als program - standard operating guidelines

Operational Guidance for Training

Center Administration, Affiliates, and

Aligned Instructors

Developed by:

Advanced Life Support (ALS) Programs

A Division of UNC Nursing Practice and Professional Development

Effective Date: 1 January 2013

ALS Program – Standard Operating Guidelines Table of Contents

Role of Training Center 20145

Sponsorship of AHA Courses 20150

AHA Course Validity and Credit 20155

UNC-CTC Quality Assurance Plan 20160

Conflict/Dispute Resolution 20165

Role of Training Center Faculty 20170

AHA Training Center Fees 20175

Definition of an Instructor 20180

AHA/ALS Program Instructor Requirements 20185

Training and Alignment of Instructors 20190

Instructor Transfer to UNC-CTC 20195

AHA Instructor Renewal 20200

Cleaning and Decontamination of Equipment 20205

Conducting BLS Class 20210

Class Reporting and Maintenance of Records 20215

Processing and Distribution of AHA Cards 20220

ALS Program - Standard Operating Guidelines

Subject Role of Training Center

Number 20145

Effective Date October 2011

ALS Program Manager ______________________________Date: _____/_____/_____

The purpose of this Standard Operating Guideline (SOG) is to define and outline the

roles and responsibilities of the UNCH AHA Training Center.

UNC Healthcare-CTC is part of a network established by the AHA to serve the

employees of UNC Healthcare and its affiliates, broaden the outreach for Basic and

Advanced courses and to further prepare citizens and organizations to strengthen

the Chain of Survival. The CTC is responsible for:

I. Program administration and course quality

a. Serve as quality assurance and educational leadership for the Training

Center;

b. Monitor, update and coach instructors;

c. Assists with at least one instructor course every two years as requested

by the Training Center Coordinator.

d. Develop, monitor and update instructors under the direction of the Training

Center Coordinator

II. Instructor resource management:

a. Training instructors

b. Managing alignment of instructors

c. Providing instructor and class reporting tools

d. Monitor, update and coach instructors

III. Effective communication with instructors, students and designated Training Sites

regarding guidelines, policies, procedures, and course updates; and

IV. Serving as the key resource for information, support and quality control for all

AHA instructors aligned with the UNC-CTC.

V. Providing resources for expanding community CPR initiatives.

VI. Sets fees for services.

VII. Provides a mechanism for conflict and dispute resolution.


Subject Sponsorship of AHA Courses

Number 20150

Effective Date August 2011


The purpose of this Standard Operating Guideline (SOG) is to provide a strategy for oversight and

monitoring of AHA classes, by defining “teaching sites” and identifying personnel authorized to

conduct courses.

I. All ALS program courses must be taught by approved AHA Instructors who are affiliated with the

UNC-CTC.

a. Occasional use of subject matter experts who are not certified AHA instructors are

permitted, however limited to no more than ten percent of total instructors for a given

course.

b. Use of adjunct AHA instructors aligned with other AHA Training Centers is approved.

The Lead Instructor must provide non-aligned instructors with AHA Instructor

Reporting Forms which they can submit to their Training Center as evidence of the

teaching activity.

I. Basic Life Support courses may be taught at any site that has sufficient space and provides

convenient access to students. All Basic Life Support teaching sites must have the following:

a. Sufficient classroom space to accommodate the total number of students enrolled;

b. Audio and video equipment sufficient to run the AHA course DVD and with a visible

viewing area large enough to accommodate the class;

c. Sufficient space to perform skills testing. This area must be capable of providing

students with a reasonably undisturbed skill testing experience; and

d. Minimum equipment list as stated in the pertinent instructor manual.

II. All Advanced Life Support courses are coordinated by the UNC-CTC ALS Program Manager.

a. The ALS Program Manager may assign a Lead Instructor other than him/herself but

must be available to provide assistance and consultation to the Lead Instructor if

needed.

III. With the exception of approved Training Center Sites, all Advanced Life Support courses will be

conducted at the UNC-CTC Training Center.


