Sedalia School District 200

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R 2506 Automated External Defibrillator

SEDALIA SCHOOL DISTRICT #200

AUTOMATED EXTERNAL DEFIBRILLATOR PROCEDURE

NOTE: If AED is not immediately available, perform CPR until AED arrives on the scene. Use of the AED is authorized for emergency response personnel trained in CPR and AED.

Medical Emergency Response Team (MERT) Member

SHOCK ADVISED:

NO SHOCK ADVISED:

AFTER USE:

Authorizing Physician Signature: ______________________

Date: ______________________

Print or Type Name: ______________________

Address: ______________________

Telephone: ______________________

This Authorization Expires: ______________________

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Last Updated: February 2019