Senate Bill sb1966

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    Florida Senate - 2001                                  SB 1966

    By Senator Sullivan





    22-1365-01

  1                      A bill to be entitled

  2         An act relating to liability; creating s.

  3         768.1325, F.S.; providing immunity from civil

  4         liability for certain persons acquiring or

  5         using automatic external defibrillator devices;

  6         repealing s. 768.13(4), F.S., relating to

  7         automatic external defibrillators; amending s.

  8         401.2915, F.S.; deleting a requirement that

  9         persons having access to automatic external

10         defibrillators obtain specified training;

11         providing an effective date.

12

13         WHEREAS, over 700 lives are lost every day to sudden

14  cardiac arrest in the United States alone, and

15         WHEREAS, two out of every three sudden cardiac deaths

16  occur before a victim can reach a hospital, and

17         WHEREAS, more than 95 percent of these cardiac arrest

18  victims will die, many because of the lack of readily

19  available lifesaving medical equipment, and

20         WHEREAS, with current medical technology, up to 30

21  percent of cardiac arrest victims could be saved if victims

22  had access to immediate medical response, including

23  defibrillation and cardiopulmonary resuscitation, and

24         WHEREAS, once a victim has suffered a cardiac arrest,

25  every minute that passes before returning the heart to a

26  normal rhythm decreases the chance of survival by 10 percent,

27  and

28         WHEREAS, most cardiac arrests are caused by abnormal

29  heart rhythms called ventricular fibrillation, which occurs

30  when the heart's electrical system malfunctions, causing a

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    Florida Senate - 2001                                  SB 1966
    22-1365-01




  1  chaotic rhythm that prevents the heart from pumping oxygen to

  2  the victim's brain and body, and

  3         WHEREAS, communities that have implemented programs

  4  ensuring a widespread public access to defibrillators,

  5  combined with appropriate training, maintenance, and

  6  coordination with local emergency medical systems, have

  7  dramatically improved the survival rates from cardiac arrest,

  8  and

  9         WHEREAS, automatic external defibrillator devices have

10  been demonstrated to be safe and effective, even when used by

11  lay people, since the devices are designed not to allow a user

12  to administer a shock until after the device has analyzed a

13  victim's heart rhythm and determined that an electric shock is

14  required, and

15         WHEREAS, increased public awareness regarding automatic

16  external defibrillator devices will greatly facilitate their

17  adoption, and

18         WHEREAS, limiting the liability of users and acquirers

19  of automatic external defibrillator devices in emergency

20  situations may encourage the use of the devices and result in

21  saved lives, NOW, THEREFORE,

22

23  Be It Enacted by the Legislature of the State of Florida:

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25         Section 1.  Section 768.1325, Florida Statutes, is

26  created to read:

27         768.1325  Cardiac Arrest Survival Act; immunity from

28  civil liability.--

29         (1)  DEFINITIONS.--As used in this section, the term:

30         (a)  "Perceived medical emergency" means circumstances

31  in which the behavior of an individual leads a reasonable

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    Florida Senate - 2001                                  SB 1966
    22-1365-01




  1  person to believe that the individual is experiencing a

  2  life-threatening medical condition that requires an immediate

  3  medical response regarding the heart or other cardiopulmonary

  4  functioning of the individual.

  5         (b)  "Automatic external defibrillator device" means a

  6  defibrillator device that:

  7         1.  Is commercially distributed in accordance with the

  8  Federal Food, Drug, and Cosmetic Act;

  9         2.  Is capable of recognizing the presence or absence

10  of ventricular fibrillation and of determining without

11  intervention by the use of the device whether defibrillation

12  should be performed;

13         3.  Upon determining that defibrillation should be

14  performed, is able to deliver an electrical shock to an

15  individual; and

16         4.  In the case of a defibrillator device that may be

17  operated in either an automatic or a manual mode, is set to

18  operate in the automatic mode.

19         (c)  "Harm" means damage or loss of any and all types,

20  including, but not limited to, physical, nonphysical,

21  economic, noneconomic, actual, compensatory, consequential,

22  incidental, and punitive damages or losses.

