ECC
Emergency Cardiovascular Care
Course Card
Reference Guide
RE
CA
H
LT
care
h
t
l
Heavider
Pro
A
HE
PEEL
HERE
ER
VID
O
PR
A
HE
ER
VID
O
P R TC ID #
RE
CA
LT H
R
ZIP
T O
C
R U
S T Inst. ID #
I N
State
City,
TC
Info
S
A L
e
Cours on
ti
P
Loca
tor
c
u
tr
Ins
e
Nam
er’s
ld
o
H
ature
Sign
A D VA
L S
P A
TC e
Phon
ing
Train r Name
Cente
T
TC
t
men
Align
TC
ss
Addre
TC
State
City,
r
ucto
Instr
ID #
3/11
er’s
801
Hold ture
90-1
a
Sign
F
tor
801
90-1
ce.
earan
s app
it
r
e
ill alt
ard w
this c
with
Heart
ering
can
Tamp
r.
meri
ruc
Inst
U C
T R
TC
S
I N
this c
HEA
with
sfully
h
ering
N CsEsD
R TA S cto
cces ance wit re
Tamp
a
a u cc
rd
c
n
u
A
h
iation
iation
o
a
h
tr
c
c
C
l
lt
o
o
s
a
V
is
s
s
a
A
u
In
a
As
As
al
ER
rH
DeI O V
eart
eart
divid
ALS)
foR
ividu
ns in
an H
an H
e ind upport (P
ove in evaluatio tion BLS
meric
IRS
meric
ASCU
11 A
11 A
abov
S
e ab
©L20
© 20
T
L
t the ced Life
at th nd skills Associa
a
E
®
A
th
A
E
th
R
s
P LIF
ID C
a
ie
ies
van
Heart
itive
certif P
certif
te
ic Ad
E
PR
coEgEn American ram.
al Da
card
HERE S U PThPisOccaiardtion PedPiaEtrEL
enew
e
This leted the f thL
AED
Prog
)
ate
ed R
o
R
d
p
D
D
o
n
H
H
s
E
n
T
m
m
e
E
A
lu ER
As
co
R
u
atio
d
mm
ir
E
n
E
o
ic
p
c
a
rr
x
e
u
E
R
A D VA
HEA
the c ers (CPR
id
NCED
RT
.
Prov
gery.
Train
Train
rgery
r
o
o
C
f
f
T
This
t
t
h
A
in
in
s
s
card
Cente g an is card cert R D I O
Cente g
again
again
t
t
c
c
if
V
te
o
c
c
te
d
e
ie
a
r
r
m
a
e
e
A
rt
s
s
D
t
t
N
D
Nam
kills
if
p
that
S roL
o
Issue
e
Issue
CaPm
with leted the ies thaetsthto pr
toCpU
R eAED evaluation the raebs
AR L
th
s inatu ove indiv
e ab
TC
TC
ur
Progra
Card e curricy fceoagtn
m
it.yOpfetionaccordance w idual has su I F E S U
iovascurit ulum itive and ove indiv
r
In
In
u
fo
fo
c
idual
skills
se cular L of the
e se Child CP al complete ith the curr ccTessfully P P O R
ha
ev
A
City,
ife S
nique
comp
ityu,
R AED
d mod
iculuC
unCiq
T
uppo merican aluation s succes
S
leted
m oID
ins uIss
ules
Coon
Cours
tains Issue State
f th#
Heart
s in a
sfully
rt (AC
th
urs
onta
ue D
c
c
e
D
Infant are those N e AHA Hea e objectiv
c
d
d
A
L
a
c
r
r
a
ssoc
te
S) Pro
te
orda
a
a Loca
Loca e
c
c
e
rt
C
O
s
P
s
T
is
is
ia
n
a
R
marke
ver Fir
h
ce
tion
tion
tion A
gram
Th
T
Z
IP
d
s
.
t
dvan
out:
TC
Aid
Writte
ced
n test
Instr
Instr
Phon
u
Su ikr
e
Nam tcrto
Nam ctor
e thr
Reco
Reco
This
e
e
o
ug
mm
m
c
ard c
ACL
Prov S
id
onta
February 2015
nique
secu
Hea
rity f
a
First rAt s a v e r
id CPR
AE
er
D
men
ins u
S
PA L
eatu
res t
o
ded
prote
Rene
ct ag
T
ainst
ht
ende
he m
his c
ard c
odule
Hold
e
onta
s NO
Sign r’s
ins u
T co
ature
nique
mpleIn
wal D
ate
forge
© 20
11 A
meric
an H
eart
Asso
ciatio
n
ry.
secu
rity f
Tamp
ering
with
this
eatu
tesdt.. ID
res t
o
d Re
newa
© 20
11 A
meric
an H
eart
Asso
ciatio
#
prote
card
will a
lter it
s app
earan
ce.
Hold
e
Sign r’s
ature
l Date
ct ag
ainst
forge
ry.
90-1
806
90-1
806
3/11
Contents
Prefaceii
General Information1
eCards 14
eCard Layout
15
Available eCards 15
Security Features
1
Guidelines for Card Completion
2
Duplication/Replacement of Lost Cards
3
RQI eCard Layout 17
Course Card Tip Sheets and Templates
3
Available RQI eCards
17
BLS HCP4
RQI Program eCards Military Training
Network 17
18
BLS Instructor 4
BLS Healthcare Provider
4
International20
Heartsaver5
Spanish20
Heartsaver Instructor 5
Heartsaver CPR AED
5
Heartsaver First Aid
6
Heartsaver First Aid CPR AED
6
Heartsaver Pediatric First Aid CPR AED
7
Heartsaver Pediatric First Aid 7
Heartsaver CPR AED in Schools
8
ACLS9
ACLS Instructor
9
ACLS Provider 9
ACLS EP10
Portuguese20
Irish Heart Foundation
21
Resuscitation Council of Southern Africa
21
Heart and Stroke Foundation of Canada
22
National Faculty,
Regional Faculty, and
Training Center Faculty23
BLS National Faculty 23
BLS Regional Faculty
23
BLS Training Center Faculty
24
ACLS National Faculty 24
ACLS Regional Faculty
25
ACLS Training Center Faculty
25
ACLS EP Instructor 10
ACLS EP Training Center Faculty
26
ACLS Experienced Provider 10
PALS National Faculty
26
PALS Regional Faculty 27
PALS Training Center Faculty 27
PALS12
PALS Instructor 12
PALS Provider
12
PEARS13
PEARS Instructor 13
PEARS Provider 13
© 2015 American Heart Association
Course Card Index 28
United States Course Cards
28
International Course Cards
29
i
Preface
Preface
The Emergency Cardiovascular Care Course Card Reference Guide is a quality control tool to be used
with American Heart Association (AHA) course cards. It is not a policy document. See the 2012
Emergency Cardiovascular Care Program Administration Manual: Guidelines for Program Administration
and Training (PAM), both US and international versions, for specific criteria, guidelines, and policy
for issuing course cards. The PAMs are available on the AHA Instructor Network website at
www.ahainstructornetwork.org and are for Training Centers (TCs) and instructors.
AHA Emergency Cardiovascular Care (ECC) course cards are described throughout this Guide. This
Guide includes samples of available cards for each discipline. Quality Control Checkpoints aid the user by
providing the date the card was introduced, the date the card was withdrawn from use, and how long the
card is recognized.
Course cards are available only to authorized TCs with a confidential security code issued by AHA National
Center ECC Programs. Each student who successfully completes an AHA ECC credentialed course must be
issued the appropriate course card, which bears an AHA logo. The TC conducting the course is responsible
for card issuance and security through its instructors and Training Sites. Each TC must document how
it maintains card security and accountability. Duplicate course cards are managed by the TC issuing the
original card.
For clarification on issues addressed in this Guide or to verify the status of the TC that issued a card,
please contact the ECC Customer Support Center at 1-877-242-4277, option 2.
ii
General Information
General Information
This section describes cards issued for courses that use criteria and materials from the 2010 American Heart
Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. The 2010
cards include BLS Instructor and BLS Healthcare Provider, March 2011; Heartsaver® Instructor, Heartsaver
CPR AED, Heartsaver First Aid, and Heartsaver First Aid CPR AED, April 2011; ACLS Instructor and ACLS
Provider, May 2011; PALS Instructor and PALS Provider, October 2011; PEARS® Provider, June 2012; ACLS EP
Instructor and ACLS Experienced Provider, April 2013; PEARS Instructor, May 2013; and Heartsaver
Pediatric First Aid CPR AED, July 2013.
H
H EE AA LLTT H
HC
C AA R
R EE PP R
RO
O VV II D
D EE R
R
H
Heeaalltthhccare
a re
P
Pro
rovviiddeerr
H
H EE AA LLTT H
HC
C AA R
R EE PP R
RO
O VV II D
D EE R
R
Training
Training
Center
CenterName
Name
TC
TC
Info
Info
PEEL
PEEL
HERE
HERE
City,
City,State
State
TC
TCID
ID##
ZIP
ZIP
TC
TC
Phone
Phone
Course
Course
Location
Location
This
Thiscard
cardcertifies
certifiesthat
thatthe
theabove
aboveindividual
individualhas
hassuccessfully
successfully
completed
completedthe
thecognitive
cognitiveand
andskills
skillsevaluations
evaluationsininaccordance
accordancewith
with
the
thecurriculum
curriculumofofthe
theAmerican
AmericanHeart
HeartAssociation
AssociationBLS
BLSfor
forHealthcare
Healthcare
Providers
Providers(CPR
(CPRand
andAED)
AED)Program.
Program.
Issue
IssueDate
Date
Recommended
RecommendedRenewal
RenewalDate
Date
Instructor
Instructor
Name
Name
Inst.
Inst.ID
ID##
Holder’s
Holder’s
Signature
Signature
©©2011
2011American
AmericanHeart
HeartAssociation
Association Tampering
Tamperingwith
withthis
thiscard
cardwill
willalter
alteritsitsappearance.
appearance. 90-1801
90-1801
This
Thiscard
cardcontains
containsunique
uniquesecurity
securityfeatures
featuresto
toprotect
protectagainst
againstforgery.
forgery.
