HomeMy WebLinkAboutCSD-009-12 Clarington REPORT
COMMUNITY SERVICES DEPARTMENT
Meeting: GENERAL PURPOSE AND ADMINISTRATION
Date: October 29,2012 Resolution#: 96q-5713-12 By-law#: N/A
Report#: CSD-009-12 File#:
Subject: PUBLIC ACCESS DEFIBRILLATOR PROGRAM — LAKERIDGE HEALTH
AGREEMENT RENEWAL
RECOMMENDATIONS:
It is respectfully recommended that the General Purpose and Administration Committee
recommend to Council the following:
1. THAT Report CSD-009-12 be received;
2. THAT Council authorize the Mayor and Clerk to sign the Agreements provided by
the Central East Prehospital Care Program (CEPCP), on behalf of Lakeridge
Health;
3. THAT Central East Prehospital Care Program be advised of action taken; and
4. THAT the Orono Arena Board, Newcastle Arena Board and the Newcastle
Community Hall Board be advised of action taken.
Submitted by: Reviewed by:
Jo eph P. Caruana Franklin Wu,
D ector, Community Chief Administrative Officer
Services
J PC/GA
CORPORATION OF THE MUNICIPALITY OF CLARINGTON
40 TEMPERANCE STREET, BOWMANVILLE, ONTARIO L1C 3A6 T (905)623-3379 F (905)623-0830
REPORT NO.: CSD-009-12 PAGE 2
1.0 BACKGROUND
1.1 The Municipality of Clarington has been involved with the Cardiac Safe
Community Public Access Defibrillator Program, coordinated by the Central East
Prehospital Care Program (CEPCP), formerly known as Lakeridge Base
Hospital, since the first installation of a defibrillator unit at the Courtice
Community Complex in December 2005. Since that time we have retained the
CEPCP to provide the annual program support and recertification for of our
AED units.
1.2 In March 2009, Council authorized the Mayor and Clerk to sign Collaborative
Statements with the CEPCP for the ten (10) AED locations coordinated by the
Municipality.
2.0 PROGRAM
2.1 During a review of the program the CEPCP has replaced the Collaborative
Statements with new agreements. A sample agreement is provided as
Attachment 1. The Principle Statement of the new agreement is consistent with
the previous document and reads as follows:
"This agreement between the above parties will ensure that the
Municipality of Clarington and Public Access Defibrillator(PAD)
responders are working under the oversight of the Central East
Prehospital Care Program (CEPCP) of Lakeridge Health when
providing semi automated external defibrillation (SAED) to a victim
of sudden cardiac arrest (SCA). It also provides for the provision of
medically current training services in SAED & CPR to those PAD
responders by and under the direction of the CEPCP Medical Advisory
Board Physicians. These conjoint efforts are focused on the provision
of medically appropriate care for the citizens in our community."
2.2 The annual cost for program support and re-certification for 2012/13 is $1,750
per unit, for a total cost of $17,500. Since the program's inception, these funds
have been accounted for in the annual operating_budget of the Community
Services Department. Included in the program support cost is;
• Medical oversight by CEPCP
• Biomedical engineering to ensure unit is maintained to manufacturer's
standards throughout the year
• Medical consultation throughout the year
• Follow - up support system for staff following an AED use
• Annual re-certification of staff and volunteers
REPORT NO.: CSD-009-12 PAGE 3
2.3 As this is a public access program it should be noted that Section II of the
agreement states:
"Non-trained responders who use the SHED in good faith and
voluntarily are protected from liability by the Chase McEachern Act
(Heart Defibrillator Civil Liability), 2007, S.0. 2007, c. 10, Sch. N
(Appendix 8) and the Good Samaritan Act 2001 S.O. 2001, CHAPTER 2
(Appendix C)"
2.4 The CEPCP has prepared four (4) agreements for signature including one (1)
agreement for all seven (7) AED units in Community Services facilities and one
(1) each for Orono Arena, Newcastle Arena and Newcastle Community Hall. The
term of the agreement is April 1, 2012 to March 31, 2015, with a provision to
renew further with mutually agreed terms and conditions.
