Page 68 - Covid-19 Vaccine Clinic

MEDICAL DIRECTIVE
Folder: Medicine Hospital Wide Directives
New Directive  Revised Directive  Directive Number: MED21

Name of Medical Directive:
USE OF AN AUTOMATIC EXTERNAL DEFIBRILLATOR (AED) BY NURSES AND HEALTH
DISCIPLINES STAFF AT THE COVID-19 ASSESSMENT CENTRE

Original Date Approved: March 2020
Subsequent Approval Dates:

Title of the Contact Person, extension number and area of expertise:
 Collaborative Practice Leader, Nursing ext. 3768
 Corporate Advanced Practice Clinical Educator ext. 3224

Is this also a Delegated Controlled Act? Yes X No 

Recipient Patients
 Individuals (patients) within the COVID-19 Assessment Centre.

Authorized Implementers / Co-Implementers
 Nurses and Health Disciplines staff who have been trained in the use of the Automatic External
Defibrillator (AED in the Hospital’s COVID-19 Assessment Centre.

Description of Procedure: Order Table Attached? Yes  No X

 In the event of cardiopulmonary arrest in a patient, Nurses and Health Discipline staff working
in the COVID AC should call 9-1-1 for Emergency Medical Services (EMS) and begin Cardio
Pulmonary Resuscitation (CPR), as per the Heart and Stroke Foundation Basic Life Support
(BLS) guidelines.
 Nurses and Health Discipline staff working in the COVID AC will then apply the AED to the
chest of cardiopulmonary arrest patients and follow the commands issued by the machine.

Education and Ongoing Competence Requirements for Authorized Individuals
 Training by Advanced Practice Clinical Educator (APCE) and/or delegate:
o Current Basic Life Support (BLS) certification
o Review of this medial directive
o Review of the principles of AED use
o Hands on demonstration and return demonstration of use of an AED

Clinical Conditions Required:
 Use the AED when a suspected cardiac arrest victim has an apparent lack of circulation
indicated by:
o unconsciousness and,
o absence of normal breathing and,
o absence of carotid pulse or lack of signs of circulation.

N:\Interprof essional Practice Department\COVID-19 Resources\COVID Medical Directiv es f or Assessment Centre\Use of AED by Nurses &
HD at the COVID Assessment Center March 17, 2020.docx