Automated External Defibrillators
The University of North Carolina at Chapel Hill and its Department of Environment, Health and Safety (EHS) are committed to the health and safety of its students, faculty, staff and visitors. Due to technological improvements and lower costs, automated external defibrillators (AEDs) may now be safely acquired, installed and used by University departments to save victims of sudden cardiac arrest. An AED is used to urgently diagnose and treat ventricular fibrillation. An AED is attached to a victim’s chest to assess the heart’s rhythm. If appropriate, the device will recommend that a shock be delivered to resume a safe rhythm for the victim’s heart. When delivered, a metered electrical charge restores the heart’s functionality and often saves the victim’s life.
AEDs are most successful when their first shock is delivered within three to four minutes of sudden cardiac arrest onset. Thus, it is important that AEDs are installed where they are most likely to be needed – and in highly visible, easily accessible locations – so that trained personnel can find and access them in a timely manner. Because of their ease of use and built-in safeguards, untrained bystanders have successfully used an AED, but they are intended for use by trained personnel. AED training offered by the American Red Cross and the American Heart Association includes recognition of cardiac arrest symptoms, cardiopulmonary resuscitation (CPR) and the proper use of an automated external defibrillator. Because they are highly effective, AEDs are becoming more widespread.
AEDs installed on campus must be safely maintained and used, and proper training and access to installed AEDs should be promoted. University departments and other administrative units may choose to acquire an AED. Departments that acquire an AED must designate a responsible person, whose duties are described below.
- The person or entity that provides the cardiopulmonary resuscitation and AED training to a person using an AED.
- The person or entity responsible for the site where the AED is located when the unit has provided for a program of training.
Thus, if a University administrative unit acquires and maintains an AED, the University is exempt from civil liability related to the use of the device to save a life. In addition, North Carolina General Statute Section 90-21.14 provides that the person who uses an AED to attempt to save or to save a life shall be immune from civil liability unless the person was grossly negligent or intentionally engaged in wrongdoing when rendering the treatment.
- Designate a person who is responsible for management of the AED (i.e., departmental responsible person).
- Ensure that inspections and maintenance is conducted in a timely manner and in accordance with written user and service manuals provided by the manufacturer.
- AED Owners are responsible for the purchase of batteries and other supplies.
- AED Owners are responsible for changing batteries, when indicated.
- Providing or arranging for training and refresher training in AED use for their staff.
- Notify EHS of any AED installations.
- Allow easy access to the AED by students, faculty, staff and visitors who are in the vicinity.
- Maintain on-site records, inspections, training, and other supporting documentation.
- In the event of use, the AED can go with the patient to the hospital, and the device is returned to the site with consumable supplies replenished by the site.
- Guidelines for use.
- Manufacturer’s instructions.
- Written self-inspection records.
- Training records, including a description of the training program.
- The identity of the department’s responsible person.
- Maintain a list of AEDs on campus as well as their locations. This list will also be provided to the University’s 911 Center. As required, EHS will also submit Public Access Defibrillators to the University’s annual AED report to the North Carolina Office of Emergency Medical Services, and Orange County Emergency Management.
- Encourage the responsible person and the building Emergency Coordinator to promote easy access and training for staff.