ECG Technician with Clinical Externship

EKG Techncian Program Nationally Certified by the AMCA

Cost of our program $500,

Program Length: 5 weeks

Meeting Time: 6 hours per day/twice weekly

40 hours of clinical externship doing EKG’s at  St. Mary’s in Livonia Mi

By Nancy Kimmel RN, PhD, CHMM, CNAT, CPI (ASHP), BLS Instructor (AHA)
Phlebotomy Career Training School is dedicated to providing quality education at an affordable price. Students are paying thousands of dollars for courses that could be easily offered for a few hundred dollars. The philosophy of Phlebotomy Career Training is to provide students with the knowledge and the skills necessary to work in the medical health-care field. Our instructors have over twenty years of experience in teaching and forty years of combined work experience in the health-care field.
Phlebotomy Career Training is now offering online courses to help those already in the health-care field increase their professional knowledge base and add extra earning power to their current certifications. The ECG (electrocardiogram) with Telemetry is one of the newest courses now offered by Phlebotomy Career Training. The course is designed by Professor Nancy Kimmel RN, PhD and entails much more than any other online or classroom course.   The ECG with Telemetry encompasses topics such as the anatomy and physiology of the heart, etiology of hypertension and cardiovascular disease, pharmacology of various heart and blood pressure medications. The ECG with Telemetry online course covers biomedical mechanisms of a twelve lead ECG, over twenty different cardiac rhythms and arrhythmias.
A cardiac rhythm that is most important for any telemetry technician to recognize is that of a myocardial infarction. A person suffering from a myocardial infarction, depending on the location of the area of ischemia, complains of some of the following symptoms; sweating, chest pain (described as a crushing feeling), pain radiating in the interior of the left arm, jaw pain (dull ache), trouble breathing, (dyspena), nausea and or vomiting. Not everyone who sustains a myocardial infarction has the same symptoms or all the symptoms. The most telling sign of a myocardial infarction on an electrocardiogram are the widened QRS complexes, flattened or depressed ST segment and depressed or elevated T waves.
When learning to interpret ECG’s (electrocardiograms) students are first trained to understand the anatomy of the heart and the heart’s electrical conduction pathway. Once the students are able to demonstrate their ability to diagram and explain this pathway they are next taught how to read the lead tracing grid that all electrocardiograms are traced on.
The students who learn to interpret electrocardiogram rhythms are acutely responsible for what they interpret. Although a registered nurse and or physician are ultimately responsible for the final interpretation, the telemetry technician is the first responder when noticing any rhythm that could be considered fatal or life threatening. Therefore, it is very important for the telemetry technician to be adept at reading and interpreting the lead tracings. There is a wealth of literature and resources that are helpful as teaching aids for the beginning telemetry technician. However, the best learning tool that a telemetry technician has is an actual lead tracing of a dangerous cardiac rhythm.
Telemetry technicians are similar to the electrocardiogram technician in that the telemetry technician is responsible for pulling six second strips from telemetry monitors of patients who may be in intensive care, cardiac care or the emergency room. The telemetry technician pulls six second strips according to the time frame that the hospital deems appropriate for the care that needs to be provided to the patient. For instance, if someone is in the cardiac care unit, the telemetry technician may pull a six second strip every hour. If a patient is in the emergency room complaining of chest pains, the telemetry technician may pull a six second strip every fifteen minutes. When a patient is on telemetry, they are placed on a cardiac monitor with five leads applied to their thoracic region.
The telemetry monitor is visible at the nurses’ station and also displayed on a separate monitor in the telemetry booth. It is the job of the telemetry technician to watch several monitors simultaneously. All of the telemetry monitors are equipped with algorithms that are able to pick up cardiac arrhythmia’s such as junctional rhythms, premature ventricular contractions, premature atrial contractions, ventricular fibrillation, ventricular tachycardia and many others. The telemetry technician will alerted to the arrhythmias upon hearing a loud beeping sound coming from the monitors. This sound will alert the telemetry technician to examine the arrhythmia and determine if immediate action should be taken.
Being a telemetry technician is a rewarding career and one which carries a tremendous amount of responsibility. Most telemetry technicians are specialized in other fields of health-care or medicine.

EKG Technicians are cardiovascular technicians who trace electrical impulses transmitted by the heart. A basic EKG tests involves attaching electrodes to a patient’s chest, arms, and legs, and working with an EKG machine to obtain a reading, which is then printed out for a physician. This is a fairly common test, which is done before most kinds of surgery, and as part of a routine physical for middle-aged patients and those persons with a history of cardiovascular problems.

EKG technicians with advanced training perform Holter monitor and stress testing. Holtor monitoring involves following 24 (or more) hours of normal activity by a patient through a portable EKG monitor, which is attached to the patient’s belt, along with electrodes on their chest. This longer test is also printed out for interpretation by a physician, who uses the information to diagnose heart conditions (irregular heartbeat, pacemaker problems). Stress tests involve technicians recording a patient’s “base” EKG reading (while standing still), and, using a treadmill, having a patient walk and run (as the technician increases the treadmill’s speed) to observe the effect that increased exertion has on a patient’s heart.

Like other cardiovascular technicians, EKG technicians work five-day, 40-hour weeks. Most of the time on the job is spent walking and standing. Those who work in catheterization labs may face stressful working conditions because they are in close contact with patients with serious heart ailments.

Most EKG technicians are still trained on the job by an EKG supervisor or a cardiologist, although there are 1-year certification programs for basic EKGs, Holter monitoring, and stress testing available. On-the-job training usually lasts 8 to 16 weeks.