Page 1

2 0 1 3 1 4C O A C H E SH A N D B O O K


2 0 1 3 1 4C O A C H E SH A N D B O O K


Contents OUA/CIS Contact Information McMaster Coaches Information Athlete Eligibility Athlete Recruiting SFAS & AFA Travel US Travel Media Meetings & Deadlines Facility Booking Financial Information Cash Control Protocol Gift Certificate Protocol Sport Med Bracing Injury/Incident Reports Student Wellness Centre Hospital Directions Emergency Procedures & Safety Guidelines Parking, Apparel & Quick Links Strength and Conditioning Bastable Resource Centre


Ontario University Athletics (OUA) 1119 Fennell Ave. E., Suite 230 Hamilton, Ontario L8T 1S2 Phone: (905) 540-1966 Fax: (905) 574-2840 Executive Jennifer Myers

President

416-736-5968

jmyers@yorku.ca

Sport Programming & Development Bryan Crawford

Sport Programming Manager

905-540-5148

bryan.crawford@oua.ca

Samantha Magalas

Sport Development Officer

905-667-2558

samantha.magalas@oua.ca

Meredith Walker

Sport Administrative Assistant

905-540-1966

meredith.walker@oua.ca

Phil D'Alessandro

Finance Clerk

905-540-1966

phil.dalessandro@oua.ca

Marketing & Communications Katie Mueller

Marketing & Communications Manager (Interim)

905-540-5150

katie.mueller@oua.ca

Jessica Barrett

Communications & New Media Coordinator

905-540-5156

jessica.barrett@oua.ca

Cory Wright

Communications Assistant

905-667-2570

cory.wright@oua.ca

www.oua.ca Canadian Interuniversity Sport 801 King Edward, Suite N205 Ottawa Ontario Canada K1N 6N5 Phone: 613-562-5670 Fax: 613-562-5669 Title & Name

Phone

Email

Chief Executive Officer Pierre Lafontaine

613-562-5670, Ext. 26

PLafontaine@universitysport.ca

Manager, Events & Programs Sheila-Ann Newton

613-562-5670, Ext. 23

snewton@universitysport.ca

Director, Operations & Development Tom Huisman

613-562-5670, Ext. 22

thuisman@universitysport.ca

Communications & Media Relations Michel Belanger

613-562-5670, Ext. 25

belanger@universitysport.ca

Marketing Gord Grace

226-350-7760

ggrace@universitysport.ca

Webmaster, Statistician, Social Media Manager, and Communications 613-562-5670, Ext. 27 Assistant Jason Ilacqua

ilacqua@universitysport.ca

Director, Finance & Administration Debbie Villeneuve

613-562-5670, Ext. 24

villeneuve@universitysport.ca

Manager of Sport and International Programs Mary MacDonald

613-562-5670, Ext. 32

macdonald@universitysport.ca

Members Services Officer Krista-Lee Robinson

(613) 562-5670 ext. 21

robinson@universitysport.ca

www.cis-sic.ca/splash/index


COACHES CONTACT LIST 2013-2014 * - denotes Club sport SPORT Badminton – M & W Badminton * Baseball Basketball – M Basketball – W Brazilian Jujitsu * Cheerleading * Cricket * Cross Country Curling Dance * Fastpitch Fencing Field Hockey * Figure Skating * Football Flag Football – W * Golf – M & W Gymnastics * Hockey – M * Hockey – W * Kung Fu * Lacrosse – M Lacrosse – W Lifeguarding * Rowing – M & W * Rugby – M Rugby – W Sailing * Soccer – M Soccer – W Squash – M Squash – W Swimming – M & W Synchro Swim * Tae Kwon Do * Tennis – M Tennis – W Track Ultimate * Verve Dance * Volleyball – M Volleyball – W Waterpolo – M & W Wrestling

P – denotes Club President

COACH TBD Vincent Wu (P) Wayne Gowan Amos Connolly Theresa Burns Mike Hissink (P) Marcy Kuzemcak/ Virginia Abel (P) TBA Rory Sneyd Chris Malcolmson TBA Ken Oda Dave O’Donnell Claire Layton (P) Riley Allison (P) Stefan Ptaszek Katie Penney (P) Alf Callowhill Pri Randeria/Courtney Wood (P) Rob Wilkenson Kendra Young (P) Qudsia Shaheen (P) Jason Tallevi Silvana Yee Meghan Chouinard (P) Mel Remy (P) Phil White Cam Mitchell Elizabeth Krock (P) Dino Perri Brett Mosen Abdul Khalul Doug Hamilton Andrew Cole Justine Bentley (P) TBA Rasim Sehovic Peter Patiakas Paula Schnurr Sean Coombes (P) Amanda D’Guilio (P) Dave Preston Tim Louks Quinn Fairley Nick Cipriano

EMAIL badmintonclub@mcmaster.ca gowan@mcmaster.ca connola@mcmaster.ca burnst@mcmaster.ca leeky6@mcmaster.ca cheerleading@mcmaster.ca cricket@mcmaster.ca sneydr@mcmaster.ca cmalcol@mcmaster.ca danceclub@mcmaster.ca kenoda1@rogers.com odonnd@mcmaster.ca fieldhockey@mcmaster.ca figureskating@mcmaster.ca ptaszek@mcmaster.ca womensfootball@mcmaster.ca alf_callowhill@hotmail.com gymnastics@mcmaster.ca rhwilk@sympatico.ca mcmasterhockey@mcmaster.ca kungfu@mcmaster.ca jtallevi@cogeco.ca sillyvana@hotmail.com lguard@mcmaster.ca rowingclub@mcmaster.ca pwhite@mcmater.ca mitchC4@mcmaster.ca elizabeth.krock@gmail.com dperri_123@yahoo.com mosenb@mcmaster.ca mcmastersquash@hotmail.com squashpro@bellnet.ca acole@mcmater.ca synchro@mcmaster.ca taekwondo@mcmaster.ca sehovic@sympatico.ca lojp_opa@yahoo.ca schnurr@mcmaster.ca ultimate@mcmaster.ca amandadiguilio@hotmail.com prestnd@mcmaster.ca louskt@mcmaster.ca qfairley@hotmail.com cipriano@mcmaster.ca


STUDENT-ATHLETE ELIGIBILITY Student-athletes are required to complete the on-line student-athlete registration process (via MUGSI) where they will find all the necessary forms for athlete clearance. PRE-SEASON To be cleared to play, every student-athlete must:  Be financially registered (on-line Payment Agreement MUST be done before first game – exhibition or league)  Complete medical screening process and be cleared to participate by Sport Medicine  Comply with OUA/CIS policies when applicable.  Complete CCES online anti-doping course (CIS sports only) IN-SEASON  Additions to a team’s roster must be made in enough time for the student-athlete to be declared eligible  Deletions need to be communicated to the Athlete Services Coordinator  Only dress student-athletes that appear on the Eligibility Certificate POST-SEASON  CIS coaches will receive an updated Eligibility Certificate from the Athlete Services Coordinator indicating those student-athletes who DID and DID NOT use a year of eligibility (see below for criteria). OUA ELIGIBILITY For a complete copy of OUA eligibility policies, visit: http://www.oua.ca/sports/2011/7/15/Student%20Eligibilty.aspx The Basics…  There is no maximum number of years a student-athlete can compete in an OUA sport.  All student-athletes must pay an athletic fee to the institution in which they are enrolled.  Student-athletes must be enrolled in a minimum of 9 units in the term in which they are competing within OUA or registered as “full-time” by their faculty (if they are a graduate student)  To continue participation in the following year, a student-athlete must have successfully completed a minimum of 18 units during the previous year (September – August).  Student-athletes may transfer from one institution to another without penalty, provided all other eligibility requirements are met.


CIS ELIGIBILITY For a complete copy of CIS eligibility policies, visit: http://english.cis-sic.ca/information/members_info/eligibility_package The Basics…  CIS student-athletes have a maximum of five (5) years of eligibility Academic Requirements  Student-athletes must be enrolled in a minimum of 9 units in the term in which they are competing within CIS or registered as “full-time” by their faculty (graduate students)  To continue participation in the following year, a student-athlete must have successfully completed a minimum of 18 units during the previous year (September – August).  To regain eligibility…Any student-athlete, who is ineligible to compete because they are no longer a student in good standing, must first successfully complete 18 units within an academic year before becoming eligible to compete. Athletic Requirements  Name on score sheet = participation  A year of eligibility will be charged where the athlete has participated in any one of the following: o Participation in three or more non-conference competitions or tournaments o Basketball, Soccer & Volleyball*  Participation in 1 conference competition if there is a non-conference schedule  Participation in 2 conference competitions if there is not a non-conference schedule o Football & Rugby*  Participation in 2 conference competitions (regardless of non-conference schedule) *NOTE: Irrespective of the participation of the student-athlete in the non-conference schedule. o

o o

Cross-Country, Swimming, Track & Field, Wrestling  Participation in 3 non-conference competitions or tournaments (all competitions outside of OUA or CIS championship are considered nonconference) Any participation in OUA playoffs/qualifications to CIS championship Any participation in a CIS Championship

A non-conference or exhibition competition shall be recognized as such if any one of the following conditions exists: o The competition is scheduled and publicized in advance; o Official score is kept; o Individual or team standings are maintained; o Admission is charged; o Teams are regularly formed or team rosters are predetermined o Team uniforms are utilized

Transfer Rule – In most cases, an athlete, who has participated in a recognized sport of CIS, at a CIS or NCAA institution, shall not be eligible to participate until 365 days from their last competition at their previous institution. If you have any questions regarding eligibility, please contact Claire Arsenault, Athletic Coordinator, at ext. 23628 or baillic@mcmaster.ca


MCMASTER MARAUDERS RECRUITING HANDBOOK We all understand that the biggest reason for continued success in athletics is the recruitment of quality student-athletes. Here are a few important things to know in regards to recruiting student-athletes and the admissions process at McMaster University. Every student, whether a regular Ontario high school graduating student, an out-of-province student, or a transfer student from another post-secondary education institution, must apply for university acceptance through the Ontario University Application Centre (www.ouac.on.ca) The information sent to the OUAC will be forwarded to all Ontario universities these students have selected to apply to. McMaster University will be sent the information on each applicant (i.e. transcripts from high school and/or previous academic institution). Please remember that McMaster University’s Department of Athletics and Recreation have NO say in whether students are accepted at McMaster or not…they must have a minimum of 75%* to be granted admission. Here is a list of steps the students must go through to be accepted to McMaster University: 1. 2. 3. 4. 5. 6.

