d/b/a SOS Technologies, Inc.
A WBE-Certified Company
Policy and Procedure Manual for ABC Company
The purpose of this document is to establish a consistent guideline for
application, location, maintenance, and various other components involving the
early defibrillation program. This workbook is intended to serve as a guide and
checklist for the basic elements of implementing an early defibrillation program.
The document is not intended to cover all circumstances involved in such
emergencies
Table of Contents:
1.
2.
3.
4.
Physical Equipment Analysis.
Responder Analysis.
Medical Direction
Emergency Protocol Procedures. *
a. Location of Emergency Equipment
b. Crisis Alert Team **
c. Treating a Victim.
d. Transferring Care to Medical Authority.
e. Post-Event Procedures.
5. Incident Report
6. Debriefing Support.
*Section 3 should be reviewed, and once approved forwarded to each employee
in an email. A copy of section 3 should be placed in each medical unit.
**Including the names of the Emergency Response Team may speed up the
rescue time. It is recommended to share the names with the general employees
in the email.
Physical Equipment Analysis
Based upon the American Heart Association Guidelines of 3-4 minutes from “drop to shock”
your emergency equipment time schedule is listed below. All Equipment Transport times are
actual and do not take into account delays caused by notification to or response by personnel
assigned to transport equipment. Budgetary restraints often cause limitations on attaining that
goal. Morgan Lewis drop to shock time is very efficient. Effective AED programs deliver a shock
to a victim within 3 to 5 minutes of collapse (3 minutes is optimal, 5 is acceptable). For every
minute without immediate CPR and defibrillation, the odds of survival decrease 7% to 10%.
Location of Emergency
Equipment
Emergency
Equipment
Visibility
Length of travel time to
and from Emergency
Equipment from the most
remote area.
Fitness Center
Basement C2
1701 Market Street.
AED (LP500 3d Bi)
Emergency Oxygen
Fixed First Aid Kit
Visible
AED (LP500 3d Bi)
Emergency Oxygen
Not Visible
AED (SamPAD 300P)
Emergency Oxygen
Fixed First Aid Kit
Not Visible
Time: 1 min. 51 secs.
Most Remote Area:
Concourse E Data
1st Floor Lobby
Reception Closet
1701 Market Street
9th Floor Reception
Reception Closet
1701 Market Street
Time: 2 min. 02 secs.
Most Remote Area:
Concourse Mail Room
Time: 2 min. 06 secs.
Most Remote Area:
SW Corner 12th floor
Time: 2 min. 01 secs
Most Remote Area:
SW corner 6th floor
Trained Responders.
Sue Johns
Mary Smith
Carl Jones
Karen Daniels
Ext 23
Ext 25
Ext 26
Ext 21
Mike Brady
Patrick Jones
Mark Killroy
Charlie Smith
Training Class
Date Completed
Adult CPR
AED Training
February 2012
February 2011
# of Students
35
10
Training Class
Training Option
On-line or add on
to AED training.
Bloodborne
Pathogens
Emergency
Oxygen
Essential First
Aid
Length of Class
45 mins.
Ext
Ext
Ext
Ext
28
31
32
33
Recert Training Due
February 2014
February 2013
Strongly
Recommended.
Watch on YouTube 15 Mins.
Strongly
Recommended.
Add on to CPR
training.
Suggested.
1 Hour
PHYSICIAN OVERSIGHT
Physician Oversight for this department/business will be provided by
LIFESSAFE SERVICES 888-767-0050.
Physician Oversight will include the following items:
 Development and review of policies and procedures defining the standards of patient
care and utilization of the AED.
 Review of response documentation and rescue data for all uses of the AED.
 Notification to local EMS of AED locations.
 Adhere to National, State and Local requirements.
 Oversee the initial and continuing AED training.
 Provide advice regarding the medical care of those in need of such care.
IN CASE OF AN EMERGENCY call
911
The Emergency Response Team will be automatically notified and
respond with medical equipment.
If you used a cell phone, stay online with the operator
LOCATIONS OF EMERGENCY EQUIPMENT:
Location of Emergency
Equipment
Fitness Center
Basement C2 1701
Market Street.
1st Floor Lobby
Reception Closet
1701 Market Street
AED
Emergency Oxygen
Custodian Phone #
AED (LP500 3d Bi)
Emergency Oxygen
Fixed First Aid Kit
AED (LP500 3d Bi)
Emergency Oxygen
215-963-5789
215-963-5000
Trained Responders.
Sue Johns
Mary Smith
Carl Jones
Karen Daniels
Ext 23
Ext 25
Ext 26
Ext 21
Mike Brady
Patrick Jones
Mark Killroy
Charlie Smith
Ext
Ext
Ext
Ext
28
31
32
33
EMERGENCY PROTOCOL ACTIONS:
Non-Responsive Victim.
