ACLS New Instructor Course Agenda
Prerequisites: I. The instructor candidate needs a current ACLS Provider card;II. Instructor candidate to contact a training center to align and purchase a ACLS Instructor Manual;III. TCF emails instructor candidate the ACLS Instructor Workbook to read & bring to class.IV. Candidate to register on the www.AHAInstructorNetwork.org and bring AHA ID# to class;
If already registered on this site for another discipline, then just add ACLS under Courses.V. Candidate to take the ACLS Instructor Essentials Course on the
https://elearning.heart.org/course/52 site and bring the certification of completion to class.
Day One: 8 hours I. Introduction:
A. Self & students.B. Discuss agenda of full course (verify prerequisites completed, classroom agenda, and course monitoring
requirement).C. Address any student questions from online pre-test or readings
II. Hand-out ACLS Instructor Profile forms.
III. View ACLS Instructor Essentials classroom DVD.
IV. Test out on skills, using the ACLS Skills Checklists in the Profile packet.Go over each of the skills in the Profile packet only one CPR/Airway/Megacode required.
V. Give the ACLS Instructor written exam and correct. Passing is 84%. Review ACLS Provider exam.
BREAK
VI. Show the ACLS Product & Course Orientation on the AHA Instructor Network.VII. Show and discuss ACLS Instructor manuals
A. Preparing section-- very informativeB. Teaching sectionC. Testing & RemediationD. ResourcesE. Appendices –
1. Appendix A Learning Station, MegaCode & Debriefing Scenarios2. Appendix B Testing checklists, Learning Station checklists+3. Appendix C- Additional Sample agendas
F. Part 6: Lesson MapsG. Discuss the HeartCode agenda and the Accelerated Heartcode agenda
VII. Go over the Instructor Update form
VIII. Offer mentoring opportunities if possible. Set up plan for monitoring of first class.
IX. Candidate or TCF to keep ACLS Instructor Profile forms until monitoring is done.Then send in Profile form & dues payment to the MnSCU MRTC address on the packet.
X. Answer Questions and have student complete ACLS Instructor Evaluation form.
ACLSInstructorEssentialsCourseAgenda_Sept2019
ACLS Instructor Update Course Agenda
Prerequisites: I. Needs to have taught at least 4 courses in the past renewal period, entered in database or
written on page 2 of Profile form; II. Bring completed Course monitoring form to class.
Day One: 8 hours
I. Introduction: self, students. Discuss agenda of full course (verify prerequisites completed,discuss classroom agenda and course monitoring requirement).
II. Hand-out ACLS Instructor Profile forms.
III. Test out on skills using the ACLS Skills Checklists in the Profile packet.
IV. Give the ACLS Instructor written exam and correct.
BREAK
V. Show and discuss ACLS Instructor manualsA. Discuss HeartCode ACLS
1. new web address for online courses: https://elearning.heart.org2. discuss classroom practice using HeartCode DVD and testing3. Discuss the HeartCode agenda and the Accelerated Heartcode agenda
VI. Go over the Instructor Update form.
VII. Send in completed Profile form & dues payment to the MnSCU MRTC address on the packet.
VIII. Answer Questions and have students complete ACLS Instructor Evaluation form.
ACLSInstructorUpdateCourseAgenda_Sept2019
TRAINING CENTER FACULTY/ INSTRUCTOR Update Outline ~for the MnSCU Multi-Regional Training Center~
I. AHA Hierarchy National- headquartered in Dallas 7 US ECC Regional Committees each has 4 voluntary Subcommittees
(Advocacy, Communications, Community & Education) that you can apply for, see Gayle. MN training centers and the AHA Instructor Network disseminates info to instructors. Training Center Coordinator Gayle Steiner is TCC for MnSCU MRTC
Contact info: 651-201-1796 or [email protected] Training Center Faculty are our most experienced instructors who are appointed by Gayle to
teach instructor classes and do instructor monitoring on behalf of the MRTC.Appointed and trained by training center staff.
Instructors (do provider level classes, key to community training #’s)(~3,500 Instructors in MRTC) The MRTC on average trains 100,000 students per year.
