ekg technician journal - putnam county...responsibilities of an ekg technician demonstrate knowledge...
TRANSCRIPT
EKG Technician
Journal
Student Name:_______________________________________
School:______________________________________________
Teacher:____________________________________________
Personal Qualities of a Health Care Worker
Empathy – Identify with and understand another person’s feelings,
situation, and motives.
Honesty – Truthfulness and Integrity
Dependability – Must be prompt in reporting to work, good attend-
ance, perform assigned tasks on time and accurately
Patience – Tolerant and understanding
Acceptance of criticism – Some will be constructive and allow you to
improve in your work
Enthusiasm – Enjoy work and display a positive attitude
Self-Motivation – Ability to determine things that need to be done
and do them without constant direction
Tact – Show consideration of the feelings of others at all times
Competence – Ability to follow instructions, know your limits, and
ask for guidance
Responsibility – Willing to be held accountable for own actions
Discretion – Understand patient’s rights and practice confidentiality
Team Player – Work well with others
Personal Appearance of a Health Care Worker
Name Tag
Clean, wrinkle free uniform, and well fitting with white or neutral
undergarments
White , clean, closed toe and heel shoes; no high heels or sandals
Watch with second hand, note pad and pen
No tattoos
Clean, free of body odor, and good oral hygiene
Hair up and off collar
Short fingernails only
NO acrylic nails, and NO nail polish
NO perfume, aftershave, or offensive odors such as
tobacco, hairsprays, and lotions
NO jewelry or visible body piercings
NO excessive makeup, should be natural, and attractive
The Health Insurance Portability and Accountability Act of 1996 was designed to
protect your private medical information. HIPAA established strict guidelines
for record keeping, record storage and communication in the medical and
health insurance fields. Everyone, from doctors' offices to pharmacists to those
who answer the phones at your insurance agency, has to follow the same
procedures.
PROTECTED HEALTH INFORMATION (PHI)
HIPAA's guidelines make clear exactly what information about patients is protected. Called PHI, this information includes anything that would identify a patient, from name, Social Security numbers and addresses to broader identifiers like race, age and home state. Information about the person's health care needs or medical history is also considered PHI. HIPAA guidelines dictate that this information cannot be shared except in particular instances, including when the individual patient herself requests it, or when a privacy investigation by the Department of Health and Human Services requires it.
MINIMUM NECESSARY
Arguably the cornerstone of the HIPAA guidelines is the "minimum necessary" require-ment. The health care providers and health plan administrators who have to adhere to HIPAA's guidelines must limit what personal health information -- PHI -- they share to the minimum amount necessary to accomplish the task. For example, age, race, or other de-mographic information might be required for a researcher to draw fair conclusions about their otherwise anonymous subjects. It would be within HIPAA guidelines to share that information, so long as the necessity could be proved and all efforts were made to protect the patient's identity.
TRAINING
HIPAA guidelines state that all professionals and other employees who come into contact with patient information must be trained in the HIPAA practices. A "privacy officer" and contact person must be designated in the workplace, and that person serves as the resource for HIPAA and patient privacy related issues. Each business that falls under HIPAA's rules must create a written set of policies and procedures that meet HIPAA requirements for record storage. Employees must have access to this information at any time. The company also must employ a system to keep track of all patient information disclosures so that their handling of sensitive medical information can be reviewed at any time.
SKILLS CHECKLIST
SKILLS DATE DATE DATE DATE DATE DATE DATE DATE DATE
Handwashing
Greeting a Patient
Filing documents in correct order
Use of proper telephone etiquette
Interpret the purpose of a visit
Scheduling procedures
Follow HIPPA Guidelines
Patient Intake to confirm demographic information
Knowledge of Special needs
Ensure all forms are updated and completed
Follow OSHA Guidelines
Explain pre and post in-structions for testing
Demonstrate Computer Skills
Knowledge of Medical Terminology
Act as a responsible and contributing citizen and employee
Apply appropriate aca-demic and technical skills.
Attend to personal health and financial well-being
Communicate clearly, ef-fectively and with reason.
