AED Defibrillator Protocol Guidelines
Defibrillator Application Guidelines
(For a response protocol and flow chart and a complete guide to an early defibrillation program, dowload the AED Policies and Procedures below.)
Once the defibrillator is turned on and the pads applied to the patient, the ERT or Early Defibrillation Response Team member shall not remove the pads or turn off the device unless prompted by the device itself or directed by a higher medical authority. In all cases, the Team member shall continue to assess the patient’s airway, breathing, and circulation and provide CPR as indicated.
AED Application Criteria
The defibrillator shall be applied only to patients who are unresponsive and not breathing.
Defibrillation shocks are to be delivered only in accordance with the early defibrillation response protocol. If the device advises no shocks, the ERT or Early Defibrillation Response Team responder follows the approved protocols for patient care and CPR.
Wet Environments and Metal Surfaces
The defibrillator can be used in fresh and saltwater environments and on metal surfaces that are wet or dry. Always follow all defibrillator recommended safety precautions.
Excessive Chest Hair
If required for proper defibrillation pad adhesion, any excess hair on the patient’s chest is shaved with a prep razor supplied in the accessory kit. A smooth shave is not required.
Using a gloved hand, remove any medication patches, if present, from the patient’s chest prior to pad placement and wipe the skin clean with a cloth.
Implantable Pacemakers and Defibrillators
If the patient has an implantable pacemaker or internal defibrillator, do not place the defibrillation pads directly over the implanted device. If the presence of an implanted device affects pad placement, place the defibrillation pad as close to the recommended pad placement as possible.
AED Abuse or Vandalism
No abuse or vandalism of the defibrillator is to be tolerated. If abuse or vandalism is suspected, it is to be reported to the Early Defibrillation Program Coordinator immediately so that the defibrillator can be evaluated for proper operation.