Automated External Defibrillators

Proposed AED Approach

August 31, 2004

Overview

MSU is applying a multi-faceted approach to improving wellness for our University community–students, faculty, staff, and visitors. Providing Automated External Defibrillator (AED) units on campuses is one tactic being used to accomplish this goal.  Use of AEDs has been proven to save lives when properly used in a timely manner.

In addition to properly maintaining the University's existing AEDs, this proposal advocates adding additional units in other University facilities based on geographic location and/or number of individuals using the facility or in the vicinity of the facility.

Emergency procedure

When use of an AED is warranted, the first action should be to call 911 immediately and report the situation.  On the MSU-Springfield Campus a call to 911 (or 9-91I, which is directed the same as a call to 911) will be routed directly to the Springfield Police Department's 911 Emergency Response Center.  The MSU Safety & Transportation Dispatch Center will automatically be notified immediately thereafter by the Springfield Police Department.  No separate call to Safety & Transportation is necessary after reporting the emergency to 911.

Off-campus emergency personnel will respond to the 911 call.  MSU Public Safety, Taylor Health and Wellness Center medical personnel, and/or other trained, qualified employees may also respond, based upon their proximity.  If an AED unit is required, a unit from a nearby on-campus facility may be used, or the responding MSU Public Safety Officer may provide the AED unit.

The University community will be periodically educated/reeducated regarding this emergency procedure.

Purpose

This approach describes proposed responsibilities, recommended locations, training protocol, and an anticipated budget for the safe operation of AED units by qualified personnel at the Springfield campus.

A similar approach must be developed for the Mountain Grove Campus.

The MSU-West Plains Campus has made a conscious decision to use City of West Plains emergency personnel located near the campus in response to these types of emergency situations instead of equipping the campus with AED units.

Medical protocol* (for use of AED devices)

The AED machines on the Springfield Campus, approved and maintained as described herein, may be used in a manner consistent with current American Red Cross and/or American Heart Association training by those individuals who are currently certified by one of these two organizations.  If an AED use occurs, an AED Use Form should be completed and delivered to the Coordinator of Medical Services by the next working day.

*Upon approval by the Administrative Council, any new AED Protocol must be formally designated to replace the current AED Protocol dated January 11, 2000.

*A separate Medical Protocol must be specified for the Mountain Grove Campus.

Understandings (by administrators where any AED unit is located)*

• Unit(s) will be operated only by designated trained/certified employees.  The University will fund the cost of required certification/recertification training.
• All employees designated to operate AED unit(s) will maintain required proficiency/certification.  A minimum of four fuIl-time University faculty and/or staff employees must be designated, trained and certified for each AED unit.
• Unit(s) will be properly stored, maintained and tested according to the manufacturer's operational guidelines.  Required AED records must be maintained daily for monthly inspection.
• Required job descriptions will be annotated for designated AED personnel (not voluntary employees), including Building Coordinators.

Liability of trained, certified AED users

Section 190.092 (paragraph 3) of the Missouri Revised Statutes provides that: "Any person who has had appropriate training, including a course in cardiopulmonary resuscitation, has demonstrated a proficiency in the use of an automated external defibrillator, and who gratuitously and in good faith renders emergency care when medically appropriate by use of or provision of an automated external defibrillator, without objection of the injured victim or victims thereof, shall not be held liable for any civil damages as a result of such care or treatment, where the person acts as an ordinarily reasonable, prudent person . . ."

The MSU Administrative Council approved the AED Program in 1999, stipulating that University employees participating in this program are considered to be performing "official duties" on behalf of the University.  According to the University General Counsel, by its action approving use of automated external defibrillators on campus the Board's intent is clear that the AED unit employees acting in accord with this approach are covered by the Legal Defense policy.

The Employee Handbook (Section 7.8) and Faculty Handbook (Section 6.1.4) each states the policy of the University is to provide legal defense of any claim covered by the state legal expense fund regarding conduct of any employee arising out of and performed in connection with his/her official duties on behalf of the University.

