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Basic Informations

Training Center Details

Organizational Chart: Submit with this application. Include all positions with names of the people occupying each position. Please ensure that the full names (Not initials) of the people in the following positions are included. (To be uploaded as pdf)

Agreements

If “No” is checked for any question in this section, an explanation must be given in the “Notes” field at the end of the section. Failure to include an explanation will result in a rejection of the application.
Does the TC agree to: Yes No
1 Open your courses to the community and all healthcare providers?
2 Issue SHA Course Completion Cards to every student who successfully completes an SHA course?
3 Conduct all SHA courses according to SHA Guidelines without modifications or revisions?
4 Use only the current SHA exams without editing?
5 Submit semiannual (2x/yr) training reports to the SHA?
6 Maintain required records for at least 3 years?
7 Notify the SHA immediately of any TC status change?
8 Adhere to all guidelines of SHA?
9 Maintain the security of SHA Exams, Course Completion Cards and records?
10 Pay all costs for SHA faculty for initial site visit of the TC?

Equipment List

SHA BLS Equipment
Description Minimum Quantity Required Quantity Available Quantity scheduled to be Purchased
Adult CPR Manikins* 1 per 3 students
Child CPR Manikins Optional
Infant CPR Manikins 1 per 3 students
Pocket Mask 1 per 3 students
Bag Mask, Adult 1 per 3 students
Bag Mask, Child Optional
Bag Mask, Infant 1 per 3 students
AED Trainer 1 per 3 students

SHA ACLS Equipment (in addition to BLS equipment)
Description Minimum Quantity Required Quantity Available Quantity scheduled to be Purchased
ECG Simulator or Rhythm Generator 1 per 6 students
Monitor/defibrillator w/ cardioversion and TCP 1 per 6 students
ALS Manikins1 1 per 6 students
Airway Manikins2 1 per 3 students

1. ALS Manikins are defibrillatable and accept oral, nasal, and tracheal airways.

2. An ALS Manikin can serve as one of the airway manikins.

SHA PALS Equipment (in addition to BLS equipment)
Description Minimum Quantity Required Quantity Available Quantity scheduled to be Purchased
ECG Simulator or Rhythm Generator 1 per 6 students
Monitor/defibrillator w/ cardioversion and TCP 1 per 6 students
Pediatric/Infant ALS Manikins1 1 per 6 students
Pediatric/Infant Airway Manikins2 1 per 3 students

1. ALS Manikins are defibrillatable and accept oral, nasal, and tracheal airways.

2. An ALS Manikin can serve as one of the airway manikins.

SHA NRP Equipment
Quantity Equipment
  • ● Prewarm radiant or resuscitator
  • ● Clock with timer in seconds
  • ● Towels or Blankets
  • ● Polyethylene bag / sheet–size for baby <500 g or < 28 weeks gestation
  • ● Thermal mattress & Hat
  • ● Stethoscope (neonatal preferred)
  • ● Pulse oximeter plus neonatal sensor (disposable with foam band tape or self-adherent bandage)
  • ● ECG leads for Cardiac cardiac monitoring
  • ● Thermoregulation probe
  • ● Suction unit (negative pressure 80- 100 mmHg)
  • ● Suction catheters–sizes 5F, 6F, 8F and 10F or 12F
  • ● Suction tubing
  • ● Oropharyngeal airways–sizes 00 and 0
  • ● Intubation equipment:
    • ➢ Compatible laryngoscope handles and blades
    • ➢ Laryngoscopes with neonatal blades–0 and1 (and sizes 00 for extremely premature babies)
    • ➢ Spare batteries and bulbs (unless fiber optic laryngoscope)
    • ➢ Endotracheal tubes (ETT)–uncuffed, sizes 2.5, 3.0, 3.5 and 4.0 mm internal diameter)
    • ➢ ETT introducer/stylet (optionally used for oral intubation only)
    • ➢ Supplies for fixing ETT (e.g. sterile scissors, tape, skin prep swabs and skin barrier)
    • ➢ forceps–neonatal size (optional–for nasal intubation)
    • ➢ end-tidal carbon dioxide (CO2) detector
  • ● Meconium suction device
  • ● Laryngeal mask airway–size 1 (suitable for neonates up to 5 kg)
  • ● Bulb syringe
  • ● Face masks (cushioned rim)–range of sizes suitable for premature and term neonates
  • ● Positive Pressure pressure Ventilation ventilation device either:
    • ➢ T-Piece piece resuscitation device (preferred), or
    • ➢ Flow-inflating bag with pressure safety valve and manometer, and
    • ➢ Self-inflating bag (240 mLmL) preferably with a removable oxygen reservoir and PEEP valve
  • ● Medical glasses:
    • ➢ Source of medical oxygen (reticulated and/or cylinder) with flow meter and tubing–allowing flow rate of up to 10 L/min
    • ➢ Source of medical air with flow meter and tubing–allowing flow rate of up to 10 L/min
    • ➢ Air/oxygen blender
  • ● Feeding tubes for gastric decompression sizes 6F and 8F and 10 mLmL syringe for aspirating gastric contents
  • ● Umbilical venous catheter (UVC) kit–UVC size 5F
  • ● Peripheral IV cannulation kit including cannulas and 3-way taps with extension
  • ● Skin preparation solution suitable for neonatal skin
  • ● Tapes/devices to secure UVC/IV cannula (e.g. arm board)
  • ● Syringes and needles–assorted sizes 1, 3. 5, 10, 20 and 50 mlmL
  • ● Intraosseous needles
  • ● Adrenaline (epinephrine) 1:10 10 000 concentration (0.1 mg/mLmL)
  • ● Volume expanders:
    • ➢ Normal saline (0.9% sodium chloride)
    • ➢ Blood suitable for emergency neonatal transfusion (Group O RhD negative)
  • ● Desktop/laptop computer or tablet with power source and speakers, projector and projection screen/area or large-monitor
  • ● Newborn manikins with features of intubation and UVC insertion at least one per station.
  • ● Neonate Airway task trainer for intubation feature.
  • ● Cleaning and decontamination supplies (decontaminating solution, 4’’ × 4’’ gauze pads, soap and water, brush, basins or buckets, and any accessories that may be recommended by the manufacturer of the manikin).manikin)
  • ● Latex-free disposable gloves (strongly recommended but not required).required)
  • ● Gauze

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