{"id":4311,"date":"2022-02-18T14:51:30","date_gmt":"2022-02-18T14:51:30","guid":{"rendered":"https:\/\/phaxis.com\/?page_id=4311"},"modified":"2022-09-07T19:11:18","modified_gmt":"2022-09-07T19:11:18","slug":"ekg-tech-skills-checklist","status":"publish","type":"page","link":"https:\/\/phaxis.com\/travel-healthcare\/skills-checklist\/ekg-tech-skills-checklist\/","title":{"rendered":"EKG Tech Skills Checklist"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4311\" class=\"elementor elementor-4311\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t\t\t\t<section class=\"has_ma_el_bg_slider elementor-section elementor-inner-section elementor-element elementor-element-6d8e2b88 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default jltma-glass-effect-no\" data-id=\"6d8e2b88\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_ma_el_bg_slider elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-393cb881 jltma-glass-effect-no\" data-id=\"393cb881\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_ma_el_bg_slider elementor-section elementor-top-section elementor-element elementor-element-2c2ad075 elementor-section-height-min-height elementor-section-items-stretch elementor-section-full_width elementor-section-height-default jltma-glass-effect-no\" data-id=\"2c2ad075\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_ma_el_bg_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-380339d2 jltma-glass-effect-no\" data-id=\"380339d2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"has_ma_el_bg_slider elementor-section elementor-inner-section elementor-element elementor-element-18e30828 elementor-section-full_width elementor-section-content-top elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\" data-id=\"18e30828\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_ma_el_bg_slider elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-48d37967 jltma-glass-effect-no\" data-id=\"48d37967\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_ma_el_bg_slider elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-470c65d4 jltma-glass-effect-no\" data-id=\"470c65d4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-32c6b543 jltma-glass-effect-no elementor-widget elementor-widget-heading\" data-id=\"32c6b543\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.17.0 - 08-11-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">EKG Tech Skills Checklist<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_ma_el_bg_slider elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-5b860474 jltma-glass-effect-no\" data-id=\"5b860474\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-20c55b85 elementor-view-default jltma-glass-effect-no elementor-widget elementor-widget-icon\" data-id=\"20c55b85\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon\" href=\"#elementor-action%3Aaction%3Dpopup%3Aopen%26settings%3DeyJpZCI6IjUxNiIsInRvZ2dsZSI6ZmFsc2V9\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" width=\"27\" height=\"20\" viewBox=\"0 0 27 20\"><g id=\"Group_2\" data-name=\"Group 2\" transform=\"translate(-1840 -60)\"><g id=\"Group_1\" data-name=\"Group 1\"><image id=\"Menu\" width=\"27\" height=\"20\" transform=\"translate(1840 60)\" xlink:href=\"data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAABsAAAAUCAYAAAB8gkaAAAAABHNCSVQICAgIfAhkiAAAAJNJREFUSEtj\/P\/\/\/2EGBgYbIKY1OMIItOwt0BYhWtsENP8dyDIVIEOHDpZdAVlGB3sgVoxaRpWgpnsw8gOdrUgVp+M35D7IZ\/eBahToYNkDkGW3gBap0sGy2yDLuKCWMdLQQlBmBltGQztQjR61jCpBTfdgBFUvJlRxOn5DzoB89hGoho8Oln0CWbYNaJEnHSzbDgAo1kxSPzU7mgAAAABJRU5ErkJggg==\"><\/image><\/g><\/g><\/svg>\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_ma_el_bg_slider elementor-section elementor-top-section elementor-element elementor-element-18a735c elementor-section-boxed elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\" data-id=\"18a735c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_ma_el_bg_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-aa57110 jltma-glass-effect-no\" data-id=\"aa57110\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"has_ma_el_bg_slider elementor-section elementor-inner-section elementor-element elementor-element-a5e135c elementor-section-boxed elementor-section-height-default elementor-section-height-default jltma-glass-effect-no\" data-id=\"a5e135c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-6575745 jltma-glass-effect-no\" data-id=\"6575745\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-09a385b jltma-glass-effect-no elementor-widget elementor-widget-heading\" data-id=\"09a385b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">EKG Tech Skills Checklist<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_ma_el_bg_slider elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0e502eb jltma-glass-effect-no\" data-id=\"0e502eb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9df5989 elementor-align-right jltma-glass-effect-no elementor-widget elementor-widget-button\" data-id=\"9df5989\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-grow\" href=\"\/skills-checklist\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-left\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"remixicon ri-arrow-left-s-fill\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Back to Skills Checklist Main<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-bf35aea jltma-glass-effect-no elementor-widget elementor-widget-text-editor\" data-id=\"bf35aea\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.17.0 - 08-11-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Please rate your experience \/ frequency (within the last year) using the following scale (check the appropriate boxes below):<\/p><ul><li>0 = No Experience \/ Observed Only<\/li><li>1 = Limited Experience \/ Rarely Done (&lt;6 times\/year)<\/li><li>2 = May Need Some Review \/ Occasionally Done (1 &#8211; 2 times\/month)<\/li><li>3 = Experienced \/ Frequently Done (daily or weekly)<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0595d97 jltma-glass-effect-no elementor-widget elementor-widget-shortcode\" data-id=\"0595d97\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><script type=\"text\/javascript\">var 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e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_21' ><div id='gf_21' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_21' id='gform_21'  action='\/wp-json\/wp\/v2\/pages\/4311#gf_21' data-formid='21' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdLS5EpAAAAAO0o7fTdC6pgFHgLhNboc1UfgiHJ' data-tabindex='0'><input id=\"input_c5dfe0dbab71f8524374d7cb0061f558\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_c5dfe0dbab71f8524374d7cb0061f558\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><ul id='gform_fields_21' class='gform_fields left_label form_sublabel_below description_below'><li id=\"field_21_322\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_322\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_21_322'>\n                            \n                            <span