Understanding your state's requirements is the first step toward compliance—and more importantly, toward saving more lives.
13
States with Legislation
37
States without
T-CPR Legislation Enacted
No Statewide Legislation
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States with T-CPR Legislation
Common Compliance Requirements
While specific requirements vary by state, most T-CPR mandates address these core areas.
Most states require telecommunicators to complete an approved T-CPR training program that covers cardiac arrest recognition, compression-only CPR instruction, and communication techniques for high-stress calls.
Initial certification training (typically 4-8 hours)
Annual or biannual refresher requirements
Approved curriculum from recognized providers
PSAPs must implement standardized T-CPR protocols that guide telecommunicators through cardiac arrest calls. These protocols should include clear decision trees for identifying cardiac arrest and scripted instructions.
Written protocols approved by medical direction
Scripted instructions for caller guidance
Integration with CAD systems where applicable
Regular review of cardiac arrest calls ensures protocol adherence and identifies opportunities for improvement. QA programs help maintain high standards over time.
Review of cardiac arrest call recordings
Performance feedback to telecommunicators
Tracking of key metrics (recognition time, instruction time)
States may require PSAPs to maintain records of training completion, protocol usage, and cardiac arrest outcomes for compliance verification and improvement initiatives.
Training completion records
Cardiac arrest call documentation
Annual compliance reporting (varies by state)
Compliance Is the Floor, Not the Ceiling
Meeting your state's minimum requirements keeps you legal. But the real question isn't "Are we compliant?" It's "Are we saving every life we could save?"
High-performing 911 centers don't stop at compliance. They build comprehensive T-CPR programs that include advanced training, real-time guidance tools, and continuous improvement systems.
