NEPN/NSBA Code: JLCE-R
Automated External Defibrillator (AED) Procedure
PURPOSE:
* To provide guidance in the management or administration of school-based AED program.
* For treatment of victims one year and older.
An automated external defibrillator (AED) is used to treat victims who experience sudden cardiac arrest (SCA). It is only to be applied to victims who are unconscious, have no pulse and/or are not showing signs of circulation such as coughing, movement or normal breathing. The AED will analyze the heart rhythm and advise the operator if a shockable rhythm is detected, the AED will charge to the appropriate energy level and advise the operator to deliver a shock.
AED SYSTEM COORDINATOR:
* The System coordinator will be the school nurse.
AED SYSTEM COORDINATOR RESPONSIBILITIES:
* Operate the AED system in consultation with the medical advisor.
* Selection of employees for AED training and distribution of AED trained employee lists as required.
* Coordination of training for emergency responders.
* Maintain and testing of AED per manufacturer's recommendations.
* Communication with medical advisor on issues related to medical emergency response program including post-event reviews.
* Maintain a file on specification/technical information sheet for each approved AE model assigned or donated to the school.
* Notification of AED in school and any clinical use to Maine Emergency Medical Services.
* Record Keeping.
MEDICAL ADVISOR REVIEW AND RESPONSIBILITIES:
* Medical advisor of the AED program is the school physician. The medical advisor of the AED program is responsible for:
* Providing medical direction for use of AED
* Approving locations for AED placement
* Approving the training for AED users
* Writing a prescription for AED
* Reviewing and approving guidelines for emergency procedures related to use of AED and CPR
* Evaluation of post event review forms and digital files downloaded from the AED
AUTHORIZED AED USERS:
The AED may be used by:
* Persons licensed under the Maine Emergency Management Services Act and health care practitioners as defined by 24 MRSA Section 2502 (1-A); and
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* Persons who have successfully completed an approved CPR and AED training program provided by the American Red Cross, the American Heart Association or the Maine Department of Public Safety within the last 2 years; have a current successful completion card; and have been authorized by the AED system coordinator and medical advisor.
AUTHORIZED AED TRAINED EMPLOYEE/VOLUNTEER RESPONSIBILITIES:
* Making a reasonable effort to summon appropriate emergency services personnel when communication is possible.
* Activating internal emergency response system and provide prompt basic life support including AED and first aid according to training and experience.
* Understanding and complying with requirements of this procedure.
* Following the more detailed procedures and guidelines for AED program.
SCHOOL OFFICE RESPONSIBILITIES:
The school office staff is responsible for:
* Receiving emergency medical calls from internal locations.
* Contacting the external community 911 response team (EMS) if required.
* Deploying AED trained employees to emergency location.
* Assigning someone to meet responding EMS aid vehicle and direct EMS personnel to site of emergency.
EQUIPMENT:
* The AED and first aid kit will be brought to all medical emergencies.
* Approved equipment, the Defibtech DDU-100 Semi-Automatic External Defibrillator (AED) has been approved for this program.
AED USE GUIDELINES
* The AED should be used on any person who is at least one year of age and displays ALL symptoms of cardiac arrest. The AED will be used only after the following symptoms are confirmed:
* Victim is unresponsive
* Victim is not breathing
* Victim has no pulse and/or shows no signs of circulation such as normal breathing coughing or movement.
* Adult size electrodes shall be used on the victim that is eight years of age or older. The pediatric (child size) electrodes shall be used on the victim less than eight years of age.
LOCATION OF AED:
The AED is located outside the nurses' office in buildings. It has one set of adult sized electrodes attached to the device and one set of pediatric (child) sized electrodes will be located in the back of the AED. One resuscitation kit is connected to the handle of the AED. This kit contains two pair of latex free gloves, one razor, one set of trauma shears, and one barrier devise and one eye protection shield.
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INITIAL TRAINING:
* Trained employees: Must complete training adequate to provide basic first aid, CPR and AED per (AHA) will be provided on site. AED training must be a course approved by the state. Trained employees will also be taught about BBP and how to avoid exposure against bloodborne pathogens.
REFRESHER TRAINING:
* Trained employees will renew first aide, CPR and AED training every two years, through AHA (American Heart Association).
VOLUNTEER RESPONDERS:
These responders will possess various amounts of training in emergency medical response and their training may be supplied by sources outside the school department. Volunteer responders can assist in emergencies, but must only participate to the extent allowed by their training and experience. Volunteer responders may have training adequate to administer first aid, CPR and use the AED in the school. Any volunteer wishing to potentially use the AED in the school should have successfully completed a state approved AED course including CPR within the last two years. The school will not maintain training records for the volunteer responders.
MEDICAL RESPONSE DOCUMENTATION:
Internal Post Event Documentation
* It is important to document each use of the AED system. The following forms shall be sent to the AED System Coordinator within 24 hours of a medical event;
* An accident report form shall be completed by a responding employee for each accident requiring first aid of any type
* The authorized AED trained employee or volunteer responder shall complete a medical event form, whenever an AED is used
* A copy of AED use information shall be presented to the medical advisor within 48 hours of the emergency
* At a minimum, event information supplied shall include any recorded data, and all electronic files captured by the AED
POST EVENT REVIEW:
Following each deployment of an AED, a review shall be conducted within a reasonable time to learn from the experience. The AED System Coordinator and the medical advisor 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 identification of opportunities for improvement as well as critical incident stress debriefing. The school nurse will maintain a copy of the post event review summary.
EQUIPMENT MAINTENANCE:
All equipment and accessories for support of the AED system shall be maintained in a state of readiness. Specific maintenance requirements include:
* The System Coordinator shall be responsible for informing response teams and office staff of changes to availability of the AED equipment.
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* The System Coordinator shall be responsible for having regular equipment maintenance performed. All maintenance tasks shall be performed according to
equipment maintenance procedures outlined in the manufacturer's instructions.
* Following use of the AED, all equipment shall be cleaned and/or decontaminated, and used equipment (electrodes, gloves, barrier device, razor) replaced.
ANNUAL SYSTEM ASSESSMENT:
Once each calendar year the AED Coordinator shall conduct and document a system readiness review. This review shall include review of the following elements;
* Training records
* Equipment operation and maintenance records
MONTHLY SYSTEM CHECK:
Once each calendar month, the System Coordinator shall conduct and document a systems check. This check shall include review of the following elements:
* Emergency Kit supplies
* AED battery life
* AED operation and status
Cross Reference: JLCE Automated External Defibrillator & Cardiopulmonary Resuscitation Administrative Procedure
Legal Reference: 22 M.R.S.A. §2150-C (AED law)
14 M.R.S.A. §164 (immunity from civil liability law)
20-A M.R.S.A. §4009 (school emergency medical treatment law)
Adopted: December 6, 2018
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