HEALTH CARE AND EMERGENCIES
A.
Purpose
To provide procedures
to ensure that first aid and/or medical attention is provided as quickly as
possible when student accidents and injuries occur and that parents/guardians
are notified as appropriate.
B. General
1. In order to facilitate contact in case of an
emergency or accident, parents/guardians shall furnish the principal or
designee with the information specified below:
a. Home
address and telephone number
b. Parent/guardian’s
business address and telephone number
c. Parent/guardian’s
cell phone number and email address, if applicable
d.
Name, address and telephone number of a
relative or friend to whom the student may be released and who is authorized by
the parent/guardian to care for the student in cases of emergency or when the
parent/guardian cannot be reached
e. Local
physician to call in case of an emergency
2. Any person 18 years of age and older who
files with the district a completed caregiver’s authorization affidavit for a
minor district student shall have the right to consent to or refuse
school-related medical care on behalf of the student. The caregiver’s authorization shall be
invalid if the district receives notices that the minor student is no longer
living with the caregiver.
The
caregiver’s consent to medical care shall be superseded by any contravening
decision of the parent or other person having legal custody of the student,
provided that this contravening decision does not jeopardize the student’s
life, health or safety.
AUTOMATED EXTERNAL DEFIBRILLATORS
A.
Purpose
To provide guidance in the management or administration of a
school-based Automated External Defibrillator (AED) program.
B. General
1. Definition: Sudden Cardiac Arrest (SCA) is a
condition that occurs when the electrical impulses of the human heart
malfunction causing a disturbance in the heart's electrical rhythm called
ventricular fibrillation (VF). This erratic and ineffective electrical heart
rhythm causes complete cessation of the heart's normal function of pumping
blood, resulting in sudden death. The most effective treatment of this
condition is the administration of an electrical current to the heart by a
defibrillator, delivered within a short time of the onset of VF.
2. Definition:
Automated External Defibrillator (AED) is used to treat victims who
experience Sudden Cardiac Arrest (SCA). It is
only to be applied to victims who are unconscious, without pulse and 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 deliver a shock or advise the operator to deliver a shock.
3. Notification: When an automated external defibrillator (AED)
is placed in the school, the principal or designee shall ensure that: (Health and Safety Code 1797.196)
a.
School employees annually receive a
brochure which describes the proper use of an AED with contents and style
approved by the American Heart Association or American Red Cross,.
b.
The American Heart Association or
America Red Cross brochure or similar information is posted next to every AED
located on school grounds.
c.
School employees are annually notified
of the location of all AED units on school grounds.
d.
Trained employees will be available to
respond to an emergency that may involve the use of an AED during normal
operating hours or when a school-sponsored activity is occurring on school
grounds.
4.
AED
System Coordinators: The
5. Responsibilities of District Program
Coordinator
a. Collect monthly service reports from
each school site where AEDs are located.
b. Distribute AED information yearly. (See 3a)
c. Record and maintain all information
relative to the AED training of site personnel.
6. Responsibilities of the Site Program Coordinator
a. Develop a Site Plan for Emergency
Response Program (Exhibit A).
b.
Determine placement of the AEDs in a
secured location and determine designated trained personnel to be provided AED
access keys. The location of the AEDs on the school site must be identified on
the CPR/AED Emergency Response Site Plan (Exhibit A). A copy of the Emergency
Response Site Plan must be mailed via school mail to the District Program
Coordinator.
c. Coordinate AED
equipment and accessory maintenance.
d. Select AED Emergency Response Team
members (trained personnel).
e. Maintain a file of
specifications/technical information sheet for each approved AED model assigned
to the school.
f. Coordinate the post‑incident
review to evaluate the effectiveness of Site AED Emergency Response.
g. Revision of this procedure as required.
7. Authorized AED Users
a. District employees, including nurses,
administrators, coaches, and athletic trainers who have volunteered and have
received approved CPR/AED training.
b.
Additional
staff as identified by the Site Program Coordinator, such as teachers and
office staff, who have volunteered and have received approved CPR/AED training.
c.
Any
trained volunteer responder who has successfully completed an approved CPR/AED
training program within the last two years with a current successful course
completion card.
d.
