Cardiopulmonary Resuscitation (CPR) proficiency is an amazing skill that can save lives in emergencies from things like cardiac arrest. One thing a lot of people don’t think about is that their ability to perform CPR diminishes over time – especially without practice. Guidelines typically show that CPR skills can rapidly deteriorate even within a few months after training with no use.

Refresher training for CPR helps individuals keep up with their training and any new updates in CPR. Generally refreshing should be every two years. For healthcare professionals, taking regular CPR refresher courses is typically a requirement set by employers or state licensing boards. Non-healthcare professionals in related fields may also be required in some ways to refresh their certificate.

How often should CPR skills be refreshed?

There is a difference between professionals and non-professionals. For non-healthcare providers, it is generally advised to renew CPR certification every two years. However, ongoing practice and refresher courses can be vital in maintaining proficiency.

For healthcare providers, it is recommended to renew Basic Life Support (BLS) skills at least every two years, but with high-risk professions, more frequent refreshment is encouraged. The retention of CPR skills can diminish over time, and therefore, minimum annual refreshers can help maintain the necessary competency.

Refresher courses serve several important purposes:

  • Retain valuable life-saving CPR skills
  • Stay updated with the latest guidelines
  • Reinforce confidence in one’s ability to respond in emergencies

It is also worth noting that certain organizations, jobs, and jurisdictions might have specific requirements for the frequency of CPR certification renewal, so it’s important for individuals to check with their respective certification bodies or employers for any tailored guidelines. 

If you’re looking for CPR Certification nearby you can contact us or call 469-223-1909

How long does my CPR certificate last?

A CPR certificate’s validity typically spans a period of two years from the date of certification. The certifying bodies such as the American Red Cross have established this standard to ensure that individuals maintain up-to-date skills and knowledge that can degrade over time.

Individuals are strongly encouraged to undergo recertification courses to refresh their skills. This is especially pertinent because CPR techniques and guidelines can evolve. Furthermore, in certain professions, particularly in healthcare, recertification is not only suggested but also often required by employers or state licensing boards.

For those holding a CPR certificate, it’s important to note the following timeline:

  • Initial Certification: Upon successful completion of a CPR course, the certificate is typically awarded.
  • 12 Months After Certification: It’s recommended to take a refresher course to ensure skills remain sharp.
  • 24 Months After Certification: The certificate is due to expire, and a recertification course is required to renew the credential.

This renewal process is crucial as it guarantees the certificate holder’s proficiency in delivering potentially life-saving CPR in a situation that demands it. 

Importance of Regular CPR Training

Skills Retention and Decay

Research indicates that CPR skills decline shortly after training. It’s important to stay up to date since CPR has had some important changes in the last few years and even simple skills can deteriorate.


Those who receive ongoing CPR training are better prepared and more confident in emergency situations. Some organizations actually emphasize that regular training correlates with higher competence levels. That’s why even regular training more frequent than biannual can be useful.

Updated Guidelines and Protocols

CPR guidelines and protocols can evolve over time. Regular training ensures that individuals are informed about the latest recommendations, such as the compression-to-ventilation ratio or defibrillator usage. Even in recent years, whether or not to breathe into a person’s mouth while performing CPR has been changed a few times.

OSHA Requirements

For certain professionals, the Occupational Safety and Health Administration (OSHA) mandates that CPR training is updated periodically. Adherence to these regulations not only fulfills legal obligations but also equips workers with the necessary skills to respond effectively in the workplace.

What does a CPR refresher course look like?

CPR refresher courses are designed for individuals who have previously completed a CPR certification and are seeking to update their skills and knowledge. The course content is focused on reinforcing techniques and incorporating the most recent guidelines. It’s usually a lot shorter and more focused on technique.

Hands-On Practice

During a CPR refresher course, participants engage in hands-on practice to revisit and hone their CPR skills. They perform chest compressions and rescue breathing on manikins, simulating real-life emergency situations. This practical application ensures that the muscle memory of executing CPR is maintained and reflexes stay sharp.

Assessment and Certification

Even in just a refresher, participants in a refresher course must pass an assessment to demonstrate their competence in executing CPR. The assessment typically involves a test where learners showcase their CPR technique on a manikin under the observation of an instructor. Upon successful completion, they receive a certification that extends their credentials, usually for an additional two years.

Recommended Frequency for CPR Refresher Courses

Healthcare Professionals

Healthcare professionals should participate in CPR refresher courses annually or every six months. Due to their role in patient care, it is imperative that their skills remain sharp and up-to-date. The American Red Cross underscores the importance of high-quality CPR during actual resuscitations, suggesting that even professionals can benefit from regular review.

General Public

For the general public, it is advisable to refresh CPR skills every 12 months. LFA First Response explains that annual refreshers help individuals stay confident and prepared for emergency situations. Regular training ensures that bystanders are equipped to act swiftly and effectively when someone experiences sudden cardiac arrest.

Types of CPR Certification

Basic Life Support

Basic Life Support (BLS) is designed for healthcare professionals and first responders. It covers techniques for high-quality chest compressions, ventilation, and use of an automated external defibrillator (AED). This certification emphasizes the importance of maintaining blood circulation and breathing in adults, children, and infants.

Advanced Cardiovascular Life Support

Advanced Cardiovascular Life Support (ACLS) is targeted at medical personnel who manage cardiovascular emergencies, leading or participating in the emergency response team. They learn more sophisticated techniques that include recognizing and managing cardiac and respiratory arrest, post-cardiac arrest care, and the early management of stroke.

Choosing a CPR Training Provider

When selecting a CPR training provider, one’s decision should be informed by the accreditation status of the provider and the quality of the course content and delivery method.


Accreditation serves as a benchmark for the quality and reliability of CPR training. A provider should be recognized by reputable organizations such as the American Heart Association or the American Red Cross. This ensures that the training meets established industry standards and that the certification is widely accepted.

  • Requisites for Accreditation:
    • Endorsement by national or international health bodies.
    • Compliance with current CPR guidelines and protocols.

Course Content and Delivery

The content of the course should be comprehensive, covering all necessary skills from basic life support to Automated External Defibrillator (AED) use. It is imperative that the training includes a hands-on component to practice the skills taught.

  • Key Aspects of Content and Delivery:
    • Inclusion of up-to-date, evidence-based practices.
    • A blend of theoretical knowledge and practical application for skill retention

Providers should offer a variety of delivery methods to suit different learning preferences and schedules, including in-person, hybrid, and fully online courses. It’s important for providers to use effective teaching methods, such as the practice-while-watching technique.

Frequently Asked Questions

What is the recommended interval for CPR recertification by the American Heart Association?

The American Heart Association advises individuals to undergo recertification in CPR every two years. Regular training updates ensure that lifesaving skills remain sharp.

How long is a typical CPR certification valid before it requires renewal?

A typical CPR certification is generally valid for two years from the date of issue. It is crucial to renew the certification before it lapses to maintain the ability to respond effectively in emergencies.

What happens if your CPR certification expires?

If a CPR certification expires, one may not be in compliance with workplace requirements or professional standards. Furthermore, the person’s capability to perform CPR during an emergency might be compromised due to outdated knowledge or diminished skills.

What requirements does OSHA set for the frequency of CPR training?

While OSHA does not provide specific intervals for CPR training, it does state that some workplaces should have individuals with current CPR certification. It is recommended that the CPR component of the training be refreshed every 12 months to remain compliant and ready.