90-1801
90-1801 3/11
3/11
Security Features
• Card layout: Each sheet of cards is formatted for printing both sides at the same time. The completed card can
be peeled from the sheet and folded to form a 33∕8 × 21∕ 8-inch card.
• Color designation: Each discipline is designated by a color stripe at the top edge of both sides. BLS and
Heartsaver are blue, ACLS and ACLS EP are red, and PALS and PEARS are purple.
• Copyright: All cards have a copyright notice.
• Highlighted personalization: The cards have highlighted areas for the name, issue date, and renewal date.
Tampering with these areas will alter the appearance of the card.
• Microprint: All cards with a copyright year of 2006 or later use security microprinting for the information lines.
For cards produced in 2006 through 2010, each “line” is the repeated text “AMERICANHEARTASSOCIATION.”
For cards produced in 2011 and later, the card name in the top bar is the repeated text. For example, the
microprint on the BLS Instructor card is “BLSINSTRUCTORBLSINSTRUCTOR” (see Figure 1).
• Viewing microprint: The microprint can be viewed with a loupe or magnifying glass, such as that in Figure 2.
1
General Information
I N S T R U C T O R
c to r
t the above individual is an American Heart
Support (BLS) Instructor.
B L S
I N S T R U C T O R
TC
Alignment
TC ID #
TC
Address
TC
Phone
TC
City, State
ZIP
Instructor
ID #
BLSINSTRUCTORBLSINSTRUCTORBLSINSTRUCTOR
Holder’s
Signature
Expiration Date
© 2011 American Heart Association
Tampering with this card will alter its appearance. 90-1800
que security features to protect against forgery.
90-1800
3/11
Figure 1. Security microprint.
Figure 2. A loupe or a magnifying glass can
be used to view the security microprint.
Guidelines for Card Completion
The AHA requires that course cards have information that is complete and legible. It is recommended that all cards
be stamped, typed, or computer printed to reduce the risk of cards being altered. It is permissible for only the front
of the card to be legibly handwritten (student name, issue date, and recommended renewal date). The handwritten
information must be printed in blue or black ink. All information on the back of the card must be stamped, typed, or
computer printed. The content of AHA course cards cannot be altered in any way.
AHA course cards must be completed as follows:
Front of Card
• The course name is preprinted on the card.
• Indicate the student’s name (eg, first name, middle initial, and
last name).
• Strike through or fill in the circles for modules NOT completed, PEEL
HERE
if applicable.
• Indicate the issue date as a 2-digit month and day, and
4-digit year (01/15/2015).
• Indicate the recommended renewal/expiration date, 2 years
from the issue date (2-digit month and 4-digit year, 01/2017;
no exceptions). The card is valid through the end of the month.
HEARTSAVER FIRST AID CPR AED
HEARTS
Hear t saver ®
Training
Center Name
First Aid CPR AED
TC
Info
City, S
Course
Location
This card certifies that the above individual has successfully completed the objectives
and skills evaluations in accordance with the curriculum of the AHA Heartsaver First Aid
CPR AED Program. Optional completed modules are those NOT marked out:
Child CPR AED
Infant CPR
Written test
Issue Date
Instructor
Name
Holder’s
Signature
Recommended Renewal Date
© 2011 American Heart
Strike through the modules NOT completed.
This card contains unique security features to protect against forgery.
2
General Information
Back of Card
All of the following items are required unless otherwise noted:
• Indicate the name of the TC.
• Indicate the TC’s AHA identification number.
• Indicate the TC’s address and contact information.
• Indicate the location of the course. Provide a general description of where the course was conducted.
• Indicate the Instructor ID number.
• All information on the back of the card must be stamped, typed, or computer printed. It cannot be handwritten.
• On provider cards, indicate the Director’s/Instructor’s AHA Instructor Network identification number.
• On instructor cards, indicate the receiving instructor’s AHA Instructor Network identification number.
The instructor identification number should be for the person whose name is on the front of the card.
• The person who has completed the course must sign his or her name in black or blue ink. A missing signature
does not invalidate the card.
Duplication/Replacement of Lost Cards
It is the responsibility of the TC to issue a duplicate card if a card is lost, is mutilated, or otherwise becomes
unusable. All requests for duplicate or replacement cards must be submitted directly to the Training Center
Coordinator (TCC) who issued the original card. The Course Director or Lead Instructor may advise the student to
contact the TC that issued the original card, or the instructor may do so. The TC may set a fee for reissuing a card.
Course Card Tip Sheets and Templates
Only TCCs can access course card tip sheets and templates on the AHA Instructor Network website at
www.ahainstructornetwork.org. To use the card templates, you will need Adobe Reader, which can be
downloaded, for free, from Adobe’s website at get.adobe.com/reader/.
Each package of course cards comes with a tip sheet, and printed on the back is a practice sheet. Make extra copies
of the practice sheet to test the alignment of the template before printing on the course cards.
3
BLS HCP
BLS HCP
(Basic Life Support for Healthcare Providers)
BLS Instructor
BLS Instructors teach lifesaving CPR, AED, and first aid courses for the medical and nonmedical communities.
Although BLS Instructors are not required to have a medical background to teach, most instructors are in a
healthcare field. BLS Instructors can teach BLS for Healthcare Providers, BLS for Prehospital Providers, and all
Heartsaver courses. Instructor cards are available exclusively to authorized TCs for issuance in accordance with
AHA policy.
B L S
I N S T R U C T O R
BLS
I n st r u c t o r
Quality Control Checkpoints
B L S
I N S T R U C T O R
• Issue date beginning March
TC
TC ID # 23, 2011
Alignment
• Valid until further notice
TC
• Expiration date 2 yearsTCfrom month of issue
Address
PEEL
HERE
TC
City, State
This card certifies that the above individual is an American Heart
Association Basic Life Support (BLS) Instructor.
Issue Date
Expiration Date
90-1800 3-card 90-1807 2-card self-mailer
This card contains unique security features to protect against forgery.
Phone
Associated Materials for Instructors
ZIP
• BLS for Healthcare Providers Instructor Manual
• BLS Instructor Essentials
• BLS for Healthcare Providers Student Manual
Holder’s
Signature • 2010 Handbook of Emergency Cardiovascular Care for
© 2011 American Heart
Association Tampering
with this card will alter its appearance. 90-1800
Healthcare
Providers
• Heartsaver First Aid CPR AED Instructor Manual
• Heartsaver Pediatric First Aid CPR AED Instructor Manual
• Heartsaver First Aid, CPR AED, First Aid
CPR AED, and
90-1800 3/11
Pediatric First Aid CPR AED Student Workbooks
Instructor
ID #
BLS Healthcare Provider
The BLS for Healthcare Providers and BLS for Prehospital Providers Courses teach both single-rescuer and
team basic life support skills for application in both in- and out-of-hospital settings. These courses train
participants to promptly recognize several life-threatening emergencies, give high-quality chest compressions,
deliver appropriate ventilations, and provide early use of an AED. It includes adult, child, and infant rescue
techniques. Provider cards are available exclusively to authorized TCs for issuance in accordance with
AHA policy.
H E A LT H C A R E
H e a l t h c a re
P ro v i d e r
PROVIDER
Quality Control Checkpoints
H E A LT H C A R E P R O V I D E R
Training • Issue date beginning March
TC ID # 23, 2011
Center Name
• Valid until further notice
TC
TC
• Renewal date 2 years from
month of issue
Info
PEEL
HERE
City, State
ZIP
Phone
Course
Location
This card certifies that the above individual has successfully
completed the cognitive and skills evaluations in accordance with
the curriculum of the American Heart Association BLS for Healthcare
Providers (CPR and AED) Program.
Issue Date
Recommended Renewal Date
Instructor
Name
Inst. ID #
Holder’s
Signature
© 2011 American Heart Association
Tampering with this card will alter its appearance. 90-1801
90-1801 3-card 90-1802 2-card self-mailer
This card contains unique security features to protect against forgery.
90-1801
3/11
4
Heartsaver
Heartsaver ®
Heartsaver Instructor
Heartsaver Instructors teach lifesaving CPR, AED, and first aid courses for the nonmedical community.
Heartsaver Instructors are not required to have a medical background to teach. Instructor cards are available
exclusively to authorized TCs for issuance in accordance with AHA policy.
HEARTSAVER INSTRUCTOR
He a rts a ve r ®
I n st r u c t o r
Quality Control Checkpoints
HEARTSAVER INSTRUCTOR
• Issue date beginning April
TC
TC ID #26, 2011
Alignment • Valid until further notice
TC
• Expiration date 2 yearsTCfrom month of issue
Address
PEEL
HERE
TC
City, State
This card certifies that the above individual is an American Heart
Association Heartsaver Instructor.
Issue Date
Expiration Date
Phone
Associated Materials for Instructors
ZIP
• Heartsaver First Aid CPR AED Instructor Manual
Instructor
• BLS Instructor Essentials
ID #
• Heartsaver Pediatric First Aid CPR AED Instructor Manual
Holder’s
Signature • Heartsaver First Aid, CPR AED, First Aid CPR AED, and
© 2011 American Heart
Association Tampering
this cardCPR
will alter itsAED
appearance.
90-1816
Pediatric
FirstwithAid
Student
Workbooks
90-1816 3-card
This card contains unique security features to protect against forgery.
90-1816
3/11
Heartsaver CPR AED
Heartsaver CPR AED is a course that teaches adult CPR and AED use, as well as how to relieve choking in an
adult. This course teaches skills with the AHA’s research-proven practice-while-watching technique, which allows
instructors to observe the students, provide feedback, and guide the students’ learning of skills. Infant and child
modules are optional. Provider cards are available exclusively to authorized TCs for issuance in accordance with
AHA policy.
HEARTSAVER CPR AED
H e a rts a ve r ®
CPR AED
PEEL
HERE
This card certifies that the above individual has successfully completed the objectives
and skills evaluations in accordance with the curriculum of the AHA Heartsaver CPR AED
Program. Optional completed modules are those NOT marked out:
Child CPR AED
Infant CPR
Written test
Issue Date
Recommended Renewal Date
90-1813
3-card 90-1810
2-card
Strike
through
the modules
NOT completed.