Subject AHA Course Validity and Credit

Number 20155


The purpose of this Standard Operating Guideline is to provide official

documentation regarding the validity of American Heart Association (AHA) courses

and to outline what credit is made available to students participating in courses

sponsored by UNC.

I. Courses offered within the Advanced Life Support (ALS) program are American

Heart Association programs of various disciplines.

II. All ALS program courses are conducted in-accordance with the most current

AHA guidelines and meet ALL standards outlined in the most current edition of

the AHA Program Administration Manual.

III. Students successfully completing an AHA course receive a completion card valid

for 2 years through the end of the month in which the card was issued.

a. The American Heart Association requires that students must receive their

AHA class completion cards no more than 20 days after completing the

class.

i. It is the belief of the UNCH ALS Programs AHA Training Center

Manager that students are entitled to receive their course

completion cards as quickly as possible.

IV. To successfully complete any American Heart Association program:

a. Students must attend the entire class.

i. Students who arrive late, after the class begins must be turned

away or the instructor may elect to “make up” the missed materials

with the student.

b. Students must successfully complete any associated cognitive and

performance examinations.

ALS Program Manager: _______________________________Date: ______________


Subject UNC-CTC Quality Assurance Plan

Number 20160

Effective Date May 2011


The purpose of this Standard Operating Guideline (SOG) is to develop a uniform

and effective Quality Assurance (QA) plan for all ALS Programs at UNC.

I. QA continues to be the key to effective ECC training programs. To ensure proper

QA/Monitoring, the UNC-CTC and its instructors will:

a. Use only current AHA written exams, skill evaluations and content in all

courses that require testing for issuance of a course completion card;

b. Ensure each student has the most current AHA textbook before, during

and after courses, as well as the accompanying CD, when applicable;

c. Develop and incorporate a written strategy for monitoring and renewing

affiliated instructors;

d. Maintain security of course cards and written examinations through

locking cabinets and daily on-site supervision;

a. Examination materials must be stored in a locking area.

b. Examination materials cannot be posted to:

i. Website

ii. Open, unsecure network drives

e. Maintain adequate resources to complete all course requirements. This

includes, but is not limited to, equipment, staff and budget;

f. Develop and incorporate a written internal dispute resolution policy;

g. Ensure all course records are properly completed and filed;

h. Develop and incorporate a strategy for monitoring courses taught at

remote sites; and

i. Develop and incorporate a mechanism to evaluate classes, instructors

and program administration


Subject Conflict/Dispute Resolution

Number 20165



The purpose of this Standard Operating Guideline (SOG) is to define and outline the ALS

Programs/AHA Training Center methodology for conflict/dispute resolution..

I. It is conceivable that instructors or Training Site Coordinators may be faced with conflicts

involving (but not limited to) the following:

a. ALS Programs/AHA/TC-Site class attendance policies

b. ALS Programs/TC-Site dress code

c. Student behavior

d. Testing, scoring and remediation.

II. In the event such conflict arise at the class level:

a. The Lead Instructor/ Class Coordinator should be the first line in conflict resolution.

i. The LI/CC should make every attempt to resolve the issue using, as reference,

the AHA Program Administration Manual, UNCH ALS Programs SOG document

and/or the AHA Instructor manual for the discipline taught.

b. If the conflict/dispute cannot be reconciled by the LI/CC, the issue should be referred to

the Training Site Manager for approved Training Sites.

c. If a TC-Site is not involved or cannot reconcile the conflict/dispute, the issue should be

referred to the UNCH ALS Program Training Center Manager.

d. If a ALS Program Training Center Program Manager cannot reconcile the conflict/dispute,

the issue should be referred to the UNCH Director of Nurse Practice and Professional

Development.

e. At any time during the process of conflict/dispute resolution, the student or instructor

initiating the complaint may take the issue directly to the American Heart Association.

i. The person initiating the complaint should be made aware, up front, of this

option.

