Automated External Defibrillators (AED) (Procedure)

PROCEDURE:  
SUBJECT: Automated External Defibrillators (AED)

 
PROCEDURE:

The purpose of this procedure is to assist employees who are trained and willing to use an AED in the event such use is necessary. These procedures do not create an obligation to use the AEDs, nor do they create an expectation that trained staff will be present at every event where use of the AED might be beneficial.
 
WSSB will select and train staff members in the use of AEDs.  If an event occurs requiring the use of an AED, trained staff will:
 
A. Dial 911 immediately;
B. Follow cardiopulmonary resuscitation procedures; and
C. Retrieve and use the AED as training dictates.

I. Pre-placement

A. Approved Equipment

1. All AEDs purchased or donated for placement on WSSB campus must meet the requirements of and be approved by Clark County Emergency Medical Services (EMS);
2. To the extent possible, the brand of AED used should be the same across campus to provide consistency in training and operation;
3. WSSB will maintain on file a specification/technical information sheet for each approved AED model purchased or donated;
4. WSSB will notify local EMS of the existence and location of AEDs.

B. Training

1. Selected staff will be provided with an initial training course approved by the Washington State DOH in the use of AEDs.  A copy of the training certificate will be kept in the employee’s personnel file.
2. Upon acquiring the AED, medical direction in using CPR and the AED will be obtained from WSSB’s contracted physician.
3. AED use will be included in CPR training programs arranged by WSSB and directed by WSSB’s contracted physician.  The course will include demonstrating proficiency in CPR, and the following: 
   a. Safe and effective use of the AED device; and
   b. Common trouble shooting techniques for an AED.
4. Proficiency re-training for WSSB employees certified in AED-CPR skills will be required every two (2) years.
5. Employees receive training in the use of the AED will include nurses, coaches, administrators, residential staff, facilities staff, and office staff.  Absent a contractual requirement, training is voluntary.
6. Employees should use the AED only to the extent their training allows.
7. Employees trained to use an AED will only be held to the standards embodies in the state’s Good Samaritan Legislation (RCW 4.24.300).

II. Pre-Event

A. Accessibility, availability, and security

1. During school hours/days, the AED will be housed in a designated location that allows for security and visibility.  Ideally, the AED will be placed near a phone. 
2. AED location should be identified by signage.
3. Community members or groups using WSSB facilities on a contractual basis are not guaranteed access to an AED or AED trained staff.

B.      Routine Maintenance

1. A schedule for maintaining the AED will be dictated by the product manufacturer and the Washington DOH.
2. Most AEDs perform periodic self-diagnosis, including a check of battery strength and evaluation of internal components.
3. Nurses are responsible for checking the AED, including monitoring battery and maintenance indicators, and will immediately act accordingly.
4. Periodic checks and maintenance of the AED will be documented and kept on file in the Health Center. Records will be kept for two (2) years.

III.  Event

A. Staff trained in the use of an AED are volunteers and are not expected to place their own safety in jeopardy in order to aid others.  The scene around the victim must be made safe before a rescue is attempted.
B.If an event occurs requiring the use of an AED, trained staff should first ensure that EMS has been contacted and then proceed as their training in use of the AED; and
C. Upon arrival of EMS personnel, WSSB employees will immediately turn responsibility for care of the victim over to EMS.

IV.  Post-Event

A. Event Data

1. Immediately following the incident, the supervising employee or school nurse will contact EMS to retrieve data from the AED; and
2. The supervising employee or school nurse will document the name of the fire/rescue responder and include this information the WSSB’s Accident Report Form.

B. Return of the AED to operational service – as soon as possible after the event, the nursing supervisor will complete a post-event checklist to ensure that the AED is returned to operational condition, including replacement of any single use items.
 
C. Critical event stress debriefing – WSSB employees may arrange an informal debriefing for staff and community members regarding the incident.  EMS may also assist in setting up a debriefing.

Legal References:
RCW 28A.230
RCW 4.24.300
RCW 70.54.310