23         (2)  IMMUNITY.--Notwithstanding any other provision of

24  law to the contrary, and except as provided in subsection (3),

25  any person who uses or attempts to use an automatic external

26  defibrillator device on a victim of a perceived medical

27  emergency is immune from civil liability for any harm

28  resulting from the use or attempted use of such device, or any

29  act or failure to act in providing or arranging further

30  medical treatment; in addition, any person who acquired the

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    Florida Senate - 2001                                  SB 1966
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  1  device is immune from such liability, if the harm was not due

  2  to the failure of such acquirer of the device:

  3         (a)  To notify local emergency response personnel or

  4  other appropriate entities of the most recent placement of the

  5  device within a reasonable period of time after the device was

  6  placed;

  7         (b)  To properly maintain and test the device; or

  8         (c)  To provide appropriate training in the use of the

  9  device to an employee or agent of the acquirer when the

10  employee or agent was the person who used the device on the

11  victim, except that such requirement of training does not

12  apply if:

13         1.  The employee or agent was not an employee or agent

14  who would have been reasonably expected to use the device; or

15         2.  The period of time elapsing between the engagement

16  of the person as an employee or agent and the occurrence of

17  the harm (or between the acquisition of the device and the

18  occurrence of the harm in any case in which the device was

19  acquired after such engagement of the person) was not a

20  reasonably sufficient period in which to provide the training.

21         (3)  INAPPLICABILITY OF IMMUNITY.--Immunity under

22  subsection (2) does not apply to a person if:

23         (a)  The harm involved was caused by that person's

24  willful or criminal misconduct, gross negligence, or reckless

25  misconduct or a conscious, flagrant indifference to the rights

26  or safety of the victim who was harmed;

27         (b)  The person is a hospital, clinic, or other entity

28  whose primary purpose is providing health care directly to

29  patients and the harm was caused by an employee or agent of

30  the entity who used the device while acting within the scope

31  of the employment or agency of the employee or agent; or

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    Florida Senate - 2001                                  SB 1966
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  1         (c)  The person is an acquirer of the device who leased

  2  the device to a health care entity (or who otherwise provided

  3  the device to such entity for compensation without selling the

  4  device to the entity) and the harm was caused by an employee

  5  or agent of the entity who used the device while acting within

  6  the scope of the employment or agency of the employee or

  7  agent.

  8         (4)  CAUSE OF ACTION, DUTY NOT ESTABLISHED.--This

  9  section does not establish any cause of action. This section

10  does not require that an automatic external defibrillator be

11  placed at any building or other location or require an

12  acquirer to make available on its premises one or more

13  employees or agents trained in the use of the device.

14         Section 2.  Subsection (4) of section 768.13, Florida

15  Statutes, is repealed.

16         Section 3.  Section 401.2915, Florida Statutes, is

17  amended to read:

18         401.2915  Automatic external defibrillators.--It is the

19  intent of the Legislature that an automatic external

20  defibrillator may be used by any person for the purpose of

21  saving the life of another person in cardiac arrest.  In order

22  to ensure public health and safety:

23         (1)  All persons who have access to or use an automatic

24  external defibrillator must obtain appropriate training, to

25  include completion of a course in cardiopulmonary

26  resuscitation or successful completion of a basic first aid

27  course that includes cardiopulmonary resuscitation training,

28  and demonstrated proficiency in the use of an automatic

29  external defibrillator;

30         (2)  Any person or entity in possession of an automatic

31  external defibrillator is encouraged to register with the

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    Florida Senate - 2001                                  SB 1966
    22-1365-01




  1  local emergency medical services medical director the

  2  existence and location of the automatic external

  3  defibrillator; and

  4         (3)  Any person who uses an automatic external

  5  defibrillator is required to activate the emergency medical

  6  services system as soon as possible upon use of the automatic

  7  external defibrillator.

  8         Section 4.  This act shall take effect October 1, 2001.

  9

10            *****************************************

11                          SENATE SUMMARY

12    Provides immunity from civil liability for persons who
      use or attempt to use automatic external defibrillator
13    devices in perceived medical emergencies, as defined.
      Also provides immunity to the acquirers of such devices
14    under specified circumstances. However, immunity does not
      attach in cases of willful or criminal action, gross
15    negligence, or indifference to the rights or safety of
      the person harmed; if the person is a hospital, clinic,
16    or similar entity; or if the person is an acquirer of a
      device who leased it to a health care entity.
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