AHA-Instructor-Monitor-Tool.pdf
Instructions: Training Center Faculty (TCF) or Regional Faculty (RF) should use this form to assess the competencies of instructor candidates and renewing
Instructor Monitor Form
American Heart Association Emergency Cardiovascular Care Program BLS. ? ACLS. ? ACLS-EP. ? PALS. Instructor's Primary TC for This Discipline: ...
Program Administration Manual
Essentials courses course monitoring
PA Manual Instructor Candidate Application
Complete 1 form per renewing discipline. To be used in conjunction with the Instructor Monitoring Tool. SECTION 1: General information for the renewing
American Heart Association Emergency Cardiovascular Care
Type of Course Monitored: ? HS ? BLS ? ACLS ? ACLS EP. ? PALS. ? PEARS Achieves satisfactory rating during instructor monitoring ... end of form.
BLS or Heartsaver CPR Instructor Monitoring Fees 2021-2022
BLS or Heartsaver CPR Instructor Monitoring Fees 2021-2022. Fee includes alignment with our AHA Training Center Allied 100 Rental-Form-2020.pdf.
AHA Basic Life Support (BLS) Instructor Renewal
completed Instructor Monitoring Form from the past renewal period to class and a copy of current AHA BLS Instructor Card. The Instructor Monitoring Form
American Heart Association Emergency Cardiovascular Care
Achieves satisfactory rating during instructor monitoring. Overall recommendation at end of form. 2. Course Delivery. Definition (Goal): Presents AHA course
American Heart Association ECC Programs Instructor Virtual Course
14 ene 2021 Requirements/Best Practices for Instructor Virtual Course Monitoring. ? Training Faculty/Training Center Coordinator (TF/TCC) must be able ...
Instructor Essentials BLS Course Evaluation
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?
Instructor/TCF Renewal Checklist Revised:
20 Instructions: This checklist may be used to document successful completion of instructor/Training Center Faculty (TCF) renewal requirements and contact information. It is recommended that the TC keep the completed form in the instructor's file.Complete
1 form per renewing discipline.
To be used in conjunction with the
Instructor
Monitoring Tool.
SECTION 1:
General information for the renewing instructor or TCF member. Renewing discipline:Heartsaver
BLSACLSACLS EPPALSPEARS
Instructor ID#: Expiration date of instructor card:Primary
TC name: TC ID #: TC Coordinator"s name:
Instructor"s or TCF"s name:
Mailing
addressCity: State: Zip code: Phone:
Email: SECTION 2:
Instructor or TCF member teaching, monitoring, and update activity for renewal.Instructor/TCF monitoring completed successfully:
Course
name:Date: TCF observer name:
Instructor/TCF update(s) attended:Date: Location:
Date: Location:
Date: Location:
Instructor Essentials course completed (if applicable):Date: Location:
American Heart Association Emergency Cardiovascular Care Programs Instructor/Training Center Faculty Renewal ChecklistInstructor/TCF Renewal Checklist
At least 4 provider courses taught in the past 2 years or waiver obtained (list classes below; additional
classes may be attached or listed on the back of this form) Co urse Name Date Location (TC or Site) Station or ModuleIf applicable (for TCF), at least 1 instructor/instructor renewal course taught in the past 2 years (list
courses below) Course Name Date Location (TC or Site) Station or ModuleSECTION 3:
Administrative Review of Conflict of Interest and Code of Conduct.Reviewed by
TC Coordinator
with instructor. Professional Behavior: The Program Administration Manual provides specific guidelines regarding code of conduct and conflict of interest for all representatives of the AHA as leaders in the community. Instructors need to comply with these AHA guidelines because they represent the AHA while they are conducting courses.Endorses the ECC Leadership Code of Conduct
Date of review:
Acknowledges the AHA Statement of Conflict of InterestDate of
review:SECTION 4:
Administrative Competencies and Indicators. Observed by TC Coordinator through regular teaching activities Cognitive and Psychomotor Skills: Maintains proficiency in provider-level cognitive and psychomotor skills; fulfills requirements for initial or renewal instructor certificationDemonstrates proficiency in provider-level skills
Teaches at least the minimum number of classes per cycleIs aligned on the Instructor Network
Completes the required provider and instructor updates Provides precourse instructions and resources to students before the course Uses student and Faculty feedback to improve teaching performance Ensures equipment is in working order and is available in sufficient quantity, as recommendedSecures and protects testing materials
Decontaminates/cleans equipment according to the manufacturer's instructions American Heart Association Emergency Cardiovascular Care Programs Instructor/Training Center Faculty Renewal ChecklistInstructor/TCF Renewal Checklist
Program Administration: Successfully manages available resources, including time, materials, space, and budget, to deliver high-quality training in accordance with AHA guidelines Completes postcourse records, including an accurate roster, grade report, and summary evaluation Complies with the current, appropriate version of the Program Administration Manual Ensures that AHA course completion cards are issued in a timely mannerOverall comments from TC Coordinator:
Overall comments from instructor/TCF:
Review of Renewal Checklist is acknowledged by
instructor/TCF: TCC name: Instructor/TCF name: TCC signature: Instructor/TCF signature:Date: Date:
New instructor card issuedDate: ________________
TCF status maintainedDate: ________________
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