III. The resolution of any conflict should be handled with due regard for professionalism and

courtesy. Instructors, TC-Site Coordinators, the AHA Training Center Manager and others

involved should, at all times, be cognizant that they represent the UNCHCS.

IV. All conflicts/disputes should be resolved as quickly and efficiently as possible.

V. All conflicts/disputes and the process of resolution should be reported to the ALS Programs AHA

Training Center Manager within 14 business days of the conflict/dispute.

a. The ALS Programs AHA Training Center Manager may be contacted by the American

Heart Association about any conflict/dispute and should have all necessary information to

defend the resolution made by instructors, Site Coordinators, etc.


Subject Role of Training Center Faculty

Number 20170



The purpose of this Standard Operating Guideline (SOG) is to define and outline the

roles and responsibilities of Training Center Faculty (TCF) at UNC.

I. TCF is defined as an instructor, affiliated with the UNC Training Center who has

met all AHA requirements.

II. TCF are responsible for quality assurance and are the educational leadership for

the Training Center instructors.

III. TCF perform duties for the Training Center beyond those of standard instructors.

These duties include:

a. Serve as quality assurance and educational leadership for the Training

Center;

b. Monitor, update and coach instructors;

c. Assists with at least one instructor course every two years as

requested by the Training Center Coordinator; and

d. Develop, monitor and update instructors under the direction of the

Training Center Coordinator.

IV. Monitors a minimum of four courses annually taught by instructors and training

sites. These cannot be courses in which the TCF are affiliated instructors.

a. Completes appropriate Training Center – Course Monitoring Forms

and submits them to the Training Center Coordinator.

V. Monitors instructors for renewal.

a. Completes appropriate Instructor Monitoring Form and submits them to

the Training Center Coordinator.

VI. Administers provider written exams to instructors as part of their renewal

process.

a. Submits the scored provider exam to the Training Center Coordinator


Subject AHA Training Center Fees

Number 20175


ALS Program Manager: ____________________________Date: _____/_____/_____

The purpose of this Standard Operating Guideline (SOG) is to create a standard fee

structure for AHA Training Center services provided to UNC affiliated and non-

affiliated persons.

I. Fees for service are set by the manager of the UNCH Advanced Life Support

Program.

II. Fee are charged for the following services:

a. Printing and issuance of AHA class completion cards.

b. Reprinting cards due to loss.

c. Class enrollment

d. Training Center alignment

e. Annual Training Center membership fees

f. Instructor records transfer fee

III. A complete listing of ALS Programs AHA Training Center fees are available upon

request.


Subject Definition of an Instructor

Number 20180

Effective Date March 2011


The purpose of this Standard Operating Guideline (SOG) is to define the various

types of Instructors affiliated with UNC and to briefly establish the roles and

responsibilities of UNC Training Center Faculty. Refer to SOG_ALS 2011.7, Role of

Training Center Faculty for more information.

I. An Instructor is defined as any persons affiliated with the UNC AHA Training

Center to provide AHA programs to the staff of UNC Health Care Systems, its

affiliates, the Community and to healthcare providers not affiliated with UNC

HCS. The types of Instructors affiliated with UNC AHA Training Center is as

follows:

a. Affiliated Instructor is defined as any instructor who is affiliated directly

with UNC HCS or its affiliates.

b. Community Instructor is defined as any instructor who is not affiliated with

UNC HCS or its affiliates but is aligned with the UNC Training Center to

teach AHA programs to the community. Primarily, these instructors do not

charge a fee for their service beyond that which the UNC Training Center

charges the instructor.

II. Training Center Faculty (TCF) is defined as an instructor, affiliated with the UNC

Training Center who has met all AHA requirements Training Center Faculty

requirements. TCF staff performs duties for the Training Center beyond those of

standard instructor.

These duties include: monitoring of instructors, monitoring the quality of classes,

teaching instructor courses and testing/evaluating instructors for renewal of AHA

instructor credentials.


