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<chapter num="10" heading="Automated External Defibrillator Program in Middle Schools and High Schools" title_num="13A" subtitle_num="05">
  <regulation prefix="Regulation" num=".01" heading="Scope.">
    <text>This chapter establishes the requirements of the Automated External Defibrillator Program mandated by Education Article, §7-425, Annotated Code of Maryland, for implementation by each county board for each high school and middle school in the county.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Definitions.">
    <paragraph num="A.">
      <text>In this chapter, the following terms have the meanings indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Authorized site” means a public high school or middle school that meets the requirements of the Emergency Medical Services (EMS) Board, under Education Article, §13-517, Annotated Code of Maryland, and COMAR 30.06.01—05, for providing automated external defibrillation.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Automated external defibrillator (AED)” means a medical heart monitor and defibrillator device that:</text>
        <paragraph num="(a)">
          <text>Is cleared for market by the federal Food and Drug Administration;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Recognizes the presence or absence of ventricular fibrillation or rapidventricular tachycardia;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Determines, without intervention by the operator, whether defibrillation should be performed;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>On determining that defibrillation should be performed, automatically charges; and</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Requires operator intervention to deliver the electrical impulse or automatically continues with the delivery of an electrical impulse without operator intervention.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>“Certificate” means a certificate of approval issued by the EMS Board to an authorized site.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>“Event (code) summary” means the electronic report of an AED operation produced by an AED.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>“Individual trained in the operation and use of an AED” means a person who has successfully completed an educational training course and subsequent refresher trainings as required by the EMS Board pursuant to Education Article, §13-517, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(6)">
        <text>“On-site” means on the grounds of a public high school or middle school.</text>
      </paragraph>
      <paragraph num="(7)">
        <text>“School-sponsored athletic event” means an interscholastic or intramural sporting event that takes place on-site at a public high school or middle school, including practices and scrimmages.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Minimum Requirements of the High School and Middle School AED Program.">
    <paragraph num="A.">
      <text>Each county board shall develop and implement a High School and Middle School AED Program which shall require, at minimum:</text>
      <paragraph num="(1)">
        <text>One AED on-site in each public high school and middle school, which shall be available for use at each school-sponsored athletic event;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>One individual trained in the operation and use of an AED present at each school-sponsored athletic event; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>One individual trained in the operation and use of an AED on-site at each high school and middle school during the regular school day.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>The High School and Middle School AED Program shall:</text>
      <paragraph num="(1)">
        <text>Possess a valid certificate from the EMS Board to conduct an AED program;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Comply with the rules, regulations, and policies that the EMS Board determines are applicable;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Maintain up-to-date records of the initial and refresher training received by each individual trained in the operation and use of an AED;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Adhere to the AED manufacturer's guidelines for maintenance, inspection, and repair of AEDs, including weekly inspection of the AED;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Establish AED maintenance, operation, reporting, and quality improvement procedures to be documented as required by the EMS Board;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Submit:</text>
        <paragraph num="(a)">
          <text>A report for each incident of suspected cardiac arrest at the facility on the Maryland Facility AED Report Form for Cardiac Arrests, including, when available, any event (code) summary, recording, or tape created by the AED to Maryland Institute for Emergency Medical Services Systems (MIEMSS), and be available for follow up as necessary; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>If the AED fails when operated, in addition to submitting the required report to the federal Food and Drug Administration, a copy of the report to MIEMSS.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(7)">
        <text>Designate an AED coordinator who:</text>
        <paragraph num="(a)">
          <text>Meets the requirements of COMAR 30.06.02.01A, which includes training in cardiopulmonary resuscitation (CPR) and AED operation; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Is responsible for implementation and administration of the AED program; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(8)">
        <text>Contact and collaborate with the closest jurisdictional emergency medical services operational program once the High School and Middle School AED Program is approved by the EMS Board.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Each county board shall inform all persons who are authorized to participate in the High School and Middle School AED Program of the immunities available under Education Article, §13-517, Annotated Code of Maryland.</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Education Article, §§7-425 and 13-517, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: April 21, 2008 (35:8 Md. R. 807)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01 amended effective April 24, 2017 (44:8 Md. R. 405)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02B amended effective April 24, 2017 (44:8 Md. R. 405)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03 amended effective April 24, 2017 (44:8 Md. R. 405)</annotation>
  </annotations>
</chapter>