As stated in the California Civil Code
§ 1714.21 (b) "A person who has completed a basic CPR and AED use course
that complies with regulations adopted by the Emergency Medical Services (EMS)
Authority and the standards of the American Heart Association or the American
Red Cross for CPR and AED use, and who, in good faith and not for compensation,
renders emergency care or treatment by the use of an AED at the scene of an
emergency shall not be liable for any civil damages resulting from any acts or
omissions in rendering the emergency care."
e.
Any
volunteer who, at their discretion provides voluntary assistance to victims of
medical emergencies shall do so to the extent appropriate to their training and
experience. These responders are encouraged to contribute to emergency
response only to the extent they are comfortable. The emergency medical
response of these individuals may include CPR, AED use or medical first aid.
8. Location of
AEDs
a.
The
AED(s) locations designated at each site will allow the device to be easily
seen and retrieved by staff outside of normal school hours.
b.
After
school hours the AED may be moved from its designated locations by an
AED-trained coach(s) or athletic trainer(s) or program director (band, etc.) to
support department activities on a voluntary basis. A trained volunteer
would have to be available and willing to support this effort during non-school
hours. A visible sign must be left in the place of the AED, with the phone
number of the coach/athletic trainer/program director, clearly indicating they
have possession of the AED. The unit
shall be returned to its normal location prior to the start of the next school
day.
c.
Contracted and other community
activities are not guaranteed access to the AED as part of standard rental
contracts.
9. Approved Equipment: The Cardiac Science
Powerheart G3 Automatic AED has been approved for this program.
10. Additional
Equipment: Each AED will have one set of
adult electrodes pre-connected to the device and one spare set of adult and
pediatric electrodes with the AED in the carrying case. One ready kit will
be connected to the handle of the carrying case. This kit contains two pair
latex-free gloves, one razor, one set of trauma sheers, and one facemask barrier
device and two pieces of gauze.
C. Procedures
1.
Equipment
Maintenance
a.
All
equipment and accessories necessary for support of medical emergency response
equipment shall be maintained in a state of readiness.
b.
As described in the California Health
and Safety Code § 1797.196: "The defibrillator is maintained and regularly
tested according to the operation and maintenance guidelines set forth by the
manufacturer, the American Heart Association, and the American Red Cross, and
according to any applicable rules and regulations set forth by the governmental
authority under the Federal Food and Drug Administration and any other
applicable state and federal authority."
c.
The
AED Site Program Coordinator or designee shall be responsible for having
regular equipment maintenance performed and documented. All maintenance
tasks shall be performed according to equipment maintenance procedures as
outlined in the operating instructions.
2. Routine
Maintenance
a.
The AED performs a self‑diagnostic
test every 24 hours that includes a check of battery strength and an evaluation
of the internal components.
b. A staff
member, assigned by the AED Site Program Coordinator or designee, performs a
monthly AED check following the procedure check list. (Exhibit B)
c. The procedure checklist is
initialed at the completion of the monthly check. The procedure checklist is
posted with the AED.
d.
If
the AED is giving either, or both, an audible indication or the visual
indicator is red with a black “X” through it, the AED Site Program Coordinator
or designee is notified immediately.
e. If the
expiration date in the electrode or battery is near expiration, the AED Site
Program Coordinator or designee is notified immediately.
3. Internal Procedures following the use
of the AED
a. A Student Injury
Report or Employee/Visitor Injury Report form is completed by a responding
employee for each incident in which an AED was used. Exhibit C
b. An AED Usage
Report form Exhibit C is completed for each incident in which an AED was
used. Exhibit D
c. Restock all necessary AED supplies.
d. Clean AED according to manufacturer's
recommendations.
4. External Procedures following the use
of the AED
a. A copy of
the AED usage report is presented within 4 hours of the emergency to the
following:
·
supervisor
of Risk Manager at the district.
·
AED
Site Program Coordinator
·
Medical
advisor of the AED program – Cardiac Science
·
Local
b. At minimum,
event information supplied includes any recorded data, and all electronic files
captured by the AED.
5. Post
Event Review
Following an
emergency response where an AED was used, the Site Program Coordinator reviews,
conducts and documents the post‑event review. All key participants in the
event participate in the review. Included in the review will be the
identification of actions that went well, the collection of opportunities for
improvement and suggestions for emotional support.