Subject AHA/ALS Program Instructor Requirements

Number 20185

Effective Date October 2011 – Updated October 2014


This Standard Operating Guideline (SOG) is developed to establish a standard for

Instructor participation in AHA/ALS Programs at UNC-CTC.

I. AHA Instructors must follow all requirements in accordance with the AHA

Program Administration Manual (PAM), plus those set forth by the UNC-CTC as

follows:

a. Within the two year certification period, Instructors will teach a

minimum of two courses for each discipline, in which the instructor

holds certifications.

Note: A “course” is defined as one single group of students.

II. BLS instructors must teach an entire BLS course to receive credit for the class.

III. ACLS and PALS instructors must teach a minimum of a half-day or equivalent to

receive credit for the course.

IV. Instructors must teach at least one class per discipline at the ALS Programs

Training Center facility. This class should be taught in the final six months of the

instructor’s renewal period and is for the purpose of monitoring the instructor for

renewal purposes.

a. For renewal purposes instructors must score a minimum of 90% on the

AHA written exam for the discipline(s) they teach.

V. Instructors must attend any mandatory Training Center updates or instructor

meetings.

a. Failure to attend mandatory meetings will result in the immediate

suspension of instructor privileges through the UNCH ALS Programs AHA

Training Center.

VI. Instructors must remain up-to-date and knowledgeable on AHA guidelines,

teaching materials and course specific cognitive and psychomotor domains.


Subject Training and Alignment of Instructors

Number 20190



The purpose of this Standard Operating Guideline (SOG) is to create a standard process for the

training and aligning of AHA instructor with the UNC-CTC.

I. Instructor Candidates apply to attend a UNC-CTC instructor training class or Instructor

Development Process.

a. The IC must submit a completed application to the Training Center;

b. The IC must submit copies of current AHA provider cards for each discipline in which he

or she is qualified to teach and wishes to transfer to UNC.

c. The IC submits copies of the AHA Instructor Essentials certificate of completion.

d. The IC submits a resume or CV with emphasis on his/her teaching background.

e. The IC either attends an Instructor Training Class or is enrolled in the Instructor

Development Program.

II. The IC observes (shadows) a ALS Programs AHA class of the discipline he/she is applying to

teach.

a. The purpose of this is so that the IC can see how a class is properly run and how the ALS

Programs AHA Training Center expects classes to be managed.

III. The IC team-teaches in another class. During this class the IC will act in the role of Lead

Instructor for some part of the class and is monitored by the Training Center Coordinator and/or

designee in each discipline for which the IC has applied to teach as follows:

a. BLS – Lead Instructor

b. ACLS – Case simulations, Putting it all Together and Megacode/Simulations

c. PALS – Core Case Simulations, Putting it all Together and Core Case Testing.

IV. Once the IC is monitored, the Training Center Coordinator will make a final decision to accept the

IC request for transfer.

V. Upon completion of the above requirements the IC and the ALS Programs AHA Training Center

Manager will meet to determine if both parties believe that alignment with the UNCH AHA TC is a

good fit for all.

a. If both parties agree that the IC alignment is in the best interest of both, the TC Manager

will accept the IC as an instructor with full privileges as outlined in this document.

VI. The TC Manager reserves the right to discontinue the alignment of any instructor at any time.

a. Instructor alignment is at the sole discretion of the TC Manager and may be dissolved at

any time in which the TCM feels that the Training Center mission is not being well served

by the alignment.


Subject Instructor Transfer to UNC-CTC

Number 20195



The purpose of this Standard Operating Guideline (SOG) is to create a standard process for assisting

an existing AHA instructor with transfer from another training center to UNC-CTC.

I. Instructor Candidates (IC) wishing to transfer to UNC-CTC will follow the process set forth by the

Training Center Coordinator.

II. The initial process for transfer to UNC AHA Training Center is as follows:

a. The IC must submit a completed application to the Training Center;

b. The IC must submit copies of current AHA Instructor cards for each discipline in which he

or she is qualified to teach and wishes to transfer to UNC;

c. The IC must attend a New Instructor Orientation session, which will be scheduled with

the Training Center Coordinator; and

d. The IC must attend a regularly scheduled AHA course held at the UNC training facility, as

an observer, for each discipline he or she applies to teach. This will enhance the

Instructors knowledge of logistics and methodology.

