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RISK MANAGEMENT UPDATE

RISK MANAGEMENT UPDATE. HEPA/ HSPA PRESENTATION TUESDAY NOVEMBER 18 TH , 2008. RISK MANAGEMENT UPDATE. Revised Provincial Safety Guidelines Thunder & Lightning Protocol Concussion Protocol & Handbook Changes to Operational Policies: Risk Management Minimum Standard of Care

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RISK MANAGEMENT UPDATE

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  1. RISK MANAGEMENT UPDATE HEPA/ HSPA PRESENTATION TUESDAY NOVEMBER 18TH, 2008

  2. RISK MANAGEMENT UPDATE Revised Provincial Safety Guidelines Thunder & Lightning Protocol Concussion Protocol & Handbook Changes to Operational Policies: Risk Management Minimum Standard of Care Off-Campus Athletic Competitions Inclement Weather

  3. REVISED ONTARIO PHYSICAL EDUCATION SAFETY GUIDELINES - 2008 • The Ontario Physical Education Safety Guidelines forms the basis of the HDSB Physical Education Safety Procedures for Curricular, Intramural and Interschool activities. • Ontario Physical Education Safety guidelines contains the ‘mandatory minimum standards’ of safety • Revised 2008 Guidelines : safety precautions and protocols must be developed and communicated to participants in response to potential THUNDER/LIGHTNING AND CONCUSSION risk factors.

  4. HDSB IMPLEMENTATION PLAN • Thunder/Lightning & Concussion Protocols & Concussion Handbook • Admin. Council & School Operations • Decision to make both protocols operational policy • Review with HEPA/ HSPA • Safety Guideline In-Services: Secondary –Nov. 24,25, 2008 Elementary – Jan. 26, 2009 Emergency First Aid Clinics: Secondary completed Elementary-Jan. 8 & 9, 2009 5. Guidelines, Protocols, Concussion Handbook & Updated Policies posted to Chatt conferences.

  5. Thunder & Lightning Protocol • In Canada, according to Environment Canada, lightning is most frequent in southern Ontario. • Environment Canada said there were more lightning flashes in the Hamilton area in June 2008 than in all of 2007. • All thunderstorms produce lightning. • Lightning can travel as far as 10 km and strike even when skies are blue. • Lightning is attracted to tall, isolated objects like trees. • Lightning injuries can lead to permanent disabilities or death.

  6. Thunder & Lightning Protocol The protocol addresses the following areas: • Preparation for 0utdoor activities: 24 hour weather watch • Detection and response to thunder/lightning: IF YOU SEE IT FLEE IT; IF YOU HEAR IT, CLEAR IT’ ‘WHEN THUNDER ROARS, GO INDOORS’ • Planning and access to safe shelter / actions to take in open space • First aid assistance if lightning strikes • Resuming activities: 30 minutes after last sight of lightning/ sound of thunder.

  7. Concussion Protocol & Handbook ThinkFirst-SportSmart Concussion Education and Awareness Program ThinkFirst is a joint effort from not only neuroscience health professionals and educators, but also injury survivors, corporations, local businesses, and communities. Their mission is “to prevent brain and spinal cord injury through education aimed at healthy behaviours in children and youth....prevention is the only cure!”

  8. Rationale for Protocol • A concussion is a brain injury that causes changes in how the brain cells function, leading to symptoms that can be physical, cognitive or emotional • A Concussion may be sustained from a blow to the head, face or neck or major physical trauma to other parts of the body that causes a whiplash effect on the head and neck. • Most concussions occur without a loss of consciousness.There are myriad signs & symptoms – some may appear immediately and others much later. • Ignoring a potential concussion has grave risks.

  9. Rationale for Protocol Post Concussion Syndrome: • Without early detection, a medical examination, rest and appropriate recovery steps an initial concussion may lead chronic cognitive and neurobehavioural difficulties which can be permanent and disabling Second Impact Syndrome: • After a concussion the brain stem may lose its ability to automatically regulate pressure inside the skull. If a second injury is sustained, the added pressure may squeeze the cortex of the brain down onto the brain stem resulting in further damage to automatic functions like pulse, breathing and consciousness. • Student/athletes who are not fully recovered from an initial concussion and suffer a second blow to the head are significantly vulnerable for recurrent, cumulative an even catastrophic consequences of a second concussive injury e.g., prolonged coma or even death.