II. Aligning with TC AHA requires all instructors to be aligned with a training center as a base of support.
You do this by registering on the AHA Instructor Network.The MRTC puts your AHA ID# on your instructor card.This site is an on-going resource (issuing eCards, forms, updates, Program AdministrationManual located under Additional Tools, Product & Course Orientations)
MRTC—is national, we can move with you if you teach out of state. Instructor Re-certification Must attend a classroom renewal course every 2 years.
See Program Administration Manual pg 54.Ideally good to renew within the Training Center to get specific MRTC information.If you recert at another TC, bring our Instructor Profile form to stay with MRTC.Instructor Profile form-use only for those joining the MRTC, other generic AHAforms in PAM for non-MRTC instructors attending an MRTC Instructor course.Send in Profile form when all completed/+monitoring form+dues+AHA I.N. registration.If a card has not been received within a week call us.
Ill. Resources: Gayle 651-201-1796 for AHA questions/ course issues Kelli, MRTC Asst. at 651-201-1795 for website support/ordering/billings Ric, MRTC Assoc at 651-201-1787 ACLS, BLS, PALS course questions
www.heart.org & https://elearning.heart.org/course/26 & www.AHAInstructorNetwork.org Various AHA apps/YouTube for Hands Only courses and FAST stroke assessment info Program Administration Manual—rule book for instructors and Training Centers on I.N. MRTC Website: Google “MnSCU MRTC”, forms, see arrows for commonly used sites. ECC Provider Course Matrix—lists classes that you can teach with your certification,
see MRTC website: Instructor Info & Updates, see the Resource section.Instructor Manuals for specific courses w/lesson maps & Skills Checklists must have at all
classes you teach, lots of new info in the most current manuals. Most helpful are the agendas, equipment lists, skills checklists and lesson maps. NEW--
• AHA as of 7/1/2019 will be the sole distributor of AHA materials to the MRTC & instructors.Cards must be purchased from the MRTC, but all other AHA products purchased from AHAdirectly (books, DVDs, etc.) CPR equipment (manikins, AED Trainers, etc.) can bepurchased from any vendor.
IV. Courses AHA lowered the price on HS books $5, cards $19, (K-12 HS cards are $4) and Online
HS courses lowered to $15-20 (includes an e-book). BLS Provider New BLS renewal course DVD and there are lesson maps on the AHA I.N. HeartCode Part 1, online and Part 2 in the classroom—requirements for practice.
Accelerated versions (less practice) for ACLS and BLS available. Agendas on AHA I.N.
VI. Miscellaneous Manikins –discuss cleaning, have Safety Data Sheet for bleach solution for OSHA.
1/31/2019 Feedback Manikin/Device requirement to measure rate/depth. Peds coming.
HS in K-12 Schools course cards for students & staff, use same HS curriculum, cards $4. HS Pediatric courses recommended for daycares by DHS. Issue HS Ped $19 card.
Instructors keep: roster-w/test scores, skills checklists & evals. x 3yrs for possible audit
CEUs: you can give certificates of attendance date/course/hrs/instructor & credentials, courseobjectives are in the instructor and student manuals. Up to student to see if course meets CEUcriteria. EMS CEUs available on the AHA I.N. under “EMS Student CE” the link is on theleft side of Dashboard page—instructors must submit names within 60 days of class.
Cards: you must give a card for any certification course (ACLS, BLS, HS, PALS, PEARS). E-cards-- we have some limited supply of paper cards. You can use up your hard copy
cards. If paper cards not on the ordering site we are out. eCard directions on MRTC website, Ordering Materials page/eCard Section (and on AHA
Instructor Network). Video & written directions are on each page of the eCard site.
Monitoring of Instructors New Instructors (monitored before teaching on their own) andrenewing (within the 2 year certification period). Come to renewal class with this completed.
Heart Safe Community Project Promotes CPR training for bystanders. If meet all the criteria,signage under city or town name to say “Heart Safe City”. Google or here is the link:https://www.health.state.mn.us/diseases/cardiovascular/tools/heartsafe.html
MN Resuscitation Consortium grant $$ available for training projects.www.mrc.umn.edu great resource for AED registration questions also.