id='input_21_322_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_322.3' id='input_21_322_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_21_322_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_21_322_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_322.6' id='input_21_322_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_21_322_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_21_323\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_323\"><label class='gfield_label gform-field-label' for='input_21_323' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_323' id='input_21_323' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_21_414\"  class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_414\"><label class='gfield_label gform-field-label' for='input_21_414' >Recruiter&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_414' id='input_21_414' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Bibha Adhikari' >Bibha Adhikari<\/option><option value='Bobby Lutz' >Bobby Lutz<\/option><option value='Brad Donathan' >Brad Donathan<\/option><option value='Bradley Kurtz' >Bradley Kurtz<\/option><option value='Brian Wright' >Brian Wright<\/option><option value='Kaitlin Bockhaus' >Kaitlin Bockhaus<\/option><option value='Kalie DeFillippo' >Kalie DeFillippo<\/option><option value='Kylie Estridge' >Kylie Estridge<\/option><option value='Lauren Courtney' >Lauren Courtney<\/option><option value='Taylor Cunningham' >Taylor Cunningham<\/option><option value='Tripp Mann' >Tripp Mann<\/option><option value='Tyrell Davenport' >Tyrell Davenport<\/option><option value='Whitney Fields' >Whitney Fields<\/option><\/select><\/div><\/li><li id=\"field_21_269\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_269\"><h2 class=\"gsection_title\">AGE OF PATIENTS CARED FOR<\/h2><\/li><li id=\"field_21_2\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_2\"><label class='gfield_label gform-field-label'  >Newborn\/Neonate (birth to 30 days)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_2'>\n\t\t\t<li class='gchoice gchoice_21_2_0'>\n\t\t\t\t<input name='input_2' type='radio' value='0'  id='choice_21_2_0'    \/>\n\t\t\t\t<label for='choice_21_2_0' id='label_21_2_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_2_1'>\n\t\t\t\t<input name='input_2' type='radio' value='1'  id='choice_21_2_1'    \/>\n\t\t\t\t<label for='choice_21_2_1' id='label_21_2_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_2_2'>\n\t\t\t\t<input name='input_2' type='radio' value='2'  id='choice_21_2_2'    \/>\n\t\t\t\t<label for='choice_21_2_2' id='label_21_2_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_2_3'>\n\t\t\t\t<input name='input_2' type='radio' value='3'  id='choice_21_2_3'    \/>\n\t\t\t\t<label for='choice_21_2_3' id='label_21_2_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_3\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_3\"><label class='gfield_label gform-field-label'  >Infant (31 days to 12 months)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_3'>\n\t\t\t<li class='gchoice gchoice_21_3_0'>\n\t\t\t\t<input name='input_3' type='radio' value='0'  id='choice_21_3_0'    \/>\n\t\t\t\t<label for='choice_21_3_0' id='label_21_3_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_3_1'>\n\t\t\t\t<input name='input_3' type='radio' value='1'  id='choice_21_3_1'    \/>\n\t\t\t\t<label for='choice_21_3_1' id='label_21_3_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_3_2'>\n\t\t\t\t<input name='input_3' type='radio' value='2'  id='choice_21_3_2'    \/>\n\t\t\t\t<label for='choice_21_3_2' id='label_21_3_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_3_3'>\n\t\t\t\t<input name='input_3' type='radio' value='3'  id='choice_21_3_3'    \/>\n\t\t\t\t<label for='choice_21_3_3' id='label_21_3_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_4\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_4\"><label class='gfield_label gform-field-label'  >Toddler\/Preschool (13 months to 5 years)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_4'>\n\t\t\t<li class='gchoice gchoice_21_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='0'  id='choice_21_4_0'    \/>\n\t\t\t\t<label for='choice_21_4_0' id='label_21_4_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='1'  id='choice_21_4_1'    \/>\n\t\t\t\t<label for='choice_21_4_1' id='label_21_4_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_4_2'>\n\t\t\t\t<input name='input_4' type='radio' value='2'  id='choice_21_4_2'    \/>\n\t\t\t\t<label for='choice_21_4_2' id='label_21_4_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_4_3'>\n\t\t\t\t<input name='input_4' type='radio' value='3'  id='choice_21_4_3'    \/>\n\t\t\t\t<label for='choice_21_4_3' id='label_21_4_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_272\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_272\"><label class='gfield_label gform-field-label'  >School Age Child\/adolescent (6 years to 18 years)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_272'>\n\t\t\t<li class='gchoice gchoice_21_272_0'>\n\t\t\t\t<input name='input_272' type='radio' value='0'  id='choice_21_272_0'    \/>\n\t\t\t\t<label for='choice_21_272_0' id='label_21_272_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_272_1'>\n\t\t\t\t<input name='input_272' type='radio' value='1'  id='choice_21_272_1'    \/>\n\t\t\t\t<label for='choice_21_272_1' id='label_21_272_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_272_2'>\n\t\t\t\t<input name='input_272' type='radio' value='2'  id='choice_21_272_2'    \/>\n\t\t\t\t<label for='choice_21_272_2' id='label_21_272_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_272_3'>\n\t\t\t\t<input name='input_272' type='radio' value='3'  id='choice_21_272_3'    \/>\n\t\t\t\t<label for='choice_21_272_3' id='label_21_272_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_271\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_271\"><label class='gfield_label gform-field-label'  >Young Adults\/Middle Adult (19 years to 64 years)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_271'>\n\t\t\t<li class='gchoice gchoice_21_271_0'>\n\t\t\t\t<input name='input_271' type='radio' value='0'  id='choice_21_271_0'    \/>\n\t\t\t\t<label for='choice_21_271_0' id='label_21_271_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_271_1'>\n\t\t\t\t<input name='input_271' type='radio' value='1'  id='choice_21_271_1'    \/>\n\t\t\t\t<label for='choice_21_271_1' id='label_21_271_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_271_2'>\n\t\t\t\t<input name='input_271' type='radio' value='2'  id='choice_21_271_2'    \/>\n\t\t\t\t<label for='choice_21_271_2' id='label_21_271_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_271_3'>\n\t\t\t\t<input name='input_271' type='radio' value='3'  id='choice_21_271_3'    \/>\n\t\t\t\t<label for='choice_21_271_3' id='label_21_271_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_270\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_270\"><label class='gfield_label gform-field-label'  >Older Adults\/Elderly (65+ years)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_270'>\n\t\t\t<li class='gchoice gchoice_21_270_0'>\n\t\t\t\t<input name='input_270' type='radio' value='0'  id='choice_21_270_0'    \/>\n\t\t\t\t<label for='choice_21_270_0' id='label_21_270_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_270_1'>\n\t\t\t\t<input name='input_270' type='radio' value='1'  id='choice_21_270_1'    \/>\n\t\t\t\t<label for='choice_21_270_1' id='label_21_270_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_270_2'>\n\t\t\t\t<input name='input_270' type='radio' value='2'  id='choice_21_270_2'    \/>\n\t\t\t\t<label for='choice_21_270_2' id='label_21_270_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_270_3'>\n\t\t\t\t<input name='input_270' type='radio' value='3'  id='choice_21_270_3'    \/>\n\t\t\t\t<label for='choice_21_270_3' id='label_21_270_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_359\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_359\"><h2 class=\"gsection_title\">GENERAL SKILLS<\/h2><\/li><li id=\"field_21_274\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_274\"><label class='gfield_label gform-field-label'  >Hospital Experience<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_274'>\n\t\t\t<li class='gchoice gchoice_21_274_0'>\n\t\t\t\t<input name='input_274' type='radio' value='0'  id='choice_21_274_0'    \/>\n\t\t\t\t<label for='choice_21_274_0' id='label_21_274_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_274_1'>\n\t\t\t\t<input name='input_274' type='radio' value='1'  id='choice_21_274_1'    \/>\n\t\t\t\t<label for='choice_21_274_1' id='label_21_274_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_274_2'>\n\t\t\t\t<input name='input_274' type='radio' value='2'  id='choice_21_274_2'    \/>\n\t\t\t\t<label for='choice_21_274_2' id='label_21_274_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_274_3'>\n\t\t\t\t<input name='input_274' type='radio' value='3'  id='choice_21_274_3'    \/>\n\t\t\t\t<label for='choice_21_274_3' id='label_21_274_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_273\"  class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_273\"><label class='gfield_label gform-field-label'  >Clinic Experience<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_273'>\n\t\t\t<li class='gchoice gchoice_21_273_0'>\n\t\t\t\t<input name='input_273' type='radio' value='0'  id='choice_21_273_0'    \/>\n\t\t\t\t<label for='choice_21_273_0' id='label_21_273_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_273_1'>\n\t\t\t\t<input name='input_273' type='radio' value='1'  id='choice_21_273_1'    \/>\n\t\t\t\t<label for='choice_21_273_1' id='label_21_273_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_273_2'>\n\t\t\t\t<input name='input_273' type='radio' value='2'  id='choice_21_273_2'    \/>\n\t\t\t\t<label for='choice_21_273_2' id='label_21_273_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_273_3'>\n\t\t\t\t<input name='input_273' type='radio' value='3'  id='choice_21_273_3'    \/>\n\t\t\t\t<label for='choice_21_273_3' id='label_21_273_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_329\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_329\"><label class='gfield_label gform-field-label'  >Vital Signs<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_329'>\n\t\t\t<li class='gchoice gchoice_21_329_0'>\n\t\t\t\t<input name='input_329' type='radio' value='0'  id='choice_21_329_0'    \/>\n\t\t\t\t<label for='choice_21_329_0' id='label_21_329_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_329_1'>\n\t\t\t\t<input name='input_329' type='radio' value='1'  id='choice_21_329_1'    \/>\n\t\t\t\t<label for='choice_21_329_1' id='label_21_329_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_329_2'>\n\t\t\t\t<input name='input_329' type='radio' value='2'  id='choice_21_329_2'    \/>\n\t\t\t\t<label for='choice_21_329_2' id='label_21_329_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_329_3'>\n\t\t\t\t<input name='input_329' type='radio' value='3'  id='choice_21_329_3'    \/>\n\t\t\t\t<label for='choice_21_329_3' id='label_21_329_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_328\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_328\"><label class='gfield_label gform-field-label'  >Normal Lab Values, cardiac enzymes,Troponin<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_328'>\n\t\t\t<li class='gchoice gchoice_21_328_0'>\n\t\t\t\t<input name='input_328' type='radio' value='0'  id='choice_21_328_0'    \/>\n\t\t\t\t<label for='choice_21_328_0' id='label_21_328_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_328_1'>\n\t\t\t\t<input name='input_328' type='radio' value='1'  id='choice_21_328_1'    \/>\n\t\t\t\t<label for='choice_21_328_1' id='label_21_328_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_328_2'>\n\t\t\t\t<input name='input_328' type='radio' value='2'  id='choice_21_328_2'    \/>\n\t\t\t\t<label for='choice_21_328_2' id='label_21_328_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_328_3'>\n\t\t\t\t<input name='input_328' type='radio' value='3'  id='choice_21_328_3'    \/>\n\t\t\t\t<label for='choice_21_328_3' id='label_21_328_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_327\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_327\"><label class='gfield_label gform-field-label'  >Use of Pulse Oximetry<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_327'>\n\t\t\t<li class='gchoice gchoice_21_327_0'>\n\t\t\t\t<input name='input_327' type='radio' value='0'  id='choice_21_327_0'    \/>\n\t\t\t\t<label for='choice_21_327_0' id='label_21_327_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_327_1'>\n\t\t\t\t<input name='input_327' type='radio' value='1'  id='choice_21_327_1'    \/>\n\t\t\t\t<label for='choice_21_327_1' id='label_21_327_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_327_2'>\n\t\t\t\t<input name='input_327' type='radio' value='2'  id='choice_21_327_2'    \/>\n\t\t\t\t<label for='choice_21_327_2' id='label_21_327_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_327_3'>\n\t\t\t\t<input name='input_327' type='radio' value='3'  id='choice_21_327_3'    \/>\n\t\t\t\t<label for='choice_21_327_3' id='label_21_327_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_397\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_397\"><label class='gfield_label gform-field-label'  >Emergency Defibrillation\/ Cardioversion<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_397'>\n\t\t\t<li class='gchoice gchoice_21_397_0'>\n\t\t\t\t<input name='input_397' type='radio' value='0'  id='choice_21_397_0'    \/>\n\t\t\t\t<label for='choice_21_397_0' id='label_21_397_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_397_1'>\n\t\t\t\t<input name='input_397' type='radio' value='1'  id='choice_21_397_1'    \/>\n\t\t\t\t<label for='choice_21_397_1' id='label_21_397_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_397_2'>\n\t\t\t\t<input name='input_397' type='radio' value='2'  id='choice_21_397_2'    \/>\n\t\t\t\t<label for='choice_21_397_2' id='label_21_397_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_397_3'>\n\t\t\t\t<input name='input_397' type='radio' value='3'  id='choice_21_397_3'    \/>\n\t\t\t\t<label for='choice_21_397_3' id='label_21_397_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_387\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_inline