Emergency Action Plan

General Information

This plan is provided to serve as a guide for emergency action required in the Athletic Training Room, Pucillo Gymnasium, Brooks Hall, Biemsderfer Stadium, or any playing or conditioning area on the Millersville University Campus used by the Intercollegiate Athletic Program.



Before any athlete begins participation with an athletic team they must meet the following Medical Eligibility Requirements:
To be medically eligible to participate in NCAA Division II Intercollegiate Athletics at Millersville University you must meet the following criteria:

All Freshman and newcomers must:

o Have an entrance physical on file with the Health Center as is required of all new students.
o Update their SportsWare profile which includes:


Filling in pertinent information indicated with an asterisk
Downloading and reading the Sickle Cell/Concussion Fact Sheet
Filling out the Medical History form

o Pass a comprehensive physical given by the Health Service. This physical exam includes an orthopedic screening given by the Athletic Training Staff.
o Selected sports must undergo a onetime baseline neuropsychological test. (ImPact)

These sports include but may not be limited to:

Football              Field Hockey               Wrestling            Softball

Mens' Basketball  Men's Soccer              Baseball             Cheerleading

Women's Soccer Women's Basketball     Pole Vault           Lacrosse

All returning athletes who have participated in MU athletics within the last year must:

o Update their SportsWare profile which includes:

Downloading and reading the Sickle Cell/Concussion Fact Sheet
Filling out the Medical History form

o Make an appointment at the Health Center for a review of your health history and blood pressure check.

17.1.5 Mandatory Medical Examination. Prior to participation in any practice, competition or out-of-season conditioning activities, student-athletes who are beginning their initial season of eligibility shall be required to undergo a medical examination or evaluation administered or supervised by a physician. (Adopted: 1/8/07 effective 8/1/07)

As per the NCAA Division II Manual:

11.1.6 Sports-Safety Training.

Each head coach and all other coaches who are employed full time at an institution shall maintain current certification in first aid, cardiopulmonary resuscitation (CPR) and automatic external defibrillator (AED) use. (Adopted: 1/16/10 effective 8/1/10)


The Role of the Athletic Training Student:

Several policies have been created specifically for the role that an athletic training student may play while covering a practice. These policies are necessitated by both our accrediting agency and well as Pennsylvania State Law. They are also in place to reduce liability for the student and Millersville University.

Definitions:

Supervision/Supervised: When an avenue of direct communication is available between the athletic training student and their clinical instructor or a staff athletic trainer.

Preceptor: Certified athletic trainer who has an affiliation with an Athletic Training Education Program and is involved in the evaluation of the skills and actions of the athletic training student. This includes any athletic trainers from West Chester University, as the Athletic Training Education Program is housed in their University.

Staff Athletic Trainer(s): Millersville University employed certified athletic trainer(s) or graduate assistant certified athletic trainer(s).

Host Athletic Trainer(s): Certified athletic trainers in charge of covering an "away" competition. This Athletic Trainer is not a clinical instructor, and therefore, cannot directly supervise an athletic training student, unless there is a signed, formal, affiliated site agreement and all aspects of the agreement for accreditation are upheld such as site-visits, student evaluation, etc.

  • Athletic Training Students are not permitted to travel with the teams unsupervised except in the instance that the teams travel to West Chester University. In all other instances, a Staff Athletic Trainer must accompany the student and their availability is not guaranteed. Home practices and competitions of in-season sports take precedence, as well as post-season competitions.
  • Students must act only as first responders if a Staff Athletic Trainer, or Preceptor is not in the immediate vicinity. (See definition.)
  • Students cannot and must not make return-to-play decisions or tape an athlete so they can return to play with any acute injury. The athletic training student must first confer with their Preceptor or the Staff Athletic Trainer.
  • Referral decisions (i.e. MD, Emergency room) should be made by the Staff Athletic Trainers if present or the Host Athletic Trainer. If neither is present, it is the coach's responsibility to follow the guidelines listed under the section titled: "Emergency Procedures for Injured Athletes".

The Role of a First Responder:

To assist students in determining what skills an athletic training student may perform when not directly supervised, a list of skills that students can and cannot perform has been developed. However, this list is not all inclusive. Remember, these can and can not's are in place to prevent students from violating state law and limit liability.

First Responders Can:

  • Provide lifesaving emergency care (i.e. CPR, care for obstructed airway.)
  • Activate EMS.
  • Perform first aid skills (i.e. splinting, stop bleeding).
  • Apply ice, compression, and elevation to an injury.
  • Perform preventative taping.
  • Perform or assist in preventative stretching.
  • Perform basic wound care.

First Responders Cannot:

  • Apply modalities (with the exception of ice).
  • Make return-to-play decisions.
  • Perform advanced evaluation techniques such as joint stability tests.
  • Apply rehabilitation techniques or develop rehabilitation programs.

