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)
certification 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 don’t know what level of CPR I need
• I didn’t keep all my cards, whether expired or current
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
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.
Finally, remember that ECC documents must be kept
for 2 years after the end of the reporting period. 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.
ECC certification must include all of the following:
Second rescuer CPR
Barrier devices (e.g., pocket mask, bag valve
Do You Really Know the ECC
Avoid common audit problems like completing the wrong course, letting your ECC certification lapse
or tossing old documents too soon.
What Level Is Your ECC Certification?
Finding a Certificate ID or Card Code