UPPER SCHOOL ATHLETIC DEPARTMENT

EMERGENCY ACTION PLANS

SPORTS RELATED INJURIES

TRENTON CATHOLIC ACADEMY EMERGENCY ACTION PLAN

Emergency situations may arise at anytime during athletic events. Expedient action must be

taken in order to provide the best possible care to our athletes when emergency situations arise or

life threatening conditions occur. The development and implementation of an emergency plan

will help ensure that the best care will be provided.

This preparation involves formulation of an emergency plan, proper coverage of events,

maintenance of emergency equipment and supplies, utilization of appropriate emergency medical

personnel, and continuing education in the area of emergency care. Through pre-participation

physical screenings, adequate medical coverage, safe practice and training techniques and other

safety avenues, some potential emergencies may be averted. However, accidents and injuries are

inherent with sports participation, and proper preparation on the part of the sports medicine team

and athletic department will enable each emergency situation to be managed appropriately.

Components of the Emergency Plan

Emergency Personnel

Emergency Communication

Emergency Equipment

Emergency Plan Personnel

With Trenton Catholic Academy practice, competition, games and events, the first responder to

an emergency situation is typically a first responder or coach. The first responder in some

instances may be an athletic trainer, first responder, coach, or other institutional personnel.

Certification in cardiopulmonary resuscitation (CPR), first aid, prevention of disease

transmission, and emergency plan review is required for all athletic personnel associated with

practices, competition, skill development, and strength and conditioning.

Roles of these individuals, within the athletic department, may vary depending on various factors

such as the number of members of the team, the athletic venue itself, or the preference of the

athletic trainer, first responder or coach. There are four basic roles within the coaching staff.

The first, and most important, is immediate care of the athlete. The most qualified individual on

the scene should provide acute care in an emergency situation. Individuals with lower

credentials should yield to those with more appropriate training. The second role, equipment

retrieval, may be done by anyone on the coaching staff who is familiar with the types and

location of the specific equipment needed. The third role, EMS activation, may be necessary in

situations where emergency transportation is not already present at the sporting event. This

should be done as soon as the situation is deemed an emergency, or a life-threatening event.

Time is the most critical factor under emergency conditions. Activating the EMS system may be

done by athletic director, athletic trainer, first responder, or coach. This person should also be

familiar with the location and address of the sporting event. After EMS has been activated, the

fourth role in the emergency team should be performed, directing EMS to the scene. One

member of the coaching staff or school administration should be responsible for meeting rescue

squad personnel as they arrive at the site of the contest, and a second person should direct

paramedics. Depending on ease of access, this person should have keys to any locked gates or

doors that may slow the arrival of medical personnel.

Roles within the Emergency Team

Immediate care of the athlete(s)

Emergency equipment retrieval

Activation of the Emergency Action Plan

Direction of EMS to scene

Activating the EMS System

Call: 9-911 (from school phone must hit 9)

Call: 911 (from cell phone)

Hamilton Police Department 9-(609)-581-4000

Colonial Volunteer Fire Department 9-(609)-587-3895

Capital Health Regional Medical Center 9-(609)-394-6000

Robert Wood Johnson 9-(609)-584-6666

Capital Health - Hamilton 9-(609)-588-5050

Providing Information

Name, address, telephone number of caller

Number of athletes

Condition of athlete(s)

First aid treatment initiated by athletic trainer, first responder or coach

Specific directions as needed to locate the emergency scene

Other information as requested by dispatcher

Emergency Communication

Communication is the key to quick delivery of emergency care in athletic trauma situations.

Athletic trainers, first responders, and emergency medical personnel must work together to

provide the best possible care to injured athletes. If emergency medical transportation is not

available on site during a particular sporting event, then direct communication with the

emergency medical system at the time of injury or illness is necessary. The most common

method of communication is a cellular phone. At any athletic venue, whether home or away, it is

important to know the location of a workable phone. During home events if there is multiple

teams playing the athletic trainer will provide all head coaches with walkie-talkie/two-way radios

to aid in communication of injuries of the student-athletes.

