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The American Academy of CPR and First Aid is accredited by Postgraduate Institute for Medicine who is jointly accredited by the

Accreditation Council for Continuing Medical Education® (ACCME) to provide continuing education for the healthcare team.        

American Academy of CPR & First Aid, Inc.®

Blended Hands-On CPR or
In-Person Hands-On CPR Skills Testing

At the American Academy of CPR and First Aid, we provide two options for hands-on CPR Skills testing based on your convenience and availability.

Blended Hands-On CPR:


This approach blends online learning with hands-on skills practice at your location. Here's how it works:

  • Registration: Click Here to register or login.
  • CPR Course: Review the course.
  • Exam: Pass the online exam with a score of 85% or higher.
  • Get Manikin: Order and get a manikin delivered to your location for practical CPR training.
  • Schedule Live Session: Once you receive the manikin, schedule a live virtual session with a certified CPR instructor.
  • Skills Assessment: The instructor evaluates your hands-on CPR skills during the live session. To pass the course, you must successfully complete this component.
  • Certification: Upon passing the hands-on CPR skills test, you receive a digital certification.

In-Person Hands-On CPR Skills Testing

If you prefer in-person learning, we offer traditional CPR training with face-to-face instruction and hands-on practice. If a location for in-person training isn't accessible, our Blended Hands-On CPR Training can serve as an ideal alternative. Here's how the In-Person Hands-On CPR Training works:

  • Registration: Click Here to register or login.
  • CPR Course: Review the course.
  • Exam: Pass the online exam with a score of 85% or higher.
  • Schedule a Session: Contact the evaluator to arrange a date and time for your in-person CPR skills check.
  • Evaluation Competency Checklist: After booking an appointment, both the user and the instructor will receive a QR code via email containing the hands-on CPR skills competency checklist.
  • Skills Assessment: During this session, your practical skills will be assessed. You must pass this hands-on component to successfully complete the course.
  • Certification: Upon passing the hands-on CPR skills testing, you'll receive a digital certification.

We're actively expanding our locations to serve more individuals, making valuable, life-saving CPR training accessible to as many as possible.

Blended Hands-On CPR Skills Testing Process

Steps

Hands-On CPR Skills Tested Process

1 Register or Login at with us: Click Here to register or login.
2 CPR Course: Study and review the course material.
3 Pass the Exam: Score 85% or higher on the exam.
4 Manikin Delivery: Get the manikin delivered to your location for hands-on CPR practice.
5 Scheduling of Live Hands-On Session: After receiving the manikin, schedule a live session with a certified CPR instructor for the hands-on component of the course.
6 Hands-On Skills Assessment: During the live session, the instructor assesses the practical skills using a competency checklist. You must pass this hands-on component to successfully complete the course.
7 Certification: After passing the hands-on CPR skills testing, a digital certification is issued.


Get Started >>

Cost for Blended Hands-On CPR Skills Testing

  • Course and Exam Cost: $14.99
  • Manikins Cost: Cost for Manikin with regular shipping from Laerdal (4 to 5 business days): $51 (Not charged by American Academy of CPR and First Aid) you need to place the order separately at Laerdal website using the following link:
    Manikin: Link to Order Manikin
  • Hands-On Skill Evaluation Cost: $34
  • Total Overall Cost: $99.99
Get Started >> Hands-On CPR Pricing >>
Please Note:
  • To order manikin, you must first create an account at Laerdal and then proceed to place the order.
  • Please note that the American Academy of CPR and First Aid does not have a direct relationship with Laerdal. Therefore, for any inquiries regarding cost, shipping and refunds concerning the manikins, please contact Laerdal.
  • For Hands-on CPR training we only issue digital online certification and we do not send any certification by mail. You can print your certification from your account.
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Hands-on CPR Skills Competency Checklist

