Iowa AED Law

A. C. 641 - Passed 2/18/99


"AED" means automatic external defibrillator.
"PAD" means public access defibrillation.
"PAD service program" means a nonemergency response business agency, public or private, that has trained its employees or associates in the use of an automatic external defibrillator and is authorized by the department as a PAD service program.
"Public access defibrillation" means the operation of an automatic external defibrillator by a nontraditional provider of emergency medical care.
"Public access defibrillation provider" means someone who has completed the public access provider AED course approved by the department and who is currently certified by the department as a PAD provider.
641-132.16 (147A) Public access defibrillation. The purpose of this rule is to allow nonemergency response agencies, public or private, to train their employees or associates in the use of the automatic external defibrillator and to provide AED coverage when appropriately trained personnel are available. This rule is intended to enhance and supplement the local EMS system with nontraditional early defibrillation groups/agencies.
132.16(1) Authority of public access defibrillation provider. Public access defibrillation providers may perform those skills identified in the public access defibrillation provider curriculum approved by the department, as part of an authorized PAD service program.
132.16(2) Public access defibrillation provider-training requirements. Individuals seeking certification as a public access defibrillation provider shall:
a. Be an employee or associate of the public or private business agency applying for PAD service program authorization.
b. Obtain appropriate training approved by the department. PAD provider training shall include as a minimum:
(1) Successful course completion in adult CPR, including one rescuer CPR, foreign body airway obstruction, rescue breathing, recovery position, and activating the EMS system.
(2) Successful completion of an AED curriculum approved by the department.
132.16(3) PAD service program - application, guidelines, and standards. A public or private nonemergency response business agency may establish an affiliation with an EMS service program if wishing to provide AED coverage in an EMS service program's service area or may apply for authorization as an independent PAD service program. An application is required and may be obtained by contacting the Iowa Department of Public Health, Bureau of EMS, Lucas State Office Building, Des Moines, Iowa 50319-0075. PAD service programs shall:
a. Provide a medical director licensed under Iowa Code chapter 148, 150, or 150A, who shall be responsible for the overall medical direction of the PAD service program.
b. Use an AED approved by the department.
c. Use the defibrillation protocol approved by the department.
d. Make simultaneous voice/ECG recordings on each call where CPR is performed.
e. Submit a copy of the patient care report and the original voice/ECG recording to the department or department designee within 48 hours of the cardiac arrest.
f. Implement a policy for periodic maintenance of the AED.
g. Ensure PAD providers complete quarterly practice sessions in the use of the AED.
h. Identify which authorized Iowa ambulance service program(s) will provide patient transportation.
i. Ensure continuity of care, which may include, if necessary, that the PAD provider accompany the patient to a hospital.
j. Complete a renewal application every three years.
k. Ensure PAD providers maintain current course completion in CPR.
132.16(4) Complaints and investigations shall be conducted as with any complaint received against an EMS service program, applying rule 641 IAC 132.10(147A).