Butler County,KS HEARTSafe Community Designation Kit

HEARTSafe Community

Community DesignationPacket

A Community Service ofButler County Health Department &

Butler County EMS

Table of Contents

Information on HEARTSafe Community 3

Frequently Asked Questions 5

Application Information 6

Designation Process 7 HEARTSafe Requirements 8

HEARTSafe Worksheets 10

HEARTSafe Application 17

Information on HEARTSafe

DO YOU LIVE IN A HEARTSAFE COMMUNITY?

If someone in your community suffers sudden cardiac arrest tomorrow, how likely is he or she to survive due to rapid access to life-saving

treatment?

How many residents and public safety officials in your community can recognize the symptoms of cardiac arrest and know how to get help “on

the way, right away”?

Who knows CPR in your community and is prepared to administer it when necessary?

Where are automated external defibrillators (AEDs) located, and who has been trained to use them appropriately?

The answers to these questions could determine whether or not your community qualifies as a HEARTSafe Community.

Butler County Emergencies Medical Services and Butler Health Department aim to help cities and towns improve the chances that

anyone suffering a sudden cardiac arrest will have the best possible chance for survival.

Through the HEARTSafe Community program, communities can strengthen what the American Heart Association has called the

“Chain of Survival,” which has five critical steps:

1. EARLY ACCESS TO EMERGENCY CARE• Bystanders recognize the symptoms of cardiac arrest and call 9-1-1 immediately.

• EMS dispatchers are equipped with instructions for the caller and can get an Advanced Life Support response vehicle to the scene quickly.

2. EARLY CPR• CPR buys precious minutes until a defibrillator is available.

• Public knowledge and awareness must be increased so that those trained in CPR will use it when it is needed.

3. EARLY DEFIBRILLATION• Defibrillation is the delivery of electric shock to restore the heart’s normal rhythm.

• Early defibrillation is considered to be the most critical link in the chain of survival.

• New AEDs are light-weight, sturdy, and easy to use by anyone.

• AEDs should be accessible and organizations should have defibrillation training programs that have medical oversight and are coordinated with EMS.

4. EARLY ADVANCED CARE• Advanced care is delivered by an Advanced Life Support response vehicles staffed by paramedics.

• Recognition of cause of cardiac arrest and transport to appropriate destination reduces disability and death in cardiac arrest patients.

5. POST-CARDIAC ARREST CARE• Post-Cardiac Arrest patients should be transported to hospitals that provide a comprehensive, structured,

integrated, multidisciplinary system of post-cardiac arrest care.

• Treatment should include cardiopulmonary and neurologic support including therapeutic hypothermia and percutaneous coronary interventions.

Frequently Asked Questions

Who can apply to be a designated HEARTSafe Community?

Currently, any city within Butler County, KS can apply for designation.

Is there an application fee?

There is no application fee, although there are costs associated with meeting the criteria to becoming a HEARTSafe Community.

What are the costs?

The cost will vary depending on the communities size and needs (i.e. CPR training and AED placement).

Why should my community be a designated HEARTSafe Community?

To make the community a safer place to live, work and play by being prepared to reduce the number of deaths and disabilities associated with Sudden Cardiac Arrest.

How long is the HEARTSafe designation valid?

The designation is valid for two years. At that time an update application can be filled out to remain a HEARTSafe Community.

Who decides if a community has met the criteria to be designated as HEARTSafe?

Butler County EMS and Butler County Health Department will review applications. The Butler County Health Department will make the designation.

Will an AED always resuscitate someone in Cardiac Arrest?

The AED will analyze the electrical activity of the heart. If the electrical activity is “chaotic” and needs a “restart” the unit will charge and be ready to shock. Sometimes the AED does not indicate a shock is needed.

Is an AED safe to use?

Absolutely! An AED is safe to use by anyone. If you can turn it on, you can use it. They are designed with multiple safeguards and warnings.

Is there any protection for public bystanders that administer CPR/AED?

Kansas Statute(KSA 65-6149a) provides immunity from liability for the general public during the use of an AED.

Application InformationOverview

Butler County EMS and the Butler County Health Department seek to encourage and promote community awareness of the potential for saving the lives of sudden cardiac arrest victims through the use of CPR (cardiopulmonary resuscitation) and increased public access to defibrillation. The HEARTSafe Communities project is a replicable model that seeks to strengthen the links in the Chain of Survival, which has been documented to increase survival for cardiac arrest victims.

Communities achieve the HEARTSafe Community designation by developing and implementing a community action plan that includes: providing CPR with Automated External Defibrillator(AED) training, helping community members recognize the warning signs and symptoms of heart attack, activating community members to call 911, use CPR/AED, and helping schools develop Medical Emergency Response Plans.