2.5 As was the case with the 2009 agreements, the Clerk advises that they are within
the authority of Council and are to be authorized by the Mayor and the Municipal
Clerk.
3.0 COMMENTS
3.1 Since the installation of the first AED unit in 2005, the Municipality has enjoyed a
good working relation with CEPCP at Lakeridge Health,
3.2 The Community Services Department will continue to work with the
representatives of the Hall and Arena Boards to provide the public access
program in their facilities.
4.0 CONCURRENCE
4.1 This report has been reviewed by Patti Barrie, Municipal Clerk and Andy Allison,
Municipal Solicitor who concur with the recommendations.
CONFORMITY WITH STRATEGIC PLAN — Not Applicable
Staff Contact: George Acorn, Facilities Manager - -
Attachments:
Attachment 1 — Sample Copy of Semi Automatic External Defibrillator Agreement - -
List of interested parties to be advised of Council's decision:
Peter Maartense, Orono Arena Board
Gord Lee, Newcastle Arena Board
Gabrielle Bell, Newcastle Community Hall Board
Attachment 1 to Report CSD-009-12
Semi Automatic External
Defibrillation Agreement
For the Cardiac Safe
Community Public Access
Defibrillation Program for Durham
Region
BETWEEN
Lakeridge Health
("The Hospital")
and
The Municipality of Clarington
" o n")
Agreement
Page 1of12
Principle Statement
This agreement between the above parties will ensure that the Clarington and Public Access
Defibrillation (PAD) responders are working under the oversight of the Central East
Prehospital Care Program (CEPCP) of Lakerldge Health when providing semi automated
external defibrillation (SAED) to a victim of sudden cardiac arrest (SCA). It also provides
for the provision of medically current training services in SAED & CPR to those PAD
Responders by and under the direction of the CEPCP Medical Advisory Board Physicians.
These conjoint efforts are focused on the provision of medically appropriate care for the
citizens in our community.
THEREFORE in consideration of the mutual covenants contained herein and subject to the
terms and conditions hereinafter set forth the parties hereto agree to participate in the
Central East Prehospital Care Program Cardiac Safe Community PAD Program in accordance
with the terms outlined in the Agreement.
L Program Components and Recommendations
(a)The following items will be components of program maintenance:
• Provision of medical oversight by the Central East Prehospital Care Program (CEPCP) for
the Cardiac Safe Community Program for Durham Region.
• Provision of initial certification training and evaluation for SAED for PAD responders.
• Provision of recertification evaluation for SAED.
• Provision of C.P.R. recertification evaluation and training of the PAD responder
employees as required.
• Development and provision of in-house reviews of SAED.
• Provision of Biomedical Engineering by the Lakeridge-Health Biomedical Engineering
Progra nce-per-year-o ei eac i use, c-ensure tha Ds--are-mairUained
according to the manufacturer's standards, including biomedical direction for the
replacement of batteries and pads_when by the manufacturer_or the
Biomedical Department.
■ Method design for the collection of patient care outcome data by the CEPCP to provide
the basis for ongoing patient care quality assurance programs. - --
■ A Site Coordinator's Meeting will be organized by CEPCP on an annual basis to review
the program's goals, outcomes, and patient care protocols. Additional meetings between
the Ciarington and the CEPCP will be held at the request of either party.
■ Availability of the CEPCP staff and physician to consult on and review issues and
procedures as required.
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April 2012- March 2015 Page 2 of 12
■ Dedication of a designated CEPCP PAD Coordinator as a prime contact for the PAD site.
■ CEPCP medical and logistical support for the development of Conjoint Public Access
Defibrillation Programs in our Community.
