ASTM F1257-90(1996)e1

STD.ASTM FL257-ENGL I,990 - 075=l530 0593379 5b5 m
AMERICAN SOCIETY FOR TESTING AND MATERIALS
Designation: F 1257 - 90 (Reapproved 1996)”
100 Barr Harbor Dr., West ConsbhoCken. PA 19428
Reprinted from the Annual Book of ASTM Standards. CopyrQht ASTM
4Tb
me current combined index. will appear in the next edition.
If rot listed in
Standard Guide for
Selection and Practice of the Emergency Medical Services
Instructor for Advanced Life Support/Emergency Medical
Technician (ALS/EMT) Training Programs’
This standard is issued under the fixed designation F 1257; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapprowl. A
superscript epsilon (t) indicates an editorial change since the last revision or reapproval.
(I NOTE-Keywords were added editorially in October 1996.
1. Scope merits. Such requirements should be established by the
certifying agency in the jurisdiction in which the ALS/EMT
1.1 This guide is intended to assist emergency medical
instructor will function. This guide may be used to provide
services (EMS) agencies and institutions in selecting and
considerable guidance to the jurisdiction responsible for
utilizing individuals who teach in EMT (emergency medical
establishing certification standards.
technician) training programs which include instruction in
1.9 This standard does not purport to address all of the
advanced life support knowledge and skills.
safety concerns, if any, associated with its use. It is the
1.2 This guide identifies six categories of instructor in an
responsibility of the user of this standard to establish appro-
ALS/EMT (advanced life support/emergency medical tech-
priate safety and health practices and determine the applica-
nician) training program: adjunct instructor, clinical/field
bility of regulatory limitations prior to use.
preceptor, practical skills instructor, associate instructor,
course instructor/coordinator (I/C), and course adminis- NOTE-AISO see Practice F 103 1.
trator. The guide recognizes that an individual may, de-
pending on his/her level of practice and the training program
2. Referenced Document
involved, function in any or all of these categories.
2.1 ASTM Standard.
1.3 This guide includes specific guidelines for qualifica-
F 103 1 Practice for Training the Emergency Medical
tions, training, education, experience, scope of authority,
Technician (Basic)2
responsibilities, continuing education, evaluation, and main-
tenance of competency when applicable.
3. Terminology
1.4 This guide does not include specific guidelines for the
3.1 Definitions of Terms SpeciJic to This Standard:
course administrator or the adjunct instructor. While the
3.1.1 adjunct instructor-an individual with specialized
guide recognizes, by offering a definition of each category,
subject matter expertise, who, on occasion, instructs a
that these types of individuals function in many AI-S/EMT
specific topic of a curriculum under the direction of the
training programs, the limited instructional roles played by
course instructor/coordinator.
these individuals precludes the need for specific selection and
3.1.2 advanced life support-a level of pre-hospital emer-
utilization guidelines.
gency medical care that includes all EMT-basic procedures
1.5 This guide is intended to apply to any individual who
and any or all additional procedures, interventions, or
teaches in ALS/EMT training programs regardless of the
techniques defined by the National Standard Curricula.3~4
individual’s present level of clinical practice.
3.1.3 advanced life support/emergency medical technician
1.6 This guide intentionally omits references to length of
(ALQEMT) training program-a course of instruction that
prehospital care experience, teaching experience, and con-
provides an individual with the knowledge and clinical skills
tinuing education requirements. This guide also omits refer-
of emergency medical care necessary to function at a level of
ence to waiver or equivalency. These issues should be
EMT practice beyond the level of EMT (basic). Such courses
addressed by the appropriate agency.
include, but are not limited to, EMT-intermediate and
1.7 This guide applies only to instructors who teach in
EMT-paramedic training programs.
advanced life support training courses designed to prepare an
3.1.4 ALQEMT instructor-an individual who provides
individual for certification to practice as an EMT above the
instruction in a training or education program for
level of the EMT (basic). It does not apply to instructors who
prehospital ALS/EMT personnel. This term includes any
teach in specialized courses that do not in themselves qualify
the individual for a level of EMT certification.
1.8 This guide does not establish certification require-
2 Annual Book ojASTM Standards, Vol 13.01.
3 Emergency Medical Technician-Intermediate: National Standard Curricu-
lum-Instructor’s Lesson Plans (U.S. DOT/NHTSA Report No. WT HS
i This guide is under the jurisdiction of ASTM Committee F-30 on Emergency 900-09 I, August 1986).
