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:
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