APLS Course Report

Course Details

Course Name*

Director's Email*

Director's Full Name

Course Coordinator's Name*

Director Candidate's Name (if applicable)

Name of Course Coach (if applicable)

Number of Candidates*

Demonstrated Required Skills for safe practice of an arrested child

BLS

BLS - End of Repeated Skills Practice Session*

Number of candidates that have demonstrated by end of day 1

BLS - Further Practice Required to demonstrate required standard OR
did not demonstrate safe practice

Please provide name/s and comment/s for any candidates

Airway

Airway - End of Repeated Skills Practice Session*

Number of candidates that have demonstrated by end of day 1

Airway - Further Practice Required to demonstrate required standard OR
did not demonstrate safe practice

Please provide name/s and comment/s

Defibrillation

Defib - End of Repeated Skills Practice Session*

Number of candidates that have demonstrated by end of day 1

Defib - Further Practice Required to demonstrate required standard OR
did not demonstrate safe practice

Please provide name/s and comment/s

Scenario Test

Scenario - Pass*

Number of candidates

Scenario - Pass after retest*

Number of candidates

Scenario - Required to re-test post course*

Number of candidates

True/False Test

True/False - Pass*

True/False - Requires re-test post course*

Summary of Testing

If candidates do not pass 2/3 components (demonstrating safe practice for BLS/Airway/Defib, Scenario Test, True-False test) during the face to face course they are not eligible for post-course retests

Course assessment resits - Scenario Test & True/False Test

Please provide name/s of candidate/s requiring re-sit post course and test required

Potential Instructors

Please list candidates recommended as potential instructors

Faculty Details

Number of full instructors*

Excluding Director and Coach

Number of IC1's

As identified on the Faculty List

Number of IC2's

As identified on the Faculty List

Number of Returning Instructors

As identified on the Faculty List

Instructor Candidates / Returning Instructors

IC/RI Name

IC/RI Course

Full instructor or subsequent IC/RI

IC/RI Name

IC/RI Course

Full instructor or subsequent IC/RI

IC/RI Name

IC/RI Course

Full instructor or subsequent IC/RI

IC/RI Name

IC/RI Course

Full instructor or subsequent IC/RI

Dinner Attendance

# Candidate Dinner Attendees

# Faculty Dinner Attendees

General Feedback (Content, Venue, Faculty, Candidates, Issues)

Were there any specific issues relating to adapting course materials to the 7^th edition of the APLS manual? If you have any concerns about the manual please enter these via this link to the APLS website feedback page: 7^th Edition manual feedback

Were there any specific issues with the faculty (either individual instructors or as a group) that need to be brought to the attention of the Instructor Development Committee? Please provide brief details. Further information may be sought by the Board if necessary.

Were there any course content or curriculum issues identified by faculty for the attention of the Board or Course Development Committee?

Were there any issues or feedback regarding the course equipment? (Please provide the barcode or asset number if related to a specific equipment item)

Were there any issues or feedback regarding the course venue that require attention?

Please provide any feedback regarding the venue/restaurant where the faculty dinner was held.

Were there any comments about candidates that may assist the Board if a subsequent application to become an instructor is received?
Please provide specific rationale for candidates who would not be supported by you/your faculty.

General Comments (accommodation, catering, noise levels etc)

Please provide feedback on the performance of the course coordinator.*

If a Coach was present - please provide feedback on the impact of having a coach was for you as a Director, faculty and subsequently candidates on this course.

If a Director candidate was present could you please comment on their performance and suitability to direct a course on their own.
Please complete the Course Director Peer Review Tool

Name of experienced instructors on this course who would be suitable (and interested in becoming) Course Directors. Please complete APLS Course Director Referee Form below and refer to the Course Director attributes.
APLS Course Director Referee Form
APLS Course Director Attributes and Pathway

Name of experienced instructors on this course who would be suitable (and interested in becoming) instructing on an Instructor Course. Please complete GIC Instructor Referee Form and refer to the GIC Instructor attributes.
GIC Instructor Referee Form
GIC Instructor Attributes and Pathway

Thank you for directing the course and submitting this report.
For any questions, please contact faculty@apls.org.au