UWM Automated External Defibrillator (AED) Program Response Plan

Automated External Defibrillator (AED) Program Response Plan (for printing)

Purpose

The automated external defibrillator (AED) will enable our responders to deliver early defibrillation to victims in the first critical moments after a sudden cardiac arrest. Use of the AED will not replace the care provided by emergency medical services (EMS) providers, but it is meant to provide a lifesaving bridge during the first few critical minutes it takes for advanced life support providers to arrive. Upon arrival of the EMS providers, patient care should be transferred to them, and UWM responders should only assist in care as requested by the EMS providers.

Medical Oversight

The Medical Director provides medical oversight and ensures quality care, compliance with protocols, proper training, and positive reinforcement to individuals and the system, as well as corrective instruction.

Medical Director	Charles E. Cady, MD
Phone Number	414-805-6450
Fax Number	414-805-6464
Email Address	cecady@mcw.edu

Campus AED Coordinator

The Campus AED Coordinator is the primary liaison between UWM's AED program and the American Heart Association and American Red Cross. The Campus AED Coordinator has responsibilities for ensuring that departmental AED coordinators maintain all equipment and supplies, organize training programs and re-training programs, plan practice drills, forward any incident data to the Medical Director, and hold post-incident review sessions and debriefing sessions as coordinated with the authorities.

Campus AED Coordinator	John R. Krezoski, Ph.D.
Phone Number	414-229-5265
Cell Phone	414-430-7508
Fax Number	414-229-6729
Email	jrk@uwm.edu

Response (Main Campus):

When an individual appears to require emergency assistance of any kind, call University Police at 9-911 from campus telephones. From cellular telephones dial 229-9911. You will be connected with the UWM Police Department Dispatcher.

The University Police are the primary providers of AED services campus-wide, but it shall be recognized that other buildings and programs may have additional units and trained personnel. Sub-plans for these units will be filed with the Department of University Safety and Assurances.

For off-campus sites, local emergency authorities will be the providers of AED services. It is recognized that the off-campus sites may have AED units and trained personnel as well. Sub-plans from off-campus units will also be filed with the Department of University Safety and Assurances.

• University Police have 6 AED's. One is kept at the Police Station and the others are kept in patrolling squad cars.
• University Police are available 24 hours per day, 7 days per week for emergency service.
• AED trained personnel are available 24/7.
• To request help call 9-911 from campus telephones. From cellular phones dial 229-9911. You will be connected to the UWM Police Department Dispatcher.
• University Police Officers are trained in First Aid and CPR. Officers are immediately dispatched to campus locations by police radio.
• The Police Officer assigned to the patrolling squad car will be responsible for taking the AED to the patient.
• The University Police dispatcher activates the 911 system.
• A University Police Officer or a designated employee will meet EMS personnel and direct them to the patient.
• Assess scene safety.
• Apply appropriate personal protective equipment (gloves).
• Do not shock in a moving vehicle.
• Do not apply defibrillator pads over a pacemaker or implanted defibrillator.
• Try to remove any "nitro patches" or "nitro paste" or other patches from the patient.
• Assess responsiveness. Tap shoulder and shout, "Are you ok?"
• If not responsive make sure emergency response has been activated and 911 called.
• Check ABCs
  • Assess airway. Head tilt, chin lift to open airway.
  • Assess breathing. Look, listen, and feel. If no breathing, use mask to deliver two rescue breaths.
  • Assess circulation. Check pulse. If absent, begin chest compressions and continue CPR.

Early Defibrillation

• As soon as defibrillator arrives, connect it.
• If a patient has no pulse and the defibrillator is immediately available, it gets connected to the patient before chest compressions are started. (Use the AED as soon as possible!)
• Place AED near head of patient.
• Turn on AED.
• Bare the chest. If excessive hair, shave away and dry chest if wet.
• Follow AED's prompts.
• Apply electrodes to bare chest.
• Connect electrodes to AED.
• Allow AED to analyze. Do not touch patient during this process.
• If indicated, shock. Be sure nobody touches patient.
• Continue as per the AED protocol as taught.

Transfer of Care

When EMS arrives, responders working on the victim should communicate important information to the EMS providers

• Victim's name, if known
• Any known medical problems, medications, or allergies
• Time the victim was found.
• Initial and current condition of victim.
• Number of shocks delivered, and length of time AED used

Assist EMS providers as requested

Post-Use Procedure

The Campus and Departmental AED coordinators should be notified.

The Departmental coordinator will ensure:

• Any used electrode pads, batteries, razors, gloves, and other items are replaced or are functioning.
• Unused supplies will be inspected for damage or old expiration dates and replaced as needed.
• Battery will be removed and re-inserted into the AED to do a Battery Insertion Test.
• The AED will be cleaned if needed.
• The incident will be documented in a University Police report or a UWM General Incident Report.
• The appropriate agency shall be notified (who will in turn notify the medical director and arrange debriefing.)
• The Data Card should be forwarded to the medical director.

**The priority is to get the AED functional as soon as possible so that it is ready again for any future need**

Regular Maintenance

See User's Guide for a complete maintenance schedule.

Daily and After Each Use

• Check the status indicator
• Ensure all supplies, accessories, and spares are present and current.

Weekly and After Each Use

• Inspect the unit's case and connectors for signs of damage.

AED Station Inventory

• AED
• User's Guide
• Two sets of electrode pads
• One installed battery
• One spare battery
• One inserted data card
• One spare data card
• One carrying case
• Mouth barrier device (face-mask)
• One razor
• One pair of scissors
• Gloves (at least 3 pair)
• Gauze pads

Training

UWM policy recommends that responder retraining be completed annually.

All responders must be trained in either the American Heart Association or the American Red Cross CPR and AED programs and remain current.

[Attach the AED algorithm]
[Attach the daily and weekly checklist for maintaining the AED]

Updated May 16, 2007 by SAK