8452 - USE AND MAINTENANCE OF AUTOMATED EXTERNAL DEFIBRILLATORS

Perry Local School District

Administrative Guidelines

8452 - USE AND MAINTENANCE OF AUTOMATED EXTERNAL DEFIBRILLATORS

These guidelines are established as guidance to those who use School District Automated External Defibrillators ("AEDs") in appropriate emergency medical situations. These guidelines do not create an obligation to use the AEDs nor do they create an expectation that an AED will be available or that a trained employee will be present and/or able to use the AED in the event of a medical emergency. Any individual using a School District AED is subject to the immunities established in R.C. 2305.235 and R.C. 3313.717.

AED SAFETY COORDINATOR

The School Nurse will perform the duties of AED "Safety Coordinator."

MEDICAL AUTHORIZATION FOR THE AED PROGRAM

Prior to authorizing use of the AEDs in the School District, the Safety Coordinator will secure a prescription for such use from an appropriate medical practitioner, as identified below. In order to maintain the prescription, the Safety Coordinator will assure that the serial numbers from all School District AEDs are forwarded to the identified medical practitioner along with all initial and on-going staff training records. Such information will also be provided to the Perry Township Emergency Squad.

The Safety Coordinator will seek a case review by the prescribing medical practitioner in the event that a School District AED is used.

TRAINING OF "EXPECTED USERS"

Individuals in the following positions are hereby identified as "expected users" of School District AEDs:

	A.	all School District administrators;

	B.	all school nurses;

	C.	athletic director(s);

	D.	all athletic trainers;

	E.	all physical education teachers;

	F.	all members of the coaching staff of an interscholastic athletic team;

	G.	additional staff as deemed appropriate by each building administrator.

Individuals who are presently employed under a regular or supplemental contract for any of these positions must complete a training course in the use of the AED as well as CPR as described below. Any of these individuals who is able to produce evidence of completion of the requisite training within the two (2) years prior to the adoption of these guidelines is not required to undergo such training again. Any individual who is awarded a contract or supplemental contract for any of these positions subsequent to the adoption of these guidelines must seek appropriate training within a reasonable period of time.

The Safety Coordinator will contact the Perry Township Emergency Squad to schedule and coordinate training in a program consistent with the training protocols established by the National Center for Early Defibrillation (www.early_defib.org) and conducted by an organization listed by the National Center. The Safety Coordinator will maintain all records evidencing training. All training will be in compliance with State and/or Federal law.

All expected users must annually complete an AED-CPR skill proficiency demonstration. Each individual’s annual performance will be reviewed in cooperation with the Perry Township Emergency Squad. The Safety Coordinator will arrange this annual review with the Perry Township Emergency Squad as well as remediation as appropriate.

AED MAINTENANCE

All School District AEDs must be maintained and tested according to the manufacturer’s guidelines.

The Safety Coordinator will retain all manufacturer’s guidelines in his/her office along with any additional specifications or technical information for each approved AED model made available for use in the School District.

The Safety Coordinator will oversee the performance of regular maintenance of School District AEDs in accordance with the intervals established by the manufacturer. The Safety Coordinator or a designee will perform monthly checks of the AED defibrillator pads and batteries to assure compliance with expiration dates. The Safety Coordinator will re-order replacement supplies for the AED upon determining that existing supplies will expire within the ensuing two (2) months.

The Safety Coordinator or a designee will maintain a weekly checklist to document the proper maintenance of the AEDs as well as monthly inspections.

Following use of an AED, the Safety Coordinator must replace all single use items associated with the AED as quickly as possible.

AED LOCATIONS

Each Building Principal must identify a location for the storage of any AED assigned to his/her school building. The location for storage of an AED should be made in consultation with the Safety Coordinator and must be a location which is obviously visible to expected users in the event of an emergency and which is accessible outside of normal school hours. Upon installation, the Safety Coordinator must notify all area emergency medical services of the locations of all AEDs.

If an AED is made available for use outside of regular school hours at a site other than a normal fixed location, such as at an athletic contest, then the AED may be transported by any expected user to such a location. The individual responsible for transport must inform all other expected users regarding the location of the transported AED upon arrival.

GUIDELINES FOR USE OF AEDs

Prior to use of an AED, the AED user should assess the scene of the medical emergency for safety. The expected user should make the scene of the emergency as safe as possible prior to use of the AED, including placing the person on a hard surface away from standing water. Users are not expected to place themselves at risk in order to provide aid to others.

Unless otherwise specified by the manufacturer, AEDs should only be used on a person who is at least eight (8) years old and/or eighty (80) pounds. The AED should be attached only to victims who are unresponsive, not breathing normally and have no detected pulse.

Procedures For Use During School Hours

	A.	After assessing the symptoms described above, a responsible adult shall alert the main office either by calling the main office on any school phone, or by sending a runner to the Building Principal. The responsible adult shall provide the main office with information regarding the location of the medical emergency, the symptoms of the individual, and detailing any safety issues related to the scene.

	B.	The Principal or a designee shall immediately contact emergency medical services by calling 911, and shall contact and dispatch a trained expected AED user from the school building to the location of the emergency.

	C.	The Principal or designee shall retrieve the AED for delivery to the scene.

	D.	Any person may use an AED and/or administer CPR in a medical emergency even if that person has not received or completed training to do so.

	E.	Upon arrival, the trained expected AED user must assess the symptoms of the person and assess whether the person meets the criteria for use of the AED.

	F.	The trained expected AED user should administer CPR or the AED in accordance with training until arrival of emergency medical services personnel.

	G.	The AED(s) user, in consultation with the building Principal, must complete a School District incident report, including the names of the responding emergency medical services personnel and any relevant facts relating to the incident. The incident report will be retained in the files of the School District.

After use, the AED should remain off unless needed for an additional emergency.

Procedures For Use Outside Of Regular School Hours

	A.	After assessing the symptoms described above, a responsible adult shall alert a trained expected AED user, including any member of a coaching staff or the Safety Coordinator. The responsible adult shall provide the trained expected AED user with information regarding the location of the medical emergency, the symptoms of the individual and detailing any safety issues related to the scene.

	B.	Any person may use an AED and/or administer CPR in a medical emergency even if that person has not received or completed training to do so.

	C.	The trained expected AED user shall immediately designate another responsible individual to contact emergency medical services by calling 911, and shall immediately respond to the location of the emergency.

	D.	If there is no AED at the scene, the trained expected AED user shall retrieve or designate another responsible individual to retrieve the AED.

	E.	Upon arrival, the trained expected AED user must assess the symptoms of the person and assess whether the person meets the criteria for use of the AED.

	F.	The trained expected AED user should administer CPR or the AED in accordance with training until arrival of emergency medical services personnel.

	G.	The AED(s) user, in consultation with the Building Principal, must complete a School District incident report, including the names of the responding emergency medical services personnel and any relevant facts related to the incident. The incident report will be retained in the files of the School District.

After use, the AED should remain off unless needed for another emergency.

COLLECTION OF DATA FOLLOWING THE USE OF AN AED

Immediately following a medical emergency and the use of an AED, the AED user(s) must report the details of the incident to the Building Principal and the Safety Coordinator. Thereafter, the Safety Coordinator and Building Principal will conduct a case review.

PROCEDURES FOLLOWING A CRITICAL EVENT

Following an incident involving the use of an AED, the Safety Coordinator will convene an informal stress debriefing for all individuals involved in the incident. The Safety Coordinator may seek input from the Perry Township Emergency Squad if determined appropriate.

Within a reasonable period of time after an incident involving the use of an AED, the Safety Coordinator must convene a meeting of all individuals involved in the incident to review the procedures as set forth herein and to make recommendations for any amendments to these guidelines.

R.C. 2305.235, 3701.85, 3313.717
21 C.F.R. 801.109

Approved 9/05
Revised 2/28/06
Revised 10/27/15