Virginia ITLS -
Policy Manual
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State Medical Director* |
VACEP Executive Director* |
State Administrative Coordinator* |
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Steering Committee |
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State Affiliate Faculty |
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Course Medical Directors |
Course Coordinators |
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Instructors |
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Providers |
Leadership Roles, Prerequisites, Appointments State Medical DirectorNote*: These individuals comprise the VACEP/ITLS Executive Committee.
Virginias International Trauma Life Support Program has been organized in a framework similar to other educational/certification programs. This method has proven to be very efficient in delegating responsibility, maintaining quality control and enhancing the availability of the courses. The hierarchy of leadership is as follows:
State Medical Director*
VACEP Executive Director*
State Administrative Coordinator*
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Steering Committee
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State Affiliate Faculty
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Course Medical Directors
Course Coordinators
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Instructors
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Providers
Note*: These individuals comprise the VACEP/ITLS Executive Committee.
State Administrative Coordinator
VACEP Executive Director
Is responsible to the VACEP Board of Directors for the effective and efficient planning and accomplishment of all College programs and services, including administrative and financial management of the ITLS program. Provides direction and oversight of administrative policies and procedures; program enhancements and expansions; and ensures compliance with ITLS International Charter and Policies.
The ITLS Executive Committee is comprised the State Medical Director, State Administrative Coordinator and VACEP Executive Director. These individuals serve as primary Delegates to the annual ITLS International Congress.
ITLS International determines the number of Delegates, and the ITLS Executive Committee appoints any additional representatives.
Steering
Committee
(The committee was abolished by the VACEP
Board of Directors at their May 2000 meeting. Responsibilities assumed by the
Executive Committee.)
This Committee consists of the following members:
State Medical Director (Chairman of Committee)
VACEP President (or designee)
VACEP Executive Director
State Administrative Coordinator
State Affiliate FacultyFive (5) State Affiliate Faculty members of which two (2) shall be physicians.
Responsibilities include development of guidelines for conducting ITLS courses, assist in development of policies and procedures associated with the ITLS program, develop and educate State Affiliate Faculty, and assist in conducting ITLS Instructor Courses.The ITLS Executive Committee appoints the State Affiliate Faculty representatives of this committee.
State Affiliate Faculty are an integral component of the Virginia ITLS program and have been identified as leaders in ITLS training within their respective EMS regions.
current ITLS Instructor
served as a Course Coordinator (or Course Medical Director) at least one time in the past two years and instructed at least three times in past three years
demonstrated a regional leadership role in the delivery of ITLS programs, supported by two (2) letters of nomination/recommendation from current State Affiliate Faculty members or ITLS Course Medical Directors
individual must submit a letter expressing interest in the appointment including willingness to fulfill the role and responsibilities of a SAF.
Upon receipt of all required documentation, applicants will be considered for appointment.
Certification Levels/Qualifications
"ITLS certification does not imply that an individual is physically or legally capable of performing procedures or skills that the individual is otherwise not approved to use by the state, the agency medical director or any other certifying body." ITLS ProvidersDisclaimer:
1. Basic or Advanced ITLS Providers
Prerequisites and individual qualifications are outlined in the ITLS Instructor Guides, under "Essential Information, Who Can Take The Course." Virginia ITLS recognizes either state or national EMT certifications.
ã Exception: Virginia OEMS designation of EMT-ST is not addressed in these Instructor Guides. An EMT-ST may receive either Basic or Advanced ITLS certification at the discretion of the Course Medical Director.
ã Exception: Students who complete a ITLS course as part of an OEMS-recognized EMT certification program will receive a Certificate of Participation. To receive ITLS certification at the appropriate provider level, the student must submit a copy of their OEMS EMT certification card to the Virginia ITLS office within thirty (30) days of being issued by OEMS.
In the event a ITLS Basic Providers Virginia EMS certification level is upgraded to ALS during this certification period, the provider may elect to upgrade their ITLS certification at recertification.
2. Pediatric ITLS Provider
Prerequisites and individual qualifications are outlined in the Pediatric ITLS Instructor Guides, under "Essential Information, Who Can Take The Course."
