Do You Really Know the ECC Requirement?

Posted December 22, 2016

Avoid common audit problems like completing the wrong course, letting your ECC certification lapse or tossing old documents too soon.

The Card Code is highlighted in yellow.

The BOC regularly conducts audits of ATs to verify compliance with certification requirements – a critical part of assuring public safety. Our audits sometimes reveal lapses in maintaining an Emergency Cardiac Care (ECC) credential due to mistaken beliefs about the requirement. Other times, ATs report ECC certification at a lower level than the minimum BOC requirement (see sidebar).

Following are common but unacceptable reasons given for a lapse in ECC certification:

- I’m not currently practicing as an AT

- I’m not working in the field

- I’m in school

- I didn’t know what level of CPR I need

- I didn’t keep all my cards, whether expired or current

The Certificate ID is highlighted in yellow.

In an effort to help with lost cards, we have added a field to the continuing education reporting form in your BOC Central™ profile. The new field, under the “Emergency Cardiac Care (ECC)” section, asks for the certificate ID or card code (see screenshot).

This information allows the BOC and other organizations to access American Red Cross and American Heart Association systems to verify ECC certification – which allows us to help you in the event of an audit. We encourage you to enter ECC information in your profile as soon as you receive a new card or certificate.

What Level Is Your ECC Certification?

 ECC certification must include all of the following:

- Adult CPR

- Pediatric CPR

- Second rescuer CPR


- Airway obstruction

- Barrier devices (e.g., pocket mask, bag valve mask)

Full details of this category are located in the Certification Maintenance Requirements starting on page 3.

Finally, remember that ECC documents must be kept for 2 years after expiration. The only acceptable documents are original certification cards, original certificates of completion, or photocopies (front and back) of certification cards or certificates of completion. The instructor and card holder must sign cards or certificates of completion if a QR code is not provided. Letters provided by instructors are not acceptable.





6 Responses to “Do You Really Know the ECC Requirement?”

  1. Frank Raccio says:

    I took American Heart Association BLS for Healthcare Providers in Sept. 2015 and I am due for renewal this September. The card that I currently have does not appear to have a certificate or card code. What should I do to avoid being audited or having complications when I renew my BOC certification?

    • Cherie says:

      Original or a photocopy (front and back) of a certification card is acceptable documentation. The instructor and card holder must sign the card to valid.

  2. Daniel Wallenstein says:

    Many ECC courses do not provide physical copies of cards or certificates, only electronic documents. How does this affect one's ability to stay compliant and keep "original copies" for 2 years after expiration?

    • Cherie says:

      A printed version of the electronic card is considered an original copy. The card holder must sign the card or certificate of completion if a QR code is not provided.

  3. Candace Clayton says:

    I believe their should be a clarification for those of us who are instructors. I always worry because it's not listed on the BOC website. So every year when doing CEUs and ECC entries I call to make sure.

    • Cherie says:

      Instructor Cards: The BOC accepts the American Heart Association BLS Healthcare Provider Instructor or American Heart Association BLS Instructor card. All other instructor cards are unacceptable unless the provider can confirm, in writing, that their instructors are required to maintain and successfully demonstrate provider skills to renew their instructor status.

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