General responsibilities

• Administration - Vice President for Administrative & Information Services, Chancellors
• Compliance - Administrators/Building Coordinators where AEDs are located
• Medical - Coordinator of Medical Services, Taylor Health and Wellness Center (THWC)
• Safety - Director of Safety and Transportation
• Supplies/Equipment - Director of Safety and Transportation
• Training/Certification - Human Resources (HR) Training & Development Manager

Specific responsibilities

• Administration
  • The AED program on the Springfield Campus will be administered under the direction of the Vice President for Administrative & Information Services. At Mountain Grove and West Plains campuses, the AED program will operate under the direction of the respective Chancellor.
• Compliance (regarding AED units)
  • Deans, Directors and Building Coordinators (where AED units are located) are responsible to ensure AED units are properly stored and maintained.  Required AED records must be maintained for monthly inspection.
  • Deans, Directors and Building Coordinators (where AED units are located) must ensure, from a liability standpoint, that AED units are operated only by designated trained/certified employees.
  • Deans, Directors and Building Coordinators (where AED units are located) are responsible to ensure all designated employees maintain required proficiency/certification.
  • A minimum of four employees will be trained/certified for each AED unit.
  •  Any person who renders emergency care or treatment to a person in cardiac arrest by using an automated external defibrillator shall have activated the emergency medical services system as soon as possible.
• Medical
  • A Coordinator of Medical Services shall be designated as responsible to prescribe and oversee implementation of medical policies for the AED program on the Springfield Campus.  The Coordinator of Medical Services will assist the Mountain Grove/West Plains campuses in arranging suitable AED Protocols.  The Coordinator of Medical Services will review and approve the clinical protocol for the use of the defibrillator, review and advise regarding the training and skill maintenance of the intended users of the defibrillator, and assure proper review of all situations when the defibrillator is used to render emergency care.
  • Designated THWC personnel will be assigned specifically for AED training.
  • The Coordinator of Medical Services will accept and review the AED Use Form when completed by on-campus individuals following any AED application.  Within 24 hours, the Medical Coordinator will notify the Springfield Fire Department, in accordance with City Ordinance requirements, regarding the AED use and its specifics.
  • The THWC Training Room will be made available to conduct AED training for certification/recertification when scheduled by the HR Training & Development Manager.
• Safety
  • The Director of Safety and Transportation will ensure Public Safety Officers are trained and certified to operate AED units on the Springfield Campus.  To perform this requirement, the Safety and Transportation Department will retain two qualified instructors to support AED initial/recertification training for all Public Safety Officers on all shifts.  Training, certification and recertification of assigned Safety and Transportation personnel will be kept current.  Training, certification and recertification accomplishments will be reported to the HR Training & Development Manager for posting to the University database.
  • Public Safety Officers will respond (with an operational AED unit) to emergency calls.
  • Only Public Safety Officers, designated medical personnel at THWC and trained, certified employees will operate the AED units provided on-campus.
• Supplies/Equipment
  • The Chief Financial Officer will allocate funding support to the Director of Safety and Transportation for the acquisition of equipment and supplies to support AED use and training.  (Required resources were previously identified by THWC for support of the AED program; however, funding was never allocated.)
  • The Director of Safety and Transportation will inspect all campus AED maintenance logs and conduct external AED equipment inspections monthly.
  • With funding provided by the University for AED units, the Director of Safety and Transportation will budget for, order and maintain adequate stocks of serviceable gloves, masks, and related AED supplies, including training equipment for use by qualified instructors.
  • The Administrative Council must approve the acquisition of additional AED units using directed funds. Any new AED units will be designated by location after confirming the willingness of the site administrator to comply with the specified AED protocol.
• Training/Certification
  • The HR Training & Development Manager will notify THWC and Building Coordinators (where AED units are located) when training/certification or recertification is due.
  • The HR Training & Development Manager will coordinate and schedule the conduct of training, certification/recertification for all designated THWC personnel and all designated AED employees on the Springfield and Mountain Grove campuses, i.e., anyone other than Public Safety Officers.
  • The HR Training & Development Manager will maintain training records for all AED certified personnel on the Springfield and Mountain Grove campuses, including Safety & Transportation Department personnel, certifying that all such employees have received training by the American Red Cross or American Heart Association in cardiopulmonary resuscitation and the use of automated external defibrillators, or an equivalent nationally recognized course in defibrillator use and cardiopulmonary resuscitation.
  • The HR Training & Development Manager will prepare and submit required AED certification reports to the City of Springfield.
  • The Chief Financial Officer will resource the HR Training and Development Budget to fund required training/certification and recertification of all AED personnel

