Terriers Baseball Concussion Code of Conduct (Terriers Baseball)

PrintTerriers Baseball Concussion Code of Conduct

Terriers Baseball Removal-From-Sport & Return-To-Sport Protocols

(Please review the Ontario Rowan’s Law Concussion Awareness Resources)

Designated Person(s)

In accordance with the requirements set out in Rowan’s Law and its associated regulation, every sport organization is required to identify a designated person(s) as having specific responsibilities under the removal-from-sport and return-to-sport protocols.

Under the Removal-from-Sport protocol for Terriers Baseball, the designated person(s) is/are responsible for ensuring that:

·       An athlete is immediately removed from further training, practice or competition if the athlete has sustained a concussion or is suspected of having sustained a concussion, regardless of whether or not the concussion was sustained from a sport activity associated Terriers Baseball.

·       If in the opinion of the designated person(s), there is an emergency and/or any red flag signs and/or symptoms appear – including those resulting from a suspected concussion, call 911;

·       Removal of the athlete from further training, practice or competition; and if the athlete is under 18 years of age, the parent or guardian is informed of the removal;

·       The athlete, or the parent or guardian if the athlete is under 18 years of age, is advised that the athlete is required to undergo a medical assessment by a physician or nurse practitioner before the athlete will be permitted to return to training, practice or competition according to the Return-to-Sport protocol for Terriers Baseball.

·       An athlete or, if the athlete is under 18 years of age, the athlete’s parent or guardian receives the Removal-from-Sport and Return-to-Sport protocols for Terriers Baseball as soon as possible after the athlete’s removal; 

·       Once removed, the athlete is not permitted to return to training, practice or competition, except in accordance with the Terriers Baseball Return-to-Sport protocol;

Under the Return-to-Sport protocol Terriers Baseball, the designated person(s) is/are responsible for ensuring that:

·       An athlete who has sustained a concussion or is suspected of having sustained a concussion does not return to training, practice or competition until permitted to do so in accordance with the Terriers Baseball Return-to-Sport protocol;

·       When an athlete has not been diagnosed with a concussion, the athlete is only permitted to return to training, practice or competition if the athlete or, if the athlete is under 18 years of age, the athlete’s parent or guardian provides confirmation to the designated person(s) about the outcome of the athlete’s medical assessment, specifically that the athlete:

o   has undergone a medical assessment by the physician or nurse practitioner and has not been diagnosed as having a concussion, and

o   has been medically cleared to return to training, practice or competition by a physician or nurse practitioner;

·       When an athlete is diagnosed by a physician or nurse practitioner as having a concussion, the athlete is not permitted to move on to unrestricted training, practice or competition unless the athlete or, if the athlete is under 18 years of age, the athlete’s parent or guardian provides a confirmation of medical clearance by the physician or nurse practitioner to the designated person(s);     

·       An athlete is not permitted to return to training, practice or competition through the Terriers Baseball graduated Return-to-Sport steps unless the athlete or, if the athlete is under 18 years of age, the athlete’s parent or guardian has shared the medical advice or recommendations they received, if any, with the designated person(s);   

·       When an athlete is diagnosed by a physician or nurse practitioner as having a concussion, the athlete or, if the athlete is under 18 years of age, the athlete’s parent/guardian has been informed of the importance of disclosing the diagnosis to any other sport organization with which the athlete is registered or school that the athlete attends.

The regulation states that a designated person(s) may rely on the information received from an athlete or, if the athlete is under 18 years of age, from the athlete’s parent or guardian in carrying out their responsibilities for the Terriers Baseball Return-to-Sport protocol.

The following individual(s) is/are recognized by Terriers Baseball as the “designated person(s)” with respect to Removal-from-Sport and Return-to-Sport protocols for Terriers Baseball for the term of 2021-09-06 to 2022-09-05:

Dean Dicenzo, Ryan Pollard, Kevin Hussey, Rick Johnston

Removal-from-Sport Protocol

The following outlines a process for immediate removal of an athlete who is suspected of having sustained a concussion.

1.        Remove the Athlete

Designated person(s) to immediately remove the athlete from further training, practice or competition if the athlete has sustained a concussion or is suspected of having sustained a concussion regardless of whether the concussion or suspected concussion was sustained from an activity associated Terriers Baseball.

2.        Call 9-1-1 if Emergency

Designated person(s) to call 9-1-1 if in their opinion, doing so is necessary (e.g., if there is an emergency and any red flag signs and/or symptoms appear).

3.        Inform

If the athlete is under 18 years of age, Designated person(s) to inform the athlete’s parent or guardian about the removal from further training, practice or competition.

A medical assessment determines whether the athlete has a concussion. An athlete will not be permitted to return to training, practice or competition until they receive medical clearance by a physician or nurse practitioner to do so.

Designated person(s) to advise the athlete, or the parent or guardian if the athlete is under 18 years of age, that the athlete is required to undergo a medical assessment by a physician or nurse practitioner before the athlete will be permitted to return to training, practice or competition.    

