| (a) In this section:
(1) "automated external defibrillator" means a heart
monitor and defibrillator that:
(A) has received approval from the United States Food
and Drug Administration of its premarket notification filed under
United States Code, Title 21, §360(k);
(B) is capable of recognizing the presence or absence
of ventricular fibrillation or rapid ventricular tachycardia;
(C) is capable of determining, without interpretation
of cardiac rhythm by an operator, whether defibrillation should be
performed; and
(D) after determining that defibrillation should be
performed, automatically charges and requests delivery of an electrical
impulse to an individual's heart; and
(2) "onsite" means:
(A) in a single story building;
(B) on each floor of a multiple story building; or
(C) in each small house of a multiple small house model.
(b) A facility must have at least one automated external
defibrillator available for use onsite at all times. The facility
must place the automated external defibrillator in a location that
is easily accessible for staff persons who are trained to operate
it.
(c) A facility must ensure at least one staff person
who has completed and maintains training in cardiopulmonary resuscitation
(CPR) and automated external defibrillator operation in accordance
with the guidelines established by the defibrillator's manufacturer
and as approved by the American Heart Association, the American Red
Cross, or other nationally recognized associations is onsite at all
times.
(d) A facility must ensure that a licensed physician
provides medical consultation or general oversight of the staff training
to ensure the facility complies with subsection (c) of this section.
(e) A facility must maintain and test the automated
external defibrillator according to the manufacturer's guidelines
and keep records of the maintenance and testing.
(f) A facility must conduct a monthly inspection to
verify the automated external defibrillator:
(1) is placed at its designated location;
(2) reasonably appears to be ready for use; and
(3) does not reasonably appear to be damaged in a manner
that could prevent operation.
(g) A facility must ensure the use of an automated
external defibrillator is consistent with a resident's advance directive
executed or issued under Texas Health and Safety Code, Chapter 166,
Subchapter C.
(h) The facility must notify the local emergency medical
services provider by calling 9-1-1, per standard CPR procedures, while
using an automated external defibrillator on a resident.
(i) Within 24 hours after acquiring an automated external
defibrillator, a facility must notify the local emergency medical
services provider of:
(1) the existence of the automated external defibrillator;
(2) the location of the automated external defibrillator
in the facility; and
(3) the type of automated external defibrillator.
(j) If a facility has an automated external defibrillator
on the effective date of this rule, the facility must provide the
notification described in subsection (i) of this section within seven
days after the effective date.
|
| Source Note: The provisions of this §554.1935 adopted to be effective April 29, 2015, 40 TexReg 2283; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871; amended to be effective December 6, 2022, 47 TexReg 7712 |
