Butler County,KS HEARTSafe Community Designation Kit
Community Designation PacketHEARTSafe Community A Community Service of Butler County Health Department & Butler County EMS
Table of ContentsInformation on HEARTSafe Community 3Frequently Asked Questions 5Application Information 6Designation Process 7HEARTSafe Requirements 8HEARTSafe Worksheets 10HEARTSafe Application 17
Information on HEARTSafe DO YOU LIVE IN A HEARTSAFE COMMUNITY? If someone in your community suffers sudden cardiac arrest tomorrow, how likely is he or she to survive due to rapid access to life-saving treatment? How many residents and public safety ofﬁcials in your community canrecognize the symptoms of cardiac arrest and know how to get help “on the way, right away”? Who knows CPR in your community and is prepared to administer it when necessary?Where are automated external deﬁbrillators (AEDs) located, and who has been trained to use them appropriately? The answers to these questions could determine whether or not your community qualiﬁes as a HEARTSafe Community. Butler County Emergencies Medical Services and Butler Health Department aim to help cities and towns improve the chances that anyone suffering a sudden cardiac arrest will have the best possible chance for survival.
Through the HEARTSafe Community program, communities can strengthen what the American Heart Association has called the “Chain of Survival,” which has ﬁve critical steps:1. EARLY ACCESS TO EMERGENCY CARE• Bystanders recognize the symptoms of cardiac arrest and call 9-1-1 immediately.• EMS dispatchers are equipped with instructions for the caller and can get an Advanced Life Support response vehicle to the scene quickly.2. EARLY CPR• CPR buys precious minutes until a deﬁbrillator is available.• Public knowledge and awareness must be increased so that those trained in CPR will use it when it is needed.3. EARLY DEFIBRILLATION• Deﬁbrillation is the delivery of electric shock to restore the heart’s normal rhythm.• Early deﬁbrillation is considered to be the most critical link in the chain of survival.• New AEDs are light-weight, sturdy, and easy to use by anyone.• AEDs should be accessible and organizations should have deﬁbrillation training programs that have medical oversight and are coordinated with EMS.4. EARLY ADVANCED CARE• Advanced care is delivered by an Advanced Life Support response vehicles staffed by paramedics.• Recognition of cause of cardiac arrest and transport to appropriate destination reduces disability and death in cardiac arrest patients.5. POST-CARDIAC ARREST CARE• Post-Cardiac Arrest patients should be transported to hospitals that provide a comprehensive, structured, integrated, multidisciplinary system of post-cardiac arrest care.• Treatment should include cardiopulmonary and neurologic support including therapeutic hypothermia and percutaneous coronary interventions.
Frequently Asked QuestionsWho can apply to be a designated Who decides if a community has met theHEARTSafe Community? criteria to be designated as HEARTSafe?Currently, any city within Butler County,KS can apply for designation. Butler County EMS and Butler County Health Department will reviewIs there an application fee? applications. The Butler County HealthThere is no application fee, although there Department will make the designation.are costs associated with meeting the Will an AED always resuscitate someonecriteria to becoming a HEARTSafe in Cardiac Arrest?Community. The AED will analyze the electricalWhat are the costs? activity of the heart. If the electricalThe cost will vary depending on the activity is “chaotic” and needs a “restart”communities size and needs (i.e. CPR the unit will charge and be ready to shock.training and AED placement). Sometimes the AED does not indicate a shock is needed.Why should my community be adesignated HEARTSafe Community? Is an AED safe to use?To make the community a safer place to Absolutely! An AED is safe to use bylive, work and play by being prepared to anyone. If you can turn it on, you can usereduce the number of deaths and it. They are designed with multipledisabilities associated with Sudden safeguards and warnings.Cardiac Arrest. Is there any protection for public by-How long is the HEARTSafe standers that administer CPR/AED?designation valid? Kansas Statute(KSA 65-6149a) providesThe designation is valid for two years. At immunity from liability for the generalthat time an update application can be public during the use of an AED.ﬁlled out to remain a HEARTSafeCommunity.
