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CPR/AED Laws

Overview

South Jordan City Municipal Code.  Chapter 8.32. Project Cardiac React

Utah Law.  Title 26 Chapter 8b. Utah Sudden Cardiac Arrest Survival Act

 

Overview

 

In an effort to consolidate, modernize and simplify Utah CPR and AED laws, in July of 2008, South Jordan City Fire Chief Chris Evans drafted and proposed the Utah Sudden Cardiac Arrest Survival Act (“Act”).   During the 2009 legislative session, with the assistance of the bill sponsor Representative Carl Wimmer, the Act moved through committee and both houses with a unanimous vote.  The Act was approved by Governor Huntsman on March 20, 2009.  The effective date is May 12, 2009. 

 

Assuming the act or omission does not involve willful misconduct or gross negligence, the new law generally provides civil immunity for those who gratuitously and in good faith provide CPR, use an AED, or are otherwise involved in a CPR or AED program.  It also addresses several other related issues such as the authority to administer CPR or use an AED, training, and reporting requirements.  To view a copy of the State law please see Title 26 Chapter 8b.

 

Taking into consideration the enactment of the Utah Sudden Cardiac Arrest Survival Act, the services offered as the result of South Jordan City Project Cardiac React (i.e., CPR/AED training, guidance with establishing and maintaining a PAD program, post-event support, etc), and the importance of early CPR and defibrillation,  Chief Evans drafted South Jordan Municipal Code Chapter 8.32, Project Cardiac React.  It was presented to the City Council for consideration under first reading on May 19, 2009.  Following a public hearing on June 2, 2009, with a unanimous vote, the South Jordan City Council adopted Chapter 8.32, Project Cardiac React.   The effective date is July 1, 2009.   

 

The ordinance requires certain occupancies within South Jordan to install and maintain a public access AED.    Further, it encourages CPR and AED training for persons who might may perform CPR or use an AED,  establishes the requirements for distribution, mounting and identification of AEDs, and prohibits tampering with an AED or other related equipment or supplies.   The ordinance also addresses several other CPR and AED related issues.  To view a copy of the City ordinance please see Chapter 8.32.      

 

 

 

 

South Jordan City Municipal Code:  Chapter 8.32.  Project Cardiac React

 

SECTION 1.  Enacting.   Chapter 8.32, Project Cardiac React, of the South Jordan City Municipal Code, is enacted as follows:

8.32.010.  Purpose.

 

Reduce heart damage, improve the quality of life and increase survivability of persons who experience a heart attack, Sudden Cardiac Arrest (SCA) or stroke while in South Jordan City.

 

8.32.020     Definitions.

 

Unless otherwise defined herein, the applicable definitions in the Utah Sudden Cardiac Arrest Survival Act, as set forth in Utah Code Annotated section 76-8b-102 et seq., as currently adopted and hereinafter amended, are adopted as the definitions for this Chapter.  Additionally, as used in this Chapter:  

 

a)    “City” means the City of South Jordan, Utah.

 

b)    “Fire Department” means the City of South Jordan Fire Department.

 

c)    “Fitness Center” means a building or structure, or portion thereof, which contains facilities and/or equipment for people to maintain or improve their physical fitness, or participate in body building, figure development, martial arts or other similar activities.

 

d)    “Occupant Load” means the maximum number of persons for which the building or structure is designed for as outlined in the Building Code as adopted by the State of Utah. 

 

8.32.030.  Program Required.

 

a)    Project Cardiac React.  The Fire Department shall develop, implement and maintain programs or services that:

 

i.        Encourage persons to call 911 for cardiovascular related emergencies; 

 

ii.      Provide for early administration of CPR to SCA victims as appropriate;    

 

iii.    Provide for early defibrillation of SCA victims as appropriate; and 

 

iv.    Provide advanced pre-hospital treatment for cardiovascular and stroke emergencies by first responders and advanced life support personnel.

 

8.32.040.  Training.

 

a)    Training Encouraged.  Individuals who may perform CPR or use an AED are encouraged to complete a course of instruction in the administration of CPR and use of an AED.

 

8.32.050.  Public Access Automated External Defibrillator.

 

a)    Applicability.  The owner or occupant of any existing building, structure, or recreational field who is required to install and maintain an AED as described herein, shall comply with this Section prior to July 1, 2010.  As of the effective date of this Chapter, others who are required to have an AED as outlined herein, shall comply prior to the issuance of a certificate of occupancy by the City. 

 

b)    Where Required. AEDs shall be required in the following locations:

 

                                                        i.      All fire department vehicles.

 

                                                      ii.      All police department patrol and school resource vehicles.

 

                                                    iii.      All buildings or structures, or portion thereof, occupied by:

 

a)     A licensed health care provider.

 

b)     A dentist.

