Ledbury RFC, Ross Road
Ledbury, HR8 2LP
  01531 631 788

First Aid

Ledbury Rugby Football Club

First Aid Policy

Introduction
Rugby is a contact sport and, as with all contact sports, playing the game carries a risk of injury. While serious injuries are rare, incidents can occur both on the training pitch, during matches or within the grounds and robust first-aid provision will enable the full range of potential incidents to be managed effectively.
First-aid information, including the location of equipment and a list of first-aider contacts, is displayed in the clubhouse.

1 Purpose and aims
Ledbury RFC is committed to maintaining a high quality of first-aid provision across the full player-base and the wider membership. The Club seeks to ensure that all staff and voluntary first-aid helpers are able to deal with accidents or incidents involving injury where they occur.

This document aims to:
Provide clear guidance relating to roles and responsibilities for staff and volunteers involved in first-aid;
Outline the processes required for managing and reporting injuries;
Provide the guidelines for conducting risk assessments related to first-aid and the management of injuries;
Ensure all first-aid protocols are monitored and updated regularly;
Provide the framework for training needs and monitoring of first-aiders and first-aid equipment and resources;
Ensure clear information is available regarding access to first-aid facilities;
Ensure that the minimum standards required for first-aiders are met and monitored.

2 Scope
This policy applies to all Ledbury RFC paid staff, voluntary first-aid helpers, all coaching teams and administrative staff.

3 First-aider requirements
The following section outlines the requirements of minimum numbers of first aiders across club facilities. There may be instances where it is not possible to retain one parent first-aider at all times. Where this happens the lead coach must be assured there is adequate alternative first-aid provision until a further first-aider can be recruited. A current list of first-aiders and first-aid trainers is available at the clubhouse.

3.1 Mini / Junior (Age Grade) Rugby
1 coach per age group
1 other trained first-aider per age group
This may be a parent and / or team manager

3.2 Senior rugby
Senior teams physiotherapist (for home games)
1st team physiotherapist (for away games)

3.3 External use
Any other groups hiring the LRFC facilities must provide their own first-aid cover

4 First-Aid Equipment location
All teams should have their own first-aid kit kept with the sports kit for that group across both Junior and Senior Rugby. All kits should conform to RFU guidelines.
First-aid kits are located in the following areas:
Bar – medium kit including burns care
First Aid room – medium kit / first aid store, stretchers and bed are in changing room area
Kitchen – medium kit including burns care
Outside on wall facing road- Defibrillator
Ice cubes are available from the bar and the freezer in the kitchen.

5 Roles and responsibilities
5.1 Team coaches
The lead coach for each year-group has responsibility for:
Recruiting a person to undertake first-aid training or who holds a current first-aid qualification;
Recruiting a volunteer to take on team-management duties and first-aid training (this may be one of the two parents mentioned above);
Ensuring one senior player is trained in first-aid for senior groups;
Ensuring there is adequate first-aid provision for the team at the start of any training session or rugby game both at home and away;
If the first-aider is the coach, consideration should be given to the supervision of the rest of the group if the coach is required to deal with an injury;
Ensuring that all steps to reduce the risk of concussion and head injuries are taken as outlined in section 7.3.1
Advising players to remove all jewellery, watches and glass-lensed spectacles before play
Ensuring that players have an appropriate warm-up before and warm-down after play or training, to reduce the risk of injury
Ensuring that there is sufficient water freely available to all participants during and after a match or training session. This may be by either providing filled bottles or ensuring there is access to a water source.

5.2 First-Aiders
All first-aiders are responsible for:
Ensuring their first-aid qualification/training is current and in date;
Providing the first aid co-ordinators with evidence of training;
Ensuring their teams (or facilities) first-aid kit and equipment, if appropriate, is well-stocked (see below) and within-date;
Documenting what first-aid equipment has been used on the first-aid kit stock-request form (see below) and performing a stock-check once every three months or sooner;
Having the appropriate accident report forms available for use
Completing an accident report form from their the first aid bag for any incidents they attend where players or members of the public have been injured.
When attending an away match, liaise with the home team’s first aider
Disposing of clinical waste in an appropriate manner.
Include a list of players names, parents names and phone numbers and relevant medical history in the first aid bag (Age Grade (Junior) groups only), preferably laminated.
Keeping their first aid bag in a neat and tidy manner and using the folder provided to keep all paperwork clean and safe.
Keeping copies of this policy electronically and in the first aid bag.

