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North Natomas Little League

2019 Safety Manual

North Natomas Little League’s Culture of Safety is at the forefront of everything we do. We believe that children are our greatest assets and we are committed to their well‐being. We will never ignore or intentionally disregard anything that would compromise the safety of any player, coach, volunteer, or spectator. We take proactive steps to identify and correct safety issues, prepare for emergencies and work to continually improve the safety plans we have in place. In case of emergency, call 911. All accidents must be reported to the league Safety Officer within 24‐48 hours of the incident. For general inquiries regarding North Natomas Little League, visit our website at www.nnll.org. You can also email us directly at [email protected]. NNLL is managed exclusively by parent volunteers. Please allow 48‐72 hours for a response to general inquiries. Most questions can be answered by going to the FAQ page on our website. Please direct all U.S. mail correspondence to North Natomas Little League, 2710 Del Paso Rd., #130‐262, Sacramento, California 95835.

North Natomas Little League 2019 Safety Manual | 1

DISCLAIMER North Natomas Little League (NNLL) stresses safety throughout all stages of its operations. NNLL board members emphasize safety to managers, coaches, parents, umpires, and volunteers on a regular and prominent basis. Safety is paramount in all we do at NNLL, from inauguration of new Board of Directors members, to the interview and selection process for our managers and coaches, and to the operations of our facilities. Safety is an unwavering part of the NNLL culture and a driving force behind all decisions we make about all aspects of our league, large or small. The NNLL Safety Plan is aligned with requirements and recommendations given by Little League Internationals ASAP (A Safety Awareness Program). Little League International’s ASAP mission:

We, North Natomas Little League, strive to increase awareness of the opportunities to provide safer environment for kids and all Little League participants.

This Safety Manual is not an accredited medical document and should be used as a guide only. This Safety Manual does not imply or infer, nor shall it ever replace, medical advice from a certified medical professional. All medical incidents that occur during regulated North Natomas Little League activities – and any treatment to such incidents – should be handled as such. If you're not sure about the seriousness of a medical impairment, you should call 9‐1‐1 and allow a trained dispatcher to advise you. It is better to be safe and let the 9‐1‐1 dispatcher determine if you need emergent assistance. Always err on the side of caution.


Table of Contents Introduction 5

About Us 5 League Mission Statement 5 Safety Mission Statement 5 Board Members 5 District 6 Contacts 6 Privacy Policy 5

Board Member Responsibilities 7

President 7 Vice President of Baseball 7 Vice President of Softball 7 Vice President of Minors 8 Vice President of Tee Ball 8 Treasurer 8 Secretary/Information Officer 9 Safety Officer 9 Umpire in Chief 9 Scorekeeper in Chief 10 League Administrator 10 Team Parent Coordinator 10 Snack Bar Coordinator 10 Player Agents 11 Equipment Coordinator 11 Fields Coordinator 11 Sponsorships Coordinator 11 Communications Committee Chair 12

NNLL Operating Policies 13

Distribution 13 Overview 13 Background Checks on all Volunteers 13 Child Safety 13 Fundamentals Training 14 Field Decorum 14 Field & Grounds 14 Field Conditions 14 Equipment 14 Sunset Policy 14 Lightning 14 Batters 15 Catchers 15 Pitchers 15 Base Runners 15 Miscellaneous 15 Safety Officer Duties 16


Annual First Aid Training 16 Purpose of this Policy 18 Sexual Harassment 18 Harassment Reporting Procedure 18 Harassment Responsibility 19 Child Abuse 19 Purpose 20 Section I: Code of Conduct (Agreements) 21 NNLL Parent’s/Legal Guardian’s Code of Conduct 21 NNLL Coach’s Code of Conduct 23 Section II: Unacceptable Behavior and Consequences 24 Section III: League Field Maintenance Responsibility 27

Exposure Control Plan 28

Purpose 28 Responsibility 28 Accessibility of Exposure Control Plan 28 Procedure 28

First Aid 29

Universal Precautions and Personal Protective Equipment 29 Emergency Action Steps: 29 CPR 29 The ABC’s of CPR 30 Adult/Child Choking: Severe Blockage 30 Infant Choking: Severe Blockage 30

Emergency Moves 31 Unresponsive Victim 31 Responsive Victim 31 Bleeding and Shock 32

Shock/Major Wounds 32 Open Chest Wounds 32 Open Abdominal Wounds 33 Minor Wounds 33 Burns 34 Bites and Stings 34 Dental Injuries 36 Eye Injuries 36 Nosebleed 37 Limb Injury 37 Suspected Spinal Injury 38 Sudden Illness 38 Heart Attack 38 Asthma 39 Diabetes 40 Severe Allergic Reaction 41 Seizures 41 Stroke 42 Poison 42


Heat Exhaustion 43 Heat Stroke 43 Frostbite 43 Hypothermia 44 Concussions 44 What Should You Do if You Think Your Athlete Has a Concussion? 44 Mandatory Signed Concussion Information Sheet 45

NNLL “Hydration Education” Program 46

NNLL’s “Extreme Caution” Heat Alerts 46 League Precautions 47 Manager/Coach Precautions 47 Umpire Precautions 47 Parent Precautions 48 Heat Illness – What to Watch Out For 48 Early Warning Signs of Dehydration 49 NNLL’s Strategy for Proper Hydration 50 Other Hydration Tips 51 Frequently Asked Questions About Hydration 52

First Aid Supplies and Policy 54

Policy 54 Procedure 54 First Aid Kit Inventory 54 Equipment Box Inventory 54

Snack Bar Safety Plan 56

Policy 56 Procedure 56 Snack Bar Volunteers Must Wash Their Hands before Preparing Food or as Often as Needed 58

Accident Reporting Procedures 59

What to Report 59 How to Report 59 Timeframe to Report 59 Reporting Procedures 59 Safety Officer’s Responsibilities 59

Appendix A 61

AIG Accident Notification Form 61 A Safety Awareness Program (ASAP) Incident/Injury Tracking Report 61 NNLL Parent’s/Legal Guardian’s Code of Conduct Attestation Form 61 Parent/Athlete Concussion Information Sheet 61 Hydration Education Parent Attestation Form 61 2019 National Facility Survey 61 NNLL Field Locations Map 61


Introduction

About Us

North Natomas Little League (NNLL) was formed by local parents and chartered by Little League Baseball (League ID #405‐06‐173329) in 2004. The first season of play was in the spring of 2005. Our Board of Directors continues to be comprised of parents, like you, who want their children to be affiliated with a league that teaches teamwork, baseball/softball fundamentals and good sportsmanship in a safe environment.

League Mission Statement

The North Natomas Little League is committed to creating a supportive and educational environment where children can develop their athletic ability and learn the value of sportsmanship, teamwork, competition, character, courage and loyalty.

Safety Mission Statement

Our Safety Mission is to create a culture of safety in everything we do. We believe that children are our greatest assets and will therefore be committed to their wellbeing. With this in mind, we will never ignore or intentionally disregard anything that would compromise the safety of any player, coach, volunteer, or spectator. Furthermore, we will take proactive steps to identify and correct safety issues, prepare for emergencies and work to continually improve the safety manual we have in place.

Board Members

President Tony Perez [email protected] Vice President (Baseball) JD Franco [email protected] Vice President (Minors) Vice President (Softball)

Stan Jones Kim Wells

[email protected] [email protected]

Vice President (Tee Ball) David Lindner [email protected] Treasurer Abe Green [email protected] Secretary Karla Furhman [email protected] Safety Officer Farrah Race [email protected] Umpire in Chief Dave Murray [email protected]

Scorekeeper in Chief League Administrator

Laura Franco Manuel Balderas

[email protected] [email protected]

Team Parent Coordinator Steve Inderkum [email protected] Snack Bar Coordinator Elena Murray [email protected] Player Agent (Baseball) Stephanie Douglas [email protected] Player Agent (Softball) Simon Marquez [email protected]

Equipment Coordinator Jeff Pawelczyk [email protected] Fields Coordinator Nick Aboosh [email protected] Sponsorships Coordinator Saul Preciado [email protected] Coaching Coordinator

Jason Vitaich [email protected]


District 6 Contacts

Northern California District 6 2211 E Street Rio Linda, California 95673 916‐432‐9066 http://district6ll.com/ Wayne Del Nero District Administrator [email protected] Dorn Heeb 50/70 [email protected] Debbie Chambers Treasurer [email protected] Joey Tignor Umpire in Chief [email protected] Linda Del Nero Secretary/Information [email protected] Joe Destfino Juniors [email protected] Alan Slape ADA [email protected]

Privacy Policy

North Natomas Little League takes the privacy of its members very seriously. Board members and other volunteers may obtain or come into contact with sensitive and personal information about other members of the North Natomas Little League community. All members of Little League are required to maintain confidentiality of the information, to store in a secure location, to use such information only for its intended purpose, to disseminate when required for official purposes only, and to shred, delete, or securely dispose of such information when it is no longer needed by a reputable third‐party contractor, typically at the end of each season. Volunteer applications are performed completely online through a secure, encrypted server. Only the Volunteer Coordinator (an approved league volunteer) has access to the information or views the results of background checks. No paper copies of any type are ever produced. At the end of each season, NNLL shall contract with a professional document shredding service to properly dispose of all member‐related paperwork on file (e.g., proof of residency documents, copies of birth certificates, etc.).


Board Member Responsibilities

President

● Conducts the affairs of the league and executes the policies established by the NNLL Board of Directors.

● Presents a report of the state of the league at the annual General Meeting. ● Communicates to the Board of Directors such matters as deemed appropriate and makes

such suggestions to promote and improve the welfare of the league. ● Responsible for the conduct of the league in strict conformity to the policies, principles,

Rules and Regulations of Little League International as agreed to under the conditions of the charter issued to the league by LLI.

● Designates in writing other officers, if necessary, to have power to make and execute for/and in the name of the league such contracts and leases they may receive, and which have had prior approval of the Board.

● Investigates complaints, irregularities and conditions detrimental to the league and reports therein to the Board or Executive Committee as circumstances warrant.

● Prepares and submits an annual budget to the Board of Directors and is responsible for the proper execution thereof.

● With the assistance of the Player Agent, examines the application and support proof‐of age documents of every player candidate and certifies to residence and age eligibility before the player may be accepted for assessments and selection.

Vice President of Baseball

● Performs the duties of the President in the absence or disability of the President, provided he or she is authorized by the President or Board so to act. When so acting, the Vice President of Baseball shall have all the powers of that office.

● Performs such duties as from time to time may be assigned by the Board of Directors or by the President.

● Creates and maintains all baseball schedules for the Major League and above divisions. ● Communicates to all team managers as needed. ● Annually addresses rules by division, making appropriate changes with Board approval,

and communicating rules to the managers and coaches. ● Monitors competition at all levels of play to ensure they are within Little League and NNLL

standards.

Vice President of Softball

● Perform the duties of the President in the absence or disability of the President and Vice President, provided he or she is authorized by the President or Board so to act. When so acting, the Vice President of Softball shall have all the powers of that office.


● Creates and maintains all softball schedules for the Minor and Major League divisions. ● Communicates to all team managers as needed. ● Annually addresses rules by division, making appropriate changes with Board approval,

and communicating rules to the managers and coaches.


● Monitors competition at all levels of play to ensure they are within Little League and NNLL standards.

Vice President of Minors

● Performs the duties of the President in the absence or disability of the President, Vice President of Baseball, and Vice President of Softball provided he or she is authorized by the President or Board so to act. When so acting, the Vice President of Tee Ball shall have all the powers of that office.


● Creates and maintains all schedules for the Minor divisions. ● Communicates to all team managers as needed. ● Annually addresses rules by division, making appropriate changes with Board approval,

and communicating rules to the managers and coaches. ● Monitors competition at all levels of play to ensure they are within the Little League and

NNLL standards.

Vice President of Tee Ball

● Performs the duties of the President in the absence or disability of the President, Vice President of Baseball, Vice President of Softball, and Vice President of Minors provided he or she is authorized by the President or Board so to act. When so acting, the Vice President of Tee Ball shall have all the powers of that office.


● Creates and maintains all schedules for the Tee Ball and Rookie divisions. ● Communicates to all team managers as needed. ● Annually addresses rules by division, making appropriate changes with Board approval,

and communicating rules to the managers and coaches. ● Monitors competition at all levels of play to ensure they are within Little League and NNLL

standards.