checklist_input_line field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_387\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Electronic Documentation<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_21_387'><li class='gchoice gchoice_select_all'>\n\t\t\t\t\t\t<input class='gfield-choice-input' type='checkbox' id='choice_387_select_all'   onclick='gformToggleCheckboxes( this )' onkeypress='gformToggleCheckboxes( this )' \/>\n\t\t\t\t\t\t<label for='choice_387_select_all' id='label_387_select_all' class='gform-field-label  gform-field-label--type-inline' data-label-select='Select All' data-label-deselect='Deselect All'>Select All<\/label>\n\t\t\t\t\t<\/li><li class='gchoice gchoice_21_387_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_387.1' type='checkbox'  value='Allscripts'  id='choice_21_387_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_387_1' id='label_21_387_1' class='gform-field-label gform-field-label--type-inline'>Allscripts<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_387_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_387.2' type='checkbox'  value='Care360'  id='choice_21_387_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_387_2' id='label_21_387_2' class='gform-field-label gform-field-label--type-inline'>Care360<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_387_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_387.3' type='checkbox'  value='Cerner'  id='choice_21_387_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_387_3' id='label_21_387_3' class='gform-field-label gform-field-label--type-inline'>Cerner<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_387_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_387.4' type='checkbox'  value='eCLinicalWorks'  id='choice_21_387_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_387_4' id='label_21_387_4' class='gform-field-label gform-field-label--type-inline'>eCLinicalWorks<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_387_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_387.5' type='checkbox'  value='EPIC'  id='choice_21_387_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_387_5' id='label_21_387_5' class='gform-field-label gform-field-label--type-inline'>EPIC<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_387_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_387.6' type='checkbox'  value='MACLAB'  id='choice_21_387_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_387_6' id='label_21_387_6' class='gform-field-label gform-field-label--type-inline'>MACLAB<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_387_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_387.7' type='checkbox'  value='McKesson'  id='choice_21_387_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_387_7' id='label_21_387_7' class='gform-field-label gform-field-label--type-inline'>McKesson<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_387_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_387.8' type='checkbox'  value='Meditech'  id='choice_21_387_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_387_8' id='label_21_387_8' class='gform-field-label gform-field-label--type-inline'>Meditech<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_387_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_387.9' type='checkbox'  value='PACS'  id='choice_21_387_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_387_9' id='label_21_387_9' class='gform-field-label gform-field-label--type-inline'>PACS<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_387_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_387.11' type='checkbox'  value='Soarian'  id='choice_21_387_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_387_11' id='label_21_387_11' class='gform-field-label gform-field-label--type-inline'>Soarian<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_387_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_387.12' type='checkbox'  value='N\/A'  id='choice_21_387_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_387_12' id='label_21_387_12' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_388\"  class=\"gfield gfield--type-text gfield--width-full gf_list_inline checklist_input_line field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_388\"><label class='gfield_label gform-field-label' for='input_21_388' >Other Electronic Documentation:<\/label><div class='ginput_container ginput_container_text'><input name='input_388' id='input_21_388' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_21_399\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_inline checklist_input_line field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_399\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >IV Pumps<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_21_399'><li class='gchoice gchoice_select_all'>\n\t\t\t\t\t\t<input class='gfield-choice-input' type='checkbox' id='choice_399_select_all'   onclick='gformToggleCheckboxes( this )' onkeypress='gformToggleCheckboxes( this )' \/>\n\t\t\t\t\t\t<label for='choice_399_select_all' id='label_399_select_all' class='gform-field-label  gform-field-label--type-inline' data-label-select='Select All' data-label-deselect='Deselect All'>Select All<\/label>\n\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.1' type='checkbox'  value='Allscripts'  id='choice_21_399_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_1' id='label_21_399_1' class='gform-field-label gform-field-label--type-inline'>Allscripts<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.2' type='checkbox'  value='Care360'  id='choice_21_399_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_2' id='label_21_399_2' class='gform-field-label gform-field-label--type-inline'>Care360<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.3' type='checkbox'  value='Cerner'  id='choice_21_399_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_3' id='label_21_399_3' class='gform-field-label gform-field-label--type-inline'>Cerner<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.4' type='checkbox'  value='eCLinicalWorks'  id='choice_21_399_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_4' id='label_21_399_4' class='gform-field-label gform-field-label--type-inline'>eCLinicalWorks<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.5' type='checkbox'  value='EPIC'  id='choice_21_399_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_5' id='label_21_399_5' class='gform-field-label gform-field-label--type-inline'>EPIC<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.6' type='checkbox'  value='MACLAB'  id='choice_21_399_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_6' id='label_21_399_6' class='gform-field-label gform-field-label--type-inline'>MACLAB<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.7' type='checkbox'  value='Alaris'  id='choice_21_399_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_7' id='label_21_399_7' class='gform-field-label gform-field-label--type-inline'>Alaris<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.8' type='checkbox'  value='Alibaba'  