■ The CEPCP will provide instructors (Paramedics and Firefighters) to deliver SAED
training, using the principles of Adult Learning. The scope of this training will include,
but is not limited to the content of the Canadian Heart and Stroke Foundations CPR &
SAED recommendations. All curriculum content and instructor training and qualifications
will be approved by the Central East Prehospital Care Program Medical Advisory Board
Physicians.
■ To identify placement of such SAED throughout the site to ensure time to defibrillation
can be achieved in 3-5 minutes or less from time of recognition of cardiac arrest;
(b)The following items are recommendations of program maintenance:
■ To recommend the SAED be placed in an Emergency Response Case that will audibly
and visually (flashing red light) alert staff that the emergency response case door has
been opened. When the SAED is removed from the Emergency Response Case, a call is
automatically made to the alarm company who in turn will notify 911 to activate
emergency services (Fire Service and Emergency Medical Service).
■ To establish an action plan in the case of an emergency and AED use.
■ To maintain quality assurance by establishing a collaborative environment between the
rescuers, CEPCP, Fire Service, and Emergency Medical Services (EMS) Paramedics
through training, feed-back, group sharing of knowledge and learning from experience,
and to establish a follow-up support system for rescuers post-SAED use (le. critical
incident stress Intervention).
II. Agreement Criteria for PAD Program
It Is clearly understood and agreed to by both parties that medical consultation to the PAD
Responder for the purpose of SAED is provided under the following conditions:
A. Consultation with respect to the Cardiac Safe Community PAD program is provided
under the auspices of the CEPCP Medical Advisory Board Physicians.
B. Consultation is available when the PAD responder is acting in the best interest of a SCA
victim. This may include the utilization of a SAED in another PAD site. Anyone who has
been-tauqht PAD under our program can assist citizen responders in the use of a PAD
response. The audio and text prompts from the SAED must be followed exactly.
- - - - C. Non-trained responders who use the SAED in good faith and voluntarily are-protected----------
from_liability--by the-Chase--McEachern-Act-(Heart--Defibrillator_Civil__Liability)-------
_
2007, S.O. 2007, c. 10, Sch. N (Appendix B) and the Good Samaritan Act, 2001
S.O. 2001, CHAPTER 2 (Appendix C).
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I
XXL Training Development Academic Goals and Standards
i
A. All training materials and lesson plans in the initial and on-going program
development process will be scrutinized by qualified adult educators. "Qualified
Adult Educators"for the purpose of this agreement are prehospital care
professionals with practice qualifications of at least the Advanced Care Paramedic
Level and with formal certification in adult education from a recognized
community college or university.
B. All learning objectives and learning outcomes for this program will be approved by a
physician who is qualified as a specialist in Emergency Medicine and has experience
providing medical direction in the field of out-of-hospital Emergency Care.
IV, Agreement Term
it
This Agreement is for a term of three years, effective April 1 11, 2012, and expiring on March
31St, 2015, or as terminated pursuant to Section VII: Dispute Resolution.
V. Program Fees and Services Provided
A. Fees:
1. Initial Site setup, including site assessment, signage, initial Biomed visit and PAD
awareness session is a one time fee of $600.00.
2. Annual training and certification of providers is at a fee of$750.00 for a class size
between 7 - 12 participants. Class duration will be 6 1/2 - 7 hours which includes all
breaks. Classes must be cancelled no less than 2 business days prior to the
scheduled session, otherwise the usual charge applies.
3. Program Support is an annual fee of $1,000.00 for the initial unit at a site.
Additional units at the same location require an annual fee of $450.00 per unit.
HST is not included in the above fees. Program fees will be subject to review and increase
on renewal of this contract.
For PAD Responders requiring,remedial continuing education from the CEPCP PAD _
Coordinator or the CEPCP Physician over and above the instruction detailed the CEPCP and
the Clarington will negotiate a fee for that service at that time.