Treasurer

● Performs such duties as are herein set forth and such other duties as are customarily incident to the Office of Treasurer or may be assigned by the Board of Directors.

● Receives all monies and securities, and deposits same in a depository approved by the Board of Directors.

● Keeps records for the receipt and disbursement of all monies and securities of the Local League, including the Auxiliary, approves all payments from allotted funds and draws checks therefore in agreement with policies established in advance of such actions by the Board of Directors. All disbursements by check must have dual signatures.

● Prepares an annual budget, under the direction of the President, for submission to the Board of Directors at the annual General Meeting.

● Prepares an annual financial report, under the direction of the President, for submission to the General Membership and Board of Directors at the annual General Meeting, and to Little League International.


Secretary/Information Officer

● Focuses on league administration, meetings organization and notes, maintaining league calendar.

● Responsible for web maintenance and updates, including distributing information about registration and corresponding items.

● Responsible for recording the activities of the league and maintaining appropriate files, mailing lists and necessary records.

● Performs such duties as are herein specifically set forth, in addition to such other duties as are customarily incident to the office of Secretary or as may be assigned by the Board of Directors.

● Maintains a list of all Regular, Sustaining and Honorary Members, Directors and committee members and give notice of all meetings of the Local League, the Board of Directors and Committees.

● Joins the Communications Committee meetings.

Safety Officer

● Responsible for creating awareness, through education and information, of the opportunities to provide a safer environment for youngsters and all participants of Little League Baseball.

● Develops and implements a plan for increasing safety of activities, equipment and facilities through education, compliance and reporting. NOTE: In order to implement a safety plan using education, compliance and reporting, the following suggestions may be utilized by the Safety Officer:

1) Education – Should facilitate meetings and distribute information among participants including players, managers, coaches, umpires, league officials, parents, guardians and other volunteers.

2) Compliance – Should promote safety compliance leadership by increasing awareness of the safety opportunities that arise from these responsibilities.

3) Reporting – Defines a process to assure that incidents are recorded, information is sent to league/district and national offices, and follow‐up information on medical and other data is forwarded as available.

● Revises and submits the annual Safety Manual (along with a Qualified Safety Plan Registration Form and Facility Survey) to District 6 and Little League International.

● Schedules annual First Aid Training for managers/coaches/board members. ● Procures and maintains first aid kits and other safety equipment. ● Conducts annual nationwide background checks (through the U.S. Department of Justice)

on managers, coaches, board members and any other persons or volunteers who provide regular service to the league and/or have repetitive access to, or contact with, players or teams. Ensures all volunteers' private information (e.g., Social Security Number, Driver’s License, etc.) is filed securely and is properly destroyed at the conclusion of each season.

● Coordinates the volunteer program for the league.

Umpire in Chief

● Represents all umpires in the league. ● Recruits volunteer umpires for league games as necessary from the local community. ● Coordinates and schedules umpires for league games. ● Facilitates schedule changes amongst umpires throughout the season.


● Work to ensure all games at the minor level and above have at least a plate umpire on duty.

● Chairs the Disciplinary Committee. ● Submits Umpire Program budget to the board. ● Communicates Little League rules to the league.

Scorekeeper in Chief

● Represents all scorekeepers in the league. ● Recruits volunteer scorekeepers from the league and local community. ● Facilitate scorekeeper training in conjunctions with District SIC, in both book and

GameChanger scorekeeping. ● Coordinates and schedules scorekeepers for league games. ● Facilitates schedule changes amongst scorekeepers throughout the season. ● Take full responsibility to ensure all games at the minor level and above have at least a

scorekeeper. ● Coordinate with District SIC to support District tournaments with scorekeeper staffing.

League Administrator

● Coordinates the end of season picnic for the league in celebration of the concluded spring season.

● Coordinates other special events as directed by the Board. ● Reserves meeting spaces for league events. ● Manages and schedules the league’s Picture Day. ● Arranges for the design, printing and distribution of yearbooks. ● Identifies uniform vendors to present to the Board of Directors for decision and approval. ● Upon approval from Board, orders the production of uniforms, by team. ● Arranges for the distribution of uniforms to teams, ensuring order accuracy and

addressing issues as needed.

Team Parent Coordinator

● Communicates league information to Team Parents to be disseminated to players and parents.

● Leads annual Team Parent meeting. ● Creates a database of team parent emails. ● Creates a volunteer schedule for the NNLL Snack Bar. ● Creates a volunteer schedule for various league fundraiser events. ● Coordinates Sacramento Rivercats Day with the league and district; collects and processes

all orders from league. ● Orders and distributes trophies for the league.

Snack Bar Coordinator

● Either alone or as the head of a committee, coordinates and executes the plans for a snack bar at main fields.

● In coordination with the Safety Officer, creates the Snack Bar Safety Plan (see page 54). ● Maintains snack bar equipment to ensure all equipment is functioning safely and properly. ● In coordination with the Team Parent Coordinator and/or Safety Officer, creates a

schedule of snack bar staffing and distributes to all teams prior to the start of the season.


This includes staffing volunteers for postseason play (e.g., All‐Stars, TOCs, Memorial Day Tournament, etc.).

● Monitors inventory levels of snack bar items at determined locations. Purchases and restocks items as needed, including propane for grill.

● Continuously evaluates snack bar items available for sale to ensure effective available product mix.

● Identifies special events (e.g., tournaments, makeup games, etc.) where operation of the snack bar could be beneficial for the league. Works with Team Parent Coordinator and/or Safety Officer to create a schedule and recruit volunteers to staff the snack bar(s).

● Keeps accurate and detailed records of sales and purchases. Reports all transactions to the Treasurer.

● Works with the Sponsorship Coordinator to identify special events and donation possibilities.

Player Agents

● Records all player transactions and maintains an accurate and up‐to‐date record thereof. ● Receives and reviews applications for player candidates and assists the President in

verifying residence and age eligibility. ● Conducts the assessments, the player draft and all other player transaction or selection

meetings. ● Prepares the Player Agent’s list. ● Prepares for the President’s signature and submission to Little League International, team

rosters, including players claimed, and the tournament team eligibility affidavit. ● Notifies Little League International of any subsequent player replacements or trades. ● In non‐draft divisions, forms teams and places players in a fair manner.

Equipment Coordinator

● Maintains an inventory of safe playing equipment for the league. ● Distributes and collects equipment to/from managers for the Spring and Fall seasons. ● Orders additional equipment as needed by the league. ● Inspects and coordinates repair and/or replacement of equipment annually and/or as

requested by managers and coaches.

Fields Coordinator

● Applies for and obtains the permits for use of appropriate playing fields. ● Procures needed supplies and equipment and operates within the amount appropriated in

the approved budget for that purpose. ● Coordinates all field maintenance activities. ● Secures proper storage for equipment at the close of the season. ● Keeps inventory of, makes repairs to, distributes, and otherwise manages the field

maintenance equipment.

Sponsorships Coordinator

● Researches ways and means of financing the league through team sponsorships and other fundraising activities.

● Provides sponsorship information to the Secretary/Information Officer to be included on the league website.


● Creates, publishes, and distributes the league’s annual spring Opening Day Program to General Members and sponsors.

● Procures, distributes, and otherwise manages all sponsor’s banners.

Communications Committee Chair

● NOTE: This position is a separate and non‐voting member of the NNLL BOD. ● Responsible for chairing the Communications Committee, which focuses on creating and

distributing information and external communication such as newsletters, web and social media outreach, and league events (e.g., parades, Little League Night at Raley Field, End of Season Picnic, etc.).


NNLL Operating Policies

Distribution

This Safety Manual will be made available to all North Natomas Little League managers before any practices take place. All board members will be issued a copy as well. A copy will be sent to the Division 6 office and a copy to Little League International for review and approval. In addition, this Safety Manual will be available for download on the league’s website.

Overview

It is the policy of North Natomas Little League, herein referred to as NNLL, to provide an environment in which the risk of injury is reduced to the lowest possible level by the application of our published safety code and leadership aligned with a culture of safety. Behavior in violation of our safety code will result in corrective action up to, and including, removal from the league.

Background Checks on all Volunteers

North Natomas Little League utilizes First Advantage® to conduct a comprehensive criminal background check on every volunteer. NNLL does not permit any person to participate in any manner whose background check reveals a conviction, guilty plea, no contest plea, or admission to any crime involving or against a minor or minors. NNLL also takes into consideration criminal records when making the determination whether an individual is unfit to participate in any manner in the league. Individuals are required to complete and submit a new Little League Volunteer Application on an annual basis. There is no fee for the volunteer to submit the application for background check. Volunteers who successfully passed a background check the previous season may submit a ‘Returning Volunteer’ application. Any volunteer who did NOT pass a background check the previous season must submit a ‘New Volunteer’ application and include their Social Security Number and a copy of a government‐issued photo identification card (such as a driver’s license). Any individual who refuses to undergo a background check may not volunteer in the league in any capacity.

Child Safety

North Natomas Little League is proud to partner with the Polly Klaas® Foundation, a national non‐profit organization that helps find missing children, prevents children from going missing, and promotes laws like Amber Alert that help keep children safe. The Polly Klaas® Foundation has helped more than 6,900 families of missing children, counseling them on ways to find their children and work with law enforcement. They make and distribute posters of missing children for these families and have a national e‐Volunteer force that distributes posters of missing children in their communities. Their hotline has been answered 24/7 since 1993.


Fundamentals Training

North Natomas Little League is hosting this year’s Coaching Clinic, provided by MLB Scout Jalal Leach at Baseball Mentoring Program (BMP). A great way for managers and coaches to learn how to teach the fundamental skills of the game and plan fun and effective practices. NNLL requires that one representative from each team (a coach or manager) attend the fundamentals training each year or that all coaches and managers attend the fundamentals training at least once every three years. This year’s fundamentals training will be held on Saturday, February 23rd, 2017 at BMP in Sacramento. Please check our website to determine which session is most appropriate for you.

Field Decorum

The possession and/or use of firearms, tobacco products, cigarettes (including e‐cigarettes and vapors), controlled substances, and alcoholic beverages in any form is prohibited within 250 feet of any NNLL playing or practice field, benches, or dugouts. Alcohol is prohibited at game and practice sites.

Field & Grounds

Before all games, umpires, managers and coaches of the home team must walk and inspect the playing field to ensure the field is free from sticks, rocks, glass, or holes. (Once lineups are exchanged, only the umpires may determine the safety and conditions of the field.) After each game, all managers must ensure that waste is removed from the field and spectator areas and properly disposed.

Field Conditions

No games shall be held or continue when weather or field conditions, based on the judgment of the umpires (or both managers if no umpire is present), are unsuitable or when lighting is inadequate. If the field does not have lighting, all activity must stop as soon as lighting becomes inadequate (i.e., at dusk). No practice sessions will be held when weather or field conditions, based on the judgment of the coach in charge, are unsuitable or when lighting is inadequate.

Equipment

All playing equipment such as helmets, bats, balls, shin guards, etc. must be inspected before each game. Any equipment that is broken, cracked or otherwise unsafe to use shall be destroyed. All equipment must be destroyed in a manner to make it unsalvageable by others to reuse it.

Sunset Policy

No new inning of any game may begin less than 10 minutes prior to sunset and all play must cease no later than 10 minutes following sunset.

Lightning

Managers must maintain strict compliance to the league’s inclement lightning policy. In Sacramento, the chances of lightning occurring in the summer are slight; however, if at any time, lightning is visible or audible (regardless of distance), all activity must stop. Players must return to


their parent/guardian and wait inside their car for further instructions. Under no circumstances is anyone allowed to carry a bat during this time. Activity may continue 30 minutes after the last flash or thunder roll has occurred.

Batters

Batters must wear Little League‐approved NOCSAE protective helmets during batting practices and games. Batting/catcher’s helmets shall not be painted or affixed with third‐party stickers unless approved by the manufacturer.

Catchers

Catchers must wear catcher’s helmet (with face mask and dangling throat guard), chest protector, shin guard, and protective cup (for males) with athletic supporter during practice sessions and games, including infield and outfield practice. Catchers must also wear a catcher’s helmet with face and throat guard when warming up pitchers.

