AUTOMATED EXTERNAL DEFIBRILLATORS (AEDs)

Transcription

1 UNIVERSITY of NORTH DAKOTA FINANCE & OPERATIONS POLICY LIBRARY AUTOMATED EXTERNAL DEFIBRILLATORS (AEDs) Policy 6.15, Automated External Defibrillators (AED) Responsible Executive: VP Finance & Operations Responsible Office: Office of Safety Issued: January 2007 Latest Review / Revision: October 13, 2014 POLICY STATEMENT The University of North Dakota Police Department (UPD) is the primary provider of automated external defibrillator (AED) services campus-wide. However, buildings and programs may purchase and deploy additional AEDs if specific requirements are met. REASON FOR POLICY The purpose of UND s AED policy is to provide a consistent process for the procurement, placement, training, and maintenance of AEDs at the University of North Dakota, and to adhere to North Dakota Century Code SCOPE OF POLICY This policy applies to: President Vice Presidents Deans, Directors & Department Heads Area Managers & Supervisors Faculty All Employees Students Others WEB SITE REFERENCES This Policy: Policy Office: Vice President for Finance & Operations: Page 1 of 8

2 CONTENTS Policy Statement 1 Reason for Policy 1 Scope of Policy 1 Web Site References 1 Related Information 3 Contacts 3 Definitions 3 Principles 4 Procedures 5 Placement of AEDs 5 Certification and Training Requirements 5 Response to an Incident 6 Maintenance and Testing 6 Program Evaluation 6 Responsibilities 7 Forms 7 Revision Record 8 Page 2 of 8

3 RELATED INFORMATION NDCC Automated external defibrillators Requirements OMB State Procurement Contract 291 Automated External Defibrillator (AED) entcontracts.htm CONTACTS General questions about this policy can be answered by your department s administrative office. Specific questions should be directed to the following: Subject Contact Telephone/Fax Policy Clarification Office of Safety (701) Office or Department / Web Address AED Installation AED Purchase Request Counseling Services For Faculty/Staff After the Use of an AED Counseling Services for Students After the Use of an AED Report Use of AED Facilities Management (701) Office of Safety (701) Employee Assistance Program University Counseling Center Office of Safety (701) (800) (701) DEFINITIONS AED AED Advisory Group Automated External Defibrillator A computerized device that can help prevent death due to sudden cardiac arrest. These devices monitor the heart rhythm and can, if need be, deliver an electric shock to the chest wall. An assembly of campus personnel who review AED requests. The group consists of representation from at a minimum Office of Safety, Purchasing, Loss/Control Committee, Facilities Management and UND School of Medicine and Health Sciences. Page 3 of 8

4 CPR Defibrillation EMS Lay Rescuer NDCC Sudden Cardiac Arrest UPD Ventricular Fibrillation Cardiopulmonary Resuscitation A lifesaving technique useful in many emergencies, including heart attack or near drowning, in which someon s breathing or heartbeat has stopped. An electric shock delivered to the heart to correct certain life threatening heart rhythms. Emergency Medical Service Individuals who volunteer to be AED users. North Dakota law requires every individual expected to use the AED to receive American Heart Association, American Red Cross training or an equivalent nationally recognized course in CPR and AED use. North Dakota Century Code The codification of all general and permanent law enacted since statehood. The sudden, unexpected loss of heart function, breathing and consciousness. Sudden cardiac arrest usually results from an electrical disturbance in your heart that disrupts its pumping action, stopping blood flow to the rest of your body. University of North Dakota Police Department A heart rhythm problem that occurs when the heart beats with rapid, erratic electrical impulses causing pumping chambers in the heart (the ventricles) to quiver uselessly, instead of pumping blood. PRINCIPLES OVERVIEW While several electrical abnormalities in the heart can result in sudden cardiac arrest, the majority begin with ventricular fibrillation. Rapid treatment of ventricular fibrillation, through the application of a controlled electrical shock, is essential to the victim s survival. The American College of Occupational and Environmental Medicine recommends placement, when practical, of AEDs in sufficient workplace locations to allow initiation of resuscitation within five minutes of recognized sudden cardiac arrest. With the use of AEDs, early recognition and correction of sudden cardiac arrest by lay rescuers can significantly improve the outcome of cardiac arrest. While cardiopulmonary resuscitation (CPR) can prolong the chances of survival, it cannot reverse sudden cardiac death. Despite this, AEDs are not a substitute for CPR. Anyone trained to operate an AED must also be trained in CPR, since early CPR is a critical step in resuscitation to help reestablish the circulation of blood and the delivery of oxygen to the body. AEDs may also prompt the rescuer to continue CPR while the AED is analyzing the heartbeat of the patient. UPD is the primary provider of AED services campus-wide. Each police vehicle has an AED in it while the officer is on duty patrolling the UND campus. The purpose of the AED policy is to provide a consistent process for the procurement, placement, training, and maintenance of AEDs at UND, and to adhere to NDCC AEDs enable timely defibrillation to victims in the first critical moments after a sudden cardiac arrest. Use of the AED will not replace the care provided by emergency medical services (EMS) providers, but it is meant to provide a lifesaving bridge during the first few critical minutes it takes for EMS providers to arrive. Upon arrival of the EMS providers, patient care should be transferred to them. Page 4 of 8

