MSAD 55 Automated External Defibrillator Plan 137 South Hiram Road Hiram, Maine 04041 www.sad55.org (207) 625-2490 MSAD 55 AUTOMATED EXTERNAL DEFIBRILLATOR PLAN 1
Purpose To provide guidance in the management and administration of a school-based Automated External Defibrillator (AED) program To treat victims of Sudden Cardiac Arrest (SCA) who are eight years of age or older ONLY SCA is a condition that occurs when the electrical impulses of the human heart malfunction causing a disturbance in the heart s electrical rhythm called ventricular fibrillation (VF). This erratic and ineffective electrical heart rhythm causes complete cessation of the heart s normal function of pumping blood resulting in sudden death. The most effective treatment for this condition is the administration of an electrical current to the heart by a defibrillator, delivered within a short time of the onset of VF. An AED is used to treat victims who experience SCA. It is only to be applied to victims who are unconscious and without pulse, signs of circulation, and normal breathing. The AED will analyze heart rhythm and advise the operator if a shock-worthy abnormal rhythm is detected. If such a rhythm is detected, the AED will charge to the appropriate energy level and advise the operator to deliver a shock. Program Overseer The school nurses will oversee the AED program. Responsibilities Selection of individuals for AED training and distribution of an AED-trained list Coordination of training Coordination of maintenance for equipment and accessories Evaluation of the AED program and revision of procedures Communication with the medical advisor on issues related to the medical emergency response program, including post event reviews Medical Advisor The medical advisor for the AED program is our contracted physician. The medical advisor has ongoing responsibility for the following: Providing general medical information as related to the AED Writing prescriptions for AED s Evaluating post-event review forms and digital files downloaded from the AED, and participating in post-event reviews Authorized AED Users Any trained responder who has successfully completed an approved CPR/AED training program provided by the American Red Cross, the American Heart Association or the Maine Department of Public Safety within the last two years Persons licensed under the Maine Emergency Management Services Act and health care practitioners as defined by 24 M.R.S.A. 2502(1-A) MSAD 55 AUTOMATED EXTERNAL DEFIBRILLATOR PLAN 2
AED-Trained Employee Responsibilities Making a reasonable effort to summon appropriate emergency services personnel when communication is possible Activating the internal emergency response system and providing prompt basic life support, including AED and first aid according to training and experience Understanding and complying with the requirements set forth in this procedure Following any other manufacturer s instructions and MSAD 55 guidelines of the AED program School Office Staff Responsibilities Contacting the external community 9-1-1 Emergency Medical System (EMS) response team Deploying AED-trained employees to the emergency location Assigning someone to meet responding EMS aid vehicle, and direct EMS personnel to the medical emergency site Equipment The defibtech Life Line AED has been approved for this program. The AED conforms to state/county standards. The AED should be used on any person who is at least 8 (eight) years of age and displays ALL the symptoms of cardiac arrest. The AED will be used 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, coughing, or movement AED Location The AEDs will be centrally located and easily accessible. The location will allow trained individuals to retrieve the device outside normal school hours. At Sacopee Valley High School (SVHS) the AED is located in the main lobby next to the main office. At Sacopee Valley Middle School (SVMS) the AED is located across from the gymnasium. A portable AED is also kept with the athletic trainer for use at outside events. Equipment Maintenance The AED and all accessories necessary for support of emergency medical response shall be maintained in a state of readiness. The AED will be tested as per recommended guidelines in the operator s manual set forth by the manufacturer, and the AED will perform a self-diagnostic test at intervals programmed by the manufacturer. These guidelines and a procedure checklist will be posted as well as retained on file. The program overseers will document all testing. Equipment Repair and Cleaning In the event that an AED must be removed from service for repair, the program overseers will inform members of the main office staff that the AED has temporarily been removed from service. The overseers will also assume responsibility for informing response teams of changes to the availability of emergency medical equipment. These same parties will be notified when the equipment is returned to service. Following the use of emergency response equipment, MSAD 55 AUTOMATED EXTERNAL DEFIBRILLATOR PLAN 3