Pitchers

As per Little League rule 3.09, managers and coaches may not warm up pitchers at home plate, or in the bullpen, or anywhere else at any time. They may, however, stand to observe a pitcher during warm‐up in the bullpen.

Base Runners

● Head first slides are not permitted in majors or minors divisions in North Natomas Little League. Exception: when sliding back into a base on a pickoff or other defensive play.

● No sliding is permitted during Tee Ball or Rookie games/practices. ● Coaches are encouraged to emphasize proper sliding form at and above the Single‐A and

Double‐A levels in baseball divisions, and at and above the Minors level in the softball divisions. ● Breakaway bases must be utilized on all fields. ● Anchored bases are not allowed.

Miscellaneous

● All drivers must adhere to a 3‐mph speed limit in all parking lots. ● At no time shall “horseplay” be permitted on the playing field or on facility equipment. ● No player is ever allowed to handle a bat, even in the dugout, until his/her time at bat. ● Any player who is ejected, ill or injured shall remain under adult supervision until released to

his or her parent/guardian. ● Any player who wears glasses is encouraged to wear safety glasses. ● No player may wear watches, rings, or jewelry of any material (including rope or braided

necklaces) during games.


Safety Officer Duties

The Safety Officer position is a member of NNLL’s elected Board of Directors. The Safety Officer is responsible for the communication, application and enforcement of the safety code and for promoting a culture of safety. The Safety Officer must be on file with Little League International. The North Natomas Little League Safety Officer will be responsible for the following areas: Equipment:

● Work in conjunction with the Equipment Coordinator to ensure that all equipment is in safe condition.

● Educate all managers and umpires on how to inspect equipment before and during each game to ensure equipment is in safe, working condition.

Accidents:

● Responsible for filing and following through on Accident Reports. ● Ensure that managers complete and submit Accident Reports to the Safety Officer within

24‐48 hours of incident. Accident Report forms can be submitted online at https://secure.jotformpro.com/form/50813439947969.

● Make contact with any injured player’s parent or guardian within 24 hours of receiving an Accident Report.

● Record all accidents on the A Safety Awareness Program (ASAP) Incident/Injury Tracking Report.

● Identify accident trends and correct safety issues as they are identified.

Submitting Annual Safety Plan for Approval:

● Ensure the league’s Safety Manual is up‐to‐date and is distributed to all managers/coaches. ● Review, edit and change any information to update or improve the league’s annual Safety

Plan. ● Submit the Safety Plan to District 6 and Little League International on time for approval.

Annual First Aid Training

● The Safety Officer shall coordinate the annual first aid fundamentals training to be delivered to the NNLL Board of Directors, league commissioners, and all managers/coaches:

o At least one representative (manager/coach) from each team is required to attend. Umpires are invited and encouraged to attend.

o First aid training qualifies a volunteer for 3 years, but at least one team representative is still required to attend first aid training each year.

o First aid training must be a certified course from a recognized organization. o First aid presentations are not a recognized form of instruction and do not take the

place of the required first aid training. o Managers/coaches who have taken a first aid course and are still current shall

provide NNLL with a copy of their certification. o Current licensed medical doctors, registered nurses, practical nurses and

paramedics are exempt from this requirement.


o This year’s First Aid Training will take place on Wednesday, February 6, 2019 (6:00 pm to 9:00 pm) at Natomas High School Theater 3301 Fong Ranch Rd, Sacramento, CA 95834.

First Aid Supplies

North Natomas Little League shall: ● Maintain an adequate inventory of supplies to restock used first aid kits and/or instant cold

packs. ● Distribute first aid kits and instant cold packs to each manager at the beginning of each new

season. ● (See First Aid Inventory section for more details)

Documents

North Natomas Little League shall: ● Make sure every manager has a first aid reference guide and there is a reference guide in

every first aid kit. ● Verify a Safety Data Sheet (SDS) is on file for all chemicals that are used. These sheets must

be included in all distributed safety manuals. ● Confirm each team has at least five (5) Accident Report forms and the phone numbers of

the league President and Safety Officer at the onset of each season.

Budget

The NNLL Safety Officer shall: ● Identify and project safety‐related expenses for each new season. ● Work with the league President and Treasurer to establish the annual safety budget. ● Report to the Board of Directors and Treasurer on the status of the safety budget as

needed.


NNLL Harassment Policy

Purpose of this Policy

● To provide an environment free from all forms of harassment and to affirm the Board’s responsibility to take action preventing and/or dealing with any form of harassment.

● To outline members’ rights with respect to sexual harassment and to ensure that all volunteers are aware of the seriousness and consequences of such harassment.

● To provide a process whereby a sexual harassment complaint can be initiated if necessary. NNLL does not tolerate harassment of any kind (including but not limited to harassment based upon race, religion, ethnicity, national origin, citizenship, marital status, gender, age, sexual orientation, veteran status, or qualified disability). Moreover, the league does not tolerate physical or visual contact that has a purpose or effect of substantially interfering with an individual’s volunteerism in creating an intimidating, hostile, or offensive environment.

Sexual Harassment

Sexual harassment may be a singular or repeated comment, gesture, contact, or conduct of a sexual nature, which is known to be unwelcome. Sexual harassment targets gender and includes pregnancy and childbirth. Such conduct is usually one‐sided and coercive and may be overt or implicit and may include (but is not limited to) the following examples:

● Sexual innuendo; touching or patting; sexually suggestive remarks or other verbal abuse about gender; demands for sexual favors; sexual assault; implicit or actual threats to the recipient; offensive material or language whether written or visual, such as graffiti.

Harassment Reporting Procedure

The following procedure is applicable for registering a harassment complaint with North Natomas Little League:

● You should immediately report the incident to any member of the Board of Directors. ● Any board member who receives a complaint must immediately notify the league

President who will assign a designee to investigate the matter. ● Any person who registers a complaint in good faith or any person providing information as

part of an investigation of the complaint will not be subject to reprisal, or threat of reprisal for reporting the incident or providing information.

● If the investigation of a complaint results in finding that sexual or other harassment has occurred, NNLL will take necessary and appropriate action, up to and including dismissing the harasser from the league.

● Anything deemed “illegal” by law will be immediately reported to the appropriate authorities.


Harassment Responsibility

All league members have a personal responsibility to ensure that the league is free from all forms of harassment as defined in this section, and to comply with the terms written herein. All NNLL board members have a responsibility to understand, comply with, and communicate the league’s harassment policy and will be held accountable for ensuring that complaints are handled accordingly. The league President and Safety Officer are responsible for monitoring these terms.

Child Abuse

Child abuse is a violation of State and Federal Law. Anyone who observes or suspects what they believe to be child abuse should report it immediately to law enforcement authorities and league officials. The NNLL Board of Directors will immediately take every appropriate action to protect

the children in the league.


Code of Conduct

Purpose

NNLL is one of the largest local Little Leagues in the greater Sacramento area and aspires to be the premier youth sports organization in the region. North Natomas Little League shall provide an outlet of healthful activity and training, under good leadership, in the atmosphere of wholesome community participation.

More than that, Little League baseball provides a safe environment that models adult behavior and community involvement dedicated to helping children become good and decent citizens. NNLL strives to inspire the youth of our community with goals and enriched lives to become better individuals and develop their skills. Little League embodies the discipline of teamwork. It challenges players towards perfection of physical skills and brings into play the excitement of tactics and strategies. It also allows practicing the skill of overcoming adversity. At its core, the nature of Little League teaches that while every player eventually strikes out or is on a losing team, there is always another chance for success in the next at bat, the next fielding play, or the next game. Too often, this ethic can be ignored to the detriment of our players, coaches, umpires and spectators. To ensure an experience consistent with Little League’s mission statement and to ensure that all league events are safe and enjoyable for all members of the community, all participants must annually agree to and sign the NNLL “Parent” and “Coach” Codes of Conduct. North Natomas Little League has a “zero tolerance policy” for abusive, rude, or unsportsmanlike conduct by any player, coach, official, parent, grandparent, or spectator at any NNLL event. Cooperation with umpires, league officials, coaches, and team representatives is expected. In short, the following are prohibited at NNLL events:

1. Jeering, booing, hissing, taunting, or any other form of negative fan interaction 2. Verbal or physical abuse in any form of umpires, league officials, coaches, players, or

spectators 3. Use of profane language 4. Consumption or possession of alcoholic beverages or controlled substances 5. Persons under the influence of alcohol or controlled substances 6. Firearms and weapons, except in possession of law enforcement personnel

The North Natomas Little League Disciplinary Committee, comprised of NNLL board members, shall review all reported violations of the NNLL Code of Conduct. This document identifies unacceptable behavior and its corresponding minimum consequences. In no case shall a penalty

IMPORTANT NOTE:

Adults are expected to role-model positive sportsmanship at all times, regardless of any lack of

sportsmanship exhibited by anyone else.


ever be reduced. Conversely, NNLL reserves the right to increase any consequence up to, and including, lifetime suspension from all league events. North Natomas Little League is committed to continually improving the experience for youth, volunteers, and spectators. Ensuring a safe and fun sports environment is paramount. Together with the community, North Natomas Little League strives to provide an exceptional experience for our youth. Positive cheering and words of encouragement are appreciated and strongly encouraged.

Section I: Code of Conduct (Agreements)

The following section includes the current North Natomas Little League Code of Conduct, agreed to upon player registration by parents/legal guardians and managers/coaches.

NNLL Parent’s/Legal Guardian’s Code of Conduct

North Natomas Little League is committed to the physical and emotional well‐being and safety of all of the children in its program, as well as to its managers, coaches, umpires, volunteers, parents and fans attending NNLL events including games, practices and any other league‐sponsored and/or affiliated events. North Natomas Little League adheres to essential elements of character building and ethics in sports embodied in the concept of sportsmanship and the core principles of: Respect, Trustworthiness, Responsibility, Fairness, Caring, and Good Citizenship. The highest potential of sports is achieved when competition reflects these “six pillars of character.” As a parent/legal guardian of a NNLL athlete, I therefore agree:

1. I will not force my child to participate in sports; 2. I will remember that children participate in sports to have fun and develop friendships and

that the game is for youth, not adults; 3. I will inform the manager or coach of any physical disability or ailment that may affect the

safety of my child or the safety of others in a timely manner; 4. I will endeavor to learn the rules of the game and the policies of the league; 5. I (and my guests) will be a positive role model for my child and encourage sportsmanship

by showing respect and courtesy, and by demonstrating positive support for all players, managers, coaches, umpires, officials, parents and spectators at every game, practice, or other league sponsored and/or affiliated events;

6. I (and my guests) will not engage in any kind of unsportsmanlike conduct with any players, managers, coaches, umpires, officials, parents and spectators including, but not limited to, physically and/or verbally harassing, taunting, booing and otherwise in any way demeaning or insulting; refusing to shake hands; using profane or crude language and/or gestures; any other inappropriate behavior;

7. I will not exhibit and/or display any behaviors, language and/or other practices that would, or even potentially could, endanger the physical and/or emotional health, well‐being and/or safety of any players, managers, coaches, umpires, officials, parents and spectators;

8. I will teach my child to play by the rules and to resolve conflicts in a safe and respectful manner without resorting to hostility or violence;


9. I will demand that my child treat other players, managers, coaches, umpires, officials, parents and spectators with respect regardless of race, creed, color, sex, religion, age, or ability;

10. I will teach my child that trying and doing one’s best is more important than winning, so that my child will never feel defeated by the outcome of a game or his/her performance;

11. I will praise my child for competing fairly and trying hard, and make my child feel like a winner every time, just for participating;

12. I will never ridicule, yell at, berate, antagonize and/or otherwise degrade my child or any other participant for making a mistake or losing a competition;

13. I will emphasize skill development and practices and how they benefit my child over winning;

14. I will deemphasize games and competition in the lower age groups, and place them in the proper perspective in all other groups;

15. I will promote the emotional and physical well‐being of the players ahead of any personal desire I may have for my child and/or his/her team to win;

16. I will respect the umpires and other officials and their authority during games and practices and will never question, discuss, and/or confront umpires, officials, managers and/or coaches at the game field, and will take the time to speak in a respectful and civil manner to officials, managers and/or coaches at an agreed upon time and place;

17. I will demand a sports environment for my child that is free from drugs, alcohol and tobacco, and I will refrain from their use at all games and practices;

18. I will refrain from coaching and/or instructing my child or any other players during games and practices, unless I am one of the official managers or coaches of the team;

19. I will not incite, participate in and/or otherwise condone any unsportsmanlike conduct at any time;

20. I will accept all decisions of umpires and game officials as being fair and judged to the best of their ability, regardless of whether I agree with same;

21. I will act as an adult and strive to set a positive role model and example for my child and other players;

22. I will not do or say anything that will cause my child to feel embarrassed, shamed, belittled or disrespected.

Child’s Name (Print)

Parent’s/Legal Guardian’s Name (Print)

Parent’s/Legal Guardian’s Signature Date


NNLL Coach’s Code of Conduct

North Natomas Little League is concerned about the conduct of all coaches, officials, players and fans during practices and games at all levels. NNLL seeks to ensure that games are a fair, positive and an enjoyable experience for all of the children and adults involved. NNLL expects all coaches to conform and adhere to this code of conduct at all times. As a coach with North Natomas Little League:

1. It is my responsibility to ensure that I create a positive environment of learning, fun and reinforcement.

2. I will treat all players fairly and with respect at all times. 3. I will communicate my expectations to the players and their parents as clearly,

consistently, and as early as possible. 4. I am expected to advise parents/guardians of the players on my team to be timely and

responsible in dropping off and picking up their children for all practices and games. NNLL seeks to maintain player safety at all times.

