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Staff Assistance Visits

Staff Assistance Visits. SFC Stephen Dohn. Overview. Purpose Resources SAV Process Trends/Common Discrepancies AHA Course Monitoring. Purpose. MTN is AHA’s largest Regional Training Center Maintain highest standards Measure and assess adherence Complete SAVs on minimum 10% annually.

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Staff Assistance Visits

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  1. StaffAssistance Visits SFC Stephen Dohn

  2. Overview • Purpose • Resources • SAV Process • Trends/Common Discrepancies • AHA Course Monitoring

  3. Purpose • MTN is AHA’s largest Regional Training Center • Maintain highest standards • Measure and assess adherence • Complete SAVs on minimum 10% annually

  4. Purpose • Criteria for SAV • Training Site needs • Training Site due • Geography • Budget

  5. Purpose • SAV Notification Process • MTN Staff contacts Training Site NLT 30 days prior to visit • Confirmation letter and administrative review checklist sent to Training Site

  6. Purpose • SAV Components • Inspection piece • Ensure AHA/MTN adherence • Mentoring piece • Teach, coach, mentor

  7. Resources • Administrative Review Checklist • Course Monitoring Review • AHA Manuals • MTN Handbook • MTN Staff

  8. Resources • Websites • www.usuhs.mil/mtn • MTN Handbook • Tutorials • Forms • www.ahainstructornetwork.americanheart.org • AHA Instructor Network

  9. Resources • Websites (cont.) • www.heart.org/cpr • AHA Guidelines • AHA Memorandums • AHA Circulations • www.heart.org/eccstudent • Student Website • Pre-tests

  10. Site Visit Process • In-brief with Command • 5-10 minute brief to explain process to Command element • Administrative Review • Equipment Review • Course Monitoring • Out-brief with Command

  11. Administrative Review Checklist • Four Focused Function Areas • Organization Focused Functions • Administrative/Continuity Binder • Course Focused Functions • Agendas, card issuance • Instructor Focused Functions • Instructor folders • Equipment Focused Functions

  12. Course Monitoring Review • Facility and class structure • Course content • Instructor knowledge • Equipment and materials

  13. Site Visit Scoring

  14. Trends/Common Discrepancies • Missing paperwork • Instructor Renewal Forms • Instructor Monitoring Forms • Copy of Instructor Cards (signed, front & back) • 2010 AHA Updates certificate • Core Instructor Course certificate

  15. Trends/Common Discrepancies • Equipment • Missing equipment • Equipment to student ratio • AED Trainers (1:3) • Non-functioning equipment

  16. Trends/Common Discrepancies • Late reports • PCRs past 30 days • Annuals/Semi-Annuals past due date • Re-affiliations past due date • Card discrepancies • Counts off • Not in double lock system

  17. Post SAV Actions • MTN • AAR and Administrative review will be sent to Training Site • Approximately 30 days • Training Site • Correct any discrepancies noted during SAV • Provide MTN with proof of corrective actions (receipts, MFRs) if needed

  18. Course Monitoring • Was the facility accessible to persons with a disability? • Was there adequate floor and/or table space to practice CPR? • Did the Student-Instructor ratio meet AHA guidelines?

  19. Course Monitoring • Were students given the opportunity to evaluate the course? • Was the MTN post course evaluation form used? • Did the form give the student the opportunity to evaluate the instructor? • Were directions given for sending form directly to MTN if desired?

  20. Course Monitoring • Was a Post Course Report with all required information used and completed at the end of the course? • Please provide any additional comments about the Facility/Class structure

  21. Course Monitoring • Was the AHA core course content completely covered? • During the course, did the instructor use only AHA material? • Was added content clearly identified as not being AHA approved? • Added content was not presented during AHA station?

  22. Course Monitoring • Added content did not contradict AHA • Added content did contradict AHA • Was the skill practice time adequate according to the requirements of the Lesson Maps? Were Lesson Maps present? • Were AHA scenarios used throughout the course?

  23. Course Monitoring • Was high quality CPR actually performed as necessary throughout the course? • Did the instructor refrain from lecturing during the practice stations except as outlined in the Lesson Maps • Did the instructor take corrective measures when students made mistakes during practice stations?

  24. Course Monitoring • Were the AHA skills performance checklists used for skill evaluation? • Did the instructors avoid prompting students during skills testing? • Did all instructors evaluate the students according to the critical skills descriptions identified, remediated, and reevaluated?

  25. Course Monitoring • Was sufficient skill evaluation and written exam remediation provided to students who needed it? • Were only the most recent and unaltered AHA written exams used? • Was the written exam held in an area free of distraction?

  26. Course Monitoring • How many students scored less than 84% on initial written exam? • How many students scored less than 84% after remediation? • Describe how students were remediated on the skills evaluations? • How many students did not pass the course?

  27. Course Monitoring • Were all appropriate AHA audiovisual materials used? • Was all the required equipment available and in sufficient quantities as listed in the instructor manual? • List all missing equipment • Was all equipment clean and in good working order?

  28. Course Monitoring • Were instructors familiar with equipment and able to perform any necessary troubleshooting? • Were all students given the opportunity to use the AED? • Were all students given the opportunity to use the defibrillator?

  29. Course Monitoring • Were team roles consistently assigned by the team leaders? (ACLS/PALS) • Were all students engaged in each scenario? (ACLS/PALS) • Did each student serve as team leader as required? (ACLS/PALS)

  30. Course Monitoring • Was debriefing performed as indicated in the Lesson Maps and consistently throughout the course? (ACLS/PALS) • Were students provided a course agenda at the start of the course? (ACLS/PALS) • Did each student complete the pre-course assessments? (ACLS/PALS)

  31. Course Monitoring • Reviewer’s Overall Score • Successful monitoring with recommendations (all “yes” scores) • Successful monitoring with required improvements (scored mostly YES with some “yes-with requirements”; no more than one “no” score) • Unsuccessful monitoring, required improvements noted (2 or more “no” scores)

  32. Summary • Purpose • Resources • SAV Process • Trends/Common Discrepancies • AHA Course Monitoring

  33. QUESTIONS • SFC Stephen Dohn • MTN NCOIC • ACLS Program Manager • (301)295-1476 DSN: 295-1476 • stephen.dohn@usuhs.edu

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