"ITLS certification does not imply that an individual is physically or legally capable of performing procedures or skills that the individual is otherwise not approved to use by the state, the agency medical director or any other certifying body."Disclaimer:
1) Currently certified ITLS Providers:
a) Anyone who successfully completes a ITLS Provider Course with a written exam score of 86 or better, receives an "Instructor Potential" rating on the patient assessment test station, and as a result of the post-course faculty meeting is receives a recommendation by the Course Coordinator as an Instructor Candidate. Such individuals must complete a ITLS Instructor program within one year of completing that Provider Course.b) Anyone who successfully completes a ITLS Provider Course with a written exam score of 86 or better, but does not receive an "Instructor Potential" rating on the patient assessment test station, nor a recommendation from the Course Coordinator as an "Instructor Potential" candidate may take an Instructor course within one year of obtaining Provider Certification, if they have current certification in any two of the following:
Virginia EMT-B Instructor, and/or American Heart Association ACLS Instructor, and/or
Department of Fire Programs Instructor I or II.
Individuals must submit a copy of these instructor certifications and letters of recommendation from both their agency Operational Medical Director and a State Affiliate Faculty member when registering for an instructor course.2) Others:
a) PHTLS Instructors. Currently certified PHTLS Instructors may register for an instructor course by submitting a copy of their card at the time they register for an Instructor course. Participation in a ITLS Provider course is not required. PHTLS Providers are not eligible to take a ITLS Instructor Course.
b) Physicians with any of the following qualifications may become ITLS Instructors without first completing a ITLS Provider Course, however they must attend a ITLS Instructor course:
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Note: A "physicians-only" program is usually offered in conjunction with the VACEP Summer Symposium. Call the VACEP office for information.
Note: Instructors who teach in courses being certified by another ITLS Chapter may receive credit for this toward recertification. To receive credit, have the Course Coordinator complete an Instructor Credit Form (See Appendix B) and submit this to the VACEP office within two weeks after the teaching is performed. (Monitoring can only be accomplished at VACEP certified courses)
Pediatric ITLS Instructors Qualifications and Recertification Credit:
Completion of the Pediatric ITLS Provider Course qualifies you to teach pediatric courses as long as you maintain your ITLS Instructor status. A separate "Pediatric Instructor" card is not issued. Teaching in Pediatric Provider classes will count toward Instructor recertification.
Reciprocity With Other ITLS Chapters
Virginia ITLS will honor current Basic, Advanced and/or Pediatric provider certification issued by any other ITLS Chapter until the card expiration date. The individual must submit a copy of the certification card (front and back) to the VACEP/ITLS office to be entered in our computer system.
Providers who wish to "recertify" as basic or advanced providers must do so prior to the expiration date, and submit a copy of their previously issued card to the Course Coordinator prior to the beginning of the class.
InstructorInstructor certification may be accepted from any other ITLS Chapter. An Instructor wishing to transfer their Instructor status to the Virginia program, must apply to the Executive Committee for reciprocity. This application will include:
Completed application listing past activities as a ITLS Instructor;
A letter confirming the activity from their former State Medical Director, State Administrative Coordinator or former Course Medical Director;
A copy of current ITLS Instructor card (both sides); and
A current curriculum vitae or resume.
Upon receipt of the above, the applicant will need to be briefed and monitored by a State Affiliate Faculty member in a Virginia provider course. The Affiliate Faculty member will then send a letter of recommendation to the Executive Committee for approval. If approved, a letter of acceptance will be issued through the expiration date of their current Instructor card. At the expiration of that period, a Virginia ITLS card will be issued if all recertification requirements are met.Instructors with current certification issued by another ITLS Chapter may assist in the teaching of courses in Virginia. A copy of their current instructor card should be submitted with the post-course paperwork attached to the Faculty roster, in lieu of a curriculum vitae or resume.
It is the individual Instructors responsibility to provide their Chapter documentation of any teaching done in another Chapters purview, if they want it to qualify toward their Instructor recertification. This should be done within two weeks after the teaching is performed.
Course CoordinatorNote: A form is available for Virginia Instructors who may teach at courses being certified by another ITLS Chapter to help you receive teaching credit.
(See Appendix B)
Only VACEP-certified ITLS Instructors may serve as Course Coordinator for courses being certified by the Virginia ITLS Chapter.
Continuing Education Credit
ITLS Courses have been reviewed and approved for recertification credits by the National Registry of EMTs and the Office of EMS, Virginia Department of Health. The category breakdown of these credits are contained here.
NursesPhysiciansCourse Coordinators wishing to offer Nursing Continuing Education Units (CEU) are advised to make application through a local hospital or college.
Teaching ITLS qualifies for Category II CME credits, on an hour-for-hour basis.
Application for Category I (ACEP/AMA) credits is made for "physican-only" instructor courses offered by VACEP.
