Fillable AED Written Program 2016 - AED Written Program 2016

Fill Online, Printable, Fillable, Blank AED Written Program 2016 - AED Written Program 2016 Form

Use Fill to complete blank online TENNESSEE TECHNOLOGICAL UNIVERSITY pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

AED Written Program 2016 - AED Written Program 2016

On average this form takes 9 minutes to complete

The AED Written Program 2016 - AED Written Program 2016 form is 5 pages long and contains:

0 signatures
25 check-boxes
25 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Tennessee Technological University

BROWSE TENNESSEE TECHNOLOGICAL UNIVERSITY FORMS

Related forms

Biohazard Lab Safety Sign TTU
FILLABLE Laser Inventory Form
High Voltage Lab Safety Sign
LABORATORY CHECKOUT FORM1
LABORATORY CHECKOUT FORM1
Laser And High Voltage Lab Safety Sign TTU
Laser And High Voltage Lab Safety Sign TTU
Laser Only Lab Safety Sign TTU
Laser Only Lab Safety Sign TTU
MACHINE SHOP DOOR SIGNAGE PowerPoint Presentation
MACHINE SHOP DOOR SIGNAGE PowerPoint Presentation
Notification Of Accident Or Illness
Notification Of Accident Or Illness
Radiation Lab Safety Sign TTU
Radiation Lab Safety Sign TTU
TTU CHEMICAL HAZARDS
TTU Phone Posting 1 SQG Emergency Contacts Telephone Posting
Chapter 606 Research Application - Chapter 606 Research Application
Scholarship Request For Exception Form (Tennessee Technological University)
Scholarship Request For Exception Form (Tennessee Technological University)

Fill has a huge library of thousands of forms all set up to be filled in easily and signed.

Fill in your chosen form

Sign the form using our drawing tool

Send to someone else to fill in and sign.

find another form

Redo

Arial Font

Arial
Calibri
Roboto
Open Sans

AFont color

AB
A.B
A..B
A...B
A....B

Remove Field

ADD FIELDS

NOVEMBER2016 



AutomatedExternalDefibrillator(AED)Program



I. PURPOSE

a. Thepurposeofthisprocedureistoestablishcertainautomatedexternaldefibrillatordevices

("AEDs")onthecampusofTennesseeTech(TTU),particularlyinvenuesthatexperiencelarge

numbersofattendeesfromthecampuscommunityorgeneralpublicand/orinareaswherethe

MedicalDirectoroftheAEDprogramdeterminesthattheactivitiesinvolvedinthosevenues

createaheightenedriskofacardiacemergency.



II. SCOPE

a. Thisprogramappliestotheacquisition,distribution,use,trainingandmaintenanceofAEDs.



III. DEFINITIONSANDABBREVIATIONS

a. Automatedexternaldefibrillator("AED"):AnAEDisadevicethatisusedtotreatpatientswho

experienceSCA.Itisonlytobeappliedtopatientswhoareunconscious,notbreathingnormally,

andshowingnosignsofcirculation.TheAEDanalyzestheheartrhythmandadvisestheoperator

ifashockablerhythmisdetected.Ifashockablerhythmisdetected,theAEDwillchargetothe

appropriateenergy.

b. Cardiopulmonaryresuscitation("CPR"):Artificialventilationand/orexternalcardiaccompression

appliedtoapatientinrespiratoryand/orcardiacarrest.

c. EmergencyMedicalServices("EMS"):Professionalcommunityresponderagencyforemergency

events,whichprovidemedicalassistanceand/orambulancetransport.

d. EHS:EnvironmentalHealthandSafety



IV. RESPONSIBILITIES

a. ProgramManager–TheEHSCoordinator(SarahDiFurio)shallserveastheprogrammanagerfor

thiswrittenprogram.NotethatallAEDsoncampusareownedbyTennesseeTechUniversity.

Contactnumbersincludethefollowingfortheprogrammanager:

Office:931‐372‐3587

Email:sdifurio@tntech.edu



ThealternateprogrammanagerisBrentCarterwhocanbereachedat:

Office:931‐372‐3881

Email:blcarter@tntech.edu



Themailingaddressforprogrammanagerandalternateis:

EnvironmentalHealthandSafety

TennesseeTechUniversity

Box5041

Cookeville,TN38505



b. MedicalDirector:

TheMedicalDirectorisDr.BrainSamuelfromTTUCampusHealth.

NOVEMBER2016 



ContactinformationfortheMedicalDirector:

Phone:931‐372‐3320

Email:bsamuel@tntech.edu



c. EHSshall:

i. DeterminewhichbuildingsoncampusneedanAED.

ii. NotifydepartmentheadsofbuildingsontheneedtohaveanAED.

iii. ServeasatechnicalresourceforquestionsandcommentsfortheAEDprogramand

periodicallyreviewcompliancewiththisprogram.

iv. PostthemostrecenteditionofthisplanontheEHSwebsite.

v. Reviewandrevisethiswrittenplanperiodicallyanduponnoticeoftheneedfor

changes.

vi. MaintainadatabaseofwhereAEDsarehousedoncampus.

