DOH 4135

Notice of Intent to Provide PAD sample collaborative agreement.pdf *Both forms required*    

Section 3000-b. Automated defibrillators: Public access providers.

PAD Quality Assurance Report

This information pertains mainly to Chemung, Schuyler and Steuben Counties but there is additional information for other regions.

New York State Public Health Law Article 30, Section 3000-b allows the lay public to utilize Automated External Defibrillators (AEDS) under certain conditions. This is referred to as Public Access Defibrillation (PAD). For example, an organization may wish to have key personnel such as security guards, trained in the use of AEDS. An AED analyzes the heart's rhythm and helps treat victims of cardiac arrest.

According to Article 30, Regional Emergency Medical Services (EMS) Councils have been designated in each region of the State to be responsible for coordinating and maintaining information and data collection and analysis as part of a Quality Assurance (QA) program for PAD utilization. The Southern Tier Regional Emergency Medical Services Council is the statutory body designated by the Commissioner of Health of the State of New York under Article 30 to coordinate the EMS system in the counties of Chemung, Schuyler and Steuben. If you are in a different region of New York State, check this list for your county and appropriate Regional EMS Council.

All persons or organizations within the STREMS Council Region wishing to provide PAD will be required to forward information and QA data to the STREMS Council.

In order for you or your organization to begin providing PAD under this legislation, you must first do the following (see NYS DOH Policy 09-03):

1. Obtain a physician or hospital (its Chief Executive Officer or designee) to become your Emergency Health Care Provider. The physician must be licensed and have knowledge of emergency cardiac care. The hospital must be licensed under Article 28 of the Public Health Law and provide emergency cardiac care.

2. Submit a written Collaborative Agreement between yourself (person or organization) and the Emergency Health Care Provider (physician or hospital Chief Executive Officer or designee ) to the STREMS Council. A sample collaborative agreement.pdf is provided that you may use. If you wish to develop your own, please refer to Section 3000-B of Article 30.

3. Submit information regarding all of your AEDs to the STREMS Council using the form doh-4135.pdf -Notice of Intent to Provide PAD.

4. Designate key personnel from your organization to receive training in PAD through an approved organization. You may contact the Offices of the Council to find out the names and addresses for the NYS Approved PAD curricula. Only New York State approved PAD curricula may be used for training.

Once your organization has completed the above process, you need to do the following:

1. (Post a sign or notice at the main entrance to the facility in which the AED is stored, indicating the location of the unit

2. Inform the Regional EMS Council each time an AED is used on a patient, via a written report to be completed by your Emergency Health Care Provider (physician or hospital Chief Executive Officer or designee) within five (5) days of the incident. Use the one-page QA Report Post-Use of an AED By a PAD Provider in the STREMS Region.

3. Maintain your AED equipment according to manufacturer's standards.

4. Provide refresher training to your AED operators as required.*

5. Inform the Regional EMS Council in writing, within five (5) business days if your Emergency Health Care Provider changes or resigns.

In addition to the items previously listed, below you will also find links to the legislation, the forms, and some suggestions to maintain an effective PAD program within your organization.

Thank you for your interest in providing early defibrillation in the STREMS region.

For PAD refresher training programs, contact

In Steuben County call the Office of Emergency Services, 664-2700

In Schuyler County contact Schuyler Ambulance through the Office of Emergency Services, 535-8200

In Chemung County contact STREMS Council, 732-2354.