Procedures For Conducting ITLS Courses
General Information and FAQs (Frequently Asked Questions)ADA Conformance: Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. If you have questions, please contact the VACEP/ITLS Office at (757) 220-4911.
VACEP will only administer courses for which students seek ITLS International certification. Instructors will only receive teaching credit for assisting with certification courses. OEMS continuing education credits are available for VACEP-certified ITLS courses upon request.
All ITLS Instructor Courses are scheduled, coordinated and certified by the VACEP/ITLS Office. Typically, these are scheduled one per quarter at different sites throughout the State. At a minimum, four (4) ITLS Instructor courses are planned per year in cooperation with a local Course Coordinator. Individuals or agencies desiring to host an instructor course in their region should contact the VACEP/ITLS office.
Advertising Your CourseIf the course you propose to offer is not a "Closed" course, i.e. offered only to a particular rescue squad or other selected group, etc., it may be advertised as "Open". There are restrictions on the use of the ITLS International, as well as ACEP names and logos; if you wish to include these on your announcement, you must contact the VACEP/ITLS Office for guidance.
ITLS Administrative FeesBoth ITLS International and the VACEP/ITLS program are made possible through the assessment of administrative fees on all course participants, regardless of whether or not the student completes the course for certification purposes. These fees are payable by the course sponsor to VACEP/ITLS. A breakdown of fees currently in effect is below:
Basic or Advanced Providers, and/or Instructors = $35.00 per student ($25.00 State and $10.00 International)
Basic or Advanced Providers Recertification = $30.00 per student ($20.00 State and $10.00 International)
Pediatric Providers = $30.00 per student ($20.00 State and $10.00 International)
In addition to the required ITLS fees, a course sponsor has the right to establish a registration fee to offset other costs associated with providing this training. Any and all expenses incurred in running a course are the responsibility of the local host organization and Course Coordinator. To keep the cost per student as reasonable as possible, it is suggested that you be innovative in securing equipment and seeking financial support from regional EMS councils, rescue squads, hospitals and other organizations.
The ITLS fees listed above are payable to VACEP/ITLS at the time the final paperwork and rosters are submitted to the College office. Course Coordinators are responsible for collecting these fees and forwarding a single check with the post-course paperwork. Individual student checks will not be accepted. Checks from municipal governments, rescue squads, regional EMS Councils, or other corporate sponsors will be accepted. Returned checks are subject to a $50 service charge. Any courses to be paid through a purchase order must include a copy of the Purchase Order with the Request for Course Approval.
Note: Courses will not be processed until all required postcourse paperwork and student fees are received in this office.
Faculty Credentials And Requirements
In addition to the faculty requirements outlined in the ITLS Instructor Guides, VACEP/ITLS policy requires that 50% of the faculty must be currently certified ITLS Instructors, and the lead evaluator of each patient assessment station must be a currently certified ITLS Instructor.
All lecturers must be currently certified ITLS Instructors or individuals considered experts in their fields and who are familiar with prehospital care. A curriculum vitae (CV) or resume is required for any non-ITLS Instructor, and should be submitted with the final course Faculty Roster. ITLS Instructors currently certified by any other ITLS chapter must submit a copy of their ITLS Card may be submitted instead of a CV or resume. A Guest Faculty Credentials form is provided for instructors who may not have a CV or resume available.A completed Faculty Roster, which includes course assignments is required to be submitted as part of the postcourse paperwork.
Course ContentTip: Ideal class size has been determined to be 24 students or less and will require a minimum of 8 instructors, in addition to the Course Coordinator and Medical Director. Classes accepting more than 24 students must either increase time allotted for skills stations proportionately to allow adequate time for practicing and testing or increase the number of instructors.
All ITLS Courses must be conducted in accordance with the ITLS International Standards and shall include all CORE material. Refer to the ITLS Instructor Guides section titled "Material To Be Taught: Core vs. Optional" All information and skills must be taught in accordance with the ITLS Instructor teaching outlines. Additional content may be added to expand the scope to fit local needs or protocols.
Note: Any deviations, additions or deletions from the course material or State policy must be submitted in writing with the Request for Course Approval for review and approval by the ITLS Executive Committee.
Successful Completion Of A ITLS Provider CourseITLS Provider courses may be conducted over a series of dates. These options are outlined in the ITLS Instructors Guide, with the following VACEP/ITLS restrictions: the entire course must be completed within a fifteen (15) calendar day period, unless it is conducted as part of an OEMS-approved certification program, for example EMT-B, -ST, -CT, or Paramedic.