5. I am an example of dignity and patience, and a role model to players. 6. I shall introduce myself to officials and opposing coaches before the game. 7. I am responsible for the sportsmanship of my players during the game. 8. I am responsible for the conduct of the parents of my players during the game. It is

imperative to explain acceptable player and parent behavior in a preseason meeting. I will encourage them to applaud and cheer good plays by either team. I will clearly, forcefully, and directly discourage them from being derisive toward officials or opposing players.

9. I am responsible for the conduct of spectators rooting for my team. 10. During the game, I will not address the officials of the game inappropriately. If there is an

issue or dispute, I will discuss it with the official calmly and patiently. If the complaint is unresolved, or if I think the official was unfair, biased, unfit or incompetent, I will report my opinion in writing to the Division Commissioner.

11. After the game, my players and I will thank the officials, opposing players, and coaches. 12. I am required to familiarize myself with NNLL by‐laws pertinent to my responsibilities and

to adhere to the requirements of those by‐laws and to conduct all practices and games in strict conformance with NNLL’s playing requirements and guidelines.

The example of a coach is powerful. As a coach, my role is to ensure fair play, support the officials, and focus on the players’ enjoyment of the game and their overall long‐term development. If I do not follow the expectations described above, I understand I may be disciplined or removed in accordance with NNLL by‐laws. By signing below, I agree to abide by this Code of Conduct.

Coach’s Name (Print)

Coach’s Signature Date


Section II: Unacceptable Behavior and Consequences

All volunteers and parents are expected to pledge their respect and support. Similarly, all players must pledge to do their best. This section identifies specific unacceptable behaviors inconsistent with these pledges and provides corresponding minimum consequences.

• In the judgment of the umpire or any league official, play may be suspended with all participants directed to their respective dugouts, or other place as necessary, until individuals are removed, or the offending behavior has ceased.

• The following represents the minimum consequences for various infractions. In no case, shall penalties be reduced.

• The NNLL Disciplinary Committee (DC) reviews each incident and reserves the right to increase disciplinary action up to, and including, lifetime suspension from NNLL based on (a) the severity of a specific incident, (b) past actions (during current or prior seasons) by the individual; and/or (c) other egregious behavior by the individual.

• The NNLL Disciplinary Committee may suspend indefinitely any individual pending review by the DC. While the DC will not unreasonably delay a review, scheduling delays may result in the individual banned at any NNLL event until review.

Parents, Legal Guardians, and Spectators Infraction: Consequence:

A. Repeated inappropriate or abusive language;

B. Inappropriate or abusive language directed toward a player, coach, umpire, official or spectator;

C. Demonstrated language, behaviors, etc. creating a negative or hostile environment;

D. Encouraging or inciting negative interaction between or among game spectators and participants.

[Includes jeering, booing, hissing, taunting, or any other form of negative fan interaction]

1st Offense a. With or without request from umpire, verbal warning from league official. If no official is available, umpire may request the team’s manager to stop the negative behavior.

b. Ejection from game surroundings and ban from team’s next physically‐played game.

2nd Offense Ejection from the game surroundings and ban from future NNLL events for the remainder of calendar year.

NOTE: League officials reserve the right to eject the individual at any time.

Infraction: Consequence:

Threatening or inappropriate gesture directed toward a player, coach, umpire, official or spectator.

1st Offense Ejection from game surroundings and ban from the team’s next physically‐played game.


Parents, Legal Guardians, and Spectators Infraction: Consequence:

(A) Use, (B) possession, or (C) being under the influence, of alcohol or other illegal substances within the complex during games, practices or league events where players are present.

1st Offense Ejection from game surroundings and ban from the team’s next physically‐played game.


NOTE: League officials reserve the right to eject the individual at any time.



Striking or bodily assault of any player, coach, umpire, official or spectator by a parent/guardian or spectator.

1st Offense Ejection from game premises; ban from future NNLL events including attendance to any NNLL event as spectator; AND notification to Sacramento Police Department.

Players, Coaches, Umpires and Officials Infraction: Consequence:

Unsportsmanlike behavior, including:A. Stealing and relaying of signs to

alert the batter of pitch selection and/or location. Playing Rule 9.01 (d).

B. Unsportsmanlike conduct or language when objecting to umpire’s decisions.

1st Offense Ejection and one‐game suspension.

A. Repeated inappropriate or abusive language directed generally toward a player, coach, umpire, official or spectator;

B. Repeated comments intended to disparage or belittle any player, coach, umpire, official or spectator;

C. Abusive language directed toward an umpire, or official;

D. Allowing or encouraging such language by team’s players, coaches or fans consistent with A, B, or C above.

1st Offense Ejection and one‐game suspension.

2nd Offense Ejection and three‐game suspension.

3rd Offense Ejection and suspension for the remainder of the season.

NOTE: Umpire is not required to verbally warn the individual prior to ejection. [Includes jeering, booing, hissing, taunting, or other forms of negative interaction]

NOTE: If behaviors are directed at a YOUTH umpire (under age 18), the following consequences to the right replace those shown above. IMPORTANT: There is ZERO tolerance for abuse of youth umpires in Little League and the NNLL program.

1st Offense Ejection and three‐game suspension.

2nd Offense Ejection and suspension for the remainder of the season.

NOTE: If, in the opinion of the league official present, unacceptable behavior went unreported by game umpires, the league shall apply appropriate consequences on behalf of the umpire crew (up to and including lifetime suspension).

Coach knowingly allowing a player to play while having a serious injury or creating unsafe play conditions.

1st Offense Suspension for the remainder of the season.

Coach knowingly allowing an unapproved volunteer to participate in league activity

1st Offense Team Manager issued written and/or verbal warning.

2nd Offense Team Manager receives a one‐game suspension (next game).

3rd Offense Team Manager receives a season suspension.


Players, Coaches, Umpires and Officials Infraction: Consequence:

Leaving their position in the field or bench area during a fight or physical confrontation; a manager or coach who attempts to prevent a fight or restore order, in the umpire’s judgment, is not in violation of this rule. Playing Rule 9.01(e).

1st Offense The umpire shall eject the offender(s) from the game immediately. Failure to comply with the ejection may result in the umpire suspending the game and referring it to the Board of Directors for further action.

Threatening or inappropriate gesture directed toward a player, coach, umpire, official or spectator.

1st Offense Ejection and two‐game suspension.

2nd Offense Ejection and five‐game suspension.

3rd Offense Ejection and season suspension. Infraction: Consequence:

(A) Use, (B) possession, or (C) being under the influence of alcohol or other illegal substances within the complex during games, practices or league events where players are present.

1st Offense Ejection and three‐game suspension.

2nd Offense Ejection, season suspension including ban to any NNLL event as spectator.


Striking or bodily assault of any player, coach, umpire, official or spectator.

1st Offense If offense is by…

A coach: Ejection, season suspension, and notification to Sacramento Police Department.

A player: Ejection and one‐year suspension.

An official: Ejection, season suspension, and notification to Sacramento Police Department.

An adult umpire: Ejection, season suspension, and notification to Sacramento Police Department.

A youth umpire: Season suspension including attendance to any NNLL event as a spectator.

2nd Offense Lifetime ban from all NNLL events1

1NOTE: Represents a second LIFETIME infraction


Ejection from a game or practice for any reason other than those stated above.

1st Offense Ejection from the game and a one‐game suspension.

2nd Offense Ejection from the game and a three‐game suspension.

3rd Offense Ejection from the game and suspension for the remainder of the season.


Section III: League Field Maintenance Responsibility

North Natomas Little League has a “three strikes and you’re out” policy for any manager who does not abide by the rules outlined in this section. NOTE: This policy applies to all North Natomas Little League fields. Please contact the NNLL Fields Coordinator for additional information or maintenance training and expectations.

Home Team Responsibilities Visiting Team Responsibilities Prior to the game: After the game:

• Set up the field (chalk the baseline and batter’s box; set up the bases and fence/cones)

• Remove the mound cover and set it outside the dugout (covers must be placed beyond the fence and may not be left within the playing area)

• Water the infield grass and base paths • Ensure all loose hoses, covers, etc. are in place

or off the field beyond the fence

• Tear down the field (remove bases and fence/ cones)

• Drag the field • Rebuild the pitcher’s mound (including filling

new holes/tamping) • Properly cover the mound with the mound

cover • Fill any holes at home plate • Sweep the dirt off all infield/outfield grass lines • Water the infield grass and base paths • Clean out and sweep the visitor dugout after the

game • Put away the gear and lock the equipment box • Umpire Box: verify the checklist is complete and

lock the box • Ensure all field fences and gates are locked

(NNRP fields only) • Notify the league of any missing or broken

equipment • Notify the league of any damage to the field

(broken locks, vandalism, graffiti, etc.) • Notify the Fields Coordinator if supplies need

replenishment (chalk, clay, etc.)

After the game:

• Clean out and sweep the home team dugout • Ensure all field fences and gates are locked

(NNRP fields only) • Notify the league of any missing or broken

equipment • Notify the league of any damage to the field

(broken locks, vandalism, graffiti, etc.) • Notify the Fields Coordinator if supplies need

replenishment (chalk, clay, etc.)

Consequences 1st Offense Team manager will be given a written and/or verbal warning.

2nd Offense Team manager will be given a one‐game (next game) suspension.

3rd Offense Team manager will be ejected from the game and suspended for the remainder of the season.


Exposure Control Plan

Purpose

The purpose of the Exposure Control Plan is to significantly reduce the risk of infection for league volunteers with potential to be exposed to blood or body fluids. The targeted diseases include Hepatitis B Virus (HBV) and Human Immunodeficiency Virus (HIV).

Responsibility

The league’s Safety Officer is responsible for implementing this Exposure Control Plan. The Exposure Control Plan will be reviewed and updated at least annually and whenever necessary to reflect new or modified tasks and procedures as it pertains to exposure.

Accessibility of Exposure Control Plan

The Exposure Control Plan will be included as part of the annual Safety Manual and will also be made available to anyone requesting a standalone copy.

Procedure

The risk of one athlete infecting another with a communicable disease is not very great; however, because there is a risk, you must be informed on how to properly care for the injured player while protecting yourself and others. Disease transmission requires four components to be present:

A. Pathogen must be present (pathogen is any disease‐causing organism) B. Sufficient quantity of the pathogen C. Susceptible host D. Correct entry site

This is very important information because if we can eliminate any one of the above areas, disease transmission will not occur. We typically cannot control the first three on this list; therefore, we need to focus on the last one which is eliminating the correct entry site. To accomplish this we have instituted the following safety guidelines:

1. Gloves and glasses will be worn every time you are treating someone. 2. As soon as treatment has been rendered, all soiled gloves and bandages will be

thrown away in a trash can (because of the limited quantity we deal with, OSHA does not require disposal in biohazard bags).

