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Annex E - Public Access Defibrillation   

Purpose

This policy shall provide guidance in the management or administration of a Public Access Defibrillation (PAD) program and shall include treatment of children under eight years old or under 25 Kg. (55 lbs).

Sudden Cardiac Arrest (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, without pulse, and no signs of circulation or normal breathing. The AED will analyze the heart rhythm and advise the operator if a shockable rhythm is detected. If a shockable rhythm is detected, the AED will charge to the appropriate energy level and advise the operator to deliver a shock.

System Owner

Binghamton University

David J. Hubeny, Public Access Defibrillation (PAD) Program Coordinator

NYS University Police Couper Administration Building

(607) 777-2275

dhubeny@binghamton.edu

PAD Program Coordinator Responsibilities

Applicable documents

Medical Control

The medical advisor of the AED program is Michael Leonard, M.D. The medical advisor of the AED program has ongoing responsibility for:

Authorized AED users

The AED may be used by:

AED-Trained Employee Responsibilities:

Volunteer Responder Responsibilities:

University Police Responsibilities:

The University Police are responsible for:

Equipment

Approved equipment:

NOTE: If the AED is equipped with Infant/Child Reduced Energy Defibrillation Electrode Pads, the AED (with the Infant/Child pads) may be used on children under eight years old or under 25 Kg. (55 lbs).

Location of AEDs

Under typical circumstances the AED will be at predetermined locations. These locations should allow the device to be easily accessible by staff. AEDs can be found in nearly every campus building. Oftentimes, multiple units are located in large buildings. Buildings equipped with an AED are clearly marked on every entrance to the building. These signs indicate the location of the nearest AED to that doorway.

Additional resuscitation equipment:

Equipment Maintenance

All equipment and accessories necessary for support of medical emergency response shall be maintained in a state of readiness. Specific maintenance requirements include:

Routine Inspections / Maintenance

Refresher Training

Medical Response Documentation

Internal Post-Event Documentation: It is important to document each use of the defibrillator. The following forms shall be sent to the PAD Program Coordinator or designee within 24 hours of the use of an AED:

External Post-Event Documentation: A copy of Event Summary Form shall be presented within 48 hours of the emergency to the following:

Post-Event Review

Following each use of an AED, a review shall be conducted to learn from the experience. The PAD Program Coordinator or designee shall conduct and document the post-event review. All key participants in the event shall participate in the review. Included in the review shall be the identification of actions that went well and the collection of opportunities for improvement as well as critical incident stress debriefing. A summary of the post-event review shall be sent to the PAD Program Coordinator and the PAD Medical Director.

System Verification and Review

The medical emergency response system is ultimately successful if necessary medical assistance is provided to victims in a timely and safe manner. Since actual use of this system procedure is expected to be very infrequent, other measures of effectiveness are required.

Annual System Assessment

Once each calendar year, the AED Program Coordinator or designee shall conduct and document a system readiness review. This review shall include review of the following elements:

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Last Updated: 4/7/14