 

5.3 First aid co-ordinator
First-aid co-ordinators are responsible for:
Ensuring that all first-aiders provide evidence of the appropriate training (see section 6);
Keeping a record of all first-aiders, relevant training/qualifications and expiry dates;
Organising and/or facilitating training sessions for first-aiders who require initial training or refresher training;
Ensuring that all first-aiders have access to current information and guidance on injury-management as supplied by the RFU and Resuscitation Council;
Ensuring that any first-aid kit stock forms are reviewed and outstanding items are ordered;
Reviewing the incident report forms and ensuring all serious injuries have been reported and followed up appropriately;
Report to LRFC board any injuries and outcomes;
Ensuring that appropriate risk assessment relating to first-aid provision and practice is undertaken;
Maintaining confidential records of player medical information (i.e. details of allergies and medical conditions as per RFU player registration forms);
Liaising with first aiders to periodically (at least annually) review the season and current practises
Liaising with safeguarding officers if any injury/illness raises concerns of a safeguarding nature;
Undertaking an annual risk assessment of LRFC first-aid provision to reference against policy requirements.

5.4 Safeguarding officers
Safeguarding officers are responsible for:
Liaising with first-aid co-ordinators to ensure that LRFC first-aid policies and procedures are linked into the overall LRFC safeguarding strategy;
Taking forward any safeguarding concerns raised by first-aiders or first-aid co-ordinators as appropriate;

5.5 LRFC Chairman
The LRFC Chairman is responsible for:
Reviewing and ratifying the first-aid policy;
Ensuring that LRFC supports any essential training needs;
Ensuring that the correct first-aid equipment and resources are provided and available for use;
Undertaking annual risk assessment of first-aid provision with first-aid coordinator as appropriate.

6 Training
All first-aiders must have an appropriate and current certificate of first-aid training. A copy of this certificate must be presented to the club’s first-aid co-ordinator before commencing a first-aider role. Where possible first-aiders should complete the RFU emergency first-aid course. However other first-aid courses may be acceptable, such as:
HSE emergency first-aid at work
St John Ambulance sports first-aid
Red Cross basic first-aid
Consideration of professional health qualification may also be appropriate such as current registered nurse with immediate-care training, registered medical practitioner with immediate-care training, registered therapist with immediate-care training.

7 Managing injuries
7.1 Minor injuries
All minor injuries including cuts, bruises, strains, and sprains should be attended to by a first-aider at the pitch side in accordance with their first-aid training. When junior players are involved parents/carers should be informed as soon as possible following the incident.
If further intervention is required that cannot be administered at the pitch side, this should be arranged with parents, significant others or colleagues/coaches.

7.2 Major injuries
All major injuries should be managed in line with first-aid training and immediate appropriate help should be sought from emergency services.

7.3 Head injuries
7.3.1 Prevention
LRFC aims to prevent incidents of concussion and, although it may not be possible to eliminate concussion altogether, there are some measures that can be taken during training and games that could reduce the risks of concussion occurring.
Coaches and, where appropriate, referees should:
Ensure the playing or training area is safe;
Check ground conditions – do not play or train if the ground is frozen solid or rock-hard due to drought;
Ensure all posts and barriers on or close to the pitch are protected with appropriate padding;
Ensure correct tackle technique is coached and performed consistently by all players;
Ensure that all players are able to perform correct tackle technique consistently, and correct any faulty technique immediately;
Explain the dangers of high, tip and spear tackles, and penalise them immediately if they occur. Act similarly to incidents of tackling players in the air and jumping to catch the ball from kicks or lineouts;
Take a zero-tolerance approach to actions that result in falling from height, this increases the risk of concussion and neck injuries.
Advise players that rugby head guards DO NOT protect against concussion.
They only protect against superficial injuries such as cuts and grazes and there is some evidence to suggest that they may increase risk-taking behaviours in some players;
Advise players that mouth guards/gum-shields do not protect against concussion, although they are strongly recommended as they  do protect against dental and facial injuries;

7.3.2 Management
Any player that suffers a head injury and concussion or where concussion is suspected, must be immediately removed from play for assessment. First-aid assessment must be completed at pitch side to establish if hospital-transfer is
required. If hospital-transfer is not required, the player (and parents) must be given the LRFC Head Injury Notification/Return to training Consent Form for Junior Rugby (below). They should be verbally advised to seek medical attention immediately if any symptoms develop. Any player with suspected concussion must be removed from play immediately.

When to go to hospital?
Someone with a head injury needs to go to the hospital’s emergency department (A&E) immediately (via ambulance if needed) if any of the following apply:
Unconsciousness or lack of full consciousness, even if the person has now recovered;
Any clear fluid running from the ears or nose;
Bleeding from one or both ears;
Bruising behind one or both ears;
Any signs of skull damage or a penetrating head injury;
The injury was caused by a forceful blow to the head at speed (for example, a pedestrian hit by a car, a car or bicycle crash, a diving accident, a fall of 1 metre or more, or a fall down more than 5 stairs);
The person has had previous brain surgery;
The person has had previous problems with uncontrollable bleeding or a blood clotting disorder, or is taking a drug that may cause bleeding problems (for example, warfarin);
The person is intoxicated by drugs or alcohol;
There are safeguarding concerns, for example about possible non-accidental injury or because a vulnerable person is affected.
The injured person also needs to go to hospital as soon as possible if they have developed any of the following since the injury happened:
Problems understanding, speaking, reading or writing;
Loss of feeling in part of the body or problems with balancing or walking;
General weakness;
Changes in eyesight;
A seizure (also known as a convulsion or fit);
Problems with memory of events before or after the injury;
A headache that won’t go away;
Any vomiting;
Irritability or altered behaviour such as being easily distracted, not themselves, no concentration, or no interest in things around them. This is particularly important in babies and children under 5.
A concussion recognition tool is available for first aiders to assist with assessment of concussion. A laminated pocket version of this is available in first aid kits.

7.3.3 Return to play
The RFU put into place new standards relating to the management of concussion and the return-to-play pathway in 2014. The return-to-play pathway for players who have sustained a concussion is dependent on the player’s age and the medical
resources that they can access.
The new routine minimum stand-down period is 19 days for adults and 23 days for Under 19s.
The minimum stand-down period for those in an Enhanced Care Setting – typically professional and elite age-group players – is six days for adults and 12 days for Under 17-19s. These are players whose return-to-play pathway is closely supervised by an appropriately-trained and suitably-experienced medical practitioner.
The return-to-play pathway is made up of rest and Graduated Return-to-Play (GRTP) phases. Taken together they form the minimum stand-down period. The length of these phases for an individual is determined by the player’s recovery and
informed by clinical assessment.
Details are given in the RFU graduated return-to-play protocol www.englandrugby.com/mm/Document/MyRugby/Headcase/01/30/49/22/returntoplayafterconcussion_Neutral.pdf

7.4 Resuscitation
In the event that a player or member of the public collapses and requires resuscitation, the first-aider must ensure that basic life support is commenced safely and in line with Resuscitation Council guidelines. Help should be summoned immediately and a 999 ambulance request made. The LRFC automated defibrillator is kept on the roadside wall of the clubhouse and must be utilised as
appropriate. All first-aiders will have training in basic life-support and use of an automated defibrillator. Guidelines and information from the Resuscitation Council are available at www.resus.org.uk/resuscitation-guidelines/

