Circular No. (3/2017)

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Circular No. (3/2017) From Qatar Council for Healthcare Practitioners (QCHP) To Subject All Healthcare Practitioners in the state of Qatar (Governmental & Private Sectors) All Healthcare Facilities focal points in the state of Qatar (Governmental & Private Sectors) Updates on required CPR courses for licensing and renewal purposes policy in the Healthcare sector of the State of Qatar Date 18 January 2017 The Registration Department in Qatar Council for Healthcare Practitioners presents to you its compliments In the QCHP s pursuit to develop the Healthcare sector, and in order to ensure that all the healthcare practitioners are fit to practice, in addition to, assure the patient safety and the quality of service provided in the State of Qatar; the policy of required CPR courses for licensing and renewal purposes has been updated then approved by the PLC in its 22nd meeting held on 14/12/2016. Accordingly, all healthcare practitioners and focal points from all Healthcare facilities in the State of Qatar shall review the updated policy (attached) and provide the Registration Department with the completion certificates for the required courses indicated in the attachment - each practitioner as per their respective specialty -which is a core requirement for licensing and renewal purposes in the Healthcare sector of the State of Qatar. Notes:- This policy shall repeal the previous policy which has been issued in circular number (15/2014) dated 05/11/2014. The updated policy shall be put into effect as of the circular date. In regards with the renewal requests which are under process with the QCHP before the circular date, the CPR courses will be accepted as per the pervious circular in case there is difference in the courses from the updated policy. Should you have any question or inquiries, please contact: Dr. Souma El-Torky: seltorky@moph.gov.qa Thank you for your cooperation, Registration Department/ Qatar Council for Healthcare Practitioner

The Mandatory Life Support Courses Policy This policy provides the required minimum life support courses for the purposes of license to practice. Any additional required courses for the purpose of privilege and accreditation is the responsibility of the employing service provider/organization. These courses can only be additional to the minimum requirements set out in this policy. Hamad International Training Centre (HITC) courses are used as benchmark. The equivalence rules will apply to any variation from HITC courses (see table 7 for equivalence) Staff who complete appropriate higher level course are not required to do the lower level one, e.g. ALS versus. Training on the use of Automated External Defibrillator (AED) should be included in any BLS or CPR training for staff working within healthcare setting. For Glossary of life support courses and relevant professional bodies. See tables 1-6. Mandatory courses for healthcare professions Table 1: Medical Practitioners All medical practitioners irrespective of their specialties or facilities must be as a minimum up to date in Immediate Life Support () or equivalent for practitioners dealing with adult patients or Paediatric Immediate Life Support (EP) or equivalent for practitioners dealing with paediatric patients. Additional courses will be required according to specialty and scope of practice (except for Neonatologists who will only require NRP or equivalent). See below Physicians Required Training Important Notes General Scope Physicians & PLS (or EP) Family Medicine Specialists & PLS (or EP) BLSO for family physicians involved in the management of pregnant patients. Emergency Medicine Specialist Paediatric Emergency Specialist ALS & PLS (or EP) & ATLS APLS (or EPLS) & ATLS (if involved in managing trauma cases) ALS instead of if working in Urgent care Centre Working in predominantly adult emergency department or urgent care centre Working in paediatric emergency department or urgent care. Critical Care Medicine Specialists Pediatric Intensive Care Specialists ALS APLS (or EPLS)

Neonatal Prenatal medicine Specialists Anesthesiology NRP-A Varies according to scope of practice and subspecialty (patient population): - Adult only but not involved in trauma code or obstetric cases on routine basis: ALS - Paediatric only but not involved in trauma code or obstetric cases on routine basis: APLS (or EPLS) - Manages adult and paediatric case mix on routine basis : ALS and APLS (or EPLS) - Obstetric and Gyn cases only: ALS, BLSO and NRP-A - If involved in trauma code on routine basis (any of above): additionally ATLS Any Medical Practitioners likely to be in involved in Trauma Code team Obstetrics & Gynecology Specialists Specialists in Internal Medicine & its subspecialty Additionally: ATLS Varies according to scope of practice and subspecialty (patient population): Obstetrician only: ALSO, & NRP-B Gyn only: Obs & Gyn: ALSO, & NRP-B As determined by individual organization/service provider