Students are very limited in what they may do when they do not have immediate supervision.

Coaches Responsibilities

A member of the teams coaching staff should supervise all practices, conditioning and weight training sessions. This is for safety reasons and for insurance purposes. Any unsupervised activity is not covered by the University's athletic insurance policy.

Athletic training staff coverage of practices can only be accomplished with appropriate notification.  Coaches should make every effort to keep the athletic training staff informed of changes in schedule. Please try to call and/or leave a message.  Notification through athletic training students or student athletes will not be accepted.   Athletic training room personnel will cover all scheduled practices ONLY AFTER 24 HOURS notification. Weekend practices will be covered after (2) day's (48 hours) notification.  Notifications respecting these time limitations will guarantee athletic training room personnel coverage.

If an athletic team has not showed up by the time practice is scheduled to start then the student and supervising athletic trainer will assume they were not notified of a schedule change and leave.

Coverage by the athletic training staff and/or athletic training students will be determined by the potential risk for injury associated with that particular sport, in season or out of season status, and staff availability.

Emergency Procedures

Coach Responsibilities for Pre-Practice/Event Site:

    1. Make sure area is safe for participation.

  1. Verify means of contacting Certified Athletic Trainer if coverage by the Athletic Training Staff is provided.
    1. Radio, Cell phone, other telephone
  2. Know the location of a telephone closest to your event area if a cell phone is not available. 
  3. Make sure you have keys or access to the nearest building if athletic training staff coverage is not provided/available. 

 In the case that athletic training coverage is not available, the following should be considered:

1. Set a plan as to how the ambulance will access the field/area (if necessary)
2. Means of unlocking gates for ambulance access to event
3. Designated person to greet the ambulance and guide them to the scene

 Event areas have phones located in the following areas:

Pucillo

Pool                                  Phone in coach's office and outside hallway

Wrestling Room                   Phone in coaches office

Gymnasium/Soccer Fields      Phones in lobbies and athletic training room

Softball Field                       Phones in each dugout/south lobby or athletic training room.

Spoils Field                       Phone in south lobby or athletic training room

Brooks

Gym, Field Hockey, Tennis

Courts, Pool, Weight Room      Campus phone in south hallway or athletic training room                               

Stadium

Track, Football practice field    Campus phone in football locker room or athletic training room                                                    

Baseball                               Phone available in press box

McComsey Tennis Courts     Campus phone available in McComsey Hall. For weekend matches campus security should be called to guarantee building is open.

Carpenter-Trout                  Phone available at the attendant desk inside the door to the left.

The athletic training staff will have AEDs at staffed events. In case the athletic training staff is not present during an activity, AEDs are located in the following areas for activities near these buildings/locations:

Pucillo                              AED located in south hallway or athletic training room when staffed.                                  

Spoils Field                       AED located in south lobby of Pucillo or athletic training room when staffed.

Brooks                              AED located on the 1st floor in the main gymnasium.

Stadium                            AED located in Carpenter-Trout or in athletic training room when staffed.

Baseball                             AED located in Jefferson Hall at the main entrance in the vending area or in Gaige Hall at one the 1st floor at the main entrance.

McComsey Tennis Courts   AED located in Hull Hall on the 1st floor at the main entrance or Campus Security/University Police can be contacted to respond with an AED.

Carpenter-Trout                AED located at the main entrance to the facility.

Phone Numbers:

On Campus:   Life-Threatening Medical Emergencies  9-911

                    Other Emergencies        872-3911 (Campus Police)

                    Health Services              872-3250

                    University Police            872-3433

                    Athletic Training Rooms 

                                                        Pucillo     872-3711
                                                        Stadium  872-3870

        (Using a campus phone, only dial the last 4 digits)

Off Campus        Life-Threatening Medical Emergencies  911

                        Lancaster Regional Hospital ER    291-8111

Lancaster Regional Hospital Information   291-8211

                        Lancaster General Hospital    544-5511

                        Lancaster General Health Urgent Care   717-544-0150

At away events, is there a certified athletic trainer present or available?  If a certified athletic trainer is not present, is an athletic training student present? Where and who are they?  Is there easy access to a phone or communication?

Emergency Procedures for Injured Athletes:

1. Assess injury (general impression of athlete, chief complaint/level of consciousness/life threatening conditions) and call for athletic trainer if available but not present.
2. In the absence of an athletic trainer, determine whether the injury is life threatening. If so, follow appropriate procedures and initiate EMS system.
3. Assess airway and breathing. Assure adequate ventilation.
4. Assess circulation. Assess for and control major bleeding. Assess pulse. Assess skin (color, temperature and condition).
5. For EMS dial 9-911 on campus and 911 off campus. Provide all necessary information to dispatch. i.e. location, nature of injury, what if any first aid has been provided, etc.
6. Have a bystander contact Campus Security to notify them of the emergency and incoming EMS team.
7. Stay with the athlete until proper medical attention has been provided.
8. Players or non-medical personnel should not touch, move or roll an injured player.
9. In a life-threatening situation, the ATC/ATS/coaches' responsibilities would be to stabilize the injured athlete to the limits of their first aid/CPR certification, call EMS, and/or refer to the proper medical facility if/when such action is appropriate.

