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MILITARY TRAINING NETWORK ADMINISTRATIVE HANDBOOK
BLS

ACLS PALS

ATLS




Military Training Network Mission and Vision
Mission
The Military Training Network (MTN) has been recognized as an American Heart Association Regional Training Center since 1984 and as the American College of Surgeons Region 13 Program Coordinator since 1996. The mission of the MTN is to develop and implement policy guidance and ensure compliance with curriculum and administrative standards for resuscitative and trauma medicine training programs for uniformed service members and Department of Defense affiliates worldwide. The tri-service staff provides specific service expertise, worldwide coordination of programs, central record keeping, ensures national resuscitative and trauma medicine organizations are aware of military medicine's unique requirements.
Vision
MTN seeks to increase Department of Defense (DoD) Medical Readiness in both garrison and combat while reducing administrative costs

MESSAGE FROM THE DIRECTOR
The MTN which is funded by the DoD, provides seamless resuscitative medicine and trauma programs to all eligible personnel including uniformed service members and DoD employees.
The MTN Administrative Handbook provides guidance for resuscitative medicine and trauma training programs. This edition (6th Edition – January 2014) supersedes all previous editions. The MTN Administrative Handbook implements the program and course specific guidelines found in:



  1. The American Heart Association (AHA) Instructor Manual for Basic Life Support (BLS), 2011.

2. The American Heart Association Instructor Manual for Heartsaver First Aid CPR AED (HS CPR AED), 2011.


3. The American Heart Association Instructor Manual for Advanced Cardiac Life Support (ACLS), 2011.
4. The American Heart Association Instructor Manual for Pediatric Advanced Life Support (PALS), 2012.
5. The American Heart Association Instructor Manual for Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS), 2012.
6. The American College of Surgeons' Advanced Trauma Life Support (ATLS®) for Doctors, Faculty Manual, 9th Edition, 2012.
7. The American Heart Association Program Administration (PA) Manual, 5th Edition, February 1, 2013 (U.S. Version).
The handbook is prepared by the MTN and made available on line to all affiliated training sites to assist in the smooth, effective management of BLS, ACLS, PALS, PEARS, and the coordination of ATLS.
This handbook can be found at our website: http://www.usuhs.mil/mtn. Periodic updates and information on MTN programs can be located at this website.

PAULETTE KING, Lt Col, USAF, NC

Director, Military Training Network

Uniformed Services University




CONTACTING THE MILITARY TRAINING NETWORK
Military Training Network

USUHS Southern Region

2787 Scott Road

JBSA Fort Sam Houston Texas, 78234-7679


Phone: 210-808-4484 DSN 420-4484

E-mail: mtnreports@usuhs.edu

Website: http://www.usuhs.edu/mtn


MTN Director

Comm 210-808-4484

Comm 301-295-0964



DSN 420-4484

DSN 295-0964



MTN NCOIC

Comm 210-808-4482

DSN 420-4482

ACLS Program Manager

Comm 210-808-4481

DSN 420-4481

Air Force BLS Program Manager

Comm 210-808-4477

DSN 420-4477

Army BLS Program Manager

Comm 210-808-4475

DSN 420-4475

Navy BLS Program Manager

Comm 210-808-4480

DSN 420-4480

PALS/PEARS Program Manager

Comm 210-808-4482

DSN 420-4482

ATLS Program Coordinator

Comm 210-808-4482

DSN 420-4482

Information Manager/Webmaster

Comm 210-808-4478

DSN 420-4478

Program Assistant

Comm 210-808-4484

DSN 420-4484


If you cannot reach your Program Manager, call the main phone number at

Comm 210-808-4484 DSN 420-4484.