B. Invoicing:
_--- Training costs witl-be-invoiced-on a per course basis.-
Program and Biomedical Engineering support costs will be invoiced quarterly starting in April
of each year. The number of sites to be billed is determined by the site list contained in
Appendix A. Sites that become active during the year will be billed when they become a live
site. The initial setup fee will apply in full and the support fees will be calculated on a
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prorated basis, based on the number of whole months the site will be active in that calendar
year.
C. Services:
1. Emergency Action Plan Development:
- site assessment to determine the number of SAED's required
- direct best placement for access to SAED
- medical emergency response plan implementation (site specific)
2. CPR Education Review (Canadian Heart & Stroke Foundation Guidelines):
- placing 911 call (role of police, fire, and ambulance)
- risk factors of heart disease
- recognition of heart attack
- choking emergencies
- patient assessment
- one and two person adult CPR
3, Defibrillation Training:
- SAED shock & nonshockable protocols
- scenarios (based on Emergency Action Plan)
- trouble shooting
- SAED weekly, monthly, and after use checks
- communication/documentation
4. PAD awareness session for Non-targeted Responders
- concept of rapid defibrillation/medical direction of defibrillation
- medical legal liabilities and issues
- questions and concerns
S. Physician/Physician Review and Oversight of:
- program design
- operational critique for every event
6. Newsletter for Targeted Responder (continuing educational topics for medical
emergencies)
7. Quality Assurance and Risk Management:
- identify and provide ongoing training for site coordinators
- daily, monthly, and after use checks
- Emergency ten-Ran-Aud t -
- Begin development of local on-site coordinators to enhance initial certification
process for new employees
8. Six month reviews (site-visits)_to
- Ensure weekly and monthly checks are being completed
- Fnyire arieq ate signage Is placed to direct persons to the AED
- - - continue development of local on-site coordinators
-- - -------9-,_-Office Administration:---
-- --- - maintenance-of certification-record
- updates of protocol changes
- clinical co-ordinator dedicated to Targeted Responder Program
- Program representative on call 24/7 to respond to any issues/concerns or post-
SCA events
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10.Critical Incident Stress management services.
- demobilization education is provided for the Site Co-ordinator and staff that will
be called in to talk with PAD responders following a SCA
- when Targeted Responder personnel are involved in an event, the Cardiac Safe
Community Program will ensure Incident debriefings are facilitated
the Cardiac Safe Community Program is affiliated with and supports the
Durham Region Critical Incident Stress Management Team Services
11.13iomedical Engineering Support and Operational Risk Management
- check SAED once a year
- change SAED battery as required
- change SAED pads as required
- ensure SAED meets operational needs
- certification of machine safety and operation
VI. Mutual Indemnification Clause
The Hospital agrees to indemnify and save the Clarington harmless from all loss, cost,
expense, judgment or damage on account of injury to persons including death or damage to
property, in any way caused by the negligence of the hospital, its servants, agents or
employees related to or arising out of programs or other matters to which this agreement
pertains, together with all legal expenses and costs incurred by the Clarington in defending
any legal action pertaining to the above.
The Clarington agrees to indemnify and save the Hospital harmless from all loss, cost,
expense, judgment or damage on account of injury to persons including death or damage to
property, in any way caused by the negligence of the Clarington, its servants, agents, or
employees related to or arising out of programs or other matters to which this agreement
pertains, together with all legal expenses and costs incurred by the Hospital in defending
any legal action pertaining to the above.
VII. Dispute Resolution
If either party is dissatisfied with the performance of the other party, the dissatisfied party
may give-written notice of the dissatisfaction to the other party and shall provide the other
party with thirty (30) days within which to rectify the matter of dissatisfaction.
Where the matter Is not corrected to the satisfaction of the party giving notice within the -
thirty_(30)_day period, the dissatisfied party may terminate this Agreement by giving the
other party ninety (90) days written notice of the party's intention to terminate the
Agreement. The ninety (90) day period of notice shall commence five (5) business days
after the notice has been mailed to the other party or twenty-four_(24)_hours following
delivery of the notice by hand or by facsimile transmission.