You’re the Cure Keeps you in the loop on MN heart related national and local politicalissues. No obligation, just join at: http://yourethecure.org/aha/advocacy/default.aspx .Bill passed to have an AED maintenance plan, including registering.
Heart Walks around the state. Looking for volunteers to staff AED or CPR demos, etc.http://www2.heart.org/site/TR/HeartWalk/MWA-MidWestAffiliate?pg=entry&fr_id=3161
MN Sudden Cardiac Arrest Survivor’s Network a good resource to enhance your classes.
VII. Cover Questions TCFUpdateSept2019.doc
Advanced Cardiovascular Life Support Course RosterEmergency Cardiovascular Care Programs
Course Information
� ACLS Course
� ACLS Update Course
� HeartCode® ACLS
� ACLS EP
� ACLS Instructor
� ACLS EP Instructor
Lead Instructor __________________________________________ Lead Instructor ID# Card Expiration Date Training Center Training Center ID# Training Site Name (if applicable) Address City, State ZIP Course Location
Course Start Date/Time
No. of Cards Issued
Course End Date/Time
Student-Manikin Ratio
Total Hours of Instruction
Issue Date of Cards
Assisting Instructor (Attach copy of instructor aligned with a TC other than the primary TC)
Name and Instructor ID# Card Exp. Date Name and Instructor ID# Card Exp. Date
1. 5.
2. 6.
3. 7.
4. 8.
I verify that this information is accurate and truthful and that it may be confirmed. This course was taught in accordance with AHA guidelines.
Signature of Lead Instructor Date
KJ1216 BLS 4/16 © 2016 American Heart Association
KJ1216 BLS 4/16 © 2016 American Heart Association
Name and EmailPlease PRINT as you wish your name to appear on your card. Please print
email address legibly.Mailing Address/Telephone
Complete/ Incomplete
Remediation/DateCompleted
(if applicable)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Course Participants
Date Course Lead Instructor Lead Instr. ID#
ACLS Instructor Course Evaluation
KJ0920 ACLS INST R3/16 © 2016 American Heart Association
Please answer the following questions about the course content.
1. The course learning objectives were clear.a. Yesb. No
2. The overall level of difficulty of the course wasa. Too hardb. Too easyc. Appropriate
3. The content was presented clearly.a. Yesb. No
4. The quality of videos and written materials wasa. Excellentb. Goodc. Faird. Poor
Please answer the following questions about your skill mastery.
1. I am confident I can use the skills the coursetaught me.a. Yesb. Noc. Not sure
2. I feel confident I can assess students’ skillsperformance and manage a class effectively.a. Yesb. Noc. Not sure
3. I took this course to obtain professional educationcredit or continuing education credit.a. Yesb. Noc. Not applicable
Optional questions:
Were there any strengths or weaknesses of the course that you would like to comment on?
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
What would you like to see in future courses developed by the AHA?
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
After Completing This Evaluation
Please return this evaluation to your Faculty member before you leave the class.
Alternatively, you can send the evaluation to your Training Center. Ask your Faculty member for the contact information.
If you have significant problems or concerns with your course, please contact the AHA at 877-AHA-4CPR.
Multi-Regional Training Center
ACLS Instructor Check List
Check that all pages filled out completely, must have an email address
Enter courses you taught in the MRTC database (4 Minimum)
http://mymrtc.org/
Pay for MRTC biennial membership dues (see last page for instructions)
Sign last page
Mail or email completed Profile Form
Instructors:
Please note: the Minnesota State MRTC Instructor Profile Form should be
used for any Instructor Certification classes. Section A of this form should be
re-submitted whenever any personal information in Section A changes or you
may access your information and change online yourself.
The completion of this form confirms that you have successfully
completed your Instructor Course (initial or renewal) per the AHA standards.
Members of the Minnesota State MRTC, will receive an American Heart
Association, Instructor card and a packet of materials from the MRTC
regarding resources (website/database/online ordering, etc.).
