ITLS

ITLS COURSES

International Trauma Life Support

Toronto Ontario

"Policies & Procedures"

Introduction
Acknowledgments
Goals & Objectives of ITLS International
Objectives & Mission Statement of ITLS Ontario
ITLS Ontario-Organizational Structure
Chapter Executive Committee
Chapter Advisory Committee
Chapter Representation

Roles & Responsibilities

Instructor Qualifications

Instructor Candidates

Maintenance of Qualifications

Reciprocity

Course Conduction Protocols

 

Qualifications for students

Documentation Submission Requirements for Courses

Appendices

 

INTRODUCTION

ITLS programs have been taught in the Province of Ontario since 1986 under the auspices of provincial, municipal, and local organizations as well as by invited visiting instructors from other jurisdictions.

In 1995, ITLS International required that a single organization govern ITLS in each province. Toronto Emergency Medical Services (Toronto EMS), formerly Toronto Ambulance has been involved in teaching ITLS programs since 1986 and following discussion with other providers within the province, applied for and received the ITLS charter for the Province of Ontario in 1995.

This policy and procedures manual was originally developed and approved by the Ontario ITLS Co-ordinating Committee and is intended to assist all those involved in ITLS in Ontario.

 

ACKNOWLEDGEMENTS

Basic Trauma Life Support Ontario would like to acknowledge the following past and present ITLS Ontario staff for their vision in bringing ITLS Ontario to Toronto Emergency Medical services and for their contributions to ITLS Ontario at large:

John Dean
Bruce Farr
Dr. Martin Friedberg
David Grant
John Janson
Norm Lambert
Peter Macintyre
Mike Muir
Michael Neill
George Eliadis
Mike O'Donnell

 

GOALS AND OBJECTIVES OF ITLS INTERNATIONAL

 

OBJECTIVES & MISSION STATEMENT OF ITLS ONTARIO

 

ITLS ONTARIO-ORGANIZATIONAL STRUCTURE

EXECUTIVE COMMITTEE

Purpose:

The purpose of the Executive Committee is to ensure that ITLS Ontario follows the spirit and rule of ITLS International and follows the policies of ITLS Ontario as they integrate with the oversight organization (The City of Toronto and Toronto Emergency Medical Services). Direction given by this committee will be based upon the rules and regulations that apply to all the above organizations.

Membership:

Members of the Executive Committee will include but not limited to:

Responsibilities:

 

CHAPTER ADVISORY COMMITTEE (Formerly Coordinating Committee)

Purpose:

The Advisory Committee has been developed to assist in the co-ordination, administration and growth of ITLS in Ontario. The Chapter Advisory Committee will also ensure that the medical content of all ITLS courses in Ontario are consistent with the guidelines and principles of ITLS International. The Chapter Advisory Committee reports to the Chapter Coordinator any recommendations within their mandate.

Committee Membership:

Four Ontario affiliate faculty are to be represented on the Committee. At least one affiliate faculty member shall be from Toronto EMS. Initially, members for the Committee will be appointed by the Chapter Medical Director and Chapter Coordinator and subsequently will be elected by the Committee from nominations to be received from the Medical Director, Co-ordinator(s), Instructors or the Associate Medical Director(s) or Co-ordinator(s).

Note: This structure is currently under review

Responsibilities:

 

Chapter functions that are supported by Toronto Emergency Medical Services

Toronto EMS is an operating department of the City of Toronto and serves as the administrative unit for the ITLS Ontario Chapter. The ITLS Ontario Chapter functions under the auspices of and with the support of Toronto EMS.

  • Invoicing
  • Accounts Receivable
  • Accounts Payable
  • Instructor Fees
  • Course Fees
  • Course Contracts
  • Records of Instruction
  • Co-ordination of Instructor Pool
  • Equipment (In-house and loan if available)
  • Moulage (In-house)

 

CHAPTER REPRESENTATION

The Chapter Medical Director and the Chapter Co-ordinator are the Ontario Chapter representatives to ITLS International and the Canadian ITLS Network.

Other Medical Directors, Co-ordinators, Instructors or Providers may represent the Chapter at the request of the Provincial Co-ordinator or Medical Director.

 

ROLES AND RESPONSIBILITIES

As with any large industry or group, ITLS Ontario has a hierarchical structure that consists of multiple levels with responsibilities that accompany each level. In order to distinguish the roles and responsibilities of each position, a descriptor of each position has been provided.

 

Chapter Medical Director

Overview:

The Chapter Medical Director is employed by Toronto EMS as its Medical Advisor and is responsible for all medical aspects of ITLS for the Ontario Chapter. The Toronto EMS Medical Advisor’s employment is at the discretion of Toronto EMS and it’s General Manager. Therefore the Ontario ITLS Chapters’ Medical Director’s appointment is subject to all the rules and regulations that apply to that position.

