Scribd
Upload
365 views5 pages

Checklist - Monitor - EKG Tech

Tom Becker completed a skills competency assessment for Monitor/EKG Tech. He received an overall proficiency rating of 4 out of 4 and an overall frequency rating of 4 out of 4. The assessment covered a wide range of skills across multiple domains, including general skills, cardiovascular systems and diseases, electrophysiology, EKG interpretation, techniques, measurement, instrumentation, protocols/procedures, and pharmacology. For all skills categories, Tom received ratings of 4 for both proficiency and frequency, indicating expert competency and regular use of all skills.

Uploaded by

AT
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
365 views5 pages

Checklist - Monitor - EKG Tech

Tom Becker completed a skills competency assessment for Monitor/EKG Tech. He received an overall proficiency rating of 4 out of 4 and an overall frequency rating of 4 out of 4. The assessment covered a wide range of skills across multiple domains, including general skills, cardiovascular systems and diseases, electrophysiology, EKG interpretation, techniques, measurement, instrumentation, protocols/procedures, and pharmacology. For all skills categories, Tom received ratings of 4 for both proficiency and frequency, indicating expert competency and regular use of all skills.

Uploaded by

AT
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Monitor/EKG Tech

SKILLS COMPETENCY RATING EMPLOYEE INFORMATION


Total Competency Rating
Name: Tom Becker
Date Completed: 03/31/2022
Skills Checklist
Monitor/EKG Tech
Name:
Company: LaborEdge
Assessment ID: --

Overall Proficiency Rating Overall Frequency Rating

SKILLS CHECKLIST DETAILS


A. GENERAL SKILLS Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
1. Standard Precautions 1 2 3 4 NA 1 2 3 4 NA

2. Isolation Precautions 1 2 3 4 NA 1 2 3 4 NA

3. Pediatric Respiratory/Cardiac Arrest 1 2 3 4 NA 1 2 3 4 NA

4. Adult Respiratory/Cardiac Arrest 1 2 3 4 NA 1 2 3 4 NA

5. Crash Carts 1 2 3 4 NA 1 2 3 4 NA

6. Defibrillators 1 2 3 4 NA 1 2 3 4 NA

7. Electronic Documentation 1 2 3 4 NA 1 2 3 4 NA
B. CARDIOVASCULAR Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
1. Heart Sounds 1 2 3 4 NA 1 2 3 4 NA

2. Coronary Circulation 1 2 3 4 NA 1 2 3 4 NA

3. Vascular System 1 2 3 4 NA 1 2 3 4 NA

4. Conduction System 1 2 3 4 NA 1 2 3 4 NA

5. Congestive Heart Failure 1 2 3 4 NA 1 2 3 4 NA

6. Ischemia 1 2 3 4 NA 1 2 3 4 NA
Monitor/EKG Tech

7. Pulmonary Hypertension 1 2 3 4 NA 1 2 3 4 NA

8. Systemic Hypertension 1 2 3 4 NA 1 2 3 4 NA

9. Diseases of the Aorta 1 2 3 4 NA 1 2 3 4 NA


C. CARDIOVASCULAR
Avg. Rating: Proficiency: 4 Frequency: 4
ELECTROPHYSIOLOGY
Proficiency Frequency
1. Cardiac Cycle 1 2 3 4 NA 1 2 3 4 NA

2. Electrical Conduction System 1 2 3 4 NA 1 2 3 4 NA

3. Refractory 1 2 3 4 NA 1 2 3 4 NA

4. Transmembrane Potential 1 2 3 4 NA 1 2 3 4 NA

5. Polarization 1 2 3 4 NA 1 2 3 4 NA

6. Depolarization 1 2 3 4 NA 1 2 3 4 NA

7. Repolarization 1 2 3 4 NA 1 2 3 4 NA

8. Action Potential 1 2 3 4 NA 1 2 3 4 NA

9. Phase 0 - Phase 4 1 2 3 4 NA 1 2 3 4 NA
D. EKG INTERPRETATION Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
1. Ventricular Tachycardia 1 2 3 4 NA 1 2 3 4 NA