Quality Control Checkpoints
HEARTSAVER CPR AED
Training • Issue date beginning April
TC ID #26, 2011
Center Name
• Valid until further notice
TC
TC
• Renewal date 2 years from
month of issue
Info
City, State
ZIP
Phone
• Strike through modules NOT completed
Course
• Completed modules are unmarked and visible
Location
• Adult CPR AED must be taught if child CPR AED is taught
Instructor
Name
Inst. ID #
Holder’s
Signature
© 2011 American Heart Association
Tampering with this card will alter its appearance. 90-1813
self-mailer
This card contains unique security features to protect against forgery.
90-1813
3/11
5
Heartsaver
Heartsaver First Aid
Heartsaver First Aid is a course that teaches students critical skills to respond to and manage an emergency in
the first few minutes until emergency medical services (EMS) arrives. Students learn skills such as how to treat
bleeding, sprains, broken bones, shock, and other first aid emergencies. Provider cards are available exclusively
to authorized TCs for issuance in accordance with AHA policy.
H E A R T S AV E R F I R S T A I D
He a rts a ve r ®
F i r st A i d
PEEL
HERE
This card certifies that the above individual has successfully completed
the objectives and skills evaluations in accordance with the curriculum of
the AHA Heartsaver First Aid Program.
Optional Module completed if NOT marked out:
Written test
Issue Date
Recommended Renewal Date
90-1814
3-card 90-1809
2-card
Strike
through
the modules
NOT completed.
Quality Control Checkpoints
H E A R T S AV E R F I R S T A I D
Training • Issue date beginning April
TC ID #26, 2011
Center Name
• Valid until further notice
TC
TC
• Renewal date 2 years from
month of issue
Info
City, State
ZIP
Phone
• Strike through modules NOT completed
Course
• Completed modules are unmarked and visible
Location
• This course is for First Aid only and does not include
Instructor
Inst. ID #
CPR AED
Name
Holder’s
Signature
© 2011 American Heart Association
Tampering with this card will alter its appearance. 90-1814
self-mailer
This card contains unique security features to protect against forgery.
90-1814
3/11
Heartsaver First Aid CPR AED
Heartsaver First Aid CPR AED is a course that teaches students critical skills needed to respond to and manage
a first aid, choking, or sudden cardiac arrest emergency in the first few minutes until EMS arrives. Students learn
skills such as how to treat bleeding, sprains, broken bones, shock, and other first aid emergencies. This course
also teaches adult CPR and AED use. Infant and child modules are optional. Provider cards are available exclusively
to authorized TCs for issuance in accordance with AHA policy.
HEARTSAVER FIRST AID CPR AED
He a rts a ve r ®
First Aid CPR AED
PEEL
HERE
This card certifies that the above individual has successfully completed the objectives
and skills evaluations in accordance with the curriculum of the AHA Heartsaver First Aid
CPR AED Program. Optional completed modules are those NOT marked out:
Child CPR AED
Infant CPR
Written test
Issue Date
Recommended Renewal Date
90-1815
3-card 90-1820
2-card
Strike
through
the modules
NOT completed.
Quality Control Checkpoints
HEARTSAVER FIRST AID CPR AED
Training • Issue date beginning April
TC ID #26, 2011
Center Name
• Valid until further notice
TC
TC
• Renewal date 2 years from
month of issue
Info
City, State
ZIP
Phone
• Strike through modules NOT completed
Course
• Completed modules are unmarked and visible
Location
Instructor
Name
Inst. ID #
Holder’s
Signature
© 2011 American Heart Association
Tampering with this card will alter its appearance. 90-1815
self-mailer
This card contains unique security features to protect against forgery.
90-1815
3/11
6
Heartsaver
Heartsaver Pediatric First Aid CPR AED
Heartsaver Pediatric First Aid CPR AED is a course for the child care industry and others requiring a credential in
pediatric first aid, CPR, and AED use. Students learn how to manage illness and injuries in a child in the first few
minutes until professional help arrives. The course covers first aid basics and medical, injury, and environmental
emergencies along with adult CPR and AED use. Provider cards are available exclusively to authorized TCs for
issuance in accordance with AHA policy.
HEARTSAVER PEDIATRIC FIRST AID CPR AED
He a rts a ve r ®
PEEL
HERE
Pediatric First Aid
CPR AED
This card certifies that the above individual has successfully completed the objectives
and skills evaluations in accordance with the curriculum of the AHA Heartsaver Pediatric
First Aid CPR AED Program. Completed modules are those NOT marked out:
Pediatric First Aid Child/Infant CPR AED Adult CPR AED Written Test Asthma Care Video
Issue Date
Recommended Renewal Date
Quality Control Checkpoints
HEARTSAVER PEDIATRIC FIRST AID CPR AED
• Issue date beginning December
10, 2013
Training
TC ID #
Center Name
• Valid until further notice
• Renewal date 2 years from
month of issue
TC
TC
Info
City, State
ZIP
Phone
• This card supersedes
card
90-1824
Course
• This card has 5 modules to select from
Location
• Strike through modules NOT completed
Instructor
Inst. ID #
• Completed modules are
unmarked and visible
Name
Holder’s
Signature
© 2013 American Heart Association
Tampering with this card will alter its appearance. 90-1825
90-1825 3-card
Strike through the modules NOT completed.
This card contains unique security features to protect against forgery.
HEARTSAVER PEDIATRIC FIRST AID CPR AED
90-1825
10/13
This card certifies that the above individual has successfully completed the objectives
and skills evaluations in accordance with the curriculum of the AHA Heartsaver Pediatric
First Aid CPR AED Program. Optional completed modules are those NOT marked out:
Adult CPR AED
Written Test
Asthma Care Video
HEARTSAVER PEDIATRIC FIRST AID CPR AED
• Issue date beginning July
2013
Training
TC ID 31,
#
Center Name
• No longer available for purchase after December 10, 2013
• Valid until further notice
TC
TC
Info
City, State
Phone
• Renewal dateZIP
2 years from
month of issue
Course
• Superseded by card 90-1825
Location
• This card has 3 modules to select from
Instructor
ID #
• Strike through modulesInst.NOT
completed
Name
• Completed modules are unmarked and visible
Issue Date
© 2012 American Heart Association
He a rts a ve r
PEEL
HERE
Quality Control Checkpoints
®
Pediatric First Aid
CPR AED
Recommended Renewal Date
Holder’s
Signature
Tampering with this card will alter its appearance. 90-1824
90-1824 3-card
Strike through the modules NOT completed.
This card contains unique security features to protect against forgery.
90-1824
9/12
Heartsaver Pediatric First Aid
Heartsaver Pediatric First Aid is a modular course for the child care industry and others requiring a credential in
pediatric first aid. Students learn how to manage illness and injuries in a child in the first few minutes until
professional help arrives. The course covers first aid basics and medical, injury, and environmental emergencies.
Quality Control Checkpoints
• Issue date beginning May 2006
• Valid through October 31, 2015
TC Address • Not valid for issue after October 31, 2013, and is
Contact Info
superseded by cards 90-1824 and 90-1825
Heartsaver ® Pediatric First Aid Course
PEEL
• Renewal date 2 years from month of issue
HERE
Location
• Modules NOT completed are shaded
This card certifies that the above individual has successfully completed the
objectives and skills evaluations in accordance with the curriculum of the AHA
Instructor • Completed modules are unmarked and visible
for Heartsaver Pediatric First Aid Program.
• A—Pediatric First Aid
Modules Completed: A B C D E F
Holder’s
Signature • B—Asthma Care Training for Childcare Providers
Issue Date
Recommended Renewal Date
© 2006 American Heart Association Tampering with this card will alter its appearance. 80-1201
• C—Optional Pediatric First Aid Topics
• D—Adult/Child CPR With Mask
80-1201 3-card 80-1209 2-card self-mailer
• E—Adult/Child AED
Fill in the circles of the modules NOT completed. This card contains unique security features to protect against forgery.
• F—Infant CPR With Mask
80-1201 R3/08
Training
Center
7
Heartsaver
Heartsaver CPR AED in Schools
Heartsaver CPR AED in Schools uses the Heartsaver First Aid CPR AED course to teach middle and high school
students critical skills needed to respond to and manage a sudden cardiac arrest, choking, or first aid emergency
in the first few minutes until EMS arrives. This course teaches adult CPR and AED use. Infant and child modules
are optional. Students may also learn skills such as how to treat bleeding, sprains, broken bones, shock, and
other first aid emergencies. The course is presented in several modules, giving schools and AHA Instructors the
flexibility to teach the course over several class periods. Provider cards are available exclusively to authorized
TCs for issuance in accordance with AHA policy.
HEARTSAVER CPR AED IN SCHOOLS
H ea r t s a v e r ®
PEEL
HERE
C PR AED
in Sch ool s
This card certifies that the above individual has successfully completed the objectives
and skills evaluations in accordance with the curriculum of the AHA Heartsaver CPR AED
Program. Optional completed modules are those NOT marked out:
Child CPR AED
Infant CPR
First Aid
Written test
Issue Date
Recommended Renewal Date
Quality Control Checkpoints
HEARTSAVER CPR AED IN SCHOOLS
8, 2011
Training • Issue date beginning September
TC ID #
Center Name
• Valid until further notice
TC
TC
• Renewal date 2 years from
month of issue
Info
City, State
ZIP
Phone
• Strike through modules NOT completed
Course
• Completed modules are unmarked and visible
Location
Instructor
Name
Inst. ID #
Holder’s
Signature
© 2011 American Heart Association
Tampering with this card will alter its appearance. 90-1821
90-1821 3-card
Strike through the modules NOT completed.
This card contains unique security features to protect against forgery.
90-1821
8/11
8
ACLS
ACLS
(Advanced Cardiovascular Life Support)
ACLS Instructor
ACLS Instructors teach the ACLS Provider Course. Instructor cards are available exclusively to authorized TCs
for issuance in accordance with AHA policy.
A C L S
I N S T R U C T O R
ACLS
Instructor
Quality Control Checkpoints
A C L S I N S T R U C T O R
• Issue date beginning May
2011
TC
TC ID 10,
#
Alignment
• Valid until further notice
TC
• Expiration date 2 yearsTCfrom month of issue
Address
PEEL
HERE
TC
City, State
This card certifies that the above individual is an American Heart
Association Advanced Cardiovascular Life Support (ACLS) Instructor.
