Sports Medicine Policies and Procedures Manual Prairie Ridge High School

Transcription

1 Sports Medicine Policies and Procedures Manual Prairie Ridge High School Created: September, 2014 Last Updated: January,

2 Table of Contents Mission Statement 2 Sports Medicine Team.2-3 Athletic Training Room....4 Communication/Transportation/AED Locations..5 Standard of Care. 6-7 Map of Outside.8 Map of Inside.9 Fall Sport Practices.. 10 Fall Sport Games...11 Fall Sport Emergency Action Plans Winter Sport Practices..19 Winter Sport Games 20 Winter Sport Emergency Action Plans Spring Sport Practices 23 Spring Sport Games. 24 Spring Sport Emergency Action Plans Heat Illness Injury Prevention Lightning Safety

3 PRHS Sports Medicine Mission Statement The Prairie Ridge High School Sports Medicine Team is devoted to providing the highest quality of health care to the student athletes at Prairie Ridge High School regardless of race, age, sex or creed through injury prevention; immediate care; evaluation and diagnosis of injuries; and the treatment, rehabilitation and reconditioning of injuries. PRHS Sports Medicine Team Team Physician Dr. Rolando Izquierdo; the Team Physician oversees the care that the secondary school athletic trainer provides to her patients at PRHS. The Team Physician evaluates and treats musculoskeletal injuries that occur with our patients as a priority in his practice. The Team Physician has unchallengeable authority in regards to restrictions in activity of his patients. Athletic Trainer Zach Ullman; the Certified Athletic Trainer provides full sports medicine services to his patients at PRHS including injury prevention; immediate care; injury evaluation and diagnosis; the treatment, rehabilitation and reconditioning of injuries; organizational administration; and professional responsibility. The Athletic Trainer has unchallengeable authority in regards to her patients participation and restrictions based on the health and safety of each athlete; he cannot override a treating physician s direction to hold an athlete out of play but she can hold an athlete out of play even with a physician s clearance to return to activity. The Athletic Trainer is responsible for communicating a student-athlete s ability to participate in activities to coaches in a timely manner. School Nurse Patti Secrest; the school nurse has a responsibility to manage and care for the PRHS student-athletes during the school day. The school nurse and the Athletic Trainer communicate routinely regarding the management of student-athletes injuries and illnesses that arise in the athletic or academic setting. The school nurse is responsible for informing student-athletes teachers and counselors of modifications that must be made in the academic setting as a result of an athletic injury (including but not limited to closed head injuries). The school nurse, Athletic Trainer, counselors and teachers work together in gradually returning an injured athlete to school and develop alternative plans based on each individual s needs. Head Athletic Director Mark Gilbert; the Athletic Director (AD) is the immediate supervisor of the Athletic Trainer and assistant athletic directors (AADs). The AD has unchallengeable authority in all athletic situations, including but not limited to ethical dilemmas or guardian/coach dispute regarding return to play in support of the athlete s health and safety. The AD is responsible for assisting the Athletic Trainer when the emergency action plan (EAP) has been initiated. His role in the EAP can vary based on the situation (calling 911, calling or 2

4 speaking with parents/guardian/spouse, meeting emergency vehicle at venue entrance, delegating tasks, etc.). Seasonal Assistant Athletic Directors Kevin Keoppen (Fall), Chris Schremp (Winter), Kristen McGowen (Spring); the assistant athletic directors (AAD) are immediate supervisors of the Athletic Trainer during his/her designated season. The AADs assist the Athletic Trainer when the EAP has been initiated (see above). If the AD is not present, the AAD is responsible for expressing authority in ethical dilemmas or guardian/coach disputes regarding return to play in support of the athlete s health and safety. Coaches Coaches are responsible for recognizing the authority of the Athletic Trainer and ADs in return to play decisions regarding the athletes. Coaches are responsible for recognizing when an athlete is struggling with an injury or illness and for reporting these situations to the Athletic Trainer. Coaches are responsible for removing their athletes from danger when faced with unsafe environmental conditions, unsafe field conditions and health-related situations (including but not limited to the recognition of potential head injury). Coaches are responsible for implementing proper warm-up, stretching and cool-down programs consistent with current recommendations. If coaches are unsure of the current recommendations, they are responsible for utilizing the knowledge and expertise of the Athletic Trainer. Coaches are responsible for assisting the Athletic Trainer when the EAP has been initiated (see various roles in each venue s EAP). Coaches are responsible for completing assigned concussion recognition education competencies. Coaches are responsible for communicating schedule changes with the Athletic Trainer regarding practices and competitions so that proper coverage can be applied. 3

5 Athletic Training Room The athletic training room is located on the first floor in the athletic hallway. Park in the lot near the loading dock, around the back of the school, and enter through door 7. Make a left down the hallway and the athletic training room will be on the right, across the hall from the auxiliary gym. The athletic training room is utilized for injury evaluations, treatment and rehabilitation as well as first aid and immediate care of injuries. The athletic trainer s office inside the athletic training room should only be unlocked by an administrator or the athletic training staff in order to protect patient history information (PHI). PHI is to be kept for a minimum of 7 years prior to being shredded. There is a biohazard waste container to the left of the first aid station in the athletic training room. The maintenance staff is responsible for disposal of the waste when the basket is to be emptied. Trash is taken out daily by the maintenance staff. Policies and Procedures Manual can be located on the athletic trainer s desk at all times. The taping cart and sign-in cart is to be locked in the athletic trainer s office at the end of every work day. Towels are cleaned by the maintenance staff on a regular basis and must be folded by athletic training staff or student helpers. There is a radio located on the first aid station to reach administrators and maintenance workers when needed. STORAGE is in the athletic training room office and gray lockers. 4

