Emergency Cardiovascular Care Course Card Reference Guide

ECC

Emergency Cardiovascular Care

Course Card Reference Guide

September 2018

15-1806 10/15

This card contains unique security features to protect against forgery.

PEEL

HERE

TC

TC ID #

Alignment

TC

TC

Address

Phone

TCCity, State

ZIP

Instructor

ID #

Holder’s

Signature

© 2015 American Heart Association Tampering with this card will alter its appearance. 15-1806

The above individual has successfully completed the cognitive and

skills evaluation in accordance with the curriculum of the American Heart

Association PALS Instructor Program.

Issue Date

Expiration Date

P A L S I N S T R U C T O R

PALS Instructor


15-1812 2/16

Strike through the modules NOT completed.


PEELHERE

Heartsaver ®First Aid CPR AEDThe 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 Exam

Issue Date

Recommended Renewal Date

HEARTSAVER FIRST AID CPR AEDHEARTSAVER FIRST AID CPR AED

Training

TC ID #

Center NameTC

TC

Info City, State ZIP Phone

CourseLocationInstructor

Inst. ID #

Name

Holder’sSignature© 2015 American Heart Association Tampering with this card will alter its appearance. 15-1812

ADVANCED CARDIOVASCULAR LIFE SUPPORT

ACLSProvider

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

To view or verify authenticity, students and employers

should scan this QR code with their mobile device or

go to www.heart.org/cpr/mycards.

Training

Center Name

Training

Center ID

TC Address

TC Phone

Instructor

Name

Instructor ID

© 2016 American Heart Association 15-3000 3/16


Directions

1. Cut along dotted lines

2. Fold both halves together

3. Use adhesive to combine halves

VERIFIED

eCredential valid until: eCredential number:Verify authenticity: www.heart.org/RQIVerify

Date of last activity:

has demonstrated competence in High-Quality CPR skills.

Competence verified by the American Heart Association’s

Resuscitation Quality Improvement Program®

This is to verify that

BLS

eCredentialRQI Healthcare Provider

VERIFIED

Contents

i

Preface ii

Introduction 1

eCards 1eCard Layout 2

Security and Validation 2

Accessing eCard Profiles 2

Printed Cards 3Course Card Tip Sheets and Templates 4

Security Features 4

Duplication/Replacement of Lost Cards 4

Heartsaver® 5Heartsaver CPR AED 5

Heartsaver First Aid 7

Heartsaver First Aid CPR AED 9

Heartsaver Pediatric First Aid CPR AED 11

Heartsaver for K-12 Schools 13

Heartsaver Instructor 14

BLS 15BLS Provider 15

BLS Instructor 17

ACLS 18ACLS Provider 18

ACLS Instructor 20

ACLS EP 21ACLS Experienced Provider 21

ACLS EP Instructor 23

PALS 24PALS Provider 24

PALS Instructor 26

PEARS® 27PEARS Provider 27

PEARS Instructor 29

RQI® eCredentials 30RQI eCredential Layout 30

RQI eCredential Cards 30

RQI eCards 32RQI eCard Layout 32

RQI BLS 32

RQI ACLS 33

RQI PALS 33

International eCards 34Accessing eCard Profiles 34

Heartsaver 34

BLS 37

ACLS 38

PALS 39

PEARS 40

RQI BLS 41

Irish Heart Foundation 42

Resuscitation Council of Southern Africa 43

International Printed Cards 46International 46

Portuguese 47

Spanish 47

Irish Heart Foundation 47

Resuscitation Council of Southern Africa 48

Heart and Stroke Foundation of Canada 48

Military Training Network 49MTN Provider Cards 49

MTN Instructor Cards 50

MTN Training Site Faculty Cards 50

Faculty 51Training Center Faculty 51

Regional Faculty 52

Card Index 53United States Course Cards 53

International Course eCards 54

International Printed Course Cards 55

© 2018 American Heart Association

Preface

ii

PrefaceThe 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. The Course Card

Reference Guide provides a means to ensure that AHA course completion cards are valid.

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 Training Centers (TCs) with a confidential security code

issued by AHA National Center ECC Programs. Each student who successfully completes an AHA ECC cre-

dentialed 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.

IntroductionThe completion cards issued for the courses use criteria and materials from the 2010 AHA Guidelines for

Cardiopulmonary Resuscitation (CPR) and ECC and the 2015 AHA Guidelines Update for CPR and ECC.

The current cards include

• RQI® Responder (Hands-Only CPR)

• Heartsaver® CPR AED, Heartsaver First Aid, Heartsaver First Aid CPR AED, Heartsaver Pediatric First Aid CPR AED, Heartsaver for K-12 Schools, and Heartsaver Instructor

• BLS Provider, RQI BLS Healthcare Provider, and BLS Instructor

• ACLS Provider, RQI ALS Healthcare Provider, and ACLS Instructor

• ACLS Experienced Provider and ACLS EP Instructor

• PALS Provider, RQI PALS Healthcare Provider, and PALS Instructor

• PEARS® Provider and PEARS Instructor

eCardsThe eCards are an electronic equivalent to the printed AHA course completion cards. eCards are valid course

completion cards and can be presented to employers as proof of successful completion of an AHA course.

Like the printed cards, eCards expire 2 years after the issue date.

Students may print eCards in a certificate-size or wallet-size format, as shown below, or may present them

as an image on a mobile device. We encourage all employers and licensing entities to validate eCards as

described below.

1

Introduction

AHA eCards (certificate and wallet size)

B A S I C L I F E S U P P O R TB A S I C L I F E S U P P O R T

BLSProvider

The above individual has successfully completed the cognitive and skills evaluations in accordance with the curriculum of the American Heart

Association Basic Life Support (CPR and AED) Program.


To view or verify authenticity, students and employers should scan this QR code with their mobile device or go to www.heart.org/cpr/mycards.

Training Center Name

Training Center ID

TC Address

TC Phone

Instructor Name

Instructor ID


To view or verify authenticity, students and employers should scan this QR code with their mobile device or go to www.heart.org/cpr/mycards. © 2016 American Heart Association. All rights reserved. 15-3001 3/16

BLSProvider

B A S I C L I F E S U P P O R T

has successfully completed the cognitive and skills evaluations in accordance with the curriculum of the

American Heart Association Basic Life Support (CPR and AED) Program.

Issue Date


Training Center ID


Instructor Name

Instructor ID

eCard Code

QR Code

Training Center Address

Training Center Phone Number


BLSProvider






Training Center ID

TC Address

TC Phone

Instructor Name

Instructor ID


eCard Layout

• General: All information on the eCard is digitally populated from the information entered by the Training Center Coordinator (TCC) or Instructor.

• Branding: eCards feature the official AHA logo.

• Copyright: All cards have a copyright notice.

• Dates: The issue date appears as the 2-digit month and day and 4-digit year. The recommended renewal date appears as the 2-digit month and 4-digit year, 2 years from the issue date.

• eCard code: The eCard code is printed on the card. 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 are listed.

• 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.

Security and Validation

eCards are more secure than printed cards. A 3-point verification by the TCC, instructor, and student is required

to issue and claim eCards. eCard information is populated electronically by the TCC or instructor and can only

be altered by the TCC.

Using the eCards Code, employers can easily verify eCards at www.heart.org/cpr/mycards to prove issuance

by a valid TC and instructor aligned with that TC.

Accessing eCard Profiles

Students who are issued eCards have the benefit of self-service and can access their eCard Profile any time at www.heart.org/cpr/mycards.

To log into the eCard Profile, the student simply enters his or her First Name, Last Name, and Email Address (must be the email address the student used to claim the eCard). Or the student can log in by entering the eCard Code found on the eCard. The student will be prompted to enter the security answer created when he or she initially claimed the eCard.

See Lost your AHA Completion Card? for information on replacing an eCard.

2

Cards

Printed CardsThe AHA requires that course cards have information that is complete and legible. It is required 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.

Front of Card

• The course name is preprinted on the card.

• Indicate the student’s name (eg, first name, middle initial, and last name).

• Heartsaver course completion cards also feature an area on the front of the card listing optional modules for the course. AHA Instructors are to strike through the optional modules not completed.

• Indicate the issue date as a 2-digit month and day, and 4-digit year (4/15/2017). For cards issued by International Training Centers using CPRverify, the date will follow the standard international format of 2-digit day, abbreviated month, and 4-digit year (15 Apr 2017).

• Indicate the recommended renewal/expiration date, 2 years from the issue date (2-digit month and 4-digit year; 04/2019). For cards issued by International Training Centers using CPRverify, the date will show the month, spelled out, and the 4-digit year (April 2019). The card is valid through the end of the month.

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. Note that the Heartsaver for K-12 Schools card uses “School Name” instead of “Course Location.”

• 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.

3

Cards

15-1805 11/15This card contains unique security features to protect against forgery.

PEELHERE

BLSProvider

The above individual has successfully completed the cognitive and skills evaluations in accordance with the curriculum of the American Heart Association Basic Life Support (CPR and AED) Program.