3. Any surface that has blood or bodily fluid on it shall be wiped or washed down. 4. The person treating will immediately wash their hands with soap and water or use a

commercial hand sanitizer. 5. If there is an excessive amount of blood on the uniform of a player, then the uniform

must be changed before the athlete can resume playing. 6. Managers/coaches with bleeding or oozing skin conditions should refrain from all

direct athletic care until the condition is resolved.


First Aid The following guidelines are taken from the Basic First Aid Reference Guide published by the American Safety and Health Institute (ASHI). ASHI is a member of the National First Aid Science Advisory Board, co‐founded by the American Red Cross and American Heart Association. NOTE: The following information is to be used in conjunction with proper classroom training. The intent of the following is to be used as a reminder, not to take the place of attending a formal training.

Universal Precautions and Personal Protective Equipment

Universal precautions are a way to limit the spread of disease by preventing contact with bloodborne pathogens. Bloodborne pathogens include, but are not limited to, Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV). To “observe universal precautions” means that whether or not you think the victim’s blood or body fluid is infected, you act as if it is. PPE includes disposable gloves, gowns, face shields, eye protection, and pocket masks. To reduce the risk of infection:

● Wear disposable gloves when giving first aid. Use a face shield or mask when performing CPR.

● When removing contaminated gloves, take them off slowly and do not “rip” them off. Ripping them off will allow blood to splatter.

● Clean your hands with an alcohol‐based hand rub. If no alcohol‐based hand rub is available, wash with soap and water rubbing vigorously.

Emergency Action Steps:

● Assess the Scene. If the scene is unsafe or at any time becomes unsafe, GET OUT! ● Assess the Victim. Not moving? No response? Weak, seriously ill, or injured? ● Alert EMS. Call 911. ● Attend to the Victim. Check the victim’s airway, breathing and circulation. Control any

severe bleeding. Manage shock.

CPR

No single factor can distinguish an infant from a child and a child from an adult. For simplicity, here are some general guidelines:

● Adult – About 8 years of age or older ● Child – About 1 to 8 years of age ● Infant – Less than about 1 year of age


The ABC’s of CPR

● A = Airway. Open the airway by tilting the head and lifting the chin ● B = Breathing. Check breathing by looking, listening and feeling for 5 to 10 seconds. If not

breathing normally, give 2 breaths that make the chest visibly rise. ● C = Compressions. Give 30 chest compressions, followed by 2 rescue breaths, then repeat.

o Push on the middle of the chest, between the nipples o Push hard and fast o Minimize interruptions o Continue 30:2 until EMS arrives, or the victim begins to show signs of life o For Children: Use only one hand for compressions (30:2) o For Infants: Use two fingers for compressions (30:2)

If the rescuer is unwilling or unable to provide rescue breaths, chest compressions alone are better than nothing. The best method of CPR is chest compressions combined with rescue breathing and is the recommended method.

Adult/Child Choking: Severe Blockage

If the Victim is Responsive:

● Ask, “Are you choking?” ● If the victim nods yes or is unable to cough, speak or breathe, act quickly ● Stand behind (if victim is an adult) or kneel behind (if victim is a child) ● Make a fist then place the thumb side against the abdomen, just above the navel ● Give upward thrusts until the object is expelled or the victim becomes unconscious

If the Victim is Unresponsive:

● Carefully lower the victim to the ground and call 911 ● Open the airway and remove the object ONLY if you see it ● Begin CPR

Infant Choking: Severe Blockage

If the Victim is Responsive:

● Determine if the infant can cough, cry or make any sound ● Keep the infant’s head lower than the chest and support the head and jaw with your hand ● Give 5 back slaps between the shoulder blades with enough force to expel the object ● Give 5 chest thrusts just below the nipple line with enough force to expel the object ● Repeat until the object is expelled or the victim becomes unresponsive

If the Victim is Unresponsive:

● Carefully lower the victim to the ground and call 911 ● Open the airway and remove the object ONLY if you see it ● Begin CPR


Emergency Moves In most cases, a first aid provider should not move an ill or injured person. However, in a situation in a situation such as a fire, explosion or collapse, you may need to drag the victim to safety. Drag the victim in the direction of the long axis of the body to protect the spine as best as possible. Never pull the victim sideways or pull the head away from the neck and shoulders.

Unresponsive Victim

Assess the scene and victim. If it is safe:

● Open the victim’s airway (head tilt, chin lift) ● Check for breathing (look listen, feel) ● Look for blood pumping or pouring out of a wound ● Control any severe bleeding ● Look for normal skin color ● Continue to attend to the ABC’s ● Keep the airway open ● Assure normal breathing ● Monitor the victim’s tissue and temperature ● Maintain the victim’s normal body temperature

If it is unsafe:

● Do not enter the scene

Responsive Victim

● Assess the scene for safety ● Get a history and perform a physical assessment ● To perform a physical assessment on an injured victim means to conduct a head‐ to‐toe

assessment for injuries ● Start at the victim’s head and work your way down the body looking and feeling for signs

of injury ● Use the “DOTS” mnemonic to help you remember what to look for:

■ Deformities ■ Open injuries ■ Tenderness ■ Swelling

● Ask questions to gather information about the victim’s signs and symptoms and medical history. Use the “SAMPLE” mnemonic to help you remember what to ask:

■ Signs/Symptoms (signs of injury/symptoms of illness) ■ Allergies (to medications, food, environmental conditions) ■ Medications ■ Pertinent past medical history (of medical problems) ■ Last oral intake (liquids or solids) ■ Events (that may have led to illness or injury)


Bleeding and Shock

If the Victim is Bleeding:

● Assess the scene for safety ● Apply direct pressure:

o Apply firm direct pressure over the wound o Have the victim do this themselves if they are able to

● Apply pressure bandage: o Wrap an elastic bandage snugly over the pad to maintain pressure and hold the

gauze dressing in place ● If bleeding continues or the first dressing becomes blood‐soaked:

o Do not remove first dressing o Apply more pads and maintain direct pressure

Shock/Major Wounds

Shock Signs and Symptoms First Aid

Shock is a life‐threatening condition. Prompt treatment and medical attention is required.

● Cool, pale, moist skin ● Rapid breathing ● Rapid pulse ● Altered level of

consciousness ● Unconsciousness

● Look for signs and symptoms ● Call 911 ● Monitor airway ● Control external bleeding ● Maintain normal body temperature ● Comfort and reassure

Major Wounds Signs and Symptoms First Aid

Major wounds include amputation, avulsion, or loss of body part.

● Massive or minimal bleeding may be present

● Pain ● Shock

● Control bleeding ● Care for shock ● Amputated body parts can often be

reattached ● Wrap the severed part in a sterile or

clean cloth ● Place in a tightly‐sealed bag or

container ● Place the bag or container on ice ● Never place a severed part directly

on ice as this will freeze the part ● Always place a barrier between the

part and the ice

Open Chest Wounds


Open Chest Wound ● Bleeding ● Pain ● Shock

● Quickly check to see if there is an entry and exit wound. If there are two wounds, begin treating the more serious of the two

● Apply direct pressure until the bleeding stops or until EMS arrives

● If you see foamy, bloody air bubbles or you hear a sucking sound,


immediately cover the wound with airtight materials (plastic wrap, plastic bag, etc.)

● If tape is available, tape three sides of the covering to the chest wall. Leave one corner of the material un‐taped. This will allow trapped air to escape. If the trapped air cannot escape, the victim’s lung may collapse.

Open Abdominal Wounds


Open Abdominal Wounds

● Bleeding ● Pain ● Protruding objects or

organs ● Shock

● Make sure 911 has been called ● Quickly check the victim to see if

there is an entry and exit wound. If two wounds, treat the more severe first.

● Do not attempt to remove clothing that is stuck to the wound

● Do not push the organs back inside of the body

● Do not apply direct pressure on the exposed wound or exposed internal organs, as this can cause further injury

● Do not give the victim anything to drink

● Cover with a sterile dressing ● Maintain normal body temperature

Minor Wounds

Minor Wounds Signs and Symptoms First Aid

● Bruises (broken vessels leaking blood under the skin)

● Abrasion (scrape) ● Laceration (tear in

the skin) ● Puncture (e.g., stuck

with a nail) ● Incision (clean cut,

like from a razor)

● Pain ● Swelling ● Discoloration

● All are breaks or

openings in the skin

● Apply ice to the injury to reduce pain, bleeding and swelling

● To prevent cold from affecting the injury, limit application to 20 minutes or less

● If bleeding, apply direct pressure with a sterile pad

● Clean the wound with sterile water until any foreign matter appears to be removed

● Cover the area with an adhesive bandage or gauze pad


Burns

If the victim is on fire, tell the person to STOP, DROP and ROLL. If the victim is in contact with electricity, shut off the power. Remember: Assess the scene for safety FIRST.

Burns Signs and Symptoms First Aid

Major burns (third degree)

● Dry/leathery white or blackened, charred skin

● Involves the face, hands, feet or genitals

● Any electrical burn ● Burns involving smoke

inhalation, fractures or other injury

● Expose the burn ● Cut and gently lift away any clothing

that covers the burn ● If clothing is stuck to the burn, do

not remove it ● If the victim is in contact with a

liquid chemical, immediately flush the chemical off with large amounts of water

● Remove jewelry if possible (burns cause swelling)

● Separate fingers or toes with dry, sterile non‐adhesive dressings

● Lightly cover the burn area with a dry, sterile dressing or sterile sheet if the burn is over a large area

Minor burns (first/ second)

● Pain ● Redness ● Swelling ● Blisters

● Expose the burn ● Cool heat burns with cold water as

quickly as possible and continue cooling until the burning is relieved

● After cooling, cover the burn with a dry, sterile bandage or a clean sterile dressing

● Protect the burn from pressure or friction

● DO NOT pop burn blisters ● DO NOT apply ointment, butter, ice,

spray, or other substance to a burn

Bites and Stings

Source Signs and Symptoms First Aid

Venomous snake bite (e.g., Rattlesnake)

● Single or double fang marks

● Bleeding ● Intense burning pain and

local swelling ● Whole body effects

include nausea, vomiting, sweating, fever, weakness, numbness, altered mental status and shock

● Call 911 ● If severe bleeding, apply direct

pressure ● Remove jewelry and constrictive

clothing ● Keep the injured part immobilized

below the heart level ● Keep the victim warm, reassured

and still ● DO NOT cut through snakebite

wounds, or apply suctioning, ice or tourniquets


Venomous spider bite (e.g., Black Widow, Brown or Violin spiders)

● Bite site is tender, swollen, painful, itchy, red

● Puncture marks, bleeding

● Heat over the affected area

● Whole body effects include: Cramping pain and muscular rigidity in stomach, shoulders, back and chest; fever, chills, rash/allergic reaction, anxiety/ weakness, nausea/ vomiting, difficulty breathing

● Remove rings, watches and constrictive clothing

● Wash with clean, running tap water for several minutes

● Apply ice to the area to reduce pain and swelling

● Limit application of ice to 20 minutes or less

● Keep the victim warm, reassured and still

● Seek medical attention

Bees, wasps, fire ants Minor reaction:

● Bite site pain, redness, swelling, itching

Moderate reaction:

● Bite site reaction expands slowly to more than four inches across

Severe reaction:

● Whole body effects ● Allergic reaction (can be

fatal) ● Hives (raised itchy

bumps on skin) ● Itching all over body ● Swelling of mouth or

throat or both ● Shortness of breath/

difficult breathing ● Nausea, vomiting ● Chest pain/palpitations ● Anxiety ● Weakness/fainting

For minor reaction:

● If present, remove the stinger by scraping it away as quickly as possible

● Remove jewelry and constrictive clothing

● Apply ice to the site to reduce swelling and pain

For a moderate reaction:

● Seek medical attention For a severe reaction:

● Assess, alert and attend to the ABC’s

● If victim has a history of hypersensitivity and carries a lifesaving epinephrine auto‐injector prescribed by a physician, help them use it. If the victim is unable, the first aid provider should administer it


Human or animal Minor/moderate bite:

● Bite, bruise or break in skin

● Signs of infection ● Increased pain ● Bite site redness ● Swelling, pus, warmth,

red streaks, fever Severe bite:

● A large amount of blood pumping, gushing or pouring from wound

● Pain ● Shock

For a minor/moderate bite:

● If bleeding, apply direct pressure ● Clean wound with water ● Cover the area with bandage ● Apply ice to reduce pain, bleeding

and swelling ● Seek medical attention For a severe bite:

● Assess, alert, and attend to the ABC’s

● Control severe bleeding and care for shock

● Save any tissue or parts that may have been bitten off. Treat as an amputation.

