency*

Normal Sinus Rhythm frequency*

Sinus Tachycardia *

Sinus Tachycardia proficiency*

Sinus Tachycardia frequency*

Sinus Bradycardia *

Sinus Bradycardia proficiency*

Sinus Bradycardia frequency*

Acute Myocardial Infarction Patterns *

Acute Myocardial Infarction Patterns proficiency*

Acute Myocardial Infarction Patterns frequency*

Cardiac Pacemakers *

Cardiac Pacemakers proficiency*

Cardiac Pacemakers frequency*

Wolff-Parkinson-White *

Wolff-Parkinson-White proficiency*

Wolff-Parkinson-White frequency*

Heart Blocks *

Heart Blocks proficiency*

Heart Blocks frequency*

First Degree Heart Block *

First Degree Heart Block proficiency*

First Degree Heart Block frequency*

Second Degree Heart Block *

Second Degree Heart Block proficiency*

Second Degree Heart Block frequency*

Type I *

Type I proficiency*

Type I frequency*

Type II *

Type II proficiency*

Type II frequency*

Third Degree Heart Block *

Third Degree Heart Block proficiency*

Third Degree Heart Block frequency*

EKG Techniques and Recognition

Proficiency Rating

Frequency Rating

P, Q, R, S, and T Waves *

P, Q, R, S, and T Waves proficiency*

P, Q, R, S, and T Waves frequency*

Baseline Values *

Baseline Values proficiency*

Baseline Values frequency*

ECG Measurement *

ECG Measurement proficiency*

ECG Measurement frequency*

Time *

Time proficiency*

Time frequency*

Heart Rate *

Heart Rate proficiency*

Heart Rate frequency*

Voltage *

Voltage proficiency*

Voltage frequency*

Axis / Hexaxial System *

Axis / Hexaxial System proficiency*

Axis / Hexaxial System frequency*

Intervals *

Intervals proficiency*

Intervals frequency*

Segments *

Segments proficiency*

Segments frequency*

Complexes *

Complexes proficiency*

Complexes frequency*

Normal and Abnormal ST Segment *

Normal and Abnormal ST Segment proficiency*

Normal and Abnormal ST Segment frequency*

Recognition of Recording Error / Artifacts

Proficiency Rating

Frequency Rating

Incorrect Standardization *

Incorrect Standardization proficiency*

Incorrect Standardization frequency*

Incorrect Paper Speed *

Incorrect Paper Speed proficiency*

Incorrect Paper Speed frequency*

Lead Reversals *

Lead Reversals proficiency*

Lead Reversals frequency*

Incorrect Lead Placement *

Incorrect Lead Placement proficiency*

Incorrect Lead Placement frequency*

Electrical Interference *

Electrical Interference proficiency*

Electrical Interference frequency*

Somatic Tremor *

Somatic Tremor proficiency*

Somatic Tremor frequency*

Wandering Baseline *

Wandering Baseline proficiency*

Wandering Baseline frequency*

ECG, Holter, ADN Stress Testing Instrumentation

Proficiency Rating

Frequency Rating

ECG Calibration Methods *

ECG Calibration Methods proficiency*

ECG Calibration Methods frequency*

Single Channel *

Single Channel proficiency*

Single Channel frequency*

Three Channel *

Three Channel proficiency*

Three Channel frequency*

Stress Test Techniques and Contraindications

Proficiency Rating

Frequency Rating

Protocols *

Protocols proficiency*

Protocols frequency*

Bruce *

Bruce proficiency*

Bruce frequency*

Modified Bruce *

Modified Bruce proficiency*

Modified Bruce frequency*

Naught On *

Naught On proficiency*

Naught On frequency*

Prep Techniques *

Prep Techniques proficiency*

Prep Techniques frequency*

Test Interpretation *

Test Interpretation proficiency*

Test Interpretation frequency*

Calculation *

Calculation proficiency*

Calculation frequency*

Double Product *

Double Product proficiency*

Double Product frequency*

Bicycle Procedure *

Bicycle Procedure proficiency*

Bicycle Procedure frequency*

Ergometers *

Ergometers proficiency*

Ergometers frequency*

Arms *

Arms proficiency*

Arms frequency*

Legs *

Legs proficiency*

Legs frequency*

Treadmill *

Treadmill proficiency*

Treadmill frequency*

Pharmacologic *

Pharmacologic proficiency*

