First Aid / Defibrillator

 Automated External Defibrillators

Code of Practice

Effective from 03 April 2017

Version Number: 1.0

1.0      Purpose

The purpose of this code of practice is to support the Turnhouse Golf Club’s First Aid Policy to ensure that all trained First Aid employees are aware of the requirements relating to the use of Automated External Defibrillators (known as AEDs) at locations listed in Appendix 7.1.

Other members of the University may also be called upon to act in an emergency and so additional awareness training is provided (although this will not be a mandatory requirement, it is likely that many will want this knowledge and information to gain familiarisation and confidence in the use of the AEDs).

 2.0      Scope

This code of practice covers:

·      the training/familiarisation of First Aiders and non-first aid trained members of the Golf Club

·      the emergency response procedure for using AEDs

·      maintenance and testing of the AEDs

 Other related issues such as security and building access are also covered.

 2.1     Definitions

 AED – Automated External Defibrillator; a machine that delivers a controlled electric shock to the heart when someone’s heart is fibrillating.

 Fibrillation – muscular twitching of the heart muscle involving individual muscle fibres acting without coordination resulting in low or no heart output and collapse.

 Defibrillation – stopping the heart muscle fibrillating by administering a controlled electric shock in conjunction with repeated quality CPR (cardiopulmonary resuscitation) cycles in order to allow restoration of a normal rhythm.

 3.0      Code of Practice Statements

AEDs are lightweight devices that are relatively easy to operate and are intended for use in emergency situations when a casualty has a serious cardiac rhythm disturbance causing unconsciousness, such as heart attack.

 An AED acts to restart or correct the heart by applying an electric shock to the chest. It detects the electrical activity of the heart and gives automated instructions to the operator on what to do. The automatic diagnostic sequence ensures that they will only operate under appropriate circumstances thus preventing their incorrect use. The quicker lifesaving first aid and a defibrillator are used on a casualty, the better the outlook for survival.

 The location of the AEDs has been based on providing an AED to a person within a 4 minute timeframe.

Based on the average walking speed of an average human being 5 km per hour (www.mcofs.org.uk); this would equate to a maximum travel distance of approx. 400m.

 3.1     Clubhouse provision of AEDs

Any AED within the Clubhouse held specifically to deal with a risk identified in a risk assessment (for example a clinical environment, sports) does not form part of this code as they are not available for public use.

 3.2     AED Access and Location

The AEDs is kept in a carry case, and is wall-mounted, positioned prominently in the entrance by the Professional Shop.

For this location, the access hours for the building are provided in Appendix 7.1. Management will seek to keep information on locations of AEDs and building access information up to date and will share relevant information with Lothian and Borders Ambulance Service.

The protocols used in ambulance control rooms aim to maximise the contribution that those present at the scene of an emergency can make before the ambulance arrives. The call takers will encourage people at the scene to give CPR and to use an AED if available.

 3.3     Cardiac Arrest Emergency Procedure

The following sequence applies to the use of AEDs in a casualty who is found to be unconscious and not breathing normally;

·    Check for and remove the person from any danger, if safe to do so (the Rescuer must NOT put themselves in danger or at risk),

·    Check for response, check for breathing, shout or call for help providing accurate details of the exact location. Access and bring the nearest AED to the scene, open the lid of the AED and follow the instructions provided (these will be in voice and text formats).

·    If more than one person makes themselves available to act in a rescue, then the above protocols should still be followed except that one person remains with the casualty and commences CPR. When the electrodes are adhered to the casualty’s bare chest, the AED will assess the casualty, checking the rhythm of their heart. Ensure that nobody touches the casualty while the AED is analysing the rhythm.

·    If a shock is indicated ensure that nobody touches the casualty.

·    The Rescuer should then follow the instructions provided (in voice and text formats) by the AED and continue to do so until professional medical assistance arrives at the scene and assumes responsibility for the casualty.

·    If the casualty does not need to be defibrillated, the AED will not allow a shock to be administered.

·    The Rescuer should continue to administer CPR if the patient remains unconscious and is not breathing until professional help arrives.

 3.4     Following an incident

If the AED is applied to a casualty at an incident, once they have left for hospital the following should apply;

·         Dispose of used pads and replace with the spare set in the carry case. Place the unit back into the designated storage area.

·         The accident book, which is held at the Bar should be completed as soon as possible.

 3.5     Post Incident Support Counselling

Professional support, including counselling, is available for any member of the staff who may be affected by involvement in a cardiac arrest emergency.

 3.6     Maintenance of AEDs

The AEDs need to be checked on a regular basis. This duty will generally be assigned to the building manager or other suitable person. The checks are to ensure the equipment is in the correct location, is secure, that the equipment display is indicating it is ready for use and that the accessories in the case are all present and correct. A record of the checks is maintained on a specific form. Should any of the above not be in place, the person is to report the situation immediately to Security.

The AEDs have the facility to highlight when the batteries are running low or there are other problems. There is therefore no routine replacement of batteries or pads required, however, as a proactive measure the schedule of replacement batteries and pads can be found in Appendix 7.1.

 4.0      Code of Practice Monitoring and Performance

The systems implemented for maintaining the defibrillators will be monitored as part of the building health and safety inspections.

5.0   Training and Support

The AEDs installed by the Club are suitable for any person to use. At every stage, the equipment talks to the user, instructing them in what to do. Whilst many First Aiders will also receive additional Adult Basic Life Support training in the use of the AEDs this is not a pre-requisite and other opportunities are available to promote the wider familiarisation of member of the University in the use of AEDs.

 6.1     Basic Life Support Training

First Aiders will receive training on the use of AEDs in addition to the First Aid at Work training. This training is called Adult Basic Life Support and should be refreshed annually.

In addition to the First Aiders, where it is identified that non-first aid members of the Club would benefit from Adult Basic Life Support training e.g. helpdesk staff, this will be offered on a voluntary basis.

 6.2     Familiarisation training

Familiarisation training will be made available to First Aiders and non-first aid members of the Club. Whilst training is not considered necessary due to the simplicity of the devices these sessions are offered to promote familiarity and confidence in their use.

 6.3     On-line training film

https://life-saver.org.uk/

LIFESAVER is an interactive crisis simulator that can be used on a computer, smartphone or tablet. Users are able to interact with a live action film and learn CPR skills by doing and the realistic stressful situations make the learning memorable. By using correct CPR technique participants can help to ‘save a life’. LIFESAVER also provides an opportunity to hear expert advice on CPR and real life accounts of cardiac arrest.

As with any training film, in isolation it provides only the fundamentals and, therefore, it is strongly recommended that members of the Club attend a familiarisation training session and take note of the information contained within this document relating to Golf Club arrangements. The film can provide a useful refresher for those already familiar.

 6.4     Refresher training

It is recommended that staff regularly refresh their skills and a suggested refresher frequency is annual. This may be via any of the options above.

Please note: whilst training in the use of the equipment is optimal, it is not a requirement that users must have received any training to operate an AED.

 7.0  Appendices

7.1     AED Information – table

 

Appendix 7.1 – AED Information – table

Building

Location of AED

Make:

Maintained by:

Accessibility

Replacement of batteries

Replacement of pads

Clubhouse

Entrance to male locker room

 

Management

Accessible

7am – 10.30pm

5 years from date of installation (DOI)  

Prior to expiry on pads