Automated External Defibrillator Management Plan Independent School District 196 Purpose The purpose of implementing an Automated External Deliberator Management Plan is to establish a policy regarding the use of Automated External Defibrillators (AEDs) for all ISD 196 employees. Introduction and Program Objective The Automated External Defibrillator (AED) Management Plan: Locating AEDs at selected locations throughout the campuses; enrolling and training employees to use the AED devices; and inspection and maintenance procedures for the AED devices. The AEDs will enable District personnel or the public who are trained in first aid/CPR/AED to deliver early defibrillation to victims in the first critical moments after a sudden cardiac arrest. Responders' use of the AED does not replace the care provided by emergency medical services (EMS) providers but it is meant to provide a lifesaving bridge during the first few critical minutes it takes for advanced life support providers to arrive. Upon arrival of the EMS providers, patient care shall be transferred. Contact Information Kerry Hudgens, ISD 196 Health and Safety Supervisor, (651) 423-7735 or kerry.hudgens@district196.org. Medical Directorship Thomas Mattioni, M.D., FAAC of Cardiac Science will act as medical director for this program. The Standing orders and Management Plan for ISD 196 will be reviewed annually. If the Management Plan and Standing Orders change in any form, the Health and Safety Supervisor will provide updates for all AEDs. Legal Liability Both the U.S. Food and Drug Administration (FDA) and state agencies regulate AEDs. The AED legal and regulatory landscape is evolving rapidly. However, at this time, liability risk associated with early defibrillation programs is minimal and the benefits associated with widespread early defibrillation far outweigh liability risks. Several reasons exist for the low liability risk. First, if sudden cardiac arrest is untreated, the victim may die. As a general rule, an AED used properly can only help. Second, most AED users will be protected by state Good Samaritan laws. Third, the AEDs on the market today are both easy to use and difficult to misuse. The general consensus from most professionals involved in the implementation of Public Access Defibrillation Programs is that there is greater liability by not implementing a program. FDA The FDA views AEDs as restricted devices requiring a physician’s prescription and mandates AED labeling which must indicate that the device may only be used if the user is trained. There must also be the supervision of a physician. The FDA is reviewing whether AEDs should remain prescription devices and whether more extensive use of these devices should be permitted. It is likely that federal requirements affecting the sale and use of AEDs will change in the near future. FDA regulations do not detail the precise nature and scope of medical direction or training required to use AEDs. State Regulations According to Minnesota Session Law S.2861 (1998, Chapter 329), which is also known as the Good Samaritan law, the non-professional user is exempt from civil liability. Training /Recordkeeping ISD 196 will offer training sessions throughout the year for employees. Training records, as well as the maintenance, inspection, and personal protective equipment (PPE) records are kept for all of the AEDs. All CPR/AED trained individuals will be authorized to use AED's. Equipment PowerHeart® AED G3 is manufactured by Cardiac Science. The unit will be stocked with pediatric and adult pads and located with the AED. The PowerHeart® AED battery, 1st response/personal protection equipment kit, and pads will be changed as directed by the manufacturer. Refer to the District’s AED Inventory and Equipment O&M Schedule. The cabinet provided by Cardiac Science is alarmed. The alarms in the storage cabinets operate on 9-volt batteries. The door of the cabinet rests on a pressure sensitive button that sets off an 85-decibel alarm when opened. The alarm serves to discourage opening of the cabinet and also serves to alert building occupants of the emergency. The alarm can be turned off with a key that is provided with the cabinet. Device Locations School/District Facility Apple Valley High School Apple Valley High School Apple Valley High School Area Learning Center Black Hawk Middle School Black Hawk Middle School Cedar Park Elementary Dakota Hills Middle School Dakota Hills Middle School Dakota Ridge School Deerwood Elementary Diamond Path Elementary District Office District Services Center District Service Center Annex District Office East (Bus Garage) Eagan High School Eagan High School Eagan High