Colorado Department of Human Services
Colorado Department of Human Services (CDHS)
Division of Child Care
FIRST AID AND CPR TRAINING APPLICATION
Thank you for your interest in offering the required First Aid and CPR training to licensed child care providers in Colorado. To be considered as an approved vendor and listed in Colorado’s Directory of Approved First Aid and CPR Training Vendors, please complete the attached application forms (Form A and Form B) and return to us with all required documentation.
FIRST AID TRAINING for infants, children and adults must cover ALL of the topics listed below with recommended instruction time of 2-½ to 3 hours. Applicants must provide the training curriculum for each of these subjects in addition to the information requested on Form B:
Accident Mgmt/Prevention Drowning Poisoning
Allergic Reactions Ear/Eye/Mouth/Nose Injuries Respiratory Problems
Blood Falls Seizures
Burns Fractures Shock
Choking Head Trauma Stings and Bites
Diabetic Emergencies Neck/Spine Injuries Temperature Extremes
CPR TRAINING for infants, children and adults must meet the following guidelines:
• Training must be conducted in accordance with the most recent Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) Guidelines that are updated every 5 years, most recently in 2005.
• Recommended instruction time is 3-4 hours depending on individual needs of the student(s).
• Training must include skills demonstration with life-size/age-appropriate mannequins using a recommended ratio of 1:3 (or less).
• Instructors must be trained to teach the most recent international ECC guidelines in CPR and First Aid and must provide a copy of the certification to the CDHS Division of Child Care. The instructor must submit a copy of the certification for each course they will teach. The certification(s) must include the number of years the certification is valid (issue date and expiration date). The instructor must teach only courses approved by the CDHS Division of Child Care to students requiring CDHS certifications.
UNIVERSAL PRECAUTIONS TRAINING that meets the required minimum of one hour and thirty minutes (1½ hours) of instruction may be included with your first aid/CPR training provided these hours are in addition to the recommended times noted above for first aid training and/or CPR training. It is recommended that trainers obtain the instructional manual, Universal Precautions for Child Care Providers, from the Colorado Department of Public Health and Environment (CDPHE) website at:
ALL TRAINING MATERIAL SUBMITTED FOR APPROVAL MUST INCLUDE ALL REQUIRED DOCUMENTATION AT THE TIME THE APPLICATION IS SUBMITTED. SUBMISSIONS WILL FIRST BE EVALUATED FOR COMPLETENESS BEFORE BEING REVIEWED FOR CONTENT. INCOMPLETE SUBMISSIONS WILL NOT BE REVIEWED.
Please complete both Form A and Form B and return with all required documentation to:
Debbie Ledsome
Colorado Department of Human Services
Division of Child Care
1575 Sherman Street, 1st Floor
Denver, CO 80203
Enclosures: Form A and Form B
FORM A
COLORADO DEPARTMENT OF HUMAN SERVICES
DIVISION OF CHILD CARE
FIRST AID/CPR TRAINING APPLICATION
PLEASE PRINT CLEARLY
DATE _______________________________________________________________________________
NAME & TITLE_______________________________________________________________________
ORGANIZATION_____________________________________________________________________
MAILING ADDRESS__________________________________________________________________
CITY__________________________________________STATE_________________ZIP____________
PHONE (h)__________________________(w)_______________________(fax)___________________
(Please circle the phone number you want listed in the Directory)
E-mail_______________________________________________________________________________
What training is offered?
First Aid?____________CPR?____________Universal Precautions?____________
What is the length of each class?
First Aid __________hours CPR________hours Universal Precautions________hours
What nationally recognized card is issued?
For First Aid____________________ Card is valid for how many years____________________
For CPR________________________Card is valid for how many years____________________
In what counties or area(s) of state is training offered?_________________________________________
Please list names of trainers, card trainer holds, and expiration of their card (attach additional page if necessary):
NAME OF TRAINER CARD TRAINER HOLDS EXPIRATION DATE
__________________________________ _______________________ __________________
__________________________________ ________________________ __________________
__________________________________ ________________________ ___________________
Please include the following documentation with this application:
_____ A training plan /agenda that is a maximum of 4 pages in length that includes
documentation of instruction and length of each class offered
_____ Valid trainer cards for each instructor
_____ Blank copy of card that you issue
FORM B
FIRST AID TRAINING DOCUMENTATION
Please complete the following index that corresponds to the first aid training curriculum you are enclosing:
| | | |
|SUBJECT/TOPIC |SECTION & PAGE NUMBER IN FIRST AID TRAINING |TIME SPENT ON EACH SUBJECT |
| |CURRICULUM | |
| | | |
|Accident Mgmt/Prevention | | |
| | | |
|Allergic Reactions | | |
| | | |
|Blood | | |
| | | |
|Burns | | |
| | | |
|Choking | | |
| | | |
|Diabetic Emergencies | | |
| | | |
|Drowning | | |
| | | |
|Ear Injuries | | |
| | | |
|Eye Injuries | | |
| | | |
|Falls | | |
| | | |
|Fractures | | |
| | | |
|Head Trauma | | |
| | | |
|Mouth Injuries | | |
| | | |
|Neck/Spine Injuries | | |
| | | |
|Nose Injuries | | |
| | | |
|Poisoning | | |
| | | |
|Respiratory Problems | | |
| | | |
|Seizures | | |
| | | |
|Shock | | |
| | | |
|Stings and Bites | | |
| | | |
|Temperature Extremes | | |
................
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