Emergency Equipment

All necessary emergency equipment should be at the site and quickly accessible. Personnel

should be familiar with the function and operation of each type of emergency equipment.

Equipment should be in good operating condition, and personnel must be trained in advance to

use it properly. Emergency equipment should be checked on a regular basis and rehearsed by

emergency personnel. The emergency equipment available should be appropriate for the level of

training for the emergency medical providers.

It is important to know the proper way to care for and store the equipment as well. Equipment

should be stored in a clean and environmentally controlled area. It should be readily available

when emergency situations arise.

Transportation

In the event that an ambulance is on-site, there should be a designed location with rapid access to

the site and a cleared route for entering/exiting the venue. In an emergency situation, the athlete

should be transported by ambulance, where the necessary staff and equipment is available to

deliver appropriate care. Emergency care providers should refrain from transporting unstable

athletes in inappropriate vehicles. Care must be taken to ensure that the activity areas are

supervised should the emergency care provider leave the site in transporting the athlete.

Conclusion

The importance of being properly prepared when athletic emergencies arise cannot be stressed

enough. An athlete’s survival may hinge on how well-trained and prepared athletic healthcare

providers are. The emergency plan should be reviewed at least once a year with all athletic

personnel, along with CPR, First Aid and AED refresher training every two years. Through

development and implementation of the emergency plan, the athletic department helps ensure

that the athlete will have the best care provided when an emergency situation does arise.

Athletic Trainer/Coaches Emergency Procedure Plan

1. Athletic Trainer, First Responder or Head Coach evaluates the severity of the injury.

2. Delegate an assistant coach or parent to activate the Emergency Plan.

3. Emergency Plan:

Call 911 and give name of person.

Give address calling from and directions to injured athlete(s).

Give number you are calling from.

Let EMS operator know how athlete was injured.

Give condition of the injured athlete.

First aid treatment given to athlete.

Let EMS hang-up first.

Notify parents as soon as possible. Always have Emergency Contact Information

for student athletes with you.

Open appropriate gates.

Have Player Athletic Form (medical history) ready.

Direct EMS to scene. Designate coach to “flag down” EMS.

Assistant coach will limit scene to first aid providers and move bystanders away

from area and supervise the remainder of the team.

4. The Athletic Trainer, First Responder or Head Coach should provide immediate care of

the injured athlete with whatever first-aid that is required to help the injured athlete.

(Most qualified at the scene shall assume this role)

5. Emergency equipment retrieval – student manager or assistant coach.

6. You should have every athlete’s emergency contact information form on-site.

7. Assist EMS with being able to get directly into the area that the athlete was injured. Get

the assistant coach who called EMS to meet the EMS unit at an area designated to get the

unit back to the injured athlete.

8. Appoint someone to go with the injured athlete and be sure they have the emergency

information with them.

9. Be sure to follow-up with the injured athlete at the hospital or at home and fill out

incident report.

10. Athletic Director will make administration aware of injured athlete’s condition.

Trenton Catholic Academy Automated External Defibrillator Procedure Plan

A portable Cardiac Science or Philips HeartStart AED will be located in the Athletic

Training Room or on the Athletic Trainer’s golf cart at every home event, game, and

practice. The Philips HeartStart AED will travel with the Tennis team during their

season.

For sports utilizing the gymnasium: there is also an additional AED unlocked and

mounted on the wall in the Upper School upstairs hallway directly through the gym and

across from the Upper School Director’s office.

All coaches, first responders and the school nurse will be required to become certified in

CPR/AED and First Aid training every two years with a certified CPR/AED and First Aid

instructor.

In order for the AED to be maintained in working order

The Athletic Trainer will test the portable units once a month. The school nurse should

do a thorough readiness check once a month and document the additional AEDs

throughout the school.

The AED should be checked and cleaned on a monthly basis and after each use. Supplies

and accessories should not be out-of-date and should be readily available.

The non-rechargeable batteries have approximately a two-year shelf life.

AED use during school hours

Assess the scene for safety; use universal precautions.

