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806 AUTOMATED EXTERNAL DEFIBRILLATOR (AED)

Revised Feb 10, 2005 Revised: June 8, 2011 A. Purpose The purpose of this policy is to make an automated external defibrillator (AED) available and outline the procedure for implementing this service. B. Statement of Policy 1. The South Koochiching/Rainy River School District welcomes the opportunity in cooperation with our local emergency medical services, to make an automated external defibrillator available for the benefit of the school community. 2. The AED shall be used in emergency situations warranting its use by individuals specifically trained in its use. C. Procedures 1. The District will have a written, medical prescription on file for the use of the AED in each school and/or school events. The prescription shall be in the AED file in the school nurse’s office. 2. The school nurse will serve as the AED project coordinator with the following responsibilities: a. Shall annually route copies of the current AED policy and procedures, which will indicate the type of device, intended use area, plan for maintenance and testing, and the location of the device to: i. 911 call receiving center. If someone calls for a person down, dispatch can tell the caller where the closest AED is located. ii. Medical Director for Northome - Jill Cease,NP iii. Medical Director for Indus - To Be Named at a Later Date b. Monitor to assure the district is in compliance with the current AED policy and procedure and communicate concerns to the medical director and school administration. c. Work with the medical director and school administration on any needed revisions to the AED policy and procedure. d. Coordinate training of emergency responders, acquisition of necessary equipment, and assign staff (and alternates) to complete equipment inspections. e. Provide record of staff members’ CPR/AED & blood borne pathogen training status and written records documenting equipment readiness. f. Provide an orientation to the student body as to the placement of AED’s in the school. g. Inform the public about the AED placement in the schools. 3. The AED will be stored in an accessible non-locking alarmed cabinet in a central location as determined by the school safety officer, school nurse, and administration. a. When there are unique circumstances that may deem it appropriate to have the AED on standby at a school event, authorized users may request permission from the school nurse or building administrator to temporarily relocate the AED. When doing so, the authorized user must securely place a sign on the AED cabinet that clearly identifies the location of the AED, specifying the date and time the AED was removed, and the date and time the AED will be returned. The name of the user, who must have current certification on the proper use of the AED and agrees to assume responsibility for the removal from its storage cabinet, must also be on the sign. The location of the next nearest AED should also be noted. It is that user’s responsibility to return the AED to the cabinet at the appropriate time and set the alarm. 4. The public will be informed of the presence of the AED. The district will publicize that the AED is available when hosting school events. Multiple signs will be displayed throughout the building that the building is AED equipped. 5. Individuals trained in AED use and CPR are permitted to use the AED in the event of an emergency. In the event that a trained individual is not available, an untrained, willing individual may use the AED if needed. Requirements for the frequency of recurrent training will be as specified by the issuing organization of the individual employee’s certification. 6. American Heart Association (AHA) procedures for the proper use of the AED will be followed. 7. Ongoing education is essential: a. Employees i. Initial Training Trained employees must complete training adequate to provide basic first-aid, CPR and AED that will be provided on site. AED training must be a course approved by the state and reflect current AHA procedures for proper use. Trained employees will also be trained in universal precautions against blood borne pathogens. The trained employees shall be offered hepatitis B vaccination free of charge. The school nurse shall maintain training records for the trained employees. ii. Refresher Training: Trained employees will re-new first-aid and AED training at least every two years. b. Volunteer responders should obtain documented renewal training at least once every two years. Volunteer responders are encouraged to periodically refresh their AED skills. 8. Evaluation process for assuring AED readiness and effective use of the AED: a. The AED will perform a self-diagnostic test every 24 hours that includes a check of battery strength and an evaluation of the internal components. b. A volunteer, assigned by the AED Program Coordinator or designee, will perform a monthly AED check following the procedure checklist. The procedure checklist will be initialed at the completion of the monthly check. The procedure checklist will be posted with the AED. c. If the OK icon is NOT present on the readiness display, contact the AED Program Coordinator or designee immediately. i. If the battery icon is visible, the battery or charge pak charging unit needs to be replaced. You may continue to use the AED if needed. ii. If the wrench icon is visible, the AED needs service. You may attempt to use the AED if needed. iii. If the message CALL SERVICE appears, the AED is not usable. Continue to provide CPR until another AED is brought to the victim or EMS arrives to take over care. d. If the expiration date on the electrode is near, notify the AED Program Coordinator or designee immediately. 9. Procedure following the use of the AED: a. AED coordinator/school nurse will be notified that the AED was used (see AED Usage Form in appendix) and is responsible for getting the AED back in service. The school nurse will: i. Initiate the retrieval of data from the AED’s memory. This should not prevent the use of the AED on another victim if circumstances do not allow data retrieval prior to initiating treatment on another victim. ii. Restock all necessary AED supplies. iii. Clean AED according to manufacturer’s recommendations. b. A formal review and evaluation of all situations involving the use of the AED will be called by the building principal or school nurse, which will include the following individuals: i. First responders at the scene ii. Medical director iii. School administrator iv. Any other person identified and designated by school administration c. A review will be conducted. Emotional support and/or counseling may be suggested for those involved in the incident. The review could include: i. School nurse and building administration ii. Responders at the scene iii. Student witnesses iv. Others as indicated

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