id='choice_21_399_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_8' id='label_21_399_8' class='gform-field-label gform-field-label--type-inline'>Alibaba<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.9' type='checkbox'  value='Bard'  id='choice_21_399_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_9' id='label_21_399_9' class='gform-field-label gform-field-label--type-inline'>Bard<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.11' type='checkbox'  value='Baxter'  id='choice_21_399_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_11' id='label_21_399_11' class='gform-field-label gform-field-label--type-inline'>Baxter<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.12' type='checkbox'  value='Braun'  id='choice_21_399_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_12' id='label_21_399_12' class='gform-field-label gform-field-label--type-inline'>Braun<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.13' type='checkbox'  value='CADD'  id='choice_21_399_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_13' id='label_21_399_13' class='gform-field-label gform-field-label--type-inline'>CADD<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.14' type='checkbox'  value='IVAC'  id='choice_21_399_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_14' id='label_21_399_14' class='gform-field-label gform-field-label--type-inline'>IVAC<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.15' type='checkbox'  value='Zynomed'  id='choice_21_399_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_15' id='label_21_399_15' class='gform-field-label gform-field-label--type-inline'>Zynomed<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_21_399_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_399.16' type='checkbox'  value='N\/A'  id='choice_21_399_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_399_16' id='label_21_399_16' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_400\"  class=\"gfield gfield--type-text gfield--width-full gf_list_inline checklist_input_line field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_400\"><label class='gfield_label gform-field-label' for='input_21_400' >Other IV Pumps:<\/label><div class='ginput_container ginput_container_text'><input name='input_400' id='input_21_400' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_21_326\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_326\"><label class='gfield_label gform-field-label'  >EKG lead\/Pad placement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_326'>\n\t\t\t<li class='gchoice gchoice_21_326_0'>\n\t\t\t\t<input name='input_326' type='radio' value='0'  id='choice_21_326_0'    \/>\n\t\t\t\t<label for='choice_21_326_0' id='label_21_326_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_326_1'>\n\t\t\t\t<input name='input_326' type='radio' value='1'  id='choice_21_326_1'    \/>\n\t\t\t\t<label for='choice_21_326_1' id='label_21_326_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_326_2'>\n\t\t\t\t<input name='input_326' type='radio' value='2'  id='choice_21_326_2'    \/>\n\t\t\t\t<label for='choice_21_326_2' id='label_21_326_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_326_3'>\n\t\t\t\t<input name='input_326' type='radio' value='3'  id='choice_21_326_3'    \/>\n\t\t\t\t<label for='choice_21_326_3' id='label_21_326_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_401\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_401\"><label class='gfield_label gform-field-label'  >EKG Interpretation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_401'>\n\t\t\t<li class='gchoice gchoice_21_401_0'>\n\t\t\t\t<input name='input_401' type='radio' value='0'  id='choice_21_401_0'    \/>\n\t\t\t\t<label for='choice_21_401_0' id='label_21_401_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_401_1'>\n\t\t\t\t<input name='input_401' type='radio' value='1'  id='choice_21_401_1'    \/>\n\t\t\t\t<label for='choice_21_401_1' id='label_21_401_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_401_2'>\n\t\t\t\t<input name='input_401' type='radio' value='2'  id='choice_21_401_2'    \/>\n\t\t\t\t<label for='choice_21_401_2' id='label_21_401_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_401_3'>\n\t\t\t\t<input name='input_401' type='radio' value='3'  id='choice_21_401_3'    \/>\n\t\t\t\t<label for='choice_21_401_3' id='label_21_401_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_402\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_402\"><label class='gfield_label gform-field-label'  >EKG Monitoring<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_402'>\n\t\t\t<li class='gchoice gchoice_21_402_0'>\n\t\t\t\t<input name='input_402' type='radio' value='0'  id='choice_21_402_0'    \/>\n\t\t\t\t<label for='choice_21_402_0' id='label_21_402_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_402_1'>\n\t\t\t\t<input name='input_402' type='radio' value='1'  id='choice_21_402_1'    \/>\n\t\t\t\t<label for='choice_21_402_1' id='label_21_402_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_402_2'>\n\t\t\t\t<input name='input_402' type='radio' value='2'  id='choice_21_402_2'    \/>\n\t\t\t\t<label for='choice_21_402_2' id='label_21_402_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_402_3'>\n\t\t\t\t<input name='input_402' type='radio' value='3'  id='choice_21_402_3'    \/>\n\t\t\t\t<label for='choice_21_402_3' id='label_21_402_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_403\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_403\"><label class='gfield_label gform-field-label'  >Use of Doppler<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_403'>\n\t\t\t<li class='gchoice gchoice_21_403_0'>\n\t\t\t\t<input name='input_403' type='radio' value='0'  id='choice_21_403_0'    \/>\n\t\t\t\t<label for='choice_21_403_0' id='label_21_403_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_403_1'>\n\t\t\t\t<input name='input_403' type='radio' value='1'  id='choice_21_403_1'    \/>\n\t\t\t\t<label for='choice_21_403_1' id='label_21_403_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_403_2'>\n\t\t\t\t<input name='input_403' type='radio' value='2'  id='choice_21_403_2'    \/>\n\t\t\t\t<label for='choice_21_403_2' id='label_21_403_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_403_3'>\n\t\t\t\t<input name='input_403' type='radio' value='3'  id='choice_21_403_3'    \/>\n\t\t\t\t<label for='choice_21_403_3' id='label_21_403_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_404\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_404\"><label class='gfield_label gform-field-label'  >Knowledge of &quot;Do Not Use Abbreviations&quot;<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_404'>\n\t\t\t<li class='gchoice gchoice_21_404_0'>\n\t\t\t\t<input name='input_404' type='radio' value='0'  id='choice_21_404_0'    \/>\n\t\t\t\t<label for='choice_21_404_0' id='label_21_404_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_404_1'>\n\t\t\t\t<input name='input_404' type='radio' value='1'  id='choice_21_404_1'    \/>\n\t\t\t\t<label for='choice_21_404_1' id='label_21_404_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_404_2'>\n\t\t\t\t<input name='input_404' type='radio' value='2'  id='choice_21_404_2'    \/>\n\t\t\t\t<label for='choice_21_404_2' id='label_21_404_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_404_3'>\n\t\t\t\t<input name='input_404' type='radio' value='3'  id='choice_21_404_3'    \/>\n\t\t\t\t<label for='choice_21_404_3' id='label_21_404_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_405\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_405\"><label class='gfield_label gform-field-label'  >Do you have charge\/supervisor experience?