6 COMMUNICATION during practices and games on other fields is done using cell phones. Make sure all coaches have the athletic trainer s cell phone number for communication purposes. TRANSPORTATION between fields and the athletic training room is done using the sports medicine Gator. The Gator is stored in the back side of the concession stand in the football stadium. The silver rectangular key is used to start the Gator. The maintenance staff fuels the Gator. The small silver (ilco) key opens all padlocks on campus and the large gold (schlage) key opens doors to the baseball building and the concession stand storage. AED Locations: Main Gymnasium near the west entrance that connects both gyms In the back of the Sports Medicine Gator in a water proof bag labeled AED Soccer Stadium inside the back of the soccer equipment building, on shelf to the right of the entrance (spring and fall only) Baseball Building inside the single door entrance next to the women s restroom, on the shelf to the left of the entrance (spring and fall only) 5

7 Standard of Care It is agreed upon by the athletic training staff and overseeing team physician, Dr. Izquierdo, that the athletic training staff may treat patients within the following parameters: Injury Prevention: The athletic trainer may provide preventative medicine to teams and individuals regarding nutrition, hydration, concussion education, warm-up and stretching, cooldown, sport specific functional and core strengthening, injury prevention screenings and ACL injury prevention programs. The athletic trainer may decide if taping/wrapping is appropriate for certain conditions and injuries and may perform such tasks at will. Immediate Care: The athletic trainer may provide first aid of any kind to any patient. The athletic trainer may reduce a closed lateral patella dislocation with gentle extension of the knee and gentle medial gliding of the patella. If any resistance is met during the attempted reduction, the procedure will stop and EMS will be activated for further care of the injury. The athletic trainer may reduce a closed anterior or posterior finger phalange dislocation using gentle traction and guidance of the phalange back into its proper position. If any resistance is met during the attempted reduction, the procedure will stop and parent/guardian will be notified for transportation to immediate care of ER. The athletic trainer may allow body position and gravity to attempt reduction of a first time dislocation of the glenohumeral joint. If resistance is met, the athlete will immediately be transported to an ER or immediate care facility for further care. Any other type of dislocation or any suspected fracture will be splinted and immediately sent for further treatment at an ER or immediate care facility, depending on the severity of the injury. The athletic trainer may decide how an athlete is to be transported (via ambulance or with parent/guardian). In the event of a suspected spine injury, the athletic trainer will maintain c-spine neutral until EMS arrive and the athlete is spine-boarded. Evaluation and Diagnosis: The athletic trainer may evaluate any injury that is brought to his/her attention. The athletic trainer may decide the severity and type of injury evaluated and whether or not the injury should be referred to another health care provider. 6

8 Treatment, Rehabilitation and Reconditioning: The athletic trainer may treat injuries with first aid, rehabilitation and reconditioning within his/her comfort level and experience. The athletic trainer may use modalities such as ultrasound and electrical stimulation in the athletic training room at his/her discretion. The machine will be calibrated annually. The athletic trainer may make return to play decisions unless otherwise stated by a physician or physician assistant and within the parameters of supervising health care provider. Administration: The athletic training staff will document evaluations, treatments, and rehabilitation/reconditioning activities performed under his/her direction. The athletic training staff will communicate appropriately with other treating health care professionals such as physicians, physical therapists, and nursing staff. The athletic training staff will communicate effectively with parents/guardians concerning the health and well-being of their student athletes. The athletic training staff will communicate effectively with coaches, administrators, school nurse and teachers/counselors regarding the health and well-being of their student athletes as deemed appropriate. The athletic training staff will maintain communication with the team physician and may contact him with questions/concerns regarding patient care and specific injuries. Professional Development: The athletic training staff will maintain national certification status, licensure status, and CPR certification status at all times. The athletic training staff will participate in physician observation as directed by supervising athletic trainer. The athletic training staff will participate in assigned lectures and lunch and learns as directed by supervising athletic trainer. The athletic trainer will occasionally observe in local PT clinic. The above parameters of care are appropriate at Prairie Ridge High School and may be performed by assigned athletic training staff for the student athletes at PRHS. Team Physician, Rolando Izquierdo, MD Prairie Ridge HS Certified Athletic Trainer, Zach Ullman Regional Manager, William Michael Sullivan 7

9 MAP Pleasant Hill Road FB Practice Field Varsity SB, Varsity BSB F. SB, F. BSB Football Stadium Loading dock Tennis Courts JV Soccer, Varsity Soccer Junior Wolves FB Field 8

10 9

11 Soph/Varsity Football FALL SPORT PRACTICES WATER: managers will take care of all water needs LOCATION: check with head coach prior to practice (options: Junior Wolves, Stadium, or Practice field) Freshman Football WATER: managers will take care of all water needs LOCATION: check with head coach prior to practice (options: Junior Wolves, discus area) Volleyball WATER: one white Gatorade cart with 10 gallon water cooler and one set of bottles per gym. Get water ready and roll in front of gray lockers in ATR entry way. Players will come to get water and bring it back when practices are over. LOCATION: varsity practices in the main gym. Freshmen and sophomores practice in the auxiliary gym across the hall. Soccer WATER: 5-10 gallons of water per team (varsity, jv, and freshmen) and one set of bottles per team. Drive waters out to fields and pick up at the end of practices (5:15pm). LOCATION: varsity practices on the east field. JV and freshmen practice on the west field. Cheer LOCATION: cafeteria Tennis WATER: 10 gallon water cooler and one set of bottles on the small brown cart. Leave cart in entry way of ATR; team will pick up and bring back at the end of practice. LOCATION: tennis courts Poms LOCATION: presentation room (down the hall on the left before you get to the next hallway Cross Country WATER: may or may not ask for a set of bottles LOCATION: off-site 10