Apply to all Ontario universities through www.ouac.on.ca (deadline mid-January) Select McMaster University as one of their choices.** Send in all relevant paperwork (i.e. transcripts, etc.) to the OUAC office. Wait for a decision to be made. Receive the letter from McMaster offering admission for the upcoming semester. Answer McMaster by returning the offer with an answer before the deadline (late May/early June) 7. In order to keep a residence sport, the student-athlete should also complete the online application and deposit by the same deadline (late Mat/early June) *75% is the minimum cut-off for Humanities; other programs could have higher requirements. The requirements change on an annual basis. **It has been found that students who enter McMaster University as their 4th choice or less on their OUAC application, are not very serious as to their intentions of attending McMaster. Be careful how you spend your energy on these people! UNIVERISTY OFFERS McMaster’s Registrar’s Office begins to send out offers as early as January for out-of-province, international, transfer students and early March for Ontario high school students. From that point on, admissions will be on an ongoing basis. Any time there is an update of marks through the system; newly qualified students will be sent their letters of admission. That process will continue until late May.


The established cutoffs from each faculty will vary from year to year. Here are the admission cutoffs used for 2013 incoming students: Program Arts & Science** Bachelor of Technology Business Computer Science Engineering Environmental & Earth Science Bachelor of Health Sciences** Humanities Integrated Science Kinesiology Life Sciences Mathematics & Statistics Medical Radiation Sciences Midwifery Music Nursing Physical Sciences Social Sciences Studio Art

Grade 12 Averages minimum 88% (by selection)* 75% 84% 86% 87% 84% minimum 90% (by selection)* 75% high 80s (by selection)* 89% 88% 84% 86% minimum 80% (by selection)* 75% (and audition) 89% 84% 78% minimum 75% + portfolio interview

* these programs required the submission of a mandatory supplementary application form. Admission is by selection and takes into consideration academics and the mandatory supplementary application form. ** offers to Arts & Science, Bachelor of Health Sciences and Integrated Science programs are not made until May IMPORTANT DATES The on-line registration deadline for high school students through OUAC is mid-January. Ontario High School Applicants  January – McMaster may make a limited number of select offers of admission  March – Applicants presenting a minimum of 3 final of 6 midterm Grade 12 U/M courses will be considered for admission on a rolling basis (program requirements must be included)  April – Applicants reviewed again based on second semester mid-term grades Out of Province Applicants  Applicants assessed for admission as soon as all required documentation is received  Applicants must have completed or be registered in all program-specific requirements


RESIDENCE Last year housing in campus residences was guaranteed for students who have an entrance average of 81% or better. Also, any out-of-province student receives a spot in residence automatically. Transfer students from college or university are NOT granted an automatic spot in residence. As a result, any student, who is not applying directly from high school or CEGEP, will NOT be given automatic residence. TRANSFER STUDENTS Transfer students, from Canadian colleges or universities, as well as American universities, must all apply to McMaster University through the OUAC website (www.ouac.on.ca). However, the evaluation of their application is done manually by the Registrar’s Office. That being said, most transfer students will require a copy their transcripts (from any previous institution, including high school) to be submitted to McMaster before the Registrar’s Office will be able to offer them admission. The Registrar’s Office will evaluate the student based on his/her latest academic work, college or university. The Registrar’s Office will want to see a proof of ability to complete academic work successfully. There is no average set in stone. Each applicant is evaluated individually. The Associate Dean of the Faculty of choice will decide of the number of credits/units given to a transfer student. This decision will only be confirmed once the student has accepted their offer of admission. The student should be ready to provide the Associate Dean’s office with a written description of the courses taken at the previous institution. Such descriptions will be used to identify the type of work done previously. Course calendar excerpts are usually the most accurate. WHERE TO GO FOR HELP The Athlete Services Coordinator is the point of contact for recruiting inquires in the Department of Athletics and Recreation. They focus on the following areas:  Contact various faculty officers  Verification of admission standards  Confirmation of important dates  Communication with all coaches  Verification of student-athlete status  Contact with student recruitment office Please note that A&R full-time coaches and coordinators should not conduct tours for recruits. The Athlete Services Coordinator can help facilitate such tours with tour guides form the Student Recruitment Office. 4 STEP RECURITING PROCESS 1. IDENTIFICATION – Evaluate the athletic talent as it relates to your sport 2. QUALIFIATION – Evaluate and rate the student-athlete based on previous academic performance, on the character of the individual and on the needs of your team. 3. SELECTION – Based on the criteria in step 2, rate and rank the prospective student-athletes and determine how many of them you think are Marauder material 4. RECRUITMENT – Only recruit the student-athletes you have selected. Spend time, energy and money on students who will help your team.


STUDENT FINANCIAL AID AND SCHOLARSHIP BURSARIES McMaster provides bursary assistance to students who demonstrate financial need. A bursary is a non-repayable grant, not a loan. Bursary funds are intended to assist with a student's education related costs. To be considered for a bursary, students must be fully registered at the time of application/payment and have submitted a complete bursary application by the published deadline. September 15 is the date that bursary applications became available through the Financial Aid & Scholarship Office (GH 120). All information can be found following the link: http://sfas.mcmaster.ca/bursary/macbur.html ON-LINE APPLICATION TIMELINES (For Graduate & Undergraduate Students) All Term 1 & 3 students – September 15th, 2013 to January 10th, 2014 The McMaster Bursary application is available on MUGSI. Find the application on MUGSI by clicking the “Financial Aid & Scholarships” link and then select “Bursary Application Form”. Students who receive out-of-province student aid or are not in receipt of government student aid will be directed to a pdf paper application form. Students who have applied for OSAP will be prompted to complete and submit their application online. Bursary payments to eligible students will be made mid-February 2014. SCHOLARSHIPS WHICH REQUIRE AN APPLICATION Dr. Ronald V. Joyce Awards (value $2,500)  Current CIS student-athletes (Level I and above) who are returning in September the following year are eligible  Requires a minimum cumulative grade point average of 8.0 and no failures For more information and application details, please visit: http://sfas.mcmaster.ca/ DEADLINE IS APRIL 15, 2014. ATHLETIC FINANCIAL AWARDS McMaster's Department of Athletics and Recreation supports merit-based athletic financial awards. With the assistance of Student Financial Aid and Scholarship, a process has been developed that allows consultation from coaches in designated sports to recommend identified individuals for financial support to the Athletic Awards Committee. It is the goal of McMaster University to assist in lessening the financial burden of our leading studentathletes within the policies laid out by Canadian Interuniversity Sport (CIS) and Ontario University Athletics (OUA). In addition, future opportunities will be made available to all student-athletes of McMaster University to potentially receive an athletic financial award, based on academic and athletic performance. For more information, please contact Claire Arsenault, Athlete Services Coordinator, at baillic@mcmaster.ca or 905-525-9140 x23628.


