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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>61392</law_id><section_number>22.1-271.9</section_number><catch_line>Cardiac emergency response or emergency action plans required</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><structure><unit label="title" level="1" order_by="1" identifier="22.1">Education</unit><unit label="chapter" level="2" order_by="1" identifier="14">Pupils</unit><unit label="article" level="3" order_by="1" identifier="2">Health Provisions</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> As used in this section:
			&#x201C;<span class="dictionary">Athletic emergency action plan</span>&#x201D; or &#x201C;<span class="dictionary">athletic EAP</span>&#x201D; means an emergency action plan that establishes and details emergency management and response preparations, strategies, and guidelines specifically for emergencies that occur in an athletic setting, including sports-related health emergencies and physical injuries that occur in the course of participating in athletic practices, games, competition, or other events.
			&#x201C;<span class="dictionary">Automated External Defibrillator</span>&#x201D; or &#x201C;<span class="dictionary">AED</span>&#x201D; means a lightweight, portable device that delivers an electric shock through the chest to the heart for the purpose of potentially stopping an irregular heartbeat or arrhythmia and allowing a normal heartbeat rhythm to resume following <span class="dictionary">sudden cardiac arrest</span>.
			&#x201C;<span class="dictionary">Cardiac emergency response plan</span>&#x201D; or &#x201C;<span class="dictionary">CERP</span>&#x201D; means a written document that establishes the specific steps to reduce death from <span class="dictionary">sudden cardiac arrest</span> that occurs on school grounds.
			&#x201C;<span class="dictionary">CPR</span>&#x201D; means cardiopulmonary resuscitation.
			&#x201C;<span class="dictionary">High-need school</span>&#x201D; means any public <span class="dictionary">elementary</span> or secondary school (i) at which at least 50 percent of children are eligible to receive free and reduced-price meals; (ii) that participates in the federal Community Eligibility Provision or any federal, state, or local universal free meals program; or (iii) that is classified as a Title I school pursuant to Title I, Part A of the federal <span class="dictionary">Elementary</span> and Secondary Education Act of 1965, P.L. 89-10, as amended.
			&#x201C;<span class="dictionary">Sudden cardiac arrest</span>&#x201D; means a condition whereby the heart unexpectedly malfunctions and stops beating and that is likely to lead to death if not treated within minutes. <a id="paragraph-224269" class="section-permalink" href="https://vacode.org/22.1-271.9/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> Each public <span class="dictionary">elementary</span> or secondary school shall develop and implement a <span class="dictionary">cardiac emergency response plan</span> or an <span class="dictionary">athletic emergency action plan</span> that addresses the appropriate use of school personnel to respond to incidents involving an individual who is experiencing <span class="dictionary">sudden cardiac arrest</span> or a similar life-threatening emergency (i) while on school grounds and (ii) in the event that such school has an athletic <span class="dictionary">department</span> or organized athletic program, while attending or participating in an athletic practice or event sponsored by such school or conducted as a part of such school&#x2019;s athletic <span class="dictionary">department</span> or organized athletic program. Any public <span class="dictionary">elementary</span> or secondary school that has an athletic <span class="dictionary">department</span> or organized athletic program shall at all times have either a <span class="dictionary">CERP</span> or <span class="dictionary">athletic EAP</span> in place. Each such <span class="dictionary">CERP</span> or <span class="dictionary">athletic EAP</span> shall integrate nationally recognized <span class="dictionary">evidence</span>-based core elements and nationally recognized <span class="dictionary">evidence</span>-based guidelines and shall integrate provisions and guidelines, consistent with relevant <span class="dictionary">law</span>, relating to: <a id="paragraph-224270" class="section-permalink" href="https://vacode.org/22.1-271.9/#B"><i class="fa fa-link"/></a></p></section>
						<section id="B1" class="indent-1"><p><span class="prefix-number">1.</span> Establishing a cardiac emergency response team; <a id="paragraph-224271" class="section-permalink" href="https://vacode.org/22.1-271.9/#B1"><i class="fa fa-link"/></a></p></section>
