Pulse check! Do you need an AED in your workplace?
Chances of survival from sudden cardiac death lessen significantly for each passing minute without immediate cardiopulmonary resuscitation (CPR) or defibrillation. After 10 minutes, resuscitation rarely succeeds, highlighting the significance of Automated External Defibrillators (AEDs) as life-saving equipment). Is your business required to have this often-overlooked piece of emergency equipment?
Which businesses require AEDs?
While OSHA highly recommends that facilities have AEDs, OSHA does not require them. However, some state and local agencies require that certain facilities have AEDs available including:
- Schools (public and private);
- Airports;
- Sports venues and gyms;
- Dental offices;
- Assisting living facilities or nursing homes;
- Gambling parlors; and
- Non-health facilities.
Once employers have determined the need for AEDs, consideration should be given to placement and availability including:
- Locations that ensure response within 3-5 minutes;
- Where many people work closely together, such as assembly lines and office buildings;
- In proximity to a confined space;
- Where heavy workloads require employees to expend a lot of energy;
- In areas where electric-powered devices are used;
- At outdoor work sites where lightning may occur;
- Within healthcare units where workers may seek treatment for heart attack symptoms;
- In company fitness areas and cafeterias;
- In areas where temperatures are high (nearby steam lines, ovens, etc.); and
- At remote sites, such as offshore drilling rigs, construction projects, marine vessels, power transmission lines, and energy pipelines.
Who regulates AEDs?
OSHA recognizes the lifesaving value of AEDs but doesn't regulate their use. AEDs are considered Class IIII medical devices and are regulated by individual state laws. Additionally, the FDA typically requires a prescription be issued to purchase them regardless of the industry in which they are used.
Since OSHA doesn’t regulate AEDs, agency standards do not specifically address them. Most states, like Kentucky, Texas, and Washington, require a licensed physician oversee an AED program.
If we have an AED, do we need training?
Employers that decide to add that extra layer of protection and have an AED on site, should provide training as with any other equipment you'd expect employees to operate. Training provides the knowledge, skills, and confidence for responders to act quickly and correctly.
Each AED is slightly different, so training helps users understand the unique traits and supplies for the individual units at their workplace. AED training should always incorporate an understanding of the signs of a sudden cardiac arrest, when to activate the EMS system, and how to perform CPR.
Typically, AED manufacturers will recommend this as well. OSHA does not teach first aid or AED courses or certify training courses for instructors. Instead, the agency recommends training be provided by professionally recognized organizations like the American Red Cross (ARC) and the American Heart Association (AHA). Both ARC and AHA require AED operators to also receive CPR training as an “integral part of providing lifesaving aid to people suffering sudden cardiac arrest.”
When does the Good Samaritan Law kick in?
Most states have Good Samaritan laws that protect AED users in a manner that is not negligent or reckless and in accordance with training they’ve received. Individuals that respond without expectation of payment for the response and who act as any other reasonable person would are usually protected.
Each state may have unique specifications, so employers should review the Good Samaritan law for their state.
Key to remember: OSHA may not require AEDs in every workplace, but employers should assess whether their industry is required by other authorities to have one and then identify where the AED should be placed.