EMERGENCY MEDICAL SERVICES 37.104.601
Subchapter 6

Automated External Defibrillators (AED)

37.104.601 DEFINITIONS The following definitions apply to this chapter, in addition to the definitions contained in 50-6-501, MCA:
(1) "Automated external defibrillators (AED) training program" means a course of instruction approved by the department which provides the initial education
in the use of the AED and which has requirements for continued assurance of the competency of individuals in using an AED.
(2) "CPR" means cardiopulmonary resuscitation.
(3) "Medical supervisor" means a physician, physician assistant, registered nurse, or nurse practitioner licensed in Montana who completes a training program provided by the department and who agrees to provide medical supervision to an
approved AED program. (History: 50-6-503, MCA; IMP, 50-6-501, MCA; NEW,1999 MAR p. 1913, Eff. 9/10/99; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2008 MAR p. 337, Eff. 2/15/08.)
Rules 37.104.602 and 37.104.603 reserved

EMERGENCY MEDICAL SERVICES 37.104.604
37.104.604 WRITTEN PLAN (1) An entity wishing to use or allow the use of an AED shall develop, update as changes are made, and adhere to a written plan that:
(a) for a stationary location specifies the physical address where the AED will be located;
(b) for a mobile location specifies the geographic area in which the AED will be used and specifies how the AED will be transported to the scene of a cardiac arrest;
(c) includes the names of the individuals currently authorized to use the AED;
(d) describes how the AED use will be coordinated with each licensed emergency medical service providing coverage in the area where the AED is located, including how emergency medical services will be activated every time that an AED is attached to a patient;
(e) specifies the name, telephone number(s), and address of the Montana licensed medical supervisor who will be providing medical supervision to the AED program and how the medical supervisor, or the medical supervisor's designee, will
supervise the AED program;
(f) specifies the name, telephone number(s), and address of the medical supervisor's designee, if any, who will assist the medical supervisor in supervising the AED program;
(g) specifies the maintenance procedures for the AED, including how it will be maintained, tested, and operated according to the manufacturer's guidelines;
(h) requires that written or electronic records of all maintenance and testing performed on the AED be kept;
(i) describes the records that will be maintained by the program; and
(j) describes how the required reports of AED use will be made to the medical supervisor of the AED program, or their designee, and to the department.

(History: 50-6-503, MCA; IMP, 50-6-501, 50-6-503, MCA; NEW, 1999 MAR p. 1913, Eff. 9/10/99; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2008 MAR p. 337, Eff. 2/15/08.)

ADMINISTRATIVE RULES OF MONTANA 3/31/08 37-25705
37.104.605 DEPARTMENT OF PUBLIC HEALTH
AND HUMAN SERVICES

37.104.605 WRITTEN NOTICE (1) Prior to allowing any use of an AED, an entity must provide the following, in addition to a copy of the plan required by ARM 37.104.604, to each licensed emergency medical service and public safety answering point or emergency dispatch center in the area where the AED is located:
(a) a written notice, on a form provided by the department, that includes the following information:
(i) the name of the entity that is establishing the AED program;
(ii) the business address and telephone number, including physical location, of the entity;
(iii) the name, telephone number, and address of the individual who is responsible for the onsite management of the AED program;
(iv) the starting date of the AED program; and
(v) where the AED is physically located. (History: 50-6-503, MCA; IMP, 50-6-502, 50-6-503, MCA; NEW, 1999 MAR p. 1913, Eff. 9/10/99; TRANS, from DHES, 2001 MAR p. 2305.)

37-25706 3/31/08 ADMINISTRATIVE RULES OF MONTANA
EMERGENCY MEDICAL SERVICES 37.104.606

37.104.606 REPORTS (1) Every time an AED is attached to a patient, its use must be reported to the medical supervisor or the medical supervisor's designee and the report must include the information required by the medical supervisor.
(2) Every time an AED is attached to a patient, the medical supervisor or the medical supervisor's designee shall provide to the department, on a form provided by the department, the following information:
(a) the name of the entity responsible for the AED;
(b) the name, address, and telephone number of the medical supervisor;
(c) the date of the call;
(d) the age of the patient;
(e) the gender of the patient;
(f) location of the cardiac arrest;
(g) estimated time of the cardiac arrest;
(h) whether or not CPR was initiated prior to the application of the AED;
(i) whether or not the cardiac arrest was witnessed;
(j) the time the first shock was delivered to the patient;
(k) the total number of shocks delivered;
(l) whether or not there was a pulse after the shocks and whether or not the pulse was sustained; and
(m) whether or not the patient was transported, and if so, the name of the transporting agency and the location to which the patient was transported. (History: 50-6-503, MCA; IMP, 50-6-502, 50-6-503, MCA; NEW, 1999 MAR p. 1913, Eff.
9/10/99; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2008 MAR p. 337, Eff.
2/15/08.)

Rules 37.104.607 through 37.104.609 reserved

ADMINISTRATIVE RULES OF MONTANA 3/31/08 37-25707

EMERGENCY MEDICAL SERVICES 37.104.610

37.104.610 TRAINING (1) In order to be authorized by an AED program plan to use an AED, an individual must:
(a) complete a cardiopulmonary resuscitation and AED training program that meets the standards of the American Heart Association and must renew this training at intervals not to exceed two years. (History: 50-6-503, MCA; IMP, 50-6-502, 50-6-503, MCA; NEW, 1999 MAR p. 1913, Eff. 9/10/99; TRANS, from DHES, 2001 MAR p. 2305; AMD, 2008 MAR p. 337, Eff. 2/15/08.)

Rules 37.104.611 through 37.104.614 reserved

ADMINISTRATIVE RULES OF MONTANA 3/31/08 37-25709
EMERGENCY MEDICAL SERVICES 37.104.616

37.104.615 MEDICAL PROTOCOL (1) A medical protocol for defibrillation use must be consistent with the requirements for defibrillation set out in the "2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and
Emergency Cardiac Care" published in "Circulation", a journal of the American Heart Association, November 29, 2005, Volume 112, Issue 22 Supplement, and in the 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and
Emergency Cardiac Care.
(2) The department adopts and incorporates by reference the guidelines for defibrillation referred to in (1), which set guidelines for proper defibrillation. A copy of the documents referred to in (1) may be obtained from the American Heart
Association at http://circ.ahajournals.org/content/vol112/24_suppl/. (History: 50-6-503, MCA; IMP, 50-6-502, MCA; NEW, 1999 MAR p. 1913, Eff. 9/10/99; TRANS,from DHES, 2001 MAR p. 2305; AMD, 2008 MAR p. 337, Eff. 2/15/08.)

37.104.616 REQUIREMENTS OF AUTOMATED EXTERNAL
DEFIBRILLATORS (AED) (1) An AED used by an AED program must be a unit approved by the U.S. Food and Drug Administration. (History: 50-6-503, MCA; IMP, 50-6-503, MCA; NEW, 1999 MAR p. 1913, Eff. 9/10/99;