Annex 5 - Public Access Defibrillation

Background

Sudden cardiac arrest (SCA) is the sudden loss of all heart activity due to an irregular heart rhythm. Breathing stops, and the person becomes unconscious. Without immediate treatment, sudden cardiac arrest can lead to death.

Emergency treatment for sudden cardiac arrest includes cardiopulmonary resuscitation (CPR) and shocks to the heart with a device called an automated external defibrillator (AED). Survival is possible with fast, appropriate medical care.

Purpose

This policy shall provide guidance in the management of 亚洲情色鈥檚 Public Access Defibrillation (PAD) program, in coordination with NYS Policy No. 09.03, Re: Public Access Defibrillation. A Public Access Defibrillation (PAD) program is designed to encourage greater acquisition, deployment and use of AEDs in communities in an effort to reduce the numbers of deaths associated with sudden cardiac arrest.

Applicable documents:

  • County/State AED Guidelines
  • Medical emergency action plan
  • Infection control procedure for universal precautions
  • (Internal) AED Use OEM Standard Operating Procedures
  • AED Event Summary Form
  • AED Inspection Checklist

Approved AEDs and Associated Equipment

The Avive AED and Cardiac Science G5 PowerHeart Automated External Defibrillators (AEDs) are currently approved for this program. These AEDs conform to the state/county standards.

  • The AED and related first-aid emergency equipment will be brought to all potentially cardiac related medical emergencies or at the discretion of the emergency responders.
  • The AED should be used on any person of any age and displays ALL the symptoms of cardiac arrest. The AED will be placed only after the following symptoms are confirmed:
    • Victim is unresponsive
    • Victim is not breathing, or is breathing ineffectively
    • Victim has no signs of circulation such as pulse and coughing, or movement

NOTE: The Avive AED is equipped with a single set of pads, able to be used on both adult and pediatric patients. The 鈥淐hild鈥 button must be pressed for patients appearing to be 8 years or younger. The Cardiac Science G5 AED is equipped with a set of pediatric pads to be used in the event of pediatric patients.

Each AED is collocated with the following equipment:

  • CPR barrier mask
  • Shears/scissors
  • Non-latex disposable gloves
  • Disposable razor

Location of AEDs

Under typical circumstances, AEDs will be at predetermined locations. These locations should allow the device to be easily accessible by all University community members. These locations shall be prioritized for areas of large assembly, building main entrances and elevator / stair lobbies. All AED locations should be made publicly available to view, and include appropriate directional signage.

PAD Program Coordinator

Ryan Kinsella

亚洲情色

Office of Emergency Management (OEM)

Old Johnson 204

607-777-3545

oem@binghamton.edu

PAD Program Coordinator Responsibilities

  • Selection of AED for 亚洲情色 public use
  • Coordination with training providers of DOH approved CPR/AED trainings for University students and employees
  • Coordination of equipment maintenance and inspections, as described in this document
  • Maintenance of specifications/technical information sheet for each approved AED model assigned to the University
  • Revision of this procedure as required
  • Monitoring of the effectiveness of this system
  • Communication with the Emergency Health Care Provider on issues related to medical emergency response program including post-event reviews

Equipment Maintenance and Inspections:

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

  • The PAD program coordinator shall be informed of changes in availability of emergency medical response equipment. If equipment is withdrawn from service, the PAD program coordinator shall be informed and then notified when equipment is returned to service.
  • The PAD program coordinator shall be responsible for informing response teams of changes to availability of emergency medical equipment.
  • The PAD Program Coordinator or designee shall be responsible for having regular equipment maintenance performed. All maintenance tasks shall be performed according to equipment maintenance procedures as outlined in the operating instructions.
  • Following use of emergency response equipment, all equipment shall be cleaned and/or decontaminated as required. If contamination includes body fluids, the equipment shall be disinfected according to 亚洲情色 bloodborne pathogen cleaning procedures.
  • The PAD program coordinator, or designee will perform regular inspections of units as necessary to ensure compliance with the program
  • The PAD program coordinator shall be responsible for acquiring replacement electrodes and other AED accessories upon notification of nearing expiration dates
  • If maintenance problems are detected, the PAD program coordinator will work with appropriate AED contacts to resolve concerns

Emergency Health Care Provider (EHCP):

The Emergency Health Care Provider (EHCP) of the AED program is Richard Moose, MD. The EHCP of the AED program has ongoing responsibility for:

  • Providing medical direction for use of AEDs
  • Writing a prescription for AEDs
  • Reviewing and approving written practice protocols related to use of AEDs
  • Review and approving written policies and procedures which include:
    • Training requirements for AED users,
    • A process for the immediate notification of EMS by calling 911 or (607)777-2222 or (607)777-3333,
    • A process for routine inspections of the AED units as well as regular maintenance
    • Incident documentation requirements, and
    • Participation in a regionally approved quality improvement program
  • Evaluation of post-event review forms and digital files downloaded from the AED

Authorized AED users

Publicly accessible AEDs may be used by:

  • Employees trained in the proper use of AEDs (i.e. University Police, Environmental Health and Safety, Harpur鈥檚 Ferry Student Volunteer Ambulance, Health Services staff, athletics training staff, Campus Recreation staff, etc.)
  • Any trained volunteer responder who has successfully completed an approved CPR/AED training program within the last two years and has a current successful course completion card.
  • Any member of the community capable of safely following the automated AED's instructions.

Untrained AED Responder Responsibilities:

The Avive AED and Cardiac Science G5 AED are both designed to be operated by a layperson without any prior AED training experience. As such, anyone can, at their discretion, provide voluntary assistance to victims of medical emergencies. These responders are encouraged to contribute to emergency response only to the extent they are comfortable.

University Police Responsibilities:

The NYS University Police are responsible for:

  • Receiving emergency medical calls from internal locations
  • Contacting the external community EMS, if required
  • Deploying AED-trained employees to the emergency location
  • Assigning someone to meet responding EMS aid vehicle and direct EMS personnel to site of medical emergency

Post Event Response Documentation:

It is important to document each AED use. In order to ensure appropriate documentation is maintained, the PAD program coordinator shall follow the Public Access Defibrillation (PAD) AED Use: OEM Standard Operating Procedures.

The PAD program coordinator, or designee, shall complete the Public Access Defibrillation (PAD) Program Post-Incident Checklist as prescribed by the standard operating procedures to confirm completed tasks.

Post Event Review:

Following each use of an AED, a review shall be conducted to learn from the experience. The PAD 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, if needed, a critical incident stress debriefing. A summary of the post-event review shall be sent to the PAD program coordinator and the PAD medical director.

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 may be required.