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River East Transcona School Division
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Automated External Defibrillator (AED) Program

 Safe Operating Procedure

 



PURPOSE

 

Establish a comprehensive, controlled Automated External Defibrillator (AED) at River East Transcona School Division (RETSD) that meets or exceeds provincial workplace safety and health program requirements.

 

An AED program must be defined and documented for compliance as part of Element 3, identify people and resources available in an emergency situation, for the effective development and implementation of a workplace safety and health program under Manitoba legislation.

 

SCOPE

 

This safe operating procedure and associated documents establish a policy, procedure and program framework for an AED program for all workers at RETSD. The best practices apply to all RETSD worksites.

 

 

RESPONSIBILITY

 

RETSD

 

RETSD is obligated and responsible for providing adequate AED equipment services at all facilities and workplaces.

 

RETSD is obligated to provide an ongoing care and maintenance program for the AED equipment at all facilities.


RETSD Maintenance is responsible for ensuring the AED program is in place and operational.

 

PROGRAM REQUIREMENTS

 

Semi-Automated External Defibrillators

 

Semi-automated external defibrillators installed in RETSD workplaces meet the following criteria:

 

  • a model approved by Health Canada

  • suitable for use on both an adult and a child

  • capable of recognizing the presence or absence in an individual of ventricular fibrillation and rapid ventricular tachycardia;

  • capable of determining, without intervention by an operator, whether defibrillation is required to be performed on an individual

  • upon determining that defibrillation is required, automatically charge and request delivery of an electrical impulse to an individual's heart

  • upon action by an operator, deliver an appropriate electrical impulse to an individual's heart to effect defibrillation;

  • are equipped with an additional set of adult pads that are stored with the device, intended for use in the event that the first set of pads do not properly work;

  • are equipped with a blinking light, chirping sound or other indicator that activates when immediate maintenance is necessary.

 

Number of defibrillators

 

RETSD ensures that at least one AED unit, properly placed for access is present at each RETSD facility.

 

Additional defibrillators have been placed at each facility according to the, "three-minute rule" to ensure that a member of the public witnessing a victim of cardiac arrest at any location on the premises is able to access a defibrillator and return to the victim in less than three minutes

 

RETSD believes, after having considered the area and layout of the designated premises, that the necessary numbers of defibrillators have been installed.

 

Note:

 

"any location on the premises" does not include:

 

  • outdoor areas of indoor designated premises

  • outbuildings not ordinarily accessed by members of the public

  • a parking lot or parking structure of any type located on the same property as, or adjacent to, the designated premises

  • the layout of the designated premises includes the locations of stairways, elevators and ramps, the number of floors in buildings, accessibility by members of the public to different areas of the premises during regular operating hours and other unique design features; and

 

RETSD may assume that a member of the public has a walking speed of 100 meters/min.

 

Installation of Defibrillators

 

RETSD has installed each defibrillator in a manner that ensures easy public access, and that at a minimum meets the following criteria:

 

  • readily visible

  • located on or near common paths of travel

  • free from blockage by equipment or stored materials

  • protected as much as reasonably possible, from potential environmental damage

 

Posting of Signs

 

RETSD has posted continuously display signs about the location of the defibrillators:

 

  • at the main entrance, or at each of the main entrances if more than one, of each building or structure on the premises in which a defibrillator is installed

  • adjacent to each defibrillator, perpendicular to the wall so that the sign can be seen by a person walking in either direction parallel to the wall on which the sign is posted

  • at each other location to ensure that members of the public will be made aware of the location of the defibrillator or defibrillators

 

RETSD has ensured that posted signs contain a graphic symbol depicting a heart containing a lightning bolt, and contain:

 

  • the words "Automated External Defibrillator" or the acronym "AED",

  • the French equivalent of the words or acronym "AED" or

  • both English and French words or acronyms "AED"

 

Signs must also be adjacent to a second sign containing wording, graphics or both — that directs a person to the location of the nearest defibrillator; and  must be of a size that makes it clearly discernible to persons to whom it is directed.

 

Signs must utilize contrasting colours so that each element of the sign is clearly discernible to persons to whom it is directed. If the sign is to be affixed to glass or other transparent material it may have a transparent background, so long as each element of the sign is clearly discernible.

 

Registration, Moving and Removal of Defibrillators

 

RETSD has registered all installed defibrillators by:

 

  • providing  the registrar, in writing, with all the information that the registrar reasonably requires

  • providing the registrar with sufficient details as to the precise location at the premises where the defibrillator has been installed, such that a member of the public being advised of those details in a telephone conversation could reasonably be expected to locate the defibrillator without undue delay.