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_405'>\n\t\t\t<li class='gchoice gchoice_21_405_0'>\n\t\t\t\t<input name='input_405' type='radio' value='Yes'  id='choice_21_405_0'    \/>\n\t\t\t\t<label for='choice_21_405_0' id='label_21_405_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_405_1'>\n\t\t\t\t<input name='input_405' type='radio' value='No'  id='choice_21_405_1'    \/>\n\t\t\t\t<label for='choice_21_405_1' id='label_21_405_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_406\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_406\"><label class='gfield_label gform-field-label'  >Knowledge of current Joint Commission National Patient Safety Goals<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_406'>\n\t\t\t<li class='gchoice gchoice_21_406_0'>\n\t\t\t\t<input name='input_406' type='radio' value='0'  id='choice_21_406_0'    \/>\n\t\t\t\t<label for='choice_21_406_0' id='label_21_406_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_406_1'>\n\t\t\t\t<input name='input_406' type='radio' value='1'  id='choice_21_406_1'    \/>\n\t\t\t\t<label for='choice_21_406_1' id='label_21_406_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_406_2'>\n\t\t\t\t<input name='input_406' type='radio' value='2'  id='choice_21_406_2'    \/>\n\t\t\t\t<label for='choice_21_406_2' id='label_21_406_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_406_3'>\n\t\t\t\t<input name='input_406' type='radio' value='3'  id='choice_21_406_3'    \/>\n\t\t\t\t<label for='choice_21_406_3' id='label_21_406_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_407\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_407\"><label class='gfield_label gform-field-label'  >Knowledge\/familiarity with HCAHPS scores<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_407'>\n\t\t\t<li class='gchoice gchoice_21_407_0'>\n\t\t\t\t<input name='input_407' type='radio' value='0'  id='choice_21_407_0'    \/>\n\t\t\t\t<label for='choice_21_407_0' id='label_21_407_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_407_1'>\n\t\t\t\t<input name='input_407' type='radio' value='1'  id='choice_21_407_1'    \/>\n\t\t\t\t<label for='choice_21_407_1' id='label_21_407_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_407_2'>\n\t\t\t\t<input name='input_407' type='radio' value='2'  id='choice_21_407_2'    \/>\n\t\t\t\t<label for='choice_21_407_2' id='label_21_407_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_407_3'>\n\t\t\t\t<input name='input_407' type='radio' value='3'  id='choice_21_407_3'    \/>\n\t\t\t\t<label for='choice_21_407_3' id='label_21_407_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_360\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_360\"><h2 class=\"gsection_title\">CARDIOVASCULAR<\/h2><\/li><li id=\"field_21_408\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_408\"><label class='gfield_label gform-field-label'  >Heart Sounds<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_408'>\n\t\t\t<li class='gchoice gchoice_21_408_0'>\n\t\t\t\t<input name='input_408' type='radio' value='0'  id='choice_21_408_0'    \/>\n\t\t\t\t<label for='choice_21_408_0' id='label_21_408_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_408_1'>\n\t\t\t\t<input name='input_408' type='radio' value='1'  id='choice_21_408_1'    \/>\n\t\t\t\t<label for='choice_21_408_1' id='label_21_408_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_408_2'>\n\t\t\t\t<input name='input_408' type='radio' value='2'  id='choice_21_408_2'    \/>\n\t\t\t\t<label for='choice_21_408_2' id='label_21_408_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_408_3'>\n\t\t\t\t<input name='input_408' type='radio' value='3'  id='choice_21_408_3'    \/>\n\t\t\t\t<label for='choice_21_408_3' id='label_21_408_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_325\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_325\"><label class='gfield_label gform-field-label'  >Coronary Anatomy and Circulation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_325'>\n\t\t\t<li class='gchoice gchoice_21_325_0'>\n\t\t\t\t<input name='input_325' type='radio' value='0'  id='choice_21_325_0'    \/>\n\t\t\t\t<label for='choice_21_325_0' id='label_21_325_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_325_1'>\n\t\t\t\t<input name='input_325' type='radio' value='1'  id='choice_21_325_1'    \/>\n\t\t\t\t<label for='choice_21_325_1' id='label_21_325_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_325_2'>\n\t\t\t\t<input name='input_325' type='radio' value='2'  id='choice_21_325_2'    \/>\n\t\t\t\t<label for='choice_21_325_2' id='label_21_325_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_325_3'>\n\t\t\t\t<input name='input_325' type='radio' value='3'  id='choice_21_325_3'    \/>\n\t\t\t\t<label for='choice_21_325_3' id='label_21_325_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_331\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_331\"><label class='gfield_label gform-field-label'  >Conduction System<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_331'>\n\t\t\t<li class='gchoice gchoice_21_331_0'>\n\t\t\t\t<input name='input_331' type='radio' value='0'  id='choice_21_331_0'    \/>\n\t\t\t\t<label for='choice_21_331_0' id='label_21_331_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_331_1'>\n\t\t\t\t<input name='input_331' type='radio' value='1'  id='choice_21_331_1'    \/>\n\t\t\t\t<label for='choice_21_331_1' id='label_21_331_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_331_2'>\n\t\t\t\t<input name='input_331' type='radio' value='2'  id='choice_21_331_2'    \/>\n\t\t\t\t<label for='choice_21_331_2' id='label_21_331_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_331_3'>\n\t\t\t\t<input name='input_331' type='radio' value='3'  id='choice_21_331_3'    \/>\n\t\t\t\t<label for='choice_21_331_3' id='label_21_331_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_330\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_330\"><label class='gfield_label gform-field-label'  >CHF<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_330'>\n\t\t\t<li class='gchoice gchoice_21_330_0'>\n\t\t\t\t<input name='input_330' type='radio' value='0'  id='choice_21_330_0'    \/>\n\t\t\t\t<label for='choice_21_330_0' id='label_21_330_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_330_1'>\n\t\t\t\t<input name='input_330' type='radio' value='1'  id='choice_21_330_1'    \/>\n\t\t\t\t<label for='choice_21_330_1' id='label_21_330_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_330_2'>\n\t\t\t\t<input name='input_330' type='radio' value='2'  