8 Reporting & Documentation
8.1 LRFC requirements
Ledbury Rugby Football Club expects that every injury or illness occurring on our site that is attended to by a first-aider is recorded on the accident report form (please see below) within each first aid bag. This form must be kept by the first aider and a copy sent to the first aid co-ordinator within 24 hours.
An incident report should be made by the first-aider attending to the injured person as soon as possible following first-aid intervention.
The club chairman and/or first-aid co-ordinator will review all forms/books to ensure any outstanding follow-up is completed. Further action will be taken if incident is reportable criteria are reached. (see RFU Reportable Injury Form Event below and 8.2)
Details should include the time and place of the injury, first-aid responder and any actions taken. Details of any follow-up or return-to-playing advice should also be included.

8.2 RFU requirements
The RFU requires the following types of injuries to be reported within 48 hours:
An injury which results in the player being admitted to a hospital (this does not include those that attend an Accident or Emergency Department and are allowed home form there);
Deaths which occur during or within 6 hours of a game finishing.
These incidents should be reported using the RFU Reportable Injury Event form.
In the event of a visiting player being injured, or an injury occurring at an away ground, please liaise with the opposition club’s representative to ensure all relevant details are noted and that the report is completed and sent.

9 Monitoring & compliance
9.1 Equipment audit
The first-aid kit for each age-group should be checked at least once every three months by the team first-aider/coach. Any stock used, missing or out-of-date should be ordered and replaced using the re-stocking form below. The first-aid kit content list should be used as reference. Each first-aider will notify the first-aid co-ordinator of any problems or equipment required.

9.2 Risk assessment
An annual risk assessment should be performed which will include first-aid provision, facilities and equipment. This will reference against the requirements of the first aid policy and inform actions to address outstanding risks.
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Copies of the appendices below can be taken from this document or obtained from the First Aid Co-ordinator

Ledbury Rugby Football Club
First Aid Kit Contents
It is essential that first-aid equipment is checked frequently to ensure sufficient quantities and that all items are usable. Always replenish contents of first-aid box and kit as soon as possible after use. Items should not be used after the expiry date shown on packets.
A well-stocked first-aid box should contain the following:
Guidance card including concussion assessment tool
Assorted adhesive dressings (plasters) x 20
Sterile eye pads (No. 16) x 2
Medium sterile wound dressings (No. 8) x 6
Large sterile wound dressings (No. 9) x 2
Short life triangular bandages x 4
Disposable gloves (pair) x 3
Antiseptic wipes x 6
Foil blanket x 1
Disposable resuscitation aid x 1
Blunt end scissors
Steristrips
Antibacterial gel
Yellow disposing bags
Eyewash pods
Sterile gauze swabs
Micropore tape
Safety pins
Vaseline
Irrigation water
Tweezers
Emergency First Aid Action cards and Headcase cards

 

RFU REPORTABLE INJURY EVENT FORM

Please use this from to report any injuries that occur whilst playing rugby or taking part in organised rugby squad training sessions that fit any of the following definitions:
1. An individual who sustains an injury which results in their being admitted to a hospital. This does not include those taken to an A&E Department and allowed home from there. 2. Deaths occurring during or within 6 hours of the game finishing.

Date of report: _____________________ Date of injury: _____________________
Player’s name: _____________________ DOB or Age: _____________________

Club/School/etc.: _____________________ Team: _____________________

Nature of suspected injury: __________________________________________________

Category:
 1 . An injury which results in admission to a hospital.
 2. A death which occurred during or within 6 hours of a game finishing.

