2021 Basic Life Support for Healthcare Providers

Basic Life Support for Healthcare Providers (BLS)

2021 Request
Submission of this Request must be done at least one week in advance.
The American Heart Association (AHA) strongly promotes knowledge and proficiency in BLS, ACLS, and PALS Courses and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent sponsorship by the American Heart Association. Any fees charged for such a course, except for a portion of fees needed for AHA course materials, does represent income to the Association.
Employee ID *
Today's Date

Month Day Year
Example: 01/01/2021
Name

First Name Last Name
Work Phone Number *

Area Code Phone Number
COA Email: *
Example: jane.doe@childrensal.org
Department
Profession (Job Title)
Educator:
New Hires:

New Hire with expired card Never taken BLS exam
Month of Expiration *
Number of the month
Year of Expiration *
4 digit year
Skill Check

Marathon Complete Assigned
Basic Life Support (Hands-on-Skills) Marathons: 2021 dates are:

(AM - Sessions) April 14, August 18, October 20, Dec

(Night Sessions) June 23, December 2

Registration for on-line modules will be two (2) weeks prior to class date. Ecards will be sent to work email address.

Certificate of Completion should be presented at class or emailed to nursing.education@childrensal.org prior to class.
Day Session times are 0730, 0800, 0830, 0900, 0930, 1000, 1300, 1330, 1400, 1430, 1500. Enter your 1st, 2nd and 3rd choice in the boxes below. (Note: Sessions will be assigned based on availability).

Night Session times are 1800, 1830, 1900, 1930, 2000, 2030, 2100, 2130, 2200, 2230; 2300
Time *
1st Choice
Time *
2nd Choice
Time *
3rd choice
BLS Complete available:

February, March, May, July, September, November. Assignments will be made the beginning of each month. You will have thirty (30) days to complete the online and go to a simulation station to complete the skills portion. Certificates & eCard will be generated upon completion. Copy of certificate should sent to nursing.education@childrensal.org.
The Supora Thomas Pediatric Nursing Education and Research Center

Nursing Professional Development Department - Children's of Alabama

1600 6th Avenue South/ Harbor Bldg-Suite 410, Birmingham, AL 35233

Office: (205) 638-9127; Fax (205) 638-6066

Email: nursing.education@childrensal.org
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Basic Life Support for Healthcare Providers (BLS)