TABLE OF CONTENTS




Chapter 1 – The Military Training Network

    1. MTN Mission

    2. MTN Purpose

    3. MTN Goals

    4. Purpose of The Administrative Handbook

    5. Structure of the Military Training Network (MTN Staff)

    6. Training Sites

    7. Satellites

1-8 Who May Participate in MTN Programs

Page 6

Page 7


Page 7

Page 7


Page 7

Page 8.9


Page 10

Page 10,11

Page 11


Chapter 2 – Administration of Resuscitative Medicine Courses

    1. Introduction

    2. Administration of MTN Programs

    3. Training Site Responsibilities

    4. Training Site Documents

    5. Training Site Review

    6. Affiliating with the MTN

    7. Re-Affiliation

    8. Dis-Affiliation

    9. Placing a Program on Temporary Hold

    10. Dispute Resolution

    11. Request for Additional Cards

    12. Reciprocity

    13. Instructor Records

    14. Maintenance of Course Records

    15. Continuing Education (CE)

    16. Electronic Communications

    17. Revoking Instructor Status

    18. ECC Courses Available through the MTN

    19. CBT Learning Systems

    20. MTN Course Criteria

    21. Skills Testing

    22. Written Examinations

    23. Remediation

    24. Instructor to Student Ratio

    25. Renewal

    26. Challenge Option

    27. Deployed Personnel

    28. AHA Instructor Essentials Courses (discipline-specific)

    29. Infection Control

    30. Equipment Familiarization Training

Page 12

Page 13


Page 13

Page 13-15

Page 15

Page 15,16



Page 16,17

Page 17


Page 17,18

Page 18


Page 18-19

Page 19


Page 20

Page 20,21

Page 21,22

Page 22


Page 22

Page 23


Page 23

Page 24-26

Page 26,27

Page 27


Page 27,28

Page 28


Page 28,29

Page 29,30

Page 31

Page 32


Page 33

Page 33,34

Page 34


Chapter 3 – Position Descriptions, Duties and Responsibilities

    1. Training Site Responsibilities

    2. Training Site Staff

    3. Administrative Separation of Duties

    4. Course Director Orientation

Page 35

Page 36


Page 36-41

Page 42


Page 42

Chapter 4 – Course Materials and Equipment

    1. Course Materials

    2. Non-AHA Material/Information

    3. Copyright of AHA Materials

    4. Training Equipment

    5. Quality Assurance

    6. Controlled Items

4-7 Instructor Materials

Page 43

Page 44


Page 44

Page 45


Page 45

Page 45


Page 45

Page 46


Chapter 5 – Reports

5-1 Reports

5-2 Basic Life Support Reports

5-3 ACLS, PALS Reports

5-4 Annual or Semi-Annual Report Delinquency

5-5 Re-Affiliation



Page 47

Page 48


Page 48,49

Page 49,50

Page 50

Page 51


Chapter 6 – Resuscitative Medicine Courses

    1. MTN Provider Courses

6-2 MTN Instructor Courses

Page 52

Page 53,54

Page 54-57


Chapter 7 – Training Site Reviews

    1. Introduction

    2. Training Site Responsibilities

    3. Scheduling Training Site Reviews

    4. Self-Assessment Reviews

    5. Administrative Review

    6. Course Monitoring Review

7-7 Scoring and Remediation

Page 58

Page 59


Page 59

Page 60


Page 60

Page 60,61

Page 61

Page 61,62



Chapter 8 – Advanced Trauma Life Support

    1. Introduction

    2. Administration of MTN ATLS Programs

    3. MTN ATLS Program Manager

    4. Training Site Responsibilities

    5. ACS Course Material

    6. Written Examinations

    7. Training Equipment

    8. Training Site Staff

    9. Instructor Records

    10. Student Instructor Post Course Reports

    11. Maintenance of Course Records

    12. ATLS Course Procedures

    13. ATLS Support Courses

    14. Instructor Revivification

    15. Requesting New Training Site

Page 63

Page 64


Page 64

Page 65


Page 65

Page 65,66

Page 66

Page 66


Page 66-68

Page 68


Page 68

Page 68


Page 68,69

Page 69-73

Page 73

Page 73


APPENDIX

Appendix A: Forms

Appendix B: Example Forms

Appendix C: AHA/MTN Course Completion Cards

Appendix D: Training Site Reviews (Administrative Review/Course Monitoring Review)





Chapter 1: The Military Training Network (MTN)

1-1. MTN Mission
The DoD Health Council established the MTN in 1982. The MTN is organized under the Uniformed Services University of the Health Sciences (USUHS) in Bethesda, Maryland. The MTN has been recognized as an American Heart Association (AHA) Regional Training Center since 1984 and as the American College of Surgeons (ACS) Region 13 Program Coordinator since 1996. The mission of the MTN is twofold:


  • Develop and implement policies for resuscitative and trauma medicine training programs.

