SEDALIA SCHOOL DISTRICT #200 AUTOMATED EXTERNAL DEFIBRILLATOR

An automated external defibrillator (AED) is used to treat victims who experience sudden cardiac arrest. It is only to be applied to victims who are unconscious, not breathing, and have no pulse. 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.

Health and Safety Coordinator Responsibilities:

• Selection of medical emergency response team (MERT) for each school, and distribution of MERT member lists as required;
• Coordination of training for emergency responders;
• Coordinating equipment and accessory maintenance;
• Revision of this policy as required;
• Communication with medical director on issues related to medical emergency response program including post event reviews.

Medical Control:

The medical advisor of the AED program is (available from the District Nurse Coordinator.) The medical advisor of the AED program is responsible for:

• Providing medical direction for use of AEDs;
• Writing a prescription for AEDs;
• Reviewing and approving guidelines for emergency procedures related to use of AEDs and CPR;
• Evaluation of post-event review forms.

Authorized AED Users:

• All members of the school’s MERT who have successfully completed training;
• Any volunteer responder who has successfully completed an approved CPR + AED training program within the last two years and has a current successful course completion card.

MERT Member Responsibilities:

• Activating the internal emergency response system and providing prompt basic life support including AED and first aid according to training and experience;
• Understanding and complying with the requirements of this policy;
• Following the more detailed procedures and guidelines for the MERT.

Volunteer Responder Responsibilities:

• Anyone can, at their discretion, provide voluntary assistance to victims of medical emergencies. The extent to which these individuals respond shall be appropriate to their training and experience. These responders are encouraged to contribute to emergency response only to the extent they are comfortable. The emergency medical response of these individuals may include CPR, AED or medical first aid.

Equipment:

The AED and first aid emergency care kit will be brought to all medical emergencies.

The AED should be used on any person who is at least 8 years of age and displays ALL the symptoms of cardiac arrest. *Persons under the age of 8 or less that 55 pounds need pediatric electrode pads connected to the AED before use!

The AED will be placed only after the following symptoms are confirmed:

• Victim is unconscious;
• Victim is not breathing;
• Victim has no pulse/or shows no signs of circulations such as normal breathing, coughing, or movement.

Location of AEDs:

Each AED will have one set of defibrillation electrodes connected to the device and two spare sets of electrodes with the AED. The spare sets will include adult and pediatric electrode pads. One resuscitation kit will be connected to the handle of the AED. This kit contains two pair of latex-free gloves, one razor, and one set of trauma shears, and one facemask barrier device.

Initial Training: MERT Members:

• Must complete training adequate to provide basic first aid, CPR and AED. Training will be provided on site. AED training course must be one approved by the state department of health. MERT members will also be trained in universal precautions against bloodborne pathogen. The district health and safety coordinators shall maintain training records for the MERT members. MERT members will renew first aid, CPR and AED training every year.

Volunteer Responders:

• These responders will possess various amounts of training in emergency medical response and their training may be supplied by sources outside of the school district. Volunteer responders can assist in emergencies, but must only participate to the extent allowed by their training and experience. Volunteer responders may have training adequate to administer first aid, CPR and use the AEDs deployed throughout the campus. Any volunteer wishing to potentially use one of the AEDs deployed on the campus should have successfully completed a state approved AED course including CPR within the last two years. The school district will not maintain training record for the volunteer responders.

Medical Response Documentation:

It is important to document any medical emergency. The following forms shall be sent to the Health and Safety Coordinator within 24 hours of the medical events:

• An accident report form shall be completed by a responding MERT member for each accident requiring first aid of any type;
• If the medical even includes the use of an AED, an AED Reporting Form must also be completed and information presented to the medical director of the AED program, and the districts health and safety coordinator within 72 hours of the emergency.

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:

• The building administrator and nurse shall be informed of changes in availability of emergency medical response equipment. If equipment is withdrawn from service, the building administrator and nurse shall be informed and then notified when equipment
• The building’s staff nurse shall be responsible for informing response teams of changes to availability of emergency medical equipment;
• The district health coordinator shall be responsible for having regular equipment maintenance performed. All maintenance tasks shall be performed according to equipment maintenance procedures as outlined in the operating instructions;
• Following use of emergency response equipment, all equipment shall be cleaned and /or decontaminated as required. If contamination includes body fluids, the equipment shall be disinfected according to procedure.

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 districts health coordinator shall conduct and document a system readiness review. This review shall include review of the following elements:

• Training records;
• Equipment operation and maintenance records.

Monthly System Check:

Twice each calendar month, the building nurse or designee shall conduct and document a system check. These records shall be retained according to the schedule established for the environmental health and safety function. This check shall include review of the following elements:

• Posted names of medical emergency response team members;
• Emergency supply kit;
• AED battery life;
• AED operation and status.

Post Even Review:

Following each deployment of the MERT, a review shall be conducted to learn from the experience. The building administrator and/or staff nurse 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 even review shall be sent to the district’s health and safety coordinators.

Approvals:

	Printed Name	Signature	Date
Medical Director:
Health Coordinator:
Safety Coordinator: