Become a Top EKG Technician in Texas: Certification Steps and Job Outlook

Are you considering a career as an EKG technician in Texas? This article outlines the essential steps for certification and examines the current job market, preparing the way for your successful entry into the field. Learn about the educational requirements, practical training, and what to expect once you’re certified, all within the Texas healthcare context.

Key Takeaways

  • EKG technicians play a crucial role in patient care in Texas, with responsibilities including conducting electrocardiography tests and monitoring vital signs, with appropriate training, can also perform stress tests and Holter monitoring.
  • The job outlook for EKG technicians in Texas is positive due to an aging population and increased prevalence of cardiovascular diseases, and the salary range varies from $25,000 to $50,000 on average, with higher salaries in major cities.
  • Certification as an EKG technician in Texas requires a high school diploma or equivalent, completion of an accredited training program, conducting a minimum number of EKGs, and passing the Certified EKG Technician (CET) exam.
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The Role of an EKG Technician in Texas

EKG technician performing electrocardiography test

EKG technicians in Texas are at the forefront of patient care, tasked with:

  • Applying, monitoring, and measuring electrocardiography testing during diagnostic exams and surgeries, showcasing the vital role EKG technicians play
  • Working under the direction of physicians
  • Monitoring and measuring basic vital signs like heart rates and blood pressure to enhance patient care through precise cardiovascular assessments.

With additional training, their capabilities can be expanded to carry out stress tests and Holter monitor procedures, thus enhancing their role in diagnosing and monitoring patients’ cardiac functions over extended periods. As a certified EKG technician, the ability to report EKG tests precisely and respond to the dynamic needs of the healthcare sector becomes your superpower.

Essential Skills for EKG Technicians

Being an EKG technician requires a unique set of skills. Among these, a strong grasp of medical terminology, the ability to recognize waveform characteristics, and an understanding of rapid response procedures are key. These technical skills ensure that you can carry out your duties effectively, from hooking up an EKG machine to interpreting the resulting cardiovascular tests.

However, technical skills alone don’t make a great EKG technician. Excellent EKG technicians possess the following skills:

  • Communication skills: to convey procedure details to patients, address their concerns, and create a comfortable environment.
  • Attention to detail: for accurate electrode placement and machine operation.
  • Note-taking skills: EKG technicians are responsible for documenting patient information.

These skills, including performing rapid response procedures, are essential for success in this role.

Job Outlook and Average Annual Salary

The job outlook for EKG technicians in Texas is promising. The United States is expected to see a job growth of 8% for EKG technicians from 2020 to 2030. This growth is even more pronounced in Texas, where an aging population and a higher incidence of cardiovascular diseases contribute to the increasing demand for EKG technicians.

Compensation in this field is also quite competitive. Nationally, the median salary for cardiovascular technologists and technicians, including EKG technicians, was $59,100 as of 2020. In Texas, EKG technicians earn an average salary ranging from $25,000 to $50,000 annually, with those in Houston and Dallas earning towards the higher end of this scale.

Pathways to Becoming a Certified EKG Technician in Texas

EKG technician training programs in Texas

Becoming a certified EKG technician in Texas presents a few different pathways – each with its own set of advantages. These pathways include online, in-person, and hybrid training programs, allowing you to choose the one that best suits your lifestyle and learning preferences.

Paris Junior College, for example, offers a hybrid EKG Technician Cardio Certification Program which covers key areas such as safety practices and ECG acquisition and analysis. EKG technician training programs in Austin require 40-80 classroom hours coupled with 20-40 clinical hours, integrating hands-on practice with EKG equipment into the training.

Online EKG technician programs, such as those offered by MedCerts, may entail around 12 weeks of preparation for the CET exam.

Online EKG Technician Training Programs

Online EKG technician training programs offer unparalleled flexibility, making them an excellent option for those juggling work, family responsibilities, or other commitments. Texas State University, for example, offers a self-paced, 100% online Certified EKG Technician course with open enrollment, providing maximum flexibility for students.

These online programs are comprehensive and include a wide range of topics. Tyler Junior College’s online EKG Technician program, for instance, covers heart anatomy and physiology, disease processes, medical terminology, ethics, electrocardiography, and echocardiography.

Moreover, online EKG Technician programs provide extensive support, including 24/7 instructor assistance, collaborative learning experiences, and comprehensive study materials.

In-Person EKG Technician Training Programs

If you enjoy hands-on experience and direct interaction with instructors and classmates, in-person EKG technician training programs can be an excellent fit. An example of such a program is the short, intensive EKG technician training course, like the EKG Technician Certification Course offered in Houston, Texas. This course lasts 2 days, consisting of 8-hour sessions, and provides practical experience with lead placement on up to 20 live EKGs.

In-person training programs offer:

  • Opportunities for hands-on experience through volunteer externships in local healthcare settings
  • Practical exposure integrated into programs preparing for NHA certification
  • Advanced diagnostic skills, such as cardiac stress testing, Holter monitoring, and other cardiac-specific monitors, as part of the diagnostic electrocardiography instruction included in these courses.

Hybrid EKG Technician Training Programs

Hybrid EKG technician training programs offer the best of both worlds, combining the convenience and flexibility of online learning with the hands-on experience of in-person training. Paris Junior College offers a hybrid EKG Technician Cardio Certification Program, which includes:

  • 50 hours of training
  • Classes are held on Fridays from late March to mid-May
  • Cost of $675
  • Theoretical aspects learned online
  • Hands-on practice in a supervised clinical setting

This hybrid format allows students to learn the theoretical aspects online while getting hands-on practice in a supervised clinical setting.

These programs are designed to prepare students for the EKG technician CET certification exam by covering key areas such as safety practices, EKG acquisition, and analysis. Students get the opportunity to work with EKG machines and practice performing EKG tests on live patients, thereby gaining vital real-world experience.

Prerequisites and Requirements for EKG Technician Certification

EKG certification exam preparation

To become a certified EKG technician, you must meet certain prerequisites and requirements. Here are the requirements:

  • Candidates must be over the age of 18
  • Candidates must have a high school diploma or GED
  • Candidates must pass a background check
  • Candidates must have negative hepatitis and TB tests
  • Candidates must have up-to-date immunization records

Further, completion of an accredited EKG training program is a prerequisite for taking the Certified EKG Technician (CET) exam. Before registering for the CET exam, candidates must have:

  • Performed a minimum of 10 successful EKGs
  • Completed training within five years of the application
  • Show at least one year of supervised work experience if training was completed five or more years before the application.

Educational Background

In terms of educational background, a high school diploma or GED is mandatory to enroll in state-recognized EKG training programs in Austin, Texas. This requirement ensures that candidates have a basic understanding of the principles of science and mathematics, which are fundamental to the role of an EKG technician.

Entrance Test and Previous Healthcare Experience

Some certification agencies might require an entrance test or previous healthcare experience. For example, candidates with no prior healthcare experience typically need to complete an accredited EKG training program to meet the prerequisites for taking the national certification exam.

Upon completing an EKG training program, candidates receive a Certificate of Completion, allowing them to sit for the national certification test without prior field experience. However, for those with some healthcare experience, certain certification agencies may accept 1 year of on-the-job experience within the past 3 years as a substitute for completing an EKG training program.

Preparing for the EKG Certification Exam

National Healthcareer Association (NHA) exam for EKG certification

Preparing for the EKG certification exam is a critical step toward becoming a certified EKG technician. This preparation involves utilizing study materials, practice exams, and understanding the exam requirements. Instructors can prepare students for the CET exam using test prep materials, review games, and online practice resources. Furthermore, a versatile digital curriculum can enhance EKG exam preparation by accommodating different learning styles.

To be eligible to take the EKG certification exam, candidates must complete an EKG training program or have one year of relevant on-the-job experience within the past three years. This ensures that only those with adequate training and experience can earn the CET certification.

National Healthcareer Association (NHA) Exam

The National Healthcareer Association (NHA) Certified EKG Technician (CET) exam is a prominent certification exam in this field. Candidates must complete a training program that includes topics such as:

  • Cardiac anatomy and physiology
  • EKG machine technology
  • Rhythm strip interpretation
  • Myocardial infarction details

to qualify for the NHA CET exam.

The NHA CET exam uses a multiple-choice format consisting of 100 questions that assess recall and critical thinking in job-specific tasks. The exam is segmented into three primary domains: Safety, Compliance, and Coordinated Patient Care (32%), EKG Acquisition (44%), and EKG Analysis and Interpretation (24%). The fee for taking the NHA Certified EKG Technician Exam is $117.00. A passing score of 80% is required on the exam, and candidates have two hours to complete it.

