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Can the AHA recommendations for a PAD program be effectively implemented nationwide using a combination of personalized medical supervision and extensive AED program software and database support?

Odelia Braun
Emergency University, Emerald Hills, CA, USA

Background: The authors were tasked to implement an organization-wide AED program for 48,000 employees across 1085 facilities nationwide over 3 years. 160 facilities with 37,040 employees were initially targeted. Each facility's objective was to meet the AHA recommendations for a lay rescuer PAD program, including ongoing medical supervision, a well developed plan and practiced response, link to Emergency Services, ongoing CPR/AED Training, and an AED maintenance and data driven Quality Improvement program.

Methods: Software programs, interactive multimedia programs and webinars were developed to facilitate AED Program implementation and training. An AED program management database tracked the development of response plans, AED installation, Emergency Services registration, maintenance records, pads and battery expirations, training, testing and certification and drills. Weekly database- generated quality improvement reports informed implementation progress. After 15 months, evaluations were distributed to participating facilities.

Ongoing Medical Supervision

Ongoing Medical Supervision:

  • Medical authorization and prescription
  • Development of organizational AED policies, emergency response plans and AED protocols
  • Legislative and regulatory comp liance
  • Mentoring local PAD coordinators (webinars, personal support)
  • Establish program to educate general workforce (posters, First Card handouts)
Ongoing CPR/AED Training

Ongoing CPR/AED Training:

  • Initial blended CPR/AED training
  • Semi-annual online training review
  • Annual AED responder classes
  • Biannual CPR/AED recertification
  • Learning Management system to track training and certification of AED responders

Emergency Services Registration

Link to Emergency Services:

  • Register AED as required
  • Provide notification to local Emergency Services of new AEDs in service

Monitored AED Maintenance

Monitored AED Maintenance:

  • User friendly monthly email notification and maintenance process
  • Non-compliance follow up provided via personal communications
  • Hierarchical system response for non-compliance
  • User friendly notification system for problems with AED
  • Database tracking for resupplying parts

Planned and Practiced Response

Planned and Practiced Response:

  • Annual AED Responder Classes
  • To bridge the gap between the classroom and a real life emergency
  • Provide training kits for locally planned drills and scenarios

Data Driven QI Program

Data Driven QI Program:

  • Weekly reports tracking AED shipping, registration, parts and maintenance
  • Monthly reports tracking training, classes, certification
  • Monthly report of problems incurred
  • Review all uses of the AED
  • Update Emergency Response Plans and AED Protocols annually

Results: In the first phase, 869 AEDs were installed and registered with Emergency Services. 97% of facility PAD program coordinators attended orientation webinars and completed an electronic site survey resulting in optimal AED placement and the development of a facility-specific emergency response plan. 100% of facilities had active medical supervision. 100% of AEDs were properly maintained. 6781 employees completed CPR/AED training. Ongoing drill based AED responder classes were initiated. 80% of facilities trained at least 15% of their workforce. 50% of facilities completed evaluations and rated the program "extremely favorable". 100% of facilities with AEDs met the AHA guidelines for a lay rescuer PAD program.

Conclusions: AED program management and training software programs provided the time and resources necessary to allow medical personnel to develop personal relationships with facility PAD coordinators. This cooperative relationship resulted in a meaningful team-based emergency response plan and the facility's willingness to meet ongoing AED Program requirements. Facility PAD coordinators responded favorably to the implementation methods which contributed significantly to the program's success.

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