III. The IC will then be monitored by the Training Center Coordinator and/or designee in each

discipline for which the IC has applied to teach as follows:

a. BLS – Lead Instructor

b. ACLS – Case simulations, Putting it all Together and Megacode

c. PALS – Core Case Simulations, Putting it all Together and Core Case Testing.

IV. Once the IC is monitored, the Training Center Coordinator will make a final decision to accept the

IC request for transfer.

V. If the TC Coordinator accepts the IC’s request for transfer:

a. The IC will be provided a records transfer form;

b. The IC will send the records transfer form to his or her former training center; and

c. The IC’s training center will forward all pertinent records data to the UNC-CTC.

VI. Once the IC’s records are received, the IC will be accepted as an Instructor with the UNC-CTC.


Subject AHA Instructor Renewal

Number 20200


This Standard Operating Guideline (SOG) is developed to establish a standard for Instructor renewal.

I. Within the two year certification period, Instructors will teach a minimum of four courses for each

discipline, in which the instructor holds certifications.

Note: A “course” is defined as one single group of students.

II. Within the six month time frame prior to the instructor’s must renewal date:

a. The instructor must teach at least one class at the ALS Programs Training Center facility.

b. The instructor is monitored in a Lead Instructor capacity by an ALS Programs AHA

faculty member.

c. The instructor takes the cognitive examination for the discipline and must score a

minimum of 90%.

d. The instructor must have attended any mandatory Training Center updates or instructor

meetings.

III. Upon completion of the requirements above, the ALS Programs AHA Training Center manager

will issue an updated instructor card.

IV. Instructor card renewal date:

a. The renewal date of instructor cards shall be the last day of the month, two years from

the date the instructor meets all renewal requirements and the new card is issued.

b. Instructor cards issued prior to the Recommend Renewal Date of their existing card will

have an expiration based on the issue date of the initial card.

V. Lapsed Instructor Cards:

a. Once an instructor’s card expires, that instructor cannot participate as a Lead Instructor in

any AHA class and the ALS Programs AHA Training Center cannot issue student

completion cards bearing the instructor’s name.

b. Lapsed instructors have a maximum of six months to meet all renewal requirements to

renew.

c. Instructors who are lapsed for greater than six months shall have their status changed to

“Inactive”.

d. If an instructor who is lapsed for greater than six months desires to continue as an AHA

instructor, he or she must retake an AHA instructor class or apply for entry into the ALS

Programs AHA Training Center Instructor Development Program.


Subject AHA Instructor Renewal

Number 20200


VI. Instructors whose card lapses for any of the following reasons shall be granted an extension past

the six months deadline to renew:

a. Catastrophic illness or disability leading to the instructor’s inability to meet renewal

requirements.

i. This may include illness of direct family members requiring commitment of the

instructor to care for the family member.

b. Pregnancy during the last six months of the certification period. The pregnancy must be a

key factor in preventing the instructor from meeting renewal requirements.

c. Military deployment during the last six months of the certification period resulting in the

instructor’s inability to meet renewal requirements.

d. Any other condition or circumstance in which the ALS Programs AHA Training Center

Manager deems appropriate to grant an extension.

e. The ALS Programs AHA Training Center Manager shall issue a extension based on the

time the instructor’s circumstances prevented him/her from meeting renewal

requirements.

i. NOTE: This is not an extension of the renewal date. It is an extension of the time

an instructor is given past the six month deadline for renewal. The instructor is,

indeed, lapsed and cannot participate as a Lead Instructor in any class.



Subject Cleaning and Decontamination of Equipment

Number 20205



This Standard Operating Guideline (SOG) is developed to establish a standard for

cleaning and disinfecting UNC-CTC training equipment.

