Automated external defibrillators, or AEDs, are computerized medical devices that can be used during sudden cardiac arrest (SCA). When SCA is due to ventricular fibrillation the lower pumping chambers in the heart begin beating erratically and out of rhythm. Normal beating can sometimes be returned by “defibrillation,” delivering an electrical shock to the heart. The sooner defibrillation (the shock), is delivered, the greater the chance of survival.
AEDs have been designed to make resuscitation easier for lay people, even those with no medical training, to perform. An AED can check a person’s heart rhythm. It can recognize a rhythm that requires a shock and it can advise the rescuer when a shock is needed. The AED uses voice prompts, lights and text messages to tell the rescuer the steps to take during application. AEDs should be used by people who are trained in their operation. They are safe to use and are 100% accurate in evaluating the heart rhythm and determining whether a shock should be applied. Having an AED close at hand can make it possible for anyone trained in their use, including non- medical personnel, to treat a heart attack victim and increase their chances of survival.
Several UW-Madison campus buildings have AEDs. By locating a Building Evacuation Route sign in the building, there will be notation on the sign that indicates the location of the AED (red heart symbol with the AED letters). If there is an AED in the building but not located on the floor, there will be notation in the signage that indicates the room where an AED is located. NOTE: Not all buildings have an AED. If no AED is noted on the Building Evacuation Route sign, then an AED is not available in the building. Immediately call 911 (UWPD) to obtain emergency assistance.
The content of this policy is applicable to all UW-Madison locations except the UW Hospital and Clinics and applies to work units with AED units already in place and work units considering purchasing them. This policy does not apply to AEDs within healthcare facilities that are not designated as public access.
This policy is not intended to cover all situations in which the University employs or uses personnel with specific education, certification and/or licensure to deliver emergency care. Personnel such as EMT's, UWPD, EMT- Paramedics, Registered Nurses, other Health Care Professionals (including certified athletic trainers) may have an AED that they have been authorized to use by virtue of their specific training or medical protocols, and may have other reporting requirements mandated by regulations or statutes.
The purchase, placement, use and maintenance of AEDs at the University of Wisconsin-Madison shall conform to the requirements established in this policy. No work unit is permitted to purchase or install a public access AED without approval by the process established herein.
The appropriate procedures for a department or work unit to place an AED unit in a building, department or vehicle are:
Placement criteria for AEDs at UW-Madison are established by the Environment, Health & Safety Department using the information listed below. In general, funding for AEDs including installation and signage will be the responsibility of the department or work unit.
Departments and work units are encouraged to contact EH&S to obtain more specific information on AEDs as applicable to their operations.
The selection of manufacturer and model of AED will be based on standardization of units by campus location whenever possible. EH&S in consultation with UW University Health Services, will specify an appropriate model for consistency. However, the department or work unit will be responsible to purchase the AED model.
UW-Madison Criteria for AED Placement:
Facilities or activities determined to be of the highest risk for requiring an AED
Facilities or activities which meet at least one of the following:
Facilities or activities that meet all of the following:
Facilities or activities determined to be of moderate risk for requiring an AED
Facilities that meet two of the following:
Non-UW-Madison Campus Criteria for AED Placement
Special consideration is needed to account for variations in size, layout and types of activities. The general criteria for placement are that an AED should be located at the nurse/health center, police operations, or at (a) central location(s). Fitness facilities must also have an AED if one is not already located nearby.
Continuous equipment maintenance is an important element in ensuring a successful program.
Equipment is maintained through the following processes:
Individuals approved to use AEDs shall be trained in CPR and AED usage. The training shall be based on the American Heart Association or American Red Cross and shall be taught by an authorized instructor. Courses at a minimum must include adult CPR and AED.
FP&M employees have a variety of options for training through an FP&M trainer. Non-FP&M employees should contact the local American Heart Association or American Red Cross chapter for training options. Emergency Medical Service (EMS) medical personnel (i.e., EMT’s, Paramedics, Nurses, Physicians, and PA’s) and certified athletic trainers are exempt from the above training requirements. Work units should contact EH&S to determine the appropriate number of employees who need to be trained in order to get AED approval. In general, two to four employees should be trained for each AED requested.
Note: These items can be readily purchased as intact “kits.”