  • Provide curricular and administrative oversight to a worldwide network of affiliated training sites.

The MTN oversees the implementation of the AHA and the ACS training programs to support the needs of the DoD, US Coast Guard, and other US government organizations.


1-2. MTN Purpose
Training sites are authorized to conduct their own self-sustaining resuscitative and trauma medicine training courses in accordance with MTN and AHA guidelines. MTN affiliated training sites offer cost-effective training compared to premium costs charged by civilian training programs. Training sites have expert faculty, administrative support, equipment and supplies. Local control of resources affords the training sites optimum flexibility to sustain a qualified, competent, and ready workforce. The MTN’s centralized record keeping permits our highly mobile workforce to maintain transferable qualifications. This eliminates the need for re-training due to deployment or change of station and allows units to conduct training in the field.
1-3. MTN Goals
Maintain the integrity and standards of the AHA, ACS and the DoD.
Ensure training sites comply with AHA Guidelines through site visits, course monitoring and record audits.
Provide responsive customer service.
Promote quality-training for Soldiers, Sailors, Airmen, Marines, and DoD employees to enhance adult learning.
Recommend approved equipment and training aids to conduct quality training.
1-4. Purpose of the Administrative Handbook
This handbook is a compilation of standards and administrative guidelines for training sites. AHA and ACS training program publications supplement this handbook. The MTN reserves the right to adapt AHA/ACS guidelines to meet the unique requirements of its personnel. All MTN affiliated training sites must adhere to the policies and procedures described in this handbook. Some of the material presented may be subject to interpretation. Contact the MTN if you have any questions concerning the handbook. The final interpretation authority is the MTN Director.
1-5. Structure of the Military Training Network
The MTN is organized under the DoD. The following diagrams illustrate the structure of MTN.

Military Surgeons General


straight connector 25


straight connector 21

Uniformed Services University, Bethesda Maryland



Military Training Network



ACS

AHA




Committee on Trauma (COT) Chairpersons



MTN National

Faculty








MTN Worldwide Training Sites



Fig 1-1: Structure of the MTN in regards to DoD.





Fig 1-2: MTN’s relationship within the AHA Training Network.




Fig 1-3: MTN relationship within the ACS ATLS Program.


1-5. Structure of the Military Training Network (Continued)
The MTN staff is composed of Tri-Service Military: Air Force, Army and Navy and civilian personnel. They provide service specific expertise, quality assurance, worldwide coordination of training programs, and centralized record keeping.
MTN Director
The MTN Director is responsible for leadership and management of resuscitative and trauma medicine training programs for the uniformed services. The director, along with the appointed National Faculty (NF) and Committee on Trauma Chairpersons (COT) serve as the conduit between MTN affiliated training sites, AHA and ACS. The director ensures quality improvement of the MTN programs to include Staff Assisted Visits (SAVs) and ongoing course evaluations. The director oversees organizational and planning duties for MTN participation in national conferences to create and maintain partnerships with military and civilian professional organizations and national affiliating bodies.
MTN Non Commissioned Officer in Charge (NCOIC)
The NCOIC is the senior enlisted advisor to the MTN director as well as secondary point of contact for all programs. The NCOIC oversees the day to day operations of the MTN and the activities of the program managers.
MTN Program Managers
Program Mangers are the primary liaisons between the MTN and the training sites. They are NF administrative subject matter experts in the individual programs and provide oversight to training sites.

