CCT Matrix & Task List

Examination Matrix

The examination matrix is provided to illustrate the general distribution of questions and the relative weight or emphasis given to a skill or content area on the examination.


A. Conducting Pre-Procedural Activities 10%
B. Performing Resting ECG (12-Lead, 15-Lead, etc.) 40%
C. Performing Stress Tests 20%
D. Performing Ambulatory Monitoring (Holter, Event, Telemetry, Transtelephonic, Pacemaker, etc.) 5%
E. Performing Rhythm Analysis 25%
TOTAL 100%

Knowledge List

The list below describe general areas of knowledge that are needed in order to perform the tasks identified. This knowledge will apply across multiple tasks.

Size Venules

Bipolar, unipolar and precordial leads Einthoven's triangle and law

Location  Cardiac valve function ECG calibration methods
Layers Pressures Single and three channel ECG

Relationship of cardiac output to heart rate and stroke volume

Troubleshooting ECGs
Valves Control mechanisms Standardization
Blood flow Cardiac cycle Paper speed
Arteries Normal values Lead placement
Veins Waveforms Electrical interference
Capillaries ECG measurement Somatic tremor



Task List

The task list below describes the activities that a Cardiographic Technician is expected perform on the job. All examination questions are linked to these tasks.

Duties and Tasks % of Exam
A Conducting Pre-Procedural Activities 10%
1 Receive doctor’s orders  
2 Verify doctor’s orders  
3 Perform universal precautions (e.g., handwashing, PPE)  
4 Identify patient  
5 Obtain patient consent  
6 Transport patient  
7 Prepare the patient (shaving, cleaning skin, etc.)  
8 Identify proper landmarks  
9 Collect patient demographics  
10 Enter patient information into ECG machine  
11 Identify patient safety hazards  
B Performing Resting ECG (12-Lead, 15-Lead, etc.) 40%
1 Gather supplies and equipment  
2 Educate patient on procedure expectations  
3 Apply electrodes to patient  
4 Confirm equipment  
5 Perform standard ECG  
6 Perform right side  
7 Analyze ECG tracing  
8 Corrolate ECG morphology with anatomy and physiology  
Duties and Tasks % of Exam
C Performing Stress Tests 20%
1 Gather supplies and equipment  
2 Explain patient safety procedures and protocol expectations  
3 Perform baseline ECG and obtain vital signs  
4 Verify stress test protocol  
5 Perform stress test protocol  
D Performing Ambulatory Monitoring (Holter, Event, Telemetry, Transtelephonic, Pacemaker, etc.) 5%
1 Gather ambulatory monitoring supplies and equipment  
2 Explain procedure to patient  
3 Verify equipment functionality  
4 Attach leads to patient (stress loops, pouch, etc.)  
5 Explain ambulatory monitoring requirements (limitations, expectations, duration etc.)  
E Performing Rhythm Analysis 25%
1 Analyze obtained data  
2 Correlate ECG findings (waveforms, segments, intervals, etc.) with cardiac function  
3 Identify, report, and record findings  
Total   100%
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