Issue Date
Expiration Date
Phone
Associated Materials for Instructors
ZIP
• Advanced Cardiovascular Life Support Instructor Manual
• ACLS Instructor Essentials
• Advanced Cardiovascular Life Support Provider Manual
Holder’s
Signature • 2010 Handbook of Emergency Cardiovascular Care
© 2011 American Heart
Association
Tampering withProviders
this card will alter its appearance. 90-1804
for
Healthcare
Instructor
ID #
90-1804 3-card 90-1803 2-card self-mailer
This card contains unique security features to protect against forgery.
90-1804
3/11
ACLS Provider
The ACLS Provider Course is designed to teach providers the knowledge and skills needed to evaluate and
manage cardiovascular emergencies, stroke, and respiratory arrest. Provider cards are available exclusively to
authorized TCs for issuance in accordance with AHA policy.
ADVANCED CARDIOVASCULAR LIFE SUPPORT
ACLS
P ro v i d e r
Quality Control Checkpoints
ADVANCED CARDIOVASCULAR LIFE SUPPORT
2011
Training • Issue date beginning May
TC ID 10,
#
Center Name
• Valid until further notice
TC
TC
• Renewal date 2 years from
month of issue
Info
PEEL
HERE
City, State
ZIP
Phone
Course
Location
This card certifies that the above individual has successfully
completed the cognitive and skills evaluations in accordance
with the curriculum of the American Heart Association Advanced
Cardiovascular Life Support (ACLS) Program.
Issue Date
Recommended Renewal Date
Instructor
Name
Inst. ID #
Holder’s
Signature
© 2011 American Heart Association
Tampering with this card will alter its appearance. 90-1806
90-1806 3-card 90-1805 2-card self-mailer
This card contains unique security features to protect against forgery.
90-1806
3/11
9
ACLS EP
ACLS EP
(ACLS for Experienced Providers)
ACLS EP Instructor
ACLS EP Instructors teach the ACLS EP Course. Instructor cards are available exclusively to authorized TCs for
issuance in accordance with AHA policy.
ACLS EP INSTRUCTOR
ACLS EP
I n st r u c t o r
PEEL
HERE
Quality Control Checkpoints
ACLS EP INSTRUCTOR
• Issue date beginning April
TC
TC ID #17, 2013
Alignment
• Valid until further notice
TC
TC
• Renewal date 2 years from
month of issue
Address
Phone
• This card supersedes card 70-2923
TC
City, State
This card certifies that the above individual is an American Heart
Association Advanced Cardiovascular Life Support (ACLS) Experienced
Provider (EP) Instructor.
Associated MaterialsZIP
for Instructors
Instructor
ID #
• ACLS for Experienced Providers DVD Set, which includes
ACLS for Experienced Providers Instructor Manual
• ACLS Instructor Essentials
© 2013 American
Associationfor
Tampering
with this card will alter Providers
its appearance. 90-1811
• Heart
ACLS
Experienced
Manual and Resource Text
• Advanced Cardiovascular Life Support Instructor Manual
• Advanced Cardiovascular Life Support Provider Manual
• 2010 Handbook of Emergency Cardiovascular
Care
90-1811 4/13
for Healthcare Providers
Holder’s
Signature
Issue Date
Expiration Date
90-1811 3-card
This card contains unique security features to protect against forgery.
Quality Control Checkpoints
Issue date beginning March 2001
• Valid through June 30, 2015
TC Address • Expiration date 2 years from month of issue
Contact Info
• Not valid for issue after June 30, 2013
• Training Center
Alignment
ACLS EP I ns t r uc t or
This card certifies that the above individual has successfully
completed the national cognitive and skills evaluations in
accordance with the curriculum of the American Heart Association
for the ACLS Experienced Provider Instructor Program.
Issue Date
Expiration Date
Course
Location
TC
Coordinator
Holder’s
Signature
© 2000 American Heart Association Tampering with this card will alter its appearance.
70-2923
70-2923 3-card
70-2923
R10/11
ACLS Experienced Provider
The ACLS Experienced Provider Course is designed for seasoned ACLS providers who wish to renew their
provider status. The course provides a stimulus for expert clinicians and scientists to identify and discuss
resuscitation in special circumstances. Provider cards are available exclusively to authorized TCs for issuance in
accordance with AHA policy.
ACLS EXPERIENCED PROVIDER
ACLS Experienced
Provider
PEEL
HERE
Quality Control Checkpoints
ACLS EXPERIENCED PROVIDER
Training • Issue date beginning April
TC ID #17, 2013
Center Name
• Valid until further notice
TC
TC
• Renewal date 2 years from
month of issue
Info
City, State
ZIP
Phone
• This card supersedes card 70-2922
Course
Location
This card certifies that the above individual has successfully
completed the cognitive and skills evaluations in accordance
with the curriculum of the American Heart Association Advanced
Cardiovascular Life Support (ACLS) Experienced Provider Program.
Issue Date
Recommended Renewal Date
Instructor
Name
Inst. ID #
Holder’s
Signature
© 2013 American Heart Association
Tampering with this card will alter its appearance. 90-1812
90-1812 3-card
This card contains unique security features to protect against forgery.
90-1812
4/13
10
ACLS EP
Quality Control Checkpoints
• Issue date beginning March 2001
• Valid through June 30, 2015
TC Address • Renewal date 2 years from month of issue
Contact Info
• Not valid for issue after June 30, 2013
Training
Center
ACLS Experienced Provider
Course
Location
This card certifies that the above individual has successfully
completed the national cognitive and skills evaluations in
accordance with the curriculum of the American Heart Association
for the ACLS Experienced Provider Program.
Instructor
Issue Date
© 2000 American Heart Association Tampering with this card will alter its appearance.
Recommended Renewal Date
Holder’s
Signature
70-2922
70-2922 3-card
70-2922
R3/09
11
PA L S
PALS
(Pediatric Advanced Life Support)
PALS Instructor
PALS Instructors teach the PALS Provider Course and the PEARS Provider Course. Instructor cards are available
exclusively to authorized TCs for issuance in accordance with AHA policy.
P A L S
PEEL
HERE
I N S T R U C T O R
PALS Instruct or
This card certifies that the above individual is an American Heart
Association Pediatric Advanced Life Support (PALS) Instructor.
Issue Date
Expiration Date
90-1817 3-card
This card contains unique security features to protect against forgery.
Quality Control Checkpoints
P A L S I N S T R U C T O R
• Issue date beginning October
12, 2011
TC
TC ID #
Alignment
• Valid until further notice
TC
• Expiration date 2 yearsTCfrom month of issue
Address
TC
City, State
Phone
Associated Materials for Instructors
ZIP
• Pediatric Advanced Life Support Instructor Manual
• PALS Instructor Essentials
• Pediatric Advanced Life Support Provider Manual
Holder’s
Signature • Pediatric Emergency Assessment, Recognition,
© 2011 American Heart
Association
Tampering with this card
will alter its appearance.
90-1817
and
Stabilization
Instructor
Manual
• Pediatric Emergency Assessment, Recognition,
and Stabilization Provider Manual
• 2010 Handbook of Emergency Cardiovascular
Care
90-1817 3/11
for Healthcare Providers
Instructor
ID #
PALS Provider
The PALS Provider Course teaches students how to recognize infants and children at risk of cardiopulmonary arrest,
provides students with strategies for preventing cardiopulmonary arrest in infants and children, and teaches how
to perform the cognitive and psychomotor skills for resuscitating and stabilizing infants and children in respiratory
failure, shock, or cardiopulmonary arrest. Provider cards are available exclusively to authorized TCs for issuance
in accordance with AHA policy.
P E D I AT R I C A D VA N C E D L I F E S U P P O R T
PEEL
HERE
PALS Provider
This card certifies that the above individual has successfully
completed the cognitive and skills evaluations in accordance with
the curriculum of the American Heart Association Pediatric Advanced
Life Support (PALS) Program.
Issue Date
Recommended Renewal Date
Quality Control Checkpoints
P E D I AT R I C A D VA N C E D L I F E S U P P O R T
12, 2011
Training • Issue date beginning October
TC ID #
Center Name
• Valid until further notice
TC
TC
• Renewal date 2 years from
month of issue
Info
City, State
ZIP
Phone
Course
Location
Instructor
Name
Inst. ID #
Holder’s
Signature
© 2011 American Heart Association
Tampering with this card will alter its appearance. 90-1818
90-1818 3-card 90-1808 2-card self-mailer
This card contains unique security features to protect against forgery.
90-1818
3/11
12
PEARS
PEARS®
(Pediatric Emergency Assessment, Recognition, and Stabilization)
PEARS Instructor
PEARS Instructors teach the PEARS Provider Course. Instructor cards are available exclusively to authorized
TCs for issuance in accordance with AHA policy.
PEARS
PEEL
HERE
INSTRUCTOR
PEARS Instructor
®
This card certifies that the above individual is an American Heart
Association Pediatric Emergency Assessment, Recognition, and
Stabilization (PEARS) Instructor.
Issue Date
Expiration Date
90-1823 3-card
This card contains unique security features to protect against forgery.
Quality Control Checkpoints
PEARS INSTRUCTOR
• Issue date beginning May
TC
TC ID 7,
# 2013
Alignment
• Valid until further notice
TC
• Expiration date 2 yearsTCfrom month of issue
Address
TC
City, State
Phone
Associated Materials for Instructors
ZIP
• Pediatric Emergency Assessment, Recognition,
Instructor
and Stabilization Instructor Manual
ID #
• PALS Instructor Essentials
Holder’s
Signature • Pediatric Emergency Assessment, Recognition,
© 2012 American Heart
Association
Tampering with this card
will alter its appearance.
90-1823
and
Stabilization
Provider
Manual
• 2010 Handbook of Emergency Cardiovascular Care
for Healthcare Providers
90-1823
6/12
PEARS Provider
The PEARS Provider Course is designed to help the basic pediatric healthcare provider develop the knowledge
and skills for emergency assessment and treatment of seriously ill infants and children. Provider cards are
exclusively available to authorized TCs for issuance in accordance with AHA policy.
