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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 157EMERGENCY MEDICAL CARE
SUBCHAPTER CEMERGENCY MEDICAL SERVICES TRAINING AND COURSE APPROVAL
RULE §157.41Automated External Defibrillators for Public Access Defibrillation

(a) Purpose. The purpose of this rule is to establish minimum standards and requirements for training of lay responders using automated external defibrillators (AED).

(b) Excluded. This section shall not apply to persons who are licensed, certified or registered under the Texas Health and Safety Code, Chapter 773, or to hospitals licensed under Health and Safety Code, Chapter 241.

(c) Definitions.

  (1) Automated External Defibrillator (AED)--An electronic medical device approved by the United States Food and Drug Administration which is capable of recognizing the presence or absence of cardioventricular fibrillation or rapid cardioventricular tachycardia; is capable of determining, without interpretation of cardiac rhythm by an operator, whether defibrillation should be performed and, on determining that defibrillation should be performed, automatically charges and requests the operator to deliver an electrical impulse to an individual's heart.

  (2) Cardiopulmonary Resuscitation (CPR)--A life saving procedure involving closed chest compressions and artificial respiration to an individual who is pulseless and apneic or who is experiencing agonal respiration.

  (3) Lay Responder--A non-EMS-professional trained to respond to specific medical emergencies such as sudden cardiac arrest.

  (4) Public Access Defibrillation--A comprehensive, integrated community approach to the use of AEDs by trained lay responders.

  (5) Sudden Cardiac Arrest--A condition of sudden, unexpected loss of heart function, breathing and consciousness, usually resulting from an electrical disturbance in the heart that disrupts its pumping action and causes blood to stop flowing to the rest of the body.

(d) Training required.

  (1) A person acquiring and/or using an AED shall successfully complete a training course in CPR and AED operation in accordance with the guidelines established by the device's manufacturer and as approved by the American Heart Association, the American Red Cross, other nationally recognized associations, or the medical director of the local emergency medical services provider.

  (2) The person shall maintain that training in accordance with the guidelines established by the training association.

  (3) A licensed physician shall be involved in the training program to ensure compliance with the requirements of this chapter. Physician involvement may be in the form of medical consultation or general oversight of the course.

(e) Notification required.

  (1) A person or entity that acquires an AED shall immediately notify all local emergency medical service providers of the existence, physical location and type of device.

  (2) A person or entity that uses an AED shall notify the local emergency medical service (911) provider after the AED is used.

(f) Guidelines and procedures for use. Use of an AED shall be in accordance with the guidelines established as nationally recognized standards and shall be in accordance with the manufacturer's operating procedures. The person or entity that acquires the AED should assure:

  (1) AED prescription, purchase, use and maintenance records are retained;

  (2) continuous involvement with the medical consultant and local EMS;

  (3) appropriate placement of AED;

  (4) maintenance of the AED;

  (5) a core of trained users is maintained;

  (6) liability exemption information is retained;

  (7) the guidelines used are approved by the American Heart Association, the American Red Cross, other nationally recognized associations, or the medical director of the local emergency medical services provider;

  (8) after-use procedures are developed and followed; and

  (9) quality improvement procedures are developed and followed.


Source Note: The provisions of this §157.41 adopted to be effective September 1, 2000, 25 TexReg 3985; amended to be effective July 29, 2004, 29 TexReg 7103; amended to be effective September 11, 2011, 36 TexReg 5689

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