Responsibilities:

Pre-requisites:

 

Chapter Co-ordinator

Overview:

The Chapter Co-ordinator is employed by Toronto EMS as a Supervisor (Acting or Full) in the Toronto EMS Education & Development Unit and is appointed by the Toronto EMS Education and Development Manager. Supervisors for Toronto EMS are employed at the discretion of Toronto EMS and it’s General Manager and are therefore subject to all the rules and regulations that apply to that position.

Pre-requisites for a Toronto EMS Education Supervisor may be found in the appendix.

Responsibilities:

Prerequisites:

The Chapter Co-ordinator must be a qualified ITLS instructor. The Co-ordinator must also be familiar with the goals and objectives of ITLS International, its bylaws, and Chapter policies and procedures.

 

Affiliate Faculty

Overview:

Affiliate faculty are instructors with a great deal of experience teaching ITLS and are primarily utilized to oversee new and re-certifying instructors and assist the Chapter Co-ordinator as required. Affiliate faculty may be appointed by the Chapter Medical Director and/or the Chapter ITLS Coordinator. The length of term of the affiliate faculty is at the discretion of the Chapter Medical Director and/or the Chapter Co-ordinator and will be ratified by the Executive Committee at their next meeting.

The Chapter Coordinator and/or the Chapter Medical Director has the authority to relieve an affiliate faculty member of their title if programs taught are not consistent with ITLS standards, or if management problems within the program are such as to impede student education or the reputation of the ITLS program within the chapter.

Responsibilities:

Pre-requisites:

 

Course Director

Overview:

The ITLS course director is a physician licensed to practice medicine within the Chapter in which the course is taught (Province of Ontario). This physician should be a ITLS instructor or should serve as co-director for one course with a physician ITLS instructor. In unusual circumstances, the Chapter Medical Director may appoint a course director who is not a physician ITLS instructor.

The Chapter Medical Director has the authority to relieve a course co-ordinator of this title if programs taught are not consistent with ITLS standards, or if management problems within the program are such as to impede student education or the reputation of the ITLS program within the chapter.

This physician must be familiar with the program and its components, especially patient assessment and management techniques taught within ITLS instructional material. The course director must ascertain that the program is consistent with ITLS standards.

Responsibilities:

Pre-requisites:

 

Course Co-ordinator

Overview:

The ITLS course co-ordinator must be an experienced ITLS instructor who is taking on co-responsibility with the course director for all aspects of the course inclusive of financial responsibilities. The course co-ordinator must have previously assisted in the co-ordination of a ITLS course prior to independently conducting a ITLS program.

The course co-ordinator's efforts must be regularly reviewed by the Chapter Medical Director. The Chapter Medical Director and/or the Chapter Coordinator have the authority to relieve a course co-ordinator of this title if programs taught are not consistent with ITLS standards, or if management problems within the program are such as to impede student education or the reputation of the ITLS program within the chapter.

Responsibilities:

Pre-requisites:

 

ITLS Instructor

Overview:

A ITLS instructor at any level (Basic, Advanced, Pediatric or Access) is a person who has completed the required pre-requisites for instructor status in the various courses and is utilized within the Chapter to instruct on Chapter approved courses.

The Chapter Medical Director and/or the Chapter Coordinator have the authority to relieve a course co-ordinator of this title if programs taught are not consistent with ITLS standards, or if management problems within the program are such as to impede student education or the reputation of the ITLS program within the chapter.

Responsibilities:

Pre-requisites:

See instructor qualifications.

 

INSTRUCTOR QUALIFICATIONS

Each instructor candidate should have minimally successfully completed both theoretical and practical testing components of a ITLS Provider course with a score of 86% written and or an instructor potential grade or excellent on the practical scenarios.

Instructors may also be cross-certified from other equivalent programs at the Chapter Coordinators discretion as outlined by ITLS International.

 

ITLS-Basic Instructor

Instructor Recognition:

ITLS Ontario will recognize ITLS-Basic Instructors based on the following criteria:

 

ITLS-Advanced Instructor

Instructor Recognition:

ITLS Ontario will recognize ITLS-Advanced Instructors based on the following criteria:

 

ITLS-Paediatric Instructor

Instructor Recognition:

ITLS Ontario will recognize ITLS-Pediatric Instructors based on the following criteria:

 

ITLS-Access Instructor

Recognition:

ITLS Ontario will recognize ITLS-Access Instructors based on the following criteria:

 

INSTRUCTOR CANDIDATES

ITLS instructor candidates are invited to attend a ITLS Instructor course based on excellent performance in a ITLS provider course and the recommendation of the Course Coordinator. The ITLS instructor candidate must attend a ITLS instructor training course within one year of attending the provider course and have the following qualifications:

*Equivalent is defined as a full time or part-time professional whose responsibilities and job requirements are inclusive of patient care. An emergency room nurse, military medic or a full time firefighter may be considered equivalent. First aid, CPR and AED Instructor status alone would be considered insufficient as a credential. Equivalency will be determined on an individual basis by the Chapter Medical Director and/or the Chapter Coordinator.

