EANES ISD PAD PROGRAM Public Access Defibrillator

EANES ISD PAD PROGRAM Public Access Defibrillator Eanes ISD Public Access Defibrillation Program (PAD) Created: 1.3.07 Updated: 12.18.08

The Eanes ISD PAD Program was created in order to improve the chance of survival from sudden cardiac arrest in our district. This document defines our program and outlines procedures and protocols for its use. Program Coordinator Laura Santos-Farry, EISD District Safety Coordination Officer, is the primary coordinator and primary contact person for all program activities. Bonnie Buchholtz, RN, EISD Nurse Coordinator, is the secondary coordinator and secondary contact person for PAD program. Contact Information: Laura Santos-Farry EISD District Office 601 Camp Craft Road Austin, TX 78746 (512) 732-9044, office (512) 633-6733, cell lfarry@eanes.k12.tx.us Secondary Contact Information: Bonnie Buchholtz, RN EISD Nurse Coordinator 1314 Patterson Lane Austin, TX 78733 (512) 732-9180 x 25050, office (512) 619-7417, cell bbuchhol@eanes.k12.tx.us Medical Oversight Texas state law requires that all AED programs must use an FDA approved device, have physician oversight, train responders in CPR and AED use, and register programs and device locations with EMS. Dr. Ed Racht, Medical Director Austin/Travis County EMS Systems, provides oversight for the program. He may be contacted at 972-7330 or through the EISD program coordinator. The Travis County System AED Coordinator for the Office of the Medical Director is Hilary Higdon who can be reached at 972-0211 or through the EISD program coordinator.

AED Placement AEDs have been placed in all schools and many common areas, in the most appropriate locations. These locations were determined based upon the work locations of trained responders, ease of security provided, and central location to the building. Specific AED locations are included in the attachment entitled AED Site Placement. All AEDs will remain at the designated locations at all times except for the ones in athletic departments which will be onsite during events. Should the AED need to be removed from its cabinet for any reason, a note shall be posted inside cabinet indicating where it is. Should an AED location need to be changed, the program coordinator will determine a suitable location. Once a new location is selected, the new location information will be communicated to all trained responders and the Travis County Program Coordinator via a completed PAD Registration Form (attached). The form can be faxed to 972-7329 or emailed to AED@ci.austin.tx.us. The Travis County EMS Coordinator will provide local emergency responders with the updated information. Most AEDs located in buildings are housed in a wall-mounted cabinet but some are mobile. The cabinets are equipped with an audible alarm and some have strobes that are activated by opening the cabinet door. In the event a cabinet door alarm is sounded, the closest trained responder will proceed to the cabinet to investigate. Traveling or Mobile Use of AEDs AEDs that will be used for traveling or mobile units will be designated as such with the PAD Program Coordinator. Mobile units will be assigned to either Athletic Trainers, Athletic Coaches or a School Nurse, who will be responsible for the maintenance and inspections of the unit. These traveling units may be checked out/borrowed from the assigned individual by District personnel. All traveling AEDs must include in the case a copy of the Medical Director s authorization form as well as District PAD Program contacts. District or school groups that check out/borrow AED units must confirm that they will have at least one (1) trained District employee on staff during the event. It is preferred that larger groups or events have more than one (1) trained individual present. Training The Eanes ISD PAD Program utilizes the American Heart Association Program to meet training requirements. This course focuses on learning how to perform CPR skills and how to integrate the AED into the emergency response plan. Safety and unusual situations are included as part of training scenarios. All training is provided by current AHA or Heartsaver instructors.

