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Project ADAM of Virginia Annual Heart Safe School Submission Form

Project ADAM of Virginia Annual Heart Safe School Submission Form

Thank you for staying active in our Heart Safe School Program! Please submit the following information to remain designated. NOTE: you will only need to submit your full checklist on the third year of your designation to receive a sticker for your banner. Should you require assistance with any of the below requirements or have any questions/concerns, you're welcome to email alexis.stevens@vcuhealth.org/john.phillips@vcuhealth.org or call us at 804-628-4787.
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    We have reviewed our school’s written Cardiac Emergency Response Plan and made any necessary adjustments/modifications as necessary.  
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    We have conducted at least 1 AED Drill this school year.  In the following screen, you will be asked to upload your AED Drill Checklist.
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    If you need a copy of this form please reach out to Lexi, the program coordinator 
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    Max. file size: 10.6MB
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    We check our AED monthly/per manufacturer directions and document each check.  Please note, you are not required to upload your AED maintenance checklist(s) for this requirement.
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    We have conducted an all staff annual awareness training on Sudden Cardiac Arrest that includes the warning signs, recognition, communication procedures, other staff roles, etc. and our school’s Cardiac Emergency Response Plan.
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    We have checked/updated the CPR/AED training for our school’s Cardiac Emergency Response Team and trained/ensured that our members are CPR/AED card carrying certified. In addition, we have a system in place to track retraining as necessary. 
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    If it has, in the following screen you will be asked to upload your Heart Safe School Checklist.  Note: All requirements must be in place.   Should you require assistance with any of the requirements or have any questions/concerns, you’re welcome to email alexis.stevens@vcuhealth.org OR john.phillips@vcuhealth.org
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    Max. file size: 10.6MB
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    NOTE: Stickers will be sent every 3 years that you are designated.
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