New York State Department of Health

Public Access Defibrillation

Rules and Regulations

(From the New York State Department of Health Website)

New York State Department of Health

Public Access Defibrillation Rules and Regulations

The purpose of this policy is to assist a person, firm, organization or other entity in understanding the notification process for operating an automated external defibrillator pursuant to a collaborative agreement under the provisions of Chapter 552 of the Laws of 1998 authorizing Public Access Defibrillation. A Public Access Defibrillation (PAD) program 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.
To be authorized to use an AED under this statute an individual or organization needs to make specific notification of intent to establish a PAD program to the appropriate Regional Emergency Medical Services Council (REMSCO) and the New York State Department of Health (DOH).
There are no approvals or certifications required.

Public Access Defibrillation Program Requirements

Original Notification Process
To be authorized to have a PAD program and utilize an AED, the following steps must be completed:

• Identify a New York State licensed physician or New York State based hospital knowledgeable and experienced in emergency cardiac care to serve as Emergency Health Care Provider (EHCP) to participate in a collaborative agreement;
• Select an AED that is in compliance with the Article 30, section 3000-B (1)(A). The AED must be programmed to the current Emergency Cardiovascular Care (ECC) Guidelines, capable of defibrillating both adult and pediatric patients. Please check the shaded box on the Notice of Intent to Provide PAD (DOH-4135) if the machine is approved for pediatric use;
• Select and use a DOH approved PAD training course for AED users. The approved programs are listed on the Notice of Intent Form;
• Develop with the EHCP, a written collaborative agreement which shall include, but not be limited to the following items:
  
  • Written practice protocols for the use of the AED;
  • Written policies and procedures which include:
  • Training requirements for AED users;
  • A process for the immediate notification of EMS by calling of 911;
  • A process for identification of the location of the AED units;
  • A process for routine inspection of the AED unit(s) as well as regular maintenance and which meet or exceed manufacturers recommendations;
  • Incident documentation requirements, and
  • Participation in a regionally approved quality improvement program.
• Provide written notice to the 911 and/or the community equivalent ambulance dispatch entity of the availability of AED service at the organization's location,
• File the Notice of Intent to Provide PAD (DOH 4135) and a signed Collaborative Agreement with the appropriate Regional Emergency Medical Services Council (REMSCO), and
• File a new Collaborative Agreement with the REMSCO if the EHCP changes.

COREmedical provides MEDICAL DIRECTION that meets all the above requirements for PAD AEDs under this program and continuously keeps you in compliance with all rules and regulations regarding medical direction.

Reporting a PAD AED Use

In the event that the PAD program uses the AED to defibrillate a person, the program must report the incident to the appropriate REMSCO. The REMSCO may request additional information regarding the incident, but the PAD must report, at a minimum, the following information:

• Provide written notification of AED usage to the REMSCO within 48 hours of the incident;
• The name of the PAD program;
• Location of the incident;
• The date and time of the incident;
• The age and gender of the patient;
• Estimated time from arrest to CPR and the 1st AED shock;
• The number of shocks administered to the patient:
• The name of the EMS agency that responded; and
• The hospital to which the patient was transported.

Should a COREmedical client have an event involving an AED, COREmedical experts will come to your premises with the proper software and cables to help you download your data, fill out the written reports and upload the report to Medical Direction, assuring that you stay in compliance with New York State DOH rules and regulations.

 Signs notifying public of AED location

In July 2007, 3000-b of the New York State Public Health Law, Section 1 - Subdivision 3, was amended by adding paragraph (f) requiring a sign or notice to be posted at the main entrance of a facility or building in which the AED is stored or maintained on a regular basis.
The law is silent as to the specifications of the sign or notice used to communicate the location of the AED(s) within the structure. However, it is expected that the size, type and language(s) of the sign will be easily legible upon entrance to the structure. If there are multiple entrances that could be considered a main entrance then a sign or notice must be placed at each of those entrances.
It is the choice of the Public Access Defibrillation Provider as defined in Article 30 Section 3000-b to determine if multiple languages are necessary and where the sign or notice will be posted. The sign can be posted inside the entrance of the building, in a foyer or another location as appropriate.
COREmedical personnel are extremely knowledgeable in the size, placement and other factors that effect signage compliance.  Contact us now at (917) 670-8330.

COREmedical Tracking can keep your pads and batteries from ever going beyone the expiration period.  Let us track your expiration dates, then contact you and make sure you get the right products at the right time to keep you in compliance.

Contact CORE at (917) 670-8330 to set up an appointment to review your needs for these requirements.