Dental Injuries

Injury First Aid

Knocked‐out tooth ● If lips, teeth or gums are bleeding, apply direct pressure with a clean cloth or an absorbent pad

● Handle the tooth only by the chewing surface (crown) ● Place the knocked out tooth in one of the following solutions:

Save‐a‐tooth® Emergency Tooth Preservation System; fresh, whole milk; cold, low fat milk; contact lens solution; or Gatorade®

● A permanent tooth that has been knocked out can be put back in. Get to the dentist as quickly as possible. Thirty minutes or less gives the best chance of success.

● DO NOT touch the root of the tooth ● DO NOT put the tooth in water ● DO NOT scrub the tooth or remove any attached tissue fragments ● DO NOT allow the tooth to dry ● DO NOT wrap the tooth in tissue, cloth or gauze

Eye Injuries

Injury First Aid

Minor irritated eye ● Rinse the affected eye with a saline solution ● Tap water may be used if no saline solution is available ● If the victim continues to have pain or feels like there is something

still in his or her eye, cover with gauze and seek medical attention Object stuck in eye Protect the eye from further injury:

● Tape the bottom half of a foam or paper cup over the victim’s eye to keep both the eye and the object from moving

● Lightly cover the uninjured eye with gauze. As the eyes move together, covering both eyes helps keep the injured eye and the object from moving and causing further damage.

● Seek immediate medical attention


● DO NOT try to remove the object ● DO NOT allow the victim to rub or to apply pressure to the injured

eye Chemical burns in eye ● Immediately flood the eye with large amounts of water

● After flushing, seek immediate medical care ● DO NOT place a cup over the eye ● DO NOT bandage the eye

Nosebleed

Signs and Symptoms First Aid

● Bleeding from one nostril

● Blood can drip down the back of the throat or into the stomach, causing a victim to spit or vomit blood

● Anxious, pale, clammy, weakness/fainting, nausea, vomiting

● Have the victim sit up straight with their head tilted forward ● Pinch the nose with thumb and index finger for 10 minutes ● Have the victim spit out any blood that collects in the mouth ● If the bleeding does not stop, seek immediate medical attention ● DO NOT tilt the head back or have the victim lie down; these

actions may cause the victim to swallow blood and vomit ● DO NOT pack gauze in the nose

Limb Injury

Limb Injury Signs and Symptoms First Aid

Closed injury:

● No open wound Open injury:

● Open wound ● May have bone

sticking out

Closed injury:

● Sharp pain ● Swelling ● Deformity ● Tenderness ● Bruising ● Joint locked into position ● Anxious, pale ● Clammy ● Weakness/fainting Open injury:

● Bleeding ● Pain ● Swelling ● Deformity ● Anxious, pale, ● Clammy ● Weakness/fainting

nausea/vomiting ● Substantial blood loss from an

open fracture is possible

For open or closed injury:

● If bone is sticking out of the body, control bleeding by applying gentle pressure around it

● Cover with a clean dressing ● Remove all jewelry from

the injured part (injuries may cause swelling)

● Apply ice to the injury to reduce pain, bleeding and swelling

● Gently place your hands above and below the injury to limit movement and prevent further injury

● Splint the area if you are properly trained and plan to move the victim. If calling 911, do NOT splint the area. Just limit movement to prevent further injury.


Suspected Spinal Injury

Assess the victim, Alert EMS (by calling 911), and Attend to the ABC’s.

Signs and Symptoms First Aid

● Altered mental status ● Obvious injury to the neck,

head, or back ● Numbness, tingling, burning, or

loss of sensation in the hands, feet or toes

● Spinal pain, pressure, or tenderness

● Mechanism, such as falls from a height of greater than the victim, getting hit by a vehicle, direct hit with a baseball bat to the head, etc.

● Multiple injuries, bullet or stab wounds to the head, neck or chest

● Tell the victim not to move ● Place your hands on both sides of the victims head to

stabilize it ● Keep the head, neck and spine in line ● Comfort and reassure ● DO NOT ask the injured victim to move in order to test

for a pain response ● DO NOT move the injured victim to perform a physical

assessment ● DO NOT bend, twist or lift the injured victim’s head or

body ● DO NOT move the injured victim before medical help

arrives unless their life is in danger ● DO NOT remove a helmet if a spinal injury is suspected

Sudden Illness

For Adults For Children

Call 911 immediately if adult:

● Has altered mental status ● Has abnormal tissue color (blue,

purple, grey, or very pale) ● Has difficulty breathing or

shortness of breath ● Has pain, severe pressure or

discomfort in the chest ● Appears weak, very ill, or in

severe pain

Call 911 immediately if child:

● Has altered mental status ● Has abnormal tissue color (blue, purple, grey, or very

pale) ● Has difficulty breathing or shortness of breath,

persistent coughing, wheezing and/or chest tightness ● Is having a seizure (for child who doesn’t have a history

of seizures) ● Has severe a stiff neck, headache, and fever ● Appears weak, very ill, or in severe pain

Heart Attack

Illness/Condition Signs and Symptoms First Aid

Heart attack Can have a wide range of signs and symptoms, from slight to severe:

● Chest pain or a dull discomfort behind the breastbone that may spread to the arms, back, neck, jaw or stomach

● Shortness of breath

● Have the victim sit down and rest quietly

● Loosen any tight clothing ● If the victim has a known

heart condition, help them take their prescribed medication. This will typically be Nitroglycerine.


● Weakness, nausea, dizziness ● Heavy sweating ● Fear of impending doom (feeling

like something bad is going to happen, but not sure what)

● Denial (the victim often refuses to accept that he or she may be having a heart attack)

● If the chest discomfort and pain does not subside after one dose of Nitroglycerine, call 911 immediately

● If prescribed by physician, assist the victim aspirin

Asthma


Asthma Signs and symptoms vary. They can be very mild to life threatening. Asthma triggers can be from allergens, such as dust/pollens, and/ or physical exertion (exercise‐induced asthma):

● Constant coughing (typically worse in the morning and night)

● Anxiety ● Sudden onset of wheezing ● Chest tightness ● Shortness of breath ● Extreme difficulty breathing ● Bluish color to lips and face ● Pounding heart ● Sweating ● Altered mental status

If the victim is unable to administer their prescribed medication without assistance, the first aid provider should assist them. Call 911 if the victim has any of the following:

● No improvement 15‐20 minutes after initial treatment with medication

● Constant coughing ● Difficulty breathing with chest

and neck pulled in ● Stooping body pressure ● Struggling or gasping ● Trouble walking or talking ● Child stops playing and

cannot start activity again ● Lips or fingernails are grey or

blue


Diabetes


Diabetes

Low blood sugar:

● Alter mental status ● Pale/sweating ● Anxiety/trembling ● Pounding heart ● Victim may appear drunk ● Hungry/weak ● Fainting ● Seizures ● Unconsciousness High blood sugar:

● Altered mental status ● Nausea/vomiting ● Flushed, hot, dry skin ● A strong fruity breath odor ● Drowsiness/difficulty waking up ● Rapid, deep breathing ● Unconsciousness

If victim is responsive (awake and able to swallow) and is a known diabetic:

● Attempt to raise blood sugar level as quickly as possible

● Give 6 ounces of fruit juice or other sugary drink/food

● If the person does not begin to behave normally within about 15 minutes, call 911

● If sugar corrects the problem, make sure the person eats a normal meal. This is so they do not go back into a low blood sugar crisis.

● DO NOT give anything by mouth is the victim is unresponsive or semi‐conscious and unable to swallow

NOTE: It can be difficult to tell whether the person’s blood sugar is high or low. When the first aid provider is uncertain, it is best to give sugar. If low blood sugar is the problem, recovery will usually occur within 10—15 minutes. If not, the problem may be very high blood sugar. Call 911 immediately; prompt medical attention is required.


Severe Allergic Reaction


Severe allergic reaction

Rapid onset of:

● Anxiety ● Hives/itching ● Pounding heart ● Nausea/vomiting ● Abdominal pain/cramping ● Diarrhea ● Swelling of the lips, eyelids,

throat and tongue ● Extreme difficulty breathing ● Coughing/wheezing ● Altered mental status ● Bluish skin/lips/nail beds ● Complete airway obstruction

● Call 911 ● If the victim carries a lifesaving

epinephrine auto‐injector which has been prescribed to them by a physician, help the victim use it.

● If the victim is unable, the first aid provider should administer it

● To administer, take cap off, place on victim’s thigh (injector is designed to be used over clothes), and press the top of the injector. KEEP pressed against the thigh for 10 seconds (this will allow the medication to be injected).

Seizures Illness/Condition Signs and Symptoms First Aid

Seizures Most seizures happen without warning, last only a short period of time and stop without any special treatment. Persons known to have frequent seizures do not usually need to go to the hospital, but even mild seizures should be reported to their doctor.

Simple seizure means NO loss of consciousness:

● Staring spells ● Confusion ● Wandering aimlessly ● Strange behavior Complex seizure means a loss of consciousness:

● Victim suddenly becomes stiff and falls to the ground

● Twitching or shaking of body (convulsions)

● Recovers quickly, may be confused

Simple seizure:

● DO NOT restrain ● Guide the victim away from

dangerous situations ● Comfort, calm and stay with the

victim until fully recovered Complex seizure:

● Stay calm and note the time ● Move objects away that the victim

may strike ● DO NOT restrain the victim ● Allow the seizure to take its course ● DO NOT put anything in the

victim’s mouth, including your fingers. There is no danger of swallowing the tongue.

● When the seizure is over, place the victim on his/her side


Stroke


Stroke ● Sudden numbness or weakness of the face, arm, or leg, especially on one side of the body

● Sudden confusion, trouble speaking or understanding

● Sudden trouble seeing in one or both eyes

● Sudden trouble walking, dizziness, loss of balance, or coordination

● Sudden severe headache

If you suspect a stroke, ask the victim to:

1. Smile (look for droopiness) 2. Raise both arms 3. Speak in simple sentences ● If the victim has trouble with any

of these tasks, they may be having a stroke

● Call 911 immediately ● Comfort and reassure the victim ● If the victim is breathing but loses

consciousness, place victim on their side

Poison


Poison:

● Swallowed ● Skin contact ● Inhaled

● Wide ranging and variable. Signs and symptoms of poisoning often mimic signs and symptoms or common illnesses

● If you know the substance that the victim was poisoned with, check the SDS (Safety Data Sheets) for treatment guidelines

If poison was swallowed:

● Call the Poison Control Center at 1‐800‐222‐1222

● DO NOT give anything by mouth unless directed by poison control

● Call 911

If poisoning was via skin contact:

● Quickly remove clothing, rinse skin with large amounts of water

● Call 911 If via inhaled poison:

● Get the victim to fresh air right away

● Call 911


Heat Exhaustion


Heat Exhaustion Heat exhaustion can look like many other common illnesses.

Early signs and symptoms include:

● Heavy sweating ● Thirsty ● Minor muscle “twitches” that

progress into painful cramping

Later signs and symptoms:

● Pale, cool and moist ● Headache ● Nausea and vomiting ● Weak, dizzy ● Feels faint or collapses

Assess, Alert and Attend to the ABC’s. If victim is responsive (i.e., awake, able to swallow):

● Have the victim lie down in a shady cool place

● Loosen or remove excess clothing ● Give cool sports drinks ● Apply cool, wet cloths to the skin ● Fan the victim ● Place cold compresses on the

victim’s neck, groin and armpits

Heat Stroke


Heat Stroke All of the symptoms for heat exhaustion along with:

● Altered level of consciousness may have confusion, hallucinations or bizarre behavior

● Hot red dry skin (may also be wet in the early stages)

● Seizure ● Unconsciousness

● Call 911 ● Begin cooling with any resource

available ● Use water and fan the victim to

cool ● Apply ice packs to the victims neck,

groin and armpits ● Place the victim on side to protect

the airway ● Provide continuous cooling until

EMS arrives

Frostbite


Frostbite Early signs and symptoms:

● Pins and needles sensation ● Throbbing Later signs and symptoms:

● Frozen (no feeling) ● Hard, pale, cold numb skin

If EMS or medical attention is not available:

● Move the victim to a warmer place ● Remove any jewelry and wet

clothing ● Place gauze between the finger

and toes ● Comfort and reassure the victim

and check/treat for possible hypothermia


Hypothermia


Hypothermia Early signs and symptoms:

● Frostbite ● Pale, cold skin ● Weakness, loss of

coordination ● Altered mental status ● Uncontrollable shivering Later signs and symptoms:

● No shivering ● Slow or absent breathing ● Slow or absent heartbeat

● Call 911 ● Assess the ABC’s ● Get inside, or out of the wind ● Remove any wet or constrictive

clothing and replace with dry clothing

● Cover with blankets ● Cover the head and neck to retain

body heat ● Place the victim near a heat source

(e.g., inside a car with the heater on)

● Comfort and reassure the victim until EMS arrives

Concussions

If Signs Are Observed by Coaching Staff If Symptoms Are Reported by Athlete

If signs are observed by the coaching staff, the athlete may: ● Appear dazed or stunned ● Be confused about his/her assignment or

position ● Forget instructions ● Be unsure of the game, score or

opponent ● Move clumsily ● Answer questions slowly ● Lose consciousness (even briefly) ● Show mood, behavior, or personality

changes ● Be unable to recall events prior to hit or

fall ● Be unable to recall events after hit or fall

● Tell the victim not to move ● Place your hands on both sides of the victim’s

head to keep it stabilized ● Keep the head, neck and spine in line ● Comfort and reassure the victim ● DO NOT ask the injured victim to move in

order to test for a pain response ● DO NOT move the injured victim to perform a

physical assessment ● DO NOT bend, twist or lift the injured victim’s

head or body ● DO NOT move the injured victim before

medical help arrives unless their life is in danger

● DO NOT remove a helmet if a spinal injury is suspected

What Should You Do if You Think Your Athlete Has a Concussion?

If you suspect that an athlete has a concussion, remove the athlete from action and seek medical attention. Do not try to judge the severity of the injury yourself. Keep the athlete out of play for the remainder of the day of the injury and until a healthcare professional, experienced in evaluating for concussion, says he or she is symptom‐free and it’s OK to return to play. In keeping with its focus on protecting the health, safety and welfare of children, NNLL strongly encourages its managers, coaches, umpires, and parents/guardians to review the information and


training materials on concussions which are available free of charge on the Centers for Disease Control website at:

https://www.cdc.gov/concussion/Headsup/training/index.html

Mandatory Signed Concussion Information Sheet

Parents/guardians of any athlete wishing to participate in NNLL are required to annually sign the Parent/Athlete Concussion Information Sheet before the athlete can participate.


NNLL “Hydration Education” Program North Natomas Little League (NNLL) takes athlete safety seriously. As part of NNLL’s Culture of Safety, all Little League parents/guardians (herein referred to as “parents”) are required to submit a signed attestation acknowledging their understanding of the NNLL Hydration Education Program.

NNLL’s “Extreme Caution” Heat Alerts

North Natomas Little League’s heat alert procedures are based on Heat Index Values. The Heat Index, sometimes referred to as the “apparent temperature,” is given in degrees Fahrenheit. The Heat Index is a measure of how hot it really feels when relative humidity is factored in with the actual air temperature. A heat alert will be issued by NNLL on any day when practices or games are scheduled and the expected Heat Index is forecasted to reach or surpass the “Extreme Caution” threshold listed in the NOAA National Weather Service Heat Index chart above (i.e., when the “apparent temperature” is expected to reach 91 degrees or higher). These days are identified by NNLL as “Hydration Education” days. Even during cool temperatures, an athlete can dehydrate quickly. The risk of heat illness rises with every apparent temperature increase. It is imperative that players are kept as hydrated and cool as possible. In the event the “Extreme Caution” threshold is expected to be reached, the following precautions should be taken to prevent dehydration, hyperventilation and heat stroke.


League Precautions On “Hydration Education” days, the league will take the following precautions to ensure the safety of all its members:

● The league will maintain on its website a dedicated page for the “Hydration Education”

Program. This page will be used to post Program information, guidelines, FAQ, tips for

proper hydration, and the league’s mandatory requirements surrounding the Hydration

Education Program.

● On “Hydration Education” days, the league will send out a SMS message at the beginning

of the day reminding SMS subscribers to properly hydrate before the start of that day’s

game or practice, following NNLL’s Strategy for Proper Hydration. The league will also post

a message on the NNLL Facebook fan page with this reminder.

● In the extremely rare event that the Heat Index Value is forecasted to reach the “Extreme

Danger” zone during a scheduled game or practice time, the league will postpone all

games and practices. (The “Extreme Danger” threshold is reached when the apparent

temperature reaches 126 degrees.)

Manager/Coach Precautions

On “Hydration Education” days, managers should take the following precautions to ensure the safety of all participants:

● Provide water coolers in the dugouts. Managers should remind their players to take drinks

of water before going on and when coming off the field.

● During practices, managers should allow time for water breaks every 15 to 30 minutes.

● If a player looks distressed while standing in direct sun exposure, the manager will

substitute that player and immediately get the player into the shade.

● If a player should collapse as a result of heat exhaustion, 911 shall be called immediately.

Get the player to drink water and use the instant ice bags supplied in the first aid kit to

cool the player down until the emergency medical team arrives.

Umpire Precautions

On “Hydration Education” days, Umpires should take the following precautions to ensure the safety of all participants as well as their own safety:

● Because of the protective gear they are required to wear, umpires shall follow the same

guidelines and recommendations outlined for players throughout this policy.

● Umpires shall keep a close watch on players (particularly, pitchers and catchers), looking

for signs of heat illness. Managers will in turn keep a close watch on the umpires.

● If a player looks distressed while standing in direct sun exposure, the umpire will call

timeout and ask the manager to substitute that player and immediately get the player into

the shade.

● Umpires, at their discretion, may suspend any game they deem to be too dangerous to

continue.


Parent Precautions

On “Hydration Education” days, parents are encouraged to take the following precautions to ensure the safety of their child:

● Parents should encourage their child to take responsibility for his/her own hydration

routine.

● Parents should ensure that their child consumes an adequate amount of fluids, beginning

first thing in the morning of a game or practice and continuing throughout the day as

outlined in the league’s “Strategy for Proper Hydration.” Athletes that are not well

hydrated BEFORE they step on the field are already at a loss.

● NNLL recommends the use of sunscreen with an SPF (sun protection factor) of at least 15

as a means of protection against the sun’s damaging ultraviolet rays. For best results,

parents should ensure that sunscreen is applied 30 minutes prior to exposure to allow the

ingredients to fully bind to the skin. Sunscreen should be reapplied every two hours (or

more often if the player is sweating a lot).

Heat Illness – What to Watch Out For

Every year a number of tragedies occur relating to heat stroke and dehydration. Proper hydration as well as recognizing and preventing heat illness are very important topics for all coaches and parents to understand. Athletes, young and old, increase their risk of heat illness as they become dehydrated. According to the National Athletic Trainers' Association, it is not uncommon to reach dehydration levels significant enough to place athletes at risk of developing heat illness in as little as one hour of exercise. Athletes can reach this level even more rapidly if they begin the workout, practice or competition ALREADY DEHYDRATED. It is quite common for many young players to arrive at the game or practice already dehydrated. A full day at school, running around at recess, gym class, not eating or drinking properly throughout the day will all contribute to a child being dehydrated before the game or practice even starts!


Early Warning Signs of Dehydration

Symptoms can include, but are not limited to:

Symptoms First Aid

HEAT CRAMPS

● Cramps or spasms in legs or abdomen● Heavy sweating

● Apply firm pressure or gentle massage to relieve cramps/spasm

● Give sips of water; if nausea continues, discontinue water

HEAT EXHAUSTION

● Weakness ● Cool, pale, clammy skin ● Weak pulse ● Dizziness ● Nausea and vomiting ● Fainting ● Altered mental state ● Possible throbbing headache ● High body temperature (106°F or higher) ● Skin may be hot and dry or sweaty ● Rapid pulse ● Possible unconsciousness

● Move person to a cooler environment● Remove or loosen clothing ● Apply cool, wet cloths ● Fan or move person to air conditioned

room ● Offer sips of water; if nausea continues,

discontinue water; if vomiting continues seek immediate medical attention.

● Heat stroke is a severe medical emergency. Seek immediate emergency medical assistance. Delay can be fatal.

● Move person to a cooler, preferably air‐conditioned, environment

● Reduce body temperature with a water mister and fan or sponging

● Use fan if heat index temperatures are below the high 90s

● Use extreme caution ● If temperature rises again, repeat process ● Do NOT give fluids

http://www.nws.noaa.gov/os/heat


NNLL’s Strategy for Proper Hydration

1. Pre‐hydrate

Pre‐hydrate before each game or practice:

● Whenever possible, parents and coaches should encourage players to take responsibility

for their own hydration routine.

● “If you're thirsty it's too late!” Kids that are not well hydrated BEFORE they step on the

field are already at a loss.

● Players should drink 16 ounces of fluid first thing in the morning of a practice or game.

● Players should drink an additional 8 to 16 ounces of fluid one hour prior to the start of the

practice or game.

● Players should drink another 8 to 16 ounces of fluid 20 minutes prior to the start of the

practice or game.

2. Hydrate

Hydrate during each game or practice:

● Do not hesitate to call 911 for any heat‐related illness.

● On hot days, NNLL recommends that managers and coaches keep wet hand towels in an

ice chest that the players can use to cool themselves down. Because of all the gear they

wear, this is particularly important for the catchers and umpires.

● Players should have unlimited access to fluids (sports drinks and water) throughout the

game or workout.

● Guidelines from the American Academy of Pediatrics (AAP) outline how to keep young

athletes prepared for exercise during the hot months of summer:

o Children aged 9‐12 years should drink frequently – 4 to 8 ounces of water every

20 minutes.

o Teens should drink 13 to 16 ounces of water or sports drink every 20 minutes.

● During practices, managers should run drills in groups so while one group runs, the other

group is getting a break.

● All players should drink fluids during water breaks. A lot of players will say that they are

not thirsty; however, in many cases by the time they realize that they are thirsty, they are

already dehydrated or on their way to becoming dehydrated. Make sure all your players

are getting the proper fluids.

● Players should drink during the practice or game to minimize losses in body weight but

should not over drink.


3. Re‐hydrate

Rehydrate after each game or practice:

● Parents or coaches should weigh players before and after practice. For each pound lost

during the workout, an athlete should consume at least 24 ounces of fluid. If this

recommended amount of fluid is not consumed, the player must replace 80% of lost

weight by next practice to avoid dehydration.

● Players/parents should check the color of the player's urine. If it is a dark, gold color (like

apple juice), the player is already slightly dehydrated.

Other Hydration Tips

● Avoid carbonated drinks. They can cause bloating and may decrease the amount of fluid

consumed.

● Avoid caffeinated beverages (like tea, cola or Mountain Dew) as they may cause the body

to lose body fluids.

● Fluids containing carbohydrates and small amounts of sodium chloride are likely to have

more beneficial effects than plain water.

● Drink it, don't pour it. A player pouring fluid over his/her head may feel great, but it won't

help restore body fluids or lower body temperature.

● Allow for acclimation – the body's adaptation to a hot environment. Managers and

coaches should slowly increase practice intensity and duration over the first two weeks of

training. Most cases of heat illness occur in the first 2 to 3 days of training.

● If possible, hold practices in the morning or evening when the weather is coolest.


Frequently Asked Questions About Hydration

Why is proper hydration important for baseball and softball players?

Heat stroke can kill. As little as 2% dehydration (i.e., a 2% drop in body weight through fluid loss) is associated with impaired performance during stop‐and‐go sports, such as baseball and softball. Performance measures such as skill, agility, and running have been found to be adversely affected and athletes also have increased feelings of fatigue as they accrue a body water deficit. The negative effects of dehydration on performance are most apparent when athletes are exercising in hot and humid conditions.

