components of an AED program are: 1 Medical provider oversight

2. Appropriate training of anticipated rescuers in CPR and use of the AED 3. Coordination with the EMS system

4. Appropriate device maintenance

5. An ongoing quality improvement program to monitor training and evaluate response with each use of the device

Medical Oversight

The medical advisor of the AED program is Dr. Ranier Gedeit, MD. The medical advisor has ongoing responsibility 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 and digital files downloaded from the AED Appropriate Training of anticipated users

Training Schedule:

All persons who are identified users will be trained in CPR/ AED and will maintain training according to a schedule that includes recertification every other year. A training schedule including names of those trained and dates both of current training and due dates for recertification will be maintained in Health Services and at the placement school.

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Coordination of the EMS system

The AED Program Coordinator will be responsible to coordinate AED placement and practice drills with the local fire departments and police departments. Pewaukee Fire/EMS Department will be the primary advising department

Appropriate Device Maintenance

Device maintenance will be done according to the manufacturers guidelines and will be recorded for each unit weekly. A log will be maintained in each school health room.

Ongoing quality improvement program

A plan will be established to monitor both training and maintenance as listed below. Authorized AED users:

The AED may be used by:

Employees including but not limited to, administrators, nurses, athletic trainers and office staff

Additional staff: teachers, coaches, and custodial staff

Any trained student or volunteer responder who has successfully completed an approved CPR/AED training program within the last two years

AED trained Employee Responsibilities:

Activating internal emergency response system and providing prompt basic life support including AED and First Aid in accordance with training

Understanding and complying with requirements set forth in this policy Following the detailed procedures and guidelines for using the AED 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. The response of these individuals may include CPR, AED or medical first aid.

School Office Responsibilities: The school office staff is responsible for:

Receiving emergency medical calls from internal locations

Using an established district emergency response plan to assess emergency and determine appropriate level of response

Contacting the appropriate response staff and administrators or parents if asked to do so. Deploying the AED and trained employees to emergency location

Assigning someone to meet responding EMS personnel and directing them to site of emergency

Staff Development Responsibilities:

Provide training to district employees identified by the Coordinators of the program and school administration

Provide ongoing recertification according to the schedule outlined in this document

Provide at least yearly updates to all staff about the AED public access defibrillation (PAD) program including location of AEDs.

Custodial Department Responsibilities: The Custodial Staff is responsible for:

Alerting the Program Coordinators of any missing AEDs or any alarm alert that signals malfunction or service needed.

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Equipment:

Equipment shall be an Automated External Defibrillator in working condition that meets standards established by the Federal Food and Drug Administration and is in compliance with the

manufacturer’s maintenance schedule. Gifts, grants and donations, including in-kind donations, designated for obtaining an automated external defibrillator, or for inspection, maintenance or training in the use of an Automated External Defibrillator will be accepted and placed into a special district account to assist in obtaining and maintaining AEDs.

Location of AEDs

The location of the AED will be determined by the Directors of the AED program, school

administration and the local fire/EMS department. In general, AEDs will be located in a highly visible area with identifiable signs near an office or athletic area in schools.

After-School Hours- response and emergency contact information Coach or athletic trainer covered events:

If a CPR and/or AED trained individual is available, CPR and AED procedures should be initiated until EMS arrives. In the high school, most all students have recent CPR/AED training and may give emergency care.

The responders will assign someone to wait at facility entry to direct Emergency Medical Services (EMS) to the victim's location. A school staff person must accompany the person to the hospital, with EMS or following by their own transportation. This person should make every attempt to locate emergency card or emergency information. Someone should be assigned to contact the emergency contact.

A staff person will also be responsible for notifying the AED coordinator or school administrator as soon as possible. Custodial staff will assist if needed.

.

Other school events (if AED is available):

Alert the supervising staff member of the emergency.

Trained responders should provide CPR/AED and alert supervising staff. CPR and AED procedures should be initiated until EMS arrives.

.

Post AED Event:

A copy of AED use information will be sent within 48 hours (weekdays) of the event to the medical director of the program.