Candidates who are successful in the ITLS Ontario Instructor course will be monitored by ITLS Ontario Affiliate Faculty on their first course. Candidates must be successful in their monitoring to be considered instructors. Any costs associated with monitoring will be borne by the course coordinator of the course the candidate is being monitored instructing. The length of term of a ITLS instructor is three years.

Instructor candidates or instructors wishing to teach ITLS-Pediatric or ITLS Access must first attend the course as a provider and then receive a recommendation from the course coordinator to be an instructor candidate. ITLS Pediatric and Access instructor candidates may be required to successfully challenge an instructor course in those areas. Following the above pre-requisites, the instructor candidate will then be monitored by affiliate faculty and granted instructor status by the Chapter Co-ordinator if successful.

 

MAINTENANCE OF QUALIFICATIONS

Provider:

Instructor:

Course Co-ordinator:

Affiliate Faculty:

 

RECIPROCITY

Provider:

The Ontario ITLS Chapter acknowledges reciprocity to all providers who present a valid and
subsisting certificate indicating they successful completion of a ITLS course signed and dated by an authorized ITLS International state or provincial representative. Qualification will be
considered in effect for 3 years beyond the course date.

Instructors:

The Ontario ITLS Chapter acknowledges reciprocity to all ITLS Instructors who present
appropriate documents and a current letter of acknowledgement from their previous state/provincial Co-ordinator or Medical Director. Instructor status will be recognized for 1 year during which time an Ontario ITLS Instructor update, acceptable to the Co-ordinator, must be obtained to maintain certification.

 

PHTLS & ATLS Instructor Bridge Course Policy

Overview:

In an effort to facilitate the process by which certified trauma instructors may become ITLS instructors, ITLS International has developed a "bridge" course. ITLS Ontario acknowledges this bridge course as per the following policy which outlines the course requirements.

This course is open to any currently certified PHTLS or ATLS Instructor who wishes to become a ITLS Instructor. A ITLS affiliate faculty member must conduct the course.

Rationale:

This course has been developed to facilitate the process by which certified trauma instructors may become certified as ITLS Instructors. The course assumes that the candidate is familiar with basic instructional methodology and the skills of ITLS. Successful completion certifies the candidate as a ITLS Instructor candidate.

Prerequisites:

Following completion of the Bridge Course, the candidate is classified as an "Instructor Candidate" as outlined by the ITLS Ontario instructor candidate policy. In order to become certified as a ITLS Instructor, the candidate must be recommended for certification by a faculty member who monitors the candidate teaching during a ITLS Provider Course. Monitoring must be within 12 months of the bridge course and include teaching a lecture and a scenario station. An extension may be granted on the 12 months if considered appropriate by the Chapter Co-ordinator and/or the Chapter Medical Director.

Once certified, the instructor will follow all requirements of the ITLS Ontario maintenance of certification policy.

 

QUALIFICATIONS FOR TRAINING

All candidates must have current First Aid/CPR certification.

 

Basic Level ITLS

Pre-requisites:

Note:

Anyone wishing to audit the course may do so with the permission of the Course Co-ordinator.
Auditors will not be tested or receive cards or certificates. They may take part in the skill stations at the discretion of the Course Co-ordinator. Auditors may be part of moulage during testing at the discretion of the Course Director.

Successful completion of any ITLS basic level program acknowledges a level of knowledge and skill in performance of basic level skills at time of the course, but does not provide certification in those skills.

 

Advanced Level ITLS

Pre-requisites:

Note:

Any of the target groups for ITLS may take part in and be examined at the advanced level, however, only those above qualify for a ITLS card of attendance at the advanced level. Successful completion of any ITLS advanced level program acknowledges a level of knowledge and skill in performance of advanced level skills at time of the course, but does not provide certification in those skills.

 

Paediatric ITLS

This course will be useful both to first responders and to hospital staff who deal with pediatric trauma patients. Pediatric ITLS focuses on the unique challenges offered by the injured child. While not mandatory, it is very strongly recommended that participants take a ITLS Basic course prior to ITLS Pediatric. Those who have not taken ITLS prior to this course should contact the course co-ordinator regarding the appropriateness of them attending the course.

