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Public Access Defibrillator ProgramChecklist Site Name: ___Program Administrator: ___ Date: ___ Contact EMS Program Agency (STEMS) to inquire about services (site survey, training, etc.) they or others
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How to fill out public access defibrillation provider

01
Identify the location where the public access defibrillation provider will be placed.
02
Register the defibrillator with the local emergency services or medical authorities.
03
Train designated individuals on how to properly use the defibrillator.
04
Keep the defibrillator maintained and regularly check its battery and electrode pads.
05
Display visible signage indicating the presence of a defibrillator.

Who needs public access defibrillation provider?

01
Public spaces such as airports, schools, shopping malls, sports arenas, and workplaces can benefit from having a public access defibrillation provider.
02
Individuals with a history of heart conditions or those at risk of sudden cardiac arrest may also benefit from having easy access to a defibrillator.

What is Public Access Defibrillation Provider Packet Form?

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A public access defibrillation provider refers to an organization or facility that is equipped with Automated External Defibrillators (AEDs) and is trained to use them in emergencies to assist individuals suffering from sudden cardiac arrest.
Organizations that have installed AEDs and provide them for public use are typically required to file as public access defibrillation providers, which may include schools, sports arenas, airports, and other public venues.
To fill out the public access defibrillation provider form, organizations must provide relevant details such as the location of the AEDs, the number of units available, training details for personnel, and contact information for responsible individuals.
The purpose of the public access defibrillation provider program is to ensure that lifesaving AEDs are readily available in public spaces, and to promote preparedness and training for emergency situations involving cardiac arrest.
Providers must report information such as the number and locations of AEDs, maintenance records, training of personnel on AED usage, and any incidents where the AED was deployed.
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