INTERNATIONAL TRAUMA LIFE SUPPORT

POLICY AND PROCEDURE CHECK SHEET

I.Introduction______

II.Goals & Objectives______

III.Description of Organization Applying to Become
a Chapter or Training Centre______

IV.Description of EMS System______

V.Role of the Medical Director & Coordinator______

A. Plan for continuity of operations

VI.Description of Training & Certification Levels______

VII.Student Classification & Course Completion

A.ITLS Provider courses - Basic

1.Minimum course entry requirements______

2.Written test passing score______

3.Minimum score on patient assessment skills

Testing______4. Minimum criteria to achieve Instructor

Potential status______

5.Course certification period______

6.Course recertification requirements______

B.ITLS Provider courses - Advanced

1.Minimum course entry requirements______

2.Written test passing score______

3.Minimum score on patient assessment skills

Testing______4. Minimum criteria to achieve Instructor

Potential status______

5.Course certification period______

6.Course recertification requirements______

C.ITLS Military courses

1.Minimum course entry requirements______

2.Written test passing score______

3.Minimum score on patient assessment skills

Testing______4. Minimum criteria to achieve Instructor

Potential status______

5.4 Year Course certification period______

6.Course recertification requirements______

D.ITLS Pediatric courses

1.Minimum course entry requirements______

2.Written test passing score______

3.Minimum score on patient assessment skills

Testing______4. Minimum criteria to achieve Instructor

Potential status______

5.Course certification period______

6.Course recertification requirements______

E.ITLS Access courses

1.Minimum course entry requirements______

2.Written test passing score______

3.Minimum score on patient assessment skills

Testing______4. Minimum criteria to achieve Instructor

Potential status______

5.Course certification period______

6.Course recertification requirements______

F.ITLS Provider Recertification

1.Minimum course entry requirements______

2.Written test passing score______

3.Minimum score on patient assessment skills

Testing______4. Minimum criteria to achieve Instructor

Potential status______

5.Course certification period______

6.Course recertification requirements______

G.ITLS Instructor courses

1.Minimum course entry requirements______

2.Time period for Instructor course

eligibility______3. Course teaching requirements ______4. Course certification period ______

H.ITLS Instructor Recertification

1.Teaching requirements ______

2.Course certification period______

I.ITLS Instructor Bridge Course

1.Minimum course entry requirements______

2.Course passing criteria______

3.Course teaching and monitoring

requirements______

4.Course certification period______

5.Course recertification requirements______

VIII.Organizational Requirements______

A.Course Requirements

  1. Courses taught to latest editions

of ITLS manuals ______

2.Courses conduct requirements______

4.Student confidentiality requirements______

5.Student records retention policy ______

6.Notice requirements for course requests______

7.Designation of course approval authority______

8.Course application submission procedure______

  1. Requirements for faculty:
  1. Course medical director______
  2. Course coordinator______
  3. Affiliate faculty______
  1. Requirements for course paperwork:
  2. Timeframe for submission______
  3. Use of CMS ______

IX.Protocol for Conducting an ITLS Course

X.Teaching Eligibility

XI.Appointment Criteria

A.Course Coordinator

1. Qualifications______

2.Selection and removal process______

3.Course responsibilities______

4.Post course responsibilities______

B.Affiliate Faculty

1. Qualifications______

2.Selection and removal process______

3.Course responsibilities______

C.Course Medical Director

1. Qualifications______

2.Selection and removal process______

3.Course responsibilities______

D.Chapter Coordinator

1. Qualifications______

2.Selection and removal process______

3.Responsibilities______

E.Chapter Medical Director

1. Qualifications______

2.Selection and removal process______

  1. Responsibilities______

F.Instructors

1. Qualifications______

2.Selection and removal process______

3.Responsibilities______

XII.Course Fees and Rosters

  1. Designation of how fees are set______

2.Course fee collection and remittance procedures
tochapter or training centreand International office______

3.Designation of current course fees by type

of course______

4.Description of procedure forprinting cards
and suspension of card-printing privileges______

III.Advisory Committee

A.Membership

  1. Designation of composition of membership
    the committee______
  1. Designation of members’ terms of office______
  1. Designation of committee appointment
    process______

B.Designation of committee responsibilities and
oversight of courses and activities ______

C.Designation of selection process for International
delegates if applicable______

VI.Policy on Non-Discrimination and Harassment______

VII.Policy on Dispute Resolution______

VIII.Policy on Students with Disabilities______