 

Moving — or removal of — a defibrillator

 

If RETSD moves a defibrillator installed to another location at the premises, or removes it from the premises, RETSD shall, as soon as practicable but not later than 15 days after moving or removing the defibrillator, give written notice to the registrar that:

  • the defibrillator has been moved to a different location at the premises, including sufficient detail as to its new location sufficient to satisfy the legislated requirements

  • the defibrillator has been removed from the premises, including an explanation of the reason for the removal.

 

Provisions of moving or removal of a defibrillator does not apply when a defibrillator is moved only a short distance from its earlier location at a designated premises, if the details provided for its earlier location would continue to satisfy the requirements in respect of its new location.

 

Maintenance, Inspection and Recordkeeping

 

When a defibrillator installed indicates that immediate maintenance is necessary — by means of a blinking light, chirping sound or other indicator RETSD  shall inspect the defibrillator, and do whatever maintenance or testing is necessary to ensure that the defibrillator remains in proper working condition.

 

Monthly Inspections

 

RETSD shall ensure the inspection of AED's at least once per month, with the following items, at a minimum, being part of the inspection:

 

(a) its placement remains visible and unobstructed;

 

(b) verify that no blinking light, chirping sound or other maintenance indicator is present;

 

(c) the battery or batteries are properly installed, and in good working condition with clean electrodes;

 

(d) no physical damage to the defibrillator is apparent;

 

(e) the defibrillator is clean, with no unusual dirt or contamination apparent;

 

(f) the following supplies are with, or adjacent to, the defibrillator:

 

(i)                  two sets of defibrillator pads, that are not past their expiry date, in sealed packaging,

 

(ii)                 if the particular model of defibrillator requires pediatric defibrillator pads for its effective use on a child, one set of pediatric defibrillator pads, that is not past its expiry date, in sealed packaging,

 

(iii)               pocket mask with one-way valve,

 

(iv)               medical examination gloves,

 

(v)                 absorbent gauze or hand towels,

 

(vi)               scissors suitable for cutting through a patient's clothes,

 

(vii)       a razor suitable for shaving heavy chest hair.

 

Inspection tag

 

Upon completion of an inspection the person who did the inspection must complete an inspection tag, attach it to the defibrillator and take reasonable steps to ensure that it remains attached to the defibrillator for at least 12 months.

 

The following information is to be included on an inspection tag:

 

(a) the location and serial number of the defibrillator;

(b) the registration number of the defibrillator as assigned to it by the registrar;

(c) the date of the inspection;

(d) the name of the person who did the inspection;

(e) the name of, and contact information for, the defibrillator distributor.

 

Monthly inspection record

 

Upon completion of an inspection, the person who did the inspection must also make a monthly inspection record in a form satisfactory to the minister.

 

The following information is to be included in a monthly inspection record:

 

(a)    the location and serial number of the defibrillator;

(b)    the registration number of the defibrillator as assigned to it by the registrar;

(c)    the date of the inspection;

(d)    (d) the name of the person who did the inspection;

(e)    (e) confirmation that all items listed in Schedule D were inspected, and for any items that failed inspection, the corrective action that was taken;

(f)      (f) the name of, and contact information for, the defibrillator distributor. 

 
RETSD shall must maintain a monthly inspection record made under this section, and have it available for inspection, for a period of 12 months after the day it is made.

 

COMMUNICATION

 

A combination of hard-copy postings, distributions and electronic posting will be used to communicate safety and health program information within RETSD.

 

TRAINING

 

All stakeholders shall be trained to their required level of involvement in the WSHMS to become familiar with its structure, organization, and how to look up and access information both electronically and in hard copy form through:

 

  • New employee orientation, employee manuals or employment information packages

 

  • Return to work or remedial programs, as required on an individual basis

 

  • Planned ongoing training through team meetings, individual coaching or other methods as developed or adopted

 

IMPLEMENTATION AND MONITORING

 

Ultimately, the superintendent shall be responsible for the sustainability of the WSHMS, and shall enforce compliance to standards at a divisional level.

 

Workplace safety and health management system compliance shall be managed through the application of performance management and progressive discipline policies and procedures.

 

Worker failure to comply with provisions of the RETSD safety program may lead to discipline, up to and including discharge from employment and / or other remedies available at law.


REFERENCES


Manitoba Workplace Safety and Health Act or equivalent legislation as applicable

 

Manitoba Workplace Safety and Health Regulation or equivalent legislation as applicable

 

Manitoba Workplace Safety and Health Regulation Part 05 – First Aid

 

Manitoba Workplace Safety and Health Program Element 02 – Identifying and Controlling Hazards


The Defibrillator Public Access Act - Manitoba

 

All other associated and applicable workplace safety and health management system documents