Automatic External Defibrillator (AED) And Training Grant Program. For Community and Recreation Facilities 2015

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Automatic External Defibrillator (AED) And Training Grant Program For Community and Recreation Facilities 2015 Application Deadline: May 31, 2015 1

Objective of the AED / Training Grant Program The objective of the Saddle Hills County AED / Training Grant Program is to promote HeartSafe Community and Recreation Facilities through the provision of information, training and placement of Automatic External Defibrillators at community and recreation facilities within the County. It is the intent of this program that all AEDs placed in communities and recreation facilities will be registered with the Heartsafe.ca program and be maintained according to manufacturer recommendations to ensure that they function properly when needed. Eligibility Requirements Not for profit community organizations who own or operate community or recreational facilities within Saddle Hills County are eligible for resources or funding provided under this program. Scope of the Program This program may provide eligible groups either directly with or funding for the following: Automatic External Defibrillator (AED) and wall cabinet to be placed in the specified community facility First Aid / CPR / AED course (16 hours) for community/group members. First Aid / CPR/AED refresher course (8 hours) CPR/AED refresher course (6 hours) Replacement AED pads Adult/Pediatric Replacement batteries HeartSafe Community Awareness & Education session (May be presented at any planned community function or meeting) Page 2 of 7

Conditions The Application Deadline is May 31, 2015. The number of applications approved will be limited to budget funds available. Projects not approved due to a budget shortfall may be given a higher priority in the following year. Provision or funding of AEDs will be prioritized based on Heartsafe.ca Program Guidelines (greatest number of potential patients and frequency of facility use, presence of persons with increased risk of cardiac arrest). First Aid / CPR/AED training courses will be provided to the organization and community members with each AED installation. This will enable facility users to be familiar and comfortable with how to use the AED. First Aid / CPR/AED courses are available to groups with existing AEDs in their facilities. Any AED obtained through this program must be registered with Heartsafe.ca to ensure that regular inspection and maintenance occurs. Failure to conduct inspections may result in failure of batteries or pads or the malfunctioning of the AED itself. A community organization member will be needed to be the site coordinator this individual receives reminder emails from the Heartsafe program to conduct monthly inspections of the device & enter the inspection report on the Heartsafe website. This is a commitment of less than 10 minutes per month. Availability of in stock adult pads or batteries will depend on compatibility of the AED with the existing AEDs in County and community facilities. Pediatric Pads will not be stocked due to their short expiry date (2 years). Page 3 of 7

Application Process A. Complete the attached application form by filling in the applicable white spaces. B. Complete the course request form attached including the names and contact information of interested attendees. C. List at least three preferred dates for the course. Scheduling is dependent upon the availability of an instructor. D. Send the completed application form and course request form to: Saddle Hills County RR1 Spirit River, AB, T0H 3G0 bballard@saddlehills.ab.ca E. Application deadline is May 31, 2015 Options: F. Saddle Hills County will purchase the AED and make arrangements for installation, training and assist with registration on the HeartSafe Website. G. Organizations who wish to make their own arrangements for purchase of AEDs installation, registration and training may do so with funding from this program. In these cases cost estimates for funding are required with the submitted application prior to proceeding with the project. Approved groups will be required to complete and submit a grant compliance form with receipts once the project is completed. Application Forms (Attachments) Community AED Grant Application Course Request Form Page 4 of 7

Community AED Grant Application Organization Name Address Saddle Hills County Contact Name Title Phone email Community Facility Location Use information Frequency Numbers Use by individuals with increased risk of cardiac arrest Site Coordinator Phone Name email Application for : Funding only Provision by the County Automatic External Defibrillator and Cabinet First Aid / CPR / EAD Course (16 hours) CPR / AED Refresher Course (8 hours) CPR / AED Refresher Course (6 hours) Heartsafe Awareness and Information session Replacement Pads Adult Pediatric Date Signature Page 5 of 7

COURSE REQUEST/CANDIDATE INFORMATION FORM Organization Name Course Requested Proposed Dates 1st 2nd 3rd Location Names Phone Email Note: Proceeding on the proposed dates will depend on availability of an Instructor. Page 6 of 7

APPLICATION CHECKLIST Application Form Course Request Form Cost Estimates (for organizations making their own arrangements) Page 7 of 7