B A S I C L I F E S U P P O R T B A S I C L I F E S U P P O R TTraining TC ID #Center Name

TC TCInfo City, State ZIP Phone

CourseLocation

Instructor Inst. ID #Name

Holder’sSignature



PEELHERE

BLSProvider





CourseLocation


Holder’sSignature


4

Cards

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.

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. Heartsaver and BLS 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 use security microprinting for the information lines. For example, the microprint on the BLS Instructor card is “BLSINSTRUCTORBLSINSTRUCTOR” (Figure 1).

• Viewing microprint: The microprint can be viewed with a loupe or magnifying glass, such as that in Figure 2.

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 unus-able. All requests for duplicate or replacement cards must be submitted directly to the 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.

See Lost your AHA Completion Card? for information on replacing a card.

Figure 1. Security microprint. Figure 2. A loupe or a magnifying glass can be used to view the security microprint.


PEELHERE

TC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #

Holder’sSignature


The above individual has successfully completed the cognitive and skills evaluation in accordance with the curriculum of the American Heart Association BLS Instructor Program.

Issue Date Expiration Date

B L S I N S T R U C T O R

BLSInstructor


BLSINSTRUCTORBLSINSTRUCTORBLSINSTRUCTOR

Heartsaver®

Heartsaver CPR AEDHeartsaver CPR AED is a course that teaches adult CPR and automated external defibrillator (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.

15-1810 2/16

PEELHERE

Heartsaver ®

CPR AED

The above individual has successfully completed the objectives and skills evalu-ations in accordance with the curriculum of the AHA Heartsaver CPR AED Program. Optional completed modules are those NOT marked out:



H E A R T S A V E R C P R A E D H E A R T S A V E R C P R A E DTraining TC ID #Center Name


CourseLocation


Holder'sSignature

© 2015 American Heart Association Tampering with this card will alter its appearance 15-1810



15-1810 and 15-1817 Heartsaver CPR AED printed wallet cards

5

Quality Control Checkpoints

• Issue date beginning April 26, 2016• Valid until further notice• Renewal date 2 years after month of issue• Optional modules are Child CPR AED, Infant CPR, and Exam• Strike through modules not completed (printed cards)• Completed modules are unmarked and visible (printed cards)• Adult CPR AED must be taught if child CPR AED is taught

15-3004 Heartsaver CPR AED eCard 15-3004 Heartsaver CPR AED wallet eCard

Current Cards


Optional modules completed:

Issue Date


Training Center ID


Instructor Name

Instructor ID

eCard Code

QR Code



Heartsaver®

CPR AED

H E A R T S A V E R


American Heart Association Heartsaver® CPR AED Program.


H E A R T S A V E R

Heartsaver® CPR AED


Association Heartsaver CPR AED Program. Optional modules completed:


H E A R T S A V E R



Training Center ID

TC Address

TC Phone

Instructor Name

Instructor ID


Directions





Heartsaver

6

Previous Cards



• Not valid after June 27, 2018 • Not valid for issue after June 28, 2016, and

is superseded by cards 15-3004,15-1810, and 15-1817• Renewal date 2 years after month of issue• Optional modules are Child CPR AED, Infant CPR, and

Written Test• Strike through modules not completed (printed cards)• Completed modules are unmarked and visible (printed cards)• Adult CPR AED must be taught if child CPR AED is taught

90-1813 3/11

PEELHERE

Heartsaver®

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 CPR AED Program. Optional completed modules are those NOT marked out:

Child CPR AED Infant CPR Written test


H E A R T S AV E R C P R A E D H E A R T S AV E R C P R A E DTraining TC ID #Center Name


CourseLocation


Holder’sSignature




90-1813 Heartsaver CPR AED printed wallet card

Course Date

Training Center ID



Scan this code from your mobile device to view your eCard.

Students may view their AHA eCards profile at www.heart.org/cpr/mycards.Employers, visit www.heart.org/cpr/mycards to validate AHA eCards.

© 2014 American Heart Association. All rights reserved.


Instructor

Instructor ID

has successfully completed Heartsaver® CPR AED Provider

Additional Optional Modules

eCard Code:

Sample Student

111111111111

MM/DD/YYYY MM/YYYY

ST12345 Sample Instructor

Sample Training Center 01234567891

Training Center Address 1


Child CPR AED Infant CPR Written Test

has successfully completed Heartsaver® CPR AED


eCard Code:Course Date: Recommended Renewal Date:

Directions




Training Center ID:

Ph:

Instructor:

Instructor ID:Scan this code from your mobile device to view your eCard.



Sample Training Center

TX1111111

Sample Student Training Center Address 1Training Center Address 2

11111111

Sample Instructor1111111111111111111111111

MM/DD/YYYY MM/YYYY


Heartsaver

7

Heartsaver First AidHeartsaver 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.

15-1811 2/16

PEELHERE

Heartsaver®

First Aid

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: Exam


H E A R T S A V E R F I R S T A I D H E A R T S A V E R F I R S T A I DTraining TC ID #Center Name


CourseLocation


Holder’sSignature




15-1811 and 15-1816 Heartsaver First Aid printed wallet cards


• Issue date beginning April 26, 2016• Valid until further notice• Renewal date 2 years after month of issue• Optional module is Exam• Strike through modules not completed (printed cards)• Completed modules are unmarked and visible (printed cards)• This course is for First Aid only and does not include

CPR AED

Current Cards

15-3005 Heartsaver First Aid eCard 15-3005 Heartsaver First Aid wallet eCard



Issue Date


Training Center ID


Instructor Name

Instructor ID

eCard Code

QR Code



Heartsaver®

First Aid

H E A R T S A V E R


American Heart Association Heartsaver® First Aid Program.

Exam

H E A R T S A V E R

Heartsaver® First Aid


Association Heartsaver First Aid Program. Optional modules completed:


H E A R T S A V E R



Training Center ID

TC Address

TC Phone

Instructor Name

Instructor ID


Directions




Exam

Heartsaver

8



is superseded by cards 15-3005, 15-1811, and 15-1816• Renewal date 2 years after month of issue• Optional module is Written Test• Strike through modules not completed (printed cards)• Completed modules are unmarked and visible (printed cards)• This course is for First Aid only and does not include CPR AED

90-1814 3/11

PEELHERE

Heartsaver®

F i rst A id

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


HEARTSAVER F IRST A ID HEARTSAVER F IRST A ID

Training TC ID #Center Name


CourseLocation


Holder’sSignature




90-1814 Heartsaver First Aid printed wallet card

Previous Cards


Course Date

Training Center ID







Instructor

Instructor ID

has successfully completed Heartsaver® First Aid Provider Additional Optional Modules

eCard Code:

Sample Student

111111111111

MM/DD/YYYY MM/YYYY





Written Test

has successfully completed Heartsaver® First Aid



Directions




Training Center ID:

Ph:

Instructor:





TX1111111


11111111


MM/DD/YYYY MM/YYYY

Written Test

Heartsaver

9

Heartsaver First Aid CPR AEDHeartsaver First Aid CPR AED is a course that teaches students critical skills needed to respond to and manage a first aid, choking, or 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.

15-1812 2/16



PEELHERE

Heartsaver®

First Aid CPR AED

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:



HEARTSAVER FIRST AID CPR AED HEARTSAVER FIRST AID CPR AEDTraining TC ID #Center Name


CourseLocation


Holder’sSignature


15-1812 and 15-1818 Heartsaver First Aid CPR AED printed wallet cards


• Issue date beginning April 26, 2016• Valid until further notice• Renewal date 2 years after month of issue• Optional modules are Child CPR AED, Infant CPR, and Exam• Strike through modules not completed (printed cards)• Completed modules are unmarked and visible (printed cards)

Current Cards

15-3002 Heartsaver First Aid CPR AED eCard 15-3002 Heartsaver First Aid CPR AED wallet eCard



Issue Date


Training Center ID


Instructor Name

Instructor ID

eCard Code

QR Code



Heartsaver®

First Aid CPR AED

H E A R T S A V E R


American Heart Association Heartsaver® First Aid CPR AED Program.


H E A R T S A V E R

Heartsaver® First Aid CPR AED


Association Heartsaver First Aid CPR AED Program. Optional modules completed:


H E A R T S A V E R



Training Center ID

TC Address

TC Phone

Instructor Name

Instructor ID


Directions





Heartsaver

10


• Not valid after June 27, 2018• Not valid for issue after June 28, 2016, and

is superseded by cards 15-3002, 15-1812, and 15-1818• Renewal date 2 years after month of issue• Optional modules are Child CPR AED, Infant CPR, and

Written Test• Strike through modules not completed (printed cards)• Completed modules are unmarked and visible (printed cards)

90-1815 3/11



PEELHERE

Heartsaver®

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 First Aid CPR AED Program. Optional completed modules are those NOT marked out:

Child CPR AED Infant CPR Written test


HEARTSAVER FIRST AID CPR AED HEARTSAVER FIRST AID CPR AED



CourseLocation


Holder’sSignature


90-1815 Heartsaver First Aid CPR AED printed wallet card

Previous Cards


Course Date

Training Center ID







Instructor

Instructor ID

has successfully completedHeartsaver® First Aid CPR AED Provider


eCard Code:

Sample Student

111111111111

MM/DD/YYYY MM/YYYY






has successfully completed Heartsaver® First Aid CPR AED



Directions




Training Center ID:

Ph:

Instructor:





TX1111111


11111111


MM/DD/YYYY MM/YYYY


Heartsaver

11

Heartsaver Pediatric First Aid CPR AEDHeartsaver 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.