12 FALL SPORT GAMES Soph/Varsity Football WATER: managers will take care of all water needs HOME SIDELINES: portable treatment table, ice chest with bags and scoop, med kit, aed, crutch bag VISITING SIDELINES: ice chest with bags and scoop LOCATION: Stadium Freshman Football WATER: managers will take care of all water needs HOME SIDELINES: ice chest with bags and scoop, med kit, aed, crutch bag VISITING SIDELINES: ice chest with bags and scoop LOCATION: Stadium Volleyball WATER: one white Gatorade cart with 10 gallon water cooler and one set of bottles per gym. Also put 1-2 sleeves of cups on each cart. Each cart is placed in central location behind score tables. LOCATION: main gym and auxiliary gym Soccer WATER: 5-10 gallons of water per team (home and away) and one set of bottles per home team. Drive waters out to fields and pick up at the end of games. LOCATION: varsity plays on the east field. JV and freshmen play on the west field. Tennis WATER: 10 gallon water cooler and one sleeve on the small brown cart. Also put small ice chest with bags and a med kit on the cart. Leave cart in entry way of ATR; team will pick up and bring back at the end of game. LOCATION: tennis courts Cross Country WATER: send 10 gallon cooler and 2 sleeves of cups with team. BRING: portable treatment table, med kit, aed LOCATION: Veteran s Acres 11

13 EMERGENCY ACTION PLANS Roles/Responsibilities Football Practice Protocol HEAD ATHLETIC TRAINER: a.) primary health care provider b.) speak with 911 as needed c.) speak with parents as needed HEAD FOOTBALL COACH: a.) support for ATC c.) delegate tasks such as: call 911 and meet ambulance at appropriate entrance d.) call parents if ATC is unable to do so ASSISTANT COACH A : a.) call 911 (delegated by head coach) The operator will ask you... 1.) your SPECIFIC location (ie: practice football field behind varsity softball/baseball field at PRHS off of Pleasant Hill Road) 2.) YOUR name, position (ie: coach), and phone number 3.) age and gender of athlete 4.) status of the athlete (responsive or unresponsive) (conscious or unconscious) (breathing and pulse status if needed) 5.) injury, what happened (athlete was in a head on collision with another player and has neck pain; athlete injured his elbow/knee/ankle and requires transportation to a hospital) 6.) whether or not there will be someone at the entrance to meet the ambulance and where (review Assistant Coach C's role) ASSISTANT COACH B : a.) meet the ambulance at the appropriate entrance (WAVE THEM DOWN WHEN YOU SEE THEM AND DIRECT TOWARDS ATHLETE) If the athlete is located... you will meet the ambulance... 1.) behind varsity softball field...enter on Pleasant Hill Road behind left field of varsity baseball field 2.) outfields of lower level ball fields... enter at the yellow gate (will be unlocked but you will have to open) OR, if closer enter behind backstop of freshman baseball field by the trees 3.) Junior Wolves Field... enter the parking lot by soccer fields from Walkup entrance 4.) varsity game field... enter the north most gate (will be unlocked but you will have to open) 12

14 Roles/Responsibilities Football Game Protocol HEAD ATHLETIC TRAINER: a.) primary health care provider b.) wave on coaches as needed c.) direct and delegate tasks as needed d.) speak with parents as needed HEAD COACH: a.) #1 support to Head ATC c.) call 911 if ambulance not present d.) log roll with ATC as needed e.) equipment removal as needed: face mask 1.) drill, manual or cut (in that order) f.) speak with parents as needed ASSISTANT COACH: a.) #2 support to Head ATC b.) bring equipment removal kit and AED to field ALWAYS c.) log roll with ATC as needed d.) equipment removal: cowboy collar and cut jersey, straps and laces as needed e.) wave white towel in air to signal EMS to enter scene as needed f.) radio AD to open gate for EMS exit as needed g.) bring equipment removal kit and AED off field HEAD ATHLETIC DIRECTOR: a.) when the white towel is waved, open the gate for Ambulance to exit scene b.) speak with parents as needed 13

15 Roles/Responsibilities Volleyball Practice/Game Protocol HEAD ATHLETIC TRAINER: a.) primary health care provider b.) speak with 911 as needed c.) speak with parents as needed HEAD VOLLEYBALL COACH: a.) support for ATC c.) delegate tasks such as: call 911 and meet ambulance at appropriate entrance d.) call parents if ATC is unable to do so ASSISTANT COACH A : a.) call 911 (delegated by head coach) The operator will ask you... 1.) your SPECIFIC location (ie: in the main gym on the first floor) 2.) YOUR name, position (ie: coach), and phone number 3.) age and gender of athlete 4.) status of the athlete (responsive or unresponsive) (conscious or unconscious) (breathing and pulse status if needed) 5.) injury, what happened (athlete hit the back of her head on the floor and is having neck pain; athlete injured his elbow/knee/ankle and requires transportation to a hospital) 6.) whether or not there will be someone at the entrance to meet the ambulance and where (review Assistant Coach C's role) ASSISTANT COACH B or student athlete: a.) meet the ambulance at the appropriate entrance (WAVE THEM DOWN WHEN YOU SEE THEM AND DIRECT TOWARDS ATHLETE) If the athlete is located... you will meet the ambulance... 1.) in the main gymnasium enter behind the building through the emergency exit by door 7 2.) in the auxiliary gymnasium enter behind the building through the emergency exit by door 7 14