 

c)      A fitness center or swimming pool of one-thousand two hundred square feet or larger.

 

Exception:  Does not apply to a fitness room or swimming pool at a private residence.

 

d)     People who are cared for or living in a supervised environment and having physical limitations because of health or age, are harbored for medical treatment or other care or treatment, or   people who are detained for penal or correctional purposes.

 

Exception:  Does not apply to a private residence; or licensed child care facilities that provide accommodations for less than fifty children under the age of five and for less than twenty-four hours. 

 

                                                    iv.      All hotels or motels.

 

                                                      v.      All municipal and private golf courses.

 

                                                    vi.      Buildings or structures, or portion thereof, with an occupant load of more than fifty people and occupied by:

 

a)     A governmental agency (city, county, state and federal).

 

b)     A public, charter, or private primary or secondary school.

 

c)      A licensed child care facility.

 

                                                  vii.      All public or commercial recreation and sporting fields during sporting events at which more than one hundred fifty people are in attendance at any given time.

 

                                                viii.      All public or private buildings or structures, or portion thereof, not otherwise identified above and with an occupant load of greater than one hundred fifty people.

 

c)    Quantity and Distribution. 

 

                                                        i.      AEDs shall be distributed such that the maximum travel distance from any portion of the building or structure to an AED does not exceed four hundred twenty-five feet. 

 

                                                      ii.      In buildings, structures, or other areas with multiple occupancies, an AED may be shared by two or more occupancies when:

 

a)      AEDs are placed in a common area accessible to all occupants and visitors of each building, structure or portion thereof; and

 

b)      The maximum travel distance to an AED from any portion of the building or structure does not exceed four hundred twenty-five feet.

 

d)    General Requirements. AEDs shall be installed, maintained, and used in accordance with this Chapter and applicable federal, state and local laws and regulations.

 

e)     Accessibility.  AEDs shall be:

 

                                                        i.      Located in a conspicuous location along normal paths of travel and readily accessible and immediately available for use by employees and members of the general public, including disabled persons.

 

                                                      ii.      Unobstructed from view or use.  In rooms or areas in which visual obstruction cannot be completely avoided, signs shall be provided to indicate the location of the AED.

 

                                                    iii.      Housed in a cabinet permanently affixed to a wall or durable portable stand and in accordance with the following:

 

a)     The height of the AED shall be a minimum of forty-two inches and a maximum of forty-eight inches measured vertically, from the floor to the top of the AED carrying handle.  

 

b)     The AED cabinet shall include a clear window in the cabinet door and an audible alarm signaling the opening of the door. 

 

c)      Cabinets used to house AEDs shall not be locked.

 

Exceptions:

1)     Section 8.32.050(E) does not apply to AEDs deployed in vehicles, intended for use by a designated emergency medical response team, or temporarily deployed at a recreational field as required in section 8.32.050(B)(vii).

 

2)     In areas where the AED is subject to theft or vandalism, the cabinet door may remain locked when visual identification panels of glass or other approved transparent frangible material that is easily broken and allows rapid access is used; or when secured in an AED cabinet incorporated into an emergency communication device that is monitored twenty-four hours a day seven days a week and, without delay the monitoring agency has the ability to remotely release the AED locking mechanism.  

 

f)     AED Signs.  The location of each AED shall be marked by an approved multi-directional sign containing the letters “AED” and the universally recognizable AED symbol.   Signs shall be plainly legible, visible and of an approved size to provide adequate visibility.

 

8.32.060.  Tampering with an AED.

 

It shall be unlawful for any person to remove, tamper with or otherwise disturb any AED except for the purpose of responding to, or providing care to a potential cardiac arrest patient, inspection, performing maintenance or making repairs.  AED enclosures, signs, tags or seals which have been installed at the direction of this Chapter shall not be removed, destroyed, tampered with or otherwise vandalized in any manner. 

 

8.32.070.  Reporting Location of AEDs. 

 

As set forth in Utah Code Annotated section 76-8b-301 et seq., as currently adopted and hereinafter amended, a person who owns or leases an AED shall report the name, address and phone number of the AED owner and the exact location of each AED, in writing, to Salt Lake Valley Emergency Communications Center.  

 

Exception:  AEDs which are not at a permanent location, such as those in vehicles: temporary portable stands for community events: or are purchased for a designated emergency medical response team are exempt from the reporting requirement.

 

8.32.080.  Post-Event Reporting.

 

The owner of an AED shall notify the Fire Department as soon as possible, but no later than twenty-four hours following any use of the AED; the owner shall provide the Fire Department with information relevant to the deployment of the AED including but not limited to the date, the time and location of use, the data recorded by the AED, and other related emergency response information, including the name and address of any hospital, clinic or medical provider to which the person was transported following the deployment of an AED.