15-1813 11/15



PEELHERE

Heartsaver®

Pediatric First AidCPR AED

HEARTSAVER PEDIATRIC FIRST AID CPR AED HEARTSAVER PEDIATRIC FIRST AID CPR AEDTraining TC ID #Center Name


CourseLocation


Holder’sSignature


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 Exam Asthma Care Video


15-1813 and 15-1815 Heartsaver Pediatric First Aid CPR AED printed wallet cards


• Issue date beginning September 21, 2016• Valid until further notice• Renewal date 2 years after month of issue• Optional modules are Pediatric First Aid, Child/Infant CPR

AED, Adult CPR AED, Exam, and Asthma Care Video• Strike through modules not completed (printed cards)• Completed modules are unmarked and visible (printed cards)

Current Cards

15-3003 Heartsaver Pediatric First Aid CPR AED eCard 15-3003 Heartsaver Pediatric First Aid CPR AED wallet eCard



Issue Date


Training Center ID


Instructor Name

Instructor ID

eCard Code

QR Code



Heartsaver®

Pediatric First Aid CPR AED

H E A R T S A V E R


American Heart Association Heartsaver® Pediatric First Aid CPR AED Program.


H E A R T S A V E R

Heartsaver® Pediatric First Aid CPR AED


Association Heartsaver Pediatric First Aid CPR AED Program. Optional modules completed:


H E A R T S A V E R



Training Center ID

TC Address

TC Phone

Instructor Name

Instructor ID


Directions




Pediatric First AidChild/Infant CPR AED Adult CPR AED Exam Asthma Care Video

Heartsaver

12


• Not valid after November 21, 2018• Not valid for issue after November 21, 2016, and is

superseded by cards 15-3003, 15-1813, and 15-1815• Optional modules are Pediatric First Aid, Child/Infant CPR

AED, Adult CPR AED, Written Test, and Asthma Care Video• Strike through modules not completed• Completed modules are unmarked and visible

90-1825 10/13



PEELHERE

Heartsaver®


HEARTSAVER PEDIATRIC FIRST AID CPR AED HEARTSAVER PEDIATRIC FIRST AID CPR AED



CourseLocation


Holder’sSignature


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


90-1825 Heartsaver Pediatric First Aid CPR AED printed wallet card

Previous Card

Heartsaver

13

Heartsaver for K-12 SchoolsHeartsaver for K-12 Schools uses the Heartsaver First Aid CPR AED Course to teach K-12 students, faculty, and

staff critical skills needed to respond to and manage a cardiac arrest, choking, or first aid emergency in the first

few minutes until EMS arrives. This course teaches adult CPR and AED use. Child CPR AED, infant CPR, and first

aid 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.

15-1819 12/17

PEELHERE

Heartsaver ®

for K-12 Schools

H E A R T S A V E R H E A R T S A V E RTraining TC ID #Center Name


SchoolName


Holder'sSignature




The above individual in the K-12 school system 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 Exam


15-1819 Heartsaver for K-12 Schools printed wallet card


• Issue date beginning December 14, 2017• Valid until further notice• Renewal date 2 years after month of issue• Optional modules are Child CPR AED, Infant CPR, First Aid,

and Exam• Strike through modules not completed (printed cards)• Completed modules are unmarked and visible (printed cards)• Adult CPR AED must be taught if child CPR AED is taught

15-3011 Heartsaver for K-12 Schools eCard 15-3011 Heartsaver for K-12 Schools wallet eCard

Current Cards



Issue Date


Training Center ID


Instructor Name

Instructor ID

eCard Code

QR Code



Heartsaver®

for K-12 Schools

H E A R T S A V E R

The above individual in the K-12 school systemhas successfully completed the cognitive and skills evaluations in accordance with the curriculum of the

American Heart Association Heartsaver® CPR AED Program.


H E A R T S A V E R

Heartsaver® for K-12 Schools

The above individual in the K-12 school system has successfully completed the cognitive and skills evaluations in accordance with the curriculum of the

American Heart Association Heartsaver CPR AED Program. Optional modules completed: Issue Date Recommended Renewal Date

H E A R T S A V E R



Training Center ID

TC Address

TC Phone

Instructor Name

Instructor ID


Directions





Heartsaver

14

Heartsaver

Heartsaver InstructorHeartsaver 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.


PEELHERE

TC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #

Holder’sSignature


The above individual has successfully completed the cognitive and skills evaluation in accordance with the curriculum of the American Heart Association Heartsaver Instructor Program.


Heartsaver®

Instructor

H E A R T S A V E R I N S T R U C T O R H E A R T S A V E R I N S T R U C T O R Quality Control Checkpoints

• Issue date beginning April 26, 2016• Valid until further notice

Associated Materials for Instructors

• 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

Pediatric First Aid CPR AED Student Workbooks

15-1814 Heartsaver Instructor printed wallet card



is superseded by card 15-1814• Expiration date 2 years after month of issue


PEELHERE

TC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #

Holder’sSignature


This card certifies that the above individual is an American Heart Association Heartsaver Instructor.


Heartsaver®

Instructor

HEARTSAVER INSTRUCTOR HEARTSAVER INSTRUCTOR

90-1816 Heartsaver Instructor printed wallet card

Current Card

Previous Card

15

BLS (Basic Life Support)

BLS ProviderThe new BLS Provider Course replaces the BLS for Healthcare Providers and BLS for Prehospital Providers

Courses. The BLS Provider Course teaches both single-rescuer and team basic life support skills for application

in both in- and out-of-hospital settings. This course trains participants to promptly recognize several life-threat-

ening emergencies, give high-quality chest compressions, deliver appropriate ventilation, and provide early use

of an AED. It includes adult, child, and infant rescue techniques. Provider cards are available exclusively to



PEELHERE

BLSProvider





CourseLocation


Holder’sSignature



• Issue date beginning February 16, 2016• Valid until further notice• Renewal date 2 years after month of issue

15-1805 BLS Provider printed wallet card

Current Cards

15-3001 BLS Provider eCard 15-3001 BLS Provider wallet eCard


BLSProvider






Training Center ID

TC Address

TC Phone

Instructor Name

Instructor ID



BLSProvider




Issue Date


Training Center ID


Instructor Name

Instructor ID

eCard Code

QR Code



BLS

16


PEELHERE

HealthcareProv ider

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.


H E A L T H C A R E P R O V I D E R H E A L T H C A R E P R O V I D E R



CourseLocation


Holder’sSignature



• Not valid after April 16, 2018• Not valid for issue after April 16, 2016, and

is superseded by cards 15-3001 and 15-1805• Renewal date 2 years after month of issue

90-1801 Healthcare Provider printed wallet card

The BLS for Healthcare Providers and BLS for Prehospital Providers Courses have been replaced by the 2016

BLS Provider Course.

Previous Cards

90-3001 BLS for Healthcare Providers eCard 90-3001 BLS for Healthcare Providers wallet eCard

has successfully completed

BLS for Healthcare Providers

eCard Code:

Course Date: Recommended Renewal Date:

Training Center ID:

Ph:

Instructor:




Directions





TX1111111


11111111

1111111111111 Sample Instructor111111111111

MM/DD/YYYY MM/YYYY

Course Date

Training Center ID







Instructor

Instructor ID


BLS for Healthcare Providers

eCard Code:

Sample Student

111111111111

MM/DD/YYYY MM/YYYY





BLS

17

BLS InstructorBLS 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 and all Heartsaver courses. Instructor cards are available exclu-

sively to authorized TCs for issuance in accordance with AHA policy.


PEELHERE

TC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #

Holder’sSignature





BLSInstructor

B L S I N S T R U C T O R Quality Control Checkpoints

• Issue date beginning February 16, 2016• Valid until further notice• Expiration date 2 years after month of issue


• Basic Life Support Instructor Manual• Basic Life Support Provider Manual• 2015 Handbook of Emergency Cardiovascular Care for

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

Pediatric First Aid CPR AED Student Workbooks15-1804 BLS Instructor printed wallet card


PEELHERE

TC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #

Holder’sSignature


This card certifies that the above individual is an American Heart Association Basic Life Support (BLS) Instructor.



