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State of Washington Classified Job Specification


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Class Code: 322F
Category: Health Care

Class Series Concept


Perform all technical aspects of non-invasive diagnostic procedures provided by an ECG laboratory and operate and understand all ECG laboratory equipment.

Distinguishing Characteristics

Operate complex cardiac diagnostic equipment such as ambulatory recorders, stress testing equipment, polarcardiograph, vector-cardiograph, and cardiocheck pacemaker. Train nursing and medical staff in the routine use of electrocardiographic equipment.

Typical Work

Operate ECG machines such as single channel and 3-channel electrocardiogram, polarcardiograms, vectorcardiograms, and cardio-page writer; review recordings and adjust machine to obtain technically good tracing; 

Conduct special procedures involving dynamic electrocardiography, such as ambulatory recording and treadmill exercise testing; perform and/or assist in cardiopulmonary resuscitation; 

Organize recordings for daily evaluation by medical students and attending staff cardiologists; search for and provide prior recordings for comparison; 

Review patient's clinical record to obtain and record identifying information required for ECG records;  

Troubleshoot equipment malfunctions;report repair needs to laboratory leadership; 

Train student technologists, medical assistants, and other staff in the operation of electrocardiographic equipment; assist in research projects involving ECG laboratory; 

Perform the work of Electrocardiograph Technician 1; 

May assist in intravenous setups and preparation of sterile trays;

May assist physicians in the heart catheterization laboratory;  

Perform related duties as required.

Legal Requirement(s)

There may be instances where individual positions must have additional licenses or certification. It is the employer’s responsibility to ensure the appropriate licenses/certifications are obtained for each position.

Desirable Qualifications

High school graduation or equivalent


One year of experience as an ECG Technician 1 


Certified in Cardiopulmonary Resuscitation


Certified by the National Alliance of Cardiovascular Technologists 


Certified within one year from date of hire. 

Equivalent education/experience.

Class Specification History

New Class: 10-12-73
Revise Class/Title10-21-85
Revise MQ: 7-2-90
Revise Class/Title/MQ: 9-15-95
Revised new class code: (formerly 6366) effective July 1, 2007.
Base range salary adjustment adopted 6/13/2019, effective 7/1/2019.