Chapter 3: Emergency Planning & Policies Exam 1 Flashcards
Emergency Response Policies & Procedures
-Written policies & procedures should be developed
-Reviewed regularly (rehearsals/mock scenarios performed at least 2x/year)
-Enables basic first-aid & emergency situations quickly & effectively from staff
True or False: Policies & procedure must be relevant to the facility they are developed for
True
Crucial Elements for All Emergency Policies & Procedures
- Incorporate & involve local health care or medical personnel
- Address all potential emergencies that could happen
3.Provide detailed steps & instructions for emergencies - Documentation
- Outline Availability & Maintenance of Emergency Equipment
- Appoint a Coordinator
Safety Audits
-Inspection & evaluation of parts of facility
-Daily inspections visually
-Documented inspections done at least 4x year
-Safety checklists
Exposure to Hazardous Materials
-Occupational Safety and Health Administration (OSHA)
-Fitness facilities are not immune to hazardous materials
What does OSHA stand for?
Occupational Safety and Health Administration
Hazardous Materials Considerations
- Develop written hazard communication plan
- Documentation (list of hazardous materials in facility, labeling, material safety data sheets)
- Storage
- Ensure Training of Staff
- Utilize Signage
- Appoint a Coordinator
Availability of Staff / CPR & AED Training
-At least one staff member on duty should be trained & certified
-Unstaffed Facilities (no staff available to meet recommendation but proved means that CPR & AED can be administered)
Facilities should offer training & certification of first-aid, CPR, & AED to all employees
-Increases # of employees who could provide care in event of emergency
-May also consider offering training to members
Incident Reporting Systems
-Written report should be implemented
-Helps reduce potential liability risks for employees & facility
Incident forms should be…
-Completed by trained employee
-Completed as soon as possible after incident
-Kept on file indefinitely
What is an Automated External Defibrillator (AED)?
-Any device that analyzes cardiac rhythm & enables the delivery of an electric shock when necessary
-Identifies abnormal, life-threatening heart rhythms
Ventricular Tachycardia Contraction Rate
150-250 bpm
Ventricular Fibrillation Contraction Rate
300+ bpm
AED Acts
- Cardiac Arrest Survival Act (increased availability of AEDs in public settings & government owned buildings)
- Community Access to Emergency Devices Act (grants to states & localities for purchase, placement, & training of AEDs in public places)
Reasons to Increase Availability & Use of AEDs
-Safe, effective, accurate
-Cost-effective
-Transportable
-Little or no training needed for proper use
-Liability protection for users
How do AEDs work?
- Record & analyze electrical activity of heart
- Shock is administered if abnormal rhythm detected
Successful Shock
Termination of abnormal rhythm within 5 seconds of shock (CPR administered after shock if rhythm is not restored)
AED Impact on Survival Rates
-Survival was 38% following SCA with use of AED
-7% survival only going to hospital
-9% survival with CPR but no AED
Public Access Defibrillation (PAD)
-Goal = make early defibrillation accessible to public
-Covers out-of-hospital events where AED would be necessary
-All U.S. states have passed legislation related to PAD
AEDs are part of the AHA Chain of Survival
1.Prompt recognition of cardiac arrest & alerting EMS
2. Immediate administration of CPR
3. Early defibrillation via AED
4. Early advanced (cardiac) life support
What is the major determinant of success for cardiac arrest?
Delivery speed of debrillation
Survival rates _______ that passes without defibrillation
Decreases 7-10% every minute
Key Elements for Effective PAD Programs
- Minimize response time following collapse (3-5 minutes should be goal)
- Comply with local, state, & federal laws
- Physician approval may be required prior to AED purchase
- Emergency & AED plans should be coordinated with local EMS
- Documentation of incidents that require use (within 24 hours of incident)
- AED program coordinator should be appointed
- Appropriate training & certification should be offered to all employees
True or False: Making AEDs, first-aid kits, telephones, & other safety equipment easily identifiable throughout facility is not necessary
False
Acceptable response time from collapse to AED use?
3-5 minutes
Rule of thumb for locations of AED
Within a 1.5 minute walk
How long do certifications for AED typically last?
1 or 2 years
Recommended Staff Review & Practice Sessions Timeline
At least every 3 months
Unstaffed Facilities Pertaining to AEDs Considerations
- Video monitoring of facility
- Emergency Buttons
- Phone access with appropriate emergency contact information
- Visible locations, signage, & simple directions
