Risk Management Risk Management GuidelinesGuidelines

Not If, But WhenNot If, But When

Injuries and medical Injuries and medical emergencies can and WILL emergencies can and WILL occur occur

It is your responsibility to It is your responsibility to provide a safe environmentprovide a safe environment How can you ensure this?How can you ensure this? What steps can you take to What steps can you take to

prepare yourself and your client?prepare yourself and your client?

Personal PreparationPersonal Preparation

CPR/AEDCPR/AED You should have CPR/AED You should have CPR/AED

certificationcertification Improves the chance that you will be Improves the chance that you will be

able to helpable to help Emergency TrainingEmergency Training

What would you do in an What would you do in an emergency situation? 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 What actions are you required to

take?take?

Pre-exercise ScreeningPre-exercise Screening

Use ACSM protocol & PAR-QUse ACSM protocol & PAR-Q Determine risk stratificationDetermine risk stratification

Apparently HealthyApparently Healthy Increased RiskIncreased Risk Known DiseaseKnown Disease

Establish protocol for attaining physician Establish protocol for attaining physician clearanceclearance

Standard form faxed to office –follow-upStandard form faxed to office –follow-up Have an additional health historyHave an additional health history

Covers all potential medical issuesCovers all potential medical issues Keep on file or in database with personal Keep on file or in database with personal

informationinformation

Emergency Plan Emergency Plan DevelopmentDevelopment

Activation CodeActivation Code Discreet code over PA or phone system to alert other staffDiscreet code over PA or phone system to alert other staff

Telephone NumbersTelephone Numbers GM Home, Fire, Police, Poison ControlGM Home, Fire, Police, Poison Control

Backup CommunicationBackup Communication Mobile radios or cell phones availableMobile radios or cell phones available

Location of Nearest TelephoneLocation of Nearest Telephone Specific to location of each emergency plan bookletSpecific to location of each emergency plan booklet

LocationLocation Nearest entry/exit points for EMS personnel or evacuationNearest entry/exit points for EMS personnel or evacuation

Locked Doors or GatesLocked Doors or Gates EMS access considerations, find the keyEMS access considerations, find the key

Location of Emergency SuppliesLocation of Emergency Supplies First Aid Kit, Spinal Board, AEDFirst Aid Kit, Spinal Board, AED

Information to ShareInformation to Share Who you are, where you are (club address), what has happenedWho you are, where you are (club address), what has happened

Directions for Personnel ResponsibilitiesDirections for Personnel Responsibilities First responder duties & assistant dutiesFirst responder duties & assistant duties

Call for Member AssistanceCall for Member Assistance Doctor in the house?Doctor in the house?

Incident and Accident Reports – Important aspect of liability Incident and Accident Reports – Important aspect of liability coveragecoverage

Fire and Evacuation PlanFire and Evacuation Plan Map of FacilityMap of Facility

Locate nearest exitsLocate nearest exits Outline ProceduresOutline Procedures

Calmly move towards the nearest exitCalmly move towards the nearest exit Front desk makes PA announcementFront desk makes PA announcement

Ensure everyone can hear itEnsure everyone can hear it Check showers, massage areas, etc.Check showers, massage areas, etc.

Include fire tipsInclude fire tips Location of fire extinguisherLocation of fire extinguisher Crawl if necessaryCrawl if necessary Alternative routes to safetyAlternative routes to safety Check doors for heat prior to openingCheck doors for heat prior to opening Do not use the elevatorsDo not use the elevators

Aquatic EmergenciesAquatic Emergencies PersonnelPersonnel

Should be adequately trained and certifiedShould be adequately trained and certified Specific emergency plan for pool areaSpecific emergency plan for pool area

EquipmentEquipment First Aid KitsFirst Aid Kits Life Ring and BuoysLife Ring and Buoys First Responder KitsFirst Responder Kits MegaphoneMegaphone Spinal BoardSpinal Board

Other Safety ConsiderationsOther Safety Considerations SignageSignage

Critical in pool area – depth signageCritical in pool area – depth signage Pool rules and regulationsPool rules and regulations

SecuritySecurity Pool area locked when no lifeguard on dutyPool area locked when no lifeguard on duty

Disaster PlanningDisaster Planning Weather EmergenciesWeather Emergencies

Hurricanes, tornados, floodsHurricanes, tornados, floods Prepare a standard procedurePrepare a standard procedure

Weather advisory communicationWeather advisory communication Evacuation plan for outdoor areasEvacuation plan for outdoor areas Communication script for staffCommunication script for staff Predetermined evacuation zone or shelter area Predetermined evacuation zone or shelter area

within the facilitywithin the facility Specific instructions for organizing all staff and Specific instructions for organizing all staff and

members within the facilitymembers within the facility Bomb ThreatBomb Threat

Gather information from callerGather information from caller Notify emergency personnelNotify emergency personnel Activate evacuation plan Activate evacuation plan

Risk Management Risk Management DocumentationDocumentation

Have an Emergency ManualHave an Emergency Manual Outlines procedures for any type of emergencyOutlines procedures for any type of emergency Also have a quick reference beside phoneAlso have a quick reference beside phone

Document any and all accidentsDocument any and all accidents May prove useful for liabilityMay prove useful for liability Keep accident reports for each clientKeep accident reports for each client

Can be invaluable if suedCan be invaluable if sued Be thorough when filling out necessary formsBe thorough when filling out necessary forms

Obtain witnesses, have them sign and provide their contact Obtain witnesses, have them sign and provide their contact informationinformation

Facility Maintenance RecordsFacility Maintenance Records Keep track of when equipment has been calibrated or had Keep track of when equipment has been calibrated or had

preventative maintenancepreventative maintenance Ensures that all equipment remains in good working orderEnsures that all equipment remains in good working order Protects the club in the event of equipment failure or malfunctionProtects the club in the event of equipment failure or malfunction

Negligence – No form or procedure will protect youNegligence – No form or procedure will protect you What constitutes negligence?What constitutes negligence?

A duty of care that has been breached, causing harmA duty of care that has been breached, causing harm

Other ConsiderationsOther Considerations

Occupational Safety and Health Occupational Safety and Health Administration (OSHA)Administration (OSHA) Bloodborne PathogensBloodborne Pathogens

Training and record keeping protocolsTraining and record keeping protocols Adhere to these standards rigorouslyAdhere to these standards rigorously

Sharps ContainersSharps Containers Used for disposal of all sharp objects Used for disposal of all sharp objects

that may potentially cause a that may potentially cause a biohazardbiohazard

Prevent the accidental puncture Prevent the accidental puncture Proper disposal of sharps container Proper disposal of sharps container

requiredrequired

First Aid KitsFirst Aid Kits

A must-haveA must-have Use a first-aid kid vendorUse a first-aid kid vendor

They will refill periodically and charge They will refill periodically and charge your accountyour account

Eliminates the need for regular check-Eliminates the need for regular check-ups of equipmentups of equipment

Get the BIG kitGet the BIG kit