Training also will address: Specific locations for all Eanes ISD AEDs Specific operation of Eanes AED models Weekly inspection and maintenance procedures What to do after the event Campus administrators will identify staff to receive training. Each building in which an AED is placed will have at least three (3) trained responders present during regular business hours. The District will provide training for additional staff. Maintenance & Upkeep All AEDs are inspected and maintained in accordance with the manufactures recommendations. AEDs stored on school campuses will be inspected weekly by the campus nurse, athletic trainers or other designated inspector and recorded on a weekly checklist. (Attached) The EISD Program Coordinator will designate an individual to do the weekly inspection on campuses without nurses. The inspection includes checking the status indicator light to ensure it is green and checking to see if all supplies are present and not expired. If a status indicator fails to indicate a ready status or if any other AED deficiency is noted, the individual conducting the inspection will immediately replace battery or pads and replace other supplies as needed. When the status indicator failure cannot be immediately resolved, the AED will be removed from service and the program coordinator notified. The coordinator will immediately notify the manufacturer. Battery for the alarmed cabinets must be changed out on a regular maintenance schedule which is responsibility of the designated inspector for that AED. Interaction with Local Emergency Responders The Eanes ISD PAD program coordinator serves as the primary contact person for medical oversight and local emergency responders (EMTs). Local emergency responders have been notified of the present locations for all AEDs placed in Eanes ISD as part of this PAD program. When additional AEDs are purchased or placed and when AED locations are changed, the EISD PAD program coordinator will submit a revised PAD Program registration reflecting the changes.

Quality Assurance & Post-Event Plan Anytime AED pads are applied to a person, the Eanes ISD PAD program coordinator will be notified immediately following transfer of care to the EMS responders. The Eanes ISD PAD program coodinator or her designee will proceed to the event location. Data cards from the AED should be given to medics on the scene and routed to the Office of Medical Director (OMD). If the unit does not have a data card, the information will have to be downloaded for the OMD. An AED Event Notification Form (attachment) then will be completed, preferably by the person who operated the AED. This completed form should be forwarded within two (2) days to the OMD by email (AED@ci.austin.tx.us) or FAX (972-7329). Following the Medical Oversight review, the Eanes ISD PAD Program Coordinator will communicate any lessons learned or suggestions resulting from the review. If an adverse event (something that didn t go as planned or possibly went wrong) occurs, the person(s) involved will complete a Post-Event/Adverse Event Form (attachment). The completed form will be reviewed by the Eanes ISD Program Coordinator and then faxed within two (2) working days to the OMD at 972-7329 for review. The Medical Oversight Physician and the Travis County PAD Program Coordinator will forward any lessons learned and recommendations for improvement to the Eanes ISD PAD Program Coordinator.

I. Emergency Response Plan Attachments II. III. IV. EISD AED Locations AED Weekly Checklist AED Event Notification Form V. PAD Registration Form VI. Adverse Event Notification VII. CPR Instructions VIII. Texas Statute, Chapter 779. Automated External Defibrillators

Emergency Response Plan The following are the basic actions for use by trained Eanes ISD PAD program responders. These actions have been identified as the essential actions needed to improve the victim s chances of resuscitation. At times, variation from these actions may be required due to unforeseen circumstances. 1. Verify that the victim is unresponsive. 2. Send one person to call 911. The person making 911call should expect to be kept on the line by the 911 dispatcher until emergency responders arrive. 3. If available, send a second person to retrieve the nearest AED. 4. If available, send another person to meet and direct the first emergency responders. 6. Begin CPR or have another trained person begin CPR. 7. Once the AED arrives, turn the AED power on (lift lid). 8. Follow the AED s directions: a) Open the defibrillation pad package and place on the victim s bare chest, you may have to use the razor blades and shave the victim s chest hair. b) Direct all persons to stand back and to not touch the victim. c) Allow the AED to assess the victim s heart rhythm. d) Await the AED s decision regarding shock delivery. 9. Whenever a shock is advised: a) Direct all persons to stand back and to not touch the victim. b) Check the victim from head to toe to ensure that no one is in contact with the victim. (Do this immediately prior to pressing the shock button!) c) Deliver the shock when advised. 10. When no shock is advised or victim assessment is advised: a) Reassess the victim. b) Provide rescue breathing and check compressions if needed.