Assess for patient responsiveness.

If unresponsive, have someone notify the main office and give them your location and the

nature of the emergency and have them call 911, notify administration, and contact

certified personnel to bring the AED.

Assess breathing. If not breathing, give two rescue breaths.

Assess circulation (check pulse). If there is no pulse, begin CPR until AED or EMS

arrives.

When AED arrives, turn it on and follow the prompts.

Make sure the chest is dry.

Apply the defibrillator pads, following the diagrams.

Ensure the pads are making contact with the chest. Shave the chest with a disposable

razor if necessary. Jewelry may remain on as long as it doesn’t interfere with pad

placement. Bras may need to be cut off if straps or under wire interfere with pad

placement.

Once pads are in place, follow the prompts from the AED.

Continue until EMS arrives and can take over. Tell them the victim’s name, known

medical conditions and allergies; time the victim was found; initial and current condition

of the victim; when the defibrillator was attached to the victim and if any shocks (how

many) were delivered.

Document all of the above for our record on an incident report, and have them signed by

the Athletic Director, Athletic Trainer, or Upper Schools Director and filed in the

Athletic Trainer’s office and Upper School Director’s office.

During an Athletic Event

Follow the above procedure except have a coach/ athletic trainer contact EMS if they are

not already at the event and have a coach/ athletic trainer bring the AED to the victim’s

location.

Hot Weather Guidelines

Dehydration can compromise athletic performance and increase the risk of heat injury.

Athletes do not voluntarily drink sufficient water to prevent dehydration during physical

activity. Drinking behavior can be modified by education, increasing fluid

accessibility, and optimizing palatability. However, excessive overdrinking should

be avoided because it can also compromise physical performance and health. We will

provide practical guidelines regarding fluid replacement for athletes.

Acclimatization will take place over 14 days.

Unlimited amounts of water will be made available at practice and games.

It is recommended that 6-10 oz of water be consumed every 20 minutes.

Temperature Humidity Procedure

80-90 (under 70%) Watch obese athletes, provide unlimited water

80-90 (over 50%) Breaks recommended every 20 to 30 minutes

90-100 (over 50%) All athletes should be under careful supervision

90-100 (over 30%) Abbreviated practice with light equipment

Cold Water Immersion Tub Accessibility Policy:

All summer conditioning on school grounds, or when a coach, paid or otherwise, is present, and

the 1st 21 days of fall practice, and any day the temperature is greater than 80°F WBGT;

it is required that a 150-gallon industrial tub (e.g. Rubbermaid) with water temperature of

less than 60°F be filled and accessible for cooling within 5-10 minutes of the

practice/competition/event site. External clothing/equipment should be removed prior to

cooling or removed immediately after entering tub. Water should be aggressively stirred

during cooling process. If the temperature is below 80°F WBGT, mandatory alternative

cooling measures of a cooler with ice and towels or a tarp (taco/burrito method) to be

available at the practice/competition/event site. If medical staff is onsite, utilize the

principle of Cool First, Transport Second. When cooling, use CWI or other approved

cooling technique, until core temperature is at 103°F. If medical staff is not onsite, cool

immediately until the athlete starts to shiver, or for a minimum of 20 minutes based upon

the known cooling rate of 1 degree per 3 minutes. If no athletic trainer is present, EMS

assumes control of the EHS patient upon arrival and continues cooling for the minimum

of 20 minutes or until rectal temperature is obtained.

Cold Water Immersion

Any athlete that is showing signs or symptoms of a heat related illness should be cooled off

immediately using one of several techniques. When the Wet Bulb Globe temperature is that of

800 F or more the 150-gallon tub should be filled up and be below 60

0 F. This tub can be found

on the backside of the school by the dumpsters. Any external clothing should be removed from

the athlete and complete body immersion should take place to ensure proper cooling of the

athlete. Always get the athlete to cool off or in the process of cooling off first before contacting

the EMS, due to a delayed response time. Body temperature should be that of 1030

F or less

before transportation. The athlete should cool off for approximately 20 minutes before being

transported for proper cooling. Ice can be found either in the cafeteria of the school or in the

athletic training room for the tub. A hose will be right next to the tub so that it can be filled up at

any time. And as always, if you expect an athlete to have a heat illness, make sure to contact the

athletic trainer on site to address the situation.