The AED will be taken to the hospital with EMS so recorded data can be retrieved from the device. EMS will return the AED to school.

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The volunteer responder will document the event using the school district accident form and will forward a copy of completed form to AED Program Coordinator or designee on the next

business day.

The AED will be wiped clean according to policy and restocked by the AED Coordinator. Electrode pads must be replaced and reconnected to device (electrode pads and CHARGE- PAK charging unit must be replaced in the LIFEPAK CR Plus AED).

Updated 2005 CPR/AED Response Steps Once the AED arrives:

Step Action

1 Turn the AED on. Push the button or open the lid. Follow the visual or audible prompts 2 Attach pads to bare chest. Be sure the chest is dry. If victim has a hairy chest and you get

an error message, press firmly on the pads. If you still get an error message, pull off pads and replace with a new set. If the victim is a child age 1-7yr., use pediatric pads( if available). If not available, use adult pads in the front/back position if the child is small enough that adult pads would touch in front/front position.

3 Connect the electrodes and follow the AED commands.

4 Allow the AED to check the heart rhythm. Make sure no one touches the victim. 5 Push the SHOCK button if the AED tells you to do so. Make sure no one touches the

victim. If a shock is delivered, start the steps of CPR right after shock delivery. After EMS arrives:

Once the AED pads are applied, they must remain on until EMS arrives. The AED should go along with EMS to the hospital.

When EMS arrives, answer their questions.

Document what happened and your contact information of the event form in the AED case.

Contact the AED Coordinator or an administrator to inform them of the incident.

Step Action

1 Make sure the scene is safe.

2 Make sure the victim is lying on his back on a firm, flat surface. If the victim is lying facedown, carefully roll him onto his back.

3 Kneel at the victim’s side. Tap and shout to see if the victim responds. 4 If the victim does not respond, yell for help.

If someone comes, send the person to phone EMS (911 or 9-911 on school phones) and get the AED.

If no one comes and the victim is age 8 through adult, leave the victim to phone EMS and get the AED. After you answer all of the dispatcher’s questions, return to the victim and start the steps of CPR (see steps 5-11).

If no one comes and the victim is age 7 or under, stay with the child and start the steps of CPR (see steps 5-11). Perform CPR for 2 minutes before leaving the victim to call EMS and get the AED. 5 Open the airway with a head tilt-chin lift.

6 Check to see if the victim is breathing normally (take at least 5 seconds but no more than 10 seconds). Put your ear next to the victim’s mouth and nose.

Look to see if the chest rises. Listen for breaths.

Feel for breaths on your cheek.

7 If there is no normal breathing, give 2 breaths (1 second each). Watch for the chest to rise as you give each breath.

8 Quickly move or remove clothes from the front of the chest that will get in the way of doing compressions and using an AED.

9 Give 30 compressions at a rate of 100 per minute and then give 2 breaths. After each compression, release pressure on the chest to let it come back to it’s normal position. Be sure compressions are hard and fast. 10 Keep giving sets of 30 compressions and 2 breaths until the AED arrives, the victim starts to move, or trained

help takes over.

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If you are staff, make sure a school representative accompanies the victim to the hospital; if you are able, take emergency contact information about the victim with you. Help EMS with attempts to notify victim’s family if you are asked to do so. Answer and give information only to police, fire, an

administrator or the victim’s family. Do not speak to the press or give out information to other sources.

Care for a choking victim:

Conscious Choking: Encourage the victim to cough. Get permission to give help. Give abdominal thrusts (Heimlich Maneuver) - wrap arms around person from behind - inward and upward abdominal thrusts just above the naval. Continue the motion until the object is expelled or until the victim becomes unconscious (always try and keep one foot between the victims feet to help assist yourself in lowering him/her to the floor in the event the he/she becomes unconscious).

Unconscious Choking: Follow CPR instructions BUT look for object after every set of compressions - if object visible, use finger hook motion to remove.

________________________________________________________________________________ PROPOSED: March 10, 2008

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BUSINESS AND NON-INSTRUCTIONAL OPERATIONS

POLICY No. 3400.09