NEW HANOVER COUNTY SCHOOLS (NHCS) ROLAND-GRISE MIDDLE HIGH SCHOOL (RGMS) ATHLETIC DEPARTMENT EMERGENCY ACTION PLAN (EAP)

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1 NEW HANOVER COUNTY SCHOOLS (NHCS) ROLAND-GRISE MIDDLE HIGH SCHOOL (RGMS) ATHLETIC DEPARTMENT EMERGENCY ACTION PLAN (EAP) Introduction The purpose of an Emergency Action Plan is to save time, reduce confusion, and insure that an injured athlete is receiving the most appropriate care in the event of a serious or potentially life threatening injury. The plan outlines responsibilities for individuals providing care for the athlete, location of emergency equipment, location of the nearest phone, and emergency access by EMS personnel. A general action plan includes the following: The most qualified person should stay with the injured athlete and administer first aid. An immediate check of the athletes ABCs should be completed. If you are not sure of the athlete s condition or you know you need EMS, call 911 immediately! Another adult or responsible team member should call EMS if necessary. Use appropriate first aid procedures to prevent further injury, maintain life support functions, and lessen the severity of any injury. Have someone stationed outside or at the entrance to your facility to meet EMS personnel and lead them to the exact location of the emergency. Have a team roster with emergency information available for EMS, and to contact parents immediately. (i.e. Our NHCS Athletic Participation Form, Copy of Page 2) Components of the Emergency Plan There are three basic components of the plan: 1. Emergency Personnel 2. Emergency communication 3. Emergency equipment Emergency Plan Personnel In the middle school setting, the first person to respond to an emergency situation could be any of the following: Designated First Responder, coaches or other teammates. Coverage of athletic practices and events by sports medicine personnel may vary, based on factors such as the sport or activity, the setting and the type of training or competition. In the absence of the Certified Athletic Trainer or Designated First Responder, the coach

2 RGMS EAP 2 or other personnel may be the first person to respond to the emergency. It is important and should be required that all coaches have CPR/First Aid training. They should also have instruction in prevention of disease transmission and should be required to review the Emergency Plan. The development of an emergency plan must include the formation of an emergency team. This team may consist of physicians, certified athletic trainers, first responders, athletic training student interns, coaches, managers and even bystanders. Roles of these individuals may vary depending on the sport and venue involved. There are four basic roles within the emergency team. The first and most important role is immediate care of the athlete. The most qualified person on the scene should provide emergency care. The second role is that of equipment retrieval, and this may be done by anyone familiar with the location and type of equipment needed. Student interns, managers and coaches are good choices for this. The third role is activation of the EMS system. If EMS is covering an event, a prearranged signal or radio communication may be all that is necessary. This can be done by any member of the emergency team. If EMS is not present, then activation of the EMS system should be done as soon as it is deemed necessary due to an emergency or life threatening situation. Time is critical in an emergency situation. The person calling EMS should be someone who is calm under pressure and communicates well over the phone. This person should also be familiar with the location and address of the venue. The fourth role in the emergency plan is meeting the EMS vehicle and leading them to the emergency. This can be done by anyone on the emergency team. This person should have any necessary keys to open locked gates or doorways. It is also important that an emergency access lane be established at each venue for EMS access. Activating the EMS System Emergency numbers 911 for any emergency situation Poison Control 1 (800) Roland-Grise School Number (910) Two way communication device if available (defer to cell phones) Certified Athletic Trainer School (Hoggard) Phone (910) Cell Phone Team Physician Office Phone (910) (Carolina Sports Medicine) Cell Phone Provide the following information to dispatcher: name, address and telephone number of the caller, number of victims involved, condition of victim(s), treatment being provided, and specific directions as need to locate the emergency scene, other information requested by the dispatcher. It is important that a direct line of communication to the EMS system is available at each athletic venue. This can be accomplished by either a land line phone or cell phone. The communication system should be checked prior to each practice or event. A backup plan should be in place in the event of failure of the primary system. Each member of the

3 RGMS EAP 3 emergency team should know the primary communication plan and backup plan. This may include the location of additional phone near, but not directly on site at the venue. Emergency Equipment Emergency equipment should be on site and easily accessible at each athletic venue. Emergency team members should be familiar with the function and operation of each type of equipment. Emergency equipment available should be appropriate for the level of training of the emergency team members present. All equipment should be in good operating condition, stored properly and inspected on a regular basis to insure proper working order. Emergency equipment can include, but is not limited to first aid kits, trauma kits, personal protection kits, resuscitation mask or bag, valve mask combinations, splints, crutches, and Automated External Defibrillators. (AED) Emergency Transportation On site EMS coverage is limited to varsity football games. By county EMS protocol the volunteer EMS vehicle will not transport unless it is a life threatening situation. When transport is necessary, but the situation is not life threatening, the volunteer EMS unit will summon the NHRMC EMS for transport. At each venue where on site coverage is provided, each venue should have a designated location with rapid access to the playing area, and a cleared route for emergency vehicles to enter and exit the venue. In emergency situations, the athlete should be transported by emergency vehicles where the necessary staff and equipment is available to deliver appropriate care. Emergency care providers should refrain from transporting unstable athletes in inappropriate vehicles. Conclusion The importance of being properly prepared when athletic emergencies arise cannot be stressed enough. An athlete s survival may hinge on how well trained and prepared athletic healthcare providers are. It is prudent to invest athletic department ownership in the emergency plan by involving the athletic administration, school administration, coaches as well as sports medicine personnel. The emergency plan should be reviewed at least once a year with all athletic personnel, along with CPR/First Aid training and refreshers.

4 RGMS EAP 4 ROLAND-GRISE MIDDLE SCHOOL EMERGENCY PLANS Athletic venues for Roland-Grise Middle School (RGMS) are: Gymnasium Sports: Volleyball, Men s and Women s Basketball, (Cheerleading), and also serves as an indoor practice for other sports during inclement weather Baseball/Softball Field Sports: Baseball and Softball Game & Practice Facilities RGMS Athletic Field Sports: Football, Boy s & Girls Soccer, Boy s & Girl s Lacrosse, Cheerleading

5 RGMS EAP 5 GYMNASIUM Emergency Personnel Coaches, School Staff Emergency Communication Fixed phone line in Basketball office (910) x246 Fixed phone line in P.E. offices (910) x345 Coaches with Cell Phones Emergency Equipment First Aid Kit Equipment located in storage room in boys locker room. AED location: On wall of hallway between gym and cafeteria Roles of the First Responders 1) Immediate care of the injured athlete by the athletic trainer or the most qualified person at the scene. 2) Emergency equipment retrieval-assistant coaches, student managers, etc. 3) Activation of EMS- Assistant coach or student assistant Call 911 and provide name, address, telephone number; number of individuals injured; condition of injured; first aid treatment; specific direction; and other information as requested. Notify parents as soon as possible from information on emergency cards maintained by coaches. 4) Direction of EMS to scene Coaches or assistants to meet and direct EMS to scene Venue Directions and Map (see attached) 4412 Lake Ave., Wilmington, NC Best access to gym is the entrance closest to 41 st St. There is a set of double doors with a handicap access ramp by the side steps beside the cafeteria. EMS enters through this entrance.

6 RGMS EAP 6 BASEBALL/SOFTBALL FIELD Emergency Personnel Coaches and other coaches on athletic field Emergency Communication Coaches and athletes Cell Phone Emergency Equipment First Aid Kit (Additional emergency equipment located in storage area of boys locker room) AED location: On wall of hallway between gym and cafeteria Roles of the First Responders 1) Immediate care of the injured athlete by the athletic trainer or the most qualified person at the scene. 2) Emergency equipment retrieval-assistant coaches, student managers 3) Activation of EMS- Assistant coach or student assistant Call 911 and provide name, address, telephone number; number of individuals injured; condition of injured; first aid treatment; specific direction; and other information as requested. Notify parents as soon as possible from information on emergency cards 4) Direction of EMS to scene Coaches or assistants to meet and direct EMS to scene Venue Directions and Map 4412 Lake Ave. Wilmington, NC Use entrance closest to 41 st St. and drive through parking lot. There is access to the field at the end of the lot.

7 RGMS EAP 7 RGMS Athletic Field Emergency Personnel Coaches and coaches from other venues Emergency Communications Various Coaches/Staff Cell phones Emergency Equipment First Aid Kit and other emergency equipment located in boys locker room. Roles of the First Responders 1) Immediate care of the injured athlete by the athletic trainer or the most qualified person at the scene. 2) Emergency equipment retrieval-assistant coaches, student managers 3) Activation of EMS- Assistant coach or student assistant Call 911 and provide name, address, telephone number; number of individuals injured; condition of injured; first aid treatment; specific direction; and other information as requested. Notify parents as soon as possible from information on emergency cards 4) Direction of EMS to scene Coaches or assistants to meet and direct EMS to scene Venue Directions and Map 4412 Lake Ave. Wilmington, NC Use entrance closest to 41 st St. and drive through parking lot. There is access to the field at the end of the lot.

8 RGMS EAP 8 MANAGEMENT CONSIDERATIONS FOR SERIOUS INJURIES/CONDITIONS ( Practice Parameter: The Management of Concussion in Sports (American Academy of Neurology). Handout - Included Quick Reference Card for Management of Concussion in Sports (Included) Prehospital Care of the Spine-Injured Athlete (NATA Position Statement available online). Official Statement Automated External Defibrillators (NATA Position Statement Included) Hot Weather Guidelines for Athletics (NHCS) Handout included Severe Weather Precautions (NHCS), Handout included (NATA Position Statement is available online) Official Statement from the National Athletic Trainers Association on Communicable and Infectious Disease in Secondary School Sports (Included) MRSA new release for local health departments. N.C. Division of Public Health General Communicable Disease Control Branch. (Included) Facilities Maps are included (Site Map and Yahoo Satellite Map)