Get University Of Kansas Medical Center Automated External Defibrillator (aed) Incident Report Form 2013-2025
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How to fill out the University Of Kansas Medical Center Automated External Defibrillator (AED) Incident Report Form online
Filling out the University Of Kansas Medical Center Automated External Defibrillator (AED) Incident Report Form online is a crucial step in reporting incidents involving an AED. This guide will walk you through each section of the form to ensure accurate and complete submissions.
Follow the steps to complete the AED Incident Report Form online:
- Press the ‘Get Form’ button to access the form and open it in your editing application.
- Enter the location of the victim where the incident occurred. This should specify the exact building and area.
- Fill in the date of the incident to provide a clear record of when the event took place.
- Record the time of the incident to document when the AED was needed.
- Provide the name and contact details of the individual or individuals who found the victim. This information is essential for follow-up.
- Indicate whether the victim had a pulse by selecting 'Yes' or 'No.' If known, describe how the pulse was checked.
- Indicate whether the victim was breathing by selecting 'Yes' or 'No.' If known, describe how breathing was assessed.
- Specify if 911 was called or if the alternate number (913-588-5030 from cell) was used, noting the exact time if applicable.
- Indicate if CPR was conducted, specifying 'Yes' or 'No,' and provide the name of the person conducting CPR.
- State whether an AED was applied to the victim and, if so, provide the name and contact information for the person who operated the AED, along with any additional relevant details.
- Document where the AED was located by specifying the building and floor.
- Briefly describe the event or incident leading to the AED being brought to the victim, whether it was used or not.
- Detail the patient’s condition upon EMS arrival, including whether there was a pulse and if the victim was breathing.
- Complete the information for the individual filling out this form, including their name (printed), date completed, and contact information.
- Submit the form to the AED Committee via the Emergency Management Office by emailing it to kmorken@kumc.edu or faxing it to (913) 588-5124.
Ensure accurate reporting by completing the AED Incident Report Form online today!
To obtain a defib code, you typically need to contact your local emergency services or relevant training organization. These codes are often assigned to specific AED devices for safety and accessibility. For best practices in managing and reporting AED use, refer to the University Of Kansas Medical Center Automated External Defibrillator (AED) Incident Report Form, which can guide you through your documentation needs.
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