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Travel Nursing Skills Checklists

Congratulations on your decision to apply for a travel nursing position with American Mobile! Before we can offer you a nursing employment opportunity, an electronic skills assessment must be completed. From the nursing skills checklist below, please locate the list that matches your specialty and complete the online form. Be sure to review your information thoroughly before clicking the submit button. Thank you!

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 Social Security Card.
First Name* Middle Name Last Name*
Last 4 of Social Security Number*
- -
E-Mail Address* Phone Number*
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
1 2 3 4
Telemetry Unit (located on the unit)
Remote Telemetry Office
# Monitors Responsible For
Patient/ Equipment Preparation
1 2 3 4
Skin prep
Lead Placement - 3 Lead
Lead Placement - 5 Lead
Set up MCL1
Set up Lead II
Set up 12 Lead ECG
Interpret the Following Rhythms
1 2 3 4
Normal Sinus Rhythm
Sinus Bradycardia/Sinus Tachycardia
Premature Atrial Contractions
Atrial Flutter
Atrial Fibrillation
Junctional Rhythms
PVC - Unifocal/Multifocal
PVC- Bigeminy/Trigeminy/Coupling
Ventricular Tachycardia
Ventricular Fibrillation
1st Degree Heart Block
2nd Degree Heart Block Type I
2nd Degree Heart Block Type II
3rd Degree Heart Block
Sinus Arrest
Bundle Branch Block
Paced Rhythms - Atrial/Ventricular/AV
Pacemaker Misfire
Pacemaker- Failure to Capture
Measure Cardiac Rate
Measure Cardiac Intervals (PR, QRS, ST, etc.)
Monitoring Systems Used
1 2 3 4
Other (specify)
Other (Specify)
1 2 3 4
Cardiac Arrest Protocol
Computerized Charting
Small calendar
Exp. Date: 
Telemetry Interpretation Course: (indicate date taken)
Small calendar
Date Taken: 
Other (type): 
Small calendar
Date Taken: 
Cardiac Monitor Technician (non RNs) Skills Checklist, version 2

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. 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.

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