Job description duties

To be included formally in Essential Duties and Responsibilities as an additional requirement for the following positions on the Springfield Campus:

• Coordinator of Medical Services at THWC: Responsible for medical oversight of the AED program for the Springfield Campus.
• Designated Medical Personnel at THWC: Responsible for achieving/maintaining required AED proficiency, certification/recertification.
• Assistant Director, Safety: Responsible for implementation of the AED program (less medical) for the Springfield Campus.  Must ensure at least two Public Safety Officers achieve/maintain qualification as AED instructors. Also ensures Department training and certification records are maintained as required for all assigned Public Safety Officers.
• Public Safety Officer: Responsible for achieving/maintaining required AED proficiency, certification/recertification.
• Building Coordinator (where AED units are located): Responsible to ensure AED units are properly stored and maintained, that all designated AED unit employees maintain required proficiency/certification, and that available AED units are operated only by designated trained/certified employees.

Automated External Defibrillator (AED) unit locations

Physical Address	Model Type	Exact Location
Carrington Hall 901 S. National Ave.	AED Plus	Southwest entrance mounted on the east wall next to the Bursar Office.
Central Stores & Maintenance 945 E. Grand St.	AED Plus	West bay entrance, mounted on the north wall
Forsythe Athletics Center (Athletics Dept.) 827 S. Kings	AED Plus	Forsythe Athletic Center first floor. South of room 109 unit is mounted on wall.
Forsythe Athletics Center (Athletics Dept.) 827 S. Kings	AED Plus	Athletics Training Room 109 on first floor level.  To be transported out to athletic events.
Forsythe Athletics Center (Athletics Dept.) 827 S. Kings	AED Plus	Forsythe Athletics Center within Athletics Training Room 109 on first floor.
Greenwood Lab 1024 E. Harrison	AED Plus (w/ Child Pads)	Enter Greenwood via northwest front doors.  Go to room 304 on the left.  The unit is on the shelf.
Hammons Student Center 661 J.Q. Hammons Pkwy	AED Plus	AED is located in room 201 which is located just south of the equipment issue room, adjacent to the racquetball courts. Mounted on the south wall.
Hammons Student Center 661 J.Q. Hammons Pkwy	AED Plus	Unit is stored in room 126; used for travel and practices.
Hammons Student Center (Athletics Dept.) 661 J.Q. Hammons Pkwy	AED Plus	Unit is mounted in the hallway outside of room 126
JQH Arena 685 South J.Q. Hammons Pkwy	AED Plus	East entrance in room 306 of Guest Services.
Juanita K. Hammons Hall for the Performing Arts 525 J.Q. Hammons Pkwy	AED Plus	In hall located in middle of bldg. (between 2 main doors). Interlude lobby area (coat check/information desk); mounted on the wall.
McDonald Arena 850 S. Kings	AED Plus	Located in Rm. 103 (main office), under counter on south wall. To access unit, enter bldg. off of Kings Ave. Enter bldg. through handicap entrance on northwest side of bldg. Proceed down hallway & follow hallway to left. Rm. 103 is last door on right prior to entering foyer.
Meyer Alumni Center 300 S. Jefferson Ave.	AED Plus	Supply closet located on southwest side of Rm. 100 (on top of black filing cabinet). During normal bus. hrs., Rm. 100 accessible by main entrance on Jefferson Ave. (1st set double glass doors on left), or from secondary entrance on east side of bldg. (1st set of glass double doors on right past elevators).
Meyer Library 850 S. John Q. Hammons Pkwy.	AED Plus	Front (south) entrance, mounted on pillar behind the Circulation desk.
Plaster Sports Complex 1015 E. Grand	AED Plus	North entrance on West side; Beverly Nichol's office in southwest corner (Administrative Office), unit on east wall (on top of  credenza)
Plaster Student Union 1110 E. Madison	AED Plus	Mounted on the southeast wall, east of the information desk at the northeast entrance.
Public Safety 636 E. Elm St., Room 113	AED Plus (w/ child pads)	Report Writing Room 113 on east side of bldg. (access only through main door on Elm St. side (north) of bldg., unit may also be located in patrol vehicle (if not in Rm. 113)
Public Safety 636 E. Elm St., Room 113	AED Plus (w/ child pads)	Radio Communications Ctr. Rm. 107 located on northwest side of bldg. (access only through main door on Elm St. side (north) of bldg.
Residence Life – Hammons House 1001 E. Harrison St.	AED Plus	Unit located behind receptionist desk in cabinet on south wall (under fax machine). To access unit, enter main entrance doors located @ u-drive on Harrison St. Reception desk is on south wall center in cabinet.
Residence Life – Blair-Shannon House 1001 E. Madison St.	AED Plus	Unit located under reception desk. To access unit, enter Blair from main doors off Madison St. Reception desk directly in front of entrance doors.
Sports Medicine & Ath. Trng. Professional Bdg 609 E. Cherry St.	AED Plus	Rm. 160 (x-ray rm.) - East entrance, end of hall to room 160 - unit on top of file cabinet to right as you walk in door.
Sports Medicine & Ath. Trng. Professional Bdg 609 E. Cherry St.	AED Plus	Rm. 160 (x-ray rm.) - East entrance, end of hall to room 160 - unit on top of file cabinet to right as walk in door (other unit locked as used for training purposes)
Strong Hall 900 S. Holland	AED Plus	Located in Room 107 (computer lab) - on shelf on west wall behind the monitor's desk. To access unit, enter u-drive off Holland, go through main doors, turn left @ hallway & computer lab, is 1st door on left.
Taylor Health & Wellness Center 715 Florence Ave.	AED Plus (w/ child pads)	Center of bldg. (in Treatment Clinic Rm. #13) - equidistant from west/east locations. Front desk can direct to treatment clinic.