Treatment and Evaluation Hours with the Athletic Trainer During the School Year:

Monday - Friday 2:15pm - 3:30pm. Anything past 3:30pm the Athletic Trainer will be covering in season sports, but is available via cell/radio.

Epinephrine Auto-injector Administration Procedure (EPIPEN):

An epinephrine auto-injector is a disposable drug delivery device that is easily transportable

(about the size of a magic marker) and contains a pre-measured dose of epinephrine. The

autoinjector is designed to treat a single anaphylactic episode; and the device must be properly

discarded (in compliance with applicable state and federal laws) after its use. It is the

responsibility of the parent(s) to provide prescribed epinephrine to the school nurse. As a rule,

each student should have two epinephrine auto-injectors available in case subsequent doses of

epinephrine are needed to counter a severe reaction.

a) Grasp the auto-injector in one hand and form a fist around the unit. With the other hand, pull

off the safety cap. (To avoid injecting yourself after removing the cap(s), never place your own

fingers or hand over either end of the device. If you accidentally - 5 - New Jersey Department of

Education New Jersey Department of Health and Senior Services inject yourself, then use the

back-up auto-injector to treat the student. You should go to the hospital emergency room as

well.)

b) Hold the tip of the auto-injector near the student’s outer thigh. (The auto-injector can be

injected through the student’s clothing, if necessary.)

c) Press firmly and hold the tip into the OUTER THIGH so that the auto-injector is

perpendicular (at a 90° angle) to the thigh. You may hear a click.

d) Hold the auto-injector firmly in place for 10-15 seconds. (After the injection, the student may

feel his or her heart pounding. This is a normal reaction.)

e) Remove the auto-injector from the thigh and massage the injection area for several seconds.

f) Check the tip. If the needle is exposed, the dose has been delivered. If the needle is not

exposed, repeat steps b through e.

g) Dispose of the auto-injector in a "sharps" container or give the expended autoinjector to the

paramedics.

h) Call 911, if not previously called.

i) Call for the school nurse and athletic trainer, if not previously called.

6. If the anaphylactic reaction is due to an insect sting, remove the stinger (if there is one) as

soon as possible after administering the auto-injector. Remove the stinger quickly by scraping

with a fingernail, plastic card, or piece of cardboard. Apply an ice pack to the sting area. Do

NOT push, pinch, or squeeze, or further imbed the stinger into the skin because such action may

cause more venom to be injected into the student.

7. Observe the student. In some circumstances a second administration of epinephrine may be

necessary. The school nurse, who is responsible for delegating the administration of epinephrine,

must determine that the delegate is competent to administer a second dose of epinephrine in

accordance with the written orders from the medical home, the policies and procedures of the

district or nonpublic school and the circumstances involved in the emergency.

8. Monitor the student’s airway and breathing. Begin CPR immediately if the student stops

breathing.

9. Give a copy of the IEHP to the emergency responders. When emergency responders arrive,

tell them the time epinephrine was administered and the dose administered. If the autoinjector

has not been disposed of in a sharps container, give the expended auto-injector to the

paramedics. - 6 - New Jersey Department of Education New Jersey Department of Health and

Senior Services

Note: Any student who receives epinephrine should be transported to a hospital emergency

room, even if symptoms appear to have subsided. If ordered by a health care provider, send a

spare auto-injector along with the student to the hospital. A staff member should accompany the

child to the hospital and follow procedures in accordance with the district policies regarding the

care of students during emergencies.

10. The school nurse and athletic trainer should document the incident on the student’s health

record.

Lightning and Outdoor Athletic Fields Evacuation Guidelines

1. The game official, President, Upper School Director, Athletic Director, or site supervisor

will make the official call to remove individuals from the game field. The athletic

trainer, first responder or coach will make the call to remove individuals from the

practice field.

