AED Policy

This policy has been developed by the medical staff to provide guidance in the management or administration of a the medical team’s AED program.

Sudden Cardiac Arrest (SCA) is a condition that occurs when the electrical impulses of the human heart malfunction causing a disturbance in the heart’s electrical rhythm called ventricular fibrillation (VF). This erratic and ineffective electrical heart rhythm causes complete cessation of the heart’s normal function of pumping blood resulting in sudden death. The most effective treatment for this condition is the administration of an electrical current to the heart by a defibrillator, delivered within a short time of the onset of VF. An AED is used to treat victims who experience SCA. It is only to be applied to victims who are unconscious, without pulse, signs of circulation and normal breathing. The AED will analyze the heart rhythm and advise the operator if a shockable rhythm is detected. If a shockable rhythm is detected, the AED will charge to the appropriate energy level and advise the operator to deliver a shock.

PROGRAM OVERSIGHT

Program Coordinator (e.g. team or school physician, nurse, health care coordinator, athletic trainer, athletic director)

The medical advisor of the AED program is

Responsibilities

Applicable Documents (examples)

MEDICAL CONTROL

The medical advisor of the AED program is , M.D. The medical advisor of the AED program has ongoing responsibility for:

Authorized AED Users

The AED may be used by:

AED-Trained Employee Responsibilities

Volunteer Responder Responsibilities

Designated Central Office Responsibilities

Designated office staff shall be responsible for:

EQUIPMENT

Approved equipment

The AEDs approved for this program conform to the state/county standards.

NOTE: If AED program includes the treatment of children under eight years old or under 25 Kg. (55 lbs), equip AEDs with Infant/Child Reduced Energy Defibrillation Electrode Starter Kit (includes one pair of electrodes, storage pouch and appropriate safety instructions and labels).

Location of AEDs

During regular hours, the AED will be at designated locations. These locations shall be specific to each school but should allow the device to be easily seen by staff. The locations should allow staff members to retrieve the device outside of normal school hours.

After school hours, the AED may be moved from its designated location by an AED-trained athletic trainer to support athletic department activities on a voluntary basis. A trained volunteer would have to be available and willing to support this effort during non–school hours. A visible sign must be left in the place of the AED, with the phone number of the athletic trainer, clearly indicating they have possession of the AED.

Contracted and other community activities are not guaranteed access to the AED as part of standard rental contracts.

Location of AEDs:

Athletic Program AED Locations:

Administrative AED Locations:

Additional Resuscitation Equipment

Each AED will have one set of defibrillation electrodes connected to the device and one spare set of electrodes with the AED. One resuscitation kit will be connected to the handle of the AED. This kit contains two pair latex-free gloves, one razor, one set of trauma shears, and one facemask barrier device.

Equipment Maintenance

All equipment and accessories necessary for support of medical emergency response shall be maintained in a state of readiness. Specific maintenance requirements include:

Routine Maintenance

TRAINING

Trained Employees

Volunteer Responders

Refresher Training

MEDICAL RESPONSE DOCUMENTATION

Internal Post-Event Documentation

It is important to document each use of the medical emergency response system. The following forms shall be sent to the AED Program Coordinator or designee within 24 hours of a medical event:

External Post-Event Documentation

A copy of AED use information shall be presented within 48 hours of the emergency to the following:

Post-Event Review

Following each deployment of the response team member, or if a volunteer responder uses an AED, a review shall be conducted to learn from the experience. The AED Program Coordinator or designee shall conduct and document the post-event review. All key participants in the event shall participate in the review. Included in the review shall be the identification of actions that went well and the collection of opportunities for improvement as well as critical incident stress debriefing. A summary of the post-event review shall be sent to the environmental health and safety committee. The environmental health and safety coordinator according to the record retention policy shall maintain a copy of the post-event review summary.

System Verification and Review

The medical emergency response system is ultimately successful if necessary medical assistance is provided to victims in a timely and safe manner. Since actual use of this system procedure is expected to be very infrequent, other measures of effectiveness are required.

Annual System Assessment

Once each calendar year, the AED Program Coordinator or designee shall conduct and document a system readiness review. This review shall include review of the following elements:

Approvals

Medical Director


Signature
Date

Program Coordinator


Signature
Date