BLSInstructor



• Not valid after April 16, 2018• Not valid for issue after April 16, 2016, and is

superseded by card 15-1804 • Expiration date 2 years after month of issue

90-1800 BLS Instructor printed wallet card

Previous Cards

Current Card

BLS

ACLS

ACLS (Advanced Cardiovascular Life Support)

ACLS ProviderThe 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


18


• Issue date beginning March 30, 2016• Valid until further notice• Renewal date 2 years after month of issue

15-1803 ACLS Provider printed wallet card


PEELHERE

ACLSProvider

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.


ADVANCED CARDIOVASCULAR LIFE SUPPORT ADVANCED CARDIOVASCULAR LIFE SUPPORTTraining TC ID #Center Name


CourseLocation


Holder’sSignature


Current Cards

15-3000 ACLS Provider eCard 15-3000 ACLS Provider wallet eCard


ACLSProvider





Training Center ID

TC Address

TC Phone

Instructor Name

Instructor ID



Directions




Issue Date



Training Center ID


Instructor Name

Instructor ID

eCard Code

QR Code

ACLSProvider

ADVANCED CARDIOVASCULAR L IFE SUPPORT


American Heart Association Advanced Cardiovascular Life Support (ACLS) Program.




• Not valid after May 30, 2018• Not valid for issue after May 30, 2016, and


90-1806 ACLS Provider printed wallet card


PEELHERE

ACLSProvider

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.


ADVANCED CARDIOVASCULAR LIFE SUPPORT ADVANCED CARDIOVASCULAR LIFE SUPPORT



CourseLocation


Holder’sSignature


19

Previous Cards



ACLS Provider

eCard Code:


Training Center ID:

Ph:

Instructor:




Directions





TX1111111


11111111


MM/DD/YYYY MM/YYYY

Course Date

Training Center ID







Instructor

Instructor ID


ACLS ProvidereCard Code:

Sample Student

111111111111

MM/DD/YYYY MM/YYYY





ACLS

20

ACLS InstructorACLS Instructors teach providers the knowledge and skills needed to evaluate and manage cardiovascular emergencies, stroke, and respiratory arrest. Most instructors are in the healthcare field. Instructor cards are

available exclusively to authorized TCs for issuance in accordance with AHA policy.


PEELHERE

This card certifies that the above individual is an American Heart Association Advanced Cardiovascular Life Support (ACLS) Instructor.


A C L S I N S T R U C T O R

ACLSInstructor

A C L S I N S T R U C T O RTC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #

Holder’sSignature



• Not valid after May 30, 2018• Not valid for issue after May 30, 2016, and


90-1804 ACLS Instructor printed wallet card


PEELHERE

The above individual has successfully completed the cognitive and skills evaluation in accordance with the curriculum of the American Heart Association ACLS Instructor Program.


A C L S I N S T R U C T O R

ACLSInstructor

A C L S I N S T R U C T O RTC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #

Holder’sSignature


15-1802 ACLS Instructor printed wallet card


• Issue date beginning March 30, 2016• Valid until further notice• Expiration date 2 years after month of issue


• Advanced Cardiovascular Life Support Instructor Manual • Advanced Cardiovascular Life Support Provider Manual• 2015 Handbook of Emergency Cardiovascular Care

for Healthcare Providers

Current Card

Previous Cards

ACLS

21

ACLS EP (ACLS for Experienced Providers)

ACLS Experienced ProviderThe 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.


PEELHERE



CourseLocation


Holder’sSignature


ACLS ExperiencedProvider

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.


ACLS EXPERIENCED PROVIDER ACLS EXPERIENCED PROVIDER

15-1801 ACLS Experienced Provider printed wallet card


• Issue date beginning June 7, 2017• Valid until further notice• Renewal date 2 years after month of issue

Current Cards

15-3007 ACLS Experienced Provider eCard 15-3007 ACLS Experienced Provider wallet eCard

A C L S E X P E R I E N C E D P R O V I D E R



Association Advanced Cardiovascular Life Support (ACLS) Experienced Provider Program.



TrainingCenter Name

TrainingCenter ID

TC Address

TC Phone

InstructorName

Instructor ID



Directions




Issue Date



Training Center ID


Instructor Name

Instructor ID

eCard Code

QR Code



has successfully completed the cognitive and skillsevaluations in accordance with the curriculum of the

American Heart Association Advanced CardiovascularLife Support (ACLS) Experienced Provider Program.


Training Center PhoneNumber

ACLS EP

22


• Not valid after July 31, 2019• Not valid for issue after July 31, 2017, and

is superseded by cards 15-3007 and 15-1801• Expiration date 2 years after month of issue


PEELHERE



CourseLocation


Holder’sSignature



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.


ACLS EXPERIENCED PROVIDER ACLS EXPERIENCED PROVIDER

90-1812 ACLS Experienced Provider printed wallet card

90-3008 ACLS EP Provider eCard 90-3008 ACLS EP Provider wallet eCard

Previous Cards


ACLS EP Provider

eCard Code:


Training Center ID:

Ph:

Instructor:




Directions





TX1111111


11111111


MM/DD/YYYY MM/YYYY

Course Date

Training Center ID







Instructor

Instructor ID


ACLS EP ProvidereCard Code:

Sample Student

111111111111

MM/DD/YYYY MM/YYYY





ACLS EP

ACLS EP InstructorACLS EP Instructors teach seasoned ACLS providers who wish to renew their provider status. ACLS EP Instructors can teach both the ACLS and ACLS EP Provider Courses. Instructor cards are available exclusively

to authorized TCs for issuance in accordance with AHA policy.


• Issue date beginning June 7, 2017• Valid until further notice• Renewal date 2 years after month of issue


• ACLS for Experienced Providers DVD Set, which includes ACLS for Experienced Providers Instructor Manual

• ACLS for Experienced Providers Manual and Resource Text• Advanced Cardiovascular Life Support Instructor Manual • Advanced Cardiovascular Life Support Provider Manual• 2015 Handbook of Emergency Cardiovascular Care



PEELHERE

TC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #

Holder’sSignature


This card certifies that the above individual is an American Heart Association Advanced Cardiovascular Life Support (ACLS) Experienced Provider (EP) Instructor.


A C L S E P I N S T R U C T O R

ACLS EPInstructor


90-1811 ACLS EP Instructor printed wallet card

23


PEELHERE

TC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #

Holder’sSignature


The above individual has successfully completed the cognitive and skills evaluation in accordance with the curriculum of the American Heart Association ACLS Experienced Provider Instructor Program.



ACLS EPInstructor


15-1800 ACLS EP Instructor printed wallet card

Previous CardQuality Control Checkpoints

• Not valid after July 31, 2019• Not valid for issue after July 31, 2017, and


Current Card

ACLS EP

PALS

PALS (Pediatric Advanced Life Support)

PALS ProviderThe 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.


PEELHERE

PALS ProviderThe 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.


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 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 TTraining TC ID #Center Name


CourseLocation


Holder’sSignature


24


• Issue date beginning October 6, 2016• Valid until further notice• Renewal date 2 years after month of issue

15-1807 PALS Provider printed wallet card

15-3006 PALS Provider eCard 15-3006 PALS Provider wallet eCard

Current Cards

PEDIATRIC ADVANCED L IFE SUPPORT

PALSProvider


Association Pediatric Advanced Life Support (PALS) Program.




Training Center ID

TC Address

TC Phone

Instructor Name

Instructor ID


PEDIATRIC ADVANCED L IFE SUPPORT

Directions




Issue Date



Training Center ID


Instructor Name

Instructor ID

eCard Code

QR Code

PALSProvider

P E D I A T R I C A D VA N C E D L I F E S U P P O R T

has successfully completed the cognitive and skills evaluations in accordance with the curriculum of the American Heart Association

Pediatric Advanced Life Support (PALS) Program.



25

90-1818 PALS Provider printed wallet card


PEELHERE

PALS Prov ider

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.


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 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



CourseLocation


Holder’sSignature



• Not valid after December 5, 2018• Not valid for issue after December 5, 2016, and



Previous Cards


PALS Provider

eCard Code:


Training Center ID:

Ph:

Instructor:




Directions





TX1111111


11111111


MM/DD/YYYY MM/YYYY

Course Date

Training Center ID







Instructor

Instructor ID


PALS ProvidereCard Code:

Sample Student

111111111111

MM/DD/YYYY MM/YYYY





PALS

26

PALS InstructorPALS Instructors teach 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. PALS Instructors can teach both the PALS and PEARS Provider Courses. In-

structor cards are available exclusively to authorized TCs for issuance in accordance with AHA policy.


PEELHERE

TC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #

Holder’sSignature


This card certifies that the above individual is an American Heart Association Pediatric Advanced Life Support (PALS) Instructor.



PALS Instructor

P A L S I N S T R U C T O R Quality Control Checkpoints

• Not valid after December 5, 2018• Not valid for issue after December 5, 2016, and


90-1817 PALS Instructor printed wallet card


PEELHERE

TC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #

Holder’sSignature


The above individual has successfully completed the cognitive and skills evaluation in accordance with the curriculum of the American Heart Association PALS Instructor Program.