If you are not currently a member but would like to join our Multi-Regional
Training Center, please see the “Joining the MRTC” page in this form, or call
651-201-1795 or x1796
Any missing information will delay the process of updating your
instructor status and may lead ot suspension of account
ACLS Instructor/Experienced Instructor Profile Form Minnesota State – Multi-Regional Training Center
30 7th St. E, Suite 350, Wells Fargo Place, St. Paul, MN 55101-7804
Toll Free: 800-311-3143 Office: 651-201-1795 Fax: 651-649-5409
Section A: Instructor Profile Information-- This section is for information on instructors applying for
membership or who are renewing their membership with the Minnesota State MRTC. Please complete and return Section A
any time this information changes or update on your database information page.
Applicants’ Name:___________________________________ MRTC Member # __________________
Home Address: _____________________________________ AHA ID # ________________________
City:____________________________________ State:__________ Zip Code: __________________
County of Residence:___________________ Preferred e-mail Address* _________________________ *Must have an email address
Telephone Numbers: Home _________________________ Work ______________________________
Employers’ Name: ____________________________________________________________________
Address: ________________________________________ City: _____________________
State: __________ Zip Code: ____________ Fax: ______________________________
Year you started teaching ACLS: _____________________
Specialized Health Care Qualifications (R.N., L.P.N., EMT, etc.) _______________________________
Last Date of last Renewal: _________________Instructor Name: ______________________________
ACLS Essential Course Completion Date (form attached if new Instructor): _____________________
Revised: September 2019
ACLS Instructor/Experienced Documentation Record
Section B I certify that this student has successfully completed the ACLS Instructor Course including the ACLS
practical and written evaluations in accordance with the standards of the American Heart Association and the
Minnesota State’s Multi-Regional Training Center.
Course Director: ___________________________ _________________________________ Signature Print Name
Physician Instructor*: ___________________________ Print Name
* If a physican was not in the classroom, then list name of physician available for consult during this course.
Date of Course: ____________________________ Course Location: ________________________
Section C
Requesting AHA Card for: One ACLS Instructor -or- ACLS Experienced Provider Instructor
One Initial Course -or- Renewal Course
( if Yes) ACLS Training Center Faculty
ACLS Instructor Written Test Score: _______
Skills (Critical Actions): Pass Fail Remediate
Minimum Teaching Requirements: Note: Re-Certifying Instructors must teach/assist in a minimum of four provider classes in two years.
MRTC Faculty must teach/assist in four classes and at least one Instructor course.
Instructors: If entered on line √ here: then you do not need to list below. Otherwise please list minimum required dates taught (if not online):
-OR-
Training Center Faculty: If entered online √ here: then you do not need to list below. Otherwise please list minimum required dates taught (if not online):
To enter classes online login http://mymrtc.org/ then click “Enter Courses” in the navigation pane on the left.
Provider: 1) Date: ______________ 2) _____________ 3) _____________ 4) ________________
Course: ______________ _____________ _____________ ________________
# of Students: ______________ _____________ _____________ ________________
Instructor: 1) Date: ______________ 2) _____________ 3) _____________ 4) ________________
Course: ______________ _____________ _____________ ________________
# of Students: ______________ _____________ _____________ ________________
Joining/Re-aligning with the MnSCU Multi-Regional Training Center 1) New/Renewing Instructors: Mail this completed Instructor Profile Packet—all pages, along with the
bi-annual membership dues. Your card and materials will be mailed upon receiving this AHA required information.
2) Payment of the biennial $50.00 membership dues by one of three ways: a. Check (please make checks payable to Minnesota State-MRTC) b. Purchase Order (include PO # here: ___________________)
(Must have Credit Application for invoicing/PO if not a state agency—call 651-201-1795 for application).
c. Credit Cards pay dues online at: MRTC Online (No S/H or Sales Tax) PER PAYMENT CARD REGULATIONS WE CAN ONLY ACCEPT CREDIT CARD TRANSACTIONS THRU OUR SECURED ONLINE ORDERING SYSTEM.
