Skill 6
Automated External Defibrillator
Defibrillation is the electrical attempt to stop a lethal dysrhythmia such as ventricular fibrillation. An automated external defibrillator (AED) allows for individuals trained only in basic life support to defibrillate. The AED is a defibrillator that incorporates a rhythm analysis system. The device attaches to a patient by two adhesive pads and connecting cables. Most AEDs are stand-alone boxes with a very simple three-step function and verbal prompts to guide the responder. After rhythm identification, some AEDs automatically provide a verbal warning, followed by an electrical shock. Other AEDs recommend a shock, if needed, and then prompt the responder to press the shock button.
Delegation Considerations
Basic life support certification provides hands-on training with an AED for laypersons, nursing assistive personnel (NAP), and licensed health care professionals. Most hospitals using AEDs have given the authority to use an AED to all cardiopulmonary resuscitation (CPR)–certified personnel, including NAP. Refer to specific hospital policies for use of the AED.