School Early Childhood Learning Center Eastview High School Eastview High School Echo Park Elementary Falcon Ridge Middle School Falcon Ridge Middle School AED serial Number #344043 #346074 #345086 #345143 #342463 #344780 #345176 #342462 #345434 #344969 #344769 #344980 #345454 AED Model and Number PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 Location Outside Gyms Theater Lobby Ice Arena Main Office Main Office Pool Hallway Main Office Computer Lab Pool Hallway Main Entrance Hallway Hallway outside Cafeteria Main Office Hallway Reception Area Hallway outside Boiler Room Reception Area PowerHeart® AED G3 Outside Restroom PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 Stage Area Athletics Area Hallway outside room #253 Mailroom Hallway PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 Commons Music Hallway Main Office Hallway Hallway outside room #279 PowerHeart® AED G3 Cafeteria Hallway #345474 #345816 #342526 #345128 #342366 #345122 #345093 #345140 #345180 #342363 #345165 Glacier Hills Elementary Greenleaf Elementary Highland Elementary Northview Elementary Oak Ridge Elementary #345160 #344829 #345121 #345150 #342976 Parkview Elementary Pinewood Elementary Rahn Cliff Learning Center #344817 #345167 #344734 Red Pine Elementary Rosemount Elementary Rosemount High School Rosemount High School Rosemount High School Rosemount Middle School School of Environmental Studies Scott Highlands Middle #344827 #344772 #342539 #345436 #345162 #344923 #344767 #345505 Scott Highlands Middle Shannon Park Elementary Southview Elementary #344921 #345126 Thomas Lake Elementary Valley Middle School #345146 #345130 Valley Middle School Westview Elementary Woodland Elementary #344732 #345147 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 PowerHeart® AED G3 Cafeteria Multipurpose Area Main Entrance Hallway Outside Custodial Office Hallway outside Cafeteria Hallway outside ELP, Special Education Hallway outside Cafeteria Hallway outside Conf. Room Hallway outside Woman’s Restroom Main Office Hallway Fitness Center Hallway outside room 314 Hallway outside Library Hallway outside Locker Bay Commons Hallway outside East Gym Hallway outside of Media Center Locker Room (boy’s) Vestibule by cafeteria Hallway outside of Custodial Closet Hallway outside Theater Hallway outside Principal’s Office Hallway outside Cafeteria Hallway outside Cafeteria Locations were determined based on their visibility and because they are high traffic areas. There was consideration of accessibility after hours. The goal is to ensure that an AED will not be located behind a locked door during after hours. Placement should limit a response time of less than 2 minutes from all areas on the property. Most devices will be located in the main entrance of the building in the event of a cardiac arrest and most people entering the building will be able to see the AED at the entrance and remember its location. Second, placing the AED in a high traffic area will cause the general public to see the AED and will generate questions. This will help educate the public about the importance of AEDs and early defibrillation. AED Operation & Maintenance The Health and Safety Department will restore the AED to a functional status by replacing the AED pads and restocking the personal protective equipment (PPE) in the event the AED is used or when parts have expired. Inspection The AEDs, storage cabinets, and personal protective equipment are to be inspected and documented every month by the Building Chief to ensure that all components are accounted for and functioning properly. To insure that the AED is functionally correctly it must be visually inspected for the “green light” located on the device. Each unit conducts a self-check on a daily basis. If the AED displays either “Battery” or “Maintenance” in the window, the unit must be pulled out of service for repair at Cardiac Science immediately. The alarms in the storage cabinets operate on 9-volt batteries and are changed every six months. The door of the cabinet rests on a pressure sensitive button that sets off an 85-decibel alarm when opened. The alarm serves to discourage opening of the cabinet and also serves to alert building occupants of the emergency. Documentation of the monthly inspection is done via Micromain Work Orders. Personal Protective Equipment Included in the cabinet with each AED will be a First Response/Personal Protective Equipment kit containing a microshield (or similar product), trauma scissors, a razor, and gloves for Personal Protection when responding to a cardiac arrest situation. Gloves should always be worn when there is a potential for exposure to body fluids (i.e. blood).