What are ways that I can help my Little Leaguer stay healthy through proper hydration on the field?

The first step is to make sure your child begins practice and competition in a well‐hydrated state. Researchers have found that many athletes, including youth athletes, show up to practices and games already dehydrated. One simple way to gauge hydration status throughout the day is to monitor urine color. Light yellow (like lemonade) is indicative of proper hydration. Dark yellow or brown (like apple juice) is indicative of dehydration. Clear urine indicates over‐hydration so the athlete can cut back on fluid intake.

How do I know if my child is drinking enough fluids?

The best way to determine whether athletes are drinking enough to stay well‐hydrated is to weigh them before and after practices and games. Acute body weight changes during a bout of exercise are mostly due to water loss from sweating. Therefore, if a player weighs 100 pounds before exercise and 98 pounds after exercise, this means he or she has lost two pounds (or 2% of his or her body weight) through dehydration. Players should drink enough fluid during practices and games to prevent body weight deficits greater than two percent. It’s important that parents educate their children on the ways to self‐monitor dehydration, too. If kids know what to watch for, they can keep themselves safe.

Why does my child need to hydrate after games and practices?

Post‐exercise rehydration is especially important when there is a short time frame between the end of one game or practice and the start of the next (e.g., double headers or tournament play).

How prevalent is the dehydration problem in youth sports?

According to the Youth Sports Safety Alliance (YSSA), two‐thirds of athletes show up to games and practices significantly dehydrated. Getting behind on fluids during the day before a practice or game not only makes playing sports harder, it compounds the risk of dehydration.

My son does not like to drink plain water. What are some ways that I can ensure he stays healthy and hydrated?

Providing any cool, palatable fluid to encourage drinking is better than not drinking at all. Research has shown that athletes, including youth athletes, drink more of a flavored beverage than water. Flavored water, sports drinks, and juices will all help keep your child hydrated. You can lower the sugar content by diluting them. Some fruits can even provide good hydration (watermelon is 90%


water). Sucking on crushed ice in the dugout during breaks can also be an effective way to help cool the body.

Are children more susceptible to dehydration than adults?

Not so long ago, it was thought that children and teens were especially susceptible to dehydration, but according to the American Academy of Pediatrics (AAP), "youth do not have less effective thermoregulatory ability, insufficient cardiovascular capacity, or lower physical exertion tolerance compared with adults during exercise in the heat when adequate hydration is maintained."


First Aid Supplies and Policy

Policy

It is the policy of NNLL to require and supply all teams with an approved first aid kit. It will be the responsibility of the manager to ensure that there is an appropriately‐stocked first aid kit at every practice and game.

Procedure

All managers are to be issued a fully‐stocked first aid kit with their equipment. The most common first aid supply used is ice packs. Each manager is given three extra ice packs at the beginning of the season and extra ice packs should also be kept in the equipment locker. Managers are encouraged to always keep a separate supply of ice packs in addition to their first aid kit. The equipment boxes should also be checked and restocked by the safety manager with extra ice packs as needed.

First Aid Kit Inventory

Category Description Quantity

Instructions AMA First Aid Guide 1 Instruments

Scissors 1 Tweezers, plastic 1 Cotton‐tipped applicators 10 Exam‐quality vinyl gloves 2 pair

Bandages

3/4" x 3" fabric bandages 50

3/8" x 1‐1/2" junior adhesive plastic bandages 20 Knuckle fabric bandages 8 Fingertip fabric bandages 8 2" x 4" elbow & knee plastic bandages 1 Spot adhesive bandage 12

Dressings

2" x 2" gauze dressing pads 4 4" x 4" gauze dressing pads 2 5" x 9" trauma pads 1 Sterile eye pads 2

Injury

Instant cold compress 1 Butterfly wound closures, medium 5 1/2" x 5 yd. first aid tape roll 1 6" x 3/4" finger splint 1 Emergency blanket 38” X 60” 1

Antiseptics

Antiseptic cleansing wipes (sting‐free) 12 Alcohol cleansing pads 8 Antibiotic ointment packs 4 Burn relief gel pack 1

Equipment Box Inventory

In addition to the initial first aid kit and supply of ice packs that each manager will receive at the start of the season, extra stock of first aid kits and ice packs will be kept in the equipment boxes and/or snack bars at each field.


It is the responsibility of the team managers who use the equipment boxes to notify the Safety Officer when the inventory of first aid kits and/or ice packs runs low.

Each equipment locker contains:

● First Aid Kits 3

● Ice Packs 20


Snack Bar Safety Plan

Policy

It is the policy of NNLL to require that all snack bar/concession stand volunteers understand and abide by the NNLL Snack Bar Safety Plan. A copy of the Snack Bar Safety Plan will be posted in all snack bars. It is the responsibility of the Snack Bar Coordinator to ensure the Snack Bar Safety Plan is posted and that all snack bar/concession stand volunteers read, understand and acknowledge the plan prior to performing their first volunteer shift.

Procedure

Each snack bar/concession stand is subject to an annual inspection for the county health department as well as the local fire department. NNLL’s snack bars are considered Seasonal Operations by Sacramento County. Failure to pass one of these inspections may be cause for the closing of the snack bar facility until it meets the minimum standards or makes the corrections to the violations. The closing of our snack bars can result in a loss of income to the league as well as the chance of possible fines for the violations found. Upon receipt of the government license/permit to operate, it shall be posted in a prominent place (along with a copy of the Snack Bar Safety Plan) for review by all. The NNLL Snack Bar Coordinator shall have had training in food equipment safety operation and have a food handler's food certificate which is current and valid. Additionally, the NNLL Snack Bar Coordinator shall train others in the proper handling of food, storage of it, cleaning and operating the facility. The snack bar/concession stand shall be kept clean at all times. Under no circumstances shall spills or food waste be left for the next shift or operating day for cleanup. The following safe handling of food, storage of, disposing of shall be followed:

● No person under the age of 16 shall enter or work in the snack bar/concession stand. ● All refrigerated foods shall be kept in the cooler until use. ● Any food not purchased by the League to sell in its concession stands shall not be cooked,

prepared, or sold in the snack bar/concession stand. ● Cleaning chemicals must be stored in a locked container. ● All foods shall be stored in the appropriate container. ● Food expiration dates must be displayed for review. ● All food with expired expiration dates shall be discarded. ● All cooking utensils shall be kept clean and stored in a clean place when not in use. ● All cooked food which has not been sold or consumed shall be discarded and not kept for

future use. ● All CO2 containers shall be fastened to the wall to prevent falling and serious injury to

persons around it. Only persons having knowledge of CO2 maintenance shall change the containers.

● The League’s BBQ shall be kept clean at all times. Only adults shall operate the BBQ. Only an adult having knowledge of how to change the propane gas tank shall be allowed to complete the changing of it.

● Cooking grease, if used, shall be stored safely in containers away from open flames. ● The use of indoor grills or fryers shall have approved ventilation systems. ● No child under the age of 18 shall handle any CO2 tank or propone gas tank.


● All refrigeration equipment must meet commercial standards. ● All workers within the snack bar/concession stand shall, upon return from the restroom or

the handling of any non‐food item, shall wash their hands in warm water with soap. ● All persons having regular working duties in the snack bar/concession stand shall attest to

being free of TB, hepatitis or other transmitted diseases. Persons with open sores/cuts or oozing skin conditions shall not work in the snack bar/concession stand until after the condition resolves.

● A fire extinguisher meeting ABC standards must be placed in each snack bar/concession stand where it can be seen and easily accessible. All extinguishers must be checked annually and serviced as needed. Any extinguisher that is used or discharged must be re‐charged as soon as possible.

● A fully‐stocked First Aid Kit (including extra cold packs) shall be available in each snack bar/concession stand.

● The main entrance door to the snack bar/concession stand shall not be locked or blocked while people are inside.

● All windows and doors must have screens to prevent insects from entering. ● An annual inspection by a certified pest control person shall be performed prior to Opening

Day.


Snack Bar Volunteers Must Wash Their Hands before Preparing Food or as Often as Needed

Wash after you:

● Use the toilet ● Touch uncooked meat, poultry, fish, or eggs (or other

potentially hazardous foods) ● Interrupt working with food (e.g., handling cash,

answering the phone, opening a door or drawer, etc.) ● Eat, smoke, or chew gum ● Touch soiled plates utensils or equipment ● Take out the trash ● Touch your nose, mouth, or any part of your body ● Sneeze or cough

Do not touch ready‐to‐eat foods with your bare hands

● Use gloves, tongs, deli tissue, or other serving utensils. Remove all jewelry, nail polish, or false nails unless you wear gloves.

Wear gloves

● When you have a cut or sore on your hand ● When you cannot remove your jewelry

If you wear gloves

● Wash your hands before you put on new gloves Change them

● As often as you wash your hands ● When they are torn or soiled

Developed by UMass Extension Nutrition Education Program with support from U.S. Food & Drug Administration in cooperation with the MA Partnership for Food Safety Education. United States Department of Agriculture Cooperating. UMass Extension provides equal opportunity in programs and employment.


Accident Reporting Procedures

What to Report

In case of emergency (ambulance, police, fire) call 911. All incidents (other than minor cuts and scrapes) in which medical treatment or first aid is rendered, must be reported to the league Safety Officer ([email protected]) or league President ([email protected]). This includes but is not limited to: any injury that requires evaluation by a doctor, transport by paramedics, or an injury in which there is a strong likelihood that further medical attention may be required. In addition, all injuries that result from any form of violence or horseplay must be reported as soon as possible.

How to Report

For occurrences which are minor in nature the A Safety Awareness Program (ASAP) Incident/Injury Tracking Report is all that needs to be completed. For any injury that is moderate to severe in nature, or any injury where medical treatment is sought, the AIG Accident Notification Form must also be completed. Both of these forms are located on the North Natomas Little League website (www.nnll.org).

Timeframe to Report

All incidents must be reported to the league Safety Officer via email within 24 hours of the incident. The exception to this is for any incident that requires paramedics to transport, or any injury that results from violence or horseplay. In these cases, notification must be made as soon as possible.

Reporting Procedures

Minor injury reports can be emailed to the league Safety Officer, or notification can be submitted by fax or phone. Major injuries must be reported by phone as soon as possible and then a written report filed within 24 hours of the incident. If a report form is not available, the following information should be captured on the verbal report:

1. The name and phone number of the individual involved 2. The date, time and location of the incident 3. A detailed description of the incident 4. The preliminary assessment of the extent of injuries 5. The name and phone number of the person submitting the report

Safety Officer’s Responsibilities

Within 48 hours of receiving notification of the incident, the league Safety Officer will contact the injured person or the injured person’s parent/guardian to:

1. Verify all of the information received 2. Obtain any other information that may be necessary 3. Check the status of the injured person 4. Provide the parent or guardian with information regarding the league’s insurance

coverage and provisions for submitting claims (only in the event that the injured person required medical attention, such as a visit to an emergency room, urgent care facility, personal physician, or other medical facility). If the parent or guardian wishes to submit a clam, the league Safety Officer will assist them in completing the claim and mailing it to


the designated insurance carrier. In addition, the league Safety Officer will make sure a copy of the report and claim is submitted to the District 6 Safety Officer.

5. Work with the insurance carrier and the district office until the claim is closed. If the extent of the injuries requires continued medical attention, the league Safety Officer shall periodically call the injured person to:

1. Check in on the status of the injury. 2. Check in to gain an idea of when the incident will be closed. A claim must remain open

until no further claims are expected, or the player returns to full participation in the league.

The league Safety Officer is also responsible for tracking all injuries and submitting a final report to the league President and District 6 Little League office. All reports must be submitted prior to July 31.


Appendix A

AIG Accident Notification Form A Safety Awareness Program (ASAP) Incident/Injury Tracking Report NNLL Parent’s/Legal Guardian’s Code of Conduct Attestation Form Parent /Athlete Concussion Information Sheet Hydration Education Parent Attestation Form “Drink Before You’re Thirsty” Poster 2019 National Facility Survey NNLL Field Locations Map

NNLL 2019 Safety Manual - TeamSideline.com 2019... · North Natomas Little League (NNLL) was formed...

Documents

Transcript of NNLL 2019 Safety Manual - TeamSideline.com 2019... · North Natomas Little League (NNLL) was formed...