Interim Policy of AED Training
|Bureau of EMS Policy Statement|
|Policy Statement #||95-06|
|Subject||Interim Policy of AED Training|
The following interim policy statement on AED training is effective immediately. As a new AED course curriculum is adopted and our data processing system upgraded, we will update this policy.
Since January 1991, a number of first responder agencies have participated in a demonstration study to consider moving Automated External Defibrillation (AED) to the basic life support (CFR & EMT) level. Based on the data from this study, several other national studies and the recommendations of the 1992 National Conference on Cardiopulmonary Resuscitation and Emergency Cardiac Care, the State EMS Council has recommended and the Commissioner of Health adopted regulatory changes to the State EMS Code (10NYCRR-800) which defines AED as a basic life support skill. Non-transporting first response EMS agencies are no longer required to obtain Certificate of Need (CON) approval in order to provide AED level care. However, all services are required to have Regional Medical Advisory Committee (REMAC) approval, be part of an Emergency Medical Services System, and have medical control.
Specific questions from agencies wishing to provide AED level care should be directed to their Regional Emergency Medical Advisory Committee (REMAC).
To use the Automated External Defibrillator the CFR/EMT/AEMT must successfully complete training which meets or exceeds the State approved AED Standard Curriculum [800.15(d)(4)]. The curriculum which should be used until the revised AED curriculum is published should be the currently published EMT-Defibrillation curriculum.
- Who can conduct AED Courses?
- Any BLS or ALS Course Sponsor, currently approved by the Department of Health, may conduct AED original training, in accordance with the State approved AED Standard Curriculum. The Course Sponsor must file a Course Application (DOH-782) and course schedule at least 30 days prior to the start of the AED course. Attached to the application should be a copy of the course schedule covering the objectives of the curriculum. Please check the box Basic EMT-D Original to indicate this is a stand-alone AED course.
- Who can teach AED Courses?
- The AED instructor must be a currently Certified Instructor Coordinator (CIC) and hold current certification at or above the EMT-Defibrillation level, as outlined in Policy Statement 93-8. It is the responsibility of the Medical Director to assure that quality of medical instruction.
- End of Course Documentation
- Within 10 days of course completion the sponsor must submit a Course Memorandum (DOH-263), a Final Practical Skills Examination Summary Sheet (DOH-2733), and an Application for EMT-Defibrillation Certification (DOH-3306) for each candidate (CFR or EMT) which have successfully completed the course.
- Retraining and Reauthorization
- Periodic "retraining" is the responsibility of the Service Medical Director. In low call volume areas the Medical Director may wish to conduct AED drills or in-service training as frequently as every 90 days.
- Who maintains course completion records?
- Course Sponsor
The State EMS Code (10NYCRR-800) Section 800.20(9) requires that Course Sponsors maintain individual course and student records for a period of 5 years. These records should include attendance, learning contract, practical skills and written examinations.
- EMS Agency
Section 800.21(k) of the State EMS Code requires that all EMS agencies maintain current and accurate personnel files on all CFR/EMT/AEMT personnel. Training records must include:
- copies of state issued certification;
- record of additional or specialized training; and
- in-service training and continuing education programs.
Verification of original AED training must be maintained as a record of specialized training. AED "retraining" approved by the Service Medical Director must be maintained as a record of in-service training.
- Course Sponsor
- Certified First Responder
A Certified First Responder is eligible for AED training. However, it needs to be clearly understood that the current regulations do not include a level of certification called "CFR-Defibrillation". Within the limitations of the 51 hour CFR course, AED training is not included. The department will not be issuing a certification for this level.
There are future plans to issue a certificate of course completion for AED Training.
The current budget allows for reimbursement of $50 per eligible student who completes the "stand alone" EMT-D original or "stand alone" AED course. See Course Funding policy statement for details.
Issued by: James S. Soto, Associate EMC Representative
Authorized by: Edward G. Wronski, Deputy Director