16 Roles/Responsibilities Soccer Practice/Game Protocol HEAD ATHLETIC TRAINER: a.) primary health care provider b.) speak with 911 as needed c.) speak with parents as needed HEAD SOCCER COACH: a.) support for ATC c.) delegate tasks such as: call 911 and meet ambulance at appropriate entrance d.) call parents if ATC is unable to do so ASSISTANT COACH A : a.) call 911 (delegated by head coach) The operator will ask you... 1.) your SPECIFIC location (ie: soccer fields off of the Walk Up entrance) 2.) YOUR name, position (ie: coach), and phone number 3.) age and gender of athlete 4.) status of the athlete (responsive or unresponsive) (conscious or unconscious) (breathing and pulse status if needed) 5.) injury, what happened (athlete was in a head on collision with another player and has neck pain; athlete injured his elbow/knee/ankle and requires transportation to a hospital) 6.) whether or not there will be someone at the entrance to meet the ambulance and where (review Assistant Coach C's role) ASSISTANT COACH B or student athlete: a.) meet the ambulance at the appropriate entrance (WAVE THEM DOWN WHEN YOU SEE THEM AND DIRECT TOWARDS ATHLETE) If the athlete is located... you will meet the ambulance... 1.) on the soccer fields off of the Walk Up entrance at the gates on the service drive Dvorak (off Walk Up) 15

17 Roles/Responsibilities Tennis Practice/Game Protocol HEAD ATHLETIC TRAINER: a.) primary health care provider b.) speak with 911 as needed c.) speak with parents as needed HEAD TENNIS COACH: a.) support for ATC c.) delegate tasks such as: call 911 and meet ambulance at appropriate entrance d.) call parents if ATC is unable to do so ASSISTANT COACH A : a.) call 911 (delegated by head coach) The operator will ask you... 1.) your SPECIFIC location (ie: tennis courts on the east side of the building, south of the stadium) 2.) YOUR name, position (ie: coach), and phone number 3.) age and gender of athlete 4.) status of the athlete (responsive or unresponsive) (conscious or unconscious) (breathing and pulse status if needed) 5.) injury, what happened (athlete was in a head on collision with another player and has neck pain; athlete injured his elbow/knee/ankle and requires transportation to a hospital) 6.) whether or not there will be someone at the entrance to meet the ambulance and where (review Assistant Coach C's role) ASSISTANT COACH B or student athlete: a.) meet the ambulance at the appropriate entrance (WAVE THEM DOWN WHEN YOU SEE THEM AND DIRECT TOWARDS ATHLETE) If the athlete is located... you will meet the ambulance... 1.) Tennis courts on the east side of the building, south of the stadium at the top of the hill in the circle drive on the east side of the building, south of the stadium 16

18 Roles/Responsibilities Cheer Practice/Game Protocol HEAD ATHLETIC TRAINER: a.) primary health care provider b.) speak with 911 as needed c.) speak with parents as needed HEAD CHEER COACH: a.) support for ATC c.) delegate tasks such as: call 911 and meet ambulance at appropriate entrance d.) call parents if ATC is unable to do so ASSISTANT COACH A : a.) call 911 (delegated by head coach) The operator will ask you... 1.) your SPECIFIC location (ie: cafeteria entrance is on the east side of the building park near the loading dock) 2.) YOUR name, position (ie: coach), and phone number 3.) age and gender of athlete 4.) status of the athlete (responsive or unresponsive) (conscious or unconscious) (breathing and pulse status if needed) 5.) injury, what happened (athlete was dropped from stunt and has neck pain; athlete injured his elbow/knee/ankle and requires transportation to a hospital) 6.) whether or not there will be someone at the entrance to meet the ambulance and where (review Assistant Coach C's role) ASSISTANT COACH B : a.) meet the ambulance at the appropriate entrance (WAVE THEM DOWN WHEN YOU SEE THEM AND DIRECT TOWARDS ATHLETE) If the athlete is located... you will meet the ambulance... 1.) behind the building (on the east side of the building near loading dock entrance near the cafeteria entrance in the parking lot) 2.) varsity game field... enter the north most gate (will be unlocked but you will have to open) 17

19 Roles/Responsibilities Poms Practice/Game Protocol HEAD ATHLETIC TRAINER: a.) primary health care provider b.) speak with 911 as needed c.) speak with parents as needed HEAD FOOTBALL COACH: a.) support for ATC c.) delegate tasks such as: call 911 and meet ambulance at appropriate entrance d.) call parents if ATC is unable to do so ASSISTANT COACH A or student athlete: a.) call 911 (delegated by head coach) The operator will ask you... 1.) your SPECIFIC location (ie: presentation room in the athletic hallway through the loading dock entrance) 2.) YOUR name, position (ie: coach), and phone number 3.) age and gender of athlete 4.) status of the athlete (responsive or unresponsive) (conscious or unconscious) (breathing and pulse status if needed) 5.) injury, what happened (athlete was in a head on collision with another player and has neck pain; athlete injured his elbow/knee/ankle and requires transportation to a hospital) 6.) whether or not there will be someone at the entrance to meet the ambulance and where (review Assistant Coach C's role) ASSISTANT COACH B or student athlete: a.) meet the ambulance at the appropriate entrance (WAVE THEM DOWN WHEN YOU SEE THEM AND DIRECT TOWARDS ATHLETE) If the athlete is located... you will meet the ambulance... 1.) in the presentation room in the athletic hallway near the loading dock entrance at the loading dock entrance (door 7) on the east side of the building 2.) varsity game field... enter the north most gate (will be unlocked but you will have to open) 18