Consider the environmen-tal, social and economic impacts of decisions
Demonstrate creativity and innovation
Employ valid and reliable research strategies
SKILLS DATE DATE DATE DATE DATE DATE DATE DATE DATE
Utilize critical thinking to make sense of problems and persevere in solving them.
Model integrity, ethical leadership and effective management
Plan education and career path aligned to personal goals.
Use technology to en-hance productivity.
Work productively in teams while using cultur-al/global competence
Demonstrate knowledge of blood borne diseases, including HIV/AIDS
Describe the cardiovascu-lar system
Identify legal and ethical responsibilities of an EKG technician
Demonstrate knowledge of, apply and use medical instrumentation modali-ties
Perform patient care tech-niques in the health care facility
Describe cardiovascular drugs, their actions, use and adverse effects
Demonstrate knowledge of other cardiovascular diagnostic modalities
Recognize normal and abnormal monitoring and testing results.
Recognize and respond to emergency situations.
SKILLS CHECKLIST
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JOURNAL NOTES/EVALUATION
DATE:___________ CLINICAL AREA:______________________________________ ______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Evaluation sheet for Clinical Rotations Students Name:__________________ Date:______ Rotation Area:___________________
Comments:____________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Signature of Evaluator:______________________ Printed Name:_______________________
Area of Evaluation Check Appropriate Column
Excellent Above Average
Average Below Average
Unsatisfactory
Student in proper attire (Scrubs, white shoes, name tag, hair pulled back, no rings, no loop earrings, facial pierc-ing, necklaces, and bracelets)
Student exhibited good initiative (keeping busy, offering to assist when needed, asking questions, and stays in area assigned).
Observes Rules: Follows all regulations, Observes safety factors
Quality of Work: Uses proper techniques, Takes pride in work
Quality of Work: Completes tasks on time, Works effi-ciently
Student is equipped with stethoscopes, pen, note pad, and watch with second hand.
Student exhibits professional attitude and behavior (courteous, attentive, good rapport with patients and staff.
Shows Ability for This Field: Readily learns procedures, is capable & interested
Putnam County School District
EKG Technician
Evaluation
Student Name______________________________ Facility______________________
Date: ________ Time In: _______ Time Out: _______ Total Hours__________
Evaluation to be completed by assigned mentor:
1. Student in proper attire (scrubs, white shoes, name pin, hair pulled back, no rings, Yes___ No___
loop earrings, facial piercing, necklaces, and bracelets).
2. Student is equipped with proper items, pen, paper, journal. Yes___ No___
3. Student exhibited good initiative (keeping busy, offering to assist when needed, Yes___ No___
asking questions, and stays in area assigned).
4. Student exhibited professional attitude and behavior (courteous, attentive, good Yes___ No___
rapport with patients, and staff).
Evaluator’s comments: please note any deficiencies, positive or critical on student’s performance of skills,
attitude, and appearance, etc.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
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Evaluator’s Signature____________________________________________Date:______________
STUDENT ACTIVITY LOG: (Document any skills that were you observed performing, or any special activities that
you assisted with during clinical and explain why the procedure was done).
You may use a separate sheet of paper to attach to this page.