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VIII. Review of Agreement
The parties mutually agree that this Agreement will be reviewed, prior to the end of its
term, by Lakeridge Health and the The Municipality of Clarington. Any such renewal shall
be based upon such terms and conditions, including any or all of the provisions of this
Agreement, as may be mutually agreed to by the parties.
The parties have caused this Agreement to be executed by their authorized representatives.
The Municipality of Clarington Print Date
Representative
Lakeridge Health Print Date
CEO & President
LH/Clarington Agreement
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Appendix A
to Semi Automatic External Defibrillation Agreement
between Lakeridge Health and The Municipality of Clarington
April 1, 2012 to March 31, 2015
This appendix maintains a complete list of all sites covered under this Agreement and will be
updated when sites become active or are deactivated.
Date of current Appendix A:
Replaces dates of previous Appendix A:
Clarington Site Locations
Site Locations Number of Activation De-activation
SAEDs on Site Date of Site Date of Site
(dd/mm/yyyy) (dd/mm/yyyy)
Garnet Rickard Rec. Centre 1
South Courtice Arena 1
Bowmanville Indoor Soccer 1
Facility
Darlington Sport Centre 1
Clarington Fitness Centre 1
Newcastle & District Rec. Centre 1
Courtice Community Complex 1
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Appendix B
Chase McEachern Act (Heart Defibrillator Civil Liability), 2007, S.O. 2007, c. 10,
Sch. N
Citation: Chase McEachern Act (Heart Defibrillator Civil Liability), 2007,
S.O. 2007, c. 10, Sch. N
Information about this Consolidation: No Amendments.
text:
URL: http://www.canlil.org/on/laws/sta/2007c.10sch.n/20070717/wh
ole.html
Version downloaded by CanLII on 2007-07-17
Chase McEachern Act (Heart Defibrillator Civil Liability), 2007
S.O. 2007, CHAPTER 10
Schedule N
Definitions
1. In this Act,
"defibrillator" means an automated external medical heart monitor and defibrillator that is
capable of,
(a) recognizing the presence or absence of ventricular fibrillation or rapid
ventricular tachycardia,
(b) determining, without intervention by an operator, whether defibrillation should
be performed,
(c) automatically charging and requesting delivery of an electrical impulse to an
individual's heart as medically required, and
(d) satisfying any other_criteria that may be prescribed by regulation;
("defibrillateur")
"emergency" means a situation during which the behaviour of an individual reasonably leads
another individual to believe that the first individual is experiencing a life-threatening event
that requires the provision of immediate care to assist the heart or other cardiopulmonary
functioning of that person; ("_situation d'urgence")
„health care professional„ means, - -- - - -- -- -- --
(a) a member of a College of a health profession set out in Schedule 1 to the
Regulated Health Professions Act, 1991,
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(b) such other persons or classes of persons as may be prescribed. ("professionnel
de la sante") 2007, c. 10, Sched. N, s. 1.
Protection from civil liability, user of defibrillator
2. (1) Despite the rules of common law, a person described in subsection (2) who, in
good faith, voluntarily and without reasonable expectation of compensation or reward uses
a defibrillator on a person experiencing an emergency is not liable for damages that result
from the person's negligence in acting or failing to act while using the defibrillator, unless it
is established that the damages were caused by the gross negligence of the person. 2007,
c. 10, Sched. N, s. 2 (1).
Persons covered
(2) Subsection (1) applies to,
(a) a health care professional, if the health care professional does not use the
defibrillator at a hospital or other place having appropriate health care facilities and
equipment for the purpose of defibrillation; and
(b) an individual, other than a health care professional described in clause (a), who
uses a defibrillator at the immediate scene of an emergency. 2007, c. 10, Sched. N, s. 2
(2)•
Reimbursement of expenses
(3) Reasonable reimbursement that a person receives for expenses that the person
reasonably incurs in using a defibrillator shall be deemed not to be compensation or reward
for the purpose of subsection (1). 2007, c. 10, Sched. N, s. 2 (3).
