08.24.2011

 

PublicAccessDefibrillation

  • Filing in Westchester

    • Forms, Sample Policies & AED Use Report Forms
       

  • Helpful links

    • FDA (for AED product safety & recall info)

    • NYS Education Department (Public School Info)

    • Suggestions for PAD program setup / training

 

 

 

 

 

 BACKGROUND

Studies have shown that victims of sudden cardiac arrest have a greater chance for survival if there is early access to: 

 

  • 911

  • Cardiopulmonary Resuscitation

  • Defibrillation

  • Advanced Cardiac Life Support 

 

Called the "Chain of Survival", these four items can be the deciding factors between life and death.  

 

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NEW YORK STATE LAW

 

New York State Law was amended in 1998 authorizing Public Access Defibrillation (PAD).  The PAD legislation is designed to encourage greater acquisition, deployment and use of automatic external defibrillators (AED) in communities around the state in an effort to reduce the numbers of deaths associated with sudden cardiac arrest:

NYS Public Health Law

To be authorized to use an AED under this statute, an individual or organization needs to make specific notification of intent to the appropriate Regional EMS Council (ie. the Westchester Regional EMS Council), who will then send the notification to the New York State Department of Health (NYS DOH).

Entities providing PAD must also participate in the Regional quality assurance/quality  improvement (QA/QI) program and provide data to the REMSCO office upon the use of an AED:

 

 

NYSDOH Policy & Memorandum

Since the passage of the PAD law in 1998, the designated oversight agency, the New York State Department of Health (NYSDOH), and its supporting advisory bodies, have created regulations and policies as well as issuing position statements regarding the implementation of PAD and the use of AEDs in a "public" setting:

NYS DOH EMS Bureau Policies -  (links to NYS DOH)

State Emergency Medical Advisory Committee (SEMAC)

NYS DOH Memos

 

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Mandated Entities

Some organizations / locations have been mandated by state law or regulation to participate in the PAD program:

  • Public Schools ( 1 of the Education Law)
    In 2003, all public school districts and charter schools became mandated by NYS Education Law to provide AEDs at their locations in accordance with the PAD program.

NOTE: ALL PUBLIC AND CHARTER SCHOOLS SHOULD VISIT THE NYS EDUCATION DEPARTMENT (NYSED) WEBSITE FOR SCHOOL PAD PROGRAM REQUIREMENTS SPECIFICALLY OUTLINED IN NYS EDUCATION LAW.

  • Health Clubs (General Business Law 627-A)
    NYS General Business Law requires that any health club with a membership of 500 or more provide AEDs at their locations in accordance with the PAD program.

NOTE: The NYS Attorney General released a report in September 2006 which revealed that many health clubs were not in compliance with this law.  GO TO the NYS OAG's website for the complete report.

  • Public Buildings (Title 9 of Executive Law Subtitle G 303.1)
    In 2005,  NYS Public Buildings Law was amended to require public institutions and buildings of the  state  to  equip  each  such  building  with an AED.  This must be done in accordance with the PAD program.
     

  • Places of Public Assembly (PHL 225-5(b))
    In 2006, a law was enacted requiring an AED in certain places of public assembly:

  • It affects places with an occupancy capacity of at least 1,000 people (i.e.  theaters, stadiums, ballparks, gymnasiums, field houses, arenas, civic  centers, concert halls, recital halls, indoor and outdoor amphitheatres or other auditoriums used for the presentation of musical renditions or concerts)
  • It does not include halls owned by:
    • churches
    • religious organizations
    • granges
    • public associations
    • free libraries (as defined in the education law)
  • It specifically does not override local municipalities from continuing to implement and enforce local laws or regulations related to the placement of AEDs in places of public assembly (a village/town/county could make more locations with less capacity comply as well)
  • It REQUIRES that at least one employee be present at all times who is able to operate an AED
  • Public Surf Beaches with Lifeguards (PHL 225-5(c))
    In 2008, Public Health Law was amended to require public surf beaches requiring life guards to also be equipped with AEDs in accordance with the PAD program.

  • Local Municipal Requirements
    Some municipalities have enacted additional requirements for certain organizations or locations.  For instance, in Westchester County, the Town of Greenburgh requires all nursing home and adult care facilities to have AEDs on their premises.  In the County of Suffolk, all health clubs, regardless of size, are required to have AEDs at their facilities.  It is advised that organizations that service a specialty group category, ie recreation/sports, elder care, special needs populations, etc., should contact their local municipality to ensure that additional requirements are not enforced in your area.

 

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FILING IN WESTCHESTER

See the section above for copies of NYS law and policy regarding PAD.  The forms necessary to complete the notification/registration process are posted below. 

 

Entities filing for PAD in the Westchester Region should mail their materials with original signatures to:

Westchester Regional  EMS Council
4 Dana Rd.
Valhalla, NY 10595
ATTN: P.A.D.

 

NOTE: FACSIMILES AND COPIES WILL NOT BE ACCEPTED.

Questions regarding PAD? Send an email to admin@wremsco.org   o contact the Westchester Regional EMS Office at  914-231-1616

 

Applications:

Sample Policies/Protocols:

 

AED Use Reports:

After an entity has filed its PAD Program notification, anytime an AED is used a report must be made to the Regional EMS Office.

 

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HELPFUL LINKS

US Food & Drug Administration
Automatic External Defibrillators (AED)s are medical devices that are regulated by the US FDA. Information regarding the approval of and adverse reports related to these devices can be found under the following links:

 

NYS  Education Department (SED)
AED information for public and charter school programs in New York State.

 

 

 

General Program Setup Info:

Sudden Cardiac Arrest Association (SCAA)

 

 

 

Sudden Cardiac Arrest Foundation (SCA)

American Safety and Health Institute

American Heart Association - CPR & AED Information

 

American Heart Association

American Red Cross - CPR & AED Information

American Red Cross

 

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