Policy JLCE-A Use of AED's
NEPA/NSBA Code: JLCE-A 

MSAD #4 PROTOCOL USE OF AUTOMATED EXTERNAL DEFIBRILLATORS 

Definition
Automated External Defibrillators (AED) are specialized medical devices designed to recognize and treat a person who experiences sudden cardiac arrest. AEDs provide auditory and visual prompts to assist trained first responders and are used in conjunction with cardiopulmonary resuscitation (CPR). AEDs are classified as Class III medical devices. Therefore, use of an AED requires medical oversight by a licensed physician.

Maine Law Governing AEDs

As owner of an AED, the District must:

A. Have a Standing Order from the School Physician for its use. The School Physician may also offer technical assistance in the selection and storage location of an AED, training of potential operators, protocols for use and use review;

B. Notify local Emergency Medical Services of:

a. The existence, location and type of AED the District possesses; and
b. The clinical use made of the AED; and

C. Maintain and test the AED in accordance with the applicable standards of the manufacturer.

Coordinator

The Superintendent will designate a Coordinator (e.g. School Nurse, Athletic Director) to oversee all aspects of AED operation. The Coordinator has the following responsibilities:
  • Selection of employees for AED training and distribution of AED-trained employee lists as required 
  • Coordination of training for emergency responders 
  • Coordinating equipment and accessory maintenance 
  • Maintain on file a specifications/technical information sheet for each approved AED model assigned or donated to the District 
  • Revision of this procedure as required 
  • Monitoring the effectiveness of this system 
Medical Control

The Medical Adviser of the AED program will be the school physician. The school physician has ongoing responsibility for providing medical direction for use of AEDs. Standing Orders will be reviewed yearly.

Authorized AED users
The AED may be used by:
  • Any trained volunteer responder who has successfully completed an approved CPR/AED training program within the last two years and has a current course completion card. 
Initial Training

Trained employees (First Responders) must complete training adequate to provide basic first-aid, CPR and AED.
  • Training will be provided on site. 
  • AED training must be American Heart Association or American Red Cross course approved. 
  • 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 office shall maintain training records for the trained employees. 
  • Training will be required in adult/child CPR/AED and infant CPR. 
AED-Trained Employee Responsibilities
  • Activating/responding to internal emergency response system (CODE BLUE) and providing prompt basic life support including CPR/AED, rescue breathing and first aid according to training and experience 
  • Understanding and complying with requirements of the AED policy and procedures 
Refresher Training
  • Trained employees will renew first-aid and CPR/AED training every two years. 
Volunteer Responders

These responders will be visitors in the district who may possess different degrees of training in emergency medical response. Volunteer responders can assist in emergencies, but must only participate to the extent allowed by their training and experience. Volunteer responders may have training adequate to administer first aid, CPR and use of the AEDs. Any volunteer wishing to potentially use one of the AEDs deployed on the campus should have successfully completed a state approved AED course including CPR within the last two years. The school will not maintain training records for the volunteer responders.

School Office Responsibilities

The school office staff is responsible for:
  • Receiving emergency medical calls from internal locations 
  • Announcing over a PA system CODE BLUE and location 
  • Contacting the external community 9-1-1 response team (EMS) if required 
  • Assigning someone to meet responding EMS vehicle and direct EMS personnel to site of medical emergency 
Equipment
  • District AEDs will be equipped with Adult and Child Electrode Pads 
  • The AED and first responder bag will be brought to all medical emergencies. 
  • The AED should be used on any person who displays ALL the symptoms of cardiac arrest. The AED will be placed only after the following symptoms are confirmed: 
  • Victim is unresponsive 
  • Victim is not breathing, or is breathing ineffectively 
  • Victim has no signs of circulation such as pulse and coughing, or movement 
Location of AEDs

During school hours, the AED will be at designated locations. These locations should allow the device to be easily seen by staff. The locations should allow staff members to retrieve the device outside of normal school hours.

Equipment Maintenance
  • All equipment and accessories necessary for support of medical emergency response shall be maintained in a state of readiness. Specific maintenance requirements include: 
  • The main school office and building first responders shall be informed of changes in availability of emergency medical response equipment. If equipment is withdrawn from service, the main school office shall be informed and then notified when equipment is returned to service. 
  • The school nurse or designee shall be responsible for having regular equipment maintenance performed. 
  • All maintenance tasks shall be performed according to equipment maintenance procedures as outlined in the operating instructions. 
  • Following use of emergency response equipment, all equipment shall be cleaned and/or decontaminated as required. If contamination includes body fluids, the equipment shall be disinfected according to procedure 
Routine Maintenance
  • 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. 
  • The school nurse or designee, will perform a regular AED checks following the procedure checklist. The procedure checklist will be initialed at the completion of the check and posted with the AED. 
Medical Response Documentation

It is important to document each use of the medical emergency response system.
  • Internal post-event documentation:
  • The following forms shall be sent to the AED Coordinator or designee within 24 hours of a medical event:
    • The AED-trained employee or volunteer responder shall complete a medical emergency form whenever an AED is used.
  • External Post-Event Documentation: 
  • A copy of AED use information shall be presented within 48 hours of the emergency to the following:
    • School physician 
    • Local EMS, county, state officials as designated in state AED requirements and local regulations 
    • At a minimum, event information supplied shall include any recorded data, and all electronic files captured by the AED. 
Note on Civil Liability

Because of “Good Samaritan” laws, non-licensed individuals rendering first aid, emergency treatment or rescue assistance may not be held liable for injuries alleged to have occurred as a result of an act or omission in rendering such aid, treatment or assistance.

Legal Reference: 
22 MRSA § 2150C
20-A MRSA § 4009

Adopted: June 12, 2007
Reviewed: March 15, 2011

M.S.A.D. #4