BLS Instructor Course

TRAINING FACULTY CHECKLIST

​

Training Faculty Paperwork Checklist

 

New Instructor Course Paperwork

Print a copy of the below files for each instructor candidate.

 

• Instructor Candidate Workbook (optional if sent to student via email)

• Instructor Candidate Application

• WorldPoint Discount Instructions

• Instructor Monitoring Form

• Instructor Essentials Exam

  • HeartSaver

  • BLS

  • ACLS

  • PALS

• OPTIONAL FOR NON-PRIME CLASSES

  • “AHA Affiliation Agreement (New Instructor)”

  • eCard Memo

  • Provider Course Agendas

    • BLS Initial Agenda

    • BLS Renewal Agenda

    • ACLS Update Agenda

    • PALS Renewal Agenda

  • Instructor Course Agendas (only for the Training Faculty)

    • BLS/HeartSaver Instructor Course Agenda

    • ACLS/PALS Instructor Course Agenda

​

 

Paperwork Submission Guidelines

To be uploaded at Instructor Intake Form - Prime Medical Training

​

Send all course paperwork via the form below as one file in PDF format for each instructor in the order listed below. Pictures of paperwork will not be accepted.

 

Instructor Intake Form

​

New Instructor (To Send to Prime Medical) 

 

File format: “

”

 

1. Instructor Candidate Application

2. Copy of Provider card

3. Instructor Essentials Certificate

4. Instructor Essentials Test

5. Monitoring Form

6. AHA Instructor Intro Quiz (FOR PRIME CLASSES ONLY

7. AHA Affiliation Agreement (FOR PRIME CLASSES ONLY)

 

 

New Instructor (BEGIN CPR Requirements)

 

File format: “Instructor Course_[discipline]_[instructor name].pdf”

 

1. Instructor Candidate Application

2. Copy of Provider card

3. Instructor Essentials Certificate

4. Instructor Essentials Test

5. Monitoring Form

6. Valid Identification (State ID or Driver's License preferred)

7. Create a statement indicating Instructor's can issue cards if they are a training site or is connected to a training site

8. Print out of AHA Instructor Introduction from Prime Medical link

 

​

Renewing Instructor 

 

File format: “Renewal [year]_[discipline]_[instructor name].pdf”

 

• Renewal Checklist

• Monitoring Form

​

Transferring Instructor

​

File format: “Transfer_[discipline]_[instructor name].pdf”

 

• Transfer form

• Monitoring form