File:  JLCEB - AED Policies and Procedures

AED POLICIES

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, not breathing normally and showing no signs of circulation, such as normal breathing, coughing and movement.  The AED will analyze the heart rhythm and advise the operator if a shockable rhythm is detected.  If a shockable rhythm is detected, the AED will charge to the appropriate energy level and deliver the shock.

AED Owner (Cheraw School District 31) Responsibilities:

-  Activating the internal emergency response system (calling 911) providing prompt basic life support including AED and first aid according to training and experience.

-  Personnel complete CPR/AED certification through a nationally recognized agency approved by the state of Colorado.

-  Understanding and complying with the requirements of this policy.

Authorized AED Users:

All employees of Cheraw School District 31 who have successfully completed CPR/AED training are authorized to use an AED. (If no trained employee is Present, any bystander acting in "good faith" is authorized to use the AED. C.R.S. 13-21-108)

Equipment:

-  The AED and first aid emergency care kit will be brought to all medical emergencies.

-  The AED should be used on any person who displays the symptoms of cardiac arrest.  The AED will be place only after the following symptoms are confirmed:

-  Victim is unconscious

-  Victim is not breathing

Initial Training:

-  Employees must complete training adequate to provide basic first aid, CPR and AED.

-  Training will be provided on site.  AED training course must be approved by the State of Colorado.  Cheraw School District 31 is responsible to have "expected responders" trained at each facility where an AED is deployed.

Refresher Training:

-  Employees will renew CPR/AED training every 24 months.

Medical Response Documentation:

Internal Post Event Documentation: It is important to document each use of the medical emergency response system.  It is recommended that an internal accident report form be completed by the responding employee member for each accident requiring the use of the AED.

Equipment Maintenance:

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

-  La Junta Fire Department will be responsible for a monthly visual check of the AED

-  Ensuring green R check symbol appears (located on left side of handle)

-  Ensuring that unit does not emit a beeping tone

-  Ensuring pads are not expired

(Adoption date)

AED PROCEDURES

Note:  If AED is not immediately available, perform CPR until AED arrives on scene.  Use of the AED is authorized for emergency response personnel trained in CPR and use of the AED. (If no trained employee is present, any bystander acting in "good faith" is authorized to use the AED)

Medical Emergency Responding Employee:

-  Assess scene for safety.

-  Determine unresponsiveness.

-  Activate system (Dial 911).

-  Call for AED.

-  Check for Breathing- if not breathing, begin CPR chest compressions immediately

-  When AED arrives, Turn ON immediately.

-  Follow voice prompts to apply electrodes.  Remove clothing, Shave chest hair (if it is so excessive it prevents a good seal between electrodes and skin). If the victim's chest is dirty or wet, wipe the chest clean and dry.

-  Stand clear of victim while the AED analyzes heart rhythm.

Shock Advised:

Clear the area; make sure no one is touching the victim.  Once the area is clear, the Zoll AED Plus (fully auto) AED will advise if a rescue shock is needed.  The AED will Prompt the responder(s) "Shock advised."  "Don't touch the patient."  "Press flashing shock button."  After 2 minutes of CPR, AED will prompt responder(s) to clear the area and re-analyze

No Shock Advised:

AED will prompt "No shock advised." "Start CPR." After 2 minutes of CPR, AED will prompt responder(s) to clear the area and re-analyze.  Continue cycles of analysis, shock (if advised) and CPR until professional help arrives.  Victim must be transported to hospital. Leave AED attached to victim until EMS arrives and disconnects AED.

After Use:

The AED will be wiped clean and any used pads discarded.  Cheraw School District 31 will inform La Junta Fire Department and Zoll Medical of any AED use. CPR-D-PADZ (Charge-pak and Electrodes will be needed. Replace charge-pak battery, electrodes, and face shield will need replaced.)