P E A R S
PEEL
HERE
P R O V I D E R
PEARS Provider
®
This card certifies that the above individual has successfully completed
the cognitive and skills evaluations in accordance with the curriculum
of the American Heart Association Pediatric Emergency
Assessment, Recognition, and Stabilization (PEARS) Program.
Issue Date
Recommended Renewal Date
Quality Control Checkpoints
P E A R S
P R O V I D E R
Training • Issue date beginning June
TC ID #13, 2012
Center Name
• Valid until further notice
TC
TC
• Renewal date 2 years from
month of issue
Info
City, State
ZIP
Phone
Course
Location
Instructor
Name
Inst. ID #
Holder’s
Signature
© 2012 American Heart Association
Tampering with this card will alter its appearance. 90-1819
90-1819 3-card
This card contains unique security features to protect against forgery.
90-1819
6/12
13
eCards
eCards
(Electronic Course Completion Cards)
An eCard is the electronic equivalent of a printed AHA course completion card and can be provided to
students as an alternative to a printed card. eCards are valid course completion cards and can be presented
to employers as proof of successful completion of an AHA course. Like printed cards, eCards expire 2 years
from the issue date. eCards are valid through the end of the month.
eCard information is populated electronically by the TCC or Instructor and can only be altered by the
TCC or AHA Customer Service by using AHA’s My Cards™. eCards can be easily verified by employers at
www.heart.org/cpr/mycards to prove issuance by a valid TC and Instructor aligned with that TC.
eCards are available only for provider-level courses in the United States.
Sample of an official AHA eCard
14
eCards
eCard Layout
• General: All information on the eCard is digitally populated based on the information entered by the TCC or Instructor.
• Branding: eCards feature the official AHA logo.
• Status: eCards have a diagonal banner in the top left-hand corner indicating whether they are active or expired.
• Copyright: All cards have a copyright notice.
• Dates: The issue date will appear as the 2-digit month and day and 4-digit year. The recommended renewal date
will appear as the 2-digit month and 4-digit year, 2 years from the issue date.
• eCard code: The eCard code is printed below the course name. The format of the code is the last 2 digits of the
year the eCard was issued, followed by a 3-digit course code and a 7-digit random number. This code may be
used by students or employers to access and verify eCards at www.heart.org/cpr/mycards.
• Modules: For Heartsaver cards, the optional modules completed will be listed below the course name.
• QR code: eCards feature a QR code, which can be scanned with a mobile device to view the eCard.
• Verification: eCards include the website address where students and employers can view or verify eCards.
Available eCards
The following eCards are available as of January 2015.
90-3001 BLS Healthcare Provider eCard
90-3005 Heartsaver CPR AED eCard (all optional modules shown)
(continued)
15
eCards
90-3004 Heartsaver First Aid eCard (all optional modules shown)
90-3006 Heartsaver First Aid CPR AED eCard
(all optional modules shown)
90-3000 ACLS Provider eCard
90-3008 ACLS EP eCard
90-3002 PALS Provider eCard
90-3003 PEARS Provider eCard
16
RQI Program eCards
RQI Program eCards
(Resuscitation Quality Improvement™)
eCards are issued as part of the AHA’s RQI Program. eCards are valid course completion cards for this quarterly
training solution. RQI eCards are part of the overall RQI Program subscription and are not available to purchase
separately or outside of this program.
There are a few differences in the features of RQI eCards, listed below.
RQI eCard Layout
• General: RQI eCards are issued as part of RQI BLS or ACLS programs.
• Dates: The date the card was last updated appears as the 2-digit day, followed by the month abbreviation
and the 4-digit year. The date the card expires appears as the month abbreviation and the 4-digit year,
2 years from the last updated date.
• eCard signature: RQI eCards feature an alphanumeric signature under the course name instead of an eCard
Code. Each alphanumeric signature is linked to an individual student.
• Verification: RQI eCards may be verified by entering the student signature at
http://laerdal.com/certificate/certificate.aspx.
Available RQI eCards
The following RQI eCards are currently available.
RQI BLS eCard
RQI ACLS eCard
17
M i l i t a r y Tr a i n i n g N e t w o r k
Military Training Network (United States Only)
Since 1984, the AHA has recognized the Military Training Network (MTN) for Resuscitative Medicine Programs as
equivalent to an AHA ECC region and national TC.
The MTN coordinates resuscitative medicine programs for the uniformed services. The Department of Defense
Health Council at the Uniformed Services University of the Health Sciences established these programs for the
uniformed services.
For more information go to www.usuhs.mil/mtn/.
MTN Provider Certificates/Cards
MILITARY TRAINING Network BLS CARDS
3 Total cards: Provider, Heartsaver CPR AED and Training Site Facult
• MTN provider cards for AHA courses are the equivalent of the corresponding AHA provider card (the MTN uses the
AHA curricula).
• These cards are recognized within the Department of Defense.
• These cards may not bear the AHA logo.
• MTN provider cards should be recognized by AHA TCs and Training Sites (TSs) when renewing provider status of
Department of Defense personnel.
• MILITARY TRAINING Network BLS CARDS
The MTN may issue AHA provider cards.
3 Total cards: Provider, Heartsaver CPR AED and Training Site Faculty MILITARY TRAINING Network ACLS CARDS
3 Total cards: Old Provider, New Provider and Training Site Faculty
• A person with a current MTN provider card may attend a discipline-specific AHA renewal or update course.
Utilized until supply exhaust
MILITARY TRAINING Network ACLS CARDS
MTN Heartsaver CPR AED card
3 Total cards: Old Provider, New Provider and Training Site Faculty MTN BLS Healthcare Provider card
Utilized until supply exhausted Revised Dec 2012
MTN ACLS Provider card, valid until further noticeMTN ACLS Provider card, revised December 2012
and valid until further notice
Revised Dec 2012
18
MILITARY TRAINING Network PALS CARDS 3 Total cards: PALS Provider, PEARS Provider and Training Site Faculty M i l i t a r y Tr a i n i n g N e t w o r k
MILITARY TRAINING Network ACLS CARDS
MILITARY TRAINING Network BLS CARDS
3 Total cards: Old Provider, New Provider and Training Site Faculty
3 Total cards: Provider, Heartsaver CPR AED and Training Site Faculty MTN PALS Provider card
MTN PEARS Provider card
MTN Instructor Cards
Utilized until supply exhaust
MILITARY TRAINING Network PALS CARDS • The MTN issues AHA Instructor cards.
3 Total cards: PALS Provider, PEARS Provider and Training Site Faculty • MTN Instructors who wish to teach outside the MTN must align with a civilian TC and meet its affiliation requirements. These instructors will have dual instructor status and alignment and will issue cards appropriate to their
audiences.
• MTN Instructors must meet all TC and MTN training requirements to maintain their status. All courses may count
toward teaching requirements in both systems. It is the instructor’s responsibility to ensure that the MTN site and
the TC are provided with course rosters.
Revised Dec 2012
MTN Training Site Faculty Cards
• The MTN appoints TS Faculty rather than TC Faculty or Regional Faculty.
• MTN TS Faculty appointments are not recognized outside the MTN and are not transferable to a civilian TC. An MTN
TS Faculty member who aligns with a civilian TC will need to work with the new TC to establish TC Faculty status.
MTN BLS Training Site Faculty card
MTN ACLS Training Site Faculty card
MTN PALS Training Site Faculty card
19
International
International
The AHA has a large and growing training network outside the United States. In some locations, the AHA has
translated or cobranded course cards. These cards are equivalent to standard AHA course cards; all course
objectives and materials remain the same worldwide.
Spanish
These cards are commonly issued in Mexico, Central America, South America, and Spain. For a full list of the cards
available in Spanish, see the International Course Card Index.
PROFESIONAL DE LA SALUD
P ro f e s i o na l
d e l a sa l ud
LEVANTAR
AQUÍ
IN
SSTI R
UACL TDOERL A
SV
BL/UBDL S
PRO
FE
ON
SA
INSTRUCTOR SVB
Nombre del centro
de entrenamiento
N.° de ID del centro
de entrenamiento
Nombre del centro
de entrenamiento
N.° de ID
de entren
Información del centro
de entrenamiento
Ciudad, País, Código postal
Teléfono del centro
de entrenamiento
Dirección del centro
de entrenamiento
Teléfono
de entren
Instructor
SV B/BLS
LEVANTAR Lugar
AQUÍ del curso
Esta tarjeta certifica que la persona mencionada ha realizado
satisfactoriamente las pruebas cognitivas y prácticas de acuerdo
con el programa Soporte Vital Básico (SVB/BLS) de la American
Heart Association para profesionales de la salud (RCP y DEA).
Fecha de emisión
Ciudad y país del centro
de entrenamiento
Esta tarjeta certifica que la persona mencionada es instructora de Soporte
Fecha de actualización recomendada
Spanish BLS Healthcare Provider card
Nombre del
N.° de ID
Vital Básico (SVB/BLS) de la American Heart Association.
instructor
del instructor
N.° de ID
del instructor
Firma del
titular
Firma del
titular
Fecha de
emisión
© 2011 American
Heart
Association
Fecha
de vencimiento
Manipular esta tarjeta alterará
su apariencia.
90-2321US
© 2011 American Heart Association
Manipular esta tarjeta alterará su aparie
Spanish BLS Instructor card
Esta tarjeta cuenta con medidas de seguridad exclusivas contra falsificaciones.
Esta tarjeta cuenta con medidas de seguridad exclusivas contra falsificaciones.
90-2321US
8/11
Portuguese
These cards are commonly issued in Brazil and Portugal. For a full list of the cards available in Portuguese, see the
International Course Card Index.
PROFISSIONAL DE SAÚDE
P ro fi s s i ona l
de Saúde
I N S T R U T O R
Centro de
Treinamento (CT)
Nº ID CT
Centro de
Treinamento (CT)
Telefone
Informações
CT
SBV
Instrutor
Informações
CT
REMOVA
AQUI
REMOVA
AQUI
Este cartão certifica que esta pessoa foi aprovada nas avaliações
cognitivas e de habilidades, de acordo com o currículo do Programa
de SBV para Profissionais de Saúde (RCP e DEA/DAE) da American
Heart Association.