20 Basketball (boys and girls) WINTER SPORT PRACTICES WATER: one white Gatorade cart with 10 gallon water cooler and one set of bottles per gym. Get water ready and roll in front of gray lockers in ATR entry way. Players will come to get water and bring it back when practices are over. LOCATION: varsity practices in the main gym. Freshmen and sophomores practice in the auxiliary gym across the hall. Cheer LOCATION: cafeteria Wrestling LOCATION: loft above main gym (enter from upstairs 2 nd floor) Poms LOCATION: presentation room (down the hall on the left before you get to the next hallway 19

21 WINTER SPORT GAMES/COMPETITIONS Basketball (boys and girls) WATER: two carts with 10 gallon water coolers and cups in main gym (one for each team); add bottles to home team cart. Freshmen: share 10 gallon water cooler, cups and bottles in auxiliary gym; place behind scoring table. LOCATION: varsity and sophomores play in the main gym. Freshmen play in the auxiliary gym across the hall. Cheer WATER: 10 gallon cooler on cart with cups outside main gym and 10 gallon cooler on cart with cups in the auxiliary gym for warm ups. LOCATION: main gym for competition; auxiliary gym for warm-up Wrestling WATER: 10 gallon cooler on cart with cups and bottles behind scoring table for both teams to share BRING: small brown cart with first aid supplies and ice LOCATION: main gym Poms WATER: 10 gallon cooler on cart with cups outside main gym and 10 gallon cooler on cart with cups in the auxiliary gym for warm ups. LOCATION: main gym for competition; auxiliary gym for warm-up 20

22 WINTER SPORT EMERGENCY ACTION PLANS Gymnasium(s) Practice/Game Protocol Applicable for wrestling meets, basketball practices and games, cheer and poms competitions Roles/Responsibilities HEAD ATHLETIC TRAINER: a.) primary health care provider b.) speak with 911 as needed c.) speak with parents as needed HEAD COACH: a.) support for ATC c.) delegate tasks such as: call 911 and meet ambulance at appropriate entrance d.) call parents if ATC is unable to do so ASSISTANT COACH A : a.) call 911 (delegated by head coach) b.) retrieve AED from main gym as needed c.) logroll with ATC as needed The operator will ask you... 1.) your SPECIFIC location (ie: in the main gym on the first floor) 2.) YOUR name, position (ie: coach), and phone number 3.) age and gender of athlete 4.) status of the athlete (responsive or unresponsive) (conscious or unconscious) (breathing and pulse status if needed) 5.) injury, what happened (athlete hit the back of her head on the floor and is having neck pain; athlete injured his elbow/knee/ankle and requires transportation to a hospital) 6.) whether or not there will be someone at the entrance to meet the ambulance and where (review Assistant Coach C's role) ASSISTANT COACH B or student athlete or administrator: a.) meet the ambulance at the appropriate entrance (WAVE THEM DOWN WHEN YOU SEE THEM AND DIRECT TOWARDS ATHLETE) If the athlete is located... you will meet the ambulance... 1.) in the main gymnasium enter behind the building through the emergency exit by door 7 2.) in the auxiliary gymnasium enter behind the building through the emergency exit by door 7 21

23 Roles/Responsibilities Wrestling Practice Protocol HEAD ATHLETIC TRAINER: a.) primary health care provider b.) speak with 911 as needed c.) speak with parents as needed HEAD WRESTLING COACH: a.) support for ATC c.) delegate tasks such as: call 911 and meet ambulance at appropriate entrance d.) call parents if ATC is unable to do so ASSISTANT COACH A : a.) call 911 (delegated by head coach) c.) retrieve AED from main gym as needed The operator will ask you... 1.) your SPECIFIC location (ie: in the wrestling loft on the 2 nd floor) 2.) YOUR name, position (ie: coach), and phone number 3.) age and gender of athlete 4.) status of the athlete (responsive or unresponsive) (conscious or unconscious) (breathing and pulse status if needed) 5.) injury, what happened (athlete hit the back of her head on the floor and is having neck pain; athlete injured his elbow/knee/ankle and requires transportation to a hospital) 6.) whether or not there will be someone at the entrance to meet the ambulance and where (review Assistant Coach C's role) ASSISTANT COACH B or student athlete: a.) meet the ambulance at the appropriate entrance (WAVE THEM DOWN WHEN YOU SEE THEM AND DIRECT TOWARDS ATHLETE) If the athlete is located... you will meet the ambulance... 1.) in the wrestling loft on the 2 nd floor at the main entrance of the building 22

24 SPRING SPORT PRACTICES Baseball WATER: water coolers and bottles driven out and picked up at respective fields LOCATION: varsity and sophomores practice on the varsity baseball field near Pleasant Hill Road. Freshmen practice on the freshmen field near the main parking lot. Softball WATER: water coolers and bottles driven out and picked up at respective fields LOCATION: Varsity and JV practice on the varsity field closest to Pleasant Hill Road. Freshmen practice on the freshmen field just south of the varsity softball field. Track WATER: may or may not ask for bottles at the beginning of practice LOCATION: stadium/track and the discus area Soccer WATER: 5-10 gallons of water per team (varsity, jv, and freshmen) and one set of bottles per team. Drive waters out to fields and pick up at the end of practices (5:15pm). LOCATION: varsity practices on the east field. JV and freshmen practice on the west field. Tennis WATER: 10 gallon water cooler and one set of bottles on the small brown cart. Leave cart in entry way of ATR; team will pick up and bring back at the end of practice. LOCATION: tennis courts 23