Designated HEARTSafe Communities will place AEDs in strategic public locations where they are readily available to use in a cardiac emergency, and develop a community emergency response plan that furthers the goal of saving lives from cardiac arrest.

How to Apply for the HEARTSafe Community Designation

Any municipality located within Butler County, KS is eligible to apply for the HEARTSafe designation.

The outlined steps are suggestions for successfully completing the application process:

1) Review application materials to become a HEARTSafe Community.

2) Identify a HEARTSafe Community Champion - a contact for the community,

3) Identify a HEARTSafe Community Team and Partners.

4) Define your communities needs to achieve the requirements for HEARTSafe designation.

5) Develop an action plan to achieve HEARTSafe designation.

6) Complete and submit the HEARTSafe Community application and worksheets.

7) Gain and celebrate recognition as a HEARTSafe Community.

For questions or to request technical assistance contact: Daniel Green, Public Education Coordinator for Butler County EMS at [email protected].

Acknowledgements

This document was prepared by Butler County HEARTSafe Community. We would like to acknowledge the following contributors and extend to them our sincere thanks: Mr. David Hiltz, Physio-Control’s “Heart Safe Communities Goals & Checklist”, the American Heart Association, and Allina Hospitals & Clinics Heart Safe Communities Program.

Public Domain Notice

All material appearing in this publication except that taken directly from copyrighted sources is in the public domain and may be reproduced or copied without permission. Do not reproduce or distribute this publication for a fee.

mailto:[email protected]


Designation Process

Step 1

Review Documents and Materials for becoming a HEARTSafe Community.

•Heartbeat Criteria

•HEARTSafe Community Application

•HEARTSafe Community Worksheets

Step 2

Make a declaration of intent for your community to obtain HEARTSafe designation and fill out the HEARTSafe Community worksheets and identify community needs. You will have 2 years from declaration to meet criteria.

Step 3

Develop an Action Plan for meeting remaining needs and achieving HEARTSafe Community designation.

Step 4

Engage your HEARTSafe community partners in helping meet you communities needs.

Step 5

Using your completed worksheets, complete the Formal Application and submit it to:

Butler County HEARTSafe CommunityButler County EMS701 N. HaverhillEl Dorado, KS 67042

E-Mail - [email protected]



HEARTSafe Requirements

Communities up to 2,500 - Douglass, Towanda, Benton, Leon, Potwin, et al.

If your community population is 2,500 or less, 200 Heartbeats are required to become a designated Heart Safe Community. A minimum of 60 Heartbeats is required for CPR or CPR/AED training and placement of AEDs in the community. These requirements include a minimum of 4 training programs* and at least 2 AED sites in public locations. In addition, a minimum of 40 Heartbeats from the required criteria of designated first responders with AED equipped vehicles, advanced life support personnel availability and an ongoing process to evaluate and improve the ‘Chain of Survival’ is required.

Communities of 2,500 to 10,000 - Augusta, Rose Hill

If your community population is between 2,500 and 10,000, 400 Heartbeats are required to become a designated Heart Safe Community. A minimum of 120 Heartbeats is required for CPR or CPR/AED training and placement of AEDs in the community. These requirements include a minimum of six training programs and six AED sites in public locations. In addition, a minimum of 60 Heartbeats from the required criteria of designated first responders with AED equipped vehicles, advanced life support personnel availability and an ongoing process to evaluate and improve the ‘Chain of Survival’ is required.

Communities of 10,000 to 30,000 - El Dorado, Andover

If your community population is between 10,000 and 30,000, 500 Heartbeats are required to become a designated Heart Safe Community. A minimum of 260 Heartbeats is required for CPR or CPR/AED training and placement of AEDs in the community. These requirements include a minimum of 10 training programs and 10 AED sites in public locations. In addition, a minimum of 60 Heartbeats from the required criteria of designated first responders with AED equipped vehicles, advanced life support personnel availability and an ongoing process to evaluate and improve the ‘Chain of Survival’ is required.