5 PROCEDURES Placement of AEDs Since it is not feasible to purchase and install AEDs in all locations, high risk buildings and areas are identified by the AED Advisory Group based on the following criteria: Heavy traffic areas Types and age of people using specific areas High-risk activity areas Proximity to other AED units Emergency personnel response time Once high risk areas have been identified, buildings and programs may purchase and deploy additional AEDs if specific requirements are met: 1. The purchase, placement, training plan, and ongoing maintenance of building specific AEDs must be approved by the AED Advisory Group. 2. Each building or program that obtains an AED must have an AED coordinator and is required to train every individual expected to use the AED. At no time may a building or program have fewer than two volunteers trained and certified as lay rescuers. The AED Advisory Group will provide assistance in identifying these individuals. Departmental administrators wanting to purchase an AED must complete an Automatic External Defibrillator (AED) Request form and submit it to the Office of Safety. The AED Advisory Group will review all requests. If authorization to purchase/install an AED is granted, the AED Advisory Group will provide the department a list of accepted AEDs available for purchase. All aspects of the AED (purchase, maintenance, training, etc.) are the responsibility of the administration of the department or program. A clearly labeled protocol (directions) for use of the AED must accompany the AED. This protocol must include calling All necessary supplies and equipment must be stored with the AED, including first aid supplies needed for CPR. This is a responsibility of the AED coordinator. The AED must be placed in a location where it is relatively secure from theft or vandalism, yet clearly marked and readily accessible in event of an emergency. Contact Facilities Management to arrange for installation. The department must report the location of all AEDs to the Office of Safety. The notification should also include the make and model of the AED, the name of the responsible department or program, the name of the AED Coordinator, and a list of all lay rescuers. Office of Safety will keep records of all AEDs on campus, and will make a list of AED locations available to the emergency response agencies in the region that have a shared responsibility to provide emergency medical services (EMS) to UND. Certification and Training Requirements Office of Safety will assist in making the required training available to AED coordinators and lay rescuers. Lay rescuers shall comply with the following requirements: 1. Lay rescuers must volunteer to be AED users, they cannot be appointed by a supervisor. A program or building must maintain no fewer than two lay rescuers in order to have an AED. Upon review of an AED request, the AED Advisory Group will assist the department in identifying the appropriate number of volunteers that must be trained in the use of the AED. This number may be above the two individuals initial identified as lay rescuers. Page 5 of 8

6 2. Lay rescuers must be trained in a CPR program and the use of an AED through the American Heart Association, American Red Cross, or an equivalent nationally recognized course in CPR and AED use. A plan for training must be in place before the AED may be deployed. Verification of lay rescuer training must be submitted to the Office of Safety. The AED coordinator will ensure compliance with these requirements and maintain a copy of all documents and records concerning the implementation of the AED. Response to an Incident In any emergency situation call first. Then, evaluate the victim to determine what emergency measures may be appropriate. A lay rescuer should have adequate training to determine if an AED might be helpful. Lay rescuers and individuals offering care must do so in accordance with their training, experience, and the specific procedures for the AED. Lay rescuers, or other non-licensed or certified individuals offering aid, must relinquish direction of care of the injured person when an appropriate person licensed or certified by this state or by any state or province to provide medical care or assistance assumes responsibility for the care of the injured person. (NDCC ) After an event has taken place in which an AED was used, the Office of Safety and the AED coordinator must be notified, and a UND Incident Report form must be completed and submitted to the Office of Safety. Following any use of an AED, the Office of Safety will coordinate a debriefing and review of the incident. The debriefing will include (at a minimum) the AED Advisory Group, the AED coordinator for the AED utilized, and the lay rescuer(s) involved in the incident. The purpose of the debriefing is to review the incident in which an AED was used to determine if changes need to be made to the UND AED policy, training, placement of the AED involved, and to insure the AED involved is restored in a timely fashion to an operational status. If counseling services are needed after the use of an AED, the following options are available: 1. Students: The University Counseling Center staff is available for walk-ins 8 a.m. to 4:30 p.m. Monday through Friday. No appointment is necessary. 2. Faculty or Staff: The Employee Assistance Program (EAP) provides up to eight counseling sessions without cost to employees and families. All services are provided in a professional and confidential manner. Maintenance and Testing The AED coordinator is responsible for ensuring the AED is maintained and tested on a monthly basis in accordance with the checklist provided by the Office of Safety and the manufacturer s recommendations. Ongoing maintenance of building specific AEDs must be reported to the Office of Safety. Should an upgrade and/or replacement of an AED be necessary, the department must follow the process identified in the placement of AEDs and submit an AED Request form to the Office of Safety. Program Evaluation Office of Safety will annually review the AED policy and all departments that have AEDs. The AED coordinator must provide the Office of Safety the monthly checklist to ensure compliance. Any AEDs found to be in violation of this policy must be brought into compliance within 15 days of notice by the department responsible for the AED. If the AED is not brought into compliance, it will be removed from service by the Office of Safety until issues are resolved. Removal of an AED will be coordinated with Facilities Management, and the department will be charged accordingly. Page 6 of 8

