Staff Assistance Visits

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StaffAssistance Visits
SFC Stephen Dohn
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Overview

• Purpose
• Resources
• SAV Process
• Trends/Common Discrepancies
• AHA Course Monitoring

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Purpose

• MTN is AHAs largest Regional Training Center
• Maintain highest standards
• Measure and assess adherence
• Complete SAVs on minimum 10 annually

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Purpose

• Criteria for SAV
• Training Site needs
• Training Site due
• Geography
• Budget

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Purpose

• SAV Notification Process
• MTN Staff contacts Training Site NLT 30 days
  prior to visit
• Confirmation letter and administrative review
  checklist sent to Training Site

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Purpose

• SAV Components
• Inspection piece
• Ensure AHA/MTN adherence
• Mentoring piece
• Teach, coach, mentor

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Resources

• Administrative Review Checklist
• Course Monitoring Review
• AHA Manuals
• MTN Handbook
• MTN Staff

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Resources

• Websites
• www.usuhs.mil/mtn
• MTN Handbook
• Tutorials
• Forms
• www.ahainstructornetwork.americanheart.org
• AHA Instructor Network

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Resources

• Websites (cont.)
• www.heart.org/cpr
• AHA Guidelines
• AHA Memorandums
• AHA Circulations
• www.heart.org/eccstudent
• Student Website
• Pre-tests

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Site Visit Process

• In-brief with Command
• 5-10 minute brief to explain process to Command
  element
• Administrative Review
• Equipment Review
• Course Monitoring
• Out-brief with Command

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Administrative Review Checklist

• Four Focused Function Areas
• Organization Focused Functions
• Administrative/Continuity Binder
• Course Focused Functions
• Agendas, card issuance
• Instructor Focused Functions
• Instructor folders
• Equipment Focused Functions

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Course Monitoring Review

• Facility and class structure
• Course content
• Instructor knowledge
• Equipment and materials

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Site Visit Scoring
RATING COMPLIANCE REQUIREMENTS
1 (95-100) Assessment provides evidence of excellent compliance Compliant, no requirements, best practice for total score
2 (80-94) Assessment provides evidence of acceptable compliance Compliant, no requirements
3 (70-79) Assessment does not provide evidence of acceptable compliance Non-compliant, additional documentation within 30 days
4 (lt 70) Assessment does not provide evidence of acceptable compliance Non-compliant, additional documentation within 30 days and a focused administrative review within 90 days
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Trends/Common Discrepancies

• Missing paperwork
• Instructor Renewal Forms
• Instructor Monitoring Forms
• Copy of Instructor Cards (signed, front back)
• 2010 AHA Updates certificate
• Core Instructor Course certificate

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Trends/Common Discrepancies

• Equipment
• Missing equipment
• Equipment to student ratio
• AED Trainers (13)
• Non-functioning equipment

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Trends/Common Discrepancies

• Late reports
• PCRs past 30 days
• Annuals/Semi-Annuals past due date
• Re-affiliations past due date
• Card discrepancies
• Counts off
• Not in double lock system

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Post SAV Actions

• MTN
• AAR and Administrative review will be sent to
  Training Site
• Approximately 30 days
• Training Site
• Correct any discrepancies noted during SAV
• Provide MTN with proof of corrective actions
  (receipts, MFRs) if needed

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Course Monitoring

• Was the facility accessible to persons with a
  disability?
• Was there adequate floor and/or table space to
  practice CPR?
• Did the Student-Instructor ratio meet AHA
  guidelines?

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Course Monitoring

• Were students given the opportunity to evaluate
  the course?
• Was the MTN post course evaluation form used?
• Did the form give the student the opportunity to
  evaluate the instructor?
• Were directions given for sending form directly
  to MTN if desired?

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Course Monitoring

• Was a Post Course Report with all required
  information used and completed at the end of the
  course?
• Please provide any additional comments about the
  Facility/Class structure

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Course Monitoring

• Was the AHA core course content completely
  covered?
• During the course, did the instructor use only
  AHA material?
• Was added content clearly identified as not being
  AHA approved?
• Added content was not presented during AHA
  station?

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Course Monitoring

• Added content did not contradict AHA
• Added content did contradict AHA
• Was the skill practice time adequate according to
  the requirements of the Lesson Maps? Were Lesson
  Maps present?
• Were AHA scenarios used throughout the course?

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Course Monitoring

• Was high quality CPR actually performed as
  necessary throughout the course?
• Did the instructor refrain from lecturing during
  the practice stations except as outlined in the
  Lesson Maps
• Did the instructor take corrective measures when
  students made mistakes during practice stations?

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Course Monitoring

• Were the AHA skills performance checklists used
  for skill evaluation?
• Did the instructors avoid prompting students
  during skills testing?
• Did all instructors evaluate the students
  according to the critical skills descriptions
  identified, remediated, and reevaluated?

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Course Monitoring

• Was sufficient skill evaluation and written exam
  remediation provided to students who needed it?
• Were only the most recent and unaltered AHA
  written exams used?
• Was the written exam held in an area free of
  distraction?

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Course Monitoring

• How many students scored less than 84 on initial
  written exam?
• How many students scored less than 84 after
  remediation?
• Describe how students were remediated on the
  skills evaluations?
• How many students did not pass the course?

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Course Monitoring

• Were all appropriate AHA audiovisual materials
  used?
• Was all the required equipment available and in
  sufficient quantities as listed in the instructor
  manual?
• List all missing equipment
• Was all equipment clean and in good working order?

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Course Monitoring

• Were instructors familiar with equipment and able
  to perform any necessary troubleshooting?
• Were all students given the opportunity to use
  the AED?
• Were all students given the opportunity to use
  the defibrillator?

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Course Monitoring

• Were team roles consistently assigned by the team
  leaders? (ACLS/PALS)
• Were all students engaged in each scenario?
  (ACLS/PALS)
• Did each student serve as team leader as
  required? (ACLS/PALS)

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Course Monitoring

• Was debriefing performed as indicated in the
  Lesson Maps and consistently throughout the
  course? (ACLS/PALS)
• Were students provided a course agenda at the
  start of the course? (ACLS/PALS)
• Did each student complete the pre-course
  assessments? (ACLS/PALS)

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Course Monitoring

• Reviewers Overall Score
• Successful monitoring with recommendations (all
  yes scores)
• Successful monitoring with required improvements
  (scored mostly YES with some yes-with
  requirements no more than one no score)
• Unsuccessful monitoring, required improvements
  noted (2 or more no scores)

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Summary

• Purpose
• Resources
• SAV Process
• Trends/Common Discrepancies
• AHA Course Monitoring

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QUESTIONS

• SFC Stephen Dohn
• MTN NCOIC
• ACLS Program Manager
• [phone] DSN 295-1476
• stephen.dohn_at_usuhs.edu