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CPR Training - BEACON by Code One
Healthcare Provider American Heart Courses
BLS Provider
ACLS Provider
PALS Provider
Healthcare Provider Bundle by Code One
Non-Healthcare Provider American Heart Courses
Heartsaver First Aid CPR AED
Stop the Bleed
CPR Superhero Hands-Only Session
Oh Baby! Infant CPR & Choking Basics
Instructor-Led Courses
EMS Programs
Help Me Find a Course
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Course Completion Worksheet
"
*
" indicates required fields
Course Information
Lead Instructor:
*
Additional Instructors:
Course Date
*
MM slash DD slash YYYY
Start Time
*
Hours
:
Minutes
AM
PM
AM/PM
End Time
*
Hours
:
Minutes
AM
PM
AM/PM
Course:
*
Select Course
ACLS Provider (Initial/Update)
Advanced ECG
BLS Provider
Heartsaver
Heartsaver Pediatric
Medication Administration / Epi Refresher
PALS
Location:
*
Select Location
Off Site
Allentown
Blue Bell
Boston / Woburn
Charleston
East Hartford
New Haven / Woodbridge
Philadelphia
Portland
Savannah
Stamford
Willimantic
Worcester
Off Site Location:
*
Hours Worked (for Off Site Differential Calculation):
*
Off Site Differential will start 10/1/2019.
Did any participants add on Coast Guard credential?
*
If YES, student must complete the written Heartsaver First Aid CPR AED exam. Upload it to the class paperwork on enrollware. Brian will send them the additional certificate they’ll need for their Coast Guard licensing.
Yes
No
Complete Participants – BLS Provider:
*
Incomplete Participants
*
No Show Participants
*
Quality Assurance
Enrollware roster scores added and finalized.
*
Yes
No
No paperwork/scanning is necessary.
Reason for incomplete roster:
*
Were all participants issued books?
*
Yes
No
Reason for no books:
*
Were manikins and equipment decontaminated and cleaned?
*
Yes
No
Were all participants issued an eCard or certificate?
*
Yes
No
Reason for no eCards or certificates:
*
As of Nov 5, 2019 we are using AHA Direct Connect to issue eCards. To use this method, you must add the AHA eCard Key to your Enrollware account. For assistance, please email rich@code1web.com
Was there an Instructor Candidate Skills Verification as part of this class?
*
Yes
No
Instructor Candidate Skills Verification
*
Instructor candidate will need to complete provider exam, instructor exam, and skills test. Allow only one attempt at each during this session. Please upload skills sheet and exams to their class on enrollware.
Candidate Name
Provider Score
Instructor Score
Skills Pass/Fail
Add
Remove
Opportunities
List any trends or opportunities identified in this class:
Examples: Margaret wants to purchase an AED for her office. Daniel wants to take ACLS. There were 5 participants from Memorial Hospital because they no longer offer BLS for employees.
Facilities, Equipment, Inventory:
Office was clean and professional upon arrival:
*
Yes
No
What was wrong?
*
Please take a photo and send to amanda@code1web.com (northeast) or brian@code1web.com (southeast).
Office was left clean and professional upon departure:
*
Yes
No
Push in chairs, put away equipment, vacuum, empty trash if more than half full.
One full and sealed box of pocket masks is in stock:
*
Yes
No
One full and sealed box of first aid kits is in stock:
*
Yes
No
Adequate PPE and Cleaning Supplies:
*
Yes
No
Add Inventory
Received a new shipment of books / masks / first aid kits.
Inventory Added
Items added to inventory: Please include name of item, quantity, and last 4 digits of tracking number if it was shipped. Items added to inventory should be included in the overall item count below.
Count remaining BLS Provider books:
*
A sealed box contains 30 books.
All equipment is clean and in good working order:
*
Yes
No
Virtual skills station is clean, organized, stocked, and logged into the skills meeting::
*
Yes
No
What equipment needs attention?
Any equipment that is unsafe must be taken out of service and tagged “Out of Service.” Please report any equipment that requires repair as well.
Is there anything we can do to make Code One better?
*
Yes
No
How can we improve?
Notes:
Thermostat
*
Thermostat set to 62 degrees (winter), 80 degrees (summer)
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