For injuries that are not life threatening:

Summon the athletic training staff or transport the athlete to the nearest athletic training room. If the athletic trainers are not on duty, then transport to Witmer Health Center. If it is after hours, the athlete must see the athletic training staff first thing during the next available hours. Contact the athletic trainer if there are any questions as to treatment and/or referral.

This plan applies to all athletes involved in the official play or practice of an intercollegiate sport sponsored by Millersville University. Immediate first aid will be rendered by the certified athletic trainer/athletic training student/coach at the scene.  CPR will be administered by anyone qualified.  The ATC/ATS/coach should be certified in First Aid, CPR, and AED as per NATA, CAATE, WCUPA ATEP, and NCAA guidelines.

Lightning Safety

Decisions to remove teams or individuals from practice activities will be made by the certified athletic trainers on staff.  In absence of a certified athletic trainer individual sport coaches will have to use their best judgment taking into account the guidelines set forth here.

Decisions to remove teams or individuals from athletic competition or events will be made by the certified athletic trainer in conjunction with the athletic director and with the cooperation of the officials. 

Suspension of Play/Practice Guidelines:

Millersville University has subscribed to the DTN Weather Sentry Alert System. This system is used by the NCAA for all outdoor championship competitions across the nation. Alerts are sent via email or text message to subscribers to notify of severe weather and lightning. Lightning alerts will be received for the first strike within a 20 mile radius and a 7 mile radius of the University. Upon notification of a strike within 7 miles, play/practice must be suspended, the athletic training staff will monitor the storm via DTN's Weather Sentry Site, and NCAA guidelines will be used for safe return to competition.

When considering resumption of an athletics activity, NSSL staff recommends that ideally everyone should wait 30 minutes after the last flash of lightning or sound of thunder before returning to the field or activity.

If there is not access to the DTN Weather Sentry system, the following are recommendations for ways to proceed. As a minimum, National Severe Storms Laboratory (NSSL) and the NCAA recommend that by the time the monitor obtain a flash-to-bang count of 30 seconds; all individuals should leave the athletic site and go to a safe structure or location.

Guidelines for Lightning Safety:  

1. Know where the closest "safe structure or location" is to the field or playing area, and know how long it takes to get to that safe area. Safe structure or location is defined as:

a. Any building normally occupied or frequently used by people, i.e., a building with plumbing and/or electrical wiring that acts to electrically ground the structure. Avoid using shower facilities for safe shelter and do not use the showers or plumbing during a thunderstorm.
b. In the absence of a sturdy, frequently inhabited building, any vehicle with a hard metal roof (not a convertible or golf cart) and rolled up windows can provide a measure of safety. A vehicle is certainly better than remaining outdoors. It is not the rubber tires that make a vehicle a safe shelter, but the metal roof, which dissipates the lightning strike around the vehicle. DO NOT TOUCH THE SIDES OF THE VEHICLE. 

2. Be aware of how close lightning is occurring. The flash-to-bang method is the easiest. To use this method count the seconds from the time lightning is sighted to when the clap of thunder is heard. Divide this number by five to obtain how far away (in miles) the lightning is occurring.  

3. If no safe structure or location is within a reasonable distance, find a thick grove of small trees surrounded by taller trees or a dry ditch. Assume a crouched position on the ground with only the balls of the feet touching the ground, wrap your arms around your knees and lower your head. Minimize your body's surface area, and minimize contact with the ground. Do not lie flat.

4. If unable to reach safe shelter, stay away from the tallest trees or objects (such as light poles or flagpoles), metal objects (such as fences or bleachers), individual trees, standing pools of water and open fields. Avoid being the highest object in a field. Do not take shelter under a single, tall tree.

5. A person who feels his or her hair stand on end, or skin tingle, should immediately crouch, as described in item 4.

6. Observe the following basic first aid procedures in managing victims of a lightning strike.

Survey the scene for safety.
Activate local EMS.
Lightening victims do not carry a ‘charge' and are safe to touch.
If necessary, move the victim with care to a safe location.
Evaluate airway, breathing, circulation, and begin CPR if necessary.
Evaluate and treat for hypothermia, shock, fractures and/or burns.

7. All individuals have the right to leave an athletic site in order to seek a safe structure if the person feels in danger of impending lightening activity, without fear of repercussions or penalty from anyone.