PALS Instructor

P A L S I N S T R U C T O R Quality Control Checkpoints

• Issue date beginning October 6, 2016• Valid until further notice• Expiration date 2 years after month of issue Associated Materials for Instructors

• Pediatric Advanced Life Support Instructor Manual• Pediatric Advanced Life Support Provider Manual• Pediatric Emergency Assessment, Recognition,

and Stabilization Instructor Manual• Pediatric Emergency Assessment, Recognition,

and Stabilization Provider Manual• 2015 Handbook of Emergency Cardiovascular Care


15-1806 PALS Instructor printed wallet card

Current Card

Previous Card

PALS

PEARS® (Pediatric Emergency Assessment, Recognition, and Stabilization)

PEARS ProviderThe PEARS Provider Course is designed to help basic pediatric healthcare providers 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.

27


PEELHERE

PEARS® ProviderThe 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.


P E A R S P R O V I D E R P E A R S P R O V I D E RTraining TC ID #Center Name


CourseLocation


Holder’sSignature



• Issue date beginning August 29, 2017• Valid until further notice• Expiration date 2 years after month of issue

15-1809 PEARS Provider printed wallet card

Current Cards

15-3008 PEARS Provider eCard 15-3008 PEARS Provider wallet eCard

P E A R S

PEARSProvider

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.




Training Center ID

TC Address

TC Phone

Instructor Name

Instructor ID


P E A R S

Directions




Issue Date



Training Center ID


Instructor Name

Instructor ID

eCard Code

QR Code

PEARSProvider

P E A R S


Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS) Program.



PEARS

28



• Not valid after October 29, 2019• Not valid for issue after October 29, 2017, and

is superseded by cards 15-3008 and 15-1809• Expiration date 2 years after month of issue


PEELHERE

PEARS® Prov ider

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.


P E A R S P R O V I D E R P E A R S P R O V I D E RTraining TC ID #Center Name


CourseLocation


Holder’sSignature


90-1819 PEARS Provider printed wallet card

Previous Cards


PEARS® Provider

eCard Code:


Training Center ID:

Ph:

Instructor:




Directions





TX1111111


11111111


MM/DD/YYYY MM/YYYY

Course Date

Training Center ID







Instructor

Instructor ID


PEARS® ProvidereCard Code:

Sample Student

111111111111

MM/DD/YYYY MM/YYYY





PEARS

90-1823 PEARS Instructor printed wallet card


PEELHERE

TC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #

Holder’sSignature


This card certifies that the above individual is an American Heart Association Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS) Instructor.


P E A R S I N S T R U C T O R

PEARS® Instructor

P E A R S I N S T R U C T O R Quality Control Checkpoints

• Not valid after October 29, 2019• Not valid for issue after October 29, 2017, and


PEARS InstructorPEARS Instructors teach students the basic pediatric knowledge and skills for emergency assessment and

treatment of seriously ill infants and children. Instructor cards are available exclusively to authorized TCs for is-

suance in accordance with AHA policy.

29


PEELHERE

TC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #

Holder’sSignature


The above individual has successfully completed the cognitive and skills evaluation in accordance with the curriculum of the American Heart Association Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS) Instructor Program.



PEARS® Instructor


15-1808 PEARS Instructor printed wallet card


• Issue date beginning August 29, 2017• Valid until further notice• Expiration date 2 years after month of issue


• Pediatric Emergency Assessment, Recognition, and Stabilization Instructor Manual

• Pediatric Emergency Assessment, Recognition, and Stabilization Provider Manual

• 2015 Handbook of Emergency Cardiovascular Care for Healthcare Providers

Previous Card

Current Card

PEARS

30

RQI

RQI® eCredentials (Resuscitation Quality Improvement®)

RQI eCredentials are issued as part of the AHA’s RQI 2020 Program. RQI eCredentials have a unique design that

represents the gold standard of quality for learners who have verified competence through active and ongoing

participation in RQI 2020.

The AHA’s Resuscitation Quality Improvement (RQI) Program delivers quarterly CPR skill and resuscitation learn-

ing activities to support mastery of high-quality CPR skills through the use of feedback-driven, deliberate practice.

Since RQI is recognized by the AHA as the gold standard, learners who possess a valid RQI eCredential may

claim a traditional two-year AHA eCard for the curriculum that they are verified in. Example: A learner with a valid

RQI BLS Healthcare Provider eCredential may request and be provided a 2-year AHA BLS Provider eCard

(fee applies).

The RQI Responder Program has been developed to assist in the continuous improvement of Hands-Only CPR

skills provided by ancillary and support staff at RQI hospitals. This program is designed to prepare hospital em-

ployees not directly involved in patient care to respond effectively and efficiently to a cardiac arrest. The program

combines cognitive learning tools and CPR manikin skills practice in a time-efficient, high-impact course.

RQI eCredential Layout

• General: RQI eCredentials are issued as part of RQI 2020 for RQI Responder, RQI BLS, RQI ALS, and RQI

PALS. RQI eCredentials can be easily recognized by the “American Heart Association RQI Verified” gold seal

in the top left corner.

• Dates: The “valid until” date and the “Date of last activity” on the RQI eCredential will update each calendar

quarter when a learner completes assigned activities.

• Verification: RQI eCredentials can be verified at www.heart.org/RQIVerify.

RQI eCredential Cards

VERIFIED eCredential valid until:

eCredential number:

Verify authenticity: www.heart.org/RQIVerify


has demonstrated competence in High-Quality CPR skills. Competence verified by the American Heart Association’s


This is to verify thatBLS


VERIFIED


eCredential number:



has demonstrated competence in Hands-Only CPR skills. Competence verified by the American Heart Association’s


This is to verify that

eCredentialRQI Responder

VERIFIED

15-3234 RQI Responder (Hands-Only CPR) eCard 15-3236 RQI BLS Healthcare Provider eCard

31


eCredential number:



has demonstrated competence in Advanced Life Support. Competence verified by the American Heart Association’s


VERIFIED

This is to verify thatALS



eCredential number:



has demonstrated competence in Pediatric Advanced Life Support. Competence verified by the American Heart Association’s


This is to verify thatPALS


VERIFIED

15-3235 RQI ALS Healthcare Provider eCard 15-3233 RQI PALS Healthcare Provider eCard

RQI

RQI

32

RQI eCardsThe American Heart Association’s Resuscitation Quality Improvement (RQI) Program is exclusively available

to actively employed healthcare providers for continuous demonstration of CPR skills. RQI provider eCards are

issued quarterly.

Individuals who possess a valid RQI BLS Provider, RQI ACLS Provider, or RQI PALS Provider eCard have

demonstrated, and continue to demonstrate, the equivalent requirements for completion of AHA healthcare

provider courses.

Questions or concerns about the validity of an RQI Provider eCard should be addressed to [email protected].

RQI eCard Layout

• General: RQI eCards are issued as part of RQI BLS, RQI ACLS, and RQI PALS programs.

• Dates: The date the card was last updated appears as the 2-digit month, 2-digit day, and 2-digit year. The

date the card expires appears as the 2-digit month and 2-digit year, 2 years from the last updated date.

eCards are valid through the end of the month.

• eCard Code and QR Code: RQI eCards feature an eCard Code and a QR Code that link back to the

individual student.

• Verification: RQI eCards can be verified by scanning the QR Code or entering the eCard Code from the

student’s eCard at http://cpr.heart.org/RQIverify.

RQI BLS

15-3212 RQI BLS Provider eCard 15-3212 RQI BLS Provider wallet eCard


BLSProvider

The above individual has successfully completed the cognitive and skills evaluations in accordance with the curriculum of the

American Heart Association Basic Life Support (CPR and AED) Resuscitation Quality Improvement Program (RQI).

Last Updated Recommended Renewal Date

To view or verify authenticity, students and employers should scan this QR code with their mobile device or go to http://cpr.heart.org/RQIverify.

Directions




RQI Site Location

eCard Code

The RQI Program is provided by:

© 2017 American Heart Association 15-3212 R7/17

American Heart Association7272 Greenville AveDallas, TX [email protected]

MM/DD/YY MM/DD/YYTo view or verify authenticity of RQI eCards, students and employers should scan

this QR code with their mobile device or go to http://cpr.heart.org/RQIverify. © 2017 American Heart Association. All rights reserved. 15-3212 R7/17

American Heart Association7272 Greenville Ave

Dallas, TX [email protected]

BLSProvider





eCard Code

QR Code

RQI Site Location

The RQI Program is provided by

RQI

33

15-3213 RQI ACLS Provider eCard 15-3213 RQI ACLS Provider wallet eCard

15-3214 RQI PALS Provider eCard 15-3214 RQI PALS Provider wallet eCard

ADVANCED CARDIOVASCULAR LIFE SUPPORTADVANCED CARDIOVASCULAR LIFE SUPPORT

ACLSProvider


Association Advanced Cardiovascular Life Support (ACLS) Resuscitation Quality Improvement Program (RQI).



