ELECTROCARDIOGRAPHY (EKG) TECHNICIAN STUDENT CHECKLIST Name: Email: Date: Phone: I am submitting a complete application packet for the next available class. I used the checklist to double check my packet and have signed all necessary forms. Class Information: Reminder: CLEAR COPIES of documentation only. Do NOT submit original documentations. Registration Form A valid non- expired U.S. or State Govt. Issued Identification A valid non- expired American Heart Association CPR for Healthcare Provider Card TB Skin Test FLU Shot Immunization Signature Form or Separate Documents for required Immunizations Student Responsibility Form For Office Use Only: Reviewed By: Date: Comments:
GENERAL COURSE INFORMATION What does an EKG Technician program? An EKG Technician is a medical professional trained in operating specialized equipment used to measure the heart s performance. Technicians work directly with patients, administer the test and provide the resulting data to physicians for analysis. What classes do I have to take? ECRD 1011- EKG Technician Lecture (48 hour course) When is it offered/ when does it start? See schedule for dates and times. Schedule may be viewed online at: http://www.cedarvalleycollege.edu/currentstudents/lists/webpages/dispform2.aspx?id=4 How much does it cost? (Cost varies depending on what you are missing with immunizations) EKG Lecture- $475 CPR Course- $65 State exam fee- $85 TB test- $5/ Chest x-ray (if skin test is positive)- $50 Immunizations- $0- $139 (may vary by clinic) o Measles, Mumps, Rubella (2 doses), Combination tetanus/ diphtheria/ pertussis (Tdap), Varicella (2 dose) Influenza, Hepatitis B series (3 injections) Criminal Background Check- $45 Supplies- $35 Textbook- $85 Will Financial Aid pay for my courses? Texas Public Education Grant (TPEG) pays for tuition only (if you qualify and are approved). Eligibility is based on financial need. You must complete the FAFSA www.fafsa.ed.gov and TPEG application. Visit financial aid website for more information nor contact Cedar Valley s Financial Aid Office at 972-860- 5230. Financial Aid will not pay for books, supplies and vendor fees. Cedar Valley College s Federal School Code 014035 You will need a valid email address in order to accept your award through econnect. How much will I earn? Entry- level wages are $10-15 per hour. Am I certified when I finish the course? Students will need to pass the (EKG) Technician exam administered by the American Society of Phlebotomy Technicians (ASPT). Where are the classes held? Science and Allied Health Building- M Building- at Cedar Valley College, 3030 N. Dallas Ave. Lancaster, TX 75134.
Course Objectives: To provide the skills and knowledge necessary to sit for state and national certification exams. To provide fundamental training in the function and proper use of the EKG machines, the normal anatomy of chest wall for proper lead placement, 12 lead placement, and other clinical practices. Course Information: ECRD 4.5 Continuing Education Units 6 Weeks/48 Hours Location: M Building, 3030 N Dallas Ave, Lancaster, Texas 75136 *No Clinical Available The national ASPT EKG exam is $85.00 (subject to change). The instructor will provide application and test fee information during the first week of class. Supplies: Textbook: Beasley, B.M. Understanding EKGs: A practical approach (4 th edition) EKG caliper and ruler Admission Requirements: Admission to the EKG Technician course is available to any interested student who meets the following: 1. High School diploma or GED equivalent (or concurrent enrollment with GED must provide registration information) 2. Current CPR certification (see El Centro s current schedule for next available CPR courses) MUST BE American Heart Association BLS for Providers Certificate Requirements: Complete ECRD.1011 in order to take the national exam. Students will need to pass the (EKG) Technician exam administered by the American Society of Phlebotomy Technicians (ASPT).
EKG PHLEBOTOMY Application Student Checklist Name Date: Email Phone: I am submitting a complete application packet for the next available class. I used the checklist to double check my packet and have signed all necessary forms. Class Information: Reminder: CLEAR COPIES of documentation only. Do not submit original documentations. EKG Application High School Diploma or GED (college transcript will not be accepted) A valid non-expired U.S or State Govt. Issued Identification A valid non-expired American Heart Association CPR for HealthCare Provider Card (If you do not have proof prior to Phlebotomy application, you can enroll at CVC concurrently; you must complete and show proof prior to phlebotomy clinical. Please circle one. Proof of Personal Health Insurance (Copy of front and back of insurance card or will purchase for clinical approval and submit at a later date). Please circle one. TB Skin Test FLU Shot Immunization Signature Form or Separate Documents for required Immunizations _Student Responsibility Form For Office Use Only: Reviewed by: Date: Comments: Semester/Term:
Application Form Applicants to Continuing Education health courses are responsible for retaining a photocopy of all documentation submitted for their personal records. Once this documentation has been submitted to Continuing Education the documentation becomes the sole property of Continuing Education and will not be returned nor photocopied for the applicant, their instructors or any other party. Continuing Education Health Careers DCCCD STUDENT ID NO. / / DATE NAME BIRTHDATE Last First Middle I. Month/Day/Ye ar ADDRESS Street City and State ZIP TELEPHONE ( ) ( ) Home Business/Mobile EMAIL *submit a good email that you check regularly. This is how you will be notified of enrollment approval and next steps. HEALTH QUESTIONNAIRE - (To be completed by the applicant) Do you have any physical limitations which would affect your ability to lift, turn, or transfer patients? Yes No Do you have any limitations in use of your senses, such as in sight or hearing, which would limit your ability to practice a health profession? Yes No Do you have any other condition which might interfere with your ability to practice a health profession? Yes No If you have answered "yes" to any of the above, please explain your limitations in detail below: I certify that the information provided by me is complete and accurate. Applicant s Signature Date