A Medical Advisor
Report must be completed by the District’s Medical Advisor. Exhibit E
a. Assess the scene for safety and
activate the AED Emergency Response Site Plan.
b. Determine the responsiveness of the
victim. If unresponsive, activate Emergency Medical System (EMS) by calling
911.
c. Give location of the victim and
designate a person to wait for
d. Get the AED to the victim.
e. Assess the victim: airway, breathing
and circulation.
f. Initiate CPR while the AED is brought
to the victim and placed on the victim's left side near the head.
g. CPR/AED trained personnel prepare to
use the AED.
h. There in no on/off button. To activate unit, lift lid and follow
verbal and text prompts.
i. Apply gloves, especially if blood or
body fluids are present.
j. Bare and prepare the chest for AED
use.
k.
Attach the defibrillation electrode
pads to the victim. In case of a
victim 8 years or younger attach the pediatric defibrillation pads to the AED
device.
l.
Follow verbal and text prompts given by
the AED. Stop CPR when directed by the AED prompt while the AED analyzes the
heart rhythm.
m.
If SHOCK is advised, follow the machine
prompts for action. Be sure all rescuers are "clear" and no one is
touching the victim before shock is delivered (say out loud, "I'm clear,
you're clear, everybody is clear"). The Cardiac Science AED is
completely automatic. The machine will
act on its own. After shock is
delivered perform CPR. The AED will
continue to monitor the patient's heart rhythm during CPR. Continue to follow
the machine's prompts.
n.
If NO SHOCK is advised:
·
If no signs of circulation, continue
CPR.
·
If pulse is present, check breathing.
·
If victim is not breathing or breathing
abnormally, start rescue breathing. AED will continue to analyze the heart
rhythm.
o.
Continue cycles of analysis, shocks (if
advised) and CPR until
p. Assist
q. Notify the Site Administrator who will
make necessary reports to District Administration.
r. Site Administrator notifies the AED
District Program Coordinator about the incident.
s. If victim is a student, notify
parent/guardian. For victims other than
students, notify responsible party.
D. Reports
Required
1.
Following each incident send completed
forms to supervisor of Risk Management.
2.
Immediately after an event, the
responder completes an AED Usage Report Form (Exhibit D) included with this
administrative policy.
E. Record
Retention
Document
in student health record.
F. Responsible Administrative Unit
1.
Site administrator or designee
2.
Assistant Superintendent, Executive
Services
G. Approved
by:
Responsible division head: Doug Domene 1/7/08
Superintendent: Dennis M. Smith, Ed.D. 1/7/08
Legal Reference:
Education Code
32040-32044 First Aid equipment
49300-49307 School safety patrols
49407 Liability for treatment
49408 Emergency information
49409 Athletic events; physicians and
surgeons; emergency medical care; immunity
49470 Medical and hospital services for
athletic program
49471 Medical and hospital services not
provided or available
49472 Medical and hospital services for
pupils
49474 Ambulance services
51202 Instruction in personal and
public health and safety
Health and Safety Code
1797.196 Automatic external
defibrillators, immunity from civil liability
Management Resources:
Web Sites
American Heart Association: http://www.americanheart.org
American Red Cross: http://ww.redcross.org
Regulation
adopted: 1/7/08
Exhibit
A
Page
1 of 2
AUTOMATED
EXTERNAL DEFIBRILLATOR (AED) PROGRAM
CPR/AED
Emergency Response Site Plan
|
School Nurse: |
Date: |
|
|
School: |
Phone: |
|
|
Exact Location of the AED(s): |
||
|
1 |
|
|
|
2 |
|
|
|
3 |
|
|
|
4 |
|
|
|
CPR/AED
Emergency Response Team Members |
Date of
CPR/AED |
||
|
Certification |
Expiration |
||
|
1 |
|
|
|
|
2 |
|
|
|
|
3 |
|
|
|
|
4 |
|
|
|
|
5 |
|
|
|
|
6 |
|
|
|
|
7 |
|
|
|
|
8 |
|
|
|
|
9 |
|
|
|
|
10 |
|
|
|
|
11 |
|
|
|
|
12 |
|
|
|
|
13 |
|
|
|
|
14 |
|
|
|
|
15 |
|
|
|
|
16 |
|
|
|
|
17 |
|
|
|
Exhibit
A (cont.)
