AHA BLS Skills Session Heartcode BLS Parts 2 and 3 - 2025 Guidelines
American Heart Association
American Heart Association 2025 Advanced Cardiac Life Support Blended Learning ACLS Skills Session Heartcode ACLS Parts 2 and 3 at Saving American Hearts INC. *** NEW ADDRESS *** 1301 S. 8th Street Suite 116, Colorado Springs, Colorado 80905. (INCLUDES FREE BLS!)
There are three parts to completing your ACLS Certification
1). Go to www.elearning.heart.org and create an account or log in. Purchase the HeartCode ACLS online for $173 at https://elearning.heart.org/course/1601
2). Complete the online course which is Part 1. Email the certificate or text a picture to (719) 551-1222.
3). Purchase the ACLS Skills Session (In-person hands on skills checkoff) for $100 on this website. The in-person skills session is Part 2, which is the practice and Part 3 which is the hands on testing portion where you will act as the team leader. You will first practice and then be tested on your BLS Skills for 1 and 2 person rescuer on an adult and the use of an AED and 1 Megacode Scenario as well as one Bag-Mask Ventilation Scenario.
Upon successful completion of the course, your AHA ACLS/BLS Provider cards will be issued on the same day via email.
ACLS Skills (ACLS Checkoff) is the in-person, instructor-led, hands-on evaluation component of an AHA ACLS course.
It is not a lecture class and not a written exam. Instead, it is a formal demonstration and validation of psychomotor and team-based resuscitation skills, ensuring the learner can:
Apply ACLS algorithms correctly
Perform high-quality CPR and airway management
Operate a defibrillator/monitor safely
Lead or participate effectively in a resuscitation team
Manage cardiac arrest and peri-arrest scenarios in real time
This session is required for:
ACLS Provider initial courses
ACLS Renewal courses
ACLS HeartCode blended learning completions
Traditional Classroom ACLS
Didactic instruction
Skills practice
Written exam
Skills testing (checkoff)
HeartCode ACLS (Blended Learning)
Online cognitive portion completed first
In-person ACLS Skills session required to complete the course
In both cases, no AHA ACLS Provider eCard is issued unless the learner successfully completes the skills checkoff.
The ACLS Skills session exists to verify that the learner can:
Translate knowledge into action
Perform under stressful, time-critical conditions
Demonstrate safe, effective, guideline-based care
Work as part of a high-performance resuscitation team
It is competency-based, not attendance-based.
30–90 minutes, depending on:
Initial vs renewal
Group size
Instructor discretion
Learner performance
Must be a current AHA ACLS Instructor
Observes, evaluates, and documents performance
Provides corrective feedback and remediation if needed
Learner must demonstrate:
Correct compression depth and rate
Full chest recoil
Minimal interruptions
Proper compression-to-ventilation ratios
Effective team coordination during CPR cycles
Includes:
Use of BVM with oxygen
Airway adjuncts (OPA/NPA)
Recognition of inadequate ventilation
Integration with CPR and advanced airway placement
Proper ventilation rates once an advanced airway is in place
Learner must correctly identify rhythms such as:
Ventricular fibrillation (VF)
Pulseless ventricular tachycardia (pVT)
Asystole
Pulseless electrical activity (PEA)
Bradycardia with a pulse
Tachycardia with a pulse (stable vs unstable)
Hands-on demonstration includes:
Safe operation of a manual defibrillator/monitor
Correct pad placement
Appropriate energy selection
Clear communication (“All clear”)
Cardioversion vs defibrillation
Transcutaneous pacing (TCP)
Learner must demonstrate knowledge of:
Indications
Dosages
Routes
Timing within algorithms
Commonly evaluated medications:
Epinephrine
Amiodarone
Adenosine
Atropine
Magnesium
Dopamine infusion (conceptual)
Norepinephrine infusion (conceptual)
Learners are tested through megacode scenarios, which may include:
Adult cardiac arrest
Symptomatic bradycardia
Unstable tachycardia
ROSC and post-cardiac arrest care
The learner must:
Follow correct algorithm sequence
Identify H’s and T’s
Make timely clinical decisions
Communicate clearly with the team
Evaluation includes:
Closed-loop communication
Clear role assignment
Situational awareness
Leadership (for team leader role)
Mutual respect and professionalism
The megacode is the centerpiece of the ACLS Skills session.
