Section 7. Definitions

A. “Act” means the Cardiac Arrest Response Act, Section 24-10C-1 NMSA 1978. B. “Advanced life support (ALS)” means advanced pre-hospital and inter-facility care and treatment, including basic and intermediate life support, as prescribed by regulation, which may be performed only by a person licensed by the bureau and operating under medical control. C. “AED program” means a program of trained targeted responders that is registered with the department. 7.27.8 NMAC 2 D. “Basic life support (BLS)” means pre-hospital and inter-facility care and treatment, as prescribed by regulation, which can be performed by all licensed emergency medical technicians. E. “Bureau” means the emergency medical systems bureau of the epidemiology and response division of the New Mexico department of health. F. “Cardiopulmonary resuscitation (CPR)” means the manual application of chest compressions and ventilations to patients in cardiac arrest. G. “Defibrillation” means the administration of a controlled electrical charge to the heart to restore a viable cardiac rhythm. H. “Department (DOH)” means the New Mexico department of health. I. “Emergency Medical Service (EMS)” means the services rendered by licensed emergency medical technicians, emergency medical services first responders or emergency medical dispatchers in response to a person’s need for immediate medical care to prevent loss of life or aggravation of physical or psychological illness or injury. J. “Protocols” means predetermined, written medical care plans and includes standing orders. K. “Provider” means a person or entity delivering emergency medical services in New Mexico. L y medical services first responders or emergency medical dispatchers in response to a person’s need for immediate medical care to prevent loss of life or aggravation of physical or psychological illness or injury. J. “Protocols” means predetermined, written medical care plans and includes standing orders. K. “Provider” means a person or entity delivering emergency medical services in New Mexico. L. “Semi-automated external defibrillation (AED)” means a medical device heart monitor and defibrillator that: (1) has received approval of its pre-market modification filed pursuant to United States Code, Title 21, Section 360(k), from the United States food and drug administration; (2) is capable of recognizing cardiac arrest that will respond to defibrillation, ventricular fibrillation or rapid ventricular tachycardia, and is capable of determining whether defibrillation should be performed; and, (3) upon determining that defibrillation should be performed, automatically charges and is capable of delivering an electrical impulse to an individual’s heart upon activation by the equipment user. N. “Trained targeted responder” means a person who has completed an authorized AED training program and who uses an AED. A designated trained targeted responder will be responsible for guidance or supervision for the AED program including overseeing all aspects of the defibrillation program. This includes training, emergency medical services coordination, protocol approval, AED deployment strategies, quality assurance and reporting. [7.27.8.7 NMAC - Rp, 7.27.8.7 NMAC, 12/12/2017] 7.27.8.8 Establishment of an AED program: A. Purpose: The primary reason for establishing an AED program is to improve response to cardiac defibrillation of a person suffering from sudden cardiac arrest. B. AED program locations: cardiac arrest targeted response programs may be initiated in any environment where members of the public are encountered [7.27.8.7 NMAC - Rp, 7.27.8.7 NMAC, 12/12/2017] 7.27.8.8 Establishment of an AED program: A. Purpose: The primary reason for establishing an AED program is to improve response to cardiac defibrillation of a person suffering from sudden cardiac arrest. B. AED program locations: cardiac arrest targeted response programs may be initiated in any environment where members of the public are encountered. [7.27.8.8 NMAC - Rp, 7.27.8.8 NMAC, 12/12/2017] 7.27.8.9 AED program requirements: Prior to submitting an application for registration, the designated supervising trained targeted responder shall ensure that the AED program incorporates the following requirements: A. AED program supervising trained targeted responder shall: (1) Oversee the AED program, assuming responsibility for how the AED program is planned and conducted. (2) Select and identify other participating persons as trained targeted responders. (3) Maintain AED training records for all trained targeted responders while they are active in the program, and for at least three years thereafter. (4) Maintain AED program records including AED maintenance records, trained targeted responder training records, and AED usage records. (5) Ensure that all trained targeted responders are trained using a training program which has been approved by the department. (6) Provide evidence of coordination of the AED program with local EMS services and emergency dispatch agencies, including 911 dispatch agencies. (7) Register the AED program with the department and pay registration fees, as detailed in this regulation. (8) Report all operational uses of the AED to the department. (9) Perform quality assurance review of all operational defibrillations; and. 7.27.8 NMAC 3 (10) Ensure AED equipment is maintained in accordance with the manufacturer’s guidelines. B tch agencies, including 911 dispatch agencies. (7) Register the AED program with the department and pay registration fees, as detailed in this regulation. (8) Report all operational uses of the AED to the department. (9) Perform quality assurance review of all operational defibrillations; and. 7.27.8 NMAC 3 (10) Ensure AED equipment is maintained in accordance with the manufacturer’s guidelines. B. Trained targeted responders: Individuals selected by the supervising trained targeted responder that are trained in CPR and use of an AED and understand how to activate the local emergency medical system for any sudden collapse or cardiac arrest victim: (1) Prior to participating in an AED program, trained targeted responders shall complete an initial AED training course from a Department approved training program. The course shall include both cardiopulmonary resuscitation (CPR) and AED training. (2) At least every two years, trained targeted responders shall recertify in CPR and AED training, by successfully completing a department approved AED training course. (3) Activate the emergency medical system during any operational response to a victim of cardiac arrest, and advise that AED is being used. (4) Comply with program protocols for operational response to victims of cardiac arrest. (5) Report all operational responses to victims of cardiac arrest to the supervising trained targeted responder and complete a defibrillation report. A copy of the report shall be submitted to the department within 20 calendar days. (6) Ensure AED’s are maintained and used in accordance with the manufacturer’s guidelines, and inspect AED equipment at least monthly. C. Registration: All AED programs shall be registered with the department: (1) Initial registration: The initial registration period shall be for a period of four years. The supervising trained targeted responder for the AED program shall complete the application provided by the bureau and submit it to the department, along with the appropriate fees nes, and inspect AED equipment at least monthly. C. Registration: All AED programs shall be registered with the department: (1) Initial registration: The initial registration period shall be for a period of four years. The supervising trained targeted responder for the AED program shall complete the application provided by the bureau and submit it to the department, along with the appropriate fees. (2) Renewal: AED programs shall renew the AED program every four years, with a renewal application provided by the bureau submitted to the department, along with the appropriate fees. (3) Notification of changes in registration: The department shall be notified when there is a: (a) change in AED supervising trained targeted responder; (b) change in physical address or telephone number; or (c) stoppage or cancellation of the AED program. D. Fees: The bureau shall establish a fee schedule for AED programs. Seventy-five ($75) dollars shall be paid by the AED program to the department for initial registration. For renewal, AED programs shall pay a fee of fifty ($50) dollars to the department. E. Notification: Local EMS services and emergency dispatch agencies shall be notified of the activation and existence of the AED program. The notification shall include the name of the AED program supervising trained targeted responder, location of the program, telephone number, a copy of the program protocols, location of the placement of AED(s), and the operational area where the AED(s) will be used. The local emergency services and dispatch agencies shall also be notified if an existing AED program stops or cancels the AED program. F. AED Selection and Maintenance: (1) AED Selection: AED programs shall acquire and use semi-automated cardiac defibrillators. These devices require the responder to deliver the shock by pushing the shock button. AED programs that want a fully automated defibrillator (analyzes and shocks without operator input) may petition the bureau for a waiver to use an automated defibrillator the AED program. F. AED Selection and Maintenance: (1) AED Selection: AED programs shall acquire and use semi-automated cardiac defibrillators. These devices require the responder to deliver the shock by pushing the shock button. AED programs that want a fully automated defibrillator (analyzes and shocks without operator input) may petition the bureau for a waiver to use an automated defibrillator. (2) Maintenance: AED programs shall maintain the AED(s) and associated supplies and batteries in accordance with the manufacturer’s suggested guidelines. G. Record Keeping: Establish and maintain a record keeping system. Include the following information: (1) List of trained targeted responders. (2) Dates of training for trained Targeted Responders including CPR training and AED training. (3) Copy of program protocols. (4) Copy of registration and EMS service notification forms. (5) AED usage reports/Data collection forms; examples may be obtained from the bureau. (6) Quality assurance review documentation. (7) AED equipment purchase and maintenance records. [7.27.8.9 NMAC - Rp, 7.27.8.9 NMAC, 12/12/2017] 7.27.8.10 [RESERVED] 7.27.8 NMAC 4 7.27.8.11 Limited Immunity Protections: Limited immunity protections are provided for persons or entities associated with an AED program, as described in the Cardiac Arrest Response Act, 24-10C-7 NMSA 1978. These protections are provided when the AED program is established and operated in accordance with that statute and these regulations.