SAMPLE Basic First Aid ASHI APPROVED CERTIFICATION CARD For First Aid Providers

Basic First Aid
ASHI APPROVED CERTIFICATION CARD
E
L
P
M
Sc
For First Aid Providers
in the Community and Workplace
SA
ien
ce
has successfully completed and competently performed the
required knowledge and skill objectives for a course in:
Pediatric First Aid
Adult First Aid
Universal First Aid
20
& G 05
uid
eli
n
Authorized Instructor (Print Name)
es
Holder’s Signature
Date Completed
Renewal Date
(Knowledge and skill not assessed if crossed out above)
American Safety & Health Institute
an association of professional safety and health educators
Training Center Phone No.
Training Center Note
Successful completion indicates card holder has met required knowledge and skill objectives of the curriculum to
the satisfaction of an ASHI authorized Instructor. Successful completion does not guarantee future performance,
nor imply state certification or licensure. Program content is based upon recommendations of the 2005 National
First Aid Science Advisory Board (Circulation ©2005) and other evidence-based treatment recommendations.
Rate this program online at www.ashinstitute.org or call (800) 246-5101.
Administration
SA
has successfully completed and competently performed the
required knowledge and skill objectives for a course in
Emergency Oxygen Administration.
American Safety & Health Institute
an association of professional safety and health educators
ASHI APPROVED CERTIFICATION CARD
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L
P
M
Emergency Oxygen
Authorized Instructor (Print Name)
Holder’s Signature
Date Completed
Training Center Phone No.
Renewal Date
Training Center Note
Successful completion indicates card holder has met the required knowledge and skill objectives of the curriculum to
the satisfaction of an ASHI authorized Instructor. ASHI’s curriculum is consistent with widely accepted guidelines for
emergency oxygen administration. Successful completion does not guarantee future performance, nor imply state
certification or licensure. Rate this program online at www.ashinstitute.org or call (800) 246-5101.
ASHI APPROVED CERTIFICATION CARD
E
L
P
M
Bloodborne Pathogens
Authorized Instructor (Print Name)
SA
has successfully completed a course in
Bloodborne Pathogens.
American Safety & Health Institute
an association of professional safety and health educators
Holder’s Signature
Date Completed
Renewal Date
Training Center Phone No.
Training Center Note
This program assists in satisfying the information and training requirements of the U.S. Department of
Labor (OSHA, MSHA) and other agencies. This card does not and cannot guarantee all provisions required
by the standard have been met. Federal OSHA requires that bloodborne pathogens training be provided to
employees with occupational exposure at least annually. Rate this program online at www.ashinstitute.org
or call (800) 246-5101.
CPR and AED
ASHI APPROVED CERTIFICATION CARD
E
L
P
M
Sc
For the Community and Workplace
ien
ce
20
& G 05
uid
eli
n
Authorized Instructor (Print Name)
es
SA
has successfully completed and competently performed the
required knowledge and skill objectives for a course in:
Adult CPR AED
Child CPR AED
Infant CPR
Holder’s Signature
Date Completed
Renewal Date
(Knowledge and skill not assessed if crossed out above)
American Safety & Health Institute
an association of professional safety and health educators
Training Center Phone No.
Training Center Note
Successful completion indicates card holder has met required knowledge and skill objectives of the curriculum to
the satisfaction of an ASHI authorized Instructor. Successful completion does not guarantee future performance,
nor imply state certification or licensure. Program content is based upon American Heart Association®, Inc.
Guidelines for CPR and ECC (Circulation ©2005) and other evidence-based treatment recommendations.
Rate this program online at www.ashinstitute.org or call (800) 246-5101.
CPR Pro
ASHI APPROVED CERTIFICATION CARD
E
L
P
M
Sc
ien
For the Professional Rescuer
ce
20
& G 05
uid
eli
n
Authorized Instructor (Print Name)
es
SA
Holder’s Signature
has successfully completed and competently performed the
required knowledge and skill objectives for a course in:
Adult CPR AED
Child CPR AED
Infant CPR
Date Completed
Renewal Date
(Knowledge and skill not assessed if crossed out above)
American Safety & Health Institute
an association of professional safety and health educators
Training Center Phone No.
Training Center Note
Successful completion indicates card holder has met required knowledge and skill objectives of the curriculum to
the satisfaction of an ASHI authorized Instructor. Successful completion does not guarantee future performance,
nor imply state certification or licensure. Program content is based upon American Heart Association®, Inc.
Guidelines for CPR and ECC (Circulation ©2005) and other evidence-based treatment recommendations.
Rate this program online at www.ashinstitute.org or call (800) 246-5101.