2. Ventricular Fibrillation 1 2 3 4 NA 1 2 3 4 NA

3. Atrial Tachycardia 1 2 3 4 NA 1 2 3 4 NA

4. Atrial Fibrillation 1 2 3 4 NA 1 2 3 4 NA

5. Atrial Flutter 1 2 3 4 NA 1 2 3 4 NA

6. Junctional Escape Rhythms 1 2 3 4 NA 1 2 3 4 NA

7. Asystole 1 2 3 4 NA 1 2 3 4 NA

8. Pulseless Electrical Activity (PEA) 1 2 3 4 NA 1 2 3 4 NA

9. Normal Sinus Rhythm 1 2 3 4 NA 1 2 3 4 NA

10. Sinus Tachycardia 1 2 3 4 NA 1 2 3 4 NA

11. Sinus Bradycardia 1 2 3 4 NA 1 2 3 4 NA

12. Acute Mycardial Infarction Patterns 1 2 3 4 NA 1 2 3 4 NA

13. Cardiac Pacemakers 1 2 3 4 NA 1 2 3 4 NA

14. Wolff-Parkinson-White 1 2 3 4 NA 1 2 3 4 NA

15. First Degree Heart Block 1 2 3 4 NA 1 2 3 4 NA

16. Second Degree Heart Block 1 2 3 4 NA 1 2 3 4 NA

17. Second Degree Heart Block Type I (Wenckebach) 1 2 3 4 NA 1 2 3 4 NA

18. Second Degree Heart Block Type II 1 2 3 4 NA 1 2 3 4 NA

19. Third Degree Heart Block 1 2 3 4 NA 1 2 3 4 NA


E. EKG TECHNIQUES AND RECOGNITION Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
Monitor/EKG Tech

1. P, Q, R, S and T Waves 1 2 3 4 NA 1 2 3 4 NA

2. Baseline Values 1 2 3 4 NA 1 2 3 4 NA

3. Incorrect Standardization 1 2 3 4 NA 1 2 3 4 NA

4. Incorrect Paper Speed 1 2 3 4 NA 1 2 3 4 NA

5. Lead Reversals 1 2 3 4 NA 1 2 3 4 NA

6. Incorrect Lead Placement 1 2 3 4 NA 1 2 3 4 NA

7. Electrical Interference 1 2 3 4 NA 1 2 3 4 NA

8. Somatic Tremor 1 2 3 4 NA 1 2 3 4 NA

9. Wandering Baseline 1 2 3 4 NA 1 2 3 4 NA
F. EKG MEASUREMENT Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
1. Time 1 2 3 4 NA 1 2 3 4 NA

2. Heart Rate 1 2 3 4 NA 1 2 3 4 NA

3. Voltage 1 2 3 4 NA 1 2 3 4 NA

4. Axis/Hexaxial System 1 2 3 4 NA 1 2 3 4 NA

5. Intervals 1 2 3 4 NA 1 2 3 4 NA

6. Segments 1 2 3 4 NA 1 2 3 4 NA

7. Complexes 1 2 3 4 NA 1 2 3 4 NA

8. Normal and Abnormal Segment 1 2 3 4 NA 1 2 3 4 NA


G. INSTRUMENTATION Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
1. EKG Calibration Methods 1 2 3 4 NA 1 2 3 4 NA

2. Single Channel 1 2 3 4 NA 1 2 3 4 NA

3. Three Channel 1 2 3 4 NA 1 2 3 4 NA
H. PROTOCOL/PROCEDURES Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
1. Bruce 1 2 3 4 NA 1 2 3 4 NA

2. Modified Bruce 1 2 3 4 NA 1 2 3 4 NA

3. Naughton 1 2 3 4 NA 1 2 3 4 NA

4. Bicycle Procedure 1 2 3 4 NA 1 2 3 4 NA

5. Ergometers 1 2 3 4 NA 1 2 3 4 NA

6. Treadmill 1 2 3 4 NA 1 2 3 4 NA

7. Prep Techniques 1 2 3 4 NA 1 2 3 4 NA

8. Test Interpretation 1 2 3 4 NA 1 2 3 4 NA

9. Calculation 1 2 3 4 NA 1 2 3 4 NA

10. Double Product 1 2 3 4 NA 1 2 3 4 NA


I. PHARMACOOLOGICAL Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
Monitor/EKG Tech

1. Dipyridamole 1 2 3 4 NA 1 2 3 4 NA

2. Dobutamine 1 2 3 4 NA 1 2 3 4 NA

3. Thallium 1 2 3 4 NA 1 2 3 4 NA

4. Cariolyte 1 2 3 4 NA 1 2 3 4 NA
J. HOLTER MONITORING Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
1. Preparation Technique 1 2 3 4 NA 1 2 3 4 NA

2. Lead Placement 1 2 3 4 NA 1 2 3 4 NA

3. Interpretation 1 2 3 4 NA 1 2 3 4 NA

4. Recognition of Artifact 1 2 3 4 NA 1 2 3 4 NA
K. CARDIAC MEDICATIONS Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
1. Antihypertensives 1 2 3 4 NA 1 2 3 4 NA