2. Thirty minutes time will be given for the storm to pass.

3. The athletic trainer, first responder or an assistant coach will be designated weather

watcher, actively looking for signs of threatening weather.

4. The athletic trainer, first responder or athletic director shall monitor weather through the

use of local forecast.

5. When thunder is heard, or a cloud-to-ground lightning bolt is seen, the thunderstorm is

close enough to strike your location with lightning. Suspend play and take shelter

immediately. The thirty-minute rule is now in effect. Once play has been suspended,

wait at least 30 minutes after the last thunder is heard or flash of lightning is witnessed

prior to resuming play. Any subsequent thunder or lightning after the beginning of the

30-minute count, reset the clock and another 30-minute count should begin.

6. Safe shelters are as follows:

Gymnasium, Locker rooms, Weight rooms, Bathrooms outside connected to garage,

and Baseball Field House.

Fire Drill, Actual Fire in the Building, OR Building is Deemed Unsafe

In the event of a fire drill, actual fire in the building, or the building is deemed unsafe all athletic

personnel, student athletes, staff, and fans/spectators who are in the building are to exit

and evacuate the building from the nearest exit (study the attached school maps) and

move to the safe space which is the Track and Field area or the Baseball Field pending

the situation. The Baseball Field will be used if a further distance from the main school

building is required. Coaches/Athletic Trainer will take attendance of student athletes and

wait for further instructions. The evacuation of the building will be coordinated by

coaches, and athletic department staff. Security personnel will also assist in the

evacuation of the building if during a basketball game.

Coaches shall carry the roster of the team/team personnel and a current

emergency contact list for the team and all team personnel.

Concussion Guidelines

What is a concussion? A concussion is a brain injury that:

Is caused by a bump, blow, or jolt to the head

Can change the way your brain normally works

Can range from mild to severe

Can occur during practices or games in any sport

Can happen even if you haven’t been knocked out

Can be serious even if you’ve been “dinged” or had your “bell run”

What are the symptoms of a concussion?

Nausea (feeling that you might vomit)

Balance problems or dizziness

Double or fuzzy vision

Sensitivity to light or noise

Headache

Feeling sluggish

Feeling foggy or groggy

Concentration or memory problems (forgetting game plays)

Confusion

1. If athletic trainer, first responder or coach determines that an athlete has received a

concussion at practice or game, first call the parent to let them know the situation and

second activate the Emergency Action Plan depending on the seriousness of the

concussion.

2. Since Legislation (P.L. 2010, Chapter 94) (N.J.S.A. 18A:40-41.3) enacted on December

7th, 2010, the student-athlete that is suspected to have a concussion must receive written

clearance from a physician, trained in the evaluation and management of concussions that

states the student-athlete is asymptomatic at rest and may begin the local districts’

graduated return-to-play protocol.

TCA Spine Board Management

During initial assessment, the presence of any of the following findings, alone or in combination,

heightens the suspicion for a potentially catastrophic cervical spine injury and requires the

initiation of the spine injury management protocol: unconsciousness or altered level of

consciousness, bilateral neurologic findings or complaints, significant midline spine pain with or

without palpation, and obvious spinal column deformity.

Unconscious and Not Breathing

Check ABC’s.

Activate EMS (call 911)-always transport if loss of consciousness occurs.

If the athlete is prone, use the logroll technique to put them in a supine position as a

“unit” (4 to 5 people positioned on same side of the body): Head-this person is the team

leader or “Captain”. Do not apply traction. Captain should not let go of the head until

stabilized on the spine board.

If athlete is supine, perform the lift and slide technique or log roll technique to get them

onto the spine board after breathing and or consciousness comes back.

Perform CPR or rescue breathing, maintain the airway and stabilizing the head and neck.

Utilize the jaw thrust technique. If you are unable to obtain adequate ventilation, then

utilize head tilt-chin lift technique.

Work with the EMT’s as they arrive and give them all information about the situation.

You will assist each other in equipment removal (if not already done) and packaging the

athlete. Captain should not let go of head until athlete is stabilized in a C collar and on

the spine board.