CPR
ASHI APPROVED CERTIFICATION CARD
E
L
P
M
Sc
For the Community and Workplace
ien
ce
20
& G 05
uid
eli
n
Authorized Instructor (Print Name)
es
SA
has successfully completed and competently performed the
required knowledge and skill objectives for a course in:
Adult CPR
Child CPR
Infant CPR
Holder’s Signature
Date Completed
Renewal Date
(Knowledge and skill not assessed if crossed out above)
American Safety & Health Institute
an association of professional safety and health educators
Training Center Phone No.
Training Center Note
Successful completion indicates card holder has met required knowledge and skill objectives of the curriculum to
the satisfaction of an ASHI authorized Instructor. Successful completion does not guarantee future performance,
nor imply state certification or licensure. Program content is based upon American Heart Association®, Inc.
Guidelines for CPR and ECC (Circulation ©2005) and other evidence-based treatment recommendations.
Rate this program online at www.ashinstitute.org or call (800) 246-5101.
ASHI ACLS
TM
ASHI APPROVED CERTIFICATION CARD
E
L
P
M
Sc
For Healthcare Professionals
ien
ce
20
& G 05
uid
eli
n
Authorized Instructor (Print Name)
es
SA
has successfully completed and competently performed the
required knowledge and skill objectives for the:
ASHI Advanced Cardiovascular Life Support Program
American Safety & Health Institute
an association of professional safety and health educators
Holder’s Signature
Date Completed
Training Center Phone No.
Renewal Date
Training Center Note
Successful completion indicates card holder has met the required knowledge and skill objectives of the
curriculum to the satisfaction of an ASHI authorized ACLS Instructor. Successful completion does not guarantee future
performance, nor imply state certification or licensure. Course content is based upon American Heart Association®,
Inc. Guidelines for CPR and ECC (Circulation ©2005) and other evidence-based treatment recommendations.
Rate this program online at www.ashinstitute.org or call (800) 246-5101.
ASHI PALS
TM
ASHI APPROVED CERTIFICATION CARD
E
L
P
M
Sc
For Healthcare Professionals
ien
ce
20
& G 05
uid
eli
n
Authorized Instructor (Print Name)
es
SA
has successfully completed and competently performed the
required knowledge and skill objectives for the:
Pediatric Advanced Life Support Program
American Safety & Health Institute
an association of professional safety and health educators
Holder’s Signature
Date Completed
Training Center Phone No.
Renewal Date
Training Center Note
Successful completion indicates card holder has met the required knowledge and skill objectives of the curriculum to the satisfaction of an ASHI authorized PALS Instructor. Successful completion does not guarantee future
performance, nor imply state certification or licensure. Course content is based upon American Heart Association®,
Inc. Guidelines for CPR and ECC (Circulation ©2005) and other evidence-based treatment recommendations.
Rate this program online at www.ashinstitute.org or call (800) 246-5101.
ASHI APPROVED CERTIFICATION CARD
E
L
P
M
Sc
ien 2
Child and
ce 00
Babysitting Safety (CABS) & Guid5elin
Authorized Instructor (Print Name)
es
SA
has successfully completed and competently performed the
required knowledge and skill objectives for the:
Child and Babysitting Safety (CABS)
American Safety & Health Institute
an association of professional safety and health educators
Holder’s Signature
Date Completed
Training Center Phone No.
Renewal Date
Training Center Note
Successful completion indicates card holder has met the required knowledge and skill objectives of the curriculum.
Successful completion does not guarantee future performance, nor imply state certification or licensure. The ASHI
CABS curriculum is consistent with knowledge and skill objectives generally recognized by safety and health
authorities as necessary and appropriate for babysitters. ASHI recommends card holder maintain evidence of current
age-appropriate CPR/First Aid training. Rate this program online at www.ashinstitute.org or call (800) 682-5067.
Emergency
Medical Response
For Adults in the Workplace
SA
ien
ce
20
& G 05
uid
eli
n
has successfully completed and competently performed the
required knowledge and skill objectives for a course in:
Adult First Aid, CPR, and AED
Introduction to Bloodborne Pathogens and Emergency Oxygen Administration
This program is not designed to meet regulatory requirements for
child care workers, lifeguards, health care, or EMS providers and
should not be used for this purpose.
American Safety & Health Institute
an association of professional safety and health educators
ASHI APPROVED CERTIFICATION CARD
E
L
P
M
Sc
Authorized Instructor (Print Name)
es
Holder’s Signature
Date Completed
Training Center Phone No.
Renewal Date
Training Center Note
Card holder has met required knowledge and skill objectives of the curriculum to the satisfaction of an ASHI
authorized Instructor. Certification does not guarantee future performance, nor imply state licensure or credentialing.
Program content is based upon American Heart Association®, Inc. Guidelines for CPR and ECC (Circulation ©2005)
and other evidence-based treatment recommendations.
Rate this program online at www.ashinstitute.org or call (800) 246-5101.