In order that EH&S may evaluate the effectiveness of UW-Madison’s AED program, it is important that any department or administrative unit using an AED make a report. The administrative unit responsible for the AED should provide Madison Fire Department (MFD) with the following information:
If the AED has internal data storage of use, the work unit is responsible to provide the data or the data card (not the AED) to UWPD immediately following use of the AED.
Noncompliance with Wisconsin State AED Regulations and the American Disabilities Act would result in citations by the State. Failure to maintain AED devices according to manufacturer’s specifications would void warranties. A lack of appropriate training and device inspections could lead to AED performance or failure. Accordingly, installation of AED units implies that they will be properly inspected and maintained. Failure to do so puts the institution at risk from a liability and insurance perspective.
2007 Wisconsin Act 104 (Senate Bill 142)
Senate Bill 142 requires many occupations within Wisconsin to successfully complete cardiopulmonary resuscitation (CPR) training, and to demonstrate current proficiency in the use of an automatic external defibrillator (AED). This requirement applies to employees of day care centers, shelter care facilities, residential care facilities, medical transport drivers, fitness centers, lifeguards and many others.
This policy provides procedures for the selection, placement, purchase and maintenance of AEDs in all University facilities and vehicles.
The use of an AED is one step in the process of improving survival rates for victims of sudden cardiac arrest. According to the American Red Cross, each year in the United States over 250,000 people die of sudden cardiac arrest before reaching a hospital. A person’s chance of survival can be increased by establishing a Chain of Survival system that includes early recognition (calling 911), early cardiopulmonary resuscitation (CPR), early defibrillation, and access to advanced cardiac life support by emergency medical services (EMS) and medical facilities.
2009 Wisconsin Assembly Bill 725
Beginning in the 2010−11 school year, each school board operating high school grades, the operator of each charter school established under s. 118.40 (2r) that operates high school grades, and the governing body of each private school that operates high school grades shall offer instruction in cardiopulmonary resuscitation, cardiocerebral resuscitation, and the use of an AED to pupils enrolled in the high school grades in the school district, charter school, or private school.
2008 Wisconsin Statues Chapter 146
Wisconsin Statutes, Section 50.36(5) Instructions and Proficiency in the Use of AED (April 24, 2009), Wisconsin Department of Health Services. Effective date September 1, 2008, established standards for the use of AEDs in hospitals.
Wisconsin Statutes Chapter 146
An ACT to create 118.076 of the statutes; relating to providing instruction in cardiopulmonary resuscitation, cardiocerebral resuscitation, and the use of an automated external defibrillator to high school pupils. This bill requires operators of high school grades, including school boards, operators of independent charter schools, and the governing bodies of private schools, to offer enrolled high school students instruction in cardiopulmonary and cardiocerebral resuscitation and the use of an AED. The instruction must be based on an instructional program established by the American Red Cross or the American Heart Association or other nationally recognized evidence−based guidelines.
2006 Wisconsin Senate Bill 186
Senate Bill 186 extends immunity protection for users, owners, and providers of AEDs for acts or omissions in rendering emergency care in good faith.
2000 Wisconsin Assembly Bill 521
Redefines the term first responder, and establishes criteria for the certification and recertification of first responders.
1999 Wisconsin Assembly Bill 239
Provides immunity protection and establishes guidelines for AED use.
A person who provides an automatic defibrillator or a semiautomatic defibrillator shall provide written notification to the nearest emergency medical services program. The nearest EMS program is the Madison Fire Department.
Must ensure that the automatic defibrillator or semiautomatic defibrillator is maintained and tested in accordance with any operational guidelines of the manufacturer.
Rescuer, Purchaser, Property Owner, Trainer
The person who in good faith renders emergency care by use of an AED to an individual who appears to be in cardiac arrest is immune from civil liability for the acts or omissions resulting from the use of the AED as long as the act or omission does not constitute gross negligence.
The owner of the AED is immune from civil liability for the acts or omissions of a person rendering emergency care by use of an AED as long as the act or omission does not constitute gross negligence.
Any person who provides training in the use of an AED to the person who renders care is immune from civil liability for the acts or omissions of the person rendering emergency care as long as the act or omission does not constitute gross negligence.
The person who provides the AED for use is immune from civil liability for the acts or omissions of a person who in good faith renders emergency care by use of an AED to an individual who appears to be in cardiac arrest, if the person who provides the AED ensures that the AED is maintained and tested in accordance with any operational guidelines of the manufacturer and if the act or omission resulting from the use or provision for use of the AED does not constitutes gross negligence.