ASLS Course Approval Request

*Please note: This is for Advanced Stroke Life Support Courses, not ACLS.

 

This form is for ASLS Instructors aligned with the Vanderbilt Resuscitation Program Training Center to request approval to hold a course. Review the course requirements and complete the form below to request approval. You'll receive an email confirming or denying the request within 3 business days of submission.


Course Requirements

Course Director:

  • An ASLS Course Director must be present for all ASLS courses.

Equipment:

  • Rental equipment is not available.

Paperwork/eCards:

  • Before eCards can be issued, all required paperwork must be received by scanning and emailing to deborah.e.haight@vumc.org or turning in to the Resuscitation Program office.
    • Excel eCards file filled out with course date, names, and email addresses and emailed to deborah.e.haight@vumc.org
    • Course roster
    • Student Online Completion Certificates
    • Skills testing sheets (stroke scale checklist, part A checklist, part B checklist, part C checklist)
    • Evaluation
  • If an assisting instructor is not aligned with the Vanderbilt AHA Training Center, a copy of their current ASLS Instructor card must be submitted.
  • eCards will be issued within 20 days of receipt of all requirement paperwork. Average processing time is 1-2 weeks.