Checklist For Adult:
Skill Tested Completed
Yes No
Establish scene safety   
Assess patient responsiveness (check for pulse/breathing, no longer than 10 sec)   
Activates emergency response (calls for help/AED)   
Correct CPR hand placement and positioning   
Correct CPR rate (100-120/min.) and depth (2 inches)   
Allows for complete recoil of chest between compressions   
Airway opened appropriately (head tilt/chin lift, jaw thrust)   
Delivers 2 breaths (each over 1 second) with visible chest rise   
Correct AED placement without disrupting compressions   
Clear of patient for rhythm analysis and shock   
Compressions immediately resumed after shock   


Checklist For Child:
Skill Tested Completed
Yes No
Establish Scene Safety   
Assess Child Responsiveness (Check for pulse/breathing, no longer than 10 sec)   
Activates Emergency Response (Calls for help/AED)   
Correct Child CPR Hand Placement and Positioning   
Correct Child CPR Rate (100-120/min.) and Depth (2 inches)   
Allows for Complete Recoil of Chest Between Compressions   
Airway Opened Appropriately for Child (Head tilt/Chin lift, Jaw thrust)   
Delivers 2 Breaths (Each over 1 second) with Visible Chest Rise   
Correct AED Placement Without Disrupting Compressions   
Clear of Patient for Rhythm Analysis and Shock   
Compressions Immediately Resumed After Shock   


Checklist For Infant:
Skill Tested Completed
Yes No
Establish Scene Safety   
Assess Infant Responsiveness (Check for pulse/breathing, no longer than 10 sec)   
Pulse Check (Brachial artery location, inner part of the upper arm)   
Activates Emergency Response (Calls for help/AED)   
Correct Infant CPR Hand Placement and Positioning   
Correct Infant CPR Rate (100-120/min.) and Depth (About 1.5 inches)   
Allows for Complete Recoil of Chest Between Compressions   
Airway Opened Appropriately for Infant (Head tilt/Chin lift, Jaw thrust)   
Delivers 2 Breaths (Each over 1 second) with Visible Chest Rise   
Correct AED Placement Without Disrupting Compressions (If applicable, use of infant/child pads)   
Clear of Patient for Rhythm Analysis and Shock   
Compressions Immediately Resumed After Shock   

ACLS Cost for Blended Hands-On CPR Skills Testing

  • ACLS Course and Exam Cost: $109.99
  • Manikins Cost: Cost for Manikin with regular shipping from Laerdal (4 to 5 business days): $51 (Not charged by American Academy of CPR and First Aid) you need to place the order separately at Laerdal website using the following link:
    Manikin: Link to Order Manikin
  • Hands-On Skill Evaluation Cost: $35
  • Total Overall Cost: $195.99
Please Note:
  • To order manikin, you must first create an account at Laerdal and then proceed to place the order.
  • Please note that the American Academy of CPR and First Aid does not have a direct relationship with Laerdal. Therefore, for any inquiries regarding cost, shipping and refunds concerning the manikins, please contact Laerdal.
  • For Hands-on CPR training we only issue digital online certification and we do not send any certification by mail. You can print your certification from your account.

Competency Hands-on ACLS Skills Checklist

As a team leader:
Skill Tested Completed
Yes No
Assigns roles   
Ensures high quality CPR (rate, depth, recoil, ventilation)   
Demonstrates good communication   
Primary assessment:
Skill Tested Completed
Yes No
Places monitor leads properly   
Recognizes hypoxemia and administers oxygen   
Places intravenous access   
Bradycardia:
Skill Tested Completed
Yes No
Identifies symptomatic bradycardia   
Assesses for other underlying causes   
Determines the presence of hypotension or shock symptoms   
Administers correct dose of atropine (1mg, q 3-5 minutes)   
Prepares for transcutaneous pacing   
Ventricular fibrillation:
Skill Tested Completed
Yes No
Identifies ventricular fibrillation   
Clears the patient before analysis and shock   
Resumes CPR immediately after shock   
Administers epinephrine 1mg q3-5 minutes   
Demonstrates appropriate drug, shock and CPR cycles   
Advanced airway is placed with capnography   
Post Cardiac Arrest Care:
Skill Tested Completed
Yes No
Identifies ROSC   
Optimizes oxygenation (>94%) and ventilation (10 breaths/min)   
Obtains a blood pressure   
12-lead ECG   
Considers targeted temperature management   

Get Started >>



In-Person Hands-On CPR Skills Testing Process

In the event that In-Person Hands-On CPR training locations are not conveniently accessible to you, our Blended Hands-On CPR training option presents an excellent alternative. This blended hands-on CPR Skills Testing allows you to complete your hands-on CPR skills assessment at your own location, under the guidance of a certified CPR instructor.