1. ShallnotifyEMSofplacement.

vii. MaintainAEDsthatbelongtoEHS.

viii. InspectAEDs.

ix. Maintainrecordsasrequired.

1. EMSshallhavecopiesofallrecords.

x. Submitcopiesofthisplantooutsidefirstresponders(CityofCookeville)andthe

MedicalDirector.

xi. SubmitcopiesofAppendixA(AutomatedExternalDefibrillatorUseReport)tothe

MedicalDirectorandEMS,followinguseofanAED.

xii. PurchaseAEDsandregisterAEDtomaintainconsistency.

1. ShallnotifyEMSofpurchaseandregisterwithEMS.

xiii. CoordinateinstallationofAEDswithdepartmentdesignees,buildingcoordinators,and

FacilitiesServices.

xiv. Provideaspare(temporaryreplacement)forAEDsthataretakenoutofservice

followinglost,use,etc.whenpossible.



d. DepartmentChair,BuildingCoordinator,ordesignee:

i. NotifystaffmembersofthelocationofthenearestAED.

ii. EnsurestaffwhoarelikelytouseanAEDareadequatelytrained.

iii. NotifyEHSassoonaspossiblewhenanAEDhasbeenused.



e. MedicalDirector:

i. TheMedicalDirectorshallsupervisorandendorsetheplacementofAEDs.

ii. ReviewAppendixAsubmittedfromEHSfollowinguseofanAEDoncampus.



V. Procedure

a. PurchasinganAED:

i. AEDsthatarepurchasedshallmeettherequirementsofTennesseeCodesAnnotate

(TCA1200‐12‐1.‐19(5)andtheAmericanHeartAssociationguidelines.Modelsthatare

purchasedshallbeconsistentwithotherunitsoncampus.

ii. EHSpurchasesallAEDs.

b. DistributionandLocationofAEDs:

i. EHSwillapprovethelocationofAEDsinbuildingsoncampusincoordinationwiththe

MedicalDirector.Inaddition,considerationshouldbegiventothepotentialfora

cardiacarrestbasedonseveralfactorssuchasoccupantage,healthandthetypeof

activitybeingperformed.Totaloccupantloadofthebuildingmayalsobeconsidered

whenpurchasinganAED.

NOVEMBER2016 



ii. TheAEDshouldbelocatedinacentralplace.TrainedpersonnelwhousemobileAEDs

shallhaveacellphonewiththemwhiletheAEDisinthefield.

iii. ConsiderationshouldbegiventoplacingtheAEDwhereit:

1. TheAEDshouldnotbesubjecttophysicaldamage,theft,temperatureor

humidityextremes.

2. Isreadilyvisibleandavailableforuse.

3. Notethatsignsmaybeusedtoidentifythedevice’slocationwherenecessary.



VI. TRAINING

a. Personneltobetrained:

i. TwoindividualsfromeachAEDlocation.

ii. IfAEDlocationhasmorethan1shift,1personfromeachshift.

iii. Inaddition,aminimumof1personfromeachgrouponCampusthatfrequentsAED

locationsshouldbetrained,(examples:Facilities,Campstaffs,etc.).

iv. Itishighlyrecommendedthatasmanypeopleatpossiblebetrainedformaximum

coverage,with100%ideal.

b. Trainingrequirements:

i. AllTTUpersonnelwhohavebeenidentifiedasAEDrespondersarerequiredtoattend

anapprovedCPR/AEDtrainingcourse.

ii. TrainingisofferedatCampusRecreationandonaregularbasis.Classesmaybe

scheduledbymakingarrangementswiththeUniversityRecreationFitnessCenter,

AssistantDirector,SuzannHensleyat372‐6211.



VII. ResponseProtocol

a. Whenanunconsciousvictimisdiscovered,thefollowingprotocolwillbefollowed:

i. Checkthescenetomakesureitissafe(e.g.noelectricalhazardsorchemicalhazards)

ii. Shakeandshoutatvictim.

iii. Ifnoresponse;Havesomeonecall911.Ifnooneisavailable,call911andreturn

immediatelytothevictim.

iv. HavesomeoneretrievetheAED.

v. BegintheCABsofCPR.UtilizeAEDifnecessaryandtheinstructions/trainingprovided.

b. PoliceDispatcher:

i. Immediatelydispatchanofficerandcallforanambulance.Theambulanceshouldbe

summonedrightaway.(DONOTwaitfortherespondingofficertoarriveandauthorize).

Uponarrivaloftherespondingofficer,obtainasmuchpertinentinformationaspossible

andcommunicatetoEMS.

ii. OnceEMSisonthescenetheyareinchargeoffurtherrescueeffortsforthevictim.

c. EHSshallforwardacopyoftheAEDUseReporttotheMedicalDirectorandEMSforreview.