You will receive an email receipt. The American Heart Association strongly promotes knowledge and proficiency in all AHA courses and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent course sponsorship by the AHA. Any fees charged for such a course, except for a portion of the fees for materials, do not represent income to the AHA. I agree to adhere to American Heart Association and Minnesota State /Multi-Regional Training Center policies, using appropriate AHA materials and issuing certification cards. ____________________________ _______________________________ _______________________ Print Name Signature Date ****************************************************************************** MRTC Office Use Only: Form of Payment: Check # __________________ Name on Check__________________________________ Cash Credit Card (Type): ________________
Date routed to MRTC Support: ______________ Initials: __________ Date Receipt sent:_________________
Minnesota State Multi-Regional Training Center
30 7th St., E., Suite 350, St. Paul, MN 55101-7804 Toll Free: 800-311-3143 Office: 651-201-1795 Fax: 651-649-5409
Airway Management Skills Testing Checklist
Student Name ____________________________________________________________ Date of Test _______________________
Critical Performance Steps ✓ if donecorrectly
BLS Assessment and Interventions
Checks for responsiveness
• Taps and shouts, “Are you OK?”
Activates the emergency response system
• Shouts for nearby help/Activates the emergency response system and gets the AED
or• Directs second rescuer to activate the emergency response system and get the AED
Checks breathing
• Scans chest for movement (5-10 seconds)
Checks pulse (5-10 seconds)
Breathing and pulse check can be done simultaneously
Notes that pulse is present and does not initiate chest compressions or attach AED
Inserts oropharyngeal or nasopharyngeal airway
Administers oxygen
Performs effective bag-mask ventilation for 1 minute
• Gives proper ventilation rate (once every 5-6 seconds)
• Gives proper ventilation speed (over 1 second)
• Gives proper ventilation volume (~half a bag)
STOP TEST
Instructor Notes
• Place a ✓ in the box next to each step the student completes successfully.• If the student does not complete all steps successfully (as indicated by at least 1 blank check box), the student must receive
remediation. Make a note here of which skills require remediation (refer to Instructor Manual for information about remediation).
Test Results Check PASS or NR to indicate pass or needs remediation: PASS NR
Instructor Initials __________ Instructor Number _____________________________ Date _____________________________
© 2016 American Heart Association
Adult High-Quality BLSSkills Testing Checklist
Student Name __________________________________________________ Date of Test _______________________________
Hospital Scenario: “You are working in a hospital or clinic, and you see a person who has suddenly collapsed in the hallway. You check that the scene is safe and then approach the patient. Demonstrate what you would do next.”
Prehospital Scenario: “You arrive on the scene for a suspected cardiac arrest. No bystander CPR has been provided. You approach the scene and ensure that it is safe. Demonstrate what you would do next.”
Assessment and Activation☐ Checks responsiveness ☐ Shouts for help/Activates emergency response system/Sends for AED☐ Checks breathing ☐ Checks pulse
Cycle 1 of CPR (30:2) *CPR feedback devices preferred for accuracy
Adult Compressions☐ Performs high-quality compressions*:
• Hand placement on lower half of sternum• 30 compressions in no less than 15 and no more
than 18 seconds• Compresses at least 2 inches (5 cm)• Complete recoil after each compression
Adult Breaths☐ Gives 2 breaths with a barrier device:
• Each breath given over 1 second• Visible chest rise with each breath• Resumes compressions in less than
10 seconds
AED (follows prompts of AED)☐ Powers on AED ☐ Correctly attaches pads ☐ Clears for analysis ☐ Clears to safely deliver a shock☐ Safely delivers a shock
Cycle 2 of CPR (repeats steps in Cycle 1) Only check box if step is successfully performed☐ Compressions ☐ Breaths ☐ Resumes compressions in less than 10 seconds
Resumes Compressions☐ Ensures compressions are resumed immediately after shock delivery
• Student directs instructor to resume compressions or• Second student resumes compressions
Once student shouts for help, instructor says, “Here’s the barrier device. I am going to get the AED.”