Conscious Athlete

Check ABC’s.

Calm the athlete.

Take a history of the incident.

Evaluate for cervical spine injury. If positive- stabilize and call 911. If negative-

continue follow-up evaluation on the sideline

If Positive

Remove any clothing or equipment to allow access for CPR/AED use.

Wait for EMS to arrive to spine board the athlete

Perform either lift and slide technique or log roll technique. Recommended to

perform lift and slide technique on athlete.

BLEEDING: When treating any bleeding emergency follow these steps:

1. Think about your safety. Is the area safe for you to help the person? If not, can the person

move to safety? Don’t put yourself in harm’s way.

2. Look for the source of the wound.

3. Control the bleeding. Use the first aid kit/trauma kit, put on personal protective

equipment (gown, glasses, gloves). Using gloved hands, place several gauze pads on the

wound and apply direct pressure. However, if there’s no first aid kit, find a clean cloth to

place on the wound and something to protect your hand (a thick cloth) as you apply direct

pressure. (First Aid kits are given to coaches, stationed in the gym and the Athletic

Trainer has one).

4. If the wound is on an arm or leg, elevate the limb.

5. If bleeding doesn’t stop, apply more pressure. Add gauze or cloth to the dressing if blood

soaks through.

6. If a trauma kit is available and bleeding isn’t responding to direct pressure:

o For a torso, neck or groin wound, if a blood coagulate is available, use it on the

wound.

o For an arm or leg, a tourniquet may be used. Place the tourniquet 2 inches above

the injury and follow tourniquet instructions. Tighten the tourniquet until bleeding

stops. Using a marker, write the time the tourniquet was applied on the person’s

forehead. Once bleeding has stopped, leave the tourniquet in place. The decision

to remove it must be made by someone with advanced medical training.

7. Don’t remove any of the dressing. If bleeding stops, the dressing can be held in place

with a bandage.

Once the bleeding emergency is under control and care has been transferred to a trained medical

professional, the surroundings where the bleeding event occurred will need to be properly

cleaned and disinfected. Be sure to wash your hands thoroughly with soap and water.

1. Block off the blood-contaminated area(s) and contact Maintenance / Clearing crew to

have the area cleaned/disinfected.

2. Wear appropriate PPE (gloves, gown, safety glasses, shoe covers).

3. Use disposable towels, rags or a powder absorbent to soak up wet blood or other

potentially infectious materials.

4. Use an appropriate solution to disinfect the area that had blood. There are solutions that

are commercially available, or use a 10 percent bleach solution – one-fourth cup of

bleach to 1 gallon of water (freshly made).

5. Do not pick up any sharp objects (glass, needles) with your hands. Instead, use tools such

as tongs, brooms or dust pans. Put any sharp objects contaminated with blood in a

puncture-resistant container (sharps) for disposal.

6. Put all non-sharp contaminated waste in a red biohazard bag. The last items added to the

bag should be your PPE (gloves last).

7. Wash your hands thoroughly with soap and water.

8. Contact a local waste department for appropriate disposal of the biohazard bag.

REPORTING:

Incident / Accident / Fight / Injury Reporting Policy for Athletic Department

In the event of an Incident / Accident / Fight / Injury and our Athletic Trainer is not there,

coaches must fill out an Incident Report form. The Athletic Trainer will be the primary person to

fill these forms out for home games, home tournaments, and home events; however in the event

the Athletic Trainer is absent or the team is at an away game/event not at our home site it

becomes the coaches’ responsibility. Please send the completed Incident Report forms to the

Athletic Director, Principal, Business Administrator, Athletic Trainer, School Nurse, and the

School President when completed via email. Please be as detailed as possible and email the

completed forms out within 24 hours of the incident/injury and copy all people listed above to the

same email. Coaches and the Athletic Trainer should notify and inform the parents/guardians of

the student immediately and document the contact. Any student athlete / person involved in a physical altercation MUST be looked at by our Athletic

Trainer and or school nurse. Any and all Incidents, Accidents, Fights, and Injuries that required

an Incident Report form to be completed must be reported to the Athletic Director, Principal,

Athletic Trainer, and the School President immediately via email to update the administration.