11. Continue to follow AED prompts until emergency responders arrive. 12. Provide key information to emergency responders including: a) What happened just before the collapse? b) What was the approximate time of the victim s collapse? c) Was CPR provided immediately after the collapse? d) Did the AED deliver shocks? If so, how many? e) What was the approximate time of the first shock? 13. Keep in mind the following points: a) The number one priority for all responders must be his/her personal safety. If necessary, move the victim to a safe place before beginning emergency response actions. b) Before delivering a shock, you must ensure that no one is in contact with the victim. c) In the event that only one responder is present; calling 911, placing AED and the delivery of shocks must only be delayed by safety measures. d) These actions are intended for victims who appear to be eight years old and older. i. If the unresponsive victim is a school-aged child less than 8 years old and pediatric defibrillation pads are not available, the responder may place the adult defibrillation pads and proceed as described above. If the pads are going to be touching or in close proximity to each, then an anterior/posterior (front/back) position should be used. ii. If the unresponsive victim is younger than school aged and pediatric defibrillation pads are not available, the responder should proceed with rescue breathing and CPR if indicated.

EISD AED LOCATIONS School # AEDs Placement Person Responsible Westlake HS 1 Wall mounted AED cabinet in Commons Nurse 4100 Westbank Dr 1 Wall mounted AED cabinet in NGC Front Rotunda Nurse 1 Wall mounted AED cabinet in PE Gym foyer Nurse 1 Wall mounted AED cabinet in WHS Main Library Nurse Westlake Fine Arts 1 Wall mounted AED cabinet in WH FAF Lobby Theater Tech 4100 Westbank Dr 1 Wall mounted AED cabinet in Band Hall Nurse 1 Wall mounted AED cabinet in lobby outside PE Gym Nurse 1 Wall mounted AED cabinet in WH Stadium Homeside Athletic Trainer 1 Wall mounted AED cabinet in WH Stadium Visitors Athletic Trainer 1 Wall mounted AED cabinet in WH Softball Stadium Athletic Trainer 1 Wall mounted AED cabinet in Tennis/Softball Field House Athletic Trainer 1 Wall mounted AED cabinet outside WHS Training Rm Athletic Trainer 5 Mobile units for athletics Athletic Trainer Hill Country MS 1 Wall mounted AED cabinet Front Hallway Nurse 1300 Walsh Tarlton 1 Mobile unit in Nurse's Office Nurse 2 Mobile units in Athletics Nurse West Ridge MS 1 Wall mounted AED cabinet Front Hallway Nurse 9201 Scenic Bluff 2 Mobile units in Athletics Eanes Elem 1 Wall mounted AED cabinet by nurses' office Nurse 4101 Bee Caves 1 Wall mounted AED cabinet by café/gym Nurse 1 Wall mounted AED cabinet in library Nurse Cedar Creek 1 Wall mounted AED cabinet in Front Hallway Nurse 3301 Pinnacle 1 Wall mounted AED cabinet in Gym Nurse Valley View 1 Wall mounted AED cabinet in Front Hallway Nurse 1201 Cap TX HwyS Forest Trail Elem 1 Wall mounted AED cabinet in Foyer by Elevator Nurse 1203 Cap TX HwyS Barton Ck Elem 1 Wall mounted AED cabinet in Front Hallway Nurse Bridge Pt Elem 1 Wall mounted AED cabinet in Front Hallway Nurse 1 Wall mounted AED cabinet by Gym/Café Nurse 1 Wall mounted AED cabinet 2nd Floor Hallway Nurse Central Adm 1 Wall mounted AED by Stairwell CA Receptionist 601 Camp Craft Transp/Maint 1 Wall mounted AED Hallway Betwn T/M MO Dispatcher 1101 Westbank Dr 37 12.18.08

EISD ISD PAD PROGRAM SCHOOL: AUTOMATIC EXTERNAL DEFIBRILLATOR (AED) AED SERIEL #: WEEKLY LOG INSPECTOR: SCH YR: MONTH PHLPS PHLPS PHLPS MDTRC MDTRC BLK FLSHNG SOLID OK CHRGBK HRGLSS RED X RED X SIGNAL CLEAR 2 SETS 2 BKUP SMALL 2 PR SHEERS FACE MOUTH DFB PDS RZRS BTTRY TOWEL GLOVES MASK VALVES WK#1 WK#2 WK#3 WK#4 MONTH WK#1 WK#2 WK#3 WK#4 MONTH WK#1 WK#2 WK#3 WK#4 MONTH WK#1 WK#2 WK#3 WK#4 MONTH WK#1 WK#2 WK#3 WK#4