Page
2 of 2
AUTOMATED
EXTERNAL DEFIBRILLATOR (AED) PROGRAM
CPR/AED
Emergency Response Site Plan
|
Incident Commander/Administrator in
Charge: |
|
Communications Director: |
|
Alternate Communications Director: |
|
First Responders (See Previous List): |
|
Health Clerk: |
Responsibilities:
1. Initial First Responder: Arrives first to victim. Notifies Incident Commander of current
situation. Provides necessary first
aid/CPR until AED and/or emergency health care arrives at scene. Continues to communicate with Incident
Commander.
2. Incident Commander: Activates Emergency Response Plan. Notifies Communications Director to call 911
(
3. Communications Director: Receives emergency call from first
responder. Contacts 911 and remains on
line until situation has ended.
Communicates throughout emergency with Incident Commander and First
Responder.
4. First Responders: If available, accesses AED and brings AED to
victim. Initiates AED protocol if no
other trained personnel has arrived on scene.
Continues to follow prompts until emergency personnel has arrived.
5. Health Clerk or designee: Collects emergency card and responds to scene
with AED. Initiates AED protocol if no
other trained personnel has arrived on scene.
Continues to follow prompts until emergency personnel has arrived.
Health Clerk is responsible for
documentation of the emergency.
·
The CPR/AED Emergency Response Site
Plan must be reviewed and updated annually by the 1st Monday in
October each school year. Maintain the original copy of the CPR/AED Response
Site Plan at your school site.
·
Annually send a copy of the CPR/AED
Response Site Plan to the District Program Coordinator in Risk Management.
Exhibit B
AUTOMATIC EXTERNAL
DEFIBRILLATION (AED) PROGRAM
AED Monthly
Checklist
|
Site: |
Month/Year |
When examining the Cardiac Science Powerheart G3 Automatic
AED, check that the visual indicator is green and that no audible signal is
present. If both are the case, the AED
machine is in appropriate working order. A red light with an “X” indicates the AED
needs attention.
|
Defibrillator Serial # |
Status |
Corrective Action/Remarks |
|
|
|
714-985-8776 |
|
|
|
Call Risk Management 714-985-8776 |
|
|
|
Call Risk Management 714-985-8776 |
|
|
|
Call Risk Management 714-985-8776 |
|
Check
performed by: Print Name: |
Date: |
|
Signature: |
|
Submit form to AED Site
Program Coordinator.
Exhibit C
CONFIDENTIAL SCHOOL ACCIDENT REPORT
|
CONFIDENTIAL
– ATTORNEY/CLIENT WORK PRODUCT PRIVILEGE This report is to be completed by school
district employees. This form is a
confidential, internal document: its contents are not to be shared or copied
for any persons who are not school district employees
and/or their legal representatives. IN CASE OF SERIOUS INJURIES A TELEPHONE
REPORT IS TO BE MADE IMMEDIATELY. |
|
DATE OF REPORT |
NOTE:
The school employee either
witnessing the accident or supervising at the time should complete and submit this form within 24 hours. Complete
all of the highlighted areas and print the completed form. You may print a
blank report to complete by typing or using a ballpoint pen. |
||||||||||||||||||
|
1.
NAME AND
ADDRESS OF SCHOOL/SITE |
|||||||||||||||||||
|
NAME
OF INJURED PERSON (LAST, FIRST, M.I.) 2. |
AGE |
GRADE |
TELEPHONE
NUMBER OF INJURED PERSON |
||||||||||||||||
|
IS
INJURED PERSON A MINOR? YES
NO |
NAME
OF PARENT OR LEGAL GUARDIAN |
||||||||||||||||||
|
ADDRESS
OF PERSON INJURED (NUMBER, STREET, CITY, STATE, ZIP CODE) 3.