25 SPRING SPORT GAMES/COMPETITIONS Baseball WATER: water coolers and bottles driven out and picked up at respective fields. Give both benches water coolers and home team bottles. Leave small ice chest and med kit at fields where you will not be primarily located. LOCATION: varsity and sophomores play on the varsity baseball field near Pleasant Hill Road. Freshmen play on the freshmen field near the main parking lot. Softball WATER: water coolers and bottles driven out and picked up at respective fields. Give both benches water coolers and home team bottles. Leave small ice chest and med kit at fields where you will not be primarily located. LOCATION: Varsity and JV play on the varsity field closest to Pleasant Hill Road. Freshmen play on the freshmen field just south of the varsity softball field. Track WATER: 10 gallon water cooler and sleeve of cups on bench in mid-field. Also leave small ice chest with bags on bench. LOCATION: stadium/track and the discus area Soccer WATER: 5-10 gallons of water per team and one set of bottles per home team. Drive waters out to fields and pick up at the end of games. LOCATION: varsity plays on the east field. JV and freshmen play on the west field. Tennis WATER: 10 gallon water cooler and one sleeve of cups on the small brown cart. Add med kit and small ice chest with bags to cart. Leave cart in entry way of ATR; team will pick up and bring back at the end of practice. LOCATION: tennis courts 24

26 Roles/Responsibilities Spring Sport Emergency Action Plans Baseball/Softball Practices and Games Protocol HEAD ATHLETIC TRAINER: a.) primary health care provider b.) speak with 911 as needed c.) speak with parents as needed HEAD FOOTBALL COACH: a.) support for ATC b.) delegate tasks such as: call 911 and meet ambulance at appropriate entrance c.) call parents if ATC is unable to do so ASSISTANT COACH or Administrator: a.) call 911 (delegated by head coach) The operator will ask you... 1.) your SPECIFIC location (ie: varsity softball/baseball field at PRHS off of Pleasant Hill Road) 2.) YOUR name, position (ie: coach), and phone number 3.) age and gender of athlete 4.) status of the athlete (responsive or unresponsive) (conscious or unconscious) (breathing and pulse status if needed) 5.) injury, what happened (athlete was in a head on collision with another player and has neck pain; athlete injured his elbow/knee/ankle and requires transportation to a hospital) 6.) whether or not there will be someone at the entrance to meet the ambulance and where ASSISTANT COACH or student athlete: a.) meet the ambulance at the appropriate entrance (WAVE THEM DOWN WHEN YOU SEE THEM AND DIRECT TOWARDS ATHLETE) If the athlete is located... you will meet the ambulance... 1.) varsity softball field, varsity baseball field, freshman softball field...enter through yellow gate off Pleasant Hill entrance 2.) freshman baseball field enter behind backstop of freshman baseball field by the trees 25

27 Roles/Responsibilities Tennis Practice/Game Protocol HEAD ATHLETIC TRAINER: a.) primary health care provider b.) speak with 911 as needed c.) speak with parents as needed HEAD TENNIS COACH: a.) support for ATC c.) delegate tasks such as: call 911 and meet ambulance at appropriate entrance d.) call parents if ATC is unable to do so ASSISTANT COACH A : a.) call 911 (delegated by head coach) The operator will ask you... 1.) your SPECIFIC location (ie: tennis courts on the east side of the building, south of the stadium) 2.) YOUR name, position (ie: coach), and phone number 3.) age and gender of athlete 4.) status of the athlete (responsive or unresponsive) (conscious or unconscious) (breathing and pulse status if needed) 5.) injury, what happened (athlete was in a head on collision with another player and has neck pain; athlete injured his elbow/knee/ankle and requires transportation to a hospital) 6.) whether or not there will be someone at the entrance to meet the ambulance and where (review Assistant Coach C's role) ASSISTANT COACH B or student athlete: a.) meet the ambulance at the appropriate entrance (WAVE THEM DOWN WHEN YOU SEE THEM AND DIRECT TOWARDS ATHLETE) If the athlete is located... you will meet the ambulance... 1.) Tennis courts on the east side of the building, south of the stadium at the top of the hill in the circle drive on the east side of the building, south of the stadium 26

28 Track Practices/Competitions Protocol Roles/Responsibilities HEAD ATHLETIC TRAINER: a.) primary health care provider b.) wave on coaches as needed c.) direct and delegate tasks as needed d.) speak with parents as needed HEAD COACH: a.) #1 support to Head ATC b.) call 911 if ambulance not present c.) speak with parents as needed ASSISTANT COACH: a.) call 911 (delegated by head coach) The operator will ask you... 1.) your SPECIFIC location (ie: on the track in the football stadium at Prairie Ridge High School) 2.) YOUR name, position (ie: coach), and phone number 3.) age and gender of athlete 4.) status of the athlete (responsive or unresponsive) (conscious or unconscious) (breathing and pulse status if needed) 5.) injury, what happened (athlete was in a head on collision with another player and has neck pain; athlete injured his elbow/knee/ankle and requires transportation to a hospital) 6.) whether or not there will be someone at the entrance to meet the ambulance and where ASSISTANT COACH B or student athlete: a.) meet the ambulance at the appropriate entrance (WAVE THEM DOWN WHEN YOU SEE THEM AND DIRECT TOWARDS ATHLETE) If the athlete is located... you will meet the ambulance... 1.) On the track at the north gate of the stadium 27

