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The skills checklist, required by hospital hiring managers, is an important tool we use to help match you to an ideal assignment. This self-assessment form gives us an overview of your nursing experience and proficiencies so our recruiters are better able to find the positions that suit you. Select the appropriate checklist below and submit your completed form to us with one simple click. If your specialty is not listed below, or if you need additional information or assistance, please contact your local O'Grady Peyton International representative.

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Cardiac Monitor Technician (non RNs) Skills Checklist

Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Passport.
First Name* Middle Name Last Name*
E-Mail Address* Phone Number*
(Country Code - Area Code - Local)
1. No experience; requires education, training and supervision
2. Intermittent experience; may need support or supervision
3. Proficient; consistent experience, independent
4. Expert level; can teach/supervise others
1 2 3 4
Number of Monitors Responsible For
Remote Telemetry Office
Telemetry Unit (located on the unit)
Patient/ Equipment Preparation
1 2 3 4
Lead Placement - 3 Lead
Lead Placement - 5 Lead
Set up 12 Lead ECG
Set up Lead II
Set up MCL1
Skin prep
Interpret the Following Rhythms
1 2 3 4
1st Degree Heart Block
2nd Degree Heart Block Type I
2nd Degree Heart Block Type II
3rd Degree Heart Block
Atrial Fibrillation
Atrial Flutter
Bundle Branch Block
Junctional Rhythms
Measure Cardiac Intervals (PR, QRS, ST, etc.)
Measure Cardiac Rate
Normal Sinus Rhythm
Paced Rhythms - Atrial/Ventricular/AV
Pacemaker- Failure to Capture
Pacemaker Misfire
Premature Atrial Contractions
PVC - Unifocal/Multifocal
PVC- Bigeminy/Trigeminy/Coupling
Sinus Arrest
Sinus Bradycardia/Sinus Tachycardia
Ventricular Fibrillation
Ventricular Tachycardia
Monitoring Systems Used
1 2 3 4
Other: Specify
Other: Specify
1 2 3 4
Cardiac Arrest Protocol
Computerized Charting
CERTIFICATIONS (Current at time of this form being filled out)
Telemetry Interpretation Course: (indicate date taken)
Other: Specify
Cardiac Monitor Technician (non RNs) Skills Checklist, version 3

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. Falsification of any information provided, will result in being ineligible to travel with AMN. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.
O'Grady Peyton International staffs nursing jobs for individuals wanting to work in the United States. We staff travel nurses domestically and fill long-term nursing and allied health assignments for international providers.
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