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
B. Immediate notification of ITLS International of any change
in Medical Director or Coordinator
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 _____________
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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 _____________
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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 ____________
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5. Student records retention policy ____________
6. Notice requirements for course requests ___________
7. Designation of course approval authority ____________
8. Course application submission procedure _____________
9. Requirements for faculty:
a. Course medical director _____________
b. Course coordinator _____________
c. Affiliate faculty _____________
10. Requirements for course paperwork:
a. Timeframe for submission ______________
b. 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 _____________
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2. Selection and removal process _____________
3. Responsibilities _____________
E. Chapter Medical Director
1. Qualifications _____________
2. Selection and removal process _____________
2. 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
to chapter or training centre and International office ____________
3. Designation of current course fees by type
of course ____________
4. Description of procedure for printing cards
and suspension of card-printing privileges ___________
III. Advisory Committee
A. Membership
1. Designation of composition of membership
the committee ___________
2. Designation of members terms of office ___________
3. 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 ___________
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VI. Policy on Non-Discrimination and Harassment ____________
VII. Policy on Dispute Resolution ____________
VIII. Policy on Students with Disabilities ____________
Rev. 2016