29 Roles/Responsibilities Soccer Practice/Game Protocol HEAD ATHLETIC TRAINER: a.) primary health care provider b.) speak with 911 as needed c.) speak with parents as needed HEAD SOCCER COACH: a.) support for ATC c.) delegate tasks such as: call 911 and meet ambulance at appropriate entrance d.) call parents if ATC is unable to do so ASSISTANT COACH A : a.) call 911 (delegated by head coach) The operator will ask you... 1.) your SPECIFIC location (ie: soccer fields off of the Walk Up entrance) 2.) YOUR name, position (ie: coach), and phone number 3.) age and gender of athlete 4.) status of the athlete (responsive or unresponsive) (conscious or unconscious) (breathing and pulse status if needed) 5.) injury, what happened (athlete was in a head on collision with another player and has neck pain; athlete injured his elbow/knee/ankle and requires transportation to a hospital) 6.) whether or not there will be someone at the entrance to meet the ambulance and where (review Assistant Coach C's role) ASSISTANT COACH B or student athlete: a.) meet the ambulance at the appropriate entrance (WAVE THEM DOWN WHEN YOU SEE THEM AND DIRECT TOWARDS ATHLETE) If the athlete is located... you will meet the ambulance... 1.) on the soccer fields off of the Walk Up entrance at the gates on the service drive Dvorak (off Walk Up) 28

30 Heat Illness Injury Prevention General Guidelines Adapt athletes to exercise in the heat (acclimatization) gradually over 10 to 14 days. o Progressively increase the intensity and duration of work in the heat with a combination of strenuous interval training and continuous exercise. o In a cooler environment, an athlete can wear additional clothing during training to induce or maintain heat acclimatization. o Athletes should maintain proper hydration during the heat-acclimatization process. Athletes should hydrate prior to, during and after workouts. Well-acclimatized athletes should train for 1 to 2 hours under the same heat conditions that will be present for their event. Adjust training and attire based on heat index. Cancel or postpone if conditions are dangerous as identified using the National Weather Service heat index chart (see Appendix). Be prepared to cool athletes quickly in case of an emergency (cold wet towels, fans, cool bath) Educate Athletes on Proper Hydration, Nutrition and Sleep Hydration o Match fluid intake with sweat and urine output o Hydrate with fluids containing sodium o Maintain less than 2% body weight change with fluid intake o Drink when you are thirsty do not over-hydrate! Nutrition o Add salt to meals o Sleep o Basic nutrition guidelines (breakfast containing complex carbohydrates and protein, lunch containing protein and simple carbohydrates, well-balanced dinner) Recommended sleep at least 7-8 hours every night in a cool environment Educate Coaches and Athletes on Heat-related Illnesses Exercise-Associated Muscle (Heat) Cramps: Exercise-associated muscle (heat) cramps represent a condition that presents during or after intense exercise sessions as an acute, painful, involuntary muscle contraction. Proposed causes include fluid deficiencies (dehydration), electrolyte imbalances, neuromuscular fatigue, or any combination of these factors. Heat Syncope: Heat syncope, or orthostatic dizziness, can occur when a person is exposed to high environmental temperatures. This condition is attributed to peripheral vasodilatation, postural pooling of blood, diminished venous return, dehydration, reduction in cardiac output, and cerebral ischemia. Heat syncope usually occurs during the first 5 days of acclimatization, before the blood volume expands, or in persons with heart disease or those taking diuretics. It often occurs after standing for long periods of time, immediately after cessation of activity, or after rapid assumption of upright posture after resting or being seated. Exercise (Heat) Exhaustion: Exercise (heat) exhaustion is the inability to continue exercise associated with any combination of heavy sweating, dehydration, sodium loss, and energy depletion. It occurs most frequently in hot, humid conditions. At its worst, it is difficult to distinguish from exertional heat stroke without measuring rectal 29

31 temperature. Other signs and symptoms include pallor, persistent muscular cramps, urge to defecate, weakness, fainting, dizziness, headache, hyperventilation, nausea, anorexia, diarrhea, decreased urine output, and a body-core temperature that generally ranges between 36C (97F) and 40C (104F). Exertional (Heat) Stroke: Exertional heat stroke is an elevated core temperature (usually 40 C [104 F]) associated with signs of organ system failure due to hyperthermia. The central nervous system neurologic changes are often the first marker of exertional heat stroke. Exertional heat stroke occurs when the temperature regulation system is overwhelmed due to excessive endogenous heat production or inhibited heat loss in challenging environmental conditions and can progress to complete thermoregulatory system failure. This condition is life threatening and can be fatal unless promptly recognized and treated. Signs and symptoms include tachycardia, hypotension, sweating (although skin may be wet or dry at the time of collapse), hyperventilation, altered mental status, vomiting, diarrhea, seizures, and coma. The risk of morbidity and mortality is greater the longer an athlete s body temperature remains above 41 C (106 F) and is significantly reduced if body temperature is lowered rapidly. Unlike classic heat stroke, which typically involves prolonged heat exposure in infants, elderly persons, or unhealthy, sedentary adults in whom body heat-regulation mechanisms are inefficient, exertional heat stroke occurs during physical activity. The pathophysiology of exertional heat stroke is due to the overheating of organ tissues that may induce malfunction of the temperature-control center in the brain, circulatory failure, or endotoxemia (or a combination of these). Severe lactic acidosis (accumulation of lactic acid in the blood), hyperkalemia (excessive potassium in the blood), acute renal failure, rhabdomyolysis (destruction of skeletal muscle that may be associated with strenuous exercise), and disseminated intravascular coagulation (a bleeding disorder characterized by diffuse blood coagulation), among other medical conditions, may result from exertional heat stroke and often cause death. Exertional Hyponatremia: Exertional hyponatremia is a relatively rare condition defined as a serum-sodium level less than 130 mmol/l. Low serum-sodium levels usually occur when activity exceeds 4 hours. Two, often-additive mechanisms are proposed: an athlete ingests water or low-solute beverages well beyond sweat losses (also known as water intoxication), or an athlete s sweat sodium losses are not adequately replaced. The low blood-sodium levels are the result of a combination of excessive fluid intake and inappropriate body water retention in the water-intoxication model and insufficient fluid intake and inadequate sodium replacement in the latter. Ultimately, the intravascular and extracellular fluid has a lower solute load than the intracellular fluids, and water flows into the cells, producing intracellular swelling that causes potentially fatal neurologic and physiologic dysfunction. Affected athletes present with a combination of disorientation, altered mental status, headache, vomiting, lethargy, and swelling of the extremities (hands and feet), pulmonary edema, cerebral edema, and seizures. Exertional hyponatremia can result in death if not treated properly. This condition can be prevented by matching fluid intake with sweat and urine losses and by rehydrating with fluids that contain sufficient sodium. 30