Application InformationOverviewButler County EMS and the Butler County Health Department seek to encourage and promote communityawareness of the potential for saving the lives of sudden cardiac arrest victims through the use of CPR(cardiopulmonary resuscitation) and increased public access to deﬁbrillation. The HEARTSafe Communitiesproject is a replicable model that seeks to strengthen the links in the Chain of Survival, which has beendocumented to increase survival for cardiac arrest victims.Communities achieve the HEARTSafe Community designation by developing and implementing a communityaction plan that includes: providing CPR with Automated External Deﬁbrillator(AED) training, helpingcommunity members recognize the warning signs and symptoms of heart attack, activating communitymembers to call 911, use CPR/AED, and helping schools develop Medical Emergency Response Plans.Designated HEARTSafe Communities will place AEDs in strategic public locations where they are readilyavailable to use in a cardiac emergency, and develop a community emergency response plan that furthers thegoal of saving lives from cardiac arrest.How to Apply for the HEARTSafe Community DesignationAny municipality located within Butler County, KS is eligible to apply for the HEARTSafe designation.The outlined steps are suggestions for successfully completing the application process:1) Review application materials to become a HEARTSafe Community.2) Identify a HEARTSafe Community Champion - a contact for the community,3) Identify a HEARTSafe Community Team and Partners.4) Deﬁne your communities needs to achieve the requirements for HEARTSafe designation.5) Develop an action plan to achieve HEARTSafe designation.6) Complete and submit the HEARTSafe Community application and worksheets.7) Gain and celebrate recognition as a HEARTSafe Community.For questions or to request technical assistance contact: Daniel Green, Public Education Coordinator for ButlerCounty EMS at email@example.com.AcknowledgementsThis document was prepared by Butler County HEARTSafe Community. We would like to acknowledge thefollowing contributors and extend to them our sincere thanks: Mr. David Hiltz, Physio-Control’s “Heart SafeCommunities Goals & Checklist”, the American Heart Association, and Allina Hospitals & Clinics Heart SafeCommunities Program.Public Domain NoticeAll material appearing in this publication except that taken directly from copyrighted sources is in the publicdomain and may be reproduced or copied without permission. Do not reproduce or distribute this publicationfor a fee.
Designation ProcessStep 1Review Documents and Materials for becoming a HEARTSafe Community.•Heartbeat Criteria•HEARTSafe Community Application•HEARTSafe Community WorksheetsStep 2Make a declaration of intent for your community to obtain HEARTSafedesignation and ﬁll out the HEARTSafe Community worksheets and identifycommunity needs. You will have 2 years from declaration to meet criteria.Step 3Develop an Action Plan for meeting remaining needs and achievingHEARTSafe Community designation.Step 4Engage your HEARTSafe community partners in helping meet youcommunities needs.Step 5Using your completed worksheets, complete the Formal Application andsubmit it to:Butler County HEARTSafe CommunityButler County EMS701 N. HaverhillEl Dorado, KS 67042E-Mail - BCPRnetwork@gmail.com
HEARTSafe RequirementsCommunities up to 2,500 - Douglass, Towanda, Benton, Leon, Potwin, et al.If your community population is 2,500 or less, 200 Heartbeats are required to become adesignated Heart Safe Community. A minimum of 60 Heartbeats is required for CPR orCPR/AED training and placement of AEDs in the community. These requirementsinclude a minimum of 4 training programs* and at least 2 AED sites in public locations.In addition, a minimum of 40 Heartbeats from the required criteria of designated ﬁrstresponders with AED equipped vehicles, advanced life support personnel availabilityand an ongoing process to evaluate and improve the ‘Chain of Survival’ is required.Communities of 2,500 to 10,000 - Augusta, Rose HillIf your community population is between 2,500 and 10,000, 400 Heartbeats are requiredto become a designated Heart Safe Community. A minimum of 120 Heartbeats isrequired for CPR or CPR/AED training and placement of AEDs in the community.These requirements include a minimum of six training programs and six AED sites inpublic locations. In addition, a minimum of 60 Heartbeats from the required criteria ofdesignated ﬁrst responders with AED equipped vehicles, advanced life support personnelavailability and an ongoing process to evaluate and improve the ‘Chain of Survival’ isrequired.Communities of 10,000 to 30,000 - El Dorado, AndoverIf your community population is between 10,000 and 30,000, 500 Heartbeats arerequired to become a designated Heart Safe Community. A minimum of 260 Heartbeatsis required for CPR or CPR/AED training and placement of AEDs in the community.These requirements include a minimum of 10 training programs and 10 AED sites inpublic locations. In addition, a minimum of 60 Heartbeats from the required criteria ofdesignated ﬁrst responders with AED equipped vehicles, advanced life support personnelavailability and an ongoing process to evaluate and improve the ‘Chain of Survival’ isrequired.
