Hands-Only CPR & AED Skills Check-Off: Record of Training
Health/Wellness · Chapter 27 · psychomotor CPR with AED use (IDAPA 08.02.03.105.01.i), following American Heart Association Hands-Only CPR guidance. Keep this sheet. Then mark each passing student's "CPR/AED hands-on" item done in the Teacher Dashboard checklist.
Date:
Period:
Method: improvised trainer (towel / bottle + 2-in marker) other:
Teacher:
| # | Student name | CHECK & CALL | COMPRESSIONS (2 min, metronome) | AED steps in order | Teacher initials | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Scene safe | Tap & shout | 911 on speaker | Send for AED | Hand position | Rate 100–120 for 2 min | Depth reaches 2-in marker | Full recoil | Pauses under 10 s | ||||
Pass = every box ✓. Hand position: heel of hand on the center of the chest, lower half of the breastbone, other hand on top, arms straight.
Rate on the 110/min metronome (side quest → Class practice). Depth: hand reaches the 2-inch line on the ruler beside the trainer.
Recoil: back up to the top line each time. Pauses: under 10 seconds, including while pads go on.
AED in order: power on → pads on bare chest (upper right, lower left side) → plug in → stand clear while analyzing → "shock advised": all clear, press shock → resume compressions right away.
Absent or not yet passed? Leave the row blank and re-check on a make-up day.
Notes:
Notes:
Teacher signature: