Policy Text
University of California, San Francisco
Police Department General Orders
4.24 Automatic External Defibrillator (AED) Program
4.24.7 Quality Assurance (Issued: 2/24/10)
After AED use, all of the following quality assurance procedures are required:
A. The Program Coordinator or designee shall be notified within 24 hours of AED use.
Quality assurance shall be maintained by reviewing the medical care rendered by the
Authorized Individuals on scene and during the transfer of the patient to the appropriate
transporting agency personnel.
B. If grief c ounseling is deemed necessary, referrals may be made to a professional grief
counseling organization.
C. In addition to information obtained from the AED, documentation of the incident shall be
completed as follows:
1. The following information shall be provided on the AED Post Incident Report
(see Appendix 4.24 -C):
a. Date
b. Event location
c. Person's name
d. Person's address
e. Person’s telephone number
f. Person’s sex
g. Estimated time elapsed from person’s collapse until initiation of CPR if
witnessed or heard
h. Total minutes of CPR prior to application of defibrillator
i. Other treatment rendered in addition to CPR and defibrillation
j. Person’s response to treatment rendered (e.g., “regained pulse and
breathing”)
k. Name of transporting agency
l. Name of Authorized Individual completing the report.
2. Documentation shall be initiated whether or not defibrillatory shocks are
delivered.
3. The AED Post Incident Report shall be sent to the Program Coordinator and
Medical Director within two busine ss days.
D. The Medical Director, Program Coordinator and/or designee will review the AED record
of the event and AED Post Incident Report and then interview the Authorized
Individual(s) involved in the emergency to ensure:
1. The Authorized Individual(s) quickly and effectively set up the necessary
equipment.
University of California, San Francisco
Police Department General Orders
2. When indicated, the initial defibrillatory shock(s) was delivered within an
appropriate amount of time given the particular circumstances.
3. Adequate basic life support measures were maintained.
4. Following each shock or set of shocks, as appropriate, the person was assessed
accurately and treated appropriately.
5. The defibrillator was activated safely and correctly.
6. The care provided was in compliance with the internal emergency response
guidelines set forth in Section 4.24.6 of this document.
E. The Medical Director will determine the occurrence and the range of action to be taken in
response to any identified problems or deficiencies, as well as actions to be commended,
and not ify the Program Coordinator.
F. Following the post -incident review, a copy of all written documentation concerning the
incident will be sent to the Medical Director and maintained on site for a period of not
less than seven years from the incident date.