ONSLOW COUNTY SCHOOLSAthletic Emergency Operations Plan

CreatedSeptember 14, 2012

Jacksonville Commons Middle SchoolIn the event of an athletic related medical emergency, immediately notify:

911Principal/Supervisor

Athletic Director

Copies of this document will be located in the Principal’s office, the school media center, school health room, athletic venues, and the Onslow County Educational and Technical Support Center.

Jacksonville Commons Middle SchoolATHLETIC EMERGENCY OPERATIONS PLAN

Jacksonville Commons Middle School has a written emergency plan that should be followed in the event of a medical emergency. All coaches should be familiar with this document and their role and responsibility in an emergency. Any general questions about this plan should be directed to the athletic director, school nurse, or school administrator.

An emergency is the need for Emergency Medical Services (EMS) to give further medical attention and/or transport an athlete to the hospital. It is important in these situations that coordination between the athletic trainer, coaches, administrators and student responders be effective. This guide is intended to delineate roles and outline the protocol to be followed should an emergency occur.

Situations when 911 should be called include the following: an athlete is not breathing an athlete has lost consciousness it is suspected that an athlete may have a neck or back injury an athlete has an open fracture (bone has punctured through the skin) severe heat exhaustion or suspected heat stroke severe bleeding that cannot be stopped

Athletic Related InjuryCHAIN OF COMMAND

1. Athletic Director Mr. Young2. Assistant Athletic Director Mr. Martinez3. Principal Dr. Pylant4. Assistant Principal Mr. Cole5. School Resource Officer Officer Dobson6. Head Coach season/sport/situation dependent7. Assistant Coach season/sport/situation dependent8. Other Teacher season/sport/situation dependent9. Volunteer Coach season/sport/situation dependent

The highest person in the chain of command who is present at a scene will be the designated person in charge, or leader. That person is responsible for deciding whether or not to call 911, instructing others how they may be of help and will be the person who stays with the athlete until EMS arrives.

Athletic Related InjuryEMERGENCY PROTOCOLS

Once it has been decided that EMS should be called, the following protocol should be followed:

1. The highest person on the chain of command will be deemed the leader, and will stay with the athlete to monitor the athlete’s condition. Trained personal administer necessary first aid. If possible, someone else on the chain of command should also stay and assist. The front office or an administrator should be notified that there is an emergency situation on campus.

2. The highest person on the chain of command will make the call to EMS or will designate another person to make the call. (911 from a cell phone or pay phone, for VOIP school phones, dial 9-911) EMS should be told what the emergency is, the condition of the athlete and how to get to where the athlete is located. Also, tell EMS that someone will meet them at the closest intersection to aid in directing the ambulance. DO NOT HANG UP UNTIL EMS HANGS UP FIRST.

3. Phones at Jacksonville Commons Middle School are located in the main office, classrooms, other offices, and conference rooms.

4. The leader will send runners to all intersections between where the athlete is located to direct the ambulance to the athlete.

5. The runners should stay in their positions and wave the ambulance through the proper turns to get to the athlete.

6. The leader will designate another person to attempt contact with the athlete’s parents. Emergency contact information can be found in the main office and with the head coach. If a parent is not present, the form should accompany the athlete to the hospital.

7. If transport is deemed necessary by EMS, the athlete will be taken to insert nearest medical center name unless the parent requests otherwise.

Athletic Related InjuryEMERGENCY CONTACT INFORMATION

School Location: 315 S. Commons Dr., Jacksonville, NC 28546Roadways: S. Commons Dr and McDanielsAED Locations: (1) main office hallway; (2) gymnasium

Phone Numbers: Emergency matters: 9-1-1Jacksonville Commons Middle School (910-346-6668)Onslow Emergency Services (910-347-4270)Jacksonville Police Department (910-455-4000)Onslow County Sheriff’s Department (910-455-3113)Camp Lejeune Provost Marshall’s Office (910-451-2555)

Athletic Related InjuryPOST-CONCUSSION PROTOCOLS

1. If a student-athlete exhibits signs and symptoms consistent with a concussion (even if not formally diagnosed), the student-athlete is to be removed from play and is not allowed to return to play (game, practice, or conditioning) on that day.

2. Student-athletes are encouraged to report their own symptoms, or to report if peers may have concussion symptoms. Coaches, parents, volunteers, first responders, school nurse, licensed athletic trainers (if available), are responsible for removing a student-athlete from play if they suspect a concussion.

3. Following the injury, the student-athlete should be evaluated by a qualified medical professional with training in concussion management. It is strongly recommended that each institution seek qualified medical professionals in the surrounding community to serve as resources in the area of concussion management.