7 RESPONSIBILITIES AED Advisory Group AED Coordinator Building Supervisor/Department Chair Facilities Management Lay Rescuer Office of Safety Review AED request forms, and approve all AED purchases. Identify the need for additional lay rescuers based on information provided in the AED request form. Participate in a post-event debriefing. Ensure that the AED is maintained and tested in accordance with the manufacturer s requirements and this program. Monitor and record the status of the AED on at least a monthly basis. Ensure department personnel are trained in accordance with guidelines established by the AED policy. Ensure that adequate AED-related supplies and recommended ancillary medical equipment are kept on-hand. Maintain required personnel training, unit maintenance and testing records related to the AED policy. Ensure that an incident report is filed after any AED use. Participate in a post-event debriefing. All costs associated with purchasing, training, maintenance, and use of the AED are the responsibility of department or program that has the AED. Coordinate installation of AED with Facilities Management. Ensure that the AED is kept in a location that is secure yet readily accessible and well-marked. Appoint an AED coordinator. Locate and train no fewer than two volunteers willing to serve as lay rescuers. Install and remove AEDs as directed by the Office of Safety. Obtain and remain current in CPR and AED training through the American Heart Association, American Red Cross or equivalent nationally recognized course. Must offer immediate assistance to any individual in apparent cardiac distress. Must act as an ordinary, reasonable, prudent person while administering emergency care with an AED. (NDCC ). Participate in a post-event debriefing. Maintain a list of AED locations and trained personnel. Provide a list of AED locations to emergency response agencies in the region that have a shared responsibility to provide EMS to UND. Assist in making the required training available to AED Coordinators and lay rescuers. Coordinate debriefing reviews of all AED uses. Annually review all departments that have AEDs for compliance with the program. Page 7 of 8

8 FORMS Automatic External Defibrillator (AED) Request Form UND Incident Report Form Monthly AED Tracking Sheet Contact Office of Safety Contact Office of Safety REVISION RECORD 01/17/2007 Policy Implementation 10/2010 Revision 08/01/2012 Revision 08/09/2012 Revision 10/13/2014 Revision Identified police vehicles as standard location for AEDs Added department requirements for obtaining and maintaining AEDs Added AED Advisory Group information Changed number of minimum required lay rescuers Added the Incident Report requirement Added the 15-day compliance requirement Removed specific instructions for the provision of emergency response care and AEDs Made minor grammatical revisions Added referral information to counseling options after the use of an AED Put in F&O policy format Added Facilities Management as entity overseeing physical installation of AEDs Added Facilities Management to AED Advisory Group Changed UND Safety to Office of Safety throughout document Clarified training requirements for lay rescuers in Procedures: Certification and Training Requirements Page 8 of 8

9 Automated External Defibrillator (AED) Request Form Check this box as verification. Safety and Security policy 6.15 AED Program has been read and is understood. By completing this application you agree to abide by purchase, training, installation and maintenance requirements set forth in the policy. Unit/Building Name: Unit Type (administrative, academic, support facility, etc.): Population served (if you serve individuals outside the campus community via events or service): Average number of people in building for an event /workday: Justification for purchasing an AED(s) for your building (for additional space, attach a separate page): AED Coordinator (designated person responsible for the compliance of the AED Program including training, maintenance, testing, and recordkeeping: Lay rescuers (a minimum of two pre-identified volunteers must be listed at the time of application: Briefly explain your plan for training lay rescuers (for additional space, attach a separate page): How many AEDs are you requesting? Proposed location(s) of the AED(s) in the building: Submitted by Printed Name Job Title Signature Date Remit completed form to: UND Safety, 3851 Campus Road, Stop 9031, or fax to

10 For administrative purposes only Automated External Defibrillator (AED) Approval Form Date of Application Review: Unit/Building Name: Does the unit type and/or population served meet the high risk requirements set forth in the policy? Yes No Heavy traffic areas Types and age of people using specific areas High-risk activity areas Proximity to other AED units Emergency personnel response time Justification was appropriately made for the purchase of an AED Yes No AED Coordinator identified Yes No A minimum of two lay rescuers identified Yes No Are additional trained lay rescuers required? Yes No If yes, how many Training plan in place and appropriate for lay rescuers Yes No Proposed location for AED appropriate Yes No Purchase of AED(s) approved by review committee Yes No Number approved for purchase Additional comments: Authorization Printed Name Signature Date Training Lay rescuers have been trained Yes Initials Verification of training received Yes Initials Installation AED(s) installed Yes Initials Location(s) Date(s)

11 Automated External Defibrillator (AED) Monthly Tracking Sheet Department: AED Location: AED Model: AED Coordinator: AED Lay Rescuers: Date (include day and year of inspection) January February March April May Checklist (physically inspect AED as required below; check box to verify compliance) AED Coordinator s Initials

12 AED Tracking Sheet (continued) June July August September October November December Upon annual completion of this tracking sheet, remit completed form to: UND Safety, 3851 Campus Road, Stop 9031, or fax to