Management Plan for Automated External Defibrillators (AED) ISD #535 Health & Safety Office Maintenance Service Building 10 SE 9½ Street Rochester, MN 55904 507-328-4507
Modification Date Document Modification Form All document modifications must be recorded on this form. Modification Description Modifications By Purpose of Modification Approved By 12-10-2007 Annual Review Michael Stock Update M.S. 10-21-2008 Changed Office Phone Number & Corrected Inspection Verbiage Michael Stock Update M.S. 10-21-2009 Annual Review Michael Stock Update M.S. 12-15-2010 Annual Review Michael Stock Update M.S. 2-23-2012 Annual Review Michael Stock Update M.S. 5/17/2013 Annual Review Michael Stock Update M.S. 2
Automated External Defibrillator Management Plan Independent School District 535 Hazard Identification Statistics from the American Heart Association show that approximately 250,000 adult Americans die each year from sudden cardiac arrest. Many of these deaths are the result of out of hospital sudden cardiac arrest brought on by ventricular fibrillation (VF). VF is a dangerous arrhythmia in which the heart quivers chaotically instead of beating in a normal rhythm resulting in death. The only effective treatment for ventricular fibrillation is the delivery of an electric shock by a defibrillator. An automated external defibrillator (AED) is a simple, easy to use device that analyzes the heart s rhythm and tells the user to deliver a life-saving shock if necessary. Early defibrillation (within 3-5 minutes of the heart attack) is critical to survival. Every minute defibrillation is delayed, survival rates plunge 7-10 percent. When a medical emergency occurs, the immediate reaction is to dial 911, but in the case of a cardiac arrest, EMS may not be enough to save a victim s life. On average, EMS teams in the U.S. take 6-12 minutes to respond to medical emergencies. The solution is the deployment of AEDs in key locations where people congregate, health clubs, stadiums, airports, businesses and public buildings such as schools. The American Heart Association s Chain of Survival links the level of care required for treatment of sudden cardiac arrest, early access to EMS or 911, early CPR, early defibrillation, and early advanced emergency treatment. AEDs make early defibrillation a viable option. In addition, AEDs are easy to use, even for lay people with minimal training. Contact Information Program Coordinator The Coordinator of Health & Safety, Michael Stock, will function as the Coordinator for the District s AED program. Medical Directorship Dr. Frank Cetta from the Mayo Clinic has acted as medical director for the program. Contact info: Dr. Frank Cetta MD cetta.frank@mayo.edu phone 507-266-0676 3
Legal Liability Both the U.S. Food and Drug Administration (FDA) and state agencies regulate AEDs. The AED legal and regulatory landscape is evolving rapidly. However, at this time, liability risk associated with early defibrillation programs is minimal and the benefits far outweigh liability risks. Several reasons exist for the low liability risk. First, if sudden cardiac arrest is untreated, the victim will die. As a general rule, an AED used properly can only help. Second, most AED users will be protected by state Good Samaritan laws. According to MN session law s.2861 (1998, Chapter 329), which is also known as the Good Samaritan Law, the nonprofessional user is exempt from civil liability. Third, the AEDs on the market today are both easy to use and difficult to misuse. The general consensus from most professionals involved in the implementation of Public Access Defibrillation Programs is that the District would assume greater liability by not implementing a program. (See Appendix A) Training Key to the success of this program is raising public awareness of AEDs and their life saving power. The District currently uses Code Orange teams within its buildings to respond to medical emergencies before outside help arrives. These individuals are trained on CPR and basic lifesaving skills. This training includes the basic use of an AED. Only CPR/AED trained individuals will be authorized to use the AEDs in the District. Record Keeping Each site shall have a copy of the site training records in the site AED manual (see appendix E). The Lead Engineer of the building or site appointed individual, will be responsible for the maintenance and inspection for the AED s in their building. Equipment The Defibrillator model is the Heartstart FRx by Philips. Each of the units comes equipped with a cabinet that alarms when opened. A small kit with a razor, electrode pads, and PPE (personal protective equipment) are inside the cabinet. (See below for further description of the Personal Protective Equipment). Device Locations Each building will have at least one AED. Some will have more due to the size of the building. Locations were determined based on their visibility and because they were high traffic areas. The AED Committee consulted with Community Education to ensure accessibility after hours. In every school, the AED Committee attempted to maintain a response time of less than 2 minutes from all areas of the facility. 4
Operations and Maintenance Cabinet Alarms and Medical Response In the event that an AED is removed from the cabinet and put into use, an audible alarm at the cabinet will trigger when the door is opened. A tether strap connected to the AED will trigger a signal to the districts alarm monitoring contractor (Custom Alarm). The contractor will have a written procedure to follow when an alarm is reported. Reporting In the event of a cardiac arrest in which the AED is used, the site Lead Engineer at the location, or his/her designated appointee will be responsible for contacting the AED Program Coordinator and reporting the use of the AED. Dr. Frank Cetta MD from the Mayo Clinic has requested that the AED must be taken out of service until the unit s information from the use can be downloaded. The AED program Coordinator will be responsible for restoring the AED to a functional status by replacing the AED pads and restocking the PPE. At that point, new pads will be ordered for future needs. Inspecting The AED devices along with the PPE are to be visually inspected weekly by the building Lead Engineer or site designated person. These inspections are to ensure that all components are accounted for and the AED is functioning properly. Personal Protective Equipment Included in the cabinet with each AED will be a First Response/Personal Protective Equipment kit containing a disposable razor for removing body hair from AED pad locations, as well as a micro-shield, and gloves for personal protection when responding to a cardiac arrest situation. Gloves should always be worn when there is a potential for exposure to body fluids, (i.e. blood). Appendices A. Minnesota Good Samaritan Law B. AED Location Sheet C. Maintenance and Care Procedure D. Alarm Monitoring Procedure E. Site AED Training Log 5