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POSTER SESSION - Automated external defibrillator handout materials

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  • 1. Page 1 of 2 AUTOMATED EXTERNAL DEFRIBILLATOR (AED) I. Purpose To establish standards and practices for the use and maintenance of Automated External Defibrillators (AEDs). II. General An AED is a medical device designed to analyze the heart rhythm and deliver an electronic shock to victims in an effort to restore the heart rhythm to normal. Most cardiac arrests are due to abnormal heart rhythms called arrhythmias. An arrhythmia can be described as the heart’s electrical impulses suddenly become chaotic and ineffective. Blood flow to the brain stops abruptly; the victim then collapses and quickly loses consciousness. Death usually follows unless a normal heart rhythm is restored within minutes. III. Guidance A. Training 1. Licensed nurses will receive basic life support (BLS) level cardiopulmonary resuscitation (CPR) training: a. At hire, if not currently certified, or b. As required for re-certification. 2. Team members will be trained to provide defibrillationwith the AED using manufacturer’s training materials: a. At initial hiring b. Annually thereafter 3. Training in both CPR and AED usage and competency to perform the same will be maintained for each individual team member: a. Upon hire and annually for AED operation b. At expiration of current CPR certification B. Maintenance Team member, as assigned by the Director of Nursing will test and document the operating status of the AED in accordance with existing facility emergency equipment schedules or manufacturer’s guidelines. Each time the crash cart is checked, the team member is to check for the presence of the green light that signifies unit is on and validate pads are not expired.
  • 2. Page 2 of 2 C. Usage of AED An AED may be used in the following circumstances: 1. Witnessed or un-witnessed collapse of: a. Resident without an advance directive, DNR, or Livings Will that does note decline resuscitative measures b. Visitor, vendor, or contract provider c. Team member AND 2. CPR efforts are in progress, or 3. The initial responder determines CPR is necessary 4. The initial responder will direct the 2nd responder to call 911 and retrieve or have others retrieve the AED 5. The AED equipment (pads/electrodes) will be applied and used per manufacturer’s instructions. 6. Follow manufacture’s defibrillationinstructions 7. CPR and other resuscitative measures are to continue until relievedby EMS personnel D. Non-Usage of AEDs An AED is not to be used for a resident under the following circumstances: 1. The resident has one of the following: - valid DNR - valid Living Will that declines resuscitative measures - other state approved advance directive that declines resuscitative measures OR 2. The resident, visitor, vendor, contract provider or team member has: - signs of irreversible death - decapitation - decomposition* - rigor mortis* or dependent lividity* *May be determined by an RN or LVN charge nurse, licensed personnel only