Directions




RQI Site Location

eCard Code




MM/DD/YY MM/DD/YYTo view or verify authenticity of RQI eCards, students and employers should scan

this QR code with their mobile device or go to http://cpr.heart.org/RQIverify © 2017 American Heart Association. All rights reserved. 15-3213 1/17


eCard Code

QR Code

RQI Site Location




ACLSProvider



Advanced Cardiovascular Life Support (ACLS) Resuscitation Quality Improvement Program (RQI).

PEDIATRIC ADVANCED LIFE SUPPORTPEDIATRIC ADVANCED LIFE SUPPORT

PALSProvider


Association Pediatric Advanced Life Support (PALS) Resuscitation Quality Improvement Program (RQI).



Directions




RQI Site Location

eCard Code




MM/DD/YY MM/DD/YYTo view or verify authenticity of RQI eCards, students and employers should scan this QR code with their mobile device or go to http://cpr.heart.org/RQIverify.

© 2017 American Heart Association. All rights reserved. 15-3214 1/17

PALSProvider

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




eCard Code

QR Code

RQI Site Location




RQI ACLS

RQI PALS

34

International eCardsThe 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 mate-rials remain the same worldwide. All translated eCards are adapted from the English international course eCards. AHA International Training Centers continue to have the option of issuing either eCards or printed cards.

Accessing eCard Profiles

Students who are issued eCards have the benefit of self-service and can access their eCard Profile any time at www.CPRverify.org.

If you have not created your profile, select “New to CPRverify? Sign up.” and fill out the form. After you sign up, log in to your profile, select “Add Course,” and enter your Verification Code Number to add to your profile. Once you provide course feedback, your eCard will be accessible under your “My Courses and Feedback” tab.

For information on replacing international cards, contact [email protected].

Heartsaver


H E A R T S A V E RH E A R T S A V E R

To view or verify authenticity, students and employers should scan this QR code with their mobile device or go to www.cprverify.org.


Training Center ID

Training Center City, Country

Training Site Name

Instructor Name

Instructor ID


Heartsaver®

CPR AEDThe above individual has successfully completed the cognitive and skills

evaluations in accordance with the curriculum of the American Heart Association Heartsaver Program.

Optional modules completed: Child CPR AED, Infant CPR, ExamDate Completed Expiration Date eCard Code

Date Completed

To view or verify authenticity, students and employers should scan this QR code with their mobile device or go to www.cprverify.org © 2016 American Heart Association. All rights reserved. 15-2833 7/16


Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

Heartsaver® CPR AED

H E A R T S A V E R


American Heart Association Heartsaver Program. Optional modules completed:

Child CPR AED, Infant CPR, Exam


Training Site Name

International

35





Training Center ID


Training Site Name

Instructor Name

Instructor ID


Heartsaver®

First Aid CPR AEDThe above individual has successfully completed the cognitive and skills


Optional modules completed: Child CPR AED, Infant CPR, ExamDate Completed Expiration Date eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

Heartsaver® First Aid CPR AED

H E A R T S A V E R



Child CPR AED, Infant CPR, Exam


Training Site Name





Training Center ID


Training Site Name

Instructor Name

Instructor ID


Heartsaver®

First AidThe above individual has successfully completed the cognitive and skills


Optional modules completed: ExamDate Completed Expiration Date eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

Heartsaver® First Aid

H E A R T S A V E R



Exam


Training Site Name

International

36

15-2822 Heartsaver Instructor eCard 15-2822 Heartsaver Instructor wallet eCard


Heartsaver®

Instructor


Association Heartsaver Program.

Date Completed Expiration Date



Training Center ID


Training Site Name

Instructor Name

Instructor ID


eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

Heartsaver®

Instructor

H E A R T S A V E R


American Heart Association Heartsaver Program.


Training Site Name

15-2855 Heartsaver Pediatric First Aid CPR AED eCard 15-2855 Heartsaver Pediatric First Aid CPR AED wallet eCard


Heartsaver® PediatricFirst Aid CPR AED


Association Heartsaver Program. Optional modules completed:Pediatric First Aid, Child/Infant CPR AED, Adult CPR AED, Exam, Asthma Care VideoDate Completed Expiration Date eCard Code



Training Center ID


Training Site Name

Instructor Name

Instructor ID


Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

Heartsaver®

Pediatric First Aid CPR AED

H E A R T S A V E R



Pediatric First Aid, Child/Infant CPR AED, Adult CPR AED, Exam, Asthma Care Video


Training Site Name

International

37

15-2800 BLS Provider eCard 15-2800 BLS Provider wallet eCard

15-2801 BLS Instructor eCard 15-2801 BLS Instructor wallet eCard


BLSProvider






Training Center ID


Training Site Name

Instructor Name

Instructor ID


eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

BLSProvider





Training Site Name


BLSInstructor






Training Center ID


Training Site Name

Instructor Name

Instructor ID


eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

BLSInstructor





Training Site Name

BLS

International

38


15-2818 ACLS Instructor eCard 15-2818 ACLS Instructor wallet eCard


ACLSProvider



To view or verify authenticity, students and employers should scan this QR code with their mobile device or go to www.cprverify.org


Training Center ID


Training Site Name

Instructor Name

Instructor ID



eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

ACLSProvider





Training Site Name


ACLSInstructor





Training Center ID


Training Site Name

Instructor Name

Instructor ID



eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

ACLSInstructor





Training Site Name

ACLS

International

39


15-2820 PALS Instructor eCard 15-2820 PALS Instructor wallet eCard

PALSProvider






Training Center ID


Training Site Name

Instructor Name

Instructor ID


PEDIATRIC ADVANCED LIFE SUPPORT PEDIATRIC ADVANCED LIFE SUPPORT

eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

PALSProvider

P E D I A T R I C A D V A N C E D L I F E S U P P O R T


American Heart Association Pediatric Advanced Life Support (PALS) Program.


Training Site Name

PALSInstructor






Training Center ID


Training Site Name

Instructor Name

Instructor ID



eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

PALSInstructor





Training Site Name

PALS

International

40


15-2823 PEARS Instructor eCard 15-2823 PEARS Instructor wallet eCard

PEARS®

Provider


Association Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS) Program.




Training Center ID


Training Site Name

Instructor Name

Instructor ID


P E A R S P E A R S

eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

PEARS®

Provider

P E A R S


American Heart Association Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS) Program.


Training Site Name

PEARS®

Instructor


Association Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS) Program.




Training Center ID


Training Site Name

Instructor Name

Instructor ID


P E A R S P E A R S

eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

PEARS®

Instructor

P E A R S


American Heart Association Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS) Program.


Training Site Name

PEARS

International

RQI BLS

The international RQI BLS Provider eCard is also translated in Japanese and simplified Chinese.

International RQI BLS Provider eCard International RQI BLS Provider wallet eCard

41


BLSProvider

The above individual has successfully completed the cognitive and skills evaluations in accordance with the curriculum of the

American Heart Association Basic Life Support (CPR and AED) Resuscitation Quality Improvement (RQI®) Program.



Directions




[email protected]

RQI Center Location

eCard Code

For Questions

© 2017 American Heart Association JN0687 JA 10/17

To view or verify authenticity of RQI eCards, students and employers should scan this QR code with their mobile device or go to http://cpr.heart.org/RQIverify.

© 2017 American Heart Association. All rights reserved. JN0687 JA 10/17

[email protected]

BLSProvider



American Heart Association Basic Life Support (CPR and AED) Resuscitation Quality Improvement (RQI®) Program.


eCard Code

QR CodeFor Questions

RQI Center Location

International

Irish Heart Foundation

The Irish Heart Foundation (IHF) conducts AHA training within the Republic of Ireland, and cobranded eCards are issued for the BLS provider and instructor courses. See the International Course eCards in the Course Card Index.

15-2006 IHF BLS Provider eCard 15-2006 IHF BLS Provider wallet eCard

15-2007 IHF BLS Instructor eCard 15-2007 IHF BLS Instructor wallet eCard

42


BLSProvider



Date Completed Expiration Date eCard Code



Training Center ID


Training Site Name

Instructor Name

Instructor ID


Date Completed

To view or verify authenticity, students and employers should scan this QR code with their mobile device or go to www.cprverify.org© 2016 American Heart Association. All rights reserved. 15-2006 7/16


Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

BLSProvider


has successfully completed the cognitive and skills evaluationsin accordance with the curriculum of the



Training Site Name


BLSInstructor






Training Center ID


Training Site Name

Instructor Name

Instructor ID


Date Completed

To view or verify authenticity, students and employers should scan this QR code with their mobile device or go to www.cprverify.org© 2016 American Heart Association. All rights reserved. 15-2007 7/16


Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

BLSInstructor


has successfully completed the cognitive and skills evaluationsin accordance with the curriculum of the



Training Site Name

International

Resuscitation Council of Southern Africa

The Resuscitation Council of Southern Africa (RCSA) issues cards in the countries where it conducts AHA training. Other International TCs in southern Africa may issue these eCards or the standard AHA course eCards. For a full list of RCSA cobranded eCards, see the International Course eCards in the Course Card Index.