id='choice_21_330_2'    \/>\n\t\t\t\t<label for='choice_21_330_2' id='label_21_330_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_330_3'>\n\t\t\t\t<input name='input_330' type='radio' value='3'  id='choice_21_330_3'    \/>\n\t\t\t\t<label for='choice_21_330_3' id='label_21_330_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_334\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_334\"><label class='gfield_label gform-field-label'  >Ischemia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_334'>\n\t\t\t<li class='gchoice gchoice_21_334_0'>\n\t\t\t\t<input name='input_334' type='radio' value='0'  id='choice_21_334_0'    \/>\n\t\t\t\t<label for='choice_21_334_0' id='label_21_334_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_334_1'>\n\t\t\t\t<input name='input_334' type='radio' value='1'  id='choice_21_334_1'    \/>\n\t\t\t\t<label for='choice_21_334_1' id='label_21_334_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_334_2'>\n\t\t\t\t<input name='input_334' type='radio' value='2'  id='choice_21_334_2'    \/>\n\t\t\t\t<label for='choice_21_334_2' id='label_21_334_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_334_3'>\n\t\t\t\t<input name='input_334' type='radio' value='3'  id='choice_21_334_3'    \/>\n\t\t\t\t<label for='choice_21_334_3' id='label_21_334_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_333\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_333\"><label class='gfield_label gform-field-label'  >Pulmonary Hypertension<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_333'>\n\t\t\t<li class='gchoice gchoice_21_333_0'>\n\t\t\t\t<input name='input_333' type='radio' value='0'  id='choice_21_333_0'    \/>\n\t\t\t\t<label for='choice_21_333_0' id='label_21_333_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_333_1'>\n\t\t\t\t<input name='input_333' type='radio' value='1'  id='choice_21_333_1'    \/>\n\t\t\t\t<label for='choice_21_333_1' id='label_21_333_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_333_2'>\n\t\t\t\t<input name='input_333' type='radio' value='2'  id='choice_21_333_2'    \/>\n\t\t\t\t<label for='choice_21_333_2' id='label_21_333_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_333_3'>\n\t\t\t\t<input name='input_333' type='radio' value='3'  id='choice_21_333_3'    \/>\n\t\t\t\t<label for='choice_21_333_3' id='label_21_333_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_335\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_335\"><label class='gfield_label gform-field-label'  >Systemic Hypertension<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_335'>\n\t\t\t<li class='gchoice gchoice_21_335_0'>\n\t\t\t\t<input name='input_335' type='radio' value='0'  id='choice_21_335_0'    \/>\n\t\t\t\t<label for='choice_21_335_0' id='label_21_335_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_335_1'>\n\t\t\t\t<input name='input_335' type='radio' value='1'  id='choice_21_335_1'    \/>\n\t\t\t\t<label for='choice_21_335_1' id='label_21_335_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_335_2'>\n\t\t\t\t<input name='input_335' type='radio' value='2'  id='choice_21_335_2'    \/>\n\t\t\t\t<label for='choice_21_335_2' id='label_21_335_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_335_3'>\n\t\t\t\t<input name='input_335' type='radio' value='3'  id='choice_21_335_3'    \/>\n\t\t\t\t<label for='choice_21_335_3' id='label_21_335_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_370\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_370\"><label class='gfield_label gform-field-label'  >Diseases of the Aorta<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_370'>\n\t\t\t<li class='gchoice gchoice_21_370_0'>\n\t\t\t\t<input name='input_370' type='radio' value='0'  id='choice_21_370_0'    \/>\n\t\t\t\t<label for='choice_21_370_0' id='label_21_370_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_370_1'>\n\t\t\t\t<input name='input_370' type='radio' value='1'  id='choice_21_370_1'    \/>\n\t\t\t\t<label for='choice_21_370_1' id='label_21_370_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_370_2'>\n\t\t\t\t<input name='input_370' type='radio' value='2'  id='choice_21_370_2'    \/>\n\t\t\t\t<label for='choice_21_370_2' id='label_21_370_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_370_3'>\n\t\t\t\t<input name='input_370' type='radio' value='3'  id='choice_21_370_3'    \/>\n\t\t\t\t<label for='choice_21_370_3' id='label_21_370_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_409\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_409\"><h2 class=\"gsection_title\">STRESS TESTING WITH TREADMILL<\/h2><\/li><li id=\"field_21_369\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_369\"><label class='gfield_label gform-field-label'  >Preparation of Equipment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_369'>\n\t\t\t<li class='gchoice gchoice_21_369_0'>\n\t\t\t\t<input name='input_369' type='radio' value='0'  id='choice_21_369_0'    \/>\n\t\t\t\t<label for='choice_21_369_0' id='label_21_369_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_369_1'>\n\t\t\t\t<input name='input_369' type='radio' value='1'  id='choice_21_369_1'    \/>\n\t\t\t\t<label for='choice_21_369_1' id='label_21_369_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_369_2'>\n\t\t\t\t<input name='input_369' type='radio' value='2'  id='choice_21_369_2'    \/>\n\t\t\t\t<label for='choice_21_369_2' id='label_21_369_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_369_3'>\n\t\t\t\t<input name='input_369' type='radio' value='3'  id='choice_21_369_3'    \/>\n\t\t\t\t<label for='choice_21_369_3' id='label_21_369_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_368\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_368\"><label class='gfield_label gform-field-label'  >Monitoring<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_368'>\n\t\t\t<li class='gchoice gchoice_21_368_0'>\n\t\t\t\t<input name='input_368' type='radio' value='0'  id='choice_21_368_0'    \/>\n\t\t\t\t<label for='choice_21_368_0' id='label_21_368_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_368_1'>\n\t\t\t\t<input name='input_368' type='radio' value='1'  id='choice_21_368_1'    \/>\n\t\t\t\t<label for='choice_21_368_1' id='label_21_368_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_368_2'>\n\t\t\t\t<input name='input_368' type='radio' value='2'  id='choice_21_368_2'    \/>\n\t\t\t\t<label for='choice_21_368_2' id='label_21_368_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_368_3'>\n\t\t\t\t<input name='input_368' type='radio' value='3'  id='choice_21_368_3'    \/>\n\t\t\t\t<label for='choice_21_368_3' id='label_21_368_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_367\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_367\"><label class='gfield_label gform-field-label'  >Complications<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_367'>\n\t\t\t<li class='gchoice gchoice_21_367_0'>\n\t\t\t\t<input name='input_367' type='radio' value='0'  id='choice_21_367_0'    \/>\n\t\t\t\t<label for='choice_21_367_0' id='label_21_367_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_367_1'>\n\t\t\t\t<input