Cardiologist: Varies according to scope of practice and subspecialty (patient population): - ALS for adult cardiology - APLS (or EPLS) for Paediatric cardiologist - APLS (or EPLS) and ALS if deals with adult and pediatric patients. Physicians under Training Program General Scope Physician limited to any Specialty All Pediatric Specialists not elsewhere classified Physicians not elsewhere classified - for adult patient specialty - PLS (or EP for Pediatric specialty) General physician providing service in specific specialty: as per the required trainings of this specialty PLS (or EP) Table 2: Dentists Required Training Important Notes General Scope Dentist All & PLS (or EP) Dental Specialists Pediatric only Dentistry Specialist PLS (or EP) Table 3: Nursing All nurse practitioners irrespective of their specialties or facilities must be at minimum up to date in Immediate Life Support () or equivalent for practitioners dealing with adult patients or Paediatric Immediate Life Support (EP) or equivalent for practitioners dealing with paediatric patients. Additional courses will be required according to specialty and scope of practice (except for Neonatology nurses who will only require NRP or equivalent). See below Nurse Required Training Important Notes Nurses in ( Emergency) & PLS (or EP) & ATCN In case the Nurse practices with specific type of patients/ cases, he/ she is required to attach only relevant courses not all the mentioned. Obstetrics Nurses - Labor Wards Obstetrics Nurses - not covering labor wards Nurses not elsewhere classified - Adults & ALSO & NRP-B & BLSO & NRP-B

Nurses not elsewhere classified - Pediatrics Nurses not elsewhere classified - Neonates PLS (or EP) NRP-B Table 4: Midwifery Professionals All Midwives & ALSO & NRP-B Table 5: Allied Healthcare professionals and others Allied Healthcare Required Training Important Notes Basic Emergency technician / Patient transport technician Paramedics & PLS (or EP) & ITLS For HMC Paramedics: PLS (or EP) & completion of relevant adult pre-hospital resuscitation and trauma modules in HMCAS program. Critical Care Paramedics (CCP) Pharmacists Clinical Pharmacists (Adult and/or Pediatrics) Advanced Respiratory Therapists (Adult and/or Pediatrics) Operating Theatre Technicians - Adults Operating Theatre Technicians - Pediatrics Allied Health Professionals not elsewhere specified ALS & APLS & ITLS For HMC CCP: APLS or EPLS) & completion of relevant adult pre-hospital resuscitation and trauma modules in HMCAS program. and/or PLS (or EP) and/or PLS (or EP) PLS (or EP) Table 6: Traditional and Complementary Medicine Practitioners ALL

Table 7: Equivalence Rules to course provided by HITC HITC Courses Equivalent Courses ERC ALS ERC ERC BLS&AED UK APLS, ERC EPLS ERC EP, UK PLS NRP (A&B) ATLS ATCN ALSO / BLSO ITLS RCUK ALS, Australasian ALS, AHA ACLS. RCUK, Australasian, AHA ACLS (note: AHA does not provide an intermediate level, hence QCHP will consider ACLS as equivalent). RCUK, AHA, Australasian BLS/AED courses. Australasian APLS, AHA PALS Australasian PLS, AHA PALS ((note: AHA does not provide an intermediate level, hence QCHP will consider PALS as equivalent) UK NLS, ENLS and Australasian Neonatal courses European Trauma course ETC. TNCC No equivalences No equivalences Table 8: Glossary of life support courses and relevant professional bodies ERC European Resuscitation Council AHA ALSG RCUK Australasia RC American Heart Association Advanced life support group UK Resuscitation Council UK Resuscitation Council of Australia and New Zealand Basic Life Support and AED ALS ACLS EP PLS EPLS APLS PALS Immediate Life Support (by ERC, RCUK) Advanced Life Support (by ERC, RCUK and Australasia RC) Advanced Cardiac Life Support (by AHA) European Paediatric Immediate Life Support (by ERC) Paediatric Life Support (by ALSG) European Paediatric Life Support (advanced by ERC) Advanced Paediatric Life Support (by ALSG) Paediatric Advanced Life Support (by AHA)

ALSO BLSO NRP-A NRP-B NLS ATLS ETC ATCN TNCC ITLS Advanced Life Support in Obstetrics Basic Life Support in Obstetrics Neonatal Resuscitation Program-Advanced (by American Academy of Pediatrics) Neonatal Resuscitation Program-Basic (by American Academy of Pediatrics) Newborn Life Support (RCUK/ERC) Advanced Trauma Life Support (American College of Surgeons) European Trauma Course (by ERC) Advanced Trauma care for Nurses (by Society of Trauma Nurses) Trauma Nursing Core Course (by Emergency Nurses Association) International Trauma Life Support (by ITLS USA) Important Notes: In case the healthcare practitioner practices in a specific area, which requires additional courses, he/she should submit an official letter from the employing organization confirming the practitioner s scope of practice. Life Support courses must be classroom based teaching either in full or in part. However, courses that have electronic components must be approved by QCHP. For the recognized course providers please refer to the circular No (08 /2016) Each organization should specify which specific training courses their staff would require. For example, to ensure minimal risk to patients and to avoid variations in staff practice, training courses should be consistent across the organization. For example, an organization should avoid mixing two high level courses, such as ALS and ACLS when mandating training for their staff. Any other courses presented for equivalence will be considered as per table 7 and must be approved by QCHP.