I. All manikins and biomedical equipment used in ALS programs, whether on/off-

site must be cleaned and/or disinfected after each use. It is the responsibility of

the Lead Instructor to:

a. Ensure that all equipment is cleaned using cleaning products

recommended and approved for the cleaning of biomedical equipment;

b. Ensure that manikins are disinfected using an UNC-HCS approved

surface disinfectant product known to be safe for cleaning teaching

equipment such as CPR manikins, human simulation manikins etc;

c. Ensure that manikin lungs are changed after each use and appropriate

size lungs are replaced; and

d. Ensure that all cushion face masks (i.e. Pocket Face Mask) are

cleaned following use and prior to next scheduled BLS, ALCS or PALS

course.


Subject Conducting BLS Class

Number 20210


The purpose of this Standard Operating Guideline is to provide official

documentation regarding the expectations of the American Heart Association and

the UNCH ALS Program AHA Training Center as related to conducting BLS

Classes.

I. All AHA BLS classes must be taught in compliance with the requirements found

in the AHA Instructor Manual for the specific class and the AHA Program

Administration Manual.

II. Minimum equipment for conducting a BLS class:

a. Manikins designed for training of chest compression and ventilations.

i. The ratio of students to manikins cannot be greater than 3:1.

1. Whenever possible a 1:1 ratio is preferred.

ii. Infant and child classes must use appropriate manikins.

b. One-way-valve or other ventilation barrier device: 1 per student

c. Ventilation mask designed for use with the manikins used in the class.

d. DVD specific to the class taught and device to play the DVD.

i. The AHA requires that the DVD for a class be used in its entirety,

start-to-finish.

1. Use of the DVD must be in an instructor-led class

environment. In other words, it is not permissible to give a

student a DVD to watch off line without the ability to practice

skills in the presence of an instructor.

e. Automated External Defibrillator (AED). All BLS classes now teach AED

use. Instructors must use either a Trainer AED (preferred) when available.

If a trainer AED is not available, instructor can use a “real” AED to show

the functions.

i. DO NOT activate the AED.


Subject Conducting BLS Class

Number 20210


f. Adult and pediatric Bag-valve-mask for use in BLS for Healthcare Provider

class.

III. Attendance Requirement:

a. Students must attend 100% of the class. Late arrivals and students who

leave prior to the class cannot be given credit for a class unless the

instructor has a method in place for the student to make up the missed

material in an instructor-to-student setting.

IV. Testing:

a. All students must complete any required cognitive and psychomotor

examinations required of the class.

i. Note: Some classes, such as Heartsaver, do not require a written

exam.

V. Remediation:

a. Any student who cannot adequately pass a required cognitive or

psychomotor examination should be remediated by an AHA Instructor.

b. The AHA instructor providing remediation should decide if the student is

prepared for a retake of the exam.

i. Any retake of the written exam must use a different version of the

exam.

ii. Any student who fails both the initial exam and retake must retake

the class at a later date.

ALS Program Manager: _______________________________Date: ______________


Subject Class Reporting and Maintenance of Records

Number 20215



The purpose of this Standard Operating Guideline (SOG) is to create a standard process for AHA

class pre-registration, end of class reporting and maintenance of AHA records.

I. All AHA classes taught by instructors off-site should be registered using the appropriate format,

no less than five days prior to the class.

a. Off-site is defined as any location other than the AHA Training Center Facility.

b. The purpose of pre-registration of class is to allow the TC Manager the opportunity to

verify that instructors possess current instructor certifications, potentially audit the class.

II. At the conclusion of the AHA class, the instructor reports the class to the Training Center using

the appropriate reporting form.

III. Unless otherwise indicated, all fields on the student roster must be completed.

a. Email addresses are required from all students unless they either do not have one or

refuse to provide it.

IV. It is important that all assisting instructors are listed on the reporting form.

V. All students must be given an AHA Student Evaluation Form at the conclusion of class.

a. Students may return the completed form to the instructor

b. Any student who prefers not to return the evaluation to the instructor must be given the

contact information of the AHA Training center and told that they may submit it directly to

the TC Manager.

c. Any student who does not wish to submit the student evaluation to the instructor or to the

TC Manager must be given the AHA contact information and told that they can submit the

evaluation directly to the AHA.

