You are implementing a project involving medical equipment which is designed to save a life, if used correctly. Most Ambulance services will insist on proof of some form of Governance to ensure that the equipment is maintained correctly; is ready for action 99.99% of the time; meets the various liability and other requirements; and will protect the end users.

 

Defibrillator

Is this a make of defibrillator that can be supported by the local ambulance service, or their agents? The reason for this is to be able to download clinical data after the rescue in order to complete the duty of care.

 

Cabinet

Does your cabinet, or other storage facility, meet Health and Safety requirements? Does it meet disability requirements? Does it meet other requirements for public use? Does it carry the internationally recognised defibrillator symbology? Is the storage water and dirt resistant in its end user state (ie in its place of use) – thus it must be IP65 and certified. Have you appropriate mechanisms to direct rescuers to the defibrillator site? Is it highly visible (ie Hi Visibility colour and location)? Are all components serial numbered in case of a Coroner enquiry? Is it compliant to BS standards? Is it IP certified (in its end user state)?

 

Data Protection

In a community or office situation, your defib will hold clinical data that can be identified to the patient. What process have you in place for data protection, or to meet Caldecott protocols? How will you transfer this data to the hospital to fulfill your ‘duty of care’ and yet remain data compliant?

 

Records

Have you a regular checking and management system in place that is Ambulance service agreed (eg WebNos™)? Ie can the Service see the records at any time to ensure them that the defibrillator is ready for use, and available in a rescue? Failure to have this in place may mean that it cannot be activated by the ambulance service. Does this meet Dept. Health, MHRA and RC(UK) guidance? Do you have full and comprehensive records of the defibrillator and its storage solution, where all work; maintenance; supplies and servicing is stored and available on request? This must include initial fitting of the defibrillator cabinet; records of any electrical work; safety requirements; confirmation it has been registered; and who are the staff responsible to manage the equipment, with their contact details. Can this system supply regular reports? This is stored onto the WebNos system if a CHT project.

 

Access

If a locked cabinet, do the key codes match the local ambulance service requirements for standardisation? Are the locks used marine grade Stainless Steel to reduce possibility of jamming? Is the cabinet ISO9002 manufactured?  What is the activation protocol for the defibrillator? Is this recorded and process agreed with all stakeholders? Is there a mechanism in place to notify the scheme coordinators that the defibrillator has been used? What ‘downtime’ has been agreed before re-commissioning? Do you have an Memorandum of Understanding (MoU) in place with the local ambulance service? Is your site ‘accredited’?

 

Post Rescue

What protocols do you have in place to not only re-commission the defibrillator, but also to let all stakeholders know the defibrillator is ready for action again? Do you have counseling available?

Recommissioning checklist :

  • Replacement electrodes?
  • Defibrillator cleaning/sterilisation?
  • Replacement ready/rescue kits?
  • Tested and operational?
  • Returned to cabinet?
  • Cabinet tested to make sure it is functional?
  • Ambulance service notified? Confirmation?
 

Disability

Is the cabinet disability compliant? Do you have evidence that the cabinet used has been mounted in accordance with the requirements for Health and Safety and also meeting disability legislation? ie no more than 1.3m from ground. Are the fixing bolts strong enough so that someone can climb on, or hang from, the storage cabinet and not pull from the wall? Has it been installed to electrical safety standards? Is this documented? Have you agreements in place for electricity and hosting?

 

Ambulance Services

Have you registered this site and all the required information concerning this with your local ambulance service (CHT will do this automatically with partner communities)? Have you confirmatory evidence this has been registered and available for activation in an emergency? (Registration on web based mapping sites is NOT registering it to be available in an emergency). What mechanism have you in place to amend the details when they change? How do you address the ‘lone rescuer’?

 

Community awareness

Have you undertaken community awareness programmes so that your community is fully aware of the defibrillator, why it has been positioned in the community, how to activate in an emergency, who is responsible for this, and how to undertake basic CPR and use the defibrillator? Is this a ‘standard’ course or one that reflects your community? Evidence should be provided by the community, and a record kept, of a public awareness session/training for as many people as possible in the community. Did you know – the chance of a cardiac arrest in a village primary school in under 8 years old, is around 1 event in every 3000 years.

 

Replacement equipment

What mechanism do you have in place to replace the equipment if a fault occurs, or if the equipment is stolen or damaged, or taken by the ambulance crews? How do you plan to get this back? Have you planned for replacement equipment in 10 years time? Are you insured for both theft/damage and also Public Liability? Do you have a servicing contract in place? (CHT has servicing contracts available). Does this just cover the defibrillator, or your entire project? 

 

Do it right and save a life

 

Disclaimer

Please make sure you have read and understood this disclaimer - It will be assumed that you have read prior to CHT receiving any request. CHT are not responsible for your fund raising, nor your cPAD operations, but may assist in both. CHTs only aim is to support the installation of a cPAD scheme in the most cost effective way possible adhering to Best Practice, and help save lives in your community. This website, and any downloaded information, is for information only on how to go about obtaining and installing a cPAD, and other relevant information. All copyrights and trademarks are recognised. All support for the cPAD will be undertaken by the village committee responsible and via standard manufacturers warranties. Any training organisation will only be responsible for the initial awareness training and not for the functioning or maintenance of the AED. Please do not send any monies to CHT until you have registered your scheme with us, and have agreement from the local ambulance service for the establishment of a cPAD scheme. All schemes must be registered with the local ambulance service (CHT will also undertake this or you can do via this site, but this does not remove responsibility for you to notify the local ambulance service of your AED location). 999/112 (ambulance) must always be called prior to using a cPAD equipment. VAT may be applicable if your organisation is not an eligible body as defined by HMRC. All current or historical claims for VAT will be met by the local community. All schemes will be asked to sign an agreement taking responsibility for their own fund raising and donations to CHT, and then the operation and maintenance of the cPAD equipment. All CHT provided schemes will need to manage their maintenance through the WebNoS online system as a condition of CHT support. It is your responsibility to maintain the equipment in working order and to make sure the local ambulance service is aware of this. WebNoS makes this possible and also acts as an audit trail for management of the equipment. Sites provided by CHT and not using WebNoS may be disengaged from the ambulance service CAD systems. Any web site showing defibrillator locations is for information only, and should not be used in preference to dialling 999. CHT works in close cooperation with the UK ambulance services. Always dial 999 in an emergency

Registered Charity Number - 1132824