Current AED locations 

Current AED locations are listed at www.missouristate.edu/safetran/68011.htm

*An AED may not be "stored" in a patrol vehicle. Due to the potential for temperature and humidity extremes, the AED may be retained with the shift supervisor to reduce response time to five minutes or less.

Potential future AED locations (listed in recommended priority)

Location	Rationale
Morris Center	Downtown location, hours of operation
Darr Agricultural Center	Distance from campus
Other	Subject to "self-funding" and agreement to "understandings" by proposed site administrator

Training

Initial Training/Certification:

• American Red Cross
  • Initial AED training/certification - 7.0 hours; $45/person
  • Instructor AED training/certification&nbsp - 24.0 hours; $175/person

Recertification:

• American Red Cross
  • AED Recertification - 3.0 hours; $25/person

Budget requirements (Estimated)

One-Time Costs:

• Train-the-Trainer for 2 individuals @ $175 - $350
• Supplies (Basic load of training items/batteries) - $2,000

Recurring Costs (Assumes no new AED units):

• Training (Assumes 20% turnover in prior-year certified personnel)
  • Initial AED training/certification for 10 individuals - $450
  • Recertification for 50 individuals - $1,250
  • Overtime pay for 2 trainers for 64 hours - $1,150
  • Supplies (Items consumed in training, batteries, expired items) - $860
• New AED Units (as directed by Administrative Council)
  • Equipment (per unit) - $2,500
  • Volunteer training for new AED units (5 individuals/unit) - $225
• Replacement AED Units (assumes 5-year life expectancy)-per unit - $2,500
• Additional time/energy of staff required to assume THWC responsibilities:
  • Safety & Transportation - 35 hours
  • HR Training & Development Manager - 74 hours