MCMASTER UNIVERSITY DEPARTMENT OF ATHLETICS & RECREATION GROUP TRANSPORTATION POLICIES AND PROCEDURES All students must travel as a part of the group contingent. This includes traveling to the destination site and returning to McMaster University. The Trip Leader must approve individual exceptions and the student must sign the Independent Travel Assumption of Risk and Release of Liability Form before travel takes place. Any exception to the University’s travel policy must be approved by the Director of Athletics & Recreation, or designate (Program Coordinator). CHARTERED VEHICLES  Groups of 21 or more are required to take a chartered vehicle as their mode of transportation  Generally, for drivers of less than 1.5 hours, school buses will be used, unless a group requires luggage space (e.g. football team). For drivers of longer than 1.5 hours, a 47/55/56 passenger coach will be arranged.  Where possible, groups traveling to the same destination will share a single bus (either a school bus or chartered bus depending on the length of the trip). RENTAL VEHICLES  Groups of less than 21 are permitted to rent a vehicle to suit their group’s needs. This rental is done through the Department of Athletics & Recreation’s preferred suppliers.  All drivers of rented vehicles must be a minimum age of 21 or the required age of the rental supplier. In addition, all drivers must have a valid domestic driver's license and have at least two (2) years of driving experience in Canada or the United States and complete the Driver History Questionnaire, and the Travel Intinerary and Travel Roster prior to departure.  Only properly authorized employees, volunteers or students may operate University rented vehicles.  Non-authorized use of University rented vehicles is prohibited.  Only members of the official travel contingent may travel with the group.  The number of passengers permitted may not exceed the number of seat belts or the maximum number of passengers allowed for the driver’s license class.  Drivers and all passengers are required to wear seat belts  The driver assumes full responsibility for any fines resulting from traffic or parking violations arising out of the use of a University rented vehicle.  The vehicle ignition must be off and the vehicle locked when unattended.  Driving is not permitted while under the influence of alcohol or drugs.  Report any accidents or damage while driving a rented vehicle to your supervisor immediately and follow the rental car procedures.  It is recommended that when there is a group of two or more vehicles leaving a common site at the same time, those vehicles will travel together to the destination in order to provide assistance, if needed, and safety for the group.  Each vehicle is required to have a cell phone, in case of emergency.  15 PASSENGER VANS – No more than 10 passengers are allowed to travel in one 15-passenger van. The driver requires a full license, not a graduated license. PERSONALLY OWNED VEHICLES  It is preferred that all student groups use chartered or rented vehicles for University travel. However, the Department of Athletics and Recreation recognizes the variety of circumstances and factors that allow for groups to use their personally owned vehicles.  Groups are permitted to use personally owned vehicles for their transportation needs as long as the destination does not exceed 270 km from McMaster University  All drivers of personally owned vehicles must be a minimum age of 21, or at the discretion of the program’s travel coordinator. In addition, all drivers must have a valid domestic driver's license and have at least two (2) years of driving experience in Canada or the United States and complete the Driver History Questionnaire and Travel Intinerary and Travel Roster, prior to departure.


         

Both the “Driver History Questionnaire” and the “Travel Intinerary and Travel Roster” must be completed and submitted to the travel coordinator three (3) days prior to departure. Students who use their personally owned vehicle for travel under University sanctioned events, assume primary liability should an accident occur. In such cases, the insurance carrier of the individual driving is the primary coverage. Only members of the official travel contingent may travel with the group. The number of passengers permitted may not exceed the number of seat belts or the maximum number of passengers allowed for the driver’s license class. Drivers and all passengers are required to wear seat belts. The driver assumes full responsibility for any fines resulting from traffic or parking violations arising out of the use of a University rented vehicle. Driving is not permitted while under the influence of alcohol or drugs. Report any accidents or damage while driving a rented vehicle to your supervisor immediately. When there is a group of two or more vehicles leaving a common site at the same time, those vehicles will travel together to the destination in order to provide assistance, if needed, and safety for the group. Each vehicle is required to have a cell phone, in case of emergency.

Both the “Driver History Questionnaire” and the “Travel Intinerary and Travel Roster” must be completed and submitted to the travel coordinator three (3) days prior to departure. PUBLIC TRANSPORTATION  Public transportation (bus, train, taxi) is permitted to travel to and from University sanctioned events at the discretion of the Program Coordinator. DISTANCE DETERMINATOR (Google Maps, 2007) Algonquin Park Buffalo Guelph Kingston London Montreal North Bay Ottawa

336 km 115 km 49 km 327 km 126 km 608 km 391 km 515 km

Peterborough Quebec City St. Catharines Sudbury Toronto Waterloo Windsor

200 km 860 km 67 km 435 km 66 km 66 km 304 km


MCMASTER UNIVERSITY DEPARTMENT OF ATHLETICS & RECREATION VEHICLE DRIVER PRECAUTIONS 

Reduce speed below posted limit when roads are wet and slippery.

Use turn signals for every turn or lane change, and double check your blind spot.

Exercise extra caution when backing-up. When possible, have another person act as your guide.

Do a walk-around circle check inspection of the vehicle prior to driving.

Familiarize yourself with the location and operation of controls: lights, wiper/washers, fan heaters, seat adjustment, check spares and jacks, tires and air pressure.

Adjust the seat to a comfortable driving position and adjust all mirrors for maximum visibility.

Drive defensively: o Look ahead and recognize possible danger far enough in advance to take preventative action smoothly o Check mirrors frequently o Use headlights at all times o Make allowances for the errors of other drivers and pedestrians o Make allowances for the rapidly changing conditions of the road, weather and traffic

When driving avoid distractions, such as loud music, excessive passenger noise, the use of cell phones and emotional or distracting conversations

Where possible, having a driving navigator to help keep you awake and focused, and to help with navigation and passenger comfort.

If you start to become drowsy or feel “highway hypnosis”; do something different immediately: open a window, talk to someone or just out loud, or adjust your body position. If possible, stop for a rest and take a short walk or have refreshment or light snack. If you don’t feel more alert, considering finding a place to sleep for an hour or have another driver take over (if available).


MCMASTER UNIVERSITY DEPARTMENT OF ATHLETICS & RECREATION DRIVING HISTORY QUESTIONNIARE

A photocopy of the driver’s license and insurance must accompany this questionnaire. APPLICANT:

STUDENT #:

PHONE:

EMAIL:

ADDRESS: 1. Do you have a valid Canadian or United States Driver’s License?

Yes O

No O

2. Please provide the following information: DRIVER’S LICENSE #:

PROVINCE:

CLASS:

EXPIRY DATE (mm/dd/yr):

3. Is your license now revoked or suspend in Canada

Yes O

No O

4. Have you driven at least 1,000 miles (1,600 km) in the past three years?

Yes O

No O

5. Have you been charged with any moving traffic violation or involved in any vehicle accident while driving any motor vehicle during the last 18 months? Yes O No O If yes, please specify the following: Date:

City/Province:

Description: 6. Have you read and do you understand all McMaster University vehicle driver policies, procedures and precautions? Yes O No O You are required to notify the Department of Athletics and Recreation supervisor if your license is revoked or suspended for any reason. McMaster University has the legal right to check your driving record with any government motor vehicle authority. I certify that all information provided above is correct and true and that I have read, understand and agree to comply with the Province of Ontario Highway Traffic Act regulations and McMaster University’s Athletic and Recreation vehicle driver policies, procedures and precautions. Any falsification of information or failure to comply with the mandatory regulations may result in disciplinary and/or removal of driving privileges. _________________________________________ Applicant’s Signature

__________________________ Date


MCMASTER UNIVERSITY DEPARTMENT OF ATHLETICS & RECREATION TRAVEL ITINERARY AND TRAVEL ROSTER FOR UNIVERSITY RENTED OR PERSONALLY OWNED VEHICLES This document is to be submitted to the appropriate Program Coordinator at least 5 WORKING DAYS prior to the trip. In addition, the driver(s) must have completed the DRIVING HISTORY QUESTIONNIARE, including a photocopy of the driver’s license and insurance. GROUP NAME:

EVENT:

DESTINATION:

ACCOMMODATION:

DEPART TIME & DAY:

ARRIVAL TIME & DAY:

TRIP LEADER:

EMERGENCY CONTACT #:

MODE OF TRANSPORTATION:

University Rented O

Personally Owned O

If personally owned, please fill out the following table: Owner:

Make & Model:

Year:

License Plate #:

Colour:

Owner:

Make & Model:

Year:

License Plate #:

Colour:

Owner:

Make & Model:

Year:

License Plate #:

Colour:

TRAVEL ROSTER NAME

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.

STUDENT #

CELL PHONE # (min. one per car)

DRIVER(S) (please check)

GROUPINGS (list A, B, C by car)


MCMASTER UNIVERSITY DEPARTMENT OF ATHLETICS & RECREATION INDEPENDENT TRAVEL ASSUMPTION OF RISK AND RELEASE OF LIABILITY FORM NAME:

STUDENT #:

PHONE:

EMAIL:

GROUP/TEAM: This will serve as confirmation that I will be traveling independently to/from: LOCATION/EVENT:

DATE:

By signing below, I acknowledge the following:     

That I declined to use the travel arrangements provided by McMaster University specifically for this event; That I will make alternate travel arrangements and accept all risks associated with these arrangements; That I understand the ramifications of this decision and assume full responsibility for my actions and well-being while traveling independently: That I am aware of when and where I am to be regarding the above-noted event, and accept the consequences if I arrive late; and That I release McMaster University from any and all liability for any loss that occurs as a result of my decision to make the above-noted independent travel arrangements

Signed this ______________________ day of _______________________, 20__________ (number of day) (month) (year)

___________________________________ Signature of Student

___________________________________ Signature of Trip Leader


MCMASTER UNIVERSITY DEPARTMENT OF ATHLETICS & RECREATION STUDENT GROUPS DRIVING PERSONALLY OWNED VEHICLES In addition, the driver(s) must have completed the DRIVING HISTORY QUESTIONNIARE, including a photocopy of the driver’s license and insurance. A student is exposed to the risk of suit for personal liability and/or property damage if he/she chooses to transport other students, athletes or clients of McMaster University to or from University sanctioned events in a personally owned vehicle. The University coverage with respect to this area of risk is outlined below. Please check the appropriate circle. A. If officially asked to drive a personally owned vehicle on behalf of McMaster University. O The student must provide his/her own damage, collision and liability coverage. In the event of an accident, if his/her liability coverage is inadequate, a university 'excess legal liability coverage' policy may respond. The vehicle's owner would be responsible for damage and collision coverage. B. If the student-athlete drives of his/her own accord. O In the event of an accident, the individual would be considered primarily responsible and his/her own damage, collision and liability insurance would be looked to. It is the student’s responsibility to ensure that he/she is properly licensed and that he/she carries adequate and valid damage, collision and liability insurance, when transporting others in a personally owned vehicle. NAME:

STUDENT #:

PHONE:

EMAIL:

GROUP/TEAM: DESTINATION/EVENT:

DATE:

I acknowledge receipt of the document entitled "Student-Athletes Driving Personally Owned Vehicles" which briefly describes potential risks, the University's responsibility and my own responsibility in this regard. I hereby acknowledge that I have read, understand, accept and agree to the risks involved in driving my personally owned vehicle to or from University sponsored events. Signed this ______________________ day of _______________________, 20__________ (number of day) (month) (year)

___________________________________ Signature of Student

___________________________________ Signature of Witness


TRAVEL TO THE UNITED STATES TRAVEL DOCUMENTATION REQUIREMENTS AIR TRAVEL

Since January 23, 2007, the Western Hemisphere Travel Initiative (WHTI) came into effect for air travel to the United States. The following documents are acceptable:  

a passport; or a NEXUS card when used at a kiosk at designated Canadian airports and at all U.S. airports when returning to Canada.

LAND AND SEA TRAVEL As of June 1,st 2009 Canadian citizens are required to present one of the following valid documents when entering the United States by land or water: a passport; a NEXUS card; a Free and Secure Trade (FAST) card; an enhanced driver's license (EDL) or enhanced identification card (EIC) from a province where a U.S.-approved EDL/EIC program has been implemented; or a current Certificate of Indian Status. SIMPLIFIED PASSPORT RENEWAL PROGRAM (Available as of August 15, 2007) The simplified program will allow Canadian citizens, who meet certain eligibility criteria, to renew their passport using a shorter form and without submitting documentary evidence of citizenship, supplementary identification and a guarantor declaration. Under the renewal program, passport applicants will only be required to submit the shorter form along with two new photos, the application fee and their last passport. Canadians who meet the following eligibility criteria can renew their passport from the new program:  Residing in Canada at the time they apply  Resided in Canada at the time of their previous application  16 years old or over at the time of their previous application  Present their previous passport: o Valid for five years o Issued after January 31, 2002 o Never damaged or reported as lost or stolen o Issued under their current name. The new application form is available at all Passport Canada service points and on-line at Passport Canada's website (www.pptc.gc.ca), and it will be accepted at all of Passport Canada offices, inperson or via mail. NEW GUARANTOR POLICY (October 1, 2007) The new policy will allow most Canadian adult passport holders to act as guarantors. Under this new policy, to be a guarantor, a passport holder:  Hold a five-year Canadian passport that is valid or has been expired for no more than one year,  May be a family member,  May reside at the same address as the applicant,  Known the applicant for at least two years, and  Canadian citizen 18 years of age or older and must have been 16 years of age or older when they applied for their own passport.


Communication with the MediaThe university Senate acknowledges that members of the McMaster community do not have complete control over the presentation of material sent to media outlets. However, it is vital that as much care be taken as possible, to distinguish any type of communication as being the personal or professional views of an individual or group of individuals within the university and not as an official McMaster position. The growth of communication outlets, including social media, means that every effort must be used to avoid any confusion between the stated policies of the University and the personal or professional views of members of the McMaster community. The Senate has developed the following guidelines with regard to any communications with the media. Care should be taken to clearly state that any communication is being sent as an individual and not as a representative of McMaster University. Any opinions expressed on all matters, both internal and external, are considered strictly personal and do not reflect the views of the university. This is not meant to restrict the academic freedom or freedom of speech of any member of the university community. As members of the McMaster Athletics and Recreation staff, you have access to department resources if you have any questions or concerns, regarding media relations or communication issues.

For more information, please contact: Parrish Offer Manager of Marketing, Communications & Sponsorship McMaster University • Department of Athletics & Recreation DBAC W129 • 1280 Main St W. • Hamilton, ON L8S 4L8 905-525-9140 x20333 • Cell: 905-741-7700 • Fax: 905-526-1573 • offerp@mcmaster.ca


MCMASTER ATHLETICS AND RECREATION Scheduling Meetings and Deadlines 2013 - 2014 December 9th, 2013 Scheduling Meeting #1  Spring / Summer (camps) programmes December 15th, 2013 1. Spring/ Summer Practice Requests Submitted 2. All Spring/ Summer programmes inputted into CLASS January 15th, 2014 1. Business Plan Submission Deadline for 2014 – 2015 Season January 29th, 2014 Scheduling Meeting #2  Review Draft of Fall Schedules  Review Business Plan Submissions  Master Schedule Draft #1 to follow February 14th, 2014 1. Review and Approval of Business Plans rd

March 3 , 2014 1. Confirmation of Business Plan Approvals th

March 25 , 2014 Scheduling Meeting #3  Review Varsity Practice Schedules for 14/15 Season  Fall Exhibition schedule dates  Master Schedule #2 to follow

May 19th, 2014 Scheduling Meeting #5  Discuss any items arising from OUA Meetings  Prepare for OUA June 1 Deadline  Winter NonConference/tournament schedule confirmed  Final Varsity game schedules confirmed  Recreation Schedule (preliminary) reviewed June 1st, 2014 1. OUA SCHEDULES DEADLINE 2. All varsity practice and game schedules inputted into CLASS June 16th, 2014 1. All Special Events (university administered in A&R facilities) inputted into CLASS July 5th, 2014 1. Scheduling Meetings and Deadlines Schedule for 2014 – 2015 issued. July 15th, 2014 1. All instructional, intramural and drop in programmes inputted into CLASS August 1st, 2014 1. All non-competitive club practice and games inputted into CLASS

April 30th, 2014 Scheduling Meeting #4  Review all Varsity Schedules  Confirm Varsity Practice Schedules for 14/15 Season  Master Schedule #3 to follow Updated August 12th, 2013


FACILITY BOOKING POLICY – VARSITY TEAMS Purpose:

To provide fair and equitable use of facilities in accordance with Department and University policies.

Scope:

Facilities are inclusive of all space within the Ivor Wynne Centre; the David Braley Athletic Centre; Ron Joyce Stadium; Track and Field; the Alumni Field; all fields in the ten acre area; and the baseball diamonds in west campus. The scheduling of these facilities occurs generally within two time frames. That is; “inseason” approximately September 1st to April 30 and “out-of-season”. Each sport will have their own “in season” and it is only during this time frame that priority use of facilities will be considered.

Procedures:

Coaches will request Varsity practice and games (both Conference and nonConference) through their coordinator, who in turn will take the request to the Scheduling Committee for review. Please see attached sheet for Scheduling Meetings and Deadlines for the 2013 – 2014 Season. Requests that are provided after the deadline dates will be reviewed on a one by one basis, but will forfeit any facility priority. Other Varsity Requests a) Instructional rooms, gyms, fields, etc. – Mark Alfano – alfanom@mcmaster.ca and your Athletic Program coordinator b) The Pulse Fitness Centre – Laura Rietmuller - rietmulk@mcmaster.ca c) High Performance Centre – Steve Lidstone - lidston@mcmaster.ca d) One Time Request of Fields / Track/ Gymnasiums/ classrooms - email alfanom@mcmaster.ca or kellyt@mcmaster.ca and your Athletic Program Coordinator e) Facilities (i.e. gyms, Play fields) for special events or tournaments that have not had business plan submission/ approval - e-mail respective Athletic Program Coordinator who will in turn, request through the proper channels

Business Plan: Please work with your Athletic Program Coordinator to complete the Varsity Business Plan (updated version of the business plan is available). The Business Plan must be submitted for any tournament, camp, and clinic or extended booking of A&R facilities. Business Plan submission dates are included on the Scheduling Meetings and Deadlines Outline. N.B.

Throughout the year it may be necessary to alter a team’s practice schedule to accommodate University activities or other Department events, including tournaments. The Department of Athletics & Recreation will do its best to provide alternative practice locations or times where possible. When organizing tournaments (excluding OUA/CIS), please be aware that a “window” should be scheduled in to allow for other varsity teams, in season, to have sufficient practice time.


FINANCIAL PROCEDURES Each team is responsible to appoint a financial representative- Coach or Manager. Throughout the season, each representative is responsible for being the liaison between his/her team and the Athletic Office, Nicole Grosel, Room W109. 1

Cash Advance Required Form for team meal allowance, etc. will be completed, by the sport co-ordinator and submitted by the end of August. NO CHANGE in amount requested will be accepted less than 3 weeks prior to the event. If the above timelines are not met, the co-ordinators will be required to use their corporate cards, or other means to advance funds. Compliance to the above is necessary as cash advances are a very time consuming task.

2

Prearranged cash advacnes should be picked up before noon on the day before travel. If other arrangments are required, please contact Nicole Grosel at least a week in advance.

3

Meals with Receipt – “Itemized” restaurant receipt is required along with the credit card slip. The University accepts no other variation. Do not tip over 15% of the bill before taxes. A list of attendancees is required with each receipt.