A student has successfully completed any course if they have:
Attended all lectures and skills stations;
Achieved a score of 74% or higher on the written exam; and
Achieved a grade of "Pass" or "Instructor Potential" on the Patient Assessment Testing Station.
Retest PolicyNote: Refer to your Instructor Manual for specific grading and testing criteria. While an agency may require a higher testing standard for their providers, any student meeting the International standards will receive ITLS certification.
Any individual who is unsuccessful on both the Written test and Patient Assessment skills test may not retest. However, this does not preclude an individual from enrolling in another course at a later date.
Any individual who is unsuccessful on either the Written test or the Patient Assessment skills test may retest the failed portion within 30 days as follows:
may retake the written test one time, at the convenience of the Course Coordinator or Course Medical Director. However, a student may not retest solely for the purpose of raising a passing grade.
may retake the Patient Assessment skills test one time, supervised by and at the convenience of the Course Coordinator or Course Medical Director. It is recommended, due to the logistical difficulty encountered in setting up a Patient Assessment skills station that the retest be held prior to the courses conclusion.
A different scenario from any practice or test station must be used.
Provider Course Monitoringthe student who does not pass a retest as outlined above has no recourse except to enroll in another course.
Any and all ITLS courses are subject to be monitored. Courses will be periodically monitored by a State Affiliate Faculty Member or the State Administrative Coordinator (or delegate) to insure compliance with policy and consistency with delivery of educational objectives.
A first-time Course Coordinator must identify a State Affiliate Faculty to monitor their course preparation, presentation and post-course requirements.
Administrative Requirements
Submit VACEP/ITLS Course Approval Request form no less than 30 days prior to the first class date. Requested signatures and ITLS Card numbers are required. Incomplete forms will delay processing. If this is either the Medical Director or Course Coordinators first course, monitoring by a State Affiliate Faculty member is required. The SAF will assist you with pre-course preparation, onsite course coordination, and post-course paperwork.
The OEMS has approved VACEP-certified ITLS courses for CEUs. If you wish to offer OEMS CEUs to your students and/or instructors, you must attach a completed OEMS "Course Approval Request" form to your ITLS Course Approval Request. Do not submit a form to the OEMS. Any student who attends and completes a course, but does not qualify for ITLS certification, is eligible to receive the OEMS credits.
Upon approval of your ITLS course request, you will receive a confirmation letter assigning you a certified course number (VA- # # # # # - * ). Additional information regarding OEMS credit and post-course follow-up will be included.
Attention: Any deviations in planning or delivery of a course not pre-approved by the Executive Committee could result in decertification of your course. Proposed deviations must be outlined and submitted with the Request for Course Approval.
The VACEP/ITLS Office has some course educational materials available for rental to Course Coordinators. In addition to all ITLS course slide sets, we also have a limited inventory of equipment available for use in Pediatric courses. All materials are available on a first-reserved basis. Contact the office for a current list and rental terms.
VACEP/ITLS does not sell student textbooks. Contact the office for a list of ITLS book suppliers. You should order textbooks so these may be given to students no less than 2 weeks prior to the beginning date of your course. (Allow 4-6 weeks for delivery of textbooks to you.)
Post-Course PaperworkA course is not considered complete until the following paperwork is completed and received in the VACEP/ITLS Office. A package containing all required materials should be submitted no later than 30 days of the course test date.
If this is a combined course (Basic/Advanced Providers). separate rosters must be completed for ALS vs. BLS providers.
Provide the students preferred mailing address, home and work phone numbers.
Either the student SSN or State EMS Certification Number is required.
Enter the students current EMS or other medical certification level, e.g. EMT-B, EMT-CT, RN, etc.
If the student is recertifying their basic or advanced ITLS provider status, they must provide their current, 5 digit ITLS International Card Number (ending with either an A or B).
Three columns are provided for the Coordinator to enter the student scores for patient assessment testing, the written test, and to indicate an Instructor Potential recommendation (Yes or No).
Tip: Provide a course registration form to each student to be completed and submitted to you prior to the beginning of the course. Ensure submitted rosters are legiblethere is a $10 charge to reissue cards for misspelled names or lost mail caused by our inability to read a roster correctly.
Any course not conducted in accordance with the ITLS Instructor Guides and this Policy Manual, including submission of all Post Course Paperwork and fees within 30 days of the test date, is subject to Decertification by the Executive Committee.
Course Coordinators delinquent in submitting course paperwork and/or fees to the office will be reviewed by the Executive Committee. Future course requests may be denied, or approved courses not yet conducted may be suspended, pending satisfactory resolution of problem issues.