Pharmacologic frequency*

Dipryidamole *

Dipryidamole proficiency*

Dipryidamole frequency*

Dobutamine *

Dobutamine proficiency*

Dobutamine frequency*

Thallium *

Thallium proficiency*

Thallium frequency*

Cardiolyte *

Cardiolyte proficiency*

Cardiolyte frequency*

Holter Monitoring *

Holter Monitoring proficiency*

Holter Monitoring frequency*

Preparation Techniques *

Preparation Techniques proficiency*

Preparation Techniques frequency*

Lead Placement *

Lead Placement proficiency*

Lead Placement frequency*

Interpretation *

Interpretation proficiency*

Interpretation frequency*

Recognition of Artifact *

Recognition of Artifact proficiency*

Recognition of Artifact frequency*

Cardiac Medications *

Cardiac Medications proficiency*

Cardiac Medications frequency*

Antihypertensives *

Antihypertensives proficiency*

Antihypertensives frequency*

Nitrates *

Nitrates proficiency*

Nitrates frequency*

Calcium Channel Blockers *

Calcium Channel Blockers proficiency*

Calcium Channel Blockers frequency*

Beta Blockers *

Beta Blockers proficiency*

Beta Blockers frequency*

Cardiac Glycosides *

Cardiac Glycosides proficiency*

Cardiac Glycosides frequency*

Antiarrhythmics *

Antiarrhythmics proficiency*

Antiarrhythmics frequency*

Emergency Medications *

Emergency Medications proficiency*

Emergency Medications frequency*

Epinephrine *

Epinephrine proficiency*

Epinephrine frequency*

Atropine *

Atropine proficiency*

Atropine frequency*

Verapamil *

Verapamil proficiency*

Verapamil frequency*

Lidocaine *

Lidocaine proficiency*

Lidocaine frequency*

Oxygen *

Oxygen proficiency*

Oxygen frequency*

Isuprel *

Isuprel proficiency*

Isuprel frequency*

ECG Leads

Proficiency Rating

Frequency Rating

Bipolar Leads *

Bipolar Leads proficiency*

Bipolar Leads frequency*

Unipolar Leads *

Unipolar Leads proficiency*

Unipolar Leads frequency*

Precordial Leads *

Precordial Leads proficiency*

Precordial Leads frequency*

Einthoven's Triangle and Law *

Einthoven's Triangle and Law proficiency*

Einthoven's Triangle and Law frequency*

Skin Preparation

Proficiency Rating

Frequency Rating

Shaving *

Shaving proficiency*

Shaving frequency*

Alcohol Prep *

Alcohol Prep proficiency*

Alcohol Prep frequency*

Diaphoretic Patients *

Diaphoretic Patients proficiency*

Diaphoretic Patients frequency*

Phlebotomy

Proficiency Rating

Frequency Rating

Butterfly Stick *

Butterfly Stick proficiency*

Butterfly Stick frequency*

Vacutainer Method *

Vacutainer Method proficiency*

Vacutainer Method frequency*

Vital Signs

Proficiency Rating

Frequency Rating

Temperature *

Temperature proficiency*

Temperature frequency*

Oral *

Oral proficiency*

Oral frequency*

Tympanic *

Tympanic proficiency*

Tympanic frequency*

Axillary *

Axillary proficiency*

Axillary frequency*

Rectal *

Rectal proficiency*

Rectal frequency*

SpO2 (Pulse Oximeter) *

SpO2 (Pulse Oximeter) proficiency*

SpO2 (Pulse Oximeter) frequency*

Pulse *

Pulse proficiency*

Pulse frequency*

Auscultation *

Auscultation proficiency*

Auscultation frequency*

Apical Pulse *

Apical Pulse proficiency*

Apical Pulse frequency*

Palpation *

Palpation proficiency*

Palpation frequency*

Carotid Pulse *

Carotid Pulse proficiency*

Carotid Pulse frequency*

Brachial Pulse *

Brachial Pulse proficiency*

Brachial Pulse frequency*

Radial Pulse *

Radial Pulse proficiency*

Radial Pulse frequency*

Femoral Pulse *

Femoral Pulse proficiency*

Femoral Pulse frequency*

Blood Pressure *

Blood Pressure proficiency*

Blood Pressure frequency*

Automatic *

Automatic proficiency*

Automatic frequency*

Manual *

Manual proficiency*

Manual frequency*

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Skills/Competences

Proficiency

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EKG TECH

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