 

Name of reporting person: _________________________________________________

Position within Club/School/etc.: _________________________________________________

Contact Telephone Number(s): _________________________________________________

Injured Player Contact Details:

Player’s contact number: ___________________________

Additional contact (e.g. Next of Kin) Name: ________________________________________

Phone No: _____________________ Relationship to player: ___________________________

Please submit the above information as soon as possible following the incident.
The RFU uses this data for contacting individuals and/or their clubs who are identified as requiring immediate support in the case of a potentially catastrophic injury. Information regarding the circumstances of injury is used anonymously to monitor injuries throughout the game

Game:  Training: 
Grass Pitch:  Artificial Grass Pitch:  Other Surface: 
Was there (please tick):
Appropriate first aid in place? Yes:  No: 
Any alleged foul play relating to the injury event? Yes:  No: 

Game Injuries Only
Opposition Club/School/etc: _____________________ Team: ______________________

Venue: _____________________ Name of Referee: _____________________

 

Once completed, please send this form to:

RFU Sports Injuries Administrator (sportsinjuriesadmin@therfu.com)
Or report by phone to 0800 2980102
Head Injury Notification/Return Consent Form
Today your child has had a minor head injury whilst playing rugby.
It is LRFC policy to make you aware of this so that you can keep an eye on your child for the next few hours. Symptoms may not develop for a while after a blow to the head. Your child will now need plenty of rest for the next 48 hours.
If your child shows any of the following signs, then please seek medical help from your GP or local minor injuries department/ A and E.
Excessive sleeping
Confusion, strange behaviour, difficulty with concentration or speaking
Loss of balance, dizziness or limb weakness
Any convulsions (fits)
Problems with their vision e.g. blurred/ double vision
Unusual or worsening headache
Clear fluid or bleeding from the ears
Any hearing impairment or loss
It is recommended by medical guidelines that if your child has sustained a head injury then contact sports should not be resumed for 3 weeks, this includes training. When your child is ready to resume training please complete the form below and return to the coach at the start of the session.
……………………………………………………………………………………………………………………………………………………………
Return to Training / Playing Consent Form
Name of Player…………………………………Name of Parent…………………………………………………………
Address………………………………………………………………………………………………………………………………..
Phone Number……………………………………………………………………………………………………………………..
Folowing a recent head injury received on……………………..I can confirm that ………………………(name)
Is fit to start training with ……………………………………(team/age group)
Signed………………………………………………..Date………………… Please return to lead coach.

First aid kit – stock request form
Date:
Name of requester: Team / group:
Item Pack Size Quantity needed
Plasters 20
Sterile eye pads (No. 16) 2
Medium sterile wound dressings (No. 8 ) 6
Large sterile wound dressings (No. 9) 2
Short life triangular bandages 4
Disposable gloves pair
Antiseptic wipes
Foil blanket
Disposable resuscitation aid
Blunt end scissors
Steristrips
Antibacterial gel
Yellow disposing bags
Eyewash pods
Sterile gauze swabs
Micropore tape
Safety pins
Vaseline
Irrigation water
Tweezers
Emergency First Aid Action cards and Headcase cards
Under no circumstances should prescription drugs be administered by first aiders or kept in
the first aid box. RFU guidance states that freeze sprays, heat sprays, heat rubs and painkillers
MUST NOT be kept in first aid kits.
Please return completed forms to the first aid co-ordinator
‘999’ Call Sheet
• Stay calm
• Establish exact location
• Dial 999 & state service required – ‘Ambulance’ + ‘Police’/’Fire’ if appropriate
• Stay on the line until the control officer says you can go. The operator will confirm your number when putting you through to the controller so they can call you if you get cut off.

WHAT TO TELL THE EMERGENCY SERVICES

• State your name clearly and that you are acting in your capacity as a First Aider or helper
• Confirm your telephone number if asked
• State exact location of incident; give a road name, number or landmark details
• Type of incident (e.g. sports injury/road traffic accident)
• Gravity of incident (e.g. cars involved and people trapped, fire risk)
• Number, gender and approximate age of casualties
• Details of condition from diagnosis (e.g. suspected neck injury, loss of movement in limbs, paralysis, casualty distressed)
• Details of any hazards (e.g. fog, waterlogged/boggy ground, overhead power lines)

WHAT TO ASK THE CONTROLLER

• Ask how long it will take for the ambulance to arrive. (If access difficult, arrange for someone to meet and greet the vehicle and escort them on to the pitches or accident location.)
• Agree how to be notified by ambulance service (e.g. on your mobile)
• Ask if a paramedic, doctor or emergency medical technician will be in attendance for: Cardiac cases, respiratory cases, severe bleeding, neck and spine injuries that require casualty evacuation by stretcher, spine boards and neck collars.

