Instructer Forms/Renewal :: Instructor Resources :: IH-DM Training Center :: Residency & Education Programs :: UnityPoint Health - Des Moines | Check out the instructor forms and the renewal forms

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UnityPoint Health - Des Moines

ACLS Instructor Renewal

ACLS Instructor options for renewing:

Option 1

Maintain your current ACLS provider status by completing all ACLS provider skills. This may be completed by another ACLS Instructor or any ACLS Training Center faculty aligned with UnityPoint Health - Des Moines.

  • 2016 Airway-Management-Checklist 
  • 2016 High-Quality-BLS-Checklist 
  • 2016 Megacode-Testing-Scenarios 
  • Written Exam Answer Sheet 
  • Complete a Course Roster and Participant Form
  • Complete the Instructor Renewal Checklist including:
    • Four courses taught in the last two years
    • Any updates completed within the last two years (certificate of completion on file at the CTC)
    • Monitored teaching in a classroom-based course or during a skills practice testing session (Parts 2 & 3) of an online course in the preceding two years (not including the initial monitoring for new instructors) by an ACLS UnityPoint Health - Des Moines Training Center Faculty member.
  • Complete a Course Evaluation
  • Submit all documentation including a Card Order Form (pdf) or Card Order Form (Word) to the Training Center

Option 2

  • Attend an ACLS Instructor Renewal Course

Option 3

  • Teach an ACLS Course at the CTC and be monitored/renewed.  Call the CTC 515-241-6811 to schedule.

   

BLS Instructor Renewal (Healthcare Provider)

Options for renewing:

Option 1

Maintain your current BLS Healthcare provider status by completing all Healthcare provider skills. This may be completed by another BLS (HCP) Instructor or Training Center Faculty aligned with UnityPoint Health - Des Moines.

  • Complete a Course RosterParticipant Form
  • Complete the Instructor Renewal Checklist, including:
    • Four courses taught in the last 2 years
    • Any updates completed within the last 2 years (certificate of completion on file at the CTC)
    • Monitored teaching in a classroom-based course or during a skills practice testing session (Parts 2 & 3) of an online course  (not including the initial monitoring for new instructors) by a BLS UnityPoint Health - Des Moines-Des Moines Training Center Faculty
  • 2016 Healthcare Provider Skills Testing: Adult BLS and Infant BLS
  • Healthcare Provider written exam answer sheet
  • Complete a Course Evaluation
  • Submit all documentation including a Card Order Form (pdf) or Card Order Form (Word) to the Training Center 

Option 2

  • Attend the BLS Instructor Renewal Course 

Option 3

  • Teach a BLS Course at the CTC and be monitored/renewed.  Call the CTC 515-241-6811 to schedule.

 

BLS Instructor Renewal (Heartsaver)

Option 1 

Maintain your current BLS Healthcare provider status by completing all Heartsaver provider skills. This may be completed by another BLS (HCP or Heartsaver) Instructor or Training Center Faculty aligned with UnityPoint Health - Des Moines.

  • Complete a Course RosterParticipant Form
  • Complete the Instructor Renewal Checklist, including:
    • Four courses taught in the last 2 years

    • Any updates completed within the last 2 years (certificate of completion on file at the CTC)

    • Monitored teaching in a classroom-based course or during a skills practice testing session (Parts 2 & 3) of an online course in the preceding 2 years (not including the initial monitoring for new instructors) by a BLS UnityPoint Health - Des Moines-Des Moines Training Center Faculty 
  • Heartsaver Adult, Child, & Infant  Skills Testing Checklist
  • Complete a Course Evaluation

  • Submit all documentation include a Card Order Form (pdf) or Card Order Form (Word) to the Training Center

Option 2

  • Attend the BLS/Heartsaver Instructor Renewal Course

Option 3

  • Teach a Heartsaver Course at the CTC and be monitored/renewed.  Call the CTC 515-241-6811 to schedule.             

                           

PALS Instructor Renewal

PALS Instructors have three options for renewing: 

Option 1

Maintain your current PALS provider status by completing all PALS provider skills. This may be completed by another PALS Instructor or PALS Training Center Faculty member aligned with UnityPoint Health - Des Moines

  • Child & Infant BLS Skills Testing Checklists (Interim)- one per student
  • PALS Core Cases
    • Cardiac Core Case - one per student
    • Respiratory Core Case or Shock Core Case 
  • Written Test Answer Sheet
  • Complete a Course Roster and Participant Form
  • Complete the Instructor Renewal Checklist, including:
    • Four courses taught in the last 2 years
    • Any updates completed within the last 2 years (certificate of completion on file at the CTC)
    • Monitored teaching in a classroom-based course or during a skills practice testing session (Parts 2 & 3) of an online course in the preceding 2 years (not including the initial monitoring for new instructors) by a PALS UnityPoint Health - Des Moines Training Center Faculty
  • Complete a Course Evaluation
  • Submit all documentation including a Card Order Form (pdf) or Card Order Form (Word) to the Training Center 

 Option 2

  • Attend the PALS Instructor Renewal Course 

Option 3

  • Teach a PALS Course at the CTC and be monitored/renewed.  Call the CTC 515-241-6811 to schedule.      


PEARS Instructor Renewal

PEARS Instructors have three options for renewing: 

Option 1

Maintain your current PEARS provider status by completing all PEARS provider skills. This may be completed by another PEARS Instructor or PALS Training Center Faculty member aligned with UnityPoint Health - Des Moines

  • CPR Testing Checklist 
  • Video-Based Test Answer Sheet 
  • Complete a Course Roster and Participant Form

  • Complete the Instructor Renewal Checklist, including:

    • Four courses taught in the last 2 years

    • Any updates completed within the last 2 years (certificate of completion on file at the CTC)

    • Monitored teaching in a classroom-based in the preceding 2 years (not including the initial monitoring for new instructors) by a PALS UnityPoint Health - Des Moines Training Center Faculty

  • Complete a Course Evaluation

  • Submit all documentation including a Card Order Form (pdf) or Card Order Form (Word) to the Training Center

 Option 2

  • Attend the PEARS Instructor Renewal Course  -please contact the CTC for more information

Option 3

  • Teach a PEARS Course at the CTC and be monitored/renewed.  Call the CTC 515-241-6811 to schedule.