AHA Instructor Resources

This page is for current AHA instructors who are aligned with Memorial Medical Center’s AHA Training Center. The contents of this page include helpful links and attachments for classes that you teach and will be updated on a regular basis.

If you have any questions, please contact Jessica Rakes at Rakes.Jessica@mhsil.com.

Course Rosters (Blank)

• Course Roster
• Course Roster - PEARS (PALS instructors only)

BLS for Healthcare Providers Forms

• Written exams must be requested via email
• HCP Evaluation Form
• HCP Skills Checklist - 1 & 2 Rescuer Adult
• HCP Skills Checklist - 1 & 2 Rescuer Infant

Heartsaver Forms

• Heartsaver Evaluation Form
• Heartsaver Adult CPR and AED Skills Testing Checklist
• Heartsaver Child CPR Skills Testing Checklist
• Heartsaver Infant CPR Skills Testing Checklist
• Heartsaver First Aid Skills Testing Checklist
• Optional written exam for Heartsaver available upon request via email

ACLS Forms

• ACLS Skills Checklist - Bag Mask
• ACLS Skills Checklist - CPR and AED
• ACLS Skills Checklist - Megacode
• ACLS Evaluation Form

PALS Forms

• PALS Skills Checklist - 1 and 2 Rescuer Child BLS/AED
• PALS Skills Checklist - 1 and 2 Rescuer Infant BLS
• PALS Skills Checklist - Resp Emergencies
• PALS Skills Checklist - Rhythm Disturbances
• PALS Evaluation Form 2012

HeartCode Forms

• BLS - Skills Checklist - 1 & 2 Rescuer Adult
• BLS - Skills Checklist - 1 & 2 Rescuer Infant
• BLS - Tips and Tricks Document
• ACLS - Skills Checklists
• ACLS - Skills Checklist - Megacode
• ACLS - Training Bulletin from AHA Sept. 2012

Guidelines and Policies

• AHA Textbook Policy Summary
• AHA Program Administration Manual 2012
• Equipment Decontamination Policy
• 2013 AHA Instructor Refresher Sessions & Registration
• AHA Instructor Handbook 6/2013 (MMC-Specific)

Equipment Reservations

• Equipment Reservation Form (Internal)
• Equipment Reservation Form (External)