 

Home Game directions are as follows:

Ledbury Rugby Football Club
Ross Road Playing Fields
Ross Road
Ledbury
Herefordshire
HR8 2LP

Clubhouse telephone number: 01531 631788

Grid Reference SO 69994 36729

Grid Reference (6 figure) SO699367

X (Easting) : 369994 Y (Northing) : 236729

Latitude : 52.028159 Longitude : -2.4387529

 

 

Please designate a responsible person to meet the ambulance and direct them where to go from the car park, where the casualty is located and whether pitch access or Clubhouse access is required.
Ledbury Rugby Football Club
Accident Report Form

Person affected / injured:
Name:

 

Address:

 

Date of Birth:

Age grade:

 

Person reporting the incident:
Name:

Address:

Phone:

Description of Accident Reported:
Date & Time:

Site where accident took place:
Name of person in charge of session/competition:

 

Name of First Aider attending:

Give details of how and precisely where the incident/accident took place. Describe what activity was taking place, e.g. training game, equipment involved etc.

 

 

Give full details of the action taken including any first aid treatment and the name(s) of the first aider(s):

 

Were any of the following contacted?

Police
Ambulance
Parent / Carer

Give full details of what happened to the person following the incident/ accident? (E.g. went home, went to hospital, carried on with session)

 

I verify that all of the above facts are a true and accurate record of the incident/accident.
SIGNED:
DATE:
Position in Club:
Please complete, keep and send a copy to the First Aid Co-0rdinator

 

AED (Defibrillator) Guide
The AED is intended solely for use on victims in cardiac arrest.
It is not a monitor! So, the sole criteria for using it, is: the
victim needs, or is already receiving, chest compressions/CPR.
Using the AED
1. Turn on the AED. It is now “in charge” – do not try and
“second guess” it!
2. Check correct pad positions (shown on pads).
3. Peel-off pads/electrodes, attach to victim’s bare chest as
shown
4. Ensure pads are connected to AED.
5. Follow instructions from AED.
6. If victim shows definite signs of life, turn off AED. Keep it
connected – the victim may well re-arrest. In which case
turn it on, and follow instructions.Important Points to Consider
1. Has an ambulance been called? It won’t come, unless someone has dialled
999.
2. It may be difficult to hear the voice prompts from the AED, especially in a
crowded environment. The team should listen to the AED (it’s in charge!),
and to the person operating the AED.
3. The AED cannot analyse if it detects movement of the victim. “Do not touch
patient” means exactly that. Likewise “Stand clear!”. No-one should be in
contact with the victim as the shock is delivered. Check “Top, side, bottom,
I’m clear” before pushing shock button.
4. Try and minimise interruptions to CPR. Plan actions in advance: expose chest
when the 2 rescue breaths are being given, in the 30:2 sequence. Likewise:
it may be a good idea to check positioning of pad, peel pad from backing
strip, stop compressions briefly attach pad firmly, recommence compressions.
Repeat with other pad. This may avoid a long, single, pause while both pads
are placed. Talk to each other, so that everyone knows what is going to
happen, and when.
5. The AED will constantly “nag” you, while you attach the pads. Don’t get
flustered!
6. Should you accidentally place the pads “the wrong way round”. The chest pad
on the side & vice-versa – leave them. It won’t stop the machine working
properly.
7. If the victim is exceptionally hairy-chested, it’s probably a good idea to put
each pad on opposite sides of the chest wall, in line with the armpit. ie: both
in the side position, on each side of the body. This is quicker & easier than
trying to shave patches on the chest, while CPR continues.
8. Remain calm, and let the AED operator take charge. Too many voices are not
good.