Medical Services and is the direct responsibility of Subcommittee F30.02 on 4 Emergency Medical Technician-Paramedic: National Standard Curricu-
Personnel, Training and Education. lum-Instructor’s Lesson Plans, 1985 (U.S. DOT/NHTSA Report No. DOT HS
900-089, August 1986).
Current edition approved Jan. 10, 1990. Published February 1990.
STD.ASTM FL257-ENGL L=l=lCl - 0759530 05=l3380 267 m
individual who functions as an adjunct instructor, clinical/ the qualifications and capabilities necessary to provide effec-
field preceptor, practical skills instructor, associate in- tive instruction.
4.2 An ALS/EMT instructor must possess clearly defined
structor, or course instructor/coordinator.
3.15 associate instructor-an individual who possesses knowledge and skills competencies, have clearly defined
responsibilities and scope of authority related to instructional
the qualifications and education/training of a course instruc-
programs and meet other specific requirements pertinent to
tor/coordinator, but, in a specific course, assumes a sup-
portive or assisting role to the course instructor/coordinator. the level of instruction.
This individual may substitute for the course instructor/ 4.3 Using this guide, EMS institutions and organizations
coordinator in case of necessity or, in other courses, serve as should be able to develop requirements for selection and
a course instructor/coordinator. utilization of ALS/EMT instructors for ALS/EMT training
and education programs.
3.1.6 certification-current, formal approval by the ap-
propriate certifying agency to function at a specific level of
practice. This may also be referred to as approval or
ADVANCED LIFE SUPPORT INSTRUCI-OR GUIDELINES
licensure.
3.1.7 clinical certification-a standardized process for
evaluation and recognition of an acceptable level of compe-
5. Course Instructor/Coordinator
tence in a specific aspect of patient care.
5.1 An individual shall be considered eligible to serve as
3.1.8 clinical experience-exposure to and practice in an
an ALS/EMT course I/C when requirements as outlined in
area of patient care.
51.1 and 5.1.2 have been met by that individual.
3.1.9 clinical/jeld preceptor-an individual who super-
5.1.1 Qualtftcations-Prior to entering the instructor
vises and evaluates the students during clinical or field
training program, the course I/C candidate shall:
experiences under the direction of the course instructor/
5.1.1.1 Be at least a high school graduate or have a
coordinator.
General Equivalency Diploma (GED); preferably a higher
3.1.10 course administrator-an individual responsible
education degree in a supportive discipline,
for managing administrative details of a course, separate
5.1.1.2 Have prehospital patient care experience at least at
from actual instruction of the course.
the level being taught,
3.1.11 course instructor/coordinator (I/C)-an individual
5.1,1.3 Be certified at least at the level being taught,
who is authorized by the appropriate entity to present and
5.1.1.4 Demonstrate, at the level being taught, current
assess competence in all of the subject matter contained in a
competence in and knowledge of emergency care of the
curriculum. This person also oversees all instruction in the
acutely ill or traumatized patient to the satisfaction of the
course and makes final evaluations concerning student
appropriate agency, and
competence.
5.1.1.5 Demonstrate to the instructor training agency,
3.1.12 course medical director-the licensed physician
reading and language skills commensurate with resource
who provides medical direction for all didactic and clinical
materials to be utilized in the ALS/EMT training program.
instruction and clinical practice experience included in an
5.1.2 Education/Training/Experience-The course I/C
ALS/EMT training program.
candidate shall:
3.1.13 evaluation-the process of verifying clinical and
5.1.2.1 Have served as a practical skills instructor, clinical
educational skills and knowledge competencies of an ALS/
or field preceptor, and successfully completed a supervised
EMT instructor.
probationary teaching experience in an ALS/EMT training
3.1.14 instructor training program-an educational pro-
program at the level to be taught to the satisfaction of the
gram that provides a foundation of essential educational
appropriate agency,
principles to assist individuals to instruct in, or coordinate,
5.1.2.2 Have advanced clinical certifications, provider or
ALS/EMT programs. It must, at a minimum, contain the
instructor, or both, as appropriate for the curriculum being
elements of the DOT EMS Instructor National Standard
taught,
Curriculum.5
5.1.2.3 Be certified as a CPR instructor according to the
3.1.15 practical skills instructor-an individual who as-
current standards as promulgated by the American Heart
sists with practical skills instruction under the direction of
Association or the American Red Cross,
the course instructor/coordinator.
