HB2399 - 491R - I Ver

 

 

 

REFERENCE TITLE: automated external defibrillators

 

 

 

State of Arizona

House of Representatives

Forty-ninth Legislature

First Regular Session

2009

 

 

HB 2399

 

Introduced by

Representative Barto

 

 

AN ACT

 

Amending sections 36-2261, 36-2262 and 36-2263, Arizona Revised Statutes; relating to automated external defibrillators.

 

 

(TEXT OF BILL BEGINS ON NEXT PAGE)

 



Be it enacted by the Legislature of the State of Arizona:

Section 1.  Section 36-2261, Arizona Revised Statutes, is amended to read:

START_STATUTE36-2261.  Definitions

In this article, unless the context otherwise requires:

1.  "Automated external defibrillator" means a medical device heart monitor and defibrillator that:

(a)  Is approved for premarket modification by the United States food and drug administration pursuant to 21 United States Code section 360(k).

(b)  Is capable of recognizing the presence or absence of ventricular fibrillation or rapid ventricular tachycardia and is capable of determining, without intervention by an operator, if defibrillation should be performed.

(c)  Automatically charges and delivers an electrical impulse to a person's heart when it determines that defibrillation should be performed.

2.  "Defibrillation" means the administration of a controlled electrical charge to the heart to restore a viable cardiac rhythm.

3.  "Physician" means a physician who is licensed pursuant to title 32, chapter 13 or 17, and who provides medical oversight services pursuant to section 36‑2262.

4.  "Trained user" means a person who is the expected user of an automated external defibrillator and who has completed training in its use.

5.  "Training" means a state approved course in cardiopulmonary resuscitation and the use of an automated external defibrillator for the lay rescuer and first responder, including the course adopted by the American heart association and in effect as of December 31, 1998. END_STATUTE

Sec. 2.  Section 36-2262, Arizona Revised Statutes, is amended to read:

START_STATUTE36-2262.  Automated external defibrillators; use; requirements

A.  Except as provided in section 36‑2264, a person or entity that acquires an automated external defibrillator shall:

1.  Enter into an agreement with a physician who shall oversee all the aspects of public access to defibrillation, including training, emergency medical services coordination, protocol approval, standing orders, communications, protocols and automated external defibrillator deployment strategies.

2.  Limit the use of an automated external defibrillator to trained responders.

3.  2.  Require each trained responder user who uses an automated external defibrillator on a person in cardiac arrest to

(a)  call telephone number 911 as soon as possible.

(b)  3.  Submit a written report to the physician, bureau of emergency medical services and trauma systems in the department of health services within five working days after its use.

4.  Ensure that the automated external defibrillator is maintained in good working order and tested according to the manufacturer's guidelines.

B.  The physician shall:

1.  Establish quality assurance guidelines that include a review of each use of the automated external defibrillator to evaluate performance.

2.  Be proficient in emergency medical services protocols, cardiopulmonary resuscitation and the use of automated external defibrillators.

3.  Ensure that each trained responder receives training in cardiopulmonary resuscitation and in the use of an automated external defibrillator by completing the heart saver automated external defibrillator course for the lay rescuer and first responder, in effect as of December 31, 1998, adopted by the American heart association or an equivalent course that meets the same objectives.

4.  Ensure that the automated external defibrillator is maintained in good working order and tested according to the manufacturer's guidelines.

C.  For the purposes of this section, "trained responder" means a person who meets the requirements of subsection B, paragraph 3 of this section. END_STATUTE

Sec. 3.  Section 36-2263, Arizona Revised Statutes, is amended to read:

START_STATUTE36-2263.  Civil liability; limited immunity; good Samaritan

A.  The following persons and entities are not subject to civil liability for any personal injury that results from any act or omission that does not amount to willful wilful misconduct or gross negligence:

1.  A physician who provides supervisory services pursuant to and in compliance with section 36‑2262, subsection B oversight.

2.  A person or entity that provides training in cardiopulmonary resuscitation and use of an automated external defibrillator.

3.  A person or entity that acquires an automated external defibrillator pursuant to this article if the person or entity complies with the requirements of section 36-2262, subsection A.

4.  The owner of the property or facility where the automated external defibrillator is located.

5.  A trained responder as defined in section 36‑2262, subsection C.

6.  5.  A person or entity that provides the automated external defibrillator pursuant to this article.

7.  6.  A nonprofit entity that, in the placement of an automated external defibrillator pursuant to this article, acts as an intermediary between the provider of an automated external defibrillator and the person or entity that acquired the automated external defibrillator or the owner of the property or facility where the automated external defibrillator is located.

8.  7.  A good Samaritan.  For the purposes of this paragraph, "good Samaritan" means a person who uses an automated external defibrillator to render emergency care or assistance in good faith and without compensation at the scene of any accident, fire or other life-threatening emergency.

B.  The exception from civil liability provided in subsection A of this section does not affect a manufacturer's product liability regarding the design, manufacturing or instructions for use and maintenance of an automated external defibrillator. END_STATUTE

_________________________
Dan Mohrbacher