Data de Emissão
O R
B V
P R IONF S
I ST
SR
I OU
NT
AL
D E DS E
A ÚS
DE
Data de Renovação Recomendada
Portuguese BLS Healthcare Provider card
Cidade, Estado, CEP
Local do
Curso
Nº ID
Cidade, Estado, CEP
Telefo
Local
do curso
Este cartão certifica que o portador acima é um Instrutor de Suporte
Nome de
Nº ID Inst.
Básico de Vida (SBV) da American Heart Association.
Instrutor
Nome do
Instrutor
Assinatura
do Titular
Assinatura
do Titular
Data de
© 2011 American
HeartEmissão
Association
D E
Data de
Validade 90-2222US
Qualquer adulteração neste certificado alterará
sua aparência.
© 2011 American Heart Association
Nº ID
Qualquer adulteração neste certificado alterará sua apa
Portuguese BLS Instructor card
Este
certificado
contém recursos de segurança exclusivos que o protegem contra falsificações.
Este certificado contém recursos de segurança exclusivos que o protegem
contra
falsificações.
90-2222US
8/11
20
International
Irish Heart Foundation
These cards are issued by the Irish Heart Foundation for Heartsaver, BLS, and ACLS disciplines. The Irish Heart
Foundation conducts AHA training within the Republic of Ireland. For a full list of Irish Heart Foundation cobranded
cards, see the International Course Card Index.
H E A LT H C A R E
PEEL
HERE
PROVIDER
Healthcare Prov ider
PEEL
HERE
B L S
Training Center Name
TC ID #
TC Alignment
TC ID
TC Info City, State ZIP TC
Phone
TC Address TC
Phon
TC
City, State ZIP
BLS Instructor
Course
Location
This card certifies that the above individual has successfully completed the cognitive and skills evaluations in accordance with the curriculum of the American Heart Association BLS for Healthcare Providers (CPR and AED) Program.
This card certifies that the above individual is an American Heart Instructor Association Basic Life Support (BLS) Instructor. Inst. ID #
Issue Date Recommended Renewal Date
Irish BLS Healthcare Provider card
LTSH C IAN
S T
R OUV C
H EB
AL
RE
PR
I DTE O
R R
I N S T R U C
Name
Instructor
ID #
Holder’s
Signature
Holder’s
Signature
Issue Date Expiration Date
© 2011 American Heart Association Tampering with this card will alter its appearance. 90-2004US
© 2011 American Heart Association Tampering with this card will alter its appea
Irish BLS Instructor card
This card contains unique security features to protect against forgery.
This card contains unique security features to protect against forgery.
90-2004US 5/11
Resuscitation Council of Southern Africa
These cards are issued by the Resuscitation Council of Southern Africa (RCSA) in the countries where it conducts
AHA training. Other International Training Centers in South Africa may issue this card or the standard AHA course
card. For a full list of RCSA cobranded cards, see the International Course Card Index.
H E A LT H C A R E
PROVIDER
Resuscitation
Council of
Southern Africa
PEEL
HERE
Healthcare Provider
PEEL
HERE
Recommended Renewal Date
Southern African BLS Healthcare Provider card
B L S
Training
Center Name
TC
Alignment
TC ID
TC
Address
TC
Phon
TC
City, State
ZIP
TC
Info
This card certifies that the above individual has successfully
completed the cognitive and skills evaluations in accordance with
the curriculum of the American Heart Association BLS for Healthcare
Providers (CPR and AED) Program.
Issue Date
H EB
AL
H C IA N
R ES T
P RROUV ICD T
ER
LTS
O R
This card contains unique security features to protect against forgery.
TC ID #
Resuscitation
Council of
Southern Africa
BLS Instructor
City, State
ZIP
TC
Phone
Course
Location
This card certifies that the above individual is an American Heart
Instructor
Inst. ID #
Association Basic Life Support (BLS) Instructor.
Name
Instructor
ID #
Holder’s
Signature
Holder’s
Signature
CPR Verify #
Issue Date
Expiration
Date 90-2009US
© 2011 American
Heart Association Tampering with this card will alter
its appearance.
I N S T R U C
CPR
© 2011 American Heart Association Tampering with this card will alter its appea
Southern African BLS Instructor card
This card contains unique security features to protect against forgery.
90-2009US
R9/12
21
International
Heart and Stroke Foundation of Canada
The Heart and Stroke Foundation of Canada (HSFC) works closely with AHA ECC Programs. The HSFC provider
card is recognized by the AHA and can be used for admission to an AHA provider course (renewal or update) or
instructor course in the same discipline. The HSFC instructor card is recognized by AHA TCs in the same way as
an instructor card issued by any AHA TC.
FIRST NAME LAST NAME
1-888-HSF-INFO (473-4636)
RESuSCITATION.HEARTANDSTROkE.CA
Has successfully completed the Heart and Stroke Foundation
of Canada program for:
BLS PROVIDER INSTRuCTOR
123456789
12/2013
HSF ID
ExpIrES
SIgnaTurE
Heart and Stroke Foundation of Canada
2300 Yonge Street, Suite 2300
p.O. Box 2414
Toronto, Ontario M4p 1E4
Successful completion does not guarantee future performance,
nor imply licensure to perform these skills if outside of their
scope of practice.
This card is the property of Heart and Stroke Foundation of Canada.
resale or reproduction is prohibited.
HSFC instructor cards are gold.
FIRST NAME LAST NAME
1-888-HSF-INFO (473-4636)
RESuSCITATION.HEARTANDSTROkE.CA
Has successfully completed the Heart and Stroke Foundation
of Canada program for:
BLS HCP HEARTSAVER (C) PROVIDER
123456789
12/2013
HSF ID
ExpIrES
SIgnaTurE
Heart and Stroke Foundation of Canada
2300 Yonge Street, Suite 2300
p.O. Box 2414
Toronto, Ontario M4p 1E4
Successful completion does not guarantee future performance,
nor imply licensure to perform these skills if outside of their
scope of practice.
This card is the property of Heart and Stroke Foundation of Canada.
resale or reproduction is prohibited.
HSFC provider cards are silver.
22
R11/14
R4/10
National Center
ECC Programs
7272 Greenville Ave.
Dallas, TX 75231-4596
62
R4/10
National Center
62
ECC
Programs
National
Center
7272
Greenville Ave.
ECC Programs
Dallas,Greenville
TX 75231-4596
7272
Ave.
Dallas, TX 75231-4596
62
National Center
ECC Programs
National Center
National Faculty, Regional Faculty,
and Training Center Faculty
BLS National Faculty
BLS National Faculty (NF) members are BLS Instructors appointed by their respective National ECC
Committees. BLS NF members are responsible for quality assurance and are the educational leadership
for the BLS Program within their region’s instructor network. NF members are key resources for the
BLS
National
Faculty
BLS
National
Faculty
BLS National Faculty
Regional ECC Committee. The NF status is a region-specific volunteer appointment and is not transferable
between regions or
states.
This card is not an acceptable substitute
forDoe
an instructor card and does not verify
John
Doe
John
Doe
John
Term:
JulyJuly
2011–
June
2012
Term:
2015–
June
2016
instructor status
dates.
Term: July 2011– June 2012
Quality Control
Checkpoints
Jane Doe — PROAD Chair
National Faculty cards produced and distributed by AHA National Center. New version released December 2014.
R4/10
Doeof—Training
PROADCenter
Chair Operations and Quality
Timothy E. Williams,Jane
Director
R11/14
Term: July 2011– June 2012
KJ0562
National Center
ECC Programs
National
Center
7272
ECC Greenville
Programs Ave.
Dallas,
TX 75231-4596
7272 Greenville
Ave.
Dallas, TX 75231-4596
R4/10
R11/14
Term:
Term:July
July2011–
2015–June
June2012
2016
John Doe
has been appointed as a Basic Life Support National Faculty
for the American Heart Association XXXXXX Region.
• Issue date beginning
July 2007
• Term of appointment
• Valid until further notice
• Cards are hard plastic
KJ0562
KJ0562
National Center
ECC Programs
7272 Greenville Ave.
Dallas, TX 75231-4596
R11/14
John
JohnDoe
Doe
has
hasbeen
beenappointed
appointedasasa Basic
a BasicLife
LifeSupport
SupportNational
NationalFaculty
Faculty
forforthethe
American
Association
AmericanHeart
Heart
AssociationXXXXXX
XXXXXXRegion.
Region.
BLS National
Faculty
KJ0562
BLS
National Faculty
BLS National
Faculty
KJ0562
y
Faculty
Back of Card
• AHA ECC mission
statement
• Signature of appointed
NF member (in ink)
BLS Regional Faculty
BLS Regional Faculty (RF) members are BLS Instructors appointed by their respective Regional ECC
Committees. BLS RF members are responsible for quality assurance and are the educational leadership for
the BLS Program within their region’s instructor network. RF members are key resources for the region’s TCs.
BLS Regional Faculty
BLS
Regional
Faculty
BLS
Regional
Faculty
BLS
Regional
BLS
Regional
FaF
The RF status is a region-specific volunteer appointment and is not transferable between regions or states.
This card is not an acceptable
does
not verify instructor status dates.
John Doe substitute for an instructor card and
John
Doe
John
Doe
Term: July 2015– June 2016
BLS
Regional Faculty
John
Doe
John
Doe
Term:
2015–
June
2016
Term:
JulyJuly
2011–
June
2012
BLS
Regional Faculty
BLS
Regional
Faculty
John Doe
JohnDoe
Doe
John
has been appointed as a Basic Life Support Regional Faculty
for the American Heart Association XXXXXX Region.
hasbeen
beenappointed
appointedasasa aBasic
BasicLife
LifeSupport
SupportRegional
RegionalFaculty
Faculty
has
AmericanHeart
HeartAssociation
AssociationXXXXXX
XXXXXXRegion.
Region.
forforthetheAmerican
Term: July 2015– June 2016
Term:July
July2011–
2015–June
June2012
2016
Term:
Jane Doe, ECC Regional Committee Chair
JaneDoe,
Doe,ECC
ECC
Regional
Committee
Chair
Jane
Regional
Committee
Chair
Regional Faculty cards produced and distributed by AHA National Center. New version released December 2014.