A realistic, continuous simulation where the learner must:
Recognize patient deterioration
Initiate CPR
Interpret rhythms
Deliver shocks and medications
Achieve ROSC or manage termination of efforts
Depending on class format, learners may rotate as:
Team leader
Compressor
Airway manager
Medication administrator
Monitor/defibrillator operator
Learner must meet all critical performance objectives
Instructors use AHA skill checklists
Remediation is allowed during the session
Immediate coaching and re-attempt
Additional practice if time allows
Referral for further training if needed
Proof of online HeartCode completion (if applicable)
Current BLS Provider status
Willingness to actively participate
Appropriate clinical attire (recommended)
❌ Not a lecture
❌ Not a self-paced session
❌ Not a “rubber stamp”
❌ Not a written exam
❌ Not optional for certification
Upon passing the ACLS Skills Checkoff:
Instructor submits course completion
AHA ACLS Provider eCard is issued
Certification valid for 2 years
ACLS Skills sessions ensure that providers:
Can perform under pressure
Follow current AHA science-based guidelines
Protect patient safety
Function effectively during real cardiac emergencies
This is especially critical for:
Nurses
Paramedics
Physicians
Respiratory therapists
Critical care and emergency staff
The ACLS Skills Session (also called ACLS Checkoff) is the required in-person, hands-on skills testing component of the American Heart Association (AHA) Advanced Cardiac Life Support (ACLS) course.
This session is designed for healthcare professionals who have completed the online ACLS cognitive portion (HeartCode ACLS) or who are renewing their ACLS certification and need skills validation to receive their AHA ACLS Provider eCard.
All ACLS Skills sessions are conducted by authorized AHA ACLS Instructors and follow current American Heart Association guidelines.
ACLS Skills is a structured, instructor-led session that evaluates a participant’s ability to apply ACLS algorithms in real-time emergency scenarios. This is not a lecture course. Instead, participants demonstrate competency through hands-on performance, simulation, and megacode testing.
Successful completion of this session is required for:
HeartCode ACLS (blended learning) students
ACLS renewal students
Healthcare professionals needing AHA-approved skills verification
During the ACLS Skills session, participants demonstrate proficiency in:
High-quality CPR and team-based resuscitation
Airway management and effective ventilation
Cardiac rhythm recognition and interpretation
Manual defibrillation and cardioversion
Transcutaneous pacing (TCP)
ACLS medications, dosages, and timing
Adult cardiac arrest algorithms
Bradycardia and tachycardia management
Post-cardiac arrest care
Team leadership and closed-loop communication
All skills are assessed using scenario-based megacodes consistent with AHA standards.
This session is appropriate for:
Nurses (RN, LPN, APRN)
Paramedics and EMTs
Physicians and Physician Assistants
Respiratory Therapists
Critical care, emergency, and ICU staff
Any healthcare professional requiring AHA ACLS certification
Participants must hold a current BLS Provider certification.
Small group or one-on-one skills evaluation
Hands-on practice using AHA-approved equipment
Realistic cardiac emergency simulations
Immediate instructor feedback and remediation if needed
Efficient, focused testing environment
Most ACLS Skills sessions are completed in 30–90 minutes, depending on class size and participant experience.
Upon successful completion of the ACLS Skills Checkoff:
Your course completion is submitted to the AHA
You will receive an official AHA ACLS Provider eCard
Certification is valid for 2 years
No certification is issued without successful skills validation.
Authorized American Heart Association Training Site
Experienced, credentialed ACLS Instructors
Hands-on, realistic training environment
Current AHA science-based guidelines
Supportive, professional skills evaluation
Convenient scheduling for busy healthcare professionals
If you have completed HeartCode ACLS or need ACLS skills testing for renewal, our ACLS Skills / ACLS Checkoff sessions provide the fast, compliant, and professional pathway to certification.
Register today to complete your ACLS certification with confidence.
See our live calendar of classes here:
https://www.keepandshare.com/calendar/show.php?i=2091851&vw=month&ign=y
If you have a current AHA ACLS card and need a renewal class, you can also visit
https://savingamericanhearts.com/aha-acls-renewal-class/
If you have an expired AHA ACLS card and need an initial provider class, you can also visit
https://savingamericanhearts.com/aha-acls-initial-certification/
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ACLS Renewal Skills, ACLS Megacode Testing, Advanced Cardiac Life Support Skills
Class was great, Catherine got back to me right away and was instrumental in helping me get my certs on time! She is absolutely wonderful!
Testing was straight forward. Will use again.
Well done and would recommend to a colleague
Highly recommend this class with Catherine - she's super friendly and makes the experience less stressful and easy to understand! Plus, snacks and coffee - doesn't get better than that!
Great facility, even offer snacks.