SPRAGUE SCHOOL DISTRICT Baltic, Connecticut ADMINISTRATIVE REGULATIONS REGARDING AUTOMATIC EXTERNAL DEFIBRILLATORS

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SPRAGUE SCHOOL DISTRICT Baltic, Connecticut ADMINISTRATIVE REGULATIONS REGARDING AUTOMATIC EXTERNAL DEFIBRILLATORS I. Definitions: Automatic External Defibrillator (AED) means a device that: (A) is used to administer an electric shock through the chest wall to the heart; (B) contains internal decision-making electronics, microcomputers or special software that allows it to interpret physiologic signals, make medical diagnosis, and, if necessary, apply therapy; (C) guides the user through the process of using the device by audible or visual prompts; and (D) does not require the user to employ any discretion or judgment in its use. CPR Provider a person who is CPR certified, and has a copy of his/her certification on record with the Sprague Public Schools. II. Defibrillator Location: 1. The Sprague Public Schools will have defibrillators in school buildings designated by the Sprague Board of Education. 2. The AEDs will be strategically placed and readily accessible to maximize rapid utilization. 3. Each AED within the District will be registered with the Baltic Fire Department and with the Connecticut Office of Emergency Medical s through the use of Appendix VI of these Regulations. 4. After school hours, the AED may be moved from its designated location by an AEDcertified athletic trainer/coach/staff member to support athletic department activities. A visible sign must be left in the place of the AED with the phone number and the location of the individual having possession of the AED. The AED must be returned to its designated location upon completion of the supported activity. III. Responsibility for Operation, Maintenance and Record-Keeping: 1. The school nurse at each building in which an AED is installed will check the AED in the building on a regular basis, at least monthly. It will be that nurse's responsibility to verify that the unit is in the proper location, that it has all the appropriate equipment (battery, mask, case, emergency pack), that it is ready for use, and that it has performed its self-diagnostic evaluation. If the nurse notes any problems, or the AED's self-diagnostic test has identified any problems, the nurse must contact the School Nurse Supervisor or designee immediately.

2. After performing an AED check, the nurse shall indicate on the AED service log (Appendix IV) that the unit has been inspected and that it was found to be "In-" or "Out-of-". 3. The School Nurse or his/her designee shall be responsible for the following: a) AED service checks during the contracted school year; b) the replacement of equipment and supplies for the AED; c) the repair and service of the AED; d) all recordkeeping for the equipment during the school year; e) providing/scheduling training for all Board employees who require such training or would like to receive such training; f) maintaining a list of CPR certified persons. g) keeping all records concerning incidents involving the use of an AED; h) maintaining copies of the certifications signed by CPR certified person regarding understanding of and agreement to comply with Sprague Board of Education AED policies and procedures (Appendix III); i) reporting the need for revising the AED policy and administrative regulations to the Special Education Director and/or Superintendent; j) registering the AEDs in accordance with state law (Appendix VI). IV. Training for CPR certified persons: The Sprague Board of Education will provide initial training or refresher training to the following classes of individuals on an annual basis: 1) Staff who work in the Health s Department, including all school nurses: 2) Staff who work in the Athletic Department, including all athletic trainers, head coaches and the Athletic Director; 3) All building administrators; and 4) Volunteers from the faculty and staff at each school. The training will be provided in accordance with the standards set forth by the American Red Cross or American Heart Association. Individuals completing this training will be considered CPR certified person. (Note: Additional staff members may be required to receive training if the District has received State or Federal or private funds designated for the purchase of AEDs and for training employees on the use of AEDs and in CPR. For additional information, see Conn. Gen. Stat. 10-212d)

V. Procedures for Use of an AED: 1. To the extent practicable, AEDs should be retrieved and used by CPR certified persons or other trained emergency medical services personnel. In the event no CPR certified person is available or present, an AED may be used by trained and untrained individuals in order to provide emergency care to an individual who may be in cardiac arrest on school property. 2. AEDs may only be used in medically appropriate circumstances. 3. In the event of use, the school s nurse shall or the school s nurse supervisor shall promptly thereafter complete an AED check and verify that the unit is in the proper location, that it has all the appropriate equipment (battery, mask, case, emergency pack), that it is ready for use, and that it has performed its self-diagnostic evaluation. Any problems with the AED shall be immediately reported to the School Nurse. ADOPTED: Nov. 2, 2011 REVISED: June 10, 2015

APPENDIX I SPRAGUE PUBLIC SCHOOLS AUTOMATIC EXTERNAL DEFIBRILLATOR USAGE LOG Any time the AED is retrieved and/or used, the individual returning the form must complete the necessary information below: Retrieved (Date & Time) In- *Outof- Returned (Date & Time) In- *Outof- AED Provider Signature *If out-of-service, immediately contact the School Nurse.

APENDIX II SPRAGUE PUBLIC SCHOOLS AUTOMATIC EXTERNAL DEFIBRILLATOR INCIDENT REPORT Name of person completing report: Date Report is being completed: Date of Incident: Name of patient on which AED was applied: Age: Known status of Patient: Student Parent of Student Other, Explain Describe incident: List series of events from the state of the emergency until its conclusion: Your Signature: Please forward to the School Nurse Supervisor no later than 48 hours after the incident.

APPENDIX III SPRAGUE PUBLIC SCHOOLS AUTOMATIC EXTERNAL DEFIBRILLATOR SERVICE LOG Date Inspected and In- Inspected and Out-of- Signature of Nurse Once per month or more often the school nurse will inspect the AED.

APPENDIX IV AED AGENCY NOTIFICATION LETTER To: Baltic Fire Chief From: Sprague Public Schools We would like to notify you and your department about a Public Access Defibrillator Program in the Sprague Public Schools District. Our Medical Director for the AED program is Ramindra Walia MD. She works directly with the school nurse supervisor regarding the implementation and management of the AED program. We have Automatic External Defibrillators in certain school buildings. The defibrillators are strategically placed and readily accessible to maximize rapid utilization. The AED is available during school hours and after school hours during on site school activities. Each school nurse, administrator and athletic coach has received training in the use of the AED. A list of CPR/AED certified staff is available in each school nurse s office, the principal s office and in the office of the school nurse supervisor. The CPR/AED certified staff are school nurses and any other person who has received AED training (American Heart Association, American Red Cross or an equivalent training), has a completion card on file with the school nurse supervisor of the Sprague Public Schools, has received and read the Sprague Public Schools policy and administrative regulations and certified in writing his/her agreement to comply with same. We look forward to meeting the challenge of healthcare in the new millennium and are constantly trying to enhance and improve our program. We appreciate your support. Sincerely, Superintendent School Nurse Supervisor