_____________________________________________________________________________________
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Student Signature___________________________________________________ Date:______________
Medical Terminology Studies of the Body Anatomy- study of the structure of the body and its relationship of its parts Physiology- study of the normal functions and activities of the body Embryology- study of the development of the body from the ovum (egg) after the union with the male sperm Biology- study of all forms of life Histology- microscopic study of the structure, functions, and composition of normal cells and tissues Pathophysiology- study of the changes in the structures and functions of the body caused by disease Positions and directions Anterior - toward the front Posterior- toward the back Medial- near the midline Lateral- towards the outside Internal- inside External- outside Distal- away from the midline Proximal- close to the midline Superior- above Inferior- below Cranial- towards the head Caudal- towards the tail Adduct- move toward the midline Abduct-move away from the midline Anatomical Postures Erect - Standing or upright position Supine - body flat on back, horizontal Prone - body flat on abdomen Lateral Recumbent - body horizontal, on either side, with knees bent Knee Chest - on knees with head down Movement Flexion- bending at a joint Rotation- movement turning a body on its axis Pronation - Turning downward Supination - turning upward Eversion- turning outward Inversion - turning inward Systems Skeletal Muscular Integumentary Gastrointestinal — Digestive Cardiovascular Lymphatic Respiratory Endocrine Nervous Genitourinary
Medical Terminology
Relating to weights and measurements ad lib As much as desired cc cubic centimeter ml millimeter dr dram gr grain gtt drop kg kilogram L liter lb pound mg milligram fl fluid fl oz fluid ounce g gram Relating to medications sc sub-q subcutaneous IM intramuscular IV intravenous PO By Mouth PR Per rectum cap capsule Rx take per by sig. instruction Relating to time NPO nothing by mouth ac before meals pc after meals bid twice a day tid three times a day qid four times a day q every q lh every one hour qod every other day qd everyday qhs every night hs night or bedtime PRN as needed STAT at once, NOW EDC estimated day of confinement
EXAMPLES
GET ME THE CPR CART
STAT!!
Amb bid qd
Rx: i tab bid ac
Valium 10 mg IV q 12 h
wt: 135 ht: 64 in
TPR: 98.6 72 24
Relating to Physical Examination BP - Blood Pressure LLL - left lower lobe (lung) LLQ - left lower quadrant LUL - left upper lobe LUQ - left upper quadrant RLL- right lower lobe (lung) RLQ - right lower quadrant RUL- right upper lobe RUQ - right upper quadrant RML - right middle lobe os - mouth O. S . - left eye O.D. - right eye O.U. - both eye P.E., PE - Physical Examination TPR - Temperature, Pulse, Respiration R/O - Rule Out c.c. - chief complaint Dx - Diagnosis Sx - Symptom Relating to Medical Specialist Pediatric- devoted to caring and curing diseases of children Gynecology- devoted to treat the diseases of female genitourinary tract Obstetrics- devoted to deal with pregnancy, labor and delivery Surgery- treats diseases by operative procedures EENT- (Eyes, Ears, Nose & Throat)- Otology-study of the disease of the ear Laryngology- study of the nose, throat, and tracheobronchial tree Radiology- devoted to the study & treatment of the disease by means of X-ray Nuclear Medicine- treats disease with radiation Urology- study of the urinary system and disease Cardiology- study of the heart and its great vessels Thoracic Surgery- surgical treatment of the chest and its great vessels Endocrinology- study of the endocrine glands and their hormone secretions Dermatology- study of the skin Internal Medicine- treatment of diseases of the internal organs Physical Medicine- treatment with Physical Therapy Sports Medicine- treatment of sport injury or prevention of injury Psychiatry- study of the mind Geriatrics- study of the elderly Orthopedics- study of the bones Oncology- study of cancer Neurology- study of the brain and nervous system General Medicines- treatment of all ages Emergency Medicines- treatment of person in an emergency or life threatening situation
Guidelines for Observing Patients
Senses
How well can the patient see objects close by? At a dis-
tance?
Is the patient able to hear when you speak in a normal
tone of voice?
Can the patient smell strong odor?
Can the patient sense temperature accurately?
Does the patient complain of food or beverages not tast-
ing right?
PAIN or DISCOMFORT (Remember that
pain is individualized-It does not mean the
same thing to all people.)
Where is the pain or discomfort?
How long does the pain or discomfort last?
Ask the patient to describe the pain (Sharp or dull,
throbbing or stabbing, etc.).
How does the patient rate the pain on a scale from 1
to 10, with 10 being the greatest pain?
What medication, if any, has been given to relieve
the pain or discomfort?
Has the medication helped?
Is the pain or discomfort interfering with sleep? Responses
Is the patient awake and alert?
Is the patient calm or restless?
Is the patient aware of people, place, and time?
Can the patient speak clearly?
Can the patient follow instructions?
What is the patient’s emotional state? (Does the patient appear
happy, worried, withdrawn?)
Elimination
Does the patient have difficulty urinating?