HEARTSafe RequirementsBelow is an outline of criteria and their value

EARLY ACCESS TO EMERGENCY CARE• Public Education on heart health, prevention, signs and symptoms of Heart Attack, Stroke, & Cardiac

Arrest, and 911 access - 10 Heartbeats for event with less then 20 participants, 15 Heartbeats for 20+

• All schools with written Medical Emergency Response Plan (MERP) - 10 Heartbeats *Required

EARLY CPR• Free Public Education on CPR (Hands-only or traditional) & AED use - 10 Heartbeats per event with at

least 10 participants

• Education in CPR/AED that requires a fee - 5 Heartbeats per event

• CPR/AED Education for High-school students - 10 Heartbeats *Required

• CPR (Hands-only minimum) instructions providing by dispatch personnel - 10 Heartbeats

EARLY DEFIBRILLATION• Public Access Defibrillator/AED - 10 Heartbeats per PAD in community

• AED/Defibrillator carried by First Responders - 10 Heartbeats per FR AED

EARLY ADVANCED CARE• ALS response to all medical emergencies - 10 Heartbeats

POST-CARDIAC ARREST CARE• Policy of transport of post-cardiac arrest patients to facilities with minimum PCI & Therapeutic

Hypothermia capabilities - 10 Heartbeats

SUSTAINABILITY PLAN• Written sustainability plan - 10 Heartbeats *Required

• Cardiac Arrest Registry - 10 Heartbeats *Required

• Supported & Structured Debriefing Program for all responding personnel - 10 Heartbeats *Required

HEARTSafe WorksheetsCalculate Your Community’s Heartbeats

Attach additional documentation if needed

EARLY ACCESS TO EMERGENCY CARE

DATE OF EVENT EVENT TOPIC # OF

PARTICIPANTS HEARTBEATS

MEDICAL EMERGENCY RESPONSE PLAN AT ALL SCHOOLSMEDICAL EMERGENCY RESPONSE PLAN AT ALL SCHOOLSMEDICAL EMERGENCY RESPONSE PLAN AT ALL SCHOOLS

Total Heartbeats = _________Total Heartbeats = _________Total Heartbeats = _________Total Heartbeats = _________



EARLY CPR

DATE OF EVENT EDUCATION TYPE # OF


HIGH SCHOOL STUDENT CPR/AED EDUCATION

HIGH SCHOOL STUDENT CPR/AED EDUCATION


DATE OF EVENT EDUCATION TYPE # OF





EARLY DEFIBRILLATION

CRITERIA HEARTBEATS

NUMBER OF PUBLIC AED ___ X10 =____

NUMBER OF FIRST RESPONDER AED ___ X10 =____

Total Heartbeats = _________Total Heartbeats = _________

AEDs must be clearly identified with signage and at minimum the entrance of the building should

indicate the presence of a Public AED.

AED # Address of building w/ AED Location in Building Contact Person Contact Phone or E-Mail

AED # AED Manufacturer AED Pads in Date Front Door Signage Signage Above AED

AED Registered

AED 2010 Guidelines

YES / NO YES / NO YES / NO YES / NO YES / NO













Early Advanced Care & Post-cardiac Arrest Care

EMS ContactsDaniel Green - [email protected] Engraf - [email protected]

[email protected]

EMS AgencyButler County EMS

701 N. HaverhillEl Dorado, KS 67042

CRITERIA HEARTBEATS

ALS RESPONSE TO ALL MEDICAL EMERGENCIES

POST-CARDIAC ARREST TRANSPORT POLICY










Sustainability Plan

CRITERIA HEARTBEATS

WRITTEN SUSTAINABILITY PLAN

CARDIAC ARREST REGISTRY

SUPPORTED & STRUCTURED DEBRIEFING POLICY




CRITERIA HEARTBEATS

EARLY ACCESS

EARLY CPR

EARLY DEFIBRILLATION

EARLY ADVANCED CARE & POST-CARDIAC ARREST CARE

SUSTAINABILITY PLAN


Calculate totals

Please mail this application and worksheets to the address listed below. Be sure and call if you have any questions or would like assistance with the application.

Butler County HEARTSafe Community701 N. Haverhill RdEl Dorado, KS 67042

Contact: Daniel Green, Public Education Coordinator, BCEMS - [email protected]



Name/Address of municipality seeking designation:

Community: _____________________________________________________________________________

Address: ___________________________________________________ State_____ Zip Code: _________

Municipal Chief Elected Official (or designee):

Name: ______________________________________________ Title: ______________________________

Address: ___________________________________________________ State_____ Zip Code: _________

Phone: __________________________________ E-Mail Address: _________________________________

Community Population: ____________________ Total Number of Heartbeats Earned: ___________

I attest that all information contained in this application is correct. Supporting documentation and worksheets are attached and on file for review.

Signature : __________________________________ Name (Print): ________________________________

----------------------------------------------------------------------------------------------------------------------------------------------For Reviewer Use Only

Recommend Designation Designation Not Recommend (explanation attached)!! Reviewer Signature : ________________________________________________________ Date:_________

Name/Title (Print): ________________________________________________________________________

Butler County HEARTSafe Community Formal Application

Butler County HEARTSafe Communities

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A Community Service ofButler County Health Department &

Butler County EMS

Butler County,KS HEARTSafe Community Designation Kit

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