  • Registration: Click Here to register or login.
  • CPR Course: Review the course.
  • Exam: Pass the online exam with a score of 85% or higher.
  • Schedule a Session: Contact the evaluator to arrange a date and time for your in-person CPR skills check.
  • Evaluation Competency Checklist: After booking an appointment, both the user and the instructor will receive a QR code via email containing the hands-on CPR skills competency checklist.
  • Skills Assessment: During this session, your practical skills will be assessed. You must pass this hands-on component to successfully complete the course.
  • Certification: Upon passing the hands-on CPR skills testing, you'll receive a digital certification.

We're actively expanding our locations to serve more individuals, making valuable, life-saving CPR training accessible to as many as possible.

Please note that a fee of $30 for the session must be paid directly to the instructor, Robert Dixon, who is a Certified Paramedic and CPR Instructor. It's essential to confirm your scheduled location, date, and time for the hands-on CPR training by texting Robert at 214-650-8340. This step ensures you have a reserved spot for your CPR skill testing session. Please make sure to reach out to Robert Dixon directly to secure your place in the schedule and to confirm your payment.

CPR Skills Testing Locations

Instructor and Certification Coverage Area Locations Fees Contact
Robert Dixon
(Certified Paramedic and CPR Instructor)		 Plano Harrington Library,
1501 18th St,
Plano, TX 75074		 $30
(Payable directly to the instructor)		 214-650-8340
(Please text for scheduling)
Robert Dixon
(Certified Paramedic and CPR Instructor)		 Plano Davis Library,
7501-B Independence Pkwy,
Plano, TX 75025		 $30
(Payable directly to the instructor)		 214-650-8340
(Please text for scheduling)
Robert Dixon
(Certified Paramedic and CPR Instructor)		 Plano Haggard Library,
2501 Coit Rd,
Plano, TX 75075		 $30
(Payable directly to the instructor)		 214-650-8340
(Please text for scheduling)
Robert Dixon
(Certified Paramedic and CPR Instructor)		 Plano Schimelpfenig Library,
5024 Custer Rd,
Plano, TX 75023		 $30
(Payable directly to the instructor)		 214-650-8340
(Please text for scheduling)
Robert Dixon
(Certified Paramedic and CPR Instructor)		 Plano Parr Library,
6200 Windhaven Pkwy,
Plano, TX 75093		 $30
(Payable directly to the instructor)		 214-650-8340
(Please text for scheduling)
Robert Dixon
(Certified Paramedic and CPR Instructor)		 Frisco Frisco Library,
8000 Dallas Pkwy,
Frisco TX 75034		 $30
(Payable directly to the instructor)		 214-650-8340
(Please text for scheduling)
Robert Dixon
(Certified Paramedic and CPR Instructor)		 McKinney John and Judy Gay Public Library,
6861 Eldorado Pkwy,
McKinney, TX 75070		 $30
(Payable directly to the instructor)		 214-650-8340
(Please text for scheduling)
Robert Dixon
(Certified Paramedic and CPR Instructor)		 McKinney Roy & Helen Hall Memorial Library,
101 E Hunt St,
McKinney, TX 75069		 $30
(Payable directly to the instructor)		 214-650-8340
(Please text for scheduling)
Robert Dixon
(Certified Paramedic and CPR Instructor)		 McKinney McKinney Campus Library,
2200 W University Dr,
McKinney, TX 75071		 $30
(Payable directly to the instructor)		 214-650-8340
(Please text for scheduling)
Robert Dixon
(Certified Paramedic and CPR Instructor)		 Allen Allen Public Library,
300 N Allen Dr,
Allen, TX 75013		 $30
(Payable directly to the instructor)		 214-650-8340
(Please text for scheduling)

Get Started >>