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/depts/uwhealth/ambulatory-education/checklists/resources/CardiologyEKGTech.pdf

20170367

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UWMF,

Learning and Development,

Departments & Programs,UW Health,Ambulatory Education,Checklists - Core and Department Specific,Resources

Cardiology - EKG Tech

Cardiology - EKG Tech - Departments & Programs, UW Health, Ambulatory Education, Checklists - Core and Department Specific, Resources


1


CARDIOLOGY – EKG TECHNICIAN CLINICAL TRAINING CHECKLIST ----- This is due three months from hire date------


Employee Name: __________________________________ Employee Credentials:________ Hire Date: ____________

Clinic Location/ number: _______________________ Employee Number ________________________


*** N/A on checklist indicates that it is not indicated for the employee***
*Refer to appropriate UWMF policy ***Each area should either be discussed or observed by preceptor***

AREA OF ORIENTATION Discussed Observed Preceptor’s Signature Completed date
Employee is able to gather data relevant to the following:
Patient’s personal and family health history
Patient’s perception of current problem
Onset of precipitating factors, to worsening symptoms or alleviating factors and timing
Accompanying factors to patient’s conditions (such as SOB to chest pain )
Obtains vital signs *, smoking history

S/S ANGINA - pain or pressure in chest, arms back or jaw comes w/ exertion, relieved
w/rest

S/S UNSTABLE ANGINA - chest pain or discomfort along with weakness, feeling sick
to stomach or fainting, feeling of impending doom-unrelieved with 3 nitro’s tabs

S/S ATRIAL FIBRILLATION – SOB, Racing heart, palpitation, fatigue dizziness and
chest pain

S/S DYSRHYTHMIA – syncopal episodes, palpitations, skipped or fast heart rate
Able to determine patient’s knowledge level/deficit and ability to understand
Able to identify cultural practices related to care
Able to elicits info regarding relationships with significant others


2

AREA OF ORIENTATION Discussed Observed Preceptor’s Signature Completed date

Employee has shown the ability to set up and/or assist with tests and procedures:
Provide assistance during exercise tolerance testing, including nuclear and reg. tests
Perform pre-op or routine EKG *
Hook patients up to stress test machine making sure cardiogram leads have clear readings.
Responsible for unhooking patient from machine when testing is complete.

Run rhythm strip for EKG testing at own discretion.
Monitor and adjust the pace and elevation of the treadmill machine according to the
physician’s direction.

Monitor patient’s pulse and blood pressure throughout tests. *
Obtain accurate Holter monitoring.
Scan Holter monitoring tapes – download information from tape, review and classify all
abnormal rhythms, identify the slowest and fastest heart rates and any PVCs.

Prepare information from Holter tape scan into summary format for the cardiologist to
interpret.

Hook patients up to stress test machine making sure cardiogram leads have clear readings.
Responsible for unhooking patient from machine when testing is complete.

Proper and complete labeling of specimens and paperwork (in needed)
Employee has the ability to assist w/ patient coordination, preparation, & instruction
Thoroughly explain procedures to patients, answering questions and calming concerns.
Obtain the patient’s written permission to administer stress tests.
Educate patients on Holter monitors; hook monitor up to patient according to protocol.
Instruct patient in keeping diary of activities and symptoms.
Code and complete service records to be sent to the Central Business Office for processing.
Make copy of patient tests needed for pre-operative procedures to send to other
departments.


3

AREA OF ORIENTATION Discussed Observed Preceptor’s Signature Completed date
Employee has the ability to Equipment Set-up, Maintenance, Repair and Supplies
Assure all equipment/supplies are available based on patient needs – IV supplies
Assure all equipment functions before use – IMED, EKB, TM, Pulse Ox Doppler
Assure all emergency equipment/supplies are current and available at all times
Clean and set up room in preparation for each patient
Contacts cardiologists if abnormalities identified on Holter scan

Employee has the ability to demonstrate competence to assist/set-up/patient
care/follow-up

Phlebotomy
IV initiate

Employee has the ability to demonstrate competence to assist/set-up/patient
care/follow-up

Appropriately care for patient requiring an EKG interpretation *
Treadmill Test
Nuclear Stress Test:

Provides URGENT Patient Care – Employee is able to:
Initiates EKG monitoring (when indicted) *
Initiates Defibrillation (if indicted)
Appropriately care for patient requiring anti-arrhythmic medication
Initiate Chest Pain Protocol appropriately (see Emergency Procedures Manual)
Appropriately care for patient requiring anit-anginal medication
Appropriately care for patient with cardiopulmonary arrest (until advanced help arrives)
Understands and can appropriately set-up the crash cart
Stocks crash cart appropriately
Performs appropriate crash cart ‘checks’

Employee has shown the ability to record, collect or monitor data:
Read preliminary results of EKG in order to determine what level of exercise stress test is
appropriate for each patient.

Keep accurate records of those patients sent from other offices that have cardiograms in
office.

Draw nurse’s or physician’s attention to any noted abnormality during tests.
Record and graph the patient’s pulse and blood pressure at various intervals during tests.
Monitor patient during cool-down and resting period at the physician’s direction.
Collect and document the Holter monitors given to patients and results received.

4
AREA OF ORIENTATION Discussed Observed Preceptor’s Signature Completed date
Employee has shown the ability to record, collect or monitor data: Continued from
prior page

Refer to times noted in diary by patient for correlation to Holter tape.
Contact cardiologist immediately if abnormalities identified on Holter scan warrant
immediate attention

Provide clerical support services for the nursing department.
Send all reports to scanning

Status/Recommendations/Comments:
____________________________________________________________________________________________________________________

I, _________________________________________ (employee name) have completed the EKG TECHNICIAN CLINICAL TRAINING CHECKLIST and attest
the information is true and valid. I have demonstrated or discussed these skills and I am responsible for performing patient care as a Certified Medical Assistant /
Licensed Practical Nurse / Registered Nurse or EKG (Non-Invasive Cardiac Tech) Tech (circle one)

__________________________________________________ ___________________
Preceptor Date

____________________________________________________ ___________________
Supervisor Date

__________________________________________________ ___________________
Provider Date

Additional Preceptor Signatures/initials:
1. _________________________________________________
2. _________________________________________________
3. _________________________________________________
4. _________________________________________________
Initially Completed 2/07; Updated 9/11, 3/12, 6/14, 3/17

 Send the original signed Clinical Training Checklist to Clinical Staff Education – 1035.
 One copy of the signed Clinical Training Checklist should be placed in the clinic’s staff employee’s file, and a copy given to the employee.

REFERENCES:
Brener, T., Doyle, R.M. (Ed.). (2008). Nursing 2008 drug handbook. Philadelphia, PA: Lippincott Williams & Wilkins.
Perry, A.G. & Potter, P.A. (2002). Clinical nursing skills & techniques. (5th ed.). St. Louis, MO: Mosby.
Perry, A.G. & Potter, P.A. (2009). Fundamentals of nursing. (7th ed.). Hall, A. & Stockert, P.A. (Eds.). St. Louis, MO: Mosby Elsevier.