Study Materials and Practice Exams

Study materials and practice exams play a significant role in preparing for the EKG certification exam. Candidates can utilize a variety of study materials, such as test prep materials and study guides, for effective preparation for the Certified EKG Technician (CET) exam. Comprehensive study guides and practice tests help build candidates’ confidence and ensure a thorough understanding of the CET exam material.

Moreover, reviewing games and educational websites with community contributions provides engaging methods to reinforce knowledge and skills for the CET exam. A digital curriculum that incorporates various teaching strategies can cater to multiple learning preferences, aiding in successful long-term learning and CET exam preparation.

Job Opportunities for Certified EKG Technicians in Texas

Job opportunities for certified EKG technicians in Texas

Once you’re a certified EKG technician, a world of job opportunities opens up for you in Texas. EKG technicians can find job opportunities in a diverse range of healthcare settings, including:

  • Hospitals
  • Clinics
  • Physician’s offices
  • Cardiac rehabilitation centers
  • Diagnostic laboratories
  • Outpatient care centers

So, whether you’re interested in working in a bustling hospital or a smaller, more intimate setting, there’s a place for you in the healthcare industry.

The booming healthcare industry in Texas, coupled with the aging population and increasing incidence of cardiovascular diseases, ensures a steady demand for EKG technicians. So, not only does this field offer a rewarding career, but it also provides job security and stability.

Job Assistance and Networking

Job assistance and networking can be invaluable as you start your career as an EKG technician. Educational institutions in Texas often provide career support to EKG Technician program graduates to assist them in starting their careers. For instance, Tyler Junior College offers an online EKG Technician Certification Program that includes interactive learning modules and 24/7 mentoring.

Students enrolled in such programs have access to a student portal that provides extensive career resources, including career guidance and resume writing support. This support can be crucial in helping new graduates secure their first job and start their careers on a strong footing.

Continuing Education and Career Advancement

Continuing education and gaining proficiency in additional cardiac diagnostic procedures, such as Holter monitoring and stress testing, can enhance job prospects and career advancement for EKG technicians. By continually expanding your skills and knowledge, you can increase your marketability and stand out from the competition.

Moreover, continuing education ensures that you:

  • Stay abreast of the latest developments and best practices in your field
  • Contribute to your professional growth
  • Demonstrate your dedication to providing the best possible care for your patients.


In conclusion, becoming a certified EKG technician in Texas is a rewarding journey that offers a promising career outlook. With a variety of training options available, both online and in-person, you can choose the path that best fits your lifestyle and learning preferences. Upon completion of your chosen program, you’ll be equipped with the necessary skills and knowledge to pass the EKG certification exam and embark on your career in this exciting healthcare field. Remember, the journey doesn’t end with certification; continuing education and career advancement opportunities are plentiful, ensuring a vibrant and fulfilling career.

Frequently Asked Questions

How do I become an EKG Tech in Texas?

To become an EKG Tech in Texas, you need to have a high school diploma or GED, complete an EKG training program, or have 1 year of on-the-job experience in the past 3 years, and perform 10 successful EKGs. Good luck with your certification!

How much do EKG techs make Texas?

EKG technicians in Texas can expect to earn an average annual salary of around $39,520, though this can vary based on experience and other factors. The range for EKG technician salaries in Texas is typically between $35,042 and $58,500.

Where do EKG techs get paid the most?

EKG techs are usually paid the highest in outpatient care centers, with the highest earners making around $83,890 annually. New York, NY is reported to pay EKG Techs $30.19 per hour on average.

What are the top 3 job requirements for an EKG technician?

The top 3 job requirements for an EKG technician include technical skills in electrocardiography, proficiency in heart monitors, and the ability to provide patient care. It’s also important to have an associate’s or bachelor’s degree, relevant experience, and knowledge of modalities like Holter monitors and telemetry. Additionally, skills in hospital, patient care, communication, medical terminology, scheduling, and customer service are crucial for this role.

What is the role of an EKG technician in Texas?

In Texas, EKG technicians play a crucial role in applying, monitoring, and measuring electrocardiography tests during diagnostic exams and surgeries, working under physicians to enhance patient care through precise cardiovascular assessments.