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Basic Life Support/CPR and Supervisory Training Requirements Attestation Form Non-Network Providers BCBA-D BCBA and BCaBA/QASP Provider First Name Provider Last Name NPI Date this provider began practicing with this group Provider Category BCBA-D BCBA BCaBA/QASP REQUIREMENTS I attest this provider has BLS or CPR-equivalent certification from a live course not a Webbased program that includes practice on a dummy. Yes No Date Completed mm/dd/yyyy and competency for supervising assistant...
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01
Check for responsiveness: Shake the person gently and ask if they are okay.
02
Call for help: Dial the emergency services or ask someone nearby to call.
03
Start chest compressions: Place the heel of your hand on the center of the person's chest and interlock your fingers. Push hard and fast, aiming for a rate of 100-120 compressions per minute.
04
Give rescue breaths: Tilt the person's head back slightly, pinch their nose, and give two breaths into their mouth while watching for chest rise.
05
Continue compressions and breaths: Repeat cycles of 30 compressions and 2 breaths until help arrives or the person starts showing signs of life.

Who needs basic life supportcpr and?

01
People who experience cardiac arrest.
02
Victims of drowning.
03
Those who suffer from a drug overdose.
04
Individuals with severe allergic reactions (anaphylaxis).
05
Individuals who have choked and are unresponsive.
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Basic life support/CPR is a set of medical interventions used to sustain life in the event of an emergency, such as cardiac arrest or choking.
Healthcare professionals, emergency responders, and individuals trained in basic life support/CPR are required to provide and file documentation of their interventions.
Basic life support/CPR documentation should include details of the emergency situation, the actions taken, and any relevant patient information. This information should be recorded accurately and promptly.
The purpose of basic life support/CPR is to provide immediate medical assistance to individuals experiencing a life-threatening emergency, in order to sustain life until further medical help can be obtained.
Basic life support/CPR documentation should include details of the emergency situation, the actions taken, any medical equipment used, and the patient's response to treatment.
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