4. In order for a student- athlete to return to play without restriction, he/she must have written clearance from appropriate medical personnel. The “Gfeller-Waller Concussion Clearance NCHSAA Return to Play Form” must be used.

Athletic Related MattersOTHER EMERGENCY PROTOCOLS

1. Sudden Cardiac Arrest Cardio-Pulmonary Resuscitation is to be initiated by trained staff member within 1

minute of collapse If necessary, “shock” from a defibrillator is to be delivered within 3-5 minutes of

collapse (AED)

2. Heat Illness Athletic staff will follow NCHSAA heat and humidity guidelines Prior to participation, athletic staff will inquire about sickle cell trait status on Pre-

Participation form for student athletes in order to:o consider those with the trait to be “susceptible to heat illness”o ensure that those with the trait are not subject to timed workoutso be aware of need to remove athletes from participation immediately if any sign

of “exhaustion” or “struggling” is observed If heat illness is suspected, the following steps will be taken:

o Activate EMS immediatelyo Begin cooling measureso Shade, cool environmento Ice water immersion, ice packs, soaked towels, fan and mist

Any victim of heat illness should see a physician before return to play

3. Football Related Head and Neck injury Athletic trainer / First responder should be prepared to remove the face-mask from a

football helmet in order to access a victim’s airway without moving the cervical spine Athletic staff members should communicate ahead of time with local EMS

Agree upon C-spine immobilization techniques (e.g. leave helmet and shoulder pads on for football players) which meet current local and national recommendations/standards

Athletes and coaches should be trained not to move victims

4. Asthma Students with asthma should have an “asthma action plan” on file (school nurse and

athletic department) Lists medications, describes actions to take based on certain symptoms and/or peak

flow values as determined by a licensed physician / PA / NP Plans should be available at games / practice / conditioning Students with asthma should have rescue inhaler and spacer (if prescribed) readily

accessible during games / practice /conditioning

5. Anaphylaxis Documentation of known anaphylactic allergy to bee stings, foods, medications, etc.

should be on file (school nurse and athletic department) Student athletes with known anaphylactic allergy should have rescue prescription

medication (usually an epi-pen) readily accessible during games / practice /conditioning

6. Lightning or Other Weather Conditions The role of monitoring threatening weather conditions is assigned to the athletic

director (or assistant) or school administrator on site. In advance of games, staff should determine evacuation, cancellation, or postponement

procedures for the various athletic events (venue dependent) For outside venues, continually monitor for lightning risk by doing the following:

o Consult National Weather Service or local media for severe weather watches and warnings

o Utilize electronic monitoring or the “Flash-to-Bang” methodo Count the time in seconds that pass between a “flash” of lightning and the

“bang” of thunder that follows. o If count is less than 30 seconds stop activity and seek safe shelter

For safety purposes, identify for each venue a shelter location and be sure it is accessible (within reasonable distance, unlocked, proper capacity)

o Primary option- building (with four walls, a ceiling, and plumbing or wiring that acts to electrically ground the structure)

o Secondary option- a metal roof vehicle with all windows completely rolled upo Last option- a thick grove of small trees surrounded by larger trees or a dry ditch

assuming proper posture (crouch, grab knees, lower head, minimize contact with ground)

The athletic director or administrator will determine when to resume activity when flash-to bang count is greater than 30 seconds or a pre-determined time period (usually 30 minutes) after last visible lightning

SCHOOL VERIFICATION FORM

Gfeller-Waller Concussion Awareness Act

1. Copy of the information sheet related to concussion and head injuries

2. Provide evidence that the information sheet was provided to and signed by all coaches, school nurses, athletic directors, first responders, volunteers, students who participate in middle or high school interscholastic athletic activities

3. Provide evidence that the information sheet was provided to and signed by the parents or guardians of those students participating in middle and high school interscholastic athletics.

4. Please provide us with access to the venue-specific emergency action plans for each middle/high school. Please have the individual in the district responsible for overseeing the plans confirm the following relating to the plans. They can simply write “yes” or “no” beside of each item and sign below item “f” in the space provided. Please have them confirm that the plans are:

a. In writing

b. Reviewed by an athletic trainer licensed in NC

c. Approved by the principal of the school

d. Distributed to all appropriate personnel

e. Posted conspicuously for community and parental awareness at all athletic-sponsored venues

f. Reviewed and rehearsed annually by all athletic trainers, first responders, coaches, school nurses, athletic directors, and volunteers for interscholastic athletic activities.

Signature: _________________________________

Title: _________________________________