You will then have 24 hours to complete your detailed report on the Incident Report form to

submit to the Athletic Director, Principal, Business Administrator, Athletic Trainer, School

Nurse, and the School President. In addition if outside medical treatment or outside medical

follow up is needed (Example Hospital Emergency Room Visit /Doctor Appointment) an

insurance form must be completed by the Athletic Trainer for home games/events and the

coaches for all away games/events and given to the Business Administrator for review and a

signature. The insurance forms are located in the Athletic Training room to pick up and complete.

Summary of Athletic Department Incident / Injury Reporting Policy:

1) Immediately notify the Athletic Director, Principal, Athletic Trainer, and School President, via

email of the incident/injury/situation. Then immediately contact the parents/guardians of the

student and inform them of the situation. Document your contact with the parents/guardians.

2) Complete your detailed Incident Report form within 24 hours and submit it via email to the

Athletic Director, Principal, Business Administrator, Athletic Trainer, School Nurse, and the

School President.

3) If outside medical treatment or outside medical follow up is needed an insurance form must be

completed by the Athletic Trainer for home games/events and the coaches for all away

games/events and given to the Business Administrator for review and a signature. The insurance

forms are located in the Athletic Training room to pick up and be completed.

ADMINISTERING NARCAN® NASAL SPRAY:

NARCAN NASAL SPRAY IS LOCATED WITH THE ATHLETIC TRAINER AND IN EACH AED BOX

This medicine should be given immediately upon when a suspected or known overdose of an

opioid has occurred. This will help prevent serious breathing problems and severe sleepiness that

can lead to death.

This medicine is for use only in the nose. Do not get any of it in the eyes or on the skin. If it does

get on these areas, rinse it off right away.

This medicine must be given to you (the patient) by someone else. Talk with people close to you

so they know what to do in case of an emergency.

This medicine is not a substitute for emergency medical care. Call for emergency assistance after

administering the first dose and keep the patient under continued surveillance.

This medicine comes with a patient information leaflet. It is very important that you read and

understand this information. Be sure to ask your doctor about anything you do not understand.

To use the nasal spray: First Call 911

Remove the nasal spray from the box. Peel back the tab with the circle to open it.

Do not prime or test the nasal spray. It contains a single dose of naloxone and cannot be

reused.

Hold the nasal spray with your thumb on the bottom of the plunger and your first and middle

fingers on either side of the nozzle.

Lay the patient on their back. Support the patient's neck by your hand and allow the head to

tilt back before giving this medicine.

Gently insert the tip of the nozzle into one nostril of the patient, until your fingers on either

side of the nozzle are against the bottom of the patient's nose.

Press the plunger firmly to give the dose. Remove the nasal spray from the patient's nostril

after giving the dose.

Move the patient on their side (recovery position) after giving the medicine and get

emergency medical help right away.

Watch the patient closely. You may also give additional doses to the patient every 2 to 3

minutes until the patient responds or emergency medical assistance becomes available.

IF NOT BREATHING START RESCUE BREATHING OR CPR:

Rescue Breathing Start with two breaths into the mouth. Continue with one breath every 5

seconds. The person’s chest should rise and fall with each breath; if not, check to make

sure the head is tilted back and the mouth is clear. Keep doing rescue breathing until the person breathes on their own or until medical help

arrives. (CPR/AED Covered Earlier in this Document)

KEY STEPS TO ADMINISTERING NARCAN® NASAL SPRAY:*

PEEL

Peel back the package to remove the device. Hold the device with your thumb on the

bottom of the plunger and 2 fingers on the nozzle.

PLACE

Place and hold the tip of the nozzle in either nostril until your fingers touch the bottom of

the patient's nose.

PRESS

Press the plunger firmly to release the dose into the patient's nose.

TCA School and Athletic Field Maps Maps Also Posted on School Website In Athletics Section