Transcript Slide 1

AEDs IN PUBLIC SCHOOLS
GUIDELINES FOR
IMPLEMENTATION
HONDO SCHNEIDER
ATHLETIC TRAINER
MIDLAND SENIOR HIGH SCHOOL &
ATHLETIC TRAINER REPRESENTATIVE
U.I.L. MEDICAL ADVISORY COMMITTEE
MIDLAND, TEXAS
OBJECTIVES:
1. TO PROVIDE THE BASIC INFORMATION TO IMPLEMENT
AN AED PROGRAM WITHIN YOUR SCHOOL SYSTEM
2. TO PROVIDE THE INFORMATION REQUIRED IN AN
EMERGENCY ACTION PLAN
TABLE OF CONTENTS
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Purpose
Goal
Policy
Administrative Oversight
Program Coordinator
Medical Oversight
Campus Coordinator
EMS Coordination
AED Placement
Maintenance
Responder Training
Emergency Action Plan
AED Protocol
Post Event Procedures
PROGRAM PURPOSE
• Specifically state the purpose of the AED
program in your implementation manual.
• To provide an action plan and guidelines
specific to your district’s AED
implementation program
EXAMPLE OF PURPOSE
• To provide an action plan & guidelines for
responding to sudden cardiac arrest (SCA)
and the possible intervention with an
automated external defibrillator (AED).
PROGRAM GOAL
State the goal of your AED program.
“The goal of your program is to increase the rate of
survival of anyone who has suffered from
sudden cardiac arrest.”
3 minutes is optimal and 5 minutes is acceptable.
For every minute without CPR and defibrillation,
the odds of survival decrease 7-10%.
DISTRICT AED POLICY
Your policy should minimally include:
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Where the AED’s will be placed
Who is required to be trained
Who will provide the training
Who will incur the cost of training
That each venue will have an EAP
Who will be financially responsible for maintenance
When will an AED be utilized
The components of each AED unit
The AED and ready kit shall be brought to all major medical
emergencies
ADMINISTRATIVE OVERSIGHT
Each school district should designate an individual within
their district to supervise the AED program.
This person should be an assistant superintendent or
someone in an administrative capacity, i.e. director of
safety, director of health services, etc.
In a small school district it may be the superintendent or the
athletic director/head football coach.
PROGRAM COORDINATOR
The program coordinator is someone employed by your district who can and
will be responsible for the intricate aspects of the program.
They will communicate with the administration concerning all aspects of the
program.
Their responsibilities may include:
• Coordination of training for responders
• Selection of employees for AED training
• Coordination of equipment and accessory maintenance
• Annual review and/or revision of guidelines as required
• Monitor the effectiveness of the program
• Communicate with the Medical Oversight Director on all issues related to
the medical emergency response program, including post-event
documentation
• Maintain and keep on file the district’s AED records
MEDICAL OVERSIGHT
Each district should have an physician designated as their medical oversight
director.
The USFDA has cleared AEDs for use with a physician’s prescription.
Responsibilities may include, but are not limited to:
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Provide medical leadership
Serve as a spokesperson for the program
Assist in reviewing local and state regulations
Assist in coordination with the local EMS system
Assist in development of program procedures and guidelines
Approve standing orders for AED use
PHYSICIANS AUTHORIZATION
(Example)
AED STANDING ORDER
PRESCRIPTION FOR USE
Date of issuance:_____________________
Date of expiration:____________________
This document authorizes trained employees of Midland Independent
School District (MISD) to utilize an Automated External Defibrillator
(AED), in conjunction with CPR, to assist in resuscitation of a victim
who has collapsed and is unconscious, pulse less, apneic or
experiencing agonal respiration. Individuals within MISD who are
designated and permitted to operate an AED must be trained in
accordance with state and local regulations. Personnel trained to
respond to a cardiac arrest with an AED device must follow the
manufacturer’s operating procedure when in use.
Signature of School Physician Consultant
Date
CAMPUS COORDINATOR
‘Could be the campus nurse, athletic trainer, or an athletic administrator
The campus coordinator should be someone designated by the program
coordinator in conjunction with the campus administrator who will be
responsible for the logistics of each campus AED program.
The campus coordinators responsibilities should include:
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Be responsible for all maintenance records for each AED on their campus
Annually forward to the program coordinator all AED records for their
campus
Be responsible for campus compliance with the district’s AED policy
Maintain a current record of all AED trained providers for their campus
Assist in scheduling training for all new employees as well as current
employees as required
Disseminate the location (s) of AED (s) to all campus employees
The campus coordinator should report directly to the program coordinator
EMS COORDINATION
Notification of the local EMS is required by Texas Law.
HB 580 from the 76th Legislature, Section 779.005 states
that: When a person or entity acquires an automated
external defibrillator, the person or entity shall notify the
local EMS provider of the existence, location, and type of
AED.
The location of AEDs to the EMS is imperative in the event
of EMS activation. The dispatcher may be able to inform
the 911 caller the location of an AED in the event the
person making the call does not know.
PLACEMENT OF AEDs
The program coordinator and campus coordinator should conduct a
facility review to determine the ideal location for each AED.
Many AED sales representatives will assist with this process.