Rescuer 2 says, “Here is the AED. I’ll take over compressions, and you use the AED.”
STOP TEST
Instructor Notes
• Place a ✓ in the box next to each step the student completes successfully.• If the student does not complete all steps successfully (as indicated by at least 1 blank check box), the student must receive
remediation. Make a note here of which skills require remediation (refer to Instructor Manual for information about remediation).
Test Results Check PASS or NR to indicate pass or needs remediation: PASS NR
Instructor Initials __________ Instructor Number _____________________________ Date _____________________________
© 2016 American Heart Association
Megacode Testing Checklist: Scenarios 1/3/8 Bradycardia ➔ Pulseless VT ➔ PEA ➔ PCAC
Student Name ____________________________________________________________ Date of Test _______________________
Critical Performance Steps ✓ if donecorrectly
Team Leader
Ensures high-quality CPR at all times
Assigns team member roles
Ensures that team members perform well
Bradycardia Management
Starts oxygen if needed, places monitor, starts IV
Places monitor leads in proper position
Recognizes symptomatic bradycardia
Administers correct dose of atropine
Prepares for second-line treatment
Pulseless VT Management
Recognizes pVT
Clears before analyze and shock
Immediately resumes CPR after shocks
Appropriate airway management
Appropriate cycles of drug–rhythm check/shock–CPR
Administers appropriate drug(s) and doses
PEA Management
Recognizes PEA
Verbalizes potential reversible causes of PEA (H’s and T’s)
Administers appropriate drug(s) and doses
Immediately resumes CPR after rhythm checks
Post–Cardiac Arrest Care
Identifies ROSC
Ensures BP and 12-lead ECG are performed, O2 saturation is monitored, verbalizes need for endotracheal intubation and waveform capnography, and orders laboratory tests
Considers targeted temperature management
STOP TEST
Test Results Check PASS or NR to indicate pass or needs remediation: PASS NR
Instructor Initials __________ Instructor Number _____________________________ Date _____________________________
Learning Station Competency
☐ Cardiac Arrest ☐ Bradycardia ☐ Tachycardia ☐ Immediate Post–Cardiac Arrest Care ☐ Megacode Practice
© 2016 American Heart Association
Megacode Testing Checklist: Scenarios 4/7/10 Tachycardia ➔ VF ➔ PEA ➔ PCAC
Student Name ____________________________________________________________ Date of Test _______________________
Critical Performance Steps ✓ if donecorrectly
Team Leader
Ensures high-quality CPR at all times
Assigns team member roles
Ensures that team members perform well
Tachycardia Management
Starts oxygen if needed, places monitor, starts IV
Places monitor leads in proper position
Recognizes unstable tachycardia
Recognizes symptoms due to tachycardia
Performs immediate synchronized cardioversion
VF Management
Recognizes VF
Clears before analyze and shock
Immediately resumes CPR after shocks
Appropriate airway management
Appropriate cycles of drug–rhythm check/shock–CPR
Administers appropriate drug(s) and doses
PEA Management
Recognizes PEA
Verbalizes potential reversible causes of PEA (H’s and T’s)
Administers appropriate drug(s) and doses
Immediately resumes CPR after rhythm checks
Post–Cardiac Arrest Care
Identifies ROSC
Ensures BP and 12-lead ECG are performed, O2 saturation is monitored, verbalizes need for endotracheal intubation and waveform capnography, and orders laboratory tests
Considers targeted temperature management
STOP TEST
Test Results Check PASS or NR to indicate pass or needs remediation: PASS NR
Instructor Initials __________ Instructor Number _____________________________ Date _____________________________
Learning Station Competency
☐ Cardiac Arrest ☐ Bradycardia ☐ Tachycardia ☐ Immediate Post–Cardiac Arrest Care ☐ Megacode Practice
© 2016 American Heart Association
American Heart Association Emergency Cardiovascular Care Program Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2018
Instructions: Training Center Faculty (TCF) or Regional Faculty (RF) should use this form to assess the competencies of instructor candidates and renewing instructors. For each competency, there are several indicators or behaviors that the instructor may exhibit to demonstrate competency. To be used in conjunction with the Instructor/TCF Renewal Checklist. Role of the RF/TCF Observer: The role of the RF/TCF observer for this monitoring is to observe only. Debriefing or correcting the instructor during the course should be avoided. If critical components are not being completed, contact the TC Coordinator or Course Director outside the classroom setting immediately.