2. Nitrates 1 2 3 4 NA 1 2 3 4 NA

3. Calcium Channel Blockers 1 2 3 4 NA 1 2 3 4 NA

4. Beta Blockers 1 2 3 4 NA 1 2 3 4 NA

5. Cardiac Glycosides 1 2 3 4 NA 1 2 3 4 NA

6. Antiarrhythmics 1 2 3 4 NA 1 2 3 4 NA
L. EMERGENCY MEDICATIONS Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
1. Epinephrine 1 2 3 4 NA 1 2 3 4 NA

2. Atropine 1 2 3 4 NA 1 2 3 4 NA

3. Verapamil 1 2 3 4 NA 1 2 3 4 NA

4. Licodaine 1 2 3 4 NA 1 2 3 4 NA

5. Ocygen 1 2 3 4 NA 1 2 3 4 NA

6. Isuprel 1 2 3 4 NA 1 2 3 4 NA
M. EKG LEADS Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
1. Bipolar Leads 1 2 3 4 NA 1 2 3 4 NA

2. Unipolar Leads 1 2 3 4 NA 1 2 3 4 NA

3. Precordial Leads 1 2 3 4 NA 1 2 3 4 NA

4. Einthoven's Triangle and Law 1 2 3 4 NA 1 2 3 4 NA


N. SKIN PREPARATION Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
1. Shaving 1 2 3 4 NA 1 2 3 4 NA

2. Alcohol Prep 1 2 3 4 NA 1 2 3 4 NA

3. Diaphoretic Patients 1 2 3 4 NA 1 2 3 4 NA
O. PHLEBOTOMY Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
Monitor/EKG Tech

1. Butterfly Stick 1 2 3 4 NA 1 2 3 4 NA

2. Vacutainer Method 1 2 3 4 NA 1 2 3 4 NA
P. VITAL SIGNS Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
1. Temperature 1 2 3 4 NA 1 2 3 4 NA

2. SpO2 (Pulse Oximeter) 1 2 3 4 NA 1 2 3 4 NA

3. Pulse 1 2 3 4 NA 1 2 3 4 NA

4. Auscultation 1 2 3 4 NA 1 2 3 4 NA

5. Apical Pulse 1 2 3 4 NA 1 2 3 4 NA

6. Palpation 1 2 3 4 NA 1 2 3 4 NA

7. Carotid Pulse 1 2 3 4 NA 1 2 3 4 NA

8. Brachial Pulse 1 2 3 4 NA 1 2 3 4 NA

9. Radial Pulse 1 2 3 4 NA 1 2 3 4 NA

10. Femooral Pulse 1 2 3 4 NA 1 2 3 4 NA

11. Automatic Blood Pressure 1 2 3 4 NA 1 2 3 4 NA

12. Manual Blood Pressure 1 2 3 4 NA 1 2 3 4 NA


Q. CERTIFICATIONS Avg. Rating: Proficiency: 4 Frequency: 4
Proficiency Frequency
1. ETC 1 2 3 4 NA 1 2 3 4 NA

2. CCT 1 2 3 4 NA 1 2 3 4 NA

3. CET 1 2 3 4 NA 1 2 3 4 NA
R. AGE OF PATIENTS CARED FOR Avg. Rating: Proficiency: 1 Frequency: 1
Proficiency Frequency
1. Newborn/Neonate (birth to 30 days) 1 2 3 4 NA 1 2 3 4 NA

2. Infant (1 month to 1 year) 1 2 3 4 NA 1 2 3 4 NA

3. Toddler (1 year to 3 years) 1 2 3 4 NA 1 2 3 4 NA

4. Preschooler (3 years to 5 years) 1 2 3 4 NA 1 2 3 4 NA

5. School Age Child (5 years to 12 years) 1 2 3 4 NA 1 2 3 4 NA

6. Adolescents (12 years to 18 years) 1 2 3 4 NA 1 2 3 4 NA

7. Young Adults (18 years to 39 years) 1 2 3 4 NA 1 2 3 4 NA

8. Middle Adults (39 years to 64 years) 1 2 3 4 NA 1 2 3 4 NA

9. Older Adults (64 years to 79 years) 1 2 3 4 NA 1 2 3 4 NA

10. Elderly Adults(over 79+ years) 1 2 3 4 NA 1 2 3 4 NA

Yes
Date 2022-03-31
Digital Signature Initial TB
Digital Signature Full Name Tom B.
Ip Address 223.181.151.254, 10.0.3.241
Date And Time 03/31/2022 09:35:33

You might also like