4

Any travel per diems must be detailed on a per diem form and signed by each althete. The department pays $15/day/athlete ($3 breakfast, $5lunch, $7 dinner) and $20/day/coach ($4 breakfast, $6 lunch, $10 dinner).

5

If expenses exceed the cash advance received, see Nicole for further direction and forms. A cheque may be given out to reimburse the difference. Please be aware that this process may take up to a month.

6

Financial reporting of advance money must be made NO LATER THAN 4:30PM ON THE MONDAY FOLLOWING THE COMPETITION AND RETURNED DIRECTLY TO YOUR ATHLETIC COORDINATOR FOR APPROVAL. All reqcipts and boarding passes must be submitted at this time. Please note that boarding passes must be collected for each traveller/each direction as per university requirments.

7

NO FURTHER MONEY WILL BE ISSUED UNTIL FULL REPORTS HAVE BEEN SUBMITTED.


CASH CONTROL PROTOCOL ___________________________________________ Whenever possible, all financial transactions should be completed using CLASS in advance of the date of the event. This would include all registrations for camps, clinics, tournaments, and purchases of memberships, clothing, etc. Please contact the Business Office to have the event added to the system – DBAC WG101, ext. 24464. If the advance set-up cannot be made (example: individuals paying for an event at a time when there is no access to the Business Office) the following procedures MUST be implemented. 1. Prior to the event, the designate will pick up a package from the Business Office which will include the following: i. Receipt book ii. Cash bag iii. Depository key Instructions for the use of all of the above will accompany the package. 2. Receipt of cash (including cheques and money orders) must be handled in a formalized, business-like manner, with an appropriate number of people specifically assigned with the responsibility of registering people and handling cash. 3. Numbered receipts are to be issued for each payment received. Please note that these receipts are not donation receipts. 4. When the event is complete, all payments collected and receipt books containing at least one copy of each receipt are to be deposited using the cash bag immediately in the after hours depository located outside DBAC W184. Please refer to the Cash Handling Procedures for details. Please ensure that the funds deposit balance to the receipts issued. 5. The deposit will be collected from the depository the first working day following the event and deposited in the appropriate account.

NOTE:

Cash received for events is not to be used for event management. Any cash required for incidental expenses must be requested in writing as a cash advance, 2 weeks prior to the event, or reimbursed following the event.


CASH HANDLING PROCEDURES ___________________________________________ Whenever possible, all cash should flow through the Business Office and CLASS which will issue a formal receipt and be applied to the appropriate account. In the case that the Business Office is inaccessible the following cash-handling procedures MUST be implemented. CHEQUES    

Take the time to check the body of the cheque to ensure that all information is complete and correct (i.e. amount, date, event etc). All cheques are to be made payable to “McMaster University”. Record receipt number on back of cheque (required for tracing of NSF cheques). No post-dated cheques are to be accepted.

CASH 

Cash received for events may NOT be used to cover event expenses. Any cash required for incidental expenses must be requested in writing as a cash advance, 2 weeks prior to the event, or reimbursed following the event.

RECEIPTS  

A receipt is to be given for ALL payments received. The customer receives a white copy, a copy is retained for your records and the third copy remains in the receipt book.  Record the receipt number on the back of the cheque and on the event form (if applicable).  Note: all of the following on receipt o Team o Form of payment (i.e. cash, cheque) o Specific purpose of payment (to determine allocation and tax status) BALANCES  

Ensure the funds collected balance to the receipts issued. One copy of each receipt must be submitted with deposit.


McMaster University Department of Athletics and Recreation

Gift Certificate Protocol Background: In light of the significant requests from the department for prizes, awards, gifts, charities and camps, for both on and off campus groups, we are establishing a department budget line. Once the budget is used up for the year, only special requests will be considered. Procedure: Please note the following procedure for Gift Certificate requests: 1. All requests for prizes, etc. must be made by email at least five days in advance. Please email Karen Arnott at arnottk@mcmaster.ca, and CC your department manager. 2. All prizes will be in the format of a gift certificate from the Maroon Shop/The Campus Store. (NOT pulse membership or camp registration, etc). The gift certificates will be eligible for purchases of clothing, giftware, and stationary products in the Maroon Shop or The Campus Store. 3. Gift certificates in the amount of $25 will be available. 4. The request must have the event/program name and date. 5. All requests must be approved by a department manager 6. Karen Arnott will arrange for the gift certificates. 7. The cost of the gift certificate will be charged directly to the appropriate account.


2013-2014 Coaches Manual – Sport Medicine Section 1) Student Athlete Medical Screening Process 2) Coverage for Treatment at the Clinic 3) Medical Clearance After Injury 4) Injury and Incident Reports 5) Emergency Care Locations 6) Student Wellness Centre 7) ImPACT Concussion Testing Services 8) Information on Student-Therapists and Hydrotherapy Room Protocol 9) Infectious Disease Protocol 10)Student Therapist contract 11)Private Health Information Form 12)Brochures

Room WB 127 – David Braley Athletic Centre 1280 Main Street West, Hamilton, Ontario L8S 4K1 Wheelchair Accessible

Department of Athletics & Recreation, McMaster University Tel (905) 525 9140 ext. 23575 Fax (905) 526-7397 http://www.marauders.ca


STUDENT-ATHLETE MEDICAL SCREENING • All McMaster student-athletes are required to be medically cleared before they are considered eligible to participate and/or compete. • Completed forms are to be returned to the David Braley Sport Medicine & Rehabilitation Centre 5 BUSINESS DAYS prior to the start of try-outs/training camp for review and approval in order to be cleared. Incoming Student-Athletes:  Those competing in any of the following sports (including invited participants) BASKETBALL, CHEERLEADING, FOOTBALL, HOCKEY, LACROSSE, SOCCER, RUGBY AND WRESTLING are required to have a full medical examination conducted by a physician prior to training camp.  The “Physician Medical Examination Form” is available as a PDF to the students on MARS and is to be printed off and brought to their medical examination. This examination should be completed at least 5 DAYS PRIOR to the start of tryout/training camp as it is a REQUIREMENT FOR PARTICIPATION in tryouts/training camp. Physical examinations can be done by their own family physician prior to arriving on campus. Physicals can also be done by a physician at the David Braley Sport Medicine & Rehabilitation Centre physicians at a cost of $100. To arrange an appointment, they are to call the clinic at 905-525-9140 x23575. In the event that a walk-on participant secures a spot on the team’s roster, a full physical examination is required within 3 business days of final team selection. New student-athletes not competing in the aforementioned sports are strongly encouraged to have a physical medical examination although it is not mandatory. All McMaster Student-Athletes (Incoming and Returning):  Must complete the “Medical Screening” form available on MARS in its entirety PRIOR TO THE START OF TRAINING CAMP and must be medically cleared by the medical staff at the David Braley Sport Medicine & Rehabilitation Centre before they are considered eligible to participate in try-outs/training camp.  Completed forms are to be returned to the David Braley Sport Medicine & Rehabilitation Centre 5 BUSINESS DAYS prior to the start of try-outs/training camp for review and approval.


COVERAGE FOR TREATMENT AT THE DAVID BRALEY SPORT MEDICINE AND REHABILITATION CENTRE The David Braley Sport Medicine and Rehabilitation Centre collects only the amount covered under the MSU plan & the student athletes’ private insurance. The clinic is committed to providing the best care possible for student athletes and will continue to absorb the cost of treatment for athletes once all insurance coverage is exhausted. For this reason student athletes are not permitted to OPT OUT of the McMaster University Health Plan provided by the MSU. This limited insurance covered from the MSU is used as primary coverage. When this coverage runs out the clinic will then submit to the private insurance to help offset the cost of treatment. MSU Healthcare Coverage The coverage provided by the MSU is an Accidental Death & Dismemberment (AD&D) Benefits plan. This means that the athlete is only covered when an acute injury happens after they have started school. Chronic injuries are not covered. For rookies and new recruits, injuries that occur before the coverage begins, such as training camp, will not be covered. For the clinic to submit of behalf of the student, the following items are required‌ 1. The student MUST see a doctor within 30 days of the injury 2. An SSQ Form (that the front desk will provide) MUST be completed by the student athlete and the doctor. The student must explain when & how the injury occurred. This is required to determine whether the plan will cover the accident. If for any reason a varsity athlete cannot see a doctor before their first physio/chiro visit for their injury, they will still be allowed to come in to the clinic for treatment as we will never turn them away. However, the athlete will be required to sign a form stating that they will see doctor at the David Braley Sport Medicine & Rehabilitation Centre within 1 week. Failure to do so, will result in the student paying for any treatments that have/will occur as a result of not meeting the criteria to submit to the AD&D plan. Private Insurance All student athletes with private health insurance are required to submit their private insurance information. There are two forms that may be given to the student. The first is the MCMASTER STUDENT-ATHLETE PRIVATE HEALTH INSURANCE INFORMATION form. This will determine whether they have insurance or not and this form must be completed before training can begin. If they have insurance, the clinic will email out a second form which request more information and explain how we will be processing their claims. For those students, that have not completed the second form, we will send out a package to each team with the forms that must be completed. These forms will have to be delivered back to the clinic.


