The implementation of an early defibrillation program requires careful study and analysis. Correctional administrators and medical directors considering the use of AEDs, should identify when AEDs should be used, who should be trained in their use, and where AEDs should be kept. Position Statement Institutions considering the implementation of an early defibrillation program and the use of AEDs should do so only after a thorough needs analysis with input from physicians who are experienced in implementing such programs. Correctional institutions should refer to the Commission s Standards for Health Services in Prisons, the Standards for Health Services in Jails, and Standards for Health Services in Juvenile Detention and Confinement Facilities for further guidance. The standards on Emergency Plan, Communication on Special Needs Patients, Continuing Education for Qualified Health Care Professionals, Training for Correctional Officers, Position Descriptions, Assessment Protocols, and Emergency Services may be of assistance to correctional administrators.
Correctional institutions differ in size, type, population, and staffing.
The decision as to who should be trained in the use of AEDs in a correctional facility should be made by the medical director in collaboration with the correctional authority. Correctional officers are generally the first responders to any situation in a jail, prison, or juvenile facility, and as such should be given appropriate training and permitted to use AEDs. When a facility is staffed 24 hours with health care staff, it may not be necessary to train correctional officers in the application of AEDs. In prisons, jails, and juvenile detention and confinement facilities that do not have health staff on a 24-hour basis, correctional officers are an essential element of an early defibrillation program and should be trained accordingly. AEDs should be located were there will be quick and easy access by individuals who are trained in their use.