VIII. Notification

a. FollowinganyeventinvolvingtheuseofanAED,therespondermustcompletetheAEDUse

Report(SeeAppendixA)andsendtoEHSbyoneofthefollowingmeans:

i. CampusMail:Box5041

ii. E‐mailtosdifurio@tntech.eduorblcarter@tntech.edu.

b. CampusPolicemustnotifyEHStoensurethatsuppliesarerestocked.

c. EHSwillcopytheAEDUseReporttotheMedicalDirectorandEMS.



NOVEMBER2016 



IX. Maintenanceandtesting

a. Theunitsautomaticallyperformperiodicself‐testsdaily.Inaddition,amanualself‐testwillbe

performedwhenbatteriesarechangedortheunithasbeenmishandled.Padsarereplacedwhen

expiredand/orfollowinguse.

b. EHSreplacespadsandbatteriesuponexpiration.

c. EHSperforms

AEDcabinetmaintenance(changebatteries)asneeded.

X. Recordkeeping

a. ThefollowingrecordsmustbemaintainedbyEHS:

i. Periodicmaintenance,repairandinspectionrecords.

ii. Otherrecordsasdefinedbytheequipmentmanufacturer.

iii. Recordofuse(AppendixA).

iv. RecordoftransmittaltorespondingEMSagencyandtheirapprovaloftheplan,

placementandprogram.

v. MedicalDirector’sapprovalofinstallationlocation.

vi. Therecordsshallbemaintainedforatleast3years.Intheeventofanaccidentorfailure

oftheAED,wherelitigationcouldoccur,therecordshallbekeptforalongerperiodof

time.

b. Thefollowingrecordsmustbemaintainedbytheemployee:

i. RecordofCPR/AEDemployeetraining.



XI. ImmunityofAEDUsersandOwners

a. TennesseelawprovidesvariousprotectionsfromliabilitytotheownersandusersofAED

devices.SeeTENN.CODEANN.§68‐140‐406(TennesseeAEDStatute);TENN.CODEANN.§63‐6‐

218(TennesseeGoodSamaritanAct).

b. Inaddition,thedutiesperformedbyAEDDirectorsandAEDResponderswillbewithinthescope

oftheiremploymentandthey,therefore,alsoareprotectedbyTENN.CODEANN.§9‐8‐307

(TennesseeClaimsCommissionStatute).Foradditionalinformationabouttheliability

protectionsofferedbythesestatutes,pleasecontacttheTTUOfficeoftheUniversityCounsel.

Cross‐references:TENN.CODEANN.§68‐140‐710;TENN.CODEANN.§68‐140‐406;TENN.CODE

ANN.§63‐6‐218;TENN.CODEANN.§9‐8‐307;TENN.COMP.R.&REGS.1200‐12‐01‐.19.



NOVEMBER2016 



AppendixA

TennesseeTechUniversity

AutomatedExternalDefibrillatorUseReport

DateandtimeofUse:Location:

AEDModel:

HowWereYouNotifiedoftheEmergency:TimeNotified:

PatientInformation‐Name:Age:  Sex:

PatientConditionuponyourarrival:

Conscious  Breathing  Pulse  CPR

Unconscious  NotBreathing  NoPulse  NoCPR

Whatactiondidyoutake?

Wasshockneeded? YesNoWasshockdelivered? Yes No

Didpulsereturn? Yes NoDidbreathingreturn? Yes No

WasCPRperformed? Yes NoBywhom?

Didpatientbecomeconscious? Yes No

ConditiononarrivalofEMS?

Outcome(ifknown):

Couldyoudothisagainifneeded?Yes  No  NotSure

AdditionalInformationAttached?Yes  No

NamesofallAEDresponders:



YourNameDate

PleasesubmitreporttoEHS;Box5041,sdifurio@tntech.eduorblcarter@tntech.edu

Sign the document

DRAW TYPE UPLOAD

Choose file

Sending Options

Clear

Adding Fields

Fields are being added to your document to make it really easy to fill, send and sign this PDF. Once finished you can manually add any additional fields and signatures to the document by dragging them from the toolbar.

For larger documents this process may take up to one minute to complete

Finish

Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

Send for signing

Email for others to sign

Choose a Field
Click on a field and
select the person that should complete it

Want to add a signature?
You can add a signature field
and assign it to someone else
to sign

Send for signing

Email for others to sign

Choose a Field
Click on a field and
select the person that should complete it

Send for signing

Email for others to sign

Someone else

NAME

Email completed PDF

Template

Convert to a reusable Template

Complete document

AED Written Program 2016 - AED Written Program 2016

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 17 March 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document

You're on your way to completing your first doc!

already registered?

First 20 documents completely FREE!

No credit card required

Digitally sign with 1 click

Request signatures from others

Secure storage for sensitive data

Upload your own forms

Simple PDF editing

Huge library of 1000's of forms