AED Event Notification Organization Name Call # Date of AED Application Approx. Time Location of event If available A/TCEMS Call # Transport Unit(s) # Transported Pronounced Refused Type of unit used (x): FR1 FR2 Other (list type/brand) As soon after the AED Application as Possible, please fax or email (preferred) this document to the Office of the Medical Director: Dr. Edward Racht Fax: 512-972-7329, Attention: AED Coordinator E-Mail: AED@ci.austin.tx.us Replacement data cards are available at the Office of the Medical Director, 512-972-7330.

Keep the Beat Alive Public Access Defibrillation Hilary Higdon Office 512-974-0AED (0233) AED Coordinator, Office of the Medical Director 512-974-0211 517 S. Pleasant Valley Rd. Fax 512-972-7329 Austin, Texas 78741 AED@ci.austin.tx.us Participation in the Austin / Travis County Public Access Defibrillation Program *[Document A]* 1. Organization name : 2. AED Contact Person: 3. Contact street address: 4. Contact City, State & Zip: 5. Contact Telephone: Contact Fax: 6. Contact E-mail: 7. Medical Director: Phone: (if other than Dr. Racht) Address 8. Training program(s) used: AHA Red Cross NSC Other 9. Defibrillator model(s) used: 10. Note physical location of AED(s) (Document B - AED Location Form) 11. Review & sign defibrillation initiative requirements for Medical Direction by Dr. Ed Racht (Document C Medical Oversight)

Keep the Beat Alive Public Access Defibrillation Hilary Higdon Office 512-974-0AED (0233) AED Coordinator, Office of the Medical Director 512-974-0211 517 S. Pleasant Valley Rd. Fax 512-972-7329 Austin, Texas 78741 AED@ci.austin.tx.us AED Location Form (for all AEDs) *[Document B]* Site Name Street Address City, State & Zip AED Location(s) (be very specific) Site Name Street Address City, State & Zip AED Location(s) (be very specific) Keeeepp thhee t Beeaat t Alivvee Auusst tinn / Trraavvi iss Coouunnt tyy PPuubbl licc Acccceessss Deeffi ibbrri illaat tioonn PPrrooggrraam Form of

Keep the Beat Alive Public Access Defibrillation Hilary Higdon Office 512-974-0AED (0233) AED Coordinator, Office of the Medical Director 512-974-0211 517 S. Pleasant Valley Rd. Fax 512-972-7239 Austin, Texas 78741 AED@ci.austin.tx.us AED Program Medical Oversight Requirements *[Document C]* Participation in the Austin / Travis County Public Access Defibrillation Program is voluntary. The Austin / Travis County EMS Medical Director, Edward M. Racht, M.D., will provide voluntary physician oversight for AED programs in Travis County under the following conditions: The organization(s) and individual(s) participating in the program agree to: Notify the Medical Director or the AED Coordinator for the following: o Acquisition of new AED (note this satisfies requirement to notify EMS) o Any application of the AED on a patient o Any change in AED Contact information or placement o Any malfunction of the AED Users must remain current in CPR & AED training as provided by the American Heart Association, American Red Cross or National Safety Council or other approved courses. Maintain all AEDs according to manufacturer s guidelines Immediately activating 911 when AED is applied to any patient Signature Title Date

Post Event & Adverse Event Report EANES ISD Public Access Defibrillation Program This page is a continuation of: Date of Event: Approx Time of Event: PAD Program Organization Name: Detailed Description of the Event (use additional sheets if needed) For all adverse events and device malfunctions, describe exactly what happened. Be as specific as possible. For all AED applications to a victim, describe what happened, what was done, when things were done, and any changes that occurred. (not required if event data was submitted electronically but is strongly encouraged) Name of Person Completing this Report (Print): Contact Phone or Email for this Person:

HEALTH & SAFETY CODE CHAPTER 779. AUTOMATED EXTERNAL DEFIBRILLATORS Sec. 779.001. DEFINITION. In this chapter, "automated external defibrillator" means a heart monitor and defibrillator that: (1) has received approval from the United States Food and Drug Administration of its premarket notification filed under 21 U.S.C. Section 360(k), as amended; (2) is capable of recognizing the presence or absence of ventricular fibrillation or rapid ventricular tachycardia and is capable of determining, without interpretation of cardiac rhythm by an operator, whether defibrillation should be performed; and (3) on determining that defibrillation should be performed, automatically charges and requests delivery of an electrical impulse to an individual's heart. Added by Acts 1999, 76th Leg., ch. 679, Sec. 1, eff. Sept. 1, 1999. Sec. 779.002. TRAINING. (a) A person or entity that acquires an automated external defibrillator shall ensure that: (1) each user of the automated external defibrillator receives training given or approved by the Texas Department of Health in: (A) cardiopulmonary resuscitation; and (B) use of the automated external defibrillator; and (2) a licensed physician is involved in the training program to ensure compliance with the requirements of this chapter. (b) The Texas Department of Health shall adopt rules establishing the minimum requirements for the training required by this section. In adopting rules under this section, the Texas Department of Health shall consider the guidelines for automated external defibrillator training approved by the American Heart Association, the American Red Cross, or another nationally recognized association. Added by Acts 1999, 76th Leg., ch. 679, Sec. 1, eff. Sept. 1, 1999.

Sec. 779.003. MAINTENANCE OF AUTOMATED EXTERNAL DEFIBRILLATOR. A person or entity that owns or leases an automated external defibrillator shall maintain and test the automated external defibrillator according to the manufacturer's guidelines. Added by Acts 1999, 76th Leg., ch. 679, Sec. 1, eff. Sept. 1, 1999. Sec. 779.004. USING AN AUTOMATED EXTERNAL DEFIBRILLATOR. A person or entity that provides emergency care to a person in cardiac arrest by using an automated external defibrillator shall promptly notify the local emergency medical services provider. Added by Acts 1999, 76th Leg., ch. 679, Sec. 1, eff. Sept. 1, 1999. Sec. 779.005. NOTIFYING LOCAL EMERGENCY MEDICAL SERVICES PROVIDER. When a person or entity acquires an automated external defibrillator, the person or entity shall notify the local emergency medical services provider of the existence, location, and type of automated external defibrillator. Added by Acts 1999, 76th Leg., ch. 679, Sec. 1, eff. Sept. 1, 1999. Sec. 779.006. LIABILITY EXEMPTION. The prescribing physician who authorizes the acquisition of an automated external defibrillator in accordance with this chapter, a person or entity that provides approved training in the use of an automated external defibrillator in accordance with this chapter, and the person or entity that acquires the automated external defibrillator and meets the requirements of this chapter are not liable for civil damages for such prescription, training, or acquisition unless the conduct is wilfully or wantonly negligent. Any person or entity that acquires an automated external defibrillator and negligently fails to comply with the requirements of this chapter is liable for civil damages caused by such negligence. Added by Acts 1999, 76th Leg., ch. 679, Sec. 1, eff. Sept. 1, 1999. Sec. 779.007. POSSESSION OF AUTOMATED EXTERNAL DEFIBRILLATORS. Each person or entity, other than a licensed practitioner, that acquires an automated external defibrillator shall ensure that: (1) the automated external defibrillator has been delivered to that person or entity by a licensed practitioner in the course of his professional practice or upon a prescription or other order lawfully issued in the course of his professional practice; or

(2) if the automated external defibrillator is acquired for the purpose of sale or lease, the person or entity shall be in conformance with the applicable requirements found in Section 483.041, Health and Safety Code. Added by Acts 1999, 76th Leg., ch. 679, Sec. 1, eff. Sept. 1, 1999. Sec. 779.008. HOSPITAL EXEMPTION. This chapter shall not apply to hospitals licensed under Chapter 241, Health and Safety Code.