Florida Administrative Code
64 - DEPARTMENT OF HEALTH
64J - Division of Emergency Preparedness and Community Support
Chapter 64J-1 - EMERGENCY MEDICAL SERVICES
Section 64J-1.023 - Guidelines for Automated External Defibrillators (AED) in State Owned or Leased Facilities
Universal Citation: FL Admin Code R 64J-1.023
Current through Reg. 50, No. 187; September 24, 2024
(1) Management of any state owned or leased facilities considering the placement of AEDs should seek cooperation of facility personnel and local training, medical, and emergency response resources.
(2) An AED is obtained by a prescription from a licensed physician. The prescription must accompany the order for the AED.
(3) Several elements should be considered to determine the appropriate number, placement, and access system for AEDs. Facility managers should consider:
(a)
Physician oversight provided by either a facility's medical staff or contracted
through a designated physician. A physician should be involved as a consultant
in all aspects of the program.
(b)
Response Time: The optimal response time is 3 minutes or less. This interval
begins from the moment a person is identified as needing emergency care to when
the AED is at the side of the victim. Survival rates decrease by 7 to 10
percent for every minute that defibrillation is delayed.
(c) Lay Responder or Rescuer Training.
1. Pursuant to Section
401.2915(1),
F.S., all persons who use an AED shall have the required training.
2. Overall effectiveness of AEDs shall be
improved as the number of trained personnel increases. Where possible, facility
managers should establish in-house training programs on a routine
basis.
3. Cardiopulmonary
resuscitation and AED training can be obtained from a nationally recognized
organization.
4. In addition to
training on use of the AED, it is important for lay responders or rescuers to
be trained on the maintenance and operation of the specific AED model in the
facility.
5. Training is not a
one-time event and formal refresher training should be conducted at least every
2 years. Computer-based programs and video teaching materials permit more
frequent review. Facility management should make periodic contact with a
training entity to assure that advances in techniques and care are incorporated
into their program. In addition to formal annual recertification, mock drills
and practice sessions are important to maintain current knowledge and a
reasonable comfort level by lay responders or rescuers. The intervals for
conducting these exercises should be established in consultation with the
physician providing medical oversight.
(d) Demographics of the Facility's Workforce:
Management should examine the make up of the resident workforce and consider
the age profile of workers. Facilities hosting large numbers of visitors are
more likely to experience an event, and an appraisal of the demographics of
visitors should be included in an assessment. Facilities where strenuous work
is conducted are more likely to experience an event. Specialty areas within
facilities such as exercise and work out rooms should be considered to have a
higher risk of an event than areas where there is minimal physical
activity.
(e) Physical Layout of
Facility: Response time should be calculated based upon how long it will take
for a lay responder or rescuer with an AED and walking at a rapid pace to reach
a victim. Large facilities and buildings with unusual designs, elevators,
campuses with several separate buildings, and physical impediments all present
unique challenges. In some larger facilities, it may be necessary to
incorporate the use of properly equipped "golf cart" style conveyances to
accommodate time and distance conditions.
(f) Suggestions for proper placement of AEDs:
1. A secure location that prevents or
minimizes the potential for tampering, theft, and/or misuse, and precludes
access by unauthorized users.
2. An
easily accessible position (e.g., placed at a height so those shorter
individuals can reach and remove, unobstructed access).
3. A location that is well marked,
publicized, and known among trained staff. Periodic "tours" of locations are
recommended.
4. A nearby telephone
that can be used to call backup, security, or 911.
5. Written protocols addressing procedures
for activating the local emergency medical services system. These protocols
should include notification of EMS personnel of the quantity, brands, and
locations of AEDs within the facility.
6. Equipment stored in a manner whereby the
removal of the AED automatically notifies security, EMS, or a central control
center. If such automatic notification is not possible, emphasis should be
placed on notification procedures and equipment placement in close proximity to
a telephone.
(g) It is
recommended that additional items necessary for a successful rescue be placed
in a bag and be stored with the AED. Following are items that may be necessary
for successful utilization of the AED:
1.
Simplified directions for CPR and use of the AED.
2. Non-latex protective gloves.
3. Appropriate sizes of CPR face masks with
detachable mouthpieces, plastic or silicone face shields, one-way valves, or
other type of barrier device that can be used in mouth to mouth
resuscitation.
4. Pair of medium
sized bandages.
5. Spare battery
and electrode pads.
6. Two
biohazard or medical waste plastic bags.
7. Pad of paper and pen for
writing.
8. Absorbent
towel.
Rulemaking Authority Chapter 2001-76, L.O.F., House Bill 1429. Law Implemented Chapter 2001-76, L.O.F., House Bill 1429.
New 11-3-02, Formerly 64E-2.039.
Disclaimer: These regulations may not be the most recent version. Florida may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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