MTN Program Assistant
The Program Assistant manages correspondence, publications and directives. The Program Assistant provides comprehensive customer service and administrative support to the MTN.
National Faculty
The Surgeon General for each branch of service appoints MTN NF. The NF is the science based subject matter expert and represents the MTN on various AHA committees. Each service appoints a NF for each of the three Emergency Cardiovascular Care (ECC) programs. An individual may concurrently serve as the NF for more than one ECC program. NF appointments are ratified by the AHA and last for two years with one automatic re-appointment. Terms are limited to no more than four years in any one billet.
Committee on Trauma Chairpersons
The Region 13 Chief recommends ACS COT Chairpersons. They are subject matter experts and represent the MTN at various ACS meetings. There are three ACS COT billets. COT Chairperson appointments are endorsed by the ACS.
1-6. Training Sites
Training sites are affiliated organizations (e.g. military units or civilian departments) that conduct training programs. Training sites consist of the following components:

  • MTN approved Training Site Faculty (TSF) or ACS COT Chairperson or designated faculty

  • MTN approved Program Director or ACS Course Director

  • MTN approved Program Administrator or ACS Course Coordinator

  • Instructor cadre

  • Administrative support

  • All required teaching materials including textbooks

  • All required teaching equipment as listed in the individual instructor manuals

  • Adequate classroom space including secure equipment storage area(s). (Storage security for equipment is defined by individual service regulations)


1-7. Satellites
A satellite is a geographically separate (within 100 miles radius) training program that is supported by a designated Training Site (TS). A satellite cannot exist as a stand-alone affiliated site because it lacks one or more of the TS requirements previously listed. Satellites can conduct courses but rely on their TS for supervision, instructor support, materials, and/or equipment. The TS is responsible for maintaining copies of training records from courses taught at its satellite(s). Training sites and satellite programs may be from different organizations; hence, coordination between Commanders/Commanding Officers (or equivalent) is necessary to create and sustain the association. This can be achieved with a formal Memorandum of Understanding (MOU) between unit Commanders (or equivalent). The TS does not have to accept satellites; this usually is contingent upon TS resources and mission capabilities. Units or organizations interested in becoming a satellite may contact the MTN for assistance in locating nearby training sites or visit our website for lists of affiliated BLS/ACLS/PALS/PEARS sites. To locate a MTN affiliated TS, go to www.usuhs.edu/mtn and under “Quick Links” click on the relevant ACLS, BLS, or PALS, under “Sites Updated”.
1-8. Who May Participate in MTN Programs
The MTN provides mission essential training to DoD, US Coast Guard, US Public Health Service, and other US government personnel including active duty, Guard/Reservists (does not include IRR), DoD federal civilian employees, and foreign national employees. MTN affiliated training sites do not have open enrollment or provide training to the civilian community (with the exception of community outreach programs). In accordance with (IAW) MTN agreements with the AHA and ACS, persons who are not direct employees (e.g. military dependents, contractors, etc.) are not eligible for MTN sponsored training. Please note that civilian agencies or employers may not recognize MTN training and wallet cards.
Contractors
A contract employee is usually not eligible for training. A contract employee is only eligible if the contract stipulates that the purchaser (e.g., medical treatment facility) provides the training. The contract must stipulate the specific training (e.g., ACLS, BLS, PALS, PEARS) to be accomplished. A copy of the contract must be maintained with the Post Course Report (PCR). DoD standard contracting assumes the government is procuring a fully trained individual or service.
American Red Cross
The American Red Cross (ARC) is a sponsor/provider of basic resuscitative medicine training programs such as “Adult CPR/AED”. American Red Cross volunteers should first attempt to obtain training from their parent organization. If such training is not available, the TS may provide training to ARC hospital volunteers.
The TS Commander/Commanding Officer may provide training to otherwise non-eligible employees if the situation dictates. This is more likely to occur at overseas locations where no acceptable local training program exists. A Memorandum For Record endorsed by the TS Commander/Commanding Officer will be placed in the TS administration binder. Non-eligible personnel receive a locally generated course completion certificate instead of an MTN/AHA wallet card. The course of completion certificate cannot have the AHA logo due to copyright laws. MTN also recommends that the certificate should not have the word “certified”.
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