32 Condition Signs Symptoms Exercise-associated muscle cramps Sweating Dehydration, thirst, transient muscle cramps, fatigue Heat syncope Pale or sweaty skin, decreased pulse rate, loss of consciousness Dehydration, fatigue, tunnel vision, dizziness, lightheadedness Exercise (heat) exhaustion Normal or elevated body-core temperature, syncope, profuse sweating, cool & clammy skin, hyperventilation Dehydration, dizziness, lightheadedness, headache, nausea, decreased urine output, persistent muscle cramps, chills, intestinal cramping, urge to defecate, weakness Exertional heat stroke High body-core temperature (104 F), Central nervous system changes, irrational behavior, irritability, confusion, emotional instability, hysteria, apathy, aggressiveness, delirium, disorientation, staggering, seizures, loss of consciousness, hot and wet or dry skin, tachycardia (100 to 120 beats per minute), hypotension (low blood pressure), hyperventilation, Exertional hyponatremia Body-core temperature 104 F, extremity (hands and feet) swelling, confusion, significant mental compromise, lethargy, altered consciousness, apathy, seizures, coma Dizziness, drowsiness, diarrhea, vomiting Nausea, vomiting (typically clear fluid), has been drinking an excess amount of water 31

33 Lightning Safety for Athletics Chain of Command Chief Athletic Administrator on duty. This person has unchallengeable authority in a dangerous weather situation. This person is the identified weather watcher during a competition. Athletic Trainer informs spectators and participants of danger and of safe locations to evacuate to Official/Umpire/Referee may postpone activity due to dangerous weather at discretion Head Coach may postpone activity due to dangerous weather at discretion Means of Monitoring Weather Cell phones Visual and auditory feedback at the scene Criteria for Evacuation Postpone or suspend activities if a thunderstorm appears imminent before or during activity. Watch the skies for locally developing or approaching storms that have not yet produced lightning. All individuals must be completely within an identified safe location when thunderstorms are already producing lightning and approaching the immediate location when the distance between the edge of the lightning storm and the location of the outdoor activity reaches 5 nautical miles (roughly 6 miles). Allow time for individuals to evacuate the premises. Criteria for Resuming Activity Activities should be suspended until 30 minutes after the last strike of lightning is seen (or at least 5nmi away) and after the last sound of thunder is heard. This 30-minute clock restarts for each lightning flash within 5nmi and each time thunder is heard. Criteria for Postponement of Activity Games/practices will be rescheduled or canceled when one hour of time has gone by waiting for storm to clear up or otherwise directed by Chief in Command. Personal Safety and Notification of Participants of Lightning Danger Announcement posted on PR website notifying viewers of that day s lightning danger Announcement must include list of safe locations in case of evacuation First Aid for Lightning Victims Rescuers must consider their own personal safety before venturing into a dangerous situation to render care (ie: active thunderstorm). EMS should be activated immediately following the lightning injury. The victim should be removed from danger, if possible, before being treated. 32

34 VENUE: Varsity Baseball, All Softball levels Safe Locations (Teams) Baseball building with doors closed or in closed vehicles/buses Safe Locations (Fans) Inside vehicles/buses Unsafe Locations Outside Dugouts Near trees Batting cages Golf carts/gators VENUE: Tennis Courts Safe Locations (Teams) Inside the school nearest entrance (east, 1 st floor) Safe Locations (Fans) Inside the school nearest entrance (east, 1 st floor) Inside cars Unsafe Locations Tennis courts Outside or near the building Golf carts/gators VENUE: Freshman Baseball Safe Locations (Teams) Inside the school nearest entrance (north, 2 nd floor) Buses Safe Locations (Fans) Inside the school nearest entrance (north, 2 nd floor) Inside cars/buses Unsafe Locations Outside Dugouts/Benches Near trees Batting cages Golf carts/gators VENUE: Track & Football Field Safe Locations (Teams) Inside the school nearest entrance (door 7, loading dock) Buses Safe Locations (Fans) Inside the school nearest entrance (door 7, loading dock) Inside cars Unsafe Locations Bleachers Outside Track Golf carts/gators VENUE: Soccer Fields Safe Locations (Teams) Inside soccer building with doors closed Inside the school (nearest entrance through the faculty lot) Buses Safe Locations (Fans) Inside the school (nearest entrance through the faculty lot) Inside cars Unsafe Locations Outside Golf carts/gators 1

35 APPENDIX A.D155 Head Injury Care and Return to Play Protocol B.D155 Head Injury Return to School Protocol C.Head Injury Evaluation Form D.Head Injury Follow-up Form E.National Weather Service Heat Index Chart F.Daily Treatment Log G.New Injury Evaluation Form H Exercise Log I. Parent/Guardian Injury Notice 0