EP Tech Checklist

EXPERIENCES WITH AGES

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2 )Limited Experience 3) Experienced 4 )Very Experienced
Newborn/Neonate (birth to 30 days)
Infant (1 month to 1 year)
Toddler (1 year to 3 years)
Preschooler (3 years to 5 years)
School Age Child (5 years to 12 years)
Adolescents (12 years to 18 years)
Young Adults (18 years to 39 years)
Middle Adults (39 years to 64 years)
Older Adults (64 years to 79 years)
Elderly Adults (over 79+ years)

GENERAL SKILLS

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2) Limited Experience 3) Experienced 4) Very Experienced
Standard Precautions
Isolation Precautions
Pediatric Respiratory/Cardiac Arrest
Adult Respiratory/Cardiac Arrest
Crash Carts
Defibrillators
Care of Patient in Restraints
Pain Management
Automated Med Dispensing Systems
Care Planning & Discharge Planning
Patient/Family Education
Electronic Documentation
Patient Head to Toe Assessment
Peripheral IV Insertion, Care and Maintenance

MEDICATIONS

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2) Limited Experience 3) Experienced 4) Very Experienced *
Calculate mcg/min and mcg/kg/min
Titrating Medications
Isuprel
Adenosine
Amiodarone

ASSESSMENT AND MONITORING

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2) Limited Experience 3) Experienced 4) Very Experienced
Lead Placement
Basic 12 Lead EKG Interpretation
Cardiac Rhythm Interpretation
Doppler
Blood Pressure Invasive and Noninvasive

HEMODYNAMIC MONITORING

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2) Limited Experience 3) Experienced 4) Very Experienced *
Art Line
Swan Ganz
Waveform Assessment
General Lab Work Interpretation
ABG Interpretation
Cardiac Enzyme Interpretation
Chemistry Interpretation

CARE AND MAINTENANCE

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2) Limited Experience 3) Experienced 4) Very Experienced *
Central Venous Access Device
Arterial Line
Swan Ganz
IABP
Sheaths
Removal of Sheath
Manual Pressure Hold
C-Clamp
FemStop
VasoSeal, Angioseal, PerClose
Hematoma Recognition/Management

PROCEDURE EQUIPMENT

Rank each of the following sections on a scale of 1 to 4: 1) No Experience 2) Limited Experience 3) Experienced 4) Very Experienced * Scrub EP Procedures
Scrub EP Procedures
Circulate EP Procedures
Monitor EP Procedures
Ablation (Atrial/Ventricular)
Velocity Mapping
Cart/Mapping
Rhythmia Mapping
Bloom Stimulator
Micropace EP-4
Diagnostic Catheters
Bi-V
Stereotaxis
AICD Placement
Bovie
PPM
Baylis
Temporary Pacemaker
Peak Plasma Blade
Cardioversion
Internal Cardioversion Catheters/AICD Testing
NIPS Procedure
Pericardiocentesis
Demonstrate Proper Preservations of Tissue Specimen for Lead Extractions
ACT Machine
Lead Extractions - Spectranetics laser
Device Implants
Ablation Equipment (ie: Stockert, Maestro, Cool Flow, Tactisys)