American Heart Association Emergency Cardiovascular Care Program
Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2018
Instructions: Training Center Faculty (TCF) or Regional Faculty (RF) should use this form to assess the
competencies of instructor candidates and renewing instructors. For each competency, there are several
indicators or behaviors that the instructor may exhibit to demonstrate competency.
To be used in conjunction with the Instructor/TCF Renewal Checklist.
Role of the RF/TCF Observer:
The role of the RF/TCF observer for this monitoring is to observe only. Debriefing or correcting the instructor
during the course should be avoided. If critical components are not being completed, contact the TC Coordinator
or Course Director outside the classroom setting immediately.
Evaluating the Critical Actions:
The following questions are critical actions required for a successful course. Each item is written to maximize the
objectivity and minimize the subjectivity of the evaluator. For each item, mark one of the following:
Yes for items present or completed if there are no required changes for
improvement. There may be recommendations for improvement and
comments but no required changes.
(Yes with requirements) for items that were completed but changes are required
Yes with req.
No
for full compliance. Fill in the comment box with the required change and
rationale. if the required action was not done or was done incorrectly.
Not Observed for items the observer did not witness during monitoring.
SECTION 1:
General information for the individual and course being observed.
Instructor card expiration date:
ACLS ACLS EP PALS PEARS
®
Instructor or instructor candidate name:
Instructor ID #:
Course reviewed: Heartsaver
®
BLS
Purpose of review: Initial application
Instructor renewal Remediation
SECTION 2:
Instructor competencies and indicators. Observed by TCF or RF in a class setting.
Course Delivery: Presents AHA course content as intended by using AHA course curricula and
materials
2.1 Delivers all core content consistent with AHA published guidelines, Instructor Manual, Lesson
Plans, and agenda
Yes
Yes with req.
No Not observed
Reviewer's comments:
_____________________________________________________________________
_____________________________________________________________________
American Heart Association Emergency Cardiovascular Care Program
Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2018
2.2 Uses videos, checklists, equipment, and other tools as directed in the Instructor Manual
No
Yes Yes with req Not observed
Reviewer's comments:
_____________________________________________________________________
_____________________________________________________________________
2.3 Allows adequate time for content delivery, skills practice, and debriefing
Yes Yes with req No Not observed
Reviewer's comments:
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2.4 Promotes retention by reinforcing key points
Yes Yes with req No Not observed
Reviewer's comments:
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2.5 Delivers course in a safe and nonthreatening manner
Yes Yes with req No Not observed
Reviewer's comments:
_____________________________________________________________________
_____________________________________________________________________
2.6 Relates course material to audience (prehospital or in-facility)
Yes Yes with req No Not observed
Reviewer's comments:
_____________________________________________________________________
_____________________________________________________________________
2.7 Effectively operates technology used in the course
Yes Yes with req No Not observed
Reviewer's comments:
_____________________________________________________________________
_____________________________________________________________________
American Heart Association Emergency Cardiovascular Care Program
Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2018
2.8 Adapts terminology appropriate to location, audience, and culture
Yes Yes with req No Not observed
Reviewer's comments:
_____________________________________________________________________
_____________________________________________________________________
2.9 Accommodates students who have disabilities and other special needs
Yes Yes with req No Not observed
Reviewer's comments:
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2.10 Provides timely and appropriate feedback to students
Yes Yes with req No Not observed
Reviewer's comments:
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2.11 Uses principles of effective team dynamics during small group activities
Yes Yes with req No Not observed
Reviewer's comments:
_____________________________________________________________________
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2.12 Facilitates debriefings after scenarios to improve individual and team performance
Yes Yes with req No Not observed
Reviewer's comments:
_____________________________________________________________________
_____________________________________________________________________
Testing and Remediation: Measures students’ skills and knowledge against performance guidelines
and provides remediation when needed to consolidate learning
2.13 Tests students by using AHA course materials according to instructions in the Instructor Manual
Yes Yes with req No Not observed
Reviewer's comments:
_____________________________________________________________________
_____________________________________________________________________
American Heart Association Emergency Cardiovascular Care Program
Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2018
2.14 Provides feedback to students in a private and confidential manner
Yes Yes with req No Not observed
Reviewer's comments:
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_____________________________________________________________________
2.15 Provides remediation by directing students to reference material and by providing additional
practice opportunities
Yes Yes with req No Not observed
Reviewer's comments:
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2.16 Retests students when indicated
Yes Yes with req No Not observed
Reviewer's comments:
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Professionalism: Maintains a high standard of ethics and professionalism when representing the AHA
2.17 Demonstrates professional behavior in physical presentation and teaching, including enthusiasm,
honesty, integrity, commitment, compassion, and respect
Yes Yes with req No Not observed
Reviewer's comments:
_____________________________________________________________________
_____________________________________________________________________
2.18 Follows HIPAA, FERPA, and/or local guidelines maintaining confidentiality
Yes Yes with req No Not observed
Reviewer's comments:
_____________________________________________________________________
_____________________________________________________________________
American Heart Association Emergency Cardiovascular Care Program
Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2018
2.19 Recognizes and appropriately responds to ethical issues encountered in training
Yes Yes with req No Not observed
Reviewer's comments:
_____________________________________________________________________
_____________________________________________________________________
2.20 Maintains student confidentiality when appropriate
Yes Yes with req No Not observed
Reviewer's comments:
_____________________________________________________________________
_____________________________________________________________________
Overall comments from TCF or RF observer:
Review completed:
Successful
Comment:
Remediation needed
Comment:
Unsuccessful
Comment:
RF/TCF name:
RF/TCF signature: Date:
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American Heart Association Emergency Cardiovascular Care Program
Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2018
SECTION 3:
Review of candidate or instructor. To be completed by TC Coordinator.
I have reviewed the Instructor Monitor Tool with my TC Coordinator, and my instructor status has
been reviewed with me. Overall comments from monitored candidate or instructor:
Date:
Candidate or instructor name:
Candidate or instructor signa
ture:
TC Coordinator name:
TC Coordinator signature:
Date:
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signature
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signature
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