American Heart Association Emergency Cardiovascular Care Program
Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2020
Instructions: Training Center Faculty (TCF) 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 TCF Observer:
The role of the 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 req. (Yes with requirements) for items that were completed but changes are required
for full compliance. Fill in the comment box with the required change and rationale.
No 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 or instructor candidate name:
Instructor ID #: Instructor card expiration date:
Course reviewed: Heartsaver
®
BLS ACLS ACLS EP PALS PEARS
®
Purpose of review: Initial application Instructor renewal Remediation
SECTION 2:
Instructor competencies and indicators. Observed by TCF 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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American Heart Association Emergency Cardiovascular Care Program
Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2020
2.2 Uses videos, checklists, equipment, and other tools as directed in the Instructor Manual
Yes Yes with req No 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:
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2.6 Relates course material to audience (prehospital or in-facility)
Yes Yes with req No Not observed
Reviewer's comments:
_____________________________________________________________________
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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 2020
2.8 Adapts terminology appropriate to location, audience, and culture
Yes Yes with req No Not observed
Reviewer's comments:
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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:
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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 2020
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 2020
2.19 Recognizes and appropriately responds to ethical issues encountered in training
Yes Yes with req No Not observed
Reviewer's comments:
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2.20 Maintains student confidentiality when appropriate
Yes Yes with req No Not observed
Reviewer's comments:
_____________________________________________________________________
_____________________________________________________________________
Overall comments from TCF observer:
Review completed:
Successful
Comment:
Remediation needed
Comment:
Unsuccessful
Comment:
TCF name:
TC
F signature:
Date:
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American Heart Association Emergency Cardiovascular Care Program
Instructor Monitor Tool
Instructor Monitor Tool Revised: January 2020
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:
Candidate or instructor name:
Candidate or instructor signature: Date:
TC Coordinator name:
TC Coordinator signature: Date:
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signature
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