COVERAGE FOR TREATMENT AT THE DAVID BRALEY SPORT MEDICINE AND REHABILITATION CENTRE (CONTINUED) For private healthcare coverage, there are 3 categories of receiving payment for treatments. 1. Online Billing – For Sunlife, Great West Life, Green Shield & Blue Cross we can bill online. The student has the plan holder complete a release form stating that our clinic can bill electronically and receive payment directly. 2. Send invoice to home – For Manulife, the payment is made directly to the plan holder. The clinic will send an invoice to the home for the services provided, the plan holder will complete the required claim form and submit them. Payment must be made to the clinic within 45 days of the invoices being mailed. If the plan has been exhausted for the year, they must bring a statement showing this and the clinic will absorb the cost of the treatments. 3. All other insurance companies require the treatments to be paid in full to be reimbursed. The student athlete will pay for the treatment and receive the invoice and submit to their insurance and be reimbursed directly. If they have exhausted their coverage, they can bring in their statement showing this and the clinic will refund them their money and absorb the cost. All club athletes will be required to pay for services in the clinic on a fee for service basis, where they will be required to pay up front for treatment and can then be reimbursed by either their private insurance plan or the MSU plan. Their cost of treatment will no longer be absorbed by the clinic. For more information about the MSU AD&D plan, please refer to https://www.msumcmaster.ca/services-directory/36-health-and-dentalinsurance/accident-benefits


Medical Clearance After Injury The following page describes the procedure an athlete must follow if he or she is injured during the course of the season. This clearance should not be confused with the Initial Eligibility Clearance completed at the beginning of each season. 1. When injured, an athlete should immediately notify their coach and student therapist. 2. Each new injury necessitates medical attention. The athlete MUST make an appointment with one of the physicians at the Sports Medicine Clinic within 30 days of the injury 3. The physician will evaluate the injury, recommend a course of treatment, and decide whether or not the athlete can continue to practice and compete. The physician may decide to impose restrictions on activity, such as practice with no contact. 4. The physician will fill out a Physician Clearance Form noting whether or not the athlete can practice or compete, and what restrictions must be followed. The athlete is also required to sign this form, to acknowledge the restrictions. The physician will instruct the athlete how and when to follow up on the injury to be cleared. 5. The Physician Clearance Form will be copied for the athlete’s medical file. A copy will be given to the athlete to give to his or her trainer or coach. 6. The athlete should follow up as instructed by the physician. 7. When the athlete is cleared to play or compete (or restrictions are changed), the therapist and physician will complete a new form, which will also be signed by the athlete, kept on file, and given to the athlete to circulate to the trainer and coach.


INCIDENT & INJURY REPORT -

-

-

When injuries occur at McMaster, your student therapist will be responsible for filling out the incident and injury report – they will file it at the Sport Medicine Clinic and ensure proper follow up is being done When opposing team members are seriously hurt on our home field, it is common courtesy for BOTH the therapist and the McMaster coach to call to follow up. This can be done by calling the opposing coach or their therapist. Student therapists exchange their contact information prior to all games If EFERT is involved in assessment or treatment of the injury while competing at McMaster, they will be responsible for filling the incident and injury report. The joint health and safety committee monitors all injuries and reports are tabulated monthly for statistical and liability purposes. http://www.workingatmcmaster.ca/med/document/InjuryIncident-Report(Fillable)-1-36.pdf


ImPACT Concussion Testing Services What is ImPACT? ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) is a 20minute computerized neurocogntive test that can aid in the comprehensive clinical management of concussions for athletes of all ages. ImPACT testing can be used to assess the mental functioning of an athlete after he or she has sustained a concussion. A baseline ImPACT test is completed before the athlete’s season begins. It measures the athlete’s concentration, memory, and reflexes when the athlete is not suffering from a concussion. This initial test is known as a baseline test because it shows how the individual athlete functions normally. If the athlete sustains a concussion over the course of the season, he or she will be assessed by a doctor. When the athlete has recovered from the concussion and is feeling better, he or she will complete the ImPACT test again. A doctor can use the comparison between a baseline (normal) test with the test done after the concussion to help determine if the athlete has fully recovered from the concussion. About the ImPACT test The ImPACT test consists of three categories: demographics, concussion symptoms and neurocognitive tests. These neurocognitive tests are further broken down into six modules that yield 5 composite scores evaluating verbal memory, visual memory, visual motor speed, reaction time and impulse control. The program also includes an evaluation of concussion related symptoms as well as a cognitive efficiency index (CEI) score. ImPACT is a tool that health care professionals may use in addition to clinical assessments to create a multifaceted approach to treating concussions. ImPACT Testing at McMaster: ImPACT testing is provided through the David Braley Sport Medicine and Rehabilitation Center for individuals of all ages. To book an ImPACT test please call: 905-525-9140 ext 23575. -

A brief introduction and tour of the Sport Medicine Centre The baseline ImPACT test will be administered to the individual in a supervised classroom setting A brief educational video will be provided prior to baseline testing

Should an individual suffer a concussion within the year, a consult appointment should be made immediately to see a Sport Medicine Physician within the clinic and a follow-up ImPACT test will be administrated at a time deemed appropriate by the physician *Baseline testing should be repeated before every season to ensure a valid and accurate baseline If you are visiting campus for the first time log on to: www.mcmaster.ca/welcome/findus.cfm for detailed directions


PROTOCOL FOR HYDROTHERAPY ROOM There are three areas within the Sports Medicine Department that offer hydrotherapy: the Ivor Wynne Centre, Ron Joyce Stadium Clinic and the David Braley Sports Medicine and Rehabilitation Centre. Protocol:

  

  

Ivor Wynne Centre (IWC) The hydrotherapy room is available for use during regular operating hours of the IWC. The room will be locked – a key must be signed out at the wicket by the student therapist working with the varsity athletes for respective varsity teams. The clinic will provide the wicket with a list of student therapists – staff will check the name of student therapist with student ID and the student therapist will be required to sign a log book (time in/time out). Ron Joyce Stadium Clinic (RJSC) Hydrotherapy pool use in the RJSC is by approval only. Permission and access shall be granted by the Clinical Supervisor or treating Physio/Athletic Therapist. A Student Therapist or Student Strength Coach shall supervise use of tubs. David Braley Sports Medicine and Rehabilitation Centre (DBSMRC) Use of the Sports Med Clinic hydrotherapy Room is restricted to those athletes receiving treatment in the clinic. Availability is by appointment during business hours.

Guidelines  Varsity athletes and student therapists will be required to keep the room clean and tidy and are asked to drain and clean the tubs after the last use everyday.  Tubs are to be used for hydrotherapy of extremities only – total submergence is NOT permitted.  Shorts or bathing suits must be worn.  For the safety of yourself and others, athletes with open cuts/sores or any other communicable disease will not be allowed in the tubs.  Cold tub temperature should be in the range of 50 – 55 degrees F.  Hot tub temperature should be in the range of 95 – 100 degrees F.  Athletes with open cuts/sores/blisters/turf burns/matt burns or any other communicable disease will not be permitted in the tubs.


INFECTIOUS DISEASE PROTOCOL - SKIN DISORDERS Purpose: To provide a procedure for our athletes, faculty and staff, clients and community members to follow to prevent them from exposure to infectious diseases. Scope: All students, faculty, staff, volunteers and community users. Related Documents: (Public Health/Other) Impetigo Document – Public Health Definitions: Herpes Gladiatorium: is a cutaneous infection caused by the herpes simplex virus type 1 (HSV-1). It is spread by direct skin-to-skin contact in contact sports, such as wrestling and rugby. Common sites for infection include head, upper extremities, and trunk. Impetigo: is a highly contagious bacterial inflammation of the skin caused by streptococcus (strep) and staphyloccus (staph) bacteria. The infections can be transmitted by direct contact or through sharing towels, clothing and equipment. Lack of personal hygiene, including inadequate cleaning of clothing and equipment, also can aid in the spread of this condition. Tinea Corporis (Ringworm): is caused by dermatophytes, usually of the genus Trichophyton. The condition is a fungal infection. Responsibilities: Role of Athlete or Individual Client shall:  Ensure that they do not leave any suspicious looking skin condition/rash left unattended to  Responsibility or client/athlete to seek medical attention for skin disorder for an accurate diagnosis.  Must follow the set guidelines/policy regarding appropriate treatment of condition (ie, meds, covering infected area, etc) incubation period, time away from competition and clinic etc.  Must communicate this diagnosis with coach and rep from the clinic.  Hand in documentation of condition “in writing” to clinic –in order to be clear to return for treatment. Role of Coach Coach shall: (*high priority contact sports esp.wrestling/rugby)  Play close attention to their athlete’s skin conditions. Regular skin checks.


   

If notice anything suspicious, require athlete to seek medical diagnosis (at the Sports Medicine Clinic) before allowing them to practices or compete. Require clearance in writing from physician prior to return to play. Must notify clinic as soon as possible of any individuals on the “active list”: indicate expected timelines. Wherever possible – ensure practice facility has been properly cleaned/disinfected.

Role of Sport Medicine Clinic Sport Medicine Staff shall:  Ensure a clinic policy is established and enforced with due diligence.  Ongoing communication with athletes, coaches and therapists to ensure procedures are followed.  Notify athlete and clinic manager if a suspicious condition is identified and ensure client follows up with physician (at Sports Medicine Clinic).  Ensure all clinic equipment, plinths, mats, etc are properly cleaned and disinfected.  Ensure all staff are washing hands after every patient and wearing gloves with high risk clients.  Daily check of e-mail “active” list of athletes with active disease. Procedures: Cleaning procedures:  Practice/competition area  Clinic  Other (pulse, aerobic gym, etc.) Precautions:  Gloves – high risk clients  Separate area for high risk clients  Hand washing  Anything suspicious - send client for medical clearance  Ensure documentation of all incidents  If a client is infected – they must be properly treated and remain out of clinic/practice for the appropriate time period. Communication/Records:  All incidents must be documented in client’s chart and incident report  Therapist must communicate conclusion to appropriate coach with guidelines to practice  Written documentation of diagnosis, course of treatment, time off competition, other is required from physician


Student Therapists The Sports Medicine Team has a group of student therapists comprised of McMaster University Kinesiology and Physiotherapy students. All student-therapists were interviewed in the spring and a team of approximately 70 students were selected. All students undergo an extensive, practical training process which compliments their undergraduate studies at McMaster. Students have been assigned teams and this assignment is based on both the student’s skill level and the needs of the team. Most students are working on a volunteer basis and as such, we ask that the coaches treat the student-therapists as part of the team. As the student is attending school full time, as well as completing hundreds of hours with their team over the course of the season, they will only be responsible for sanctioned varsity events (including practices, games, and tournaments). If you wish a student therapist in attendance at a club or a high school event, you must make the request to the David Braley Sport Medicine and Rehabilitation Centre and an honorarium is to be paid to the student from the team’s budget. This point is extremely important as our students’ time is already at a premium. We ask that you please allow time at your initial team meeting for the student-therapist to introduce themselves to the team and explain their role. At this time, the student-therapists will discuss the medical screening process and the insurance requirements. While students are not expected to pay for physiotherapy out of pocket, we need to have the insurance information provided to us in order to continue benefits on the MSU plan. (See attached letter from MSU). The student therapists are expected to be responsible for the care and treatment of your athletes. They are NOT responsible for laundry, balls or any other equipment used by your team. They are not responsible for booking appointments at the clinic for follow up treatment; they only advise and facilitate this process. It is the athlete’s responsibility to book their appointment as only they know their schedules. This helps reduce the likelihood of a no-show fee charged to the athlete. The students should not incur any expenses while working with your team. Their travel costs should be paid for by the team’s budget. If they are required to drive their own car to a game or event, they should be reimbursed for their kilometers. It is expected that the student-therapist is not paying out of pocket for meals while traveling with your team. If your budget does not allow for this, please advise the clinic. The David Braley Sport Medicine and Rehabilitation centre may provide clothing for the student-therapist identifying them as a member if the sport medicine staff. It would be greatly appreciated if you could provide the student with clothing that is ordered for your team as well as a ticket to the year-end athletic banquet. If your team has its own athletic banquet, your student therapist should be treated as part of your team. While the student-therapists are expected to assist with the rehabilitation of injured athletes as part of their learning process, they are not allowed to performed treatment unless they are in the clinic with a supervising therapist. Therapy will be performed during


regular clinic hours only. Your student-therapist will not be expected to treat athletes (other than ice, massage, and stretching) after the clinic is closed. Coaches should arrange a meeting with their student therapist at the start of the season to discuss expectations, review the varsity schedule and identify potential date conflicts or concerns. We ask that all coaches sign a written commitment with their student therapists, which clearly outlines all travel dates and tournaments that the therapist can expect to attend. This will eliminate any confusion for the student and allows them to plan their school schedule around their travel schedule. (See therapist/coach contract) Please inform your therapist as soon as possible of any changes made to practices or games.


Student Therapist: Coach Contract Varsity Team: __________________

Head Coach: ______________________

Student Therapist: ______________

Coach’s contact number: ____________

We have reviewed and discussed the upcoming varsity schedule and agree to the outlined travel dates. If there are any changes to this schedule I will ensure that appropriate notice is given and a suitable replacement is found if necessary. It is understood between all parties that I am not permitted to perform treatment unless I am in the clinic or under the direct supervision of a Registered Physiotherapist or Certified Athletic Therapist. After the clinic is closed, it is agreed that I will not treat athletes beyond my scope of practice and training. Please outline any specific needs or expectations that you may have in the space below.

Signature of Therapist: _______________________________

Date:_______________

Signature of Coach: ___________________________________

Date:_______________

Signature of Sport Medicine:_________________________

Date:_______________


MCMASTER STUDENT-ATHLETE PRIVATE HEALTH INSURANCE INFORMATION Name: _____________________________

Student Number: __________________

Date of Birth: ________________________

Team: ____________________________

Email: _____________________________

Phone: ____________________________

Are you covered under any private health insurance coverage (yours or either/both parents): YES

NO



If YES, please check which companies you have coverage under Green Shield Canada

 

Standard Life Blue Cross

 Great West Life  Sunlife Financial  Manulife Financial

Other: ______________________ Do you have any coverage through provincial, national or other teams: YES

NO



If YES please state what team: __________________________________ I certify that the information given on this form is true, correct and accurate to the best of my knowledge ______________________________ Student Signature

____________________________ Date

*** NOTE: AS A VARSITY ATHLETE YOU ARE NOT PERMITTED TO OPT OUT OF THE SCHOOL HEALTH INSURANCE PLAN ***

Room WB 127 – David Braley Athletic Centre 1280 Main Street West, Hamilton, Ontario L8S 4K1 Wheelchair Accessible

Department of Athletics & Recreation, McMaster University Tel (905) 525 9140 ext. 23575 Fax (905) 526-7397 http://www.marauders.ca


Benefit Assignment Form for Online Billing Instructions: This form must be filled out when claim payment is assigned to the Provider. Please retain this form in the patient’s file for verification purposes for two years following closure of the patient file. Provider: David Braley Sport Medicine &

Patient: ___________________________________

Rehabilitation Centre

Address: __________________________________

Address: 1280 Main Street West

Phone:

City/Province: ______________________________

Hamilton, Ontario L8S 4K1

Postal Code: _______________________________

David Braley Athletic Centre

Phone Number: _____________________________

Room WB 127

Plan Number: _______________________________

(905) 525-9140 x23575

Certificate / Plan member Number: ____________

I hereby assign benefits payable for the eligible claims to the Provider responsible for submitting my claims electronically to the group benefits plan and I authorize the insurer/plan administrator to issue payment directly to the Provider. In the event my claim(s) are declined by the insurer/plan administrator, I understand that I remain responsible for payment to the Provider for any services rendered and/ or supplies provided. I acknowledge and agree that the insurer/plan administrator is under no obligation to accept this Assignment, that any benefit payment made in accordance with this Assignment will discharge the insurer/plan administrator of its obligations with respect to that benefit payment, and that in the event the benefit payment is made to me, the insurer/plan administrator will also be discharged of its obligation with respect to that benefit payment. I understand that this Assignment will apply to all eligible claims submitted electronically by the Provider and that I may revoke it at any time by providing written notice to the insurer/plan administrator. If I am a spouse or dependent, I confirm that I am authorized by the plan member to execute an assignment of benefit payments to the Provider.

_______________________________

__________________________________

Date

Plan Holder Signature

Room WB 127 – David Braley Athletic Centre 1280 Main Street West, Hamilton, Ontario L8S 4K1 Wheelchair Accessible

Department of Athletics & Recreation, McMaster University Tel (905) 525 9140 ext. 23575 Fax (905) 526-7397 http://www.marauders.ca


Electronic Transmission Authorization and Consent Form for Online Billing Instructions: This form must be filled out when claims are submitted electronically by the provider on the patient’s behalf. Please retain this form in the patient’s file for verification purposes for two years following closure of the patient file.

Consent to Collect and Exchange Personal Information Message to the Plan member, Spouse and/or Dependent regarding Personal Information Personal information that we collect and disclose about you, and if applicable, your spouse and/or dependents, is used by the insurer and/or plan administrator and their service provider(s) for the purposes of assessing your claims, underwriting, investigating, auditing and administering the group benefits plan, including the investigation of fraud and / or plan abuse.

Authorization and Consent I authorize my healthcare provider to collect, use and disclose personal information concerning any claims submitted on my behalf with the insurer and/or plan administrator and their service provider(s) for the above purposes. I authorize the insurer and / or plan administrator and their service provider(s) to: 

use my personal information for the above purposes.

exchange personal information with any individual or organization, including healthcare professionals, investigative agencies, insurers and reinsurers, and administrators of government benefits or other benefits programs when relevant for the above purposes.

exchange personal information concerning any claims submitted with the plan member or a person acting on behalf of the plan member.

exchange personal information for the above purposes electronically or in any other manner.

I understand that personal information may be subject to disclosure to those authorized under applicable law. I agree that a photocopy or electronic version of this authorization shall be as valid as the original, and may remain in effect for the continued administration of the group benefits plan.

Room WB 127 – David Braley Athletic Centre 1280 Main Street West, Hamilton, Ontario L8S 4K1 Wheelchair Accessible

Department of Athletics & Recreation, McMaster University Tel (905) 525 9140 ext. 23575 Fax (905) 526-7397 http://www.marauders.ca


Electronic Transmission Authorization and Consent Form for Online Billing Additional Consent Applicable to Plan Members Only I confirm that I am authorized by my spouse and/or dependents, if any, to disclose personal information about them to the insurer and/or plan administrator and their service provider(s) for the purposes described above and I confirm that my spouse and/or dependents also authorize the insurer and/or plan administrator and their service provider(s) to disclose information about their claims to me, for the purposes of assessing and paying a benefit, if any, and managing the group benefits plan. I also authorize my spouse and/or dependents to assign benefit payments under the plan to the healthcare provider. In the event there is suspicion and/or evidence of fraud and/or plan abuse concerning claims submitted, I acknowledge and agree that the insurer and/or plan administrator and their service provider(s) may use and disclose relevant personal information to any relevant organization including law enforcement bodies, regulatory bodies, government organizations, medical suppliers and other insurers, and where applicable my Plan Sponsor, for the purposes of investigation and prevention of fraud and/or plan abuse. If there is an overpayment, I authorize the recovery of the full amount of the overpayment from any amount payable under the group benefits plan, and the exchange of personal information with other persons or organizations, including credit agencies and, where applicable, my Plan Sponsor, for that purpose.

________________________

___________________________

Date

Plan Holder Signature

Room WB 127 – David Braley Athletic Centre 1280 Main Street West, Hamilton, Ontario L8S 4K1 Wheelchair Accessible

Department of Athletics & Recreation, McMaster University Tel (905) 525 9140 ext. 23575 Fax (905) 526-7397 http://www.marauders.ca


THE BRACING & SPORT MEDICINE RETAIL STORE Conveniently located in the David Braley Sport Medicine & Rehabilitation Centre

Store Hours

Monday-Thursday: 8:00 am to 8:00 pm Friday: 8:00 am to 4:00 pm

Consultation outside clinic hours available upon request

We are a service oriented retail store where our highly trained staff provides valuable assistance with all your sport medicine needs. Our store provides a variety of services including:

Athletics & Recreation

OFF THE SHELF BRACING

• Ankle • Wrist • Back • Knee • Shoulder • Elbow

• Ligament • Osteoarthritis

BRACING & SPORT MEDICINE RETAIL STORE

CUSTOM BRACING

Exercise Aids, Crutches, Cryo Cuffs, Mouthguards, Athletic Tape, and other products.

Other Professional Services provided in The David Braley Sport Medicine & Rehabiltitaion Centre include:

• Physiotherapy • Athletic Therapy • Aquatic/Hydrotherapy • Acupuncture • Laser Therapy • Massage Therapy • Osteopathic Techniques • Chiropractic/ART • Orthopedic Injections

In House Consulting Physicians: • Orthopedic Surgeon • Sport Medicine Specialists • Physical Medicine & Rehabilitation Specialist

Located on the McMaster University Campus in the David Braley Athletic Centre WB 127 Contact: Phone: (905) 525-9140 Ext 23575 Fax: (905) 526-7397 Additional information online at www.athrec.mcmaster.ca/sportmed Located In

The David Braley Sport Medicine & Rehabilitation Centre


Servicing Your Needs

cUSTOM bRACING

Our Bracing and Sport Medicine Retail Store

Our health care professionals will assist you in the

offers a full range of services to all of our client populations. Our highly trained staff of health care professionals have the expertise and skill to meet all of your individual bracing and sport medicine product needs. We are committed to providing

selection of a custom functional brace that is best suited for your specific needs. You will receive expert advice on the selection, fitting and proper usage of the brace.

quality service by offering premium sport-specialist endorsed products.

Off the Shelf Bracing

aDDITIONAL sPORT mEDICINE sUPPLIES • custom orthotics • orthopedic soft goods • exercise aids • crutches • cryo cuffs • mouthguards • athletic tape • cold packs • compression garments

Our store is well equipped with a variety of brace styles and sizes to best accommodate your individual needs. Our bracing specialist will assist in your selection and ensure a proper fit. Treatment for common injuries: • Sprained ankle • Hypermobile joints • Groin pulls • Shoulder subluxation/dislocation • Carpal tunnel • Low back/SI joint pain Team Bracing: • We specialize in team fittings and ordering of prophylactic bracing to reduce taping costs.

• Wide variety of styles of custom ligament or osteoarthritis (OA) knee braces • Accommodation of individual body types and varying activity levels • Casting and fitting done on location • Braces from elite vendors with warranty • Quick turn around time

Our quality bracing and medical products will assist you in a quick return to all of • Insurance documents provided to facilitate reimbursement of insurance claim.

your regular activities!


Injury / Incident Report INSTRUCTIONS ON PAGE 3

 NO INJURY

 INJURY  First Aid  Healthcare  Blood/Body Fluid Exposure  Lost Time  Critical Injury  No First Aid

 Hazardous Situation

IMPORTANT – IF PERSONAL INJURY IS INVOLVED, FORM MUST BE FAXED WITHIN 24 HRS. OF THE INCIDENT TO EITHER ENVIRONMENTAL & OCCUPATIONAL HEALTH SUPPORT SERVICES (FAX# 905.540.9085, GH 304) OR FACULTY OF HEALTH SCIENCES SAFETY OFFICE (FAX# 905.528.8539, HSC 1J11)

SECTION 1: TO BE COMPLETED BY INDIVIDUAL REPORTING INCIDENT LAST NAME

FIRST NAME

DEPARTMENT/UNIT

EXTENSION

AFFILIATION

 EMPLOYEE

UNION/EMPLOYEE GROUP

 STUDENT  CUPE

EMPLOYEE ID/STUDENT ID (if applicable)

Occupation at the time of injury: _____________________________ Years of service to McMaster in occupation: ____________________

 OTHER (Please specify): ____________________________________________________________

 CAW

 IUOE

 MUFA

 TMG

 SEIU

 MUALA

 OTHER

DD/MM/YY OF INCIDENT

TIME OF DAY

DESCRIPTION OF INCIDENT

INCIDENT LOCATION: BLDG. NAME ______________________________________ ROOM # ___________

 AM  PM

DD/MM/YY REPORTED

 CASUALS

TIME OF DAY

 AM  PM

STATE EXACTLY THE SEQUENCE OF EVENTS LEADING UP TO THE INCIDENT: (1) WHAT WERE YOU DOING AND DESCRIBE THE EFFORT INVOLVED?

To be completed by Individual Reporting Incident

(2) SIZE, WEIGHT AND TYPE OF EQUIPMENT OR MATERIALS INVOLVED (IF APPLICABLE) (3) WHAT HAPPENED TO CAUSE THE INJURY?

(4) WHAT CONDITIONS ATTRIBUTED TO THE INCIDENT/ACCIDENT? (5) HOW COULD THE EVENT HAVE BEEN AVOIDED?

 ADDITIONAL INFORMATION ATTACHED NAME AND ADDRESSES OF WITNESSES

AREA OF INJURY

 EYES  BACK

(Check all that apply)

 HEAD  HANDS

TYPE OF INJURY

 ARMS  LEGS

 CHEST  FEET

 INTERNAL  NECK

DOMINANT HAND  LEFT  RIGHT

(Check all that apply)

 ABRASION/CONTUSION  ALLERGIC REACTION  ANIMAL/INSECT BITE

 BURN  CUT/LACERATION  GRADUAL ONSET

 LOSS OF CONSCIOUSNESS  MEDICAL SYMPTOMS  PUNCTURE/NEEDLESTICK

TREATMENT OF INJURY

NAME OF ATTENDING PHYSICIAN (To be completed only if healthcare obtained) __________________________________________________________________ TEL: _____________________

DATE OF HEALTHCARE: ______________________

 SPRAIN/STRAIN  OTHER _______________________________

 EMPLOYER PHYSICIAN  EMERGENCY  NONE  FAMILY PHYSICIAN  WALK-IN CLINIC  OTHER (Please specify) ______________________________

SIGNATURES I certify that the above information is true and complete to the best of my knowledge. PERSON REPORTING INCIDENT (PRINT NAME) DATED SIGNATURE ______________________________________

__________________________

ABOVE INFORMATION TO BE USED FOR COMPLETION OF WSIB CLAIM FORM #7 PLEASE PROVIDE A COPY TO: HR/Rev Dec 2011

 Department Chair, Manager or Director

___________________________________________________ 1

 Environmental & Occupational Health Support Services  Employee/Other RETURN TO: EOHSS, GH 304 (Fax# 905.540.9085) OR HEALTH SCIENCES SAFETY, HSC 1J11 (Fax# 905.528.8539)


SECTION 2: TO BE COMPLETED BY SUPERVISOR CONTRIBUTING FACTORS 1 2 3 4 5 6 7 8 9

WHAT CONDITIONS CONTRIBUTED TO THE INCIDENT () (Check all that apply).

OPERATING WITHOUT AUTHORITY FAILURE TO LOCK OUT INSUFFICIENT TRAINING UNSAFE EQUIPMENT/POOR DESIGN IMPROPER POSITION OR POSTURE FAILURE TO USE PERSONAL PROTECTIVE DEVICES NOT GUARDED OR IMPROPERLY GUARDED INADEQUATE ILLUMINATION FIRE, EXPLOSION HAZARD

10 11 12 13 14 15

POOR HOUSKEEPING UNSAFE PRACