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Automated External Defibrillator (AED) Policy

    Title:

    Automated External Defibrillator (AED) Policy

    Publication date:

    8/28/2015

    Effective date:

    8/28/2015

    BRIEF

    Policy Summary

    This policy describes the requirements for the acquisition, deployment, and ongoing management of the Automated External Defibrillator (AED) Program at Lawrence Berkeley National Laboratory (Berkeley Lab). The policy and program apply to both on-site and off-site laboratory locations.

    Who Should Read This Policy

    • Division personnel with responsibility for AED acquisition, placement, and associated local plan development
    • Employees trained in cardiopulmonary resuscitation (CPR)/AED use for the purpose of assisting in an emergency situation

    To Read the Full Policy, Go To:

    The POLICY tab on this wiki page

    Contact Information

    Pedro L. Estacio, PhD, MD, MPH
    Site Occupational Medical Director
    plestacio@lbl.gov

    Susan Broadway, ANP, COHN-S
    Health Services Program Manager
    scbroadway@lbl.gov

    Title:

    Automated External Defibrillator (AED) Policy

    Publication date:

    8/28/2015

    Effective date:

    8/28/2015

    POLICY

    A. Purpose

    This policy describes the requirements for acquisition, deployment, and ongoing management of automated external defibrillators (AEDs) at Lawrence Berkeley National Laboratory (Berkeley Lab). The policy and program apply to both on-site and off-site laboratory locations.

    B. Persons Affected

    This policy applies to:

    • Division personnel who are responsible for AED acquisition, placement, and associated local plan development
    • Employees trained in CPR/AED use for the purpose of assisting in an emergency situation
    • Any untrained employees who may provide assistance in an emergency situation

    C. Exceptions

    Not applicable.

    D. Policy Statement

    It is the policy of Berkeley Lab to maintain a safe workplace. The Health Services Group, in conjunction with Protective Services, has developed this policy and implementation plan for the consistent and uniform deployment and ongoing management of an Automated External Defibrillator (AED) Program at Berkeley Lab. This policy and implementing procedure applies to both on-site and off-site Laboratory locations, regardless of county location, for the treatment of victims eight years of age and older.

    An AED is used to treat victims who experience sudden cardiac arrest (SCA). It is only to be applied to victims who are unconscious, without signs of circulation and normal breathing. The AED will analyze the heart rhythm and advise the operator if a shockable rhythm is detected. If a shockable rhythm is detected, the AED will charge to the appropriate energy level and advise the operator to deliver a shock.

    AEDs (and related items that may require periodic replacement) are provided by Health Services at the request of the division. An AED is a standardized and controlled procurement item that requires a physician "prescription" for deployment and use. The Berkeley Lab Site Occupational Medical Director is the physician of record for the AED Program.  

    The requesting division is responsible for coordinating the location of the AED with the building manager and a Protective Services representative to ensure compliance with state and local Americans with Disabilities Act (ADA) access guidelines and for uniformity of setup.  Divisions are also responsible for the work order to install the AED storage box, the development of the local emergency plan for AED use, and ensuring there are trained personnel in the area where the AED is located. A master list of AED locations is maintained by Health Services; this list is utilized by inspectors to perform the required monthly maintenance checks and for required reporting to the county. 

    Any AED use must be promptly reported to Health Services, which is responsible for organizing the post-event review and debriefing.  

    E. Roles and Responsibilities

    Managers, supervisors, and employees have the responsibility to adhere to the provisions of this policy.

    Role

    Responsibility

    Environment/Health/Safety (EHS) Division

    • Coordinates training and AED equipment purchase
    • Funds AED equipment replacement

    Medical Director

    • Authorizes AED use
    • Reviews AED incidents

    Protective Services

    Is responsible for AED inventory control, maintenance checks, and reporting

    Divisions/departments

    Develop a local emergency plan for AED use, and communicate the plan to Health Services

    AED-trained staff

    • Activate the Emergency Medical System (EMS) (e.g., call 911) to provide prompt emergency care according to AED training and experience

    AED Program Manager

    • Collects data for reports to local EMS agencies
    • Reviews the AED Program annually

    F. Definitions/Acronyms

    Term

    Definition

    Automated external defibrillator (AED)

    A device designed and programmed to analyze a life-threatening heart rhythm in an unresponsive, unconscious victim, and to provide electrical stimulation to the chest as needed in an effort to restore normal rhythm and circulation.

    Cardiopulmonary resuscitation (CPR)

    A method for providing rescue breathing and external cardiac (heart) compressions to an unresponsive, pulseless victim.

    Heart rhythm

    The response of the heart to electrical stimulation, either by the heart muscle itself or in response to external stimulation by an automated external defibrillator (AED).

    Sudden cardiac arrest (SCA)

    An event caused by an alternation in a normal heart rhythm to a rhythm that cannot sustain adequate circulation and consciousness.

    Shockable rhythm

    The subset of heart rhythms that will potentially respond to external electricity provided by the automated external defibrillator (AED).

    G. Recordkeeping Requirements

    See Section E, Roles and Responsibilities, for more information about the following recordkeeping requirements:

    • Monthly operational status checks
    • List of currently trained personnel for each AED location
    • Local AED plans
    • Current prescriptions for AED use
    • Report of CPR or AED Use
    • Additional event documentation for any use of the AED

    H. Implementing Documents

    Document number

    Title

    Type

    07.05.004.001

    Automated External Defibrillator Program

    Program

     

     

     

     

     

     

    I. Contact Information

    Pedro L. Estacio, Site Occupational Medical Director
    EHS, Health Services Group
    plestacio@lbl.gov

    Susan Broadway, Program Manager
    EHS, Health Services Group
    scbroadway@lbl.gov

    J. Revision History

    Date

    Revision

    By whom

    Revision Description

    Section(s) affected

    Change Type

    8/28/2015

    0

    S. Broadway

    New policy

    all

    Major

    DOCUMENT INFORMATION

    Title:

    Automated External Defibrillator (AED) Policy

    Document number

    07.05.004.000

    Revision number

    0

    Publication date:

    8/28/2015

    Effective date:

    8/28/2015

    Next review date:

    8/28/2018

    Policy Area:

    Health Services Programs

    RPM Section (home)

    Environment, Safety and Health

    RPM Section (cross-reference)

    None

    Functional Division

    EHS

    Prior reference information (optional)

    None

    Source Requirements Documents

    None

    Other Driving Requirements

    • California Code of Regulations, Title 22, Division 9, Chapter 1.8: Training Standards and Utilization for Use of the Automated External Defibrillator by Non-Licensed or Non-Certified Personnel.
    • California Health and Safety Code, Division 2.5, Chapter 1: Emergency Medical Services System and the Pre-Hospital Emergency Medical Care Personnel Act (1797.5).
    • California Health and Safety Code, Division 2.5, Chapter 3: AEDs (1797.196).
    • Alameda and Contra Costa County Public Access Defibrillation (PAD) Policies.

    Implementing Documents

    Document number

    Title

    Type

    07.05.004.001

    Automated External Defibrillator Program

    Program

     

     

     

     

     

     

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