Many regulatory agencies across the United States have become aware of the "instant certification" scams and are revising their regulations to prevent its use. These websites often state that online-only CPR or first aid certification is “nationally accepted“. They are not. No major nationally recognized training program in the United States endorses certification without practice and evaluation of hands-on skills.
For example, the Indiana Department of Education states, "CPR-Heimlich Maneuver training may be delivered primarily online, but it must include a "hands-on" training/demonstration component with a mannequin."
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