name='input_367' type='radio' value='1'  id='choice_21_367_1'    \/>\n\t\t\t\t<label for='choice_21_367_1' id='label_21_367_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_367_2'>\n\t\t\t\t<input name='input_367' type='radio' value='2'  id='choice_21_367_2'    \/>\n\t\t\t\t<label for='choice_21_367_2' id='label_21_367_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_367_3'>\n\t\t\t\t<input name='input_367' type='radio' value='3'  id='choice_21_367_3'    \/>\n\t\t\t\t<label for='choice_21_367_3' id='label_21_367_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_410\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_410\"><h2 class=\"gsection_title\">HOLTER\/EVENT MONITORS<\/h2><\/li><li id=\"field_21_366\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_366\"><label class='gfield_label gform-field-label'  >Preparation of Equipment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_366'>\n\t\t\t<li class='gchoice gchoice_21_366_0'>\n\t\t\t\t<input name='input_366' type='radio' value='0'  id='choice_21_366_0'    \/>\n\t\t\t\t<label for='choice_21_366_0' id='label_21_366_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_366_1'>\n\t\t\t\t<input name='input_366' type='radio' value='1'  id='choice_21_366_1'    \/>\n\t\t\t\t<label for='choice_21_366_1' id='label_21_366_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_366_2'>\n\t\t\t\t<input name='input_366' type='radio' value='2'  id='choice_21_366_2'    \/>\n\t\t\t\t<label for='choice_21_366_2' id='label_21_366_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_366_3'>\n\t\t\t\t<input name='input_366' type='radio' value='3'  id='choice_21_366_3'    \/>\n\t\t\t\t<label for='choice_21_366_3' id='label_21_366_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_365\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_365\"><label class='gfield_label gform-field-label'  >Application of Leads<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_365'>\n\t\t\t<li class='gchoice gchoice_21_365_0'>\n\t\t\t\t<input name='input_365' type='radio' value='0'  id='choice_21_365_0'    \/>\n\t\t\t\t<label for='choice_21_365_0' id='label_21_365_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_365_1'>\n\t\t\t\t<input name='input_365' type='radio' value='1'  id='choice_21_365_1'    \/>\n\t\t\t\t<label for='choice_21_365_1' id='label_21_365_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_365_2'>\n\t\t\t\t<input name='input_365' type='radio' value='2'  id='choice_21_365_2'    \/>\n\t\t\t\t<label for='choice_21_365_2' id='label_21_365_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_365_3'>\n\t\t\t\t<input name='input_365' type='radio' value='3'  id='choice_21_365_3'    \/>\n\t\t\t\t<label for='choice_21_365_3' id='label_21_365_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_364\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_364\"><label class='gfield_label gform-field-label'  >Monitoring<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_364'>\n\t\t\t<li class='gchoice gchoice_21_364_0'>\n\t\t\t\t<input name='input_364' type='radio' value='0'  id='choice_21_364_0'    \/>\n\t\t\t\t<label for='choice_21_364_0' id='label_21_364_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_364_1'>\n\t\t\t\t<input name='input_364' type='radio' value='1'  id='choice_21_364_1'    \/>\n\t\t\t\t<label for='choice_21_364_1' id='label_21_364_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_364_2'>\n\t\t\t\t<input name='input_364' type='radio' value='2'  id='choice_21_364_2'    \/>\n\t\t\t\t<label for='choice_21_364_2' id='label_21_364_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_364_3'>\n\t\t\t\t<input name='input_364' type='radio' value='3'  id='choice_21_364_3'    \/>\n\t\t\t\t<label for='choice_21_364_3' id='label_21_364_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_411\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_411\"><h2 class=\"gsection_title\">EQUIPMENT\/INSTRUMENTATION<\/h2><\/li><li id=\"field_21_363\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_363\"><label class='gfield_label gform-field-label'  >Temporary Pacemakers<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_363'>\n\t\t\t<li class='gchoice gchoice_21_363_0'>\n\t\t\t\t<input name='input_363' type='radio' value='0'  id='choice_21_363_0'    \/>\n\t\t\t\t<label for='choice_21_363_0' id='label_21_363_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_363_1'>\n\t\t\t\t<input name='input_363' type='radio' value='1'  id='choice_21_363_1'    \/>\n\t\t\t\t<label for='choice_21_363_1' id='label_21_363_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_363_2'>\n\t\t\t\t<input name='input_363' type='radio' value='2'  id='choice_21_363_2'    \/>\n\t\t\t\t<label for='choice_21_363_2' id='label_21_363_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_363_3'>\n\t\t\t\t<input name='input_363' type='radio' value='3'  id='choice_21_363_3'    \/>\n\t\t\t\t<label for='choice_21_363_3' id='label_21_363_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_362\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_362\"><label class='gfield_label gform-field-label'  >Permanent Pacemakers<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_21_362'>\n\t\t\t<li class='gchoice gchoice_21_362_0'>\n\t\t\t\t<input name='input_362' type='radio' value='0'  id='choice_21_362_0'    \/>\n\t\t\t\t<label for='choice_21_362_0' id='label_21_362_0' class='gform-field-label gform-field-label--type-inline'>0<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_362_1'>\n\t\t\t\t<input name='input_362' type='radio' value='1'  id='choice_21_362_1'    \/>\n\t\t\t\t<label for='choice_21_362_1' id='label_21_362_1' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_362_2'>\n\t\t\t\t<input name='input_362' type='radio' value='2'  id='choice_21_362_2'    \/>\n\t\t\t\t<label for='choice_21_362_2' id='label_21_362_2' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_21_362_3'>\n\t\t\t\t<input name='input_362' type='radio' value='3'  id='choice_21_362_3'    \/>\n\t\t\t\t<label for='choice_21_362_3' id='label_21_362_3' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_21_361\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline checklist_input_line gfield_contains_required field_sublabel_below gfield--no-description field_description_below 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);\n<\/script>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>EKG Tech Skills Checklist &nbsp; EKG Tech Skills Checklist Back to Skills Checklist Main Please rate your experience \/ frequency (within the last year) using the following scale (check the appropriate boxes below): 0 = No Experience \/ Observed Only 1 = Limited Experience \/ Rarely Done (&lt;6 times\/year) 2 = May Need Some Review&hellip; <a class=\"more-link\" href=\"https:\/\/phaxis.com\/travel-healthcare\/skills-checklist\/ekg-tech-skills-checklist\/\">Continue reading <span class=\"screen-reader-text\">EKG Tech Skills Checklist<\/span><\/a><\/p>\n","protected":false},"author":11,"featured_media":0,"parent":586,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with 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