 

8.32.090.  Notice of Violation Required.

 

When a building, structure, vehicle, or outdoor area is found to be in violation of the requirements of this Chapter, the fire chief, or his/her designee, shall issue a written notice of violation prior to taking further action.  A notice of violation issued pursuant to this Chapter shall be served upon the owner, operator, occupant, or other person responsible for the condition or violation by personal service or mail. The notification can be delivered to the owner’s property and left with a   person of responsibility upon the premise. 

 

A reasonable time shall be given for the person to comply with this Chapter, which shall not be less than thirty days after written notice of violation is served.

 

8.32.100.   Penalties. 

 

The violation of this Chapter shall be a class C misdemeanor punishable by law.  The violation of one section or subsection shall be a separate violation from the violation of another section or subsection.

 

8.32.110.  Immunity. 

 

Nothing in this chapter shall limit or otherwise restrict the immunity from civil liability provided under the Utah Sudden Cardiac Arrest Survival Act, Good Samaritan Act, and/or other applicable federal or state law.

 

SECTION 2.  Authority.  The South Jordan City Fire Chief is hereby authorized to render interpretations and enforce the provisions of this Chapter.  Interpretations shall be in compliance with the intent and purpose of this Chapter and shall not have the effect of waiving requirements specifically provided for in this Chapter.

 

SECTION 3Severability. If any section, part or provision of this Chapter is held invalid or unenforceable, such invalidity or unenforceability shall not affect any other portion of this Chapter and all sections, parts, provisions and words of this Chapter shall be severable.

 

SECTION 4Effective DateThis Chapter shall become effective as of July 1, 2009.

 

 

Utah Law:  Title 26 Chapter 8b.  Utah Sudden Cardiac Arrest Survival Act.

 

 

 

 

 

 26-8b-101.  Title.

     This chapter is known as the "Utah Sudden Cardiac Arrest Survival Act."

 

 

 

26-8b-102.  Definitions.
       As used in this chapter:

1)     "Automatic external defibrillator" or "AED" means an automated or automatic computerized medical device that:

a)     has received pre-market notification approval from the United States Food and Drug Administration, pursuant to Section 360(k), Title 21 of the United States Code;

b)     is capable of recognizing the presence or absence of ventricular fibrillation or rapid ventricular tachycardia;

c)      is capable of determining, without intervention by an operator, whether defibrillation should be performed; and

d)     upon determining that defibrillation should be performed, automatically charges, enabling delivery of an electrical impulse through the chest wall and to a person's heart.

2)     "Bureau" means the Bureau of Emergency Medical Services, within the department.

3)     "Cardiopulmonary resuscitation" or "CPR" means artificial ventilation or external chest compression applied to a person who is in respiratory or cardiac arrest.

4)     "Emergency medical dispatch center" means a public safety answering point, as defined in Section 63C-7-103, that is designated as an emergency medical dispatch center by the bureau.

5)     "Sudden cardiac arrest" means a life-threatening condition that results when a person's heart stops or fails to produce a pulse.

 

 

 26-8b-201.  Authority to administer CPR or use an AED.

1)     A person may administer CPR on another person without a license, certificate, or other governmental authorization if the person reasonably believes that the other person is in sudden cardiac arrest.

2)     A person may use an AED on another person without a license, certificate, or other governmental authorization if the person reasonably believes that the other person is in sudden cardiac arrest.

 

 

 

 26-8b-202.  Immunity.

1)     Except as provided in Subsection (3), the following persons are not subject to civil liability for any act or omission relating to preparing to care for, responding to care for, or providing care to, another person who reasonably appears to be in sudden cardiac arrest:

a)     a person authorized, under Section 26-8b-201, to administer CPR, who:

                                                              i.      gratuitously and in good faith attempts to administer or administers CPR to another person; or

                                                            ii.      fails to administer CPR to another person;

b)     a person authorized, under Section 26-8b-201, to use an AED who:

                                                              i.      gratuitously and in good faith attempts to use or uses an AED; or

                                                            ii.      fails to use an AED;

c)      a person that teaches or provides a training course in administering CPR or using an AED;

d)     a person that acquires an AED;

e)     a person that owns, manages, or is otherwise responsible for the premises or conveyance where an AED is located;   

f)       a person who retrieves an AED in response to a perceived or potential sudden cardiac arrest;

g)     a person that authorizes, directs, or supervises the installation or provision of an AED;

h)     a person involved with, or responsible for, the design, management, or operation of a CPR or AED program;

i)        a person involved with, or responsible for, reporting, receiving, recording, updating, giving, or distributing information relating to the ownership or location of an AED under Part 3, AED Databases; or

j)        a physician who gratuitously and in good faith:

                                                              i.      provides medical oversight for a public AED program; or

                                                            ii.      issues a prescription for a person to acquire or use an AED.