4.        Give Protocols

Designated person(s) to provide the athlete or, if the athlete is under 18 years of age, the athlete’s parent or guardian with the Terriers Baseball Removal-from-Sport and Return-to-Sport protocols as soon as possible after the athlete has been removed from further training, practice or competition.

5.        Record the Incident

Make and keep a record of incidences where an athlete is removed from further training, practice or competition because they are suspected of having sustained a concussion regardless of whether the athlete is later diagnosed with a concussion. 

The sport organization must limit the collection, use, and disclosure of personal information to that which is reasonably necessary for the purpose of carrying out the sport organization’s protocols, and to limit access to such personal information to only those individuals who require it for the purpose of fulfilling their duties or obligations under the Act. Personal information collected under this protocol shall be retained, disclosed and disposed of in a secure manner and in accordance with the sport organization’s personal information retention policy. The sport organization shall create a retention policy for personal information.

6.        Returning to Training, Practice or Competition

Once removed, the athlete is not permitted to return to training, practice or competition, except in accordance with the Terriers Baseball Return-to-Sport protocol.

Return-to-Sport Protocol

The following outlines a return-to-sport process for an athlete who has been removed from training, practice or competition due to a suspected or diagnosed concussion, regardless of whether or not the concussion was sustained or is suspected of having been sustained during a sport activity associated with Terriers Baseball.

1.        Receive Confirmation

Ensure that an athlete who has sustained a concussion or is suspected of having sustained a concussion does not return to training, practice or competition until the athlete or, if the athlete is under 18 years of age, the athlete’s parent or guardian provides confirmation to the designated person(s) that the athlete:

a)    Has undergone a medical assessment by a physician or nurse practitioner and has not been diagnosed as having a concussion, and

b)    Has been medically cleared to return to training, practice or competition by the physician or nurse practitioner.

2.        If Diagnosed with Having A Concussion

If an athlete has been diagnosed by a physician or nurse practitioner as having a concussion the athlete must proceed through the graduated return-to-sport steps.

The Return-to-School Plan (Learning and Physical Activity)

Students in elementary and secondary school with a diagnosed concussion must follow their school board’s return-to-school plan, which supports a student's gradual return to learning and return to physical activity. Contact the school for more information.

3.        Graduated Return-to-Sport Steps

It is important to note that typical recovery times vary from person to person, and that some individuals may require more time to progress through the graduated return-to-sport steps.

The graduated return-to-sport steps may include the following activities. It is typically recommended that an athlete with concussion rest for 24 to 48 hours before beginning step 1.

Activities

Goal of Step

Duration

STEP 1:

Symptom-limiting activities

Daily activities that don’t make symptoms worse, such as moving around the home and simple chores

Gradual reintroduction of daily school, and work activities

At least 24 hours

STEP 2:

Light aerobic activity

Light activities such as walking or stationary bicycle at slow to medium pace for 10 to 15 minutes

Increase heart rate

At least 24 hours

STEP 3:

Sport-specific exercise

Individual physical activity such as running or skating

No contact or head impact activities

Add movement

At least 24 hours

STEP 4:

Non-contact training, practice drills

Harder training drills

Add resistance training (if appropriate)

Exercise, coordination and increased thinking

At least 24 hours

STEP 5:

Unrestricted Training & Practice

Unrestricted training and practice- with contact where applicable

Restore confidence and assess functional skills

At least 24 hours

Obtain clearance from physician or nurse practitioner before unrestricted training, practice or competition

STEP 6:

Return-to-Sport

Unrestricted competition

An athlete is typically ready to progress to the next step when they can do the activities at their current step without new or worsening symptoms. If at any step symptoms get worse, they should stop and return to the previous step before trying again. If symptoms do not improve or if the symptoms continue to worsen, the athlete should return to the physician or nurse practitioner.

4.        Share Medical Advice

An athlete, or the athlete’s parent or guardian must share the medical advice or recommendations they receive with the designated person(s) before being permitted to return to training, practice or competition through the graduated return-to-sport steps, if any.

5.        Disclosing Diagnosis

The designated person(s) must inform the athlete or, if the athlete is under 18 years of age, the athlete’s parent or guardian of the importance of disclosing the diagnosis to any other sport organization with which the athlete is registered or school that the athlete attends.

6.        Medical Clearance 

The athlete, or the athlete’s parent or guardian must provide the designated person(s) a confirmation of medical clearance by a physician or nurse practitioner before the athlete is permitted to move on to unrestricted training, practice or competition.

7.        Record Progression

The sport organization must make and keep a record of the athlete’s progression through the graduated return-to-sport steps until the athlete, or the athlete’s parent or guardian, has provided a confirmation of medical clearance by a physician or nurse practitioner to the designated person(s).

The sport organization must limit the collection, use, and disclosure of personal information to that which is reasonably necessary for the purpose of carrying out the sport organization’s protocols, and to limit access to such personal information to only those individuals who require it for the purpose of fulfilling their duties or obligations under the Act. Personal information collected under this protocol shall be retained, disclosed and disposed of in a secure manner and in accordance with the sport organization’s personal information retention policy. The sport organization shall create a retention policy for personal information.