Certificates of Participation, CEUs and Certification Cards
Upon receipt of all required final paperwork and fees, the VACEP/ITLS Office will process student Certificates of Participation and, if appropriate, state OEMS continuing education credit. For those students who successfully completed the class, we also issue the ITLS International Certification. Student certificates and cards are mailed directly to these individuals, unless the Course Coordinator or Medical Director requests these be provided to them for distribution.
Verification of ITLS Certification or Replacement of Certification Cards
The ITLS International Certification card verifies successful completion of a course. If an individuals card becomes lost or damaged, replacement cards are available at a minimal charge, or a verification letter may be issued for no charge.
To insure the quality and consistency of all ITLS instruction, VACEP/ITLS requires all Instructors be monitored (evaluated) at least once within each certification period. It is the individual instructors responsibility to assure that a State Affiliate Faculty member or Course Medical Director completes this. A VACEP/ITLS Instructor Monitor Form is in Appendix B. The evaluator must observe and evaluate the instructor in two of the three categories and complete the monitor form. This must then be discussed with the individual being monitored, signed by both parties and forwarded to the VACEP/ITLS office.
The evaluation assesses strengths and/or weaknesses of individual instructors. The final overall rating is captured in the Instructor file.
An Instructor identified as "Weak" should be counseled by the evaluator on methods to improve. Any Instructor with two consecutive "weak" overall ratings will be reviewed and may be required to audit an Instructor course as a condition of recertification.
An Instructor identified as "Substandard" must be counseled by the evaluator on methods to improve and/or correct their performance and this must be noted in the comment area of the form. This Instructor must be monitored by a State Affiliate Faculty member the next time they teach.
If the Instructor does not bring their next overall rating to "Satisfactory", they will be placed on teaching probation and contacted to discuss their deficiencies. (While on probation the Instructor MAY NOT serve as a Course Coordinator or participate as an Instructor.) This individual must audit an Instructor course and be monitored within six months; this monitoring must be conducted by the State BTLS Medical Director or their designee and the individual must obtain at least a Satisfactory rating in all Evaluation categories to have their Instructor privileges reinstated. Any individual failing to comply with remedial recommendations and/or requirements will have their Instructor status revoked.
Course Medical Director Responsibilities
The responsibilities are outlined in the Instructor guides. Further VACEP/ITLS underscores the following:
must be a ITLS Instructor.
must sign the ITLS course approval request, and OEMS course approval request if CEUs are requested, which are submitted to the VACEP/ITLS office for all certified courses.
has the ultimate responsibility to maintain the integrity of the ITLS course by assuring that the course meets all standards set by ITLS International and VACEP/ITLS. To accomplish this, VACEP/ITLS requires the Medical Director attend the opening session of a course, be present or available by pager or telephone during the class, and be present during the patient assessment testing. Specifically, the Director should monitor lectures and be available to provide additional medical information which may be needed; frequently rotate through the teaching and Patient Assessment Practice/Testing stations to monitor Instructor performance and assist, if necessary, with additional medical information.
lead the post-course faculty/instructor meeting to assess candidate performance and recommendation of Instructor Potential and evaluate the conduct of the course.
work with the Course Coordinator to ensure that all required data is collected and completed, that it is valid and submitted to the VACEP/ITLS office within the required time frame.
Note: When an approved Course Medical Director must cancel on short notice and a substitute cannot be secured, the Executive Committee may approve any Steering Committee member, or designee, to serve as a Course Director.
Course Coordinator Responsibilities
The responsibilities are outlined in the Instructor guide. Further VACEP/ITLS underscores the following:
must be a currently certified ITLS Instructor at the level commensurate with the level of the course being conducted.
work closely with the Course Medical Director in the planning and execution of a course.
responsible for coordinating ALL organizational aspects of the ITLS Course, including proper pre-course preparation, organized on-site coordination, completion of the post-test data collection and submission of the appropriate paperwork with fees to the VACEP/ITLS office within the required time. It is the Course Coordinators responsibility to insure that all financial aspects of the course are disbursed appropriately.
be prepared, or make arrangements, to teach any of the lectures or skill stations in case of faculty illness or absence.
participate in and coordinate the post-course faculty/instructor meeting to assess candidate performance and recommendation of Instructor Potential and evaluate the conduct of the course in cooperation with the Course Medical Director.
Course coordination requires proper organization and adequate preparation. In order to ensure a successful course, allow adequate time for the preparation, delivery and completion of the program.
Direct any comments or questions regarding these policies to the VACEP/ITLS office.