						<section id="B2" class="indent-1"><p><span class="prefix-number">2.</span> Activating such team in response to a sudden cardiac event; <a id="paragraph-224272" class="section-permalink" href="https://vacode.org/22.1-271.9/#B2"><i class="fa fa-link"/></a></p></section>
						<section id="B3" class="indent-1"><p><span class="prefix-number">3.</span> Integrating the <span class="dictionary">CERP</span> or <span class="dictionary">athletic EAP</span> into the local community&#x2019;s emergency medical services response protocols in accordance with subsection C; <a id="paragraph-224273" class="section-permalink" href="https://vacode.org/22.1-271.9/#B3"><i class="fa fa-link"/></a></p></section>
						<section id="B4" class="indent-1"><p><span class="prefix-number">4.</span> Practicing at least annually responses to <span class="dictionary">sudden cardiac arrest</span> on school grounds through the use of drills; <a id="paragraph-224274" class="section-permalink" href="https://vacode.org/22.1-271.9/#B4"><i class="fa fa-link"/></a></p></section>
						<section id="B5" class="indent-1"><p><span class="prefix-number">5.</span> Placing and routinely maintaining <span class="dictionary">AEDs</span> in the school building in accordance with nationally recognized <span class="dictionary">evidence</span>-based guidelines; <a id="paragraph-224275" class="section-permalink" href="https://vacode.org/22.1-271.9/#B5"><i class="fa fa-link"/></a></p></section>
						<section id="B6" class="indent-1"><p><span class="prefix-number">6.</span> Placing clearly marked and easily accessible <span class="dictionary">AEDs</span> at each <span class="dictionary">venue</span> where school-sponsored athletic practices or competitions are held; <a id="paragraph-224276" class="section-permalink" href="https://vacode.org/22.1-271.9/#B6"><i class="fa fa-link"/></a></p></section>
						<section id="B7" class="indent-1"><p><span class="prefix-number">7.</span> Determining, in accordance with guidelines set by the American Heart Association or other organization focused on emergency cardiovascular care, the placement of any <span class="dictionary">AED</span> in a school building or <span class="dictionary">venue</span> pursuant to subdivisions 5 and 6 and ensuring that any such <span class="dictionary">AED</span> is identified with appropriate signage and is on-site or made available in an unlocked location on school property in a manner such that the <span class="dictionary">AED</span> can be accessed and placed on an individual experiencing <span class="dictionary">sudden cardiac arrest</span> or a similar life-threatening emergency within three minutes; <a id="paragraph-224277" class="section-permalink" href="https://vacode.org/22.1-271.9/#B7"><i class="fa fa-link"/></a></p></section>
						<section id="B8" class="indent-1"><p><span class="prefix-number">8.</span> Ensuring training in first aid, <span class="dictionary">CPR</span>, and the use of <span class="dictionary">AEDs</span> by appropriate staff, including school nurses, athletic trainers, and coaches, that follows <span class="dictionary">evidence</span>-based guidelines set forth by the American Heart Association or nationally recognized guidelines focused on emergency cardiovascular care; <a id="paragraph-224278" class="section-permalink" href="https://vacode.org/22.1-271.9/#B8"><i class="fa fa-link"/></a></p></section>
						<section id="B9" class="indent-1"><p><span class="prefix-number">9.</span> Disseminating the <span class="dictionary">CERP</span> or <span class="dictionary">athletic EAP</span> to appropriate individuals throughout the school community; and <a id="paragraph-224279" class="section-permalink" href="https://vacode.org/22.1-271.9/#B9"><i class="fa fa-link"/></a></p></section>
						<section id="B10" class="indent-1"><p><span class="prefix-number">10.</span> Reviewing, evaluating, and, as necessary, amending the <span class="dictionary">CERP</span> or <span class="dictionary">athletic EAP</span> on an ongoing and annual basis. <a id="paragraph-224280" class="section-permalink" href="https://vacode.org/22.1-271.9/#B10"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> Public <span class="dictionary">elementary</span> or secondary school officials shall work directly with local emergency service providers to integrate the <span class="dictionary">CERP</span> or <span class="dictionary">athletic EAP</span> into the local community&#x2019;s emergency medical services response protocols. <a id="paragraph-224281" class="section-permalink" href="https://vacode.org/22.1-271.9/#C"><i class="fa fa-link"/></a></p></section></text><history>2025, cc. 372, 382.</history><metadata></metadata></law>