2)     This section does not relieve a manufacturer, designer, developer, marketer, or commercial distributor of an AED, or an accessory for an AED, of any liability.

3)     The liability protection described in Subsection (1) does not apply to an act or omission that constitutes gross negligence or willful misconduct.

 

 

 

26-8b-301.  Reporting location of automatic external defibrillators.

1)     Beginning on September 1, 2009, in accordance with Subsection (2) and except as provided in Subsection (3):

a)     a person who owns or leases an AED shall report the person's name, address, and telephone number, and the exact location of the AED, in writing, to the emergency medical dispatch center that provides emergency dispatch services for the location where the AED is installed, if the person:

                                                              i.      installs the AED;

                                                            ii.      causes the AED to be installed; or

                                                          iii.      allows the AED to be installed; and

b)     a person who owns or leases an AED that is removed from a location where it is installed shall report the person's name, address, and telephone number, and the exact location from which the AED is removed, in writing, to the emergency medical dispatch center that provides emergency dispatch services for the location from which the AED is removed, if the person:

                                                              i.      removes the AED;

                                                            ii.      causes the AED to be removed; or

                                                          iii.      allows the AED to be removed.

2)     A report required under Subsection (1) shall be made within 30 days after the day on which the AED is installed or removed.

3)     Subsection (1) does not apply to an AED that is installed in, or removed from, a private residence.

4)     Beginning on September 1, 2009, a person who owns or leases an AED that is installed in, or removed from, a private residence may voluntarily report the location of, or removal of, the AED to the emergency medical dispatch center that provides emergency dispatch services for the location where the private residence is located.

5)     The department may not impose a penalty on a person for failing to comply with the requirements of this section


26-8b-302.  Distributors to notify of reporting requirements.

     A person in the business of selling or leasing an AED shall, at the time the person provides, sells, or leases an AED to another person, notify the other person, in writing, of the reporting requirements described in Section 26-8b-301.


26-8b-303.  Duties of emergency medical dispatch centers.
     Beginning on September 1, 2009, an emergency medical dispatch center shall:

1)     implement a system to receive and manage the information reported to the emergency medical dispatch center under Section 26-8a-209 or 26-8b-301;

2)     record in the system described in Subsection (1), all information received under Section 26-8a-209 or 26-8b-301 as follows:

a)     if the information is received under Subsection 26-8a-209(5), within 30 days after the day on which the information is received; or

b)     if the information is received under Subsection 26-8a-209(6) or Section 26-8b-301, within 14 days after the day on which the information is received;

3)     inform a person who calls to report a potential incident of sudden cardiac arrest of the location of any nearby AED; and

4)     provide the information contained in the system described in Subsection (1), upon request, to:

a)     the bureau; or

b)     another emergency medical dispatch center

 

26-8b-401.  Education and training.

1)     The bureau shall work in cooperation with federal, state, and local agencies and schools, to encourage individuals to complete courses on the administration of CPR and the use of an AED.

2)     A person who owns or leases an AED shall encourage each person who is likely to use the AED to complete courses on the administration of CPR and the use of an AED.

 

 

 

 

26-8a-209.  Fully automated external defibrillator statewide database.

1)      Except as provided in Subsection (4), the department shall establish and maintain a statewide database containing the following information:

a)      the name of the owner of a fully automated external defibrillator; and

b)      the precise location of the fully automated external defibrillator, including the address and the place in which the defibrillator is stored.

2)      Except as provided in Subsection (4):

a)      the department shall give the information from the database to emergency medical service dispatch centers in the state; and

b)      emergency medical dispatch centers in the state may disclose the nearest location of a fully automated external defibrillator to a person calling the dispatch center in the event of a medical emergency and to first responders in an emergency.

3)      Except as provided in Subsection (4):

a)      a commercial owner of a fully automated external defibrillator shall register the ownership and precise location of the defibrillator with the department within 30 days of acquisition of the defibrillator;

b)      an owner of a fully automated external defibrillator purchased for use in a private residence may register the ownership and precise location of the defibrillator with the department; and

c)      the department may not impose penalties on a manufacturer or an owner of a fully automated external defibrillator for failing to comply with the requirements of this section.

4)      Beginning on September 1, 2009:

a)      the provisions of this section are no longer in effect; and

b)      the provisions of Title 26, Chapter 8b, Utah Sudden Cardiac Arrest Survival Act, supersede the provisions of this section.

5)      On or before August 1, 2009, the department shall provide to each emergency medical dispatch center, as defined in Section 26-8b-102, all information contained in the statewide database that pertains to the area for which the emergency medical dispatch center provides emergency dispatch services.

6)      Beginning on the date that the department provides the information required under Subsection (5), and continuing on a weekly basis until September 1, 2009, the department shall provide any additional information that it receives for the statewide database to the emergency medical dispatch centers described in Subsection (5).

 


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