 Call out for help.
 Send someone to call 911 and get the Emergency Equipment. If no one
responds call 911 yourself, get the AED if it is close by, and return to the
victim.
 If called from the landline the Crisis Team will automatically be activated. If
a cell phone
 Send someone to guide the EMS team into the building to the correct
location.
 Assess the scene for safety before caring for the victim.
 Assess the victim to see if they are not breathing, or not breathing
normally.
Non-Breathing Victim.
 CPR should be initiated to all victims not breathing until the AED arrives.
 Use the AED as soon as it arrives. The defibrillator shall be applied only to
patients who are unresponsive and not breathing.
 Once the AED is turned on, follow the prompts given by the AED, unless
directed otherwise by a higher medical authority such as EMS.
 Another rescuer should turn on the Emergency Oxygen and apply the
facemask, which is equipped with a valve for rescue breathing.
Breathing Victim.
 Perform a victim assessment. Look for artery wounds, head or neck injuries
and medical ID tags.
 Administer Emergency Oxygen.
 Continue to assess the victims breathing, watch for the chest to rise and
fall, until EMS arrives.
Transfer of Care
Once EMS arrives transfer care to the EMS entity.
 Give the EMS agency a complete oral report of the event and any
significant findings.
 If requested by EMS, assist in patient care.
 Complete the Early Defibrillation Incident Report. The Early Defibrillation
Incident Report is a part of the patient care record and is confidential to
both the patient and the facility. This report is not to be copied or altered
once it is completed. Discussion of all aspects of the event is to be limited.
Post Event Procedures.
 Contact:





Joe Jarvey (888) 888-8888
(if he is unavailable call)
Barbara Hones (888) 883-9999
Contact LifeSafe Services, your medical equipment service company, 888767-0050 to perform data collection and inspection from the AED; this
must be completed before returning the units to service. Loaner equipment
available at no charge if necessary. Once the data is downloaded, it can be
transferred via file format or printed in a hard copy format.
Clean the area in accordance with OSHA guidelines.
Conduct a debriefing to evaluate the Crisis Team’s response and
procedures.
There may be a potential need for emotional support of the responders
involved. Perhaps informally with the team or with the assistance of
professional counselors.
Evaluate all aspects of the emergency response plan, both the positives and
negatives.
d/b/a SOS Technologies, Inc.
A WBE-Certified Company
Early Defibrillation Incident Report
Date:__________________ Incident Date / Time:_____________________
Location of Incident: ____________________________________________
# Shocks Delivered:_____ Did the AED result in a Save? Yes No Unsure
Device ID:____________________ Device Type:______________________
Authority’s identity number: ______________________________________
Patient’s Last Name:_____________________ First Name:______________
DOB:____________________________ Age:_________________________
Gender:_________________________ Race:_________________________
Was the event witnessed?________________________________________
Name of AED Operator:__________________________________________
Name of Rescuers: ______________________________________________
How did the victim leave? _______________________________________
_____________________________________________________________
Comments:____________________________________________________
___________________________________________________________________
_______________________________________________________
___________________________________________________________________
_______________________________________________________
Use the back of this page for notes and suggestions.
Report Completed By:___________________ Date:____________________
d/b/a SOS Technologies, Inc.
A WBE-Certified Company
Actually having to use the AED (or oxygen unit) is a very stressful situation
for all employees. Emotional trauma is not as easy to handle. We have
attached a stress debriefing guideline for your use, as there may be a
potential need for emotional support of the responders involved.
Seven Key Points for Critical Incident Stress Debriefing:
1. Assess individuals’ situational involvement, age, level of
development, and degree of exposure to the critical incident or event.
Consider that different aged individuals, for example, may respond
differently based on their developmental understanding of the event.
2. Discuss issues surrounding safety and security that may surface,
particularly with children. Feeling safe and secure is of major
importance when, suddenly and without warning, individuals’ lives are
shattered by tragedy and loss.
3. Allow ventilation and validation for each team member, in their own
way, to discuss their exposure, sensory experiences, thoughts and
feelings tied to the event.
4. Assist in predicting future events. This involves education about and
discussion of the possible emotions, reactions, and problems that
may be experienced after exposure to trauma.
5. Conduct a thorough review of the physical, emotional, and
psychological impact of the critical incident on the individuals present.
Carefully listen and evaluate their thoughts, mood, affect, choice of
words, and perceptions of the critical incident and look for potential
clues suggesting problems in terms of managing or coping with the
tragic event. Refer these individuals to a professional counselor.
6. Provide a sense of closure. Give information about ongoing support
services and resources to the response team.
7. A thorough review of the events surrounding the traumatic situation
can be advantageous for the healing process to begin.