HEARTSafe Requirements Below is an outline of criteria and their valueEARLY ACCESS TO EMERGENCY CARE• Public Education on heart health, prevention, signs and symptoms of Heart Attack, Stroke, & Cardiac Arrest, and 911 access - 10 Heartbeats for event with less then 20 participants, 15 Heartbeats for 20+• All schools with written Medical Emergency Response Plan (MERP) - 10 Heartbeats *RequiredEARLY CPR• Free Public Education on CPR (Hands-only or traditional) & AED use - 10 Heartbeats per event with at least 10 participants• Education in CPR/AED that requires a fee - 5 Heartbeats per event• CPR/AED Education for High-school students - 10 Heartbeats *Required• CPR (Hands-only minimum) instructions providing by dispatch personnel - 10 HeartbeatsEARLY DEFIBRILLATION• Public Access Deﬁbrillator/AED - 10 Heartbeats per PAD in community• AED/Deﬁbrillator carried by First Responders - 10 Heartbeats per FR AEDEARLY ADVANCED CARE• ALS response to all medical emergencies - 10 HeartbeatsPOST-CARDIAC ARREST CARE• Policy of transport of post-cardiac arrest patients to facilities with minimum PCI & Therapeutic Hypothermia capabilities - 10 HeartbeatsSUSTAINABILITY PLAN• Written sustainability plan - 10 Heartbeats *Required• Cardiac Arrest Registry - 10 Heartbeats *Required• Supported & Structured Debrieﬁng Program for all responding personnel - 10 Heartbeats *Required
HEARTSafe Worksheets Calculate Your Community’s Heartbeats Attach additional documentation if needed EARLY ACCESS TO EMERGENCY CAREDATE OF # OF EVENT TOPIC HEARTBEATS EVENT PARTICIPANTSMEDICAL EMERGENCY RESPONSE PLAN AT ALL SCHOOLS Total Heartbeats = _________
HEARTSafe Worksheets Calculate Your Community’s Heartbeats Attach additional documentation if needed EARLY CPRDATE OF # OF EDUCATION TYPE HEARTBEATS EVENT PARTICIPANTS HIGH SCHOOL STUDENT CPR/AED EDUCATION HIGH SCHOOL STUDENT CPR/AED EDUCATION Total Heartbeats = _________
DATE OF # OF EDUCATION TYPE HEARTBEATS EVENT PARTICIPANTS Total Heartbeats = _________
HEARTSafe Worksheets Calculate Your Community’s Heartbeats Attach additional documentation if needed EARLY DEFIBRILLATION CRITERIA HEARTBEATS NUMBER OF PUBLIC AED ___ X10 =____ NUMBER OF FIRST RESPONDER AED ___ X10 =____ Total Heartbeats = _________AEDs must be clearly identiﬁed with signage and at minimum the entrance of the building should indicate the presence of a Public AED.
AED # Address of building w/ AED Location in Building Contact Person Contact Phone or E-Mail
Signage Above AED AED 2010AED # AED Manufacturer AED Pads in Date Front Door Signage AED Registered Guidelines YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO
HEARTSafe Worksheets Calculate Your Community’s Heartbeats Attach additional documentation if neededEarly Advanced Care & Post-cardiac Arrest Care EMS Agency Butler County EMS 701 N. Haverhill El Dorado, KS 67042 EMS Contacts Daniel Green - firstname.lastname@example.org Collin Engraf - email@example.com BCPRnetwork@gmail.com CRITERIA HEARTBEATS ALS RESPONSE TO ALL MEDICAL EMERGENCIES POST-CARDIAC ARREST TRANSPORT POLICY Total Heartbeats = _________
HEARTSafe Worksheets Calculate Your Community’s Heartbeats Attach additional documentation if needed Sustainability Plan CRITERIA HEARTBEATS WRITTEN SUSTAINABILITY PLAN CARDIAC ARREST REGISTRYSUPPORTED & STRUCTURED DEBRIEFING POLICY Total Heartbeats = _________
HEARTSafe Worksheets Calculate Your Community’s Heartbeats Attach additional documentation if needed Calculate totals CRITERIA HEARTBEATS EARLY ACCESS EARLY CPR EARLY DEFIBRILLATION EARLY ADVANCED CARE & POST-CARDIAC ARREST CARE SUSTAINABILITY PLAN Total Heartbeats = _________Please mail this application and worksheets to the address listed below. Be sure and callif you have any questions or would like assistance with the application.Butler County HEARTSafe Community701 N. Haverhill RdEl Dorado, KS 67042Contact: Daniel Green, Public Education Coordinator, BCEMS - firstname.lastname@example.org
Butler County HEARTSafe Community Formal ApplicationName/Address of municipality seeking designation:Community: _____________________________________________________________________________Address: ___________________________________________________ State_____ Zip Code: _________Municipal Chief Elected Ofﬁcial (or designee):Name: ______________________________________________ Title: ______________________________Address: ___________________________________________________ State_____ Zip Code: _________Phone: __________________________________ E-Mail Address: _________________________________ Community Population: ____________________ Total Number of Heartbeats Earned: ___________I attest that all information contained in this application is correct. Supporting documentation and worksheetsare attached and on ﬁle for review.Signature : __________________________________ Name (Print): ________________________________ ---------------------------------------------------------------------------------------------------------------------------------------------- For Reviewer Use Only Recommend Designation Designation Not Recommend (explanation attached)! !Reviewer Signature : ________________________________________________________ Date:_________Name/Title (Print): ________________________________________________________________________
Butler County HEARTSafe Communities CALL HARD & FAST AED bcprnetwork @BCPRnetwork www.butlerems.org A Community Service ofButler County Health Department & Butler County EMS