VI. Instructors must maintain the following class information for a period not less than three years

from the date of class;

a. Student roster

b. Student written exam results

i. These may be kept as a summary with each students score if the instructor does

not wish to keep the actual written exam answer sheets for each student.

c. Student skill exam check sheets.

i. These may be kept as a summary with each students pass/fail if the instructor

does not wish to keep the actual written exam answer sheets for each student.

VII. AHA Student Evaluation Form for each student.


Subject Processing and Distribution of AHA Cards

Number 20220



The purpose of this Standard Operating Guideline (SOG) is to create a process for the processing,

printing and distribution of AHA class completion cards.

I. The ALS Programs AHA Training Center prints all cards.

a. We do not issue blank cards to instructors

II. At the conclusion of the AHA class, the instructor reports the class to the Training Center using

the appropriate reporting form.

a. Instructors must be careful to select the correct AHA class on the online roster

III. Instructors must include their AHA Instructor ID on the roster.

IV. Student names must be legible and spelled correctly.

V. Within five business days of receiving the class roster, the ALS Programs Training Center will

print the cards and contact the instructor that they are ready for pickup.

a. Cards may be picked once any fees are paid

b. Cards can be mailed by USPS

c. We will not send cards via UNCH interoffice mail.

VI. All AHA cards dispersed by the ALS Programs AHA Training center will contain the following

information:

a. Name of class

b. Student name

c. Issue date

d. Recommended renewal date

e. Training center name and ID# and address

f. Course location

g. Instructor name and AHA ID#

VII. The AHA requires that students have their class completion cards within 20 days of completing

class.

a. The ALS Programs AHA Training Center expectation is that students have their cards as

soon as possible after class.

VIII. Reprinting Cards

a. Any AHA card reprinted for the following reasons will incur a reprint fee:

i. Lost card

ii. Misspelled name on class roster

iii. Any card/roster related issue not the result of Training Center error.


Subject Use and Accountability of Equipment/Supplies

Number 20225

Effective Date Updated October 2014


This guideline will establish a standard for the use, care and accountability of all UNC-CTC

equipment and supplies to minimize fraud, waste and abuse.

I. All training equipment and supplies owned by the UNC-CTC are intended for the use of programs

offered by UNC-CTC and NPPD. These include:

a. Classes being taught to UNC HCS staff, affiliates and guests of UNC-CTC

programs; and

b. Classes taught as community outreach to non-profit entities outside UNC

HCS

II. No UNC-CTC instructor may use Training Center equipment or supplies for the purpose of

teaching classes for personal or monetary gain.

III. Limited loaner equipment is available to Instructors for community outreach programs and off-site

UNC sponsored courses.

IV. Instructors utilizing loaner equipment must complete the online BLS Supply/Equipment Loan

Request Form and submit prior to being issued loaner equipment.

a. The online request form should be submitted 5 days prior to the scheduled

course or early enough to allow adequate response from CTC staff; and

b. The online form will serve as the UNC-CTC official equipment request and

must be completed in detail to ensure items are made available for issue.

V. Equipment may be reserved at any time but may only be picked up when a UNC-CTC staff

member is onsite and equipment has been reserved In-Accordance-With SOG_2012.1

VI. All UNC-CTC durable equipment items must be cleaned and returned to UNC-CTC in a

serviceable condition.

a. Durable equipment must be cleaned and disinfected using standard cleaning

and infection control practices established by UNC-CTC and outlined in

SOG_ALS 2011.6;

b. Instructors will be responsible for reporting non-serviceable equipment items

and any items damaged or stolen while in their possession and

c. Instructors are required to sign the “issue” and “return” section of the BLS

Supply/Equipment Loan Request Form with a UNC-CTC staff member

whenever equipment is being borrowed.

als program - standard operating guidelines

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