15-2004 RCSA BLS Provider eCard 15-2004 RCSA BLS Provider wallet eCard

15-2005 RCSA BLS Instructor eCard 15-2005 RCSA BLS Instructor wallet eCard

43


BLSProvider






Training Center ID


Training Site Name

Instructor Name

Instructor ID


eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

BLSProvider





Training Site Name


BLSInstructor






Training Center ID


Training Site Name

Instructor Name

Instructor ID


eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

BLSInstructor





Training Site Name

International

15-2022 RCSA ACLS Provider eCard 15-2022 RCSA ACLS Provider wallet eCard

15-2027 RCSA ACLS Instructor eCard 15-2027 RCSA ACLS Instructor wallet eCard

44


ACLSProvider





Training Center ID


Training Site Name

Instructor Name

Instructor ID



eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

ACLSProvider





Training Site Name


ACLSInstructor





Training Center ID


Training Site Name

Instructor Name

Instructor ID



Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

ACLSInstructor





Training Site Name

International

15-2026 RCSA PALS Provider eCard 15-2026 RCSA PALS Provider wallet eCard

15-2024 RCSA PALS Instructor eCard 15-2024 RCSA PALS Instructor wallet eCard

45

PALSProvider






Training Center ID


Training Site Name

Instructor Name

Instructor ID



Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

PALSProvider





Training Site Name

PALSInstructor






Training Center ID


Training Site Name

Instructor Name

Instructor ID



eCard Code

Date Completed



Training Center ID

Expiration Date

Instructor Name

Instructor ID

eCard Code

QR Code

PALSInstructor





Training Site Name

International

46

International Printed CardsInternational printed cards are similar to eCards but do not have QR codes. Printed cards can be verified by going to www.CPRverify.org and entering the student’s unique CPR Verify # from the back of the card.

International

15-2854 10/17

PEELHERE

Heartsaver ®

CPR AED

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:





CourseLocation


Holder’s CPR Verify #Signature




15-2854 International Heartsaver CPR AED printed card 15-2853 International Heartsaver First Aid printed card

15-2853 10/17

PEELHERE

Heartsaver®

First Aid

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: Exam


H E A R T S A V E R F I R S T A I D H E A R T S A V E R F I R S T A I DTraining TC ID #Center Name


CourseLocation






15-2852 10/17



PEELHERE

Heartsaver®

First Aid CPR AED

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:



HEARTSAVER FIRST AID CPR AED HEARTSAVER FIRST AID CPR AEDTraining TC ID #Center Name


CourseLocation




15-2852 International Heartsaver First Aid CPR AED 15-2851 International Heartsaver Pediatric First Aid printed card CPR AED printed card

15-2851 10/17



PEELHERE

Heartsaver®


HEARTSAVER PEDIATRIC FIRST AID CPR AED HEARTSAVER PEDIATRIC FIRST AID CPR AEDTraining TC ID #Center Name


CourseLocation




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:



15-2854 10/17

PEELHERE

Heartsaver ®

CPR AED






CourseLocation






Sample printed card with CPR Verify # on the back

15-2854 10/17

PEELHERE

Heartsaver ®

CPR AED






CourseLocation






International

47

Spanish

The Spanish printed 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 Printed Course Cards in the Course Card Index.

15-2301 R3/17Esta tarjeta cuenta con medidas de seguridad exclusivas contra falsificaciones.

LEVANTAR AQUÍ

Proveedor deSVB/BLS

La persona mencionada ha realizado satisfactoriamente las pruebas cognitivas y prácticas de acuerdo con el programa de Soporte Vital Básico SVB/BLS (RCP y DEA) de la American Heart Association.

Fecha de emisión Fecha de actualización recomendada

SOPORTE VITAL BÁSICO (SVB/BLS) SOPORTE VITAL BÁSICO (SVB/BLS)

Nombre del centro ID del centrode entrenamiento de entrenamiento

Información del centro Teléfono del centro de entrenamiento Ciudad, País Código postal de entrenamiento

Lugar delcurso

Nombre del ID del instructorinstructor

Firma Nº CPRverifydel titular

© 2016 American Heart Association Manipular esta tarjeta alterará su apariencia. 15-2301

Sample Spanish Provider printed card Sample Spanish Instructor printed card

15-2300 R?/??Esta tarjeta cuenta con medidas de seguridad exclusivas contra falsificaciones.

LEVANTAR AQUÍ

Nombre del centro ID del centrode entrenamiento de entrenamiento

Dirección del centro Teléfono del centrode entrenamiento de entrenamiento

Ciudad y país del centrode entrenamiento Código postal

ID delinstructor

Firma Nº CPRverifydel titular

© 2016 American Heart Association Manipular esta tarjeta alterará su apariencia. 15-2300

La persona mencionada ha realizado satisfactoriamente las pruebas cognitivas y prácticas de acuerdo con el programa de instructores de Soporte Vital Básico (SVB/BLS) de la American Heart Association.

Fecha de emisión Fecha de vencimiento

I N S T R U C T O R S V B / B L S

InstructorSVB/BLS

I N S T R U C T O R S V B / B L S


The IHF conducts AHA training within the Republic of Ireland, and printed cards are issued for Heartsaver, BLS, and ACLS disciplines. For a full list of IHF cobranded cards, see the International Printed Course Cards in the Course Card Index.

15-2002 R3/17This card contains unique security features to protect against forgery.

PEELHERE





CourseLocation




BLS Provider

Sample IHF Provider printed card Sample IHF Instructor printed card

15-2003 R3/17This card contains unique security features to protect against forgery.

PEELHERE

TC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #





B L S I N S T R U C T O R B L S I N S T R U C T O R

BLS Instructor

Portuguese

The Portuguese printed cards are commonly issued in Brazil and Portugal. For a full list of the cards available in Portuguese, see the International Printed Course Cards in the Course Card Index.

15-2201 2/16Este cartão contém recursos de segurança exclusivos que o protegem contra falsificações.

REMOVA AQUI

Suporte Básico de Vida (SBV) Profissional

O portador acima foi aprovado nas avaliações cognitivas e de habi-lidades, de acordo com o currículo do Programa de SBV (RCP e DEA/DAE) da American Heart Association.

Data de Emissão Data de Renovação Recomendada

SUPORTE BÁSICO DE VIDA (SBV) SUPORTE BÁSICO DE VIDA (SBV)Centro de Nº ID CTTreinamento (CT)

Informações TelefoneCT Cidade, Estado CEP

Local doCurso

Nome de Nº ID Inst.Instrutor

Assinatura do Nº CPRverifyTitular

© 2016 American Heart Association Qualquer adulteração neste cartão alterará sua aparência. 15-2201

Sample Portuguese Provider printed card Sample Portuguese Instructor printed card

15-2200 2/16Este cartão contém recursos de segurança exclusivos que o protegem contra falsificações.

REMOVA AQUI

Centro de Nº ID CTTreinamento (CT)

Endereço Telefonedo CT

Cidade, Estado CEP

Nº ID Instrutor

Assinatura do Nº CPRverifyTitular

© 2016 American Heart Association Qualquer adulteração neste cartão alterará sua aparência. 15-2200

O portador acima foi aprovado nas avaliações cognitivas e de habili-dades, de acordo com o currículo do Programa de Instrutores de Suporte Básico de Vida (SBV) da American Heart Association.

Data de Emissão Data de Validade

I N S T R U T O R D E S B V

Instrutor deSBV

I N S T R U T O R D E S B V

International

48

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 update 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.

HSFC instructor cards are gold.

HSFC provider cards are silver.


The RCSA issues cards in the countries where it conducts AHA training. Other International TCs in southern Africa may issue this card or the standard AHA course card. For a full list of RCSA cobranded cards, see the International Printed Course Cards in the Course Card Index.


PEELHERE





CourseLocation




BLS Provider


Sample RCSA Provider printed card Sample RCSA Instructor printed card


PEELHERE

TC TC ID #Alignment

TC TCAddress Phone

TCCity, State ZIP

InstructorID #





B L S I N S T R U C T O R B L S I N S T R U C T O R

BLS Instructor


International

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 Cards

• MTN provider cards for AHA courses are equivalent to the corresponding AHA provider cards (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.

• The MTN may issue AHA provider cards.

• A person with a current MTN provider card may attend a discipline-specific AHA renewal or update course.

49

MTN Heartsaver CPR AED card MTN BLS Provider card

MTN Healthcare Provider card; previous BLS card MTN ACLS Provider card

Military Training Network

MTN Instructor Cards• The MTN issues AHA Instructor cards.

• MTN Instructors who wish to teach outside the MTN must align with a civilian TC and meet its affiliation require-ments. 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.

