Exhibit 6-16. Technician Competency Evaluation Form (continued)
Satisfactory Unsatisfactory
Terminating a Test Early (example scenario for priority 2 stop)
At 2:00 into Stage I, examiner presents scenario that heart rate is 100%
of predicted max
Selects GO TO RECOVERY on ISIS screen
Presses NEXT STAGE 2 times on treadmill controller so that recovery
stage for current protocol is selected
When recovery stage is completed, alerts SP that treadmill is about to
stop and tells SP to grab front rail
Presses STOP BELT on treadmill controller
Selects appropriate reason for Priority 2 stop on ISIS screen
Terminating a Test Early (priority 1)
Examiner presents a scenario that SP is having chest pain
Selects EMERGENCY STOP on ISIS screen
Alerts SP that treadmill is about to stop and tells SP to grab front rail
Presses COOL DOWN and STOP BELT on treadmill controller
Places SP in supine position on treadmill belt
Remains with SP and calls physician
Selects appropriate reason for Priority 1 stop in ISIS screen
Examiner Comments:
My signature below confirms that Cooper Institute staff has reviewed this completed document with me, and
made me aware of any and all cardiovascular component procedures that I need to improve upon.
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Signature Date