Pre-requisites:

Any of the target groups for ITLS may take part in and be examined at the advanced level, however, only those above qualify for a ITLS card of attendance at the advanced level.

Successful completion of any ITLS program acknowledges a level of knowledge and skill in performance of advanced level skills at time of the course, but does not provide certification in those skills.

 

ITLS-Access

Pre-requisites:

Successful completion of any ITLS program acknowledges a level of knowledge and skill in performance of basic level skills at time of the course, but does not provide certification in those skills.

 

COURSE LENGTHS

ITLS-Basic: Recommended duration of course: 16-24 hours


ITLS-Advanced: Recommended duration of course: 16-24 hours


ITLS-Paediatric: Recommended duration of course: 8-12 hours


ITLS Access: Recommended duration of course: 8-12 hours


ITLS-Basic & Advanced Instructor: Recommended duration of course: 24-30 hours


ITLS-Basic Re-certification: Recommended duration of course: 8-12 hours


ITLS-Advanced Re-certification: Recommended duration of the course: 8-12 hour

 

COURSE COMPLETION

A student may become a ITLS provider by attending the lectures and skill stations and by passing the written and practical examinations. ITLS providers will receive a card and/or certificate confirming that they have satisfactorily completed the course. Certification is good for three years. Such certification does not guarantee future performance, nor is it a form of licensure of any kind. Students who fail either the written or the practical examination after retesting will be given a letter of attendance so they may receive continuing education credit.

A student who attends the lectures and skill stations, scores at least 74 percent on the written test and at least "adequate" on patient assessment, will pass the course. Students who fail the patient assessment test will usually be retested immediately (time permitting), or given the opportunity to retest within six weeks. Students who pass the retest will pass the course. Students who fail both the written and patient assessment tests will be asked to repeat the course.

 

PASS/FAIL CRITERIA

Pass/Fail criteria for the patient assessment test include the following:

Inadequate Rating:

Adequate Rating:

Good Rating:

Excellent Rating:

 

RETEST POLICY

The course director will outline to the student conditions under which any re-testing may take place. This may be inclusive of re-taking a portion of the course.

Students who fail the patient assessment test will usually be retested immediately (time permitting), or given the opportunity to retest within six weeks or in the next available course. Students who fail the written test may be given the opportunity to retake the test after having had time to review the test and study identified areas of weakness. The retake of the written test will be within six weeks or in the next available course. Students who pass the retest will pass the course. Students who fail both the written and patient assessment tests will be asked to repeat the course. Students may not retest in order to raise a passing grade.

 

DOCUMENTATION SUBMISSION REQUIREMENTS FOR COURSES

Overview:

In order for courses to be run and recognized within the ITLS Ontario Chapter, the following documentation must be submitted:

The utilizing and submission of the ITLS Ontario Course Evaluation Form at this time is optional. The following is a description of the forms and their date requirements:

 

ITLS Ontario Course Approval Form

This must be received by ITLS Ontario no later than four weeks prior to the course start date. It may be faxed or e-mailed directly. This allows the Chapter to anticipate card and certificate need, allow for textbook ordering and to allow the Chapter to audit the course if desired.

While approval for courses is not automatic, the Chapter has no plans to stop courses for occurring without cause. The Chapter’s main concern will be that enough qualified instructors are teaching the course and that candidates wishing to be audited as instructors are accommodated.

Courses not approved will not be recognized. Should extenuating circumstances occur, the Chapter Coordinator should be contacted directly.

 

ITLS Ontario Course Summary & ITLS Ontario Course Roster

This course summary and payment is to accompany the course roster upon completion of any ITLS Course. This summary, payment and roster must be received by ITLS Ontario no later than 30 days post course.

Rosters, payment and summary not received within 30 days may not be accepted. Should extenuating circumstances occur, please contact me directly.

Coordinators please note: Due to a variety of factors, new cards and certificates will not be issued for client spelling errors not of the Chapter’s fault. Please ensure that all names on the roster are legible and correct. The students name, address, profession, written score, practical score and IP should be filled out and not left blank. Large single entity groups may use one complete address. This information is required as we may contact the students as part of our quality assurance.

 

ITLS Course Evaluation Form

This form is for course coordinators to get direct feedback from students on how the course is being presented. While these forms are not a requirement, it is important for both the course coordinator and the instructors to be able to conduct self-critique. ITLS Ontario encourages course co-ordinators and directors to incorporate these forms into courses.

 

Specific Time Requirements for Course Notification and Documentation Return

As noted in the forms section, specific times for course notification, course summary and course roster are required for any courses scheduled after November 1, 2001. The mandatory course timing is as follows:

Course Notification: A minimum of four weeks prior to course date


Course Roster: No longer than thirty days post course


Course Summary: No longer than thirty days post course