cleaning and/or decontamination will take place as required. If contamination involves body fluids, the equipment shall be disinfected according to the manufacturer s recommendations. Initial Training AED training will include a basic CPR/first aid course, which will be approved by American Heart Association (AHA) or American Red Cross (ARC). The program overseers shall maintain training records for trained employees. Refresher Training Trained employees will renew first aid, CPR and AED training as specified by AHA or ACR. Internal Post-Event Documentation It is imperative to document each use of the medical emergency response system. A School Accident/Injury Report (see attached) form shall be completed by a responding employee for each accident requiring first aid of any type. In addition, the AED-trained employee shall complete the Defibrillation Incident Report (see attached) whenever an AED is used. These forms shall be sent to the AED Program Overseers within 24 hours of a medical event. External Post-Event Documentation Within 48 hours of an emergency, a copy of the Defibrillation Incident Report shall be presented to the following individuals: The Medical Advisor of the AED program Superintendent At a minimum, event information supplied shall include any recorded data and all electronic files captured by the AED. Post-Event Review Following each deployment of the response team member, a review shall be conducted to learn from the experience. The AED Program Overseers or a designee shall conduct and document the post-event review. All key responders in the event shall participate in the review and critical incident stress debriefing. Annual System Assessment Once each calendar year, the AED Program Overseers or designee shall conduct and document a system readiness review. This review shall include an examination of training records, equipment operation, and maintenance records. Applicable Documents MSAD 55 School Board Policy EBCF Automated External Defibrillators 22 M.R.S.A. 2150-C (AED law) 14 M.R.S.A. 164 (immunity from civil liability law) 20-A M.R.S.A. (school emergency medical treatment law) MSAD 55 AUTOMATED EXTERNAL DEFIBRILLATOR PLAN 4
Periodic Maintenance Checklist Defibrillator Location: Defibrillator Model Number: Defibrillator Serial Number: Date Scheduled Frequency Defibrillator Condition No dirt, damage, or contamination Status Indicator Flashing black hourglass or blinking green Ready light; self-test passed. Supplies 2 sets adult pads, sealed, undamaged, unexpired Supplies Ancillary supplies (hand towel, scissors, pocket mask) Supplies Spare battery Inspected By (Initials) MSAD 55 AUTOMATED EXTERNAL DEFIBRILLATOR PLAN 5
Early Defibrillation Response Protocol Conduct an initial assessment D Assess for scene safety; use universal precautions D Assess patient for unresponsiveness D If unresponsive, call 9-1-1 Assess breathing D Open airway D Look, listen and feel for breathing D If breathing is absent, deliver two rescue breaths Assess circulation D If signs of circulation are absent, provide CPR. Continue CPR until defibrillator arrives. Begin defibrillation treatment D As soon as the defibrillator is available, turn it on and follow the prompts. If the patient is an infant or child that is less than 8 years old or 55 pounds, do not use the defibrillator. D Apply defibrillation pads. Look at the icons on the self-adhesive defibrillation pads, peel one pad at a time and place it as shown in its illustration. Ensure pads are making good contact with the patient s chest. Do not place the pads over the nipple, medication patches, or visible implanted devices. D Deliver a shock to the patient when advised by the defibrillator, after first clearing the patient area. Administer additional shocks as prompted by the defibrillator, until it advises no shock or has delivered a series of three consecutive shocks and prompts the responder to check the patient. D When advised by the defibrillator, check the patient s airway, breathing, and signs of circulation and initiate CPR if circulation is absent. D Continue to perform CPR until otherwise prompted by the defibrillator or EMS personnel. When EMS arrives Responders working on the victim should document and communicate important information to the EMS provider, such as: D Victim's name D Known medical problems, allergies, or medical history D Time the victim was found D Initial and current condition of the victim MSAD 55 AUTOMATED EXTERNAL DEFIBRILLATOR PLAN 6
Post-Use Procedure D Program Overseer will complete the incident follow-up report and forward to Medical Director. D Check the defibrillator and replace any used supplies as soon as possible following the event so that the defibrillator may be returned to service. Perform the afterpatient-use maintenance on the defibrillator. D Program Overseer will conduct employee incident debriefing, as needed. D Check supplies, accessories, and spares for expiration dates and damage. D Check operation of the defibrillator by removing and reinstalling the battery and running a battery insertion test. MSAD 55 AUTOMATED EXTERNAL DEFIBRILLATOR PLAN 7
Defibrillation Incident Report Incident Details Incident Date: Incident Time: Shocks Delivered: Device ID: Patient Details Last Name: First Name: DOB: Age: Gender: Additional Information Defibrillator Operator: Comments: Call Notification (include hour : minute) Who called 9-1-1? Time called: : Emergency Response Team Arrival time: : Report Completed by: Date: Please forward a copy to: School Nurses Medical Director Superintendent MSAD 55 AUTOMATED EXTERNAL DEFIBRILLATOR PLAN 8