5.1.2.4 Become familiar with appropriate record keeping
3.1.16 qualification-a requirement which shall be met by
processes for students, sponsoring agency or state EMS
an ALS/EMT instructor candidate prior to selection and
agency, or both,
practice as an ALS/EMT instructor.
5.1.2.5 Successfully complete an instructor training pro-
gram that includes the knowledge and skills objectives
4. Significance and Use
contained in the DOT Instructor Curriculum.5
4.1 Since the quality of prehospital ALS/EMT training
51.3 Scope of Authority-The course I/C shall have the
depends, in large measure, on the instructional abilities and
authority to:
competencies of the ALS/EMT instructor, it is imperative
5.1.3.1 Conduct ALS/EMT training programs with the
that the individual selected and used in this capacity possess
approval of the appropriate EMS agency,
5.1.3.2 Document to the appropriate agency those stu-
dents successfully completing the ALS/EMT training pro-
s Emergency Medical Services Instructor Training Program: A National Stan-
gram, and
dard Curriculum-Instructor’s Lesson Plans, First Edition, 1986 (U.S. DOT/
5. I .3.3 Regulate student behavior within the scope of the
NHTSA Report No. HS 900-086, February 1986).
STD.ASTM FL257-ENGL I,990 m ll75953ll 05=l3LBl., It>3 -
(a) Practice-related topics, for example, management or
training program under the institutional guidelines for due
administration, vehicle maintenance, communications,
process.
(6) Clinical topics, and
5.1.4 Responsibilities-The course I/C:
(c) Educational methods and materials.
5. I .4.1 Should provide a positive role model by:
(a) Maintaining personal mental and physical health,
6. Associate Instructor
(6) Maintaining appropriate personal hygiene and appear-
ance,
6.1 The associate instructor shah possess the same quali-
(c) Actively pursuing personal and professional develop-
fications, training and education as the course I/C.
ment,
6.2 The associate instructor differs from the course I/C in
(d) Recognizing personal limitations and seeking as- that the associate instructor assumes a supportive and
sistance when appropriate, assisting role to the course I/C in a specific ALS/EMT
(e) Demonstrating competent, respectful, and caring in-
training program.
teractions with students, coworkers, and patients at all times,
and 7. Practical Skills Instructor
u> Demonstrating professional behavior in the classroom
7.1 Qualifications-The practical skills instructor candi-
or in the presence of students.
date:
5. I .4.2 Shall ensure a safe and effective learning environ-
7.1.1 Should be at least a high school graduate or have a
ment,
General Equivalency Diploma (GED),
5. I .4.3 Shall ensure competent training staff,
7. I .2 Shall have pre-hospital care experience or approval
5. I .4.4 Shall maintain appropriate training records,
by the course I/C and course medical director, or both, and
5.1.4.5 Shall teach the curriculum as adopted and defined
7.1.3 Shall demonstrate to the satisfaction of the course
by the appropriate certifying agency,
I/C and course medical director current competence in and
5.1.4.6 Shall inform students of the criteria for successful
knowledge of the skill(s) being taught.
course completion,
7.2 Education/Training/Experience-The practical skills
5. I .4.7 Shall consistently monitor student progress toward
instructor candidate shall:
terminal course objectives and provide appropriate feedback
7.2.1 Demonstrate mastery of the knowledge and skills
to the students within guidelines established by the appro-
objective contained in lessons 1, 8, and 9 of the DOT
priate certifying agency,
Instructor Curriculum,5
5.1.4.8 Shall uphold state and national clinical standards
7.2.2 Successfully complete a supervised probationary
for practice at the appropriate ALS/EMT level,
teaching experience for the skill(s) to be taught to the
5.1.4.9 Shall evaluate the students for safe and effective
satisfaction of the appropriate agency,
performance,
7.2.3 Be certified as a CPR instructor according to the
5.1.4.10 Shall orient, supervise and evaluate adjunct,
current standards as promulgated by the American Heart
practical skills, associate instructors, and clinical/field pre-
Association or the American Red Cross, if CPR is among the
ceptors,
skills to be taught, and
5.1.4.11 Shall coordinate student field or clinical activities
7.2.4 Become familiar with appropriate record keeping
with the clinical/field preceptors,
processes for students, sponsoring agency or state EMS
5.1.4.12 Shall
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