  10. Intent of Protocol & Handbook • Understanding concussion, causes, symptoms and signs; • Minimizing the occurrence of a concussion: implementing instructional strategies, providing students/athletes with information on the risks of a concussion and how to minimize those risks.; • Assessing a suspected concussion- Concussion Card • Responding appropriately - Concussion Card • Informing parents and providing resources – Concussion Card • Applying the proper steps in the recovery process before the student/athlete resumes full participation.

  11. Concussion Handbook HALTON DISTRICT SCHOOL BOARD CONCUSSION PROTOCOL HANDBOOK ADMINISTATORS TEACHERS INTRAMULAR SUPERVISORS COACHES FALL 2008 CONCUSSION PROTOCOL TABLE OF CONTENTS Introduction…..............................................................................………………....... 1 Intent of the Concussion Protocol…………………………………………………….............. 1 Concussion Information Definition of a concussion.................................................................................. 1 Causes of a concussion..................................................................................... .. 1 Common Symptoms and Signs of a concussion...................................................2 Risks: Post Concussion Syndrome, Second Impact Syndrome...........................2 - 3 Prevention – Teacher/Intramural Supervisor/Coach Responsibilities Teaching/Coaching Strategies........................................................................... 3 Information to Student/Athletes..........................................................……..........4 Assessing a Suspected Concussion.......................................................................4 Initial Response to a Suspected Concussion...........................……………………....... 5 Communication with Parents/Guardians..................…………………………………........5 Process Steps for Returning to Physical Activity/Play.....................…............. …. 6 - 7 Resources…………………………………………………………………………………........................ 7 Appendix A: Hamilton Spectator Article - Researchers urge time-out if student athlete hassuffered possible c concussion. Appendix B: Sample – ‘Symptoms & Signs of Concussion’ – “Initial Response’ Card Appendix C: Request to Resume Athletic Participation: Concussion Related Injuries Appendix D: Request to Resume Physical Activity: Concussion Related Injuries Appendix E: Sport Related Concussion: Guideline for Parents/Guardians Appendix F: Letter to Physician

  12. Changes in Operational PolicyRisk Management- Minimum Standard of Care Added: If a concussion is suspected then the Concussion Protocol must be followed. Refer to Appendix C in the Elementary and Secondary Physical Education Safety Guidelines, Interschool Modules, the HDSB Concussion Protocol Handbook. Updated: Risk Group chart: Interschool Athletics – higher risk and lower risk sports. Change: Coaching Expertise for a head coach of any higher risk sport must be derived from at least one of the following: • Past experience within the last 10 years as a player or coach in that sport

  13. Changes in Operational Policy Off Campus Athletic Competitions Previous: “There must be a car or ambulance available on-site with a driver on-call to transport an injured athlete if medical attention is required.” Current: “A suitable means of transportation is available on site or can be quickly accessed.”

  14. Changes in Operational Policy Inclement Weather Added: 3.3 All Inter-school athletic competitions and co- curricular activities will Cancelled if bus transportation is cancelled.

  15. DATES TO REMEMBER AND SHARE WITH STAFF • Safety Guideline In-Services • Secondary: • Nov. 24 8:30 – 11:30 am: Administrators, HPE Dep. Heads, Key HPE teachers • Nov. 24 12:00 – 2:30 pm: Dep. Heads. HPE teachers, key coaches • Nov. 25 8:30 – 11:30 am: HPE teachers, key coaches • Elementary • Jan. 26 8:30 – 11:30 am: Administrators, Key teachers – P-J • 12:00 – 2:30 pm: Administrators, Key teachers – Int • Elementary Emergency First Aid • Jan. 8 or 9 – 8:30 – 3:00pm: HPE key teachers P-J-Int./ Key coaches • REGISTER ON TIPS FOR ALL SESSIONS

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