DNPT Members STOP THE BLEED® Instructor Training Sign Up Form

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Thank you for your interest in the DNPT STOP THE BLEED®Training at the 2024 ANPA 30th Annual Scientific Convention! The STOP THE BLEED® Training will be held at J.W. Marriott Hotel, 1775 South Clementine Street, Anaheim, CA 92802 on Saturday, June 22, 2024 from 3:00 pm to 4:00 pm PST. The program point of contact is Michelle Trotter (ANPA.STB@gmail.com).

As certified instructors, we will be training you to recognize life-threatening bleeding injuries to intervene effectively to STOP THE BLEED® & save a life! Qualified candidates will also be assisted to certify as a STOP THE BLEED® Instructor. You will be equipped to potentially help out at future STOP THE BLEED® Training Sessions in the US and at ANPA Medical Missions.

Certification consists of completing the very short online course and hands-on (in-person) training.

You MUST watch a short video online and answer a few quiz questions (7) prior to the hands-on training on June 22nd. You can access the video and questions here: https://www.stopthebleed.org/training/online-course/

Please fill out this form to sign up. More information will follow. Thank you!

First Name *

Last Name *

Profession/Occupation *

Which institution/hospital/practice/employer are you affiliated with? *

Phone Number *

Email Address *

Gender *

Female

Male

Have you completed the online portion of the training? It can be completed via this link here: (https://www.stopthebleed.org/training/online-course/) *

Yes

Race (Please check all that apply.) *

Black/African American/Nigerian

Hispanic or Latino

White

Asian

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander

Other:

Required

Are you an ANPA/DNPT Member? *

Yes

Are you interested in volunteering for future STOP THE BLEED® training events and/or activities? *

Yes

How did you hear about this opportunity? *

Who do you contact for medical support such as uncontrolled bleeding? *

True or False: You should remove an impaled object from an extremity to effectively compress and control a bleeding wound. *

True

False

What is the best way to stop uncontrolled heavy bleeding in an extremity? *

Use a towel or a bed sheet.

Use a large bandage

Apply a tourniquet

Call 911 on your phone

A severe rain storm led to falling debris and downed power lines. You discover an immobile victim who is suffering from a continuously bleeding laceration, with blood pumping out of his leg. Workers are on the scene to disable and remove live wire. What should you do? *

Immediately run towards the victim to stop the bleeding.

Run the other way to protect yourself.

Wait until workers disable the live wire, which is currently in progress & then assist the victim.

Wait for your brother to help you who lives 3 km away.

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