Term:
2015–
Jun
Term:
JulyJuly
2011–
June
2
Quality Control
Checkpoints
BLS
BLS
• IssueRegional
date beginning
Regional
Faculty
Faculty
July 2007
• Valid until further notice
• Term of appointment
JohnDoe
Doe
John
• Cards are hard plastic
has
been
appointed
a Basic
Life
Support
has
been
appointed
asas
a Basic
Life
Support
Re
American
Heart
Association
XXX
forfor
thethe
American
Heart
Association
XXXXX
Back of Card
Term: July 2015– June
Term: July 2011– June 2
• AHA ECC mission
JaneDoe,
Doe,ECC
ECC
Regional
Committe
Jane
Regional
Committee
statement
• Signature of appointed
RF member (in ink)
23
BLS Training Center Faculty
BLS Training Center Faculty (TCF) members are appointed by their respective TCs. BLS TCF members are
responsible for quality assurance and are the educational leadership for all BLS courses within their TC network.
TCF members conduct instructor courses, monitor new and renewing instructors, and conduct updates for the
TC’s instructors. The BLS TCF card and certificate are not an acceptable substitute for an instructor card and do
not verify instructor status. The TCF certificate/card template that TCs use when appointing TCF members in their
respective disciplines is accessible on the Instructor Network to TCCs only. The TCF document is set up to autopopulate the card template at the bottom of the certificate. You will only need to complete the certificate portion
and then print and place it in the instructor’s record. You may issue the auto-populated card to the TCF.
Quality Control Checkpoints
BLS
Training Center Faculty
Term
Region
KJ1048 BLS 3/13
TCF certificate, card, and template are available only
to TCCs, through the AHA Instructor Network.
• Issue dates beginning June 2010
• Valid until further notice
• Name of the appointing TC
• Term of the appointment (eg, 1/2010-1/2012)
• First and last name of the TCC
• Name of region
Important Reminders
National Center
ECC Programs
7272 Greenville Ave.
Dallas, TX 75231-4596
TC Coordinator
R4/10
R11/14
KJ0462
R4/10
TC Name
National Center
KJ0562
has been appointed as a
Basic Life Support Training Center Faculty
for the American Heart Association.
ECC Programs
National
Center
7272
Greenville Ave.
ECC Programs
Dallas,
TX 75231-4596
7272 Greenville
Ave.
Dallas, TX 75231-4596
KJ0462
National Center
ECC Programs
National
Center
y
Faculty
• TCF cards are not a replacement for AHA Instructor cards. If an
instructor is appointed as a TCF by the TCC, he or she is to be
issued a current instructor card, and it must be kept in the TC’s
records.
• The designation of TCF is not transferable to other TCs.
ACLS National Faculty
ACLS National Faculty (NF) members are ACLS Instructors appointed by their respective National ECC
Committees. ACLS NF members are responsible for quality assurance and are the educational leadership
for the ACLS Program within their region’s instructor network. NF members are key resources for the Regional
ACLS
National
Faculty
ACLS
National Faculty
ACLS
National
Faculty
ECC Committee.
The
NF status
is a region-specific volunteer
appointment
and is not transferable between
regions or states. John
This
card
John
Doeis not an acceptable substitute for an instructor
John Doe card and does not verify instructor
Doe
Term:
2015–
June
2016
JulyJuly
2011–
June
2012
status dates.Term:
ACLS
ACLS Faculty
National
National Faculty
Term: July 2011– June 2012
Quality Control
Checkpoints
ACLS National
Faculty
John
Doe
John
Doe
John Doe
has been
appointed
an Advanced
Cardiovascular
Life Support
has been
appointed
as anasAdvanced
Cardiovascular
Life Support
National
Faculty
forAmerican
the American
Association
XXXXXX
Region.
National
Faculty
for the
HeartHeart
Association
XXXXXX
Region.
has been appointed as an Advanced Cardiovascular Life Support
National Faculty for the American Heart Association XXXXXX Region.
Term:
2015–
June
2016
Term:
JulyJuly
2011–
June
2012
Term: July 2011– June 2012
Timothy E. Williams,
Director
TrainingChair
Center Operations and Quality
Jane
Doe —ofPROAD
Jane Doe — PROAD Chair
National Faculty cards produced and distributed by AHA National Center. New version released December 2014.
• Issue date beginning
July 2007
• Term of appointment
• Valid until further notice
• Cards are hard plastic
Back of Card
• AHA ECC mission
statement
• Signature of appointed
NF member (in ink)
24
enter
ams
enter
ville Ave.
ams
75231-4596
ville Ave.
75231-4596
enter
ams
ville Ave.
75231-4596
Faculty
ACLS Regional Faculty
ACLS Regional Faculty (RF) members are ACLS Instructors appointed by their respective Regional ECC
Committees. ACLS RF members are responsible for quality assurance and are the educational leadership for the
ACLS Program within their region’s instructor network. RF members are key resources for the region’s TCs. The
ACLS Regional Faculty
ACLS
Regional
ACLS
Regional
Fa
ACLS
ACLS
Regional
Regional
Faculty
Faculty
RF status is a region-specific volunteer appointment and is not transferable between regions or states. This card
is not an acceptableJohn
substitute
verify
instructor
status dates.
Doe for an instructor card and does notJohn
John
Doe
Doe
Term: July 2015– June 2016
John
Doe
John
Doe
Term:
2015–
Jun
Term:
JulyJuly
2011–
June
2
Term:
Term:
JulyJuly
2011–
2015–
June
June
2012
2016
ACLS
ACLS
ACLS Faculty
Regional
Regional Faculty
Regional Faculty
John Doe
John
John
Doe
Doe
has been appointed as an Advanced Cardiovascular Life Support
Regional Faculty for the American Heart Association XXXXXX Region.
has been
has been
appointed
appointed
as anasAdvanced
an Advanced
Cardiovascular
Cardiovascular
Life Support
Life Support
Regional
Regional
Faculty
Faculty
for the
forAmerican
the American
HeartHeart
Association
Association
XXXXXX
XXXXXX
Region.
Region.
Term: July 2015– June 2016
Term:
Term:
JulyJuly
2011–
2015–
June
June
2012
2016
Jane Doe, ECC Regional Committee Chair
JaneJane
Doe,Doe,
ECC Regional
ECC Regional
Committee
Committee
ChairChair
Regional Faculty cards produced and distributed by AHA National Center. New version released December 2014.
Quality Control
Checkpoints
ACLS
ACLS
Regional
• IssueRegional
date beginning
Faculty
Faculty
July 2007
• Valid until further notice
• Term of appointment
John
Doe
John
Doe
• Cards are hard plastic
has been
appointed
an Advanced
Cardiovas
has been
appointed
as anasAdvanced
Cardiovascula
Regional
Faculty
forAmerican
the American
AssociaX
Regional
Faculty
for the
HeartHeart
Association
Back of Card
Term:
2015–
June
Term:
JulyJuly
2011–
June
201
• AHA ECC mission
ECC Regional
Committe
JaneJane
Doe,Doe,
ECC Regional
Committee
Cha
statement
• Signature of appointed
RF member (in ink)
ACLS Training Center Faculty
ACLS Training Center Faculty (TCF) members are appointed by their respective TCs. ACLS TCF members are
responsible for quality assurance and are the educational leadership for all ACLS courses within their TC network.
TCF members conduct instructor courses, monitor new and renewing instructors, and conduct updates for the
TC’s instructors. The ACLS TCF card and certificate are not an acceptable substitute for an instructor card and
do not verify instructor status. The TCF certificate/card template that TCs use when appointing TCF members
in their respective disciplines is accessible on the Instructor Network to TCCs only. The TCF document is set up
to auto-populate the card template at the bottom of the certificate. You will only need to complete the certificate
portion and then print and place it in the instructor’s record. You may issue the auto-populated card to the TCF.
Quality Control Checkpoints
ACLS
Training Center Faculty
has been appointed as an
Advanced Cardiovascular Life Support Training Center Faculty
for the American Heart Association.
TC Name
TC Coordinator
Term
Region
KJ1048 ACLS 3/13
TCF certificate, card, and template are available only
to TCCs, through the AHA Instructor Network.
• Issue dates beginning June 2010
• Valid until further notice
• Name of the appointing TC
• Term of the appointment (eg, 1/2010-1/2012)
• First and last name of the TCC
• Name of region
Important Reminders
• TCF cards are not a replacement for AHA Instructor cards. If an
instructor is appointed as a TCF by the TCC, he or she is to be
issued a current instructor card, and it must be kept in the TC’s
records.
• The designation of TCF is not transferable to other TCs.
25
Faculty
ACLS EP Training Center Faculty
ACLS EP Training Center Faculty (TCF) members are appointed by their respective TCs. ACLS EP TCF members
are responsible for quality assurance and are the educational leadership for all ACLS EP courses within their TC
network. TCF members conduct instructor courses, monitor new and renewing instructors, and conduct updates
for the TC’s instructors. The ACLS EP TCF card and certificate are not an acceptable substitute for an instructor
card and do not verify instructor status. The TCF certificate/card template that TCs use when appointing TCF
members in their respective disciplines is accessible on the Instructor Network to TCCs only. The TCF document
is set up to auto-populate the card template at the bottom of the certificate. You will only need to complete the
certificate portion and then print and place it in the instructor’s record. You may issue the auto-populated card to
the TCF.
Quality Control Checkpoints
ACLS EP
Training Center Faculty
TC Coordinator
Term
Region
KJ1048 ACLS EP 3/13
TCF certificate, card, and template are available only
to TCCs, through the AHA Instructor Network.
Important Reminders
National Center
ECC Programs
7272 Greenville Ave.
Dallas, TX 75231-4596
R11/14
TC Name
R4/10
R4/10
KJ0462
KJ0562
National Center
ECC Programs
National
Center
7272 Programs
Greenville Ave.
ECC
Dallas,Greenville
TX 75231-4596
7272
Ave.
Dallas, TX 75231-4596
KJ0462
National Center
ECC Programs
National
Center
y
has been appointed as an
ACLS for Experienced Providers Training Center Faculty
for the American Heart Association.
