NHA – EKG Technician | Course Outline


1. EKG Monitoring

A. Calculate a patient’s heart rate from the EKG tracing (e.g., 6 second method, R to R, sequencing).

B. Identify artifacts from the tracing (e.g., wandering baseline, somatic, electrical).

C. Resolve artifacts from the tracing (e.g., wandering baseline, somatic, electrical).

D. Record an EKG lead on a patient.

E. Verify the leads recorded on an EKG.

F. Upload a completed EKG to a patient’s electronic medical record.

G. Mount a completed EKG for a patient’s chart.

H. Measure a patient’s heart rhythm from the EKG tracing.

I. Inspect the waveforms of a cardiac cycle for symmetry, direction, and amplitude (e.g., P waves, QRS complexes, ST segments, T waves).

J. Measure a patient’s heart conduction from the EKG tracing (e.g., PR‐interval (PRI), QRS duration, QT‐interval).

K. Identify the major classifications of arrhythmias from the EKG tracing (e.g., sinus, atrial, ventricular, junctional).

L. Identify the major variances to waveforms related to ischemia, injury, or infarction.

M. Respond to potentially life threatening arrhythmias.

N. Verify EKG machine paper speed (e.g., 25mm, 50mm).

O. Verify EKG machine sensitivity (e.g., h, 1, 2).

P. Maintain EKG equipment and the work environment.

Q. Recognized pacemaker spikes on an EKG trace.

2. Patient Care

A. Prepare the patient

1. EKG monitoring (e.g., patient history, cardiac medications, patient positioning).

2. Holter monitoring

3. Stress testing

4. Telemetry monitoring


B. Apply electrodes on patients

1. EKG

2. Holter monitoring

3. Stress testing

4. Telemetry

5. Pediatric patients

6. Patients with special considerations (e.g., right sided heart, posterior chest, amputations)


C. Respond to signs and symptoms of cardiopulmonary compromise.

D. Adhere to HIPAA regulations regarding Protected Health Information (PHI).

E. Monitor patient condition during stress testing.

F. Respond to complications during stress testing.

G. Verify patient understanding of Holter monitor procedures.

H. Obtain patient vital signs (e.g., heart rate, respiration’s, temperature, blood pressure, pulse oximetry).


All students are required to complete 10 successful EKG’s  on living individuals  while be observed by your instructor.

**There is no standardized testing in this course.


Requirements for Graduation


All students who complete the 16 hours of the program, and have completed the minimum required successful EKG’s will be awarded with a Certificate of Completion. Note that until the student pays the total amount of tuition a Certificate of Completion will be withheld.


EKG Course Fees

Tuition                                                          $300.00

Registration Fee (non-refundable   $200.00        

Total                                                            $500.00