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No. New York State Department of Health Bureau of Emergency Medical ServicesDate: March 6, 2009, Re:POLICY STATEMENTSupercedes/Updates: 9810, 0603, 07040903Public Access Defibrillation Page 1 of 5The
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To fill out 09-03 public access defibrillation, follow these steps:
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Begin by entering the date in the designated field.
03
Provide the name of the person or organization responsible for the public access defibrillation program.
04
Enter the location where the defibrillation devices are located.
05
Specify the number of defibrillation devices available for public access.
06
Indicate the type of devices being used, such as automated external defibrillators (AEDs).
07
Describe the maintenance and inspection schedule for the devices.
08
Provide information on the training and certification requirements for individuals authorized to use the devices.
09
Include any additional notes or remarks regarding the public access defibrillation program.
10
Review the form for accuracy and completeness before submitting it.

Who needs 09-03 public access defibrillation?

01
Any organization or establishment that wants to implement a public access defibrillation program needs 09-03 public access defibrillation. This can include schools, workplaces, public buildings, recreational facilities, and any location where there is a potential risk of cardiac arrest. Having public access defibrillation can significantly increase the chances of survival for individuals experiencing sudden cardiac arrest.
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09-03 public access defibrillation refers to the program that allows the placement and availability of automated external defibrillators (AEDs) in public areas to facilitate immediate response during cardiac emergencies.
Entities that maintain public access defibrillation programs, such as schools, gyms, businesses, and other public institutions, are required to file 09-03 public access defibrillation.
To fill out the 09-03 public access defibrillation form, you need to provide details about the AEDs installed, including their locations, maintenance records, and personnel trained in their use.
The purpose of 09-03 public access defibrillation is to ensure that AEDs are readily available in public places to increase the chances of survival in case of sudden cardiac arrests.
The form requires reporting information such as the number of AEDs, their locations, maintenance schedules, and the number of staff trained to use them.
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