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 civilian TCs. 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 PALS Provider card MTN PEARS Provider card

MILITARY TRAINING Network PALS CARDS 3 Total cards: PALS Provider, PEARS Provider and Training Site Faculty

50

MILITARY TRAINING Network BLS CARDS3 Total cards: Provider, Heartsaver CPR AED and Training Site Faculty

MTN BLS Training Site Faculty card MTN ACLS Training Site Faculty card

MILITARY TRAINING Network PALS CARDS 3 Total cards: PALS Provider, PEARS Provider and Training Site Faculty

MTN PALS Training Site Faculty card

MILITARY TRAINING Network ACLS CARDS3 Total cards: Old Provider, New Provider and Training Site Faculty

Revised Dec 2012

Utilized until supply exhausted

Military Training Network

51

ACLSTraining Center Faculty

has been appointed as an Advanced Cardiovascular Life Support Training Center Faculty

for the American Heart Association.

TC Name TC Coordinator

Term RegionKJ1048 ACLS R10/17

Faculty Training Center FacultyTraining Center Faculty (TCF) members are appointed by their respective TCs. TCF members are responsible

for quality assurance and are the educational leadership for their respective courses within their TC network.

TCF members conduct instructor courses, monitor new and renewing instructors, and conduct updates for the

TC’s instructors. The 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.

BLSTraining Center Faculty

has been appointed as a Basic Life Support Training Center Faculty



Term RegionKJ1048 BLS R10/17

TCF certificate, card, and template are available only to TCCs, through the AHA Instructor Network.

ACLS EPTraining Center Faculty

has been appointed as an ACLS for Experienced Providers Training Center Faculty



Term RegionKJ1048 ACLS EP R10/17

PALSTraining Center Faculty

has been appointed as a Pediatric Advanced Life Support Training Center Faculty



Term RegionKJ1048 PALS R10/17

Heartsaver®

Training Center Faculty

has been appointed as a Heatrsaver Training Center Faculty for the American Heart Association.


Term RegionKJ1048 HS 10/17

PEARS®

Training Center Faculty

has been appointed as a Pediatric Advanced Life Support Training Center Faculty



Term RegionKJ1048 PEARS 10/17

Faculty

52

Regional FacultyRegional Faculty (RF) members are instructors appointed by their respective Regional ECC Committees.

RF members are responsible for quality assurance and are the educational leadership for their respective

program within their region’s instructor network. RF members are key resources for the region’s TCs. The RF

status is a region-specific volunteer appointment and is not transferable between regions or states. This card

is not an acceptable substitute for an instructor card and does not verify instructor status dates.

Regional Faculty cards are produced and distributed by the AHA National Center.

BLS Regional Faculty

John DoeTerm: July 2015– June 2016

John Doehas been appointed as a Basic Life Support Regional Faculty

for the American Heart Association XXXXXX Region.

Term: July 2015– June 2016Jane Doe, ECC Regional Committee Chair











Natio

nal Center

EC

C P

rograms

7272 Greenville A

ve.D

allas, TX 75231-4596

KJ0562

R11/14

Natio

nal Center

EC

C P

rograms

7272 Greenville A

ve.D

allas, TX 75231-4596

KJ0562

R11/14

Natio

nal Center

EC

C P

rograms

7272 Greenville A

ve.D

allas, TX 75231- 4596

KJ0562

R11/14

BLSRegional Faculty

BLSRegional Faculty

BLSRegional Faculty

Natio

nal Center

EC

C P

rograms

7272 Greenville A

ve.D

allas, TX 75231-4596

ACLS Regional Faculty


John Doehas been appointed as an Advanced Cardiovascular Life Support

Regional Faculty for the American Heart Association XXXXXX Region.


ACLSRegional Faculty











KJ0562

R11/14

Natio

nal Center

EC

C P

rograms

7272 Greenville A

ve.D

allas, TX 75231-4596

KJ0562

R11/14

Natio

nal Center

EC

C P

rograms

7272 Greenville A

ve.D

allas, TX 75231-4596

KJ0562

R11/14



PALS Regional Faculty


John Doehas been appointed as a Pediatric Advanced Life Support Regional

Faculty for the American Heart Association XXXXXX Region.





Faculty for the American Heart Association XXXXXX Region .





Faculty for the American Heart Association XXXXXX Region.


Natio

nal Center

EC

C P

rograms

7272 Greenville A

ve.D

allas, TX 75231-4596

KJ0562

R11/14

Natio

nal Center

EC

C P

rograms

7272 Greenville A

ve.D

allas, TX 75231-4596

KJ0562

R11/14

Natio

nal Center

EC

C P

rograms

7272 Greenville A

ve.D

allas, TX 75231- 4596

KJ0562

R11/14

PALSRegional Faculty




• Term of appointment• Valid until further notice• Cards are hard plastic

Back of Card

• AHA ECC mission statement• Signature of appointed RF member (in ink)


• Issue dates beginning June 2010• Valid until further notice• Name of the appointing TC• Term of the appointment (eg, 1/2017-1/2019)• 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.

Faculty

Card IndexUnited States Course CardsBelow is a list of the United States eCards, printed course cards, and corresponding product codes.

Only current AHA Training Centers may order course cards.

CourseCurrent Previous

eCard Printed Card eCard Printed Card

Heartsaver

Heartsaver CPR AED 15-300415-181015-1817

90-3005 90-1813

Heartsaver First Aid 15-300515-181115-1816

90-3004 90-1814

Heartsaver First Aid CPR AED 15-300215-181215-1818

90-3006 90-1815

Heartsaver Pediatric First Aid CPR AED 15-300315-181315-1815

90-1825

Heartsaver for K-12 Schools 15-3011 15-1819

Heartsaver Instructor 15-1814 90-1816

BLS

BLS Provider 15-3001 15-1805 90-3001 90-1801

BLS Instructor 15-1804 90-1800

ACLS and ACLS EP

ACLS Provider 15-3000 15-1803 90-3000 90-1806

ACLS Instructor 15-1802 90-1804

ACLS Experienced Provider 15-3007 15-1801 90-3008 90-1812

ACLS EP Instructor 15-1800 90-1811

PALS and PEARS

PALS Provider 15-3006 15-1807 90-3002 90-1818

PALS Instructor 15-1806 90-1817

PEARS Provider 15-3008 15-1809 90-3003 90-1819

PEARS Instructor 15-1808 90-1823

RQI

RQI Responder 15-3234

RQI BLS Healthcare Provider 15-3236 15-3212

RQI ALS Healthcare Provider 15-3235 15-3213

RQI PALS Healthcare Provider 15-3233 15-3214

53

Card Index

International Course eCardsBelow is a list of the international, IHF, and RCSA course eCards and corresponding product codes.


54

Course eCard

International

Heartsaver CPR AED 15-2833

Heartsaver First Aid 15-2832

Heartsaver First Aid CPR AED 15-2826

Heartsaver Pediatric First Aid CPR AED 15-2855

Heartsaver Instructor 15-2822

BLS Provider 15-2800

BLS Instructor 15-2801

ACLS Provider 15-2817

ACLS Instructor 15-2818

PALS Provider 15-2819

PALS Instructor 15-2820

PEARS Provider 15-2824

PEARS Instructor 15-2823

Course eCard







ACLS Provider 15-2022

ACLS Instructor 15-2027

PALS Provider 15-2026

PALS Instructor 15-2024

International eCards are available in the following languages for both provider and instructor courses.

Language Heartsaver BLS ACLS PALS PEARS

International English X X X X X

Arabic X X

Chinese (Simplified) X X X

German X X

Italian X X

Japanese X X X X X

Korean X

Polish X X

Portuguese X X X X

Spanish X X X X

Card Index

International Printed Course CardsBelow is a list of the international printed course cards and corresponding product codes.


55

Course Printed Card

International Current Previous

Heartsaver CPR AED 15-2854

Heartsaver First Aid 15-2853

Heartsaver First Aid CPR AED

15-2852

Heartsaver Pediatric First Aid CPR AED

15-2851

Portuguese Current Previous

Heartsaver CPR AED 15-2217 90-2231US


15-2216 90-2223US

Heartsaver Instructor 15-2218 90-2224US

BLS Provider 15-2201 90-2222US

BLS Instructor 15-2200 90-2221US

ACLS Provider 15-2211 90-2220US

ACLS Instructor 15-2210 90-2219US

PALS Provider 15-2231 90-2226US

PALS Instructor 15-2229 90-2225US

Spanish Current Previous



15-2319 90-2322US

Heartsaver Instructor 15-2321 90-2323US







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For more information on American Heart Association

lifesaving courses and programs contact us:

877-AHA-4CPR cpr.heart.org

To view purchase options, visit:

www.heart.org/purchaseoptions

7272 Greenville Avenue

Dallas, Texas 75231-4596, USA

www.heart.orgKJ0916 R9/18

ECC

Documents

Emergency Cardiovascular Care Course Card Reference Guide