Risk Management Guidelines

Not If, But When Injuries and medical emergencies can and WILL occur Injuries and medical emergencies can and WILL occur It is your responsibility to provide a safe environment It is your responsibility to provide a safe environment How can you ensure this? How can you ensure this? What steps can you take to prepare yourself and your client? What steps can you take to prepare yourself and your client?

Personal Preparation CPR/AED CPR/AED You should have CPR/AED certification You should have CPR/AED certification Improves the chance that you will be able to help Improves the chance that you will be able to help Emergency Training Emergency Training What would you do in an emergency situation? What would you do in an emergency situation? Who do you call? Who do you call? What actions do you take personally? What actions do you take personally? What actions are you required to take? What actions are you required to take?

Pre-exercise Screening Use ACSM protocol & PAR-Q Use ACSM protocol & PAR-Q Determine risk stratification Determine risk stratification Apparently Healthy Apparently Healthy Increased Risk Increased Risk Known Disease Known Disease Establish protocol for attaining physician clearance Establish protocol for attaining physician clearance Standard form faxed to office –follow-up Standard form faxed to office –follow-up Have an additional health history Have an additional health history Covers all potential medical issues Covers all potential medical issues Keep on file or in database with personal information Keep on file or in database with personal information

Emergency Plan Development Activation Code Activation Code Discreet code over PA or phone system to alert other staff Discreet code over PA or phone system to alert other staff Telephone Numbers Telephone Numbers GM Home, Fire, Police, Poison Control GM Home, Fire, Police, Poison Control Backup Communication Backup Communication Mobile radios or cell phones available Mobile radios or cell phones available Location of Nearest Telephone Location of Nearest Telephone Specific to location of each emergency plan booklet Specific to location of each emergency plan booklet Location Location Nearest entry/exit points for EMS personnel or evacuation Nearest entry/exit points for EMS personnel or evacuation Locked Doors or Gates Locked Doors or Gates EMS access considerations, find the key EMS access considerations, find the key Location of Emergency Supplies Location of Emergency Supplies First Aid Kit, Spinal Board, AED First Aid Kit, Spinal Board, AED Information to Share Information to Share Who you are, where you are (club address), what has happened Who you are, where you are (club address), what has happened Directions for Personnel Responsibilities Directions for Personnel Responsibilities First responder duties & assistant duties First responder duties & assistant duties Call for Member Assistance Call for Member Assistance Doctor in the house? Doctor in the house? Incident and Accident Reports – Important aspect of liability coverage Incident and Accident Reports – Important aspect of liability coverage

Fire and Evacuation Plan Map of Facility Map of Facility Locate nearest exits Locate nearest exits Outline Procedures Outline Procedures Calmly move towards the nearest exit Calmly move towards the nearest exit Front desk makes PA announcement Front desk makes PA announcement Ensure everyone can hear it Ensure everyone can hear it Check showers, massage areas, etc. Check showers, massage areas, etc. Include fire tips Include fire tips Location of fire extinguisher Location of fire extinguisher Crawl if necessary Crawl if necessary Alternative routes to safety Alternative routes to safety Check doors for heat prior to opening Check doors for heat prior to opening Do not use the elevators Do not use the elevators

Aquatic Emergencies Personnel Personnel Should be adequately trained and certified Should be adequately trained and certified Specific emergency plan for pool area Specific emergency plan for pool area Equipment Equipment First Aid Kits First Aid Kits Life Ring and Buoys Life Ring and Buoys First Responder Kits First Responder Kits Megaphone Megaphone Spinal Board Spinal Board Other Safety Considerations Other Safety Considerations Signage Signage Critical in pool area – depth signage Critical in pool area – depth signage Pool rules and regulations Pool rules and regulations Security Security Pool area locked when no lifeguard on duty Pool area locked when no lifeguard on duty

Disaster Planning Weather Emergencies Weather Emergencies Hurricanes, tornados, floods Hurricanes, tornados, floods Prepare a standard procedure Prepare a standard procedure Weather advisory communication Weather advisory communication Evacuation plan for outdoor areas Evacuation plan for outdoor areas Communication script for staff Communication script for staff Predetermined evacuation zone or shelter area within the facility Predetermined evacuation zone or shelter area within the facility Specific instructions for organizing all staff and members within the facility Specific instructions for organizing all staff and members within the facility Bomb Threat Bomb Threat Gather information from caller Gather information from caller Notify emergency personnel Notify emergency personnel Activate evacuation plan Activate evacuation plan

Risk Management Documentation Have an Emergency Manual Have an Emergency Manual Outlines procedures for any type of emergency Outlines procedures for any type of emergency Also have a quick reference beside phone Also have a quick reference beside phone Document any and all accidents Document any and all accidents May prove useful for liability May prove useful for liability Keep accident reports for each client Keep accident reports for each client Can be invaluable if sued Can be invaluable if sued Be thorough when filling out necessary forms Be thorough when filling out necessary forms Obtain witnesses, have them sign and provide their contact information Obtain witnesses, have them sign and provide their contact information Facility Maintenance Records Facility Maintenance Records Keep track of when equipment has been calibrated or had preventative maintenance Keep track of when equipment has been calibrated or had preventative maintenance Ensures that all equipment remains in good working order Ensures that all equipment remains in good working order Protects the club in the event of equipment failure or malfunction Protects the club in the event of equipment failure or malfunction Negligence – No form or procedure will protect you Negligence – No form or procedure will protect you What constitutes negligence? What constitutes negligence? A duty of care that has been breached, causing harm A duty of care that has been breached, causing harm

Other Considerations Occupational Safety and Health Administration (OSHA) Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Bloodborne Pathogens Training and record keeping protocols Training and record keeping protocols Adhere to these standards rigorously Adhere to these standards rigorously Sharps Containers Sharps Containers Used for disposal of all sharp objects that may potentially cause a biohazard Used for disposal of all sharp objects that may potentially cause a biohazard Prevent the accidental puncture Prevent the accidental puncture Proper disposal of sharps container required Proper disposal of sharps container required

First Aid Kits A must-have A must-have Use a first-aid kid vendor Use a first-aid kid vendor They will refill periodically and charge your account They will refill periodically and charge your account Eliminates the need for regular check- ups of equipment Eliminates the need for regular check- ups of equipment Get the BIG kit Get the BIG kit