Evaluating the Critical Actions: The following questions are critical actions required for a successful course. Each item is written to maximize the objectivity and minimize the subjectivity of the evaluator. For each item, mark one of the following:
Yes for items present or completed if there are no required changes for improvement. There may be recommendations for improvement and comments but no required changes.
Yes with req. (Yes with requirements) for items that were completed but changes are required for full compliance. Fill in the comment box with the required change and rationale.
No if the required action was not done or was done incorrectly. Not Observed for items the observer did not witness during monitoring.
SECTION 1:
General information for the individual and course being observed.
Instructor or instructor candidate name:
Instructor ID #: Instructor card expiration date:
Course reviewed: Heartsaver® BLS ACLS ACLS EP PALS PEARS®
Purpose of review: Initial application Instructor renewal Remediation
SECTION 2:
Instructor competencies and indicators. Observed by TCF or RF in a class setting. Course Delivery: Presents AHA course content as intended by using AHA course curricula and materials
2.1 Delivers all core content consistent with AHA published guidelines, Instructor Manual, Lesson Plans, and agenda
Yes Yes with req. No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
American Heart Association Emergency Cardiovascular Care Program Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2018
2.2 Uses videos, checklists, equipment, and other tools as directed in the Instructor Manual
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
2.3 Allows adequate time for content delivery, skills practice, and debriefing
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
2.4 Promotes retention by reinforcing key points
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
2.5 Delivers course in a safe and nonthreatening manner
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
2.6 Relates course material to audience (prehospital or in-facility)
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
2.7 Effectively operates technology used in the course
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
American Heart Association Emergency Cardiovascular Care Program Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2018
2.8 Adapts terminology appropriate to location, audience, and culture
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
2.9 Accommodates students who have disabilities and other special needs
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
2.10 Provides timely and appropriate feedback to students
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
2.11 Uses principles of effective team dynamics during small group activities
Yes Yes with req No Not observed
Reviewer's comments: _____________________________________________________________________ _____________________________________________________________________
2.12 Facilitates debriefings after scenarios to improve individual and team performance
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
Testing and Remediation: Measures students’ skills and knowledge against performance guidelines and provides remediation when needed to consolidate learning
2.13 Tests students by using AHA course materials according to instructions in the Instructor Manual
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
American Heart Association Emergency Cardiovascular Care Program Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2018
2.14 Provides feedback to students in a private and confidential manner
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
2.15 Provides remediation by directing students to reference material and by providing additional practice opportunities
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
2.16 Retests students when indicated
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
Professionalism: Maintains a high standard of ethics and professionalism when representing the AHA 2.17 Demonstrates professional behavior in physical presentation and teaching, including enthusiasm,
honesty, integrity, commitment, compassion, and respect
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
2.18 Follows HIPAA, FERPA, and/or local guidelines maintaining confidentiality
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
American Heart Association Emergency Cardiovascular Care Program Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2018
2.19 Recognizes and appropriately responds to ethical issues encountered in training
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
2.20 Maintains student confidentiality when appropriate
Yes Yes with req No Not observed
Reviewer's comments: __________________________________________________________________________________________________________________________________________
Overall comments from TCF or RF observer:
Review completed:
Successful
Comment:
Remediation needed
Comment:
Unsuccessful
Comment:
RF/TCF name:
RF/TCF signature: Date:
American Heart Association Emergency Cardiovascular Care Program Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2018
SECTION 3:
Review of candidate or instructor. To be completed by TC Coordinator.
I have reviewed the Instructor Monitor Tool with my TC Coordinator, and my instructor status has been reviewed with me. Overall comments from monitored candidate or instructor:
Candidate or instructor name:
Candidate or instructor signature: Date:
TC Coordinator name:
TC Coordinator signature: Date:
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