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Layton City Policy

Personnel Policy Manual

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4112 - AED POLICY

When to Use an AED

Employees are encouraged to use an AED, or "Automated External Defibrillator" whenever a patient has an apparent lack of circulation indicated by:

  • Unconsciousness; and
  • Absence of normal breathing; and
  • Absence of pulse or signs of circulation.
Call 911

Always call 911 as soon as possible to get professional help on the way.  In addition, when an AED is removed from a wall cabinet, an automated alarm will be activated in police dispatch.  The dispatcher will automatically create a full arrest call, which will activate a response by fire and police personnel.  (The AED kept in the Surf-n-Swim first aid room is the only one not kept in an alarm enabled cabinet.)

How to Use the AED

Each AED comes with an Operator’s Guide, which gives simple, detailed instructions on how to use the equipment.  The importance of receiving training and becoming familiar with the Operator’s Guide before an emergency cannot be overemphasized.

Can You Be Held Liable if You Make a Mistake?

Utah’s Good Samaritan Law provides you legal protection in the event you make a mistake while trying to help someone using the AED.  The City Attorney’s office will provide assistance to City employees who use the AED device in good faith.  Employees are encouraged to use the AED whenever indicated. Anyone can, at their discretion, provide voluntary assistance to victims of medical emergencies.

Location of AEDs


Layton City has seven (7) ZOLL AED Plus units installed in wall cabinets at the following locations:

2 – Layton City Center (1 upstairs in hallway outside of CED / 1 downstairs in hallway outside MS)
1 – Layton Police Department (In the hall by Records, just inside the secure area)
1 – Surf-n-Swim (In first-aid room)
1 – Museum (In green room)
1 – Public Works Shop (West of reception desk)
1 – City Fitness Room (On north wall in secure hallway)

What is an AED and How Does It Work?

 An AED consists of four (4) parts:
  1. The pads that attach to the patient’s chest
  2. The cables that connect the pads to the defibrillator
  3. The computer which is programmed to read the patients electrical rhythm and deliver an electrical shock only if it detects the irregular rhythm called ventricular fibrillation, and
  4. The AED lid, which can be used to help maintain the patient’s airway.
During a heart attack, the heart’s electrical system becomes damaged causing it to pump irregularly, to the point where it can no longer pump blood.  This condition is called ventricular fibrillation (VF).  As a result the patient loses consciousness and a pulse cannot be found.

The rescuer initiates a call to 911 as soon as possible. The ZOLL AED Plus uses voice prompts and visual indicators to guide the rescuer through a resuscitation sequence that may include defibrillation and or cardiopulmonary resuscitation (CPR).  They support both adult and pediatric defibrillation electrode pads, and automatically adjust the defibrillation energy based on the type of electrode pads connected to it. When the victim is less than eight (8) years of age and weighs less than 55 lbs, the pediatric electrodes should be used.  Therapy should not be delayed to determine the patient’s exact age and weight. Following attachment of electrodes to a patient’s chest, the defibrillator monitors the electrocardiograph (ECG) rhythm of the patient’s heart, analyzes that rhythm, and determines whether the rhythm is shockable or non-shockable.  When needed, defibrillation energy is delivered through these same electrodes.  When the unit detects a shockable rhythm, it charges and issues the warning DON’T TOUCH PATIENT, PRESS TREATMENT BUTTON.

The rescuer presses the Treatment/Shock Button to deliver the shock.  If the patient remains in VF or shockable ventricular tachycardia (VT), additional shocks can be administered after subsequent analysis of heart rhythm.  The rescuer may be prompted to perform CPR if the initial or subsequent defibrillation attempts are unsuccessful.

Reporting and Post-Use

Any employee(s) involved in the operation of an AED during a rescue attempt shall:

  • Notify the Fire Department Training Officer within 24 hours following the event to assist with documentation of the event,
  • Participate in a post-event incident analysis as needed, and
  • Consider attending a post-event stress debriefing when offered.

Training Available For Employees at Fire Department

The Layton Fire Department has provided, and will continue to provide training to employees desiring to become proficient in the use of this equipment.  The City strongly encourages all employees to receive this training by scheduling a brief training session with the Fire Department Training Officer at 336-3940.  Being trained will familiarize the rescuer with the equipment and processes, and help the rescuer to work more calmly and effectively.

Maintenance of AEDs in Layton City Facilities

The Layton Fire Department will check all AEDs periodically to make sure they are secure, and that batteries are fresh, and that they are working properly.  In addition, Layton Fire will check for the presence of patches, CPR barrier, scissors, razor, towel and latex gloves.

Purpose

Cardiovascular disease is the single greatest cause of death in the United States. Nearly half of those deaths are due to sudden cardiac arrest (SCA) in out-of-hospital settings, including the workplace. Prompt application of the integrated skills of cardiopulmonary resuscitation (CPR) and automated external defibrillation (AED) provide victims of SCA with the greatest chance of survival. Therefore, the City desires to provide AED coverage and appropriate training for its employees.

Enacted, 2/10/2005
Amended, 2/16/2006, Previous Policy 4112
Amended, 5/7/2008, Previous Policy 4112
Amended, 6/7/2012, Previous Policy 4112
Amended, 7/12/2012, Previous Policy 4112
 




 
 
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