Does the patient complain of burning or soreness
when urinating?
How much urine is passed?
What color is the urine?
How often does the patient urinate?
Does the patient complain of gas?
How often does the patient have bowel movements?
Is there any bleeding with bowel movements?
Activities of Daily Living
How much personal care can the patient perform without help?
Can the patient eat without assistance?
Can the patient use the toilet, bedpan, urinal, or commode?
With what level of assistance?
Appetite
How is patient’s appetite?
How much of the food served does the patient eat (at all three
meals)?
Does the patient eat between meals?
How often does the patient drink fluids?
Does the patient complain of nausea?
Is the patient gaining or losing weight?
SKIN (Assess the skin by looking and a gentle
touch. Bath time is a good time to assess the skin.)
What color does the skin appear to be (pale, yellow-
ish, gray, flushed, etc.)?
Is the skin dry or moist?
Is the skin hot, cold, or warm?
Are there any abnormalities on the skin (rashes,
sores, bruises, etc.)?
Respiration (Assess the patient’s breathing by watching the
chest go up and down, listening to the sounds.)
What is the breathing rate?
Does the patient have difficulty breathing?
Are there any noises when the patient inhales or exhales?
If the patient has a cough, is it dry or does it produce mucus?
What is the quantity and color of the sputum?
Movement
How well does the patient walk?
Does he walk with or without assistance?
Is the patient able to move all parts of the body?
Is the patient able to get out of bed without assis-
tance? Sit up in bed?
Regions and Quadrants
Normal Sinus Rhythm
A normal heart rhythm is called normal sinus rhythm (NSR for short). An NSR will have a heart
rate (this is the same as the pulse) between 50 and 100 beats per minute and a normal impulse
formation from the SA node ( P wave).
Normal ECG
Diagram of ECG paper
Basic ECG
Atrial Fibrillation
The EKG rhythm will appear irregular with heart rate that is very fast (> 350 bpm) for atrial, but ventricular rate may
be slow, normal or fast. The P wave features: absent - erratic waves are present. Observe that the PR interval
is absent. The QRS complex will typically be normal but may be widened if there are
conduction delays.
Bundle Branch Block
The EKG rhythm will appear regular with heart rate that is the underlying rate. The P wave features: normal. Ob-
serve that the PR interval is normal (0.12-0.20 sec). The QRS complex will typically be wide (>0.12 sec).
Sinus Bradycardia
The EKG rhythm will appear regular with heart rate that is slow (< 60 bpm). The P wave features: normal. Observe
that the PR interval is normal (0.12-0.20 sec). The QRS complex will typically be normal (0.06-0.10 sec).
Ventricular Tachycardia Torsade de Pointes
The EKG rhythm will appear irregular with heart rate that is fast (200-250 bpm). The P wave features: absent. Ob-
serve that the PR interval is not measurable. The QRS complex will typically be wide (>0.10 sec), bizarre looking.
Abnormal EKG Types
Abnormal EKG Types
Ventricular Tachycardia Polymorphic
The EKG rhythm will appear regular or irregular with heart rate that is fast (100-300 bpm). The P wave features: ab-
sent. Observe that the PR interval is not measurable. The QRS complex will typically be normal or wide (>0.10 sec),
bizarre looking.
Supraventricular Tachycardia
The EKG rhythm will appear regular with heart rate that is fast (150-250 bpm). The P wave features: merged with t
wave. Observe that the PR interval is normal (0.12 sec). The QRS complex will typically be normal (.10 sec). PR inter-
val can be difficult to measure.
Sinoatrial Block
The EKG rhythm will appear irregular when SA block occurs with heart rate that is normal or slow. The P wave fea-
tures: normal. Observe that the PR interval is normal (0.12-0.20 sec). The QRS complex will typically be normal (0.06-
0.10 sec). pause time is an integer multiple of the p-p interval try to identify specific type of atrial tachycardia.
Pacemaker Single Chamber Atrial
The EKG rhythm will appear regular with heart rate that is 60 bpm. The P wave features: normal. Observe that the
PR interval is normal. The QRS complex will typically be normal.