|
|||||||||||||||||||
|
WHERE
DID ACCIDENT OCCUR? 4. |
DATE
(MONTH, DATE, YEAR) |
TIME A.M. P.M. |
|||||||||||||||||
|
DESCRIBE
HOW ACCIDENT OCCURRED (USE FACTS ONLY; EXCLUDE OPINIONS AND/OR ASSUMPTIONS) 5. |
|||||||||||||||||||
|
|
|||||||||||||||||||
|
FIRST
AND LAST NAME OF PERSON IN CHARGE AT THE TIME OFACCIDENT 6. |
TITLE
OF PERSON (TEACHER, VOLUNTEER, ETC.) |
WAS
HE/SHE PRESENT AT THE TIME? YES NO |
INJURED
VIOLATED SCHOOL RULE? YES NO |
||||||||||||||||
|
7. |
NAME(S) OF WITNESS(ES) |
ADDRESS |
TELEPHONE NO. |
STATUS (Student, Volunteer, etc.) |
|||||||||||||||
|
|
|
|
|
||||||||||||||||
|
|
|
|
|
||||||||||||||||
|
8. |
Apparent
nature of injury (please check all that apply) |
9. |
Injured
part of body (please check all that apply) |
||||||||||||||||
|
Abrasion |
Fracture |
Strain/Sprain |
Head |
Finger |
Arm |
Abdomen |
|||||||||||||
|
Contusion |
Cut |
Dislocation |
Neck |
Eye |
Leg |
Hand |
|||||||||||||
|
Internal |
Concussion |
|
Back |
Chest |
Face |
Foot |
|||||||||||||
|
Other (Explain) |
Other (Explain) |
||||||||||||||||||
|
FIRST AID PROCEDURES USED 10. |
NAME OF PERSON WHO ADMINISTERED
FIRST AID |
||||||||||||||||||
|
DISPOSITION OF INJURED AFTER
ACCIDENT OR CLASS 11. |
WHO WAS NOTIFIED? 12. |
RELATIONSHIP TO INJURED? |
WHO NOTIFIED THE PARENT OR
GUARDIAN? |
||||||||||||||||
|
IF INJURED 13. |
NAME AND ATTITUDE OF ANYONE
CONTACTING SCHOOL 14. |
||||||||||||||||||
|
STUDENT ACCIDENT BENEFITS
AVAILABLE? NAME OF INSURANCE COMPANY 15. YES
NO |
REMARKS 16. |
||||||||||||||||||
|
REMARKS (CONT’D) |
|||||||||||||||||||
|
For your protection, |
|||||||||||||||||||
|
NAME OF PERSON COMPLETING
REPORT 17. |
STATUS |
TELEPHONE NUMBER |
|||||||||||||||||
|
ADDRESS OF PERSON (NUMBER, STREET, CITY,
STATE, ZIP CODE) |
WAS THIS PERSON AN EYE
WITNESS? YES NO |
||||||||||||||||||
|
NAME OF PERSON APPROVING
REPORT 18. |
SIGNATURE OF PERSON
APPROVING REPORT |
DATE SIGNED |
|||||||||||||||||
Submit to: PYLUSD Risk Management
(714) 985-8776
Exhibit D
AUTOMATIC EXTERNAL
DEFIBRILLATION (AED) PROGRAM
AED Usage Report
Incident Details:
|
Name of Responder : |
AED
Serial #: |
||
|
Names of
other Employees involved: |
Date of Incident: |
||
|
Approximate Time of Incident Notification: Approximate |
|||
|
By Whom: |
Time AED Applied:
|
||
|
Time Transfer
Started: |
Ambulance on
Scene: |
Patient
Transported to: |
|
Victim Information:
|
Last Name: |
First Name: |
Middle Initial: |
|
DOB: |
Age: |
Gender: |
|
|
||
|
Description of
Events: |
||
|
Report Completed by:
Date: Print Name: |
|
Signature: |
|
Site Coordinator: |
Forward
completed AED Usage Report form for the AED used in the incident to AED
District Program Coordinator.
Exhibit E
AUTOMATIC EXTERNAL DEFIBRILLATION (AED) PROGRAM
Medical Advisor
Report
To be Completed by
Medical Advisor
|
AED Serial #: |
AED Brand/Model: |
||
|
Victim Name: |
|||
|
Victim Age or
Grade: |
Incident Date: |
Number of Shocks Delivered: |
|
|
Responder Name: |
|||
Pre-hospital Outcome:
|
Internal Events
Record Review: |
|
|
|
AED Usage Report
Review: |
|
|
|
Recommendations: |
|
Signature Medical
Advisor: |
Date: |
|
Signature AED
Site Program Coordinator: |
Date: |
12/20/07