• Issue dates beginning April 17, 2013
• Valid until further notice
• Name of the appointing TC
• Term of the appointment (eg, 1/2010-1/2012)
• First and last name of the TCC
• Name of region
• TCF cards are not a replacement for AHA Instructor cards. If an instructor is appointed as a TCF by the TCC, he or she is to be issued
a current instructor card, and it must be kept in the TC’s records.
• The designation of TCF is not transferable to other TCs.
PALS National Faculty
PALS National Faculty (NF) members are PALS Instructors appointed by their respective National ECC
Committees. PALS NF members are responsible for quality assurance and are the educational leadership
for the PALS Program within their region’s instructor network. NF members are key resources for the Regional
ECC Committee.
The
NF status
is a region-specific volunteer
appointment
and is not transferable between
PALS
National
Faculty
PALS
National
Faculty
PALS
National Faculty
regions or states. This card is not an acceptable substitute for an instructor card and does not verify instructor
John
Doe
John
Doe
status dates.Term:
JulyJuly
2011–
June
2012
Term:
2015–
June
2016
PALS
National
National Faculty
PALS
Faculty
John Doe
Term: July 2011– June 2012
Quality Control
Checkpoints
PALS National
Faculty
John
Doe
John
Doe
John Doe
has been
appointed
as a as
Pediatric
Advanced
Life Support
National
has been
appointed
a Pediatric
Advanced
Life Support
National
Faculty
for the
HeartHeart
Association
XXXXXX
Region
.
Faculty
forAmerican
the American
Association
XXXXXX
Region.
has been appointed as a Pediatric Advanced Life Support National
Faculty for the American Heart Association XXXXXX Region.
Term:
JulyJuly
2011–
June
2012
Term:
2015–
June
2016
Term: July 2011– June 2012
Jane
Doe —ofPROAD
Timothy E. Williams,
Director
TrainingChair
Center Operations and Quality
Jane Doe — PROAD Chair
National Faculty cards produced and distributed by AHA National Center. New version released December 2014.
• Issue date beginning
July 2007
• Term of appointment
• Valid until further notice
• Cards are hard plastic
Back of Card
• AHA ECC mission
statement
• Signature of appointed
NF member (in ink)
26
ve.
4596
ve.
4596
ve.
4596
Faculty
PALS Regional Faculty
PALS Regional Faculty (RF) members are PALS Instructors appointed by their respective Regional ECC
Committees. PALS RF members are responsible for quality assurance and are the educational leadership for the
PALS Regional Faculty
PALS
PALS
Regional
Regional
Faculty
Faculty
PALS
Regional
Fa
PALS
Regional
PALS Program within their region’s instructor network. RF members are key resources for the region’s TCs. The
John Doe volunteer appointment and is not transferable
John
John
Doe
Doebetween regions or states. This card John
Doe
John
Doe
RF status is a region-specific
Term: July 2015– June 2016
Term:
Term:
JulyJuly
2011–
2015–
June
June
2012
2016
Term:
JulyJuly
2011–
June
2
Term:
2015–
Jun
is not an acceptable substitute for an instructor card and does not verify instructor status dates.
PALS
Regional Faculty
PALS
Regional
Regional Faculty
PALS
Faculty
John Doe
John
JohnDoe
Doe
has been appointed as a Pediatric Advanced Life Support Regional
Faculty for the American Heart Association XXXXXX Region.
has been
has been
appointed
appointed
as a as
Pediatric
a Pediatric
Advanced
Advanced
Life Life
Support
Support
Regional
Regional
Faculty
Faculty
for the
for American
the American
Heart
Heart
Association
Association
XXXXXX
XXXXXX
Region.
Region .
Term: July 2015– June 2016
Term:
Term:
July
July
2011–
2015–
June
June
2012
2016
Jane Doe, ECC Regional Committee Chair
JaneJane
Doe,Doe,
ECC ECC
Regional
Regional
Committee
Committee
ChairChair
Regional Faculty cards produced and distributed by AHA National Center. New version released December 2014.
Quality Control
Checkpoints
PALS
PALS
Regional
• IssueRegional
date beginning
Faculty
Faculty
July 2007
• Valid until further notice
• Term of appointment
John
Doe
John
Doe
• Cards are hard plastic
has been
appointed
as a as
Pediatric
Advanced
Life Su
has been
appointed
a Pediatric
Advanced
Li
Faculty
for the
HeartHeart
Association
XXXX
Faculty
forAmerican
the American
Association
Back of Card
Term:
JulyJuly
2011–
June
201
Term:
2015–
June
• AHA ECC mission
JaneJane
Doe,Doe,
ECC Regional
Committee
Ch
ECC Regional
Committe
statement
• Signature of appointed
RF member (in ink)
PALS Training Center Faculty
PALS Training Center Faculty (TCF) members are appointed by their respective TCs. PALS TCF members are
responsible for quality assurance and are the educational leadership for all PALS courses within their TC network.
TCF members conduct instructor courses, monitor new and renewing instructors, and conduct updates for the
TC’s instructors. The PALS TCF card and certificate are not an acceptable substitute for an instructor card and do
not verify instructor status. The TCF certificate/card template that TCs use when appointing TCF members in their
respective disciplines is accessible on the Instructor Network to TCCs only. The TCF document is set up to autopopulate the card template at the bottom of the certificate. You will only need to complete the certificate portion
and then print and place it in the instructor’s record. You may issue the auto-populated card to the TCF.
Quality Control Checkpoints
PALS
• Issue dates beginning June 2010
• Valid until further notice
• Name of the appointing TC
• Term of the appointment (eg, 1/2010-1/2012)
• First and last name of the TCC
• Name of region
Training Center Faculty
has been appointed as a
Pediatric Advanced Life Support Training Center Faculty
for the American Heart Association.
TC Name
TC Coordinator
Term
Region
Important Reminders
KJ1048 PALS 3/13
TCF certificate, card, and template are available only
to TCCs, through the AHA Instructor Network.
• TCF cards are not a replacement for AHA Instructor cards. If an
instructor is appointed as a TCF by the TCC, he or she is to be
issued a current instructor card, and it must be kept in the TC’s
records.
• The designation of TCF is not transferable to other TCs.
27
Course Card Index
United States Course Cards
Below is a comprehensive list of course cards with product numbers, including 3 different formats: 3-card sheet,
2-card sheet self-mailer, and eCard. The 90 series product number reflects the most current version.
Only current AHA Training Centers may order course cards.
Current Version
Course Card
Previous Version
3-Card
Sheet
2-Card Sheet
Self-Mailer
BLS Instructor
90-1800
90-1807
BLS Healthcare Provider
90-1801
90-1802
90-3001
eCard
3-Card
Sheet
2-Card Sheet
Self-Mailer
BLS
Heartsaver
Heartsaver Instructor
90-1816
Heartsaver CPR AED
90-1813
90-1810
90-3005
Heartsaver First Aid
90-1814
90-1809
90-3004
Heartsaver First Aid CPR AED
90-1815
90-1820
90-3006
Heartsaver Pediatric First Aid
CPR AED
90-1825
90-1824
Heartsaver Pediatric First Aid
Heartsaver CPR AED in Schools
80-1201
80-1209
90-1821
ACLS
ACLS Instructor
90-1804
90-1803
ACLS Provider
90-1806
90-1805
90-3000
ACLS EP
ACLS EP Instructor
90-1811
ACLS Experienced Provider
90-1812
70-2923
90-3008
70-2922
PALS
PALS Instructor
90-1817
PALS Provider
90-1818
90-1808
90-3002
PEARS
PEARS Instructor
90-1823
PEARS Provider
90-1819
90-3003
28
Course Card Index
International Course Cards
Below is a comprehensive list of the international course cards with AHA product numbers.
Only current AHA Training Centers may order course cards.
Course Card
3-Card Sheet
Spanish
Course Card
3-Card Sheet
Irish Heart Foundation
BLS Instructor
90-2320US
BLS Instructor
90-2003US
BLS Healthcare Provider
90-2321US
BLS Healthcare Provider
90-2004US
Heartsaver Instructor
90-2323US
Heartsaver First Aid CPR AED
90-2005US
Heartsaver CPR AED
90-2330US
ACLS Instructor
90-2001US
Heartsaver First Aid CPR AED
90-2322US
ACLS Provider
90-2002US
ACLS Instructor
90-2318US
Resuscitation Council of Southern Africa
ACLS Provider
90-2319US
BLS Instructor
90-2008US
PALS Instructor
90-2324US
BLS Healthcare Provider
90-2009US
PALS Provider
90-2325US
ACLS Instructor
90-2006US
ACLS Provider
90-2007US
Portuguese
BLS Instructor
90-2221US
PALS Instructor
90-2010US
BLS Healthcare Provider
90-2222US
PALS Provider
90-2011US
Heartsaver Instructor
90-2224US
Heartsaver CPR AED
90-2231US
Heartsaver First Aid CPR AED
90-2223US
ACLS Instructor
90-2219US
ACLS Provider
90-2220US
PALS Instructor
90-2225US
PALS Provider
90-2226US
29
ECC
To order AHA products, contact one of the following:
CH A N N I N G
B E T E
C O M PA N Y
One Community Place | South Deerfield, MA 01373-0200, USA
PHONE:
800-611-6083 |
FAX :
800-499-6464
aha.channing-bete.com
L A E R D A L
M E D I C A L
C O R P O R AT I O N
167 Myers Corners Road | Wappingers Falls, NY 12590-8840, USA
PHONE:
888-562-4242 |
FAX :
800-227-1143
laerdal.com
WO R L D P OI N T,
I N C .
1326 S. Wolf Road | Wheeling, IL 60090, USA
PHONE:
888-322-8350 |
FAX :
888-281-2627
eworldpoint.com
To order outside of the US contact one of the above distributors
or any of our authorized international distributors at
www.heart.org/eccintldist
For more information on other American Heart
Association programs contact us:
877-AHA-4CPR
www.heart.org/cpr
www.OnlineAHA.org
7272 Greenville Avenue
Dallas, Texas 75231-4596, USA
KJ0916 R2/15
www.heart.org