Abnormal EKG Types
Accelerated Idioventricular Rhythm
The EKG rhythm will appear regular with heart rate that is 50-120 bpm. The P wave features: absent. Observe that
the PR interval is not measurable. The QRS complex will typically be wide (>0.10 sec), bizarre looking.
Accelerated Junctional Rhythm
The EKG rhythm will appear regular with heart rate that is normal (60-100 bpm). The P wave features: present be-
fore, during (hidden) or after qrs, if visible it is inverted. Observe that the PR interval is not measurable. The QRS
complex will typically be normal (0.06-0.10 sec).
Asystole
The EKG rhythm will appear not present with heart rate that is absent. The P wave features: absent.
Observe that the PR interval is absent. The QRS complex will typically be absent. confirm with multiple leads.
Ventricular Fibrillation
The EKG rhythm will appear highly irregular with heart rate that is unmeasurable. The P wave features:absent.
Observe that the PR interval is not measurable. The QRS complex will typically be none. ekg tracings is a wavy line.
Abnormal EKG Types
Wandering Atrial Pacemaker
The EKG rhythm will appear may be irregular with heart rate that is normal (60-100 bpm). The P wave
features:changing shape and size from beat to beat (at least three different forms). Observe that the PR interval is
variable. The QRS complex will typically be normal (0.06-0.10 sec). t wave normal. if heart rate exceeds 100 bpm, then
rhythm may be multifocal atrial tachycardia (map).
Sinus Tachycardia
The EKG rhythm will appear regular with heart rate that is fast (> 100 bpm). The P wave features: normal, may
merge with t wave at very fast rates. Observe that the PR interval isnormal (0.12-0.20 sec). The QRS complex will typ-
ically be normal (0.06-0.10 sec). qt interval shortens with increasing heart rate.
Third Degree Heart Block
The EKG rhythm will appear regular, but atrial and ventricular rhythms are independent with heart rate that is char-
acterized by atrial rate usually normal and faster than ventricular rate. The P wave features: normal shape and size,
may appear within qrs complexes. Observe that the PR interval is absent: the atria and ventricles beat independently..
The QRS complex will typically be normal, but wide if junctional escape focus.
Premature Ventricular Complex Trigeminy
The EKG rhythm will appear irregular with heart rate that is the underlying rate. The P wave features: absent. Ob-
serve that the PR interval is not measurable. The QRS complex will typically be wide (> 0.10 sec), bizarre appear-
ance. pvc appears every third beat.
NOTES
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Terminology related to ECG Use this section to write ECG terms
NOTES:
Important Dates/Things to Remember:
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Career Planning
You should make a Digital Portfolio and a Notebook to keep track of important
milestones, such as awards, certifications, license, up to date shot record, and other
important documents such as a copy of your Social Security Number and birth certificate.
Begin today by going to :
WWW.FLORIDASHINES.org to set up your My Career Shines account.
Need Money for college….??
Florida Bright Futures offers just that! Stay in a program of study for at least 3 courses,
earn a GPA of a 3.5 in that program of study and overall all GPA of a 3.0 and don’t forget
to take those ACT, SAT, or PERT test early to get the scores you need prior to graduation.
Apply for FL BF Scholarships your senior year and get the community service hours
documented before you graduate from high school.
Other ways to earn money for college…..
WWW.FASTWEB.com
Apply for scholarships offered at the post-secondary institute you plan to attend.
Google is a great source for scholarships… do searches on the things you love to do in
your spare time, religion, career path, be creative!!
AND don’t wait till your Senior Year to start looking………...
How to plan your college career?
See Ms. Cauble, Career Specialist
See your Guidance Counselor
Talk to a recruiter /counselor at the college you plan to attend.
so get busy today!
Created for the CTE Electrocardiogram Technician Student
Department of Career and Technical Education
200 Reid Street
Palatka, Florida
32177
386-329-0536
The Putnam County School District prohibits any form of discrimination or harassment on the basis of race,
religion, color, sex, marital status, age, national origin, genetic identity or disability in any of its programs.
June 2018