Ideally, each athletic trainer should have a personal AED to accompany
them at every event.
Effective AED programs utilize a 3 minute response time as a guideline
in determining the placement of their units.
Determine if the AED will be secured or unsecured, i.e. wall mount
cabinet, nurses office, etc.
Ideally, an AED should not be in a secured location.
MAINTENANCE PROGRAM
Dailey, monthly, and annual checks are required for AED units.
All AED units have their own specific maintenance requirements.
HB 580, Section 779.003 requires that all units are maintained and
tested according to the manufacturers requirements.
Each campus coordinator should have a copy of the manufacturers
maintenance procedure.
At the end of each school year the following should be performed:
• Forward monthly checklist to program coordinator
• Forward training records to program coordinator
• Forward annual checklist to program coordinator
Midland Independent
School District
Month
Step 1
Open
Lid
Monthly Maintenance Checklist for
Cardiac Science Powerheart G3 Automated External Defibrillators
Initial boxes as items are checked off
Return completed form to Program Coordinator
Step 2
Step 3
Step 4
Step 5
Step 6
Print
Status
Status
Check
Listen for Close lid date
indicator
indicator
expiration voice
and
should
should turn dates on
prompts
confirm
turn red
back to
pads
green
green within
status
5 seconds
indicator
January
February
March
April
May
June
July
August
September
October
November
December
Daily Maintenance: Verify that the Status indicator is green.
Unit Serial Number:______________ Location:_________________
Print name
RESPONDER TRAINING
Who will be trained?
Every person designated by the UIL as an extracurricular sponsor
whom is required to be trained in first aid/CPR.
Any other person designated by the program coordinator.
Who will provide the training?
AHA, American Red Cross, etc. TSDHS approved provider.
Most large districts will have their own certified first aid/CPR/AED
trainers.
Who will pay for the training?
The school district should be responsible for all costs incurred.
Responders should be trained on units similar to those procured by
their employer.
EMERGENCY ACTION PLAN
Every campus should have an EAP specific to their individual need, i.e.
gymnasiums, football fields, baseball fields, etc.
EAP should be venue specific.
An EAP should include, but is not limited to:
• Who will provide emergency care?
• Who and how will EMS be activated?
• Who will monitor non-injured students/team members during the
emergency?
• How will the parent or guardian be notified?
• Is there an adequate communication system in place?
• Is the student’s emergency contact information readily available?
• DIRECTIONS TO THE SPECIFIC LOCATION
• Who will accompany the injured athlete to the hospital?
SAMPLE VENUE SPECIFIC
EMERGENCY PROTOCOL
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______________________Sports Medicine Emergency Protocol
Call 911 to activate the EMS system
Instruct EMS personnel to “report to_____and meet_______at__________as we
have an injured person in need of emergency medical treatment.”
i.e. _______football practice field located at _________, enter through the
_______gate by cross street________.
3. Provide the necessary information to EMS personnel:
Name, address, telephone number of caller
Number of victims; condition of victims
First-aid treatment initiated
Specific directions as needed to locate the scene
Any other information requested by the dispatcher
Provide appropriate emergency care until arrival of EMS personnel, assist as needed
Notes:
– A staff member should accompany any student-athlete or district personnel to
hospital
– Parents, guardians, or next of kin should be notified immediately
– Inform administration
– Have medical history available
– Complete appropriate documentation
AED PROTOCOL
The district should provide a protocol
specific to the AED units their district has
purchased to each employee designated
as an AED responder.
POST EVENT PROCEDURES
Post event documentation should be performed within 48
hours of an incident.
The program coordinator should meet with the personnel
involved and complete the required documentation.
At this time the following should be evaluated:
• Evaluate response time
• Discuss strategies for improvement
• Follow-up on victim
• Provide emotional support for personnel involved
• Equipment check and replenish supplies
• Return AED to it’s designated location
Incident Details
Victim Name:______________________________________________
Victim DOB:___/___/___Victim Age: ___/___/___Victim Sex: ____
Incident Date:___/___/___
Incident Time:______
Incident Location: ___________________________________________
Event History
Victim activity prior to event:______________________________________
Victim complaints prior to event:____________________________________
Was the event witnessed?..............No
Yes, at ______time by _______________
Was CPR started?............................No
Yes, at ______time by _______________
Assessment and Treatment
Were ABC’s assessed?....................No
Yes, at ______time by _______________
Was CPR initiated?..........................No
Yes, at ______time by _______________
Was shock #1 delivered?.............. No
Yes, at ______time by _______________
Was shock #2 delivered?.............. No
Yes, at ______time by _______________
Was shock #3 delivered?.............. No
Yes, at ______time by _______________
Was ROSC achieved?...................... No
Yes, at ______time by _______________
Was respiration regained?............. No
Yes, at ______time by _______________
Was consciousness regained?........ No
Yes, at ______time by _______________
Was patient transferred to EMS?.... No
Yes, at ______time by _______________
Report Completed: ____________________________________Date_____
CONTACT INFORMATION
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Texas State Athletic Trainer’s Association
www.TSATA.com
National Athletic Trainer’s Association
www.NATA.com
University Interscholastic League
www.uil.utexas.edu/athletics
• Hondo’s E-Mail: [email protected]