Protection from civil liability, owner or operator of premises
3. (1) Despite the Occupiers'Liability Act and the rules of common law, any person
who owns or occupies premises where a defibrillator is made available for use and who acts
in good faith with respect to the availability or use of the defibrillator is exempt from civil
liability for any harm or damage that may occur from the use of the defibrillator. 2007,
c. 10, Sched. N, s. 3 (1).
Exception
(2) Subsection (1) does not exempt the person who owns or occupies the premises
where a defibrillator is-made-available for use from civil liability if,
(a) that person acts with gross negligence with respect to making the defibrillator
available;
(b) that person fails to properly maintain the defibrillator; or
(c) the premises where the defibrillator is made available for use is a hospital or
other premises used primarily for the purpose of providing health-care-to individuals. 2007,- -
c. 10, Sched. N, s. 3 (2).
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Regulations
4. The Lieutenant Governor in Council may make regulations,
(a) prescribing criteria for the purpose of the definition of"defibrillator" in section 1;
(b) prescribing persons or classes of persons for the purposes of the definition of
"health care professional" in section 1;
(c) governing standards for the proper maintenance of defibrillators;
(d) respecting any matter necessary or advisable to carry out effectively the
purposes of this Act. 2007, c. 10, Sched. N, s. 4.
Applies to the Crown
S. This Act applies to the Crown and any agency of the Crown. 2007, c. 10, Sched. N,
S. 5.
6. Omitted (provides for coming into force of provisions of this Act). 2007, c. 10,
Sched. N, s. 6.
7. Omitted (enacts short title of this Act). 2007, c. 10, Sched. N, s. 7.
Reference:
Chase McEachern Act (Heart Defibrillator Civil Liability), 2007, S.O. 2007, c. 10, Sch. N;
http://www.canI!!.org/on/Iaws/sta/200-/c.10sch.n/20070717/whole.html.
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Appendix C
Good Samaritan Act 2001 S O 2001 CHAPTER 2
No amendments.
Definition
1. In this Act,
"health care professional" means a member of a College of a health profession set out in
Schedule 1 to the Regulated Health Professions Act, 1991. 2001, c. 2, s. 1.
Protection from liability
2. (1) Despite the rules of common law, a person described in subsection (2) who
voluntarily and without reasonable expectation of compensation or reward provides the
services described in that subsection is not liable for damages that result from the person's
negligence in acting or failing to act while providing the services, unless it is established
that the damages were caused by the gross negligence of the person. 2001, c. 2, s. 2 (1).
Persons covered
(2) Subsection (1) applies to,
(a) a health care professional who provides emergency health care services or first aid
assistance to a person who is ill, injured or unconscious as a result of an accident or other
emergency, if the health care professional does not provide the services or assistance at a
hospital or other place having appropriate health care facilities and equipment for that
purpose; and
(b) an individual, other than a health care professional described in clause (a), who provides
emergency first aid assistance to a person who is ill, injured or unconscious as a result of an
accident or other emergency, if the individual provides the assistance at the immediate
scene of the accident or emergency. 2001, c. 2, s. 2 (2).
Reimbursement-of-expenses
(3) Reasonable reimbursement that a person receives for expenses that the person
reasonably incurs in providing the services described in subsection (2) shall be deemed not
to be compensation or reward for the purpose of subsection (1). 2001, c. 2, s. 2 (3).
. Omitted (provides for coming into force of provisions of this Act). 2001, c. 2, s. 3.
4. Omitted (enacts short title of this Act). 2001, c. 2, s. 4.
Reference:
Good Samaritan Act, 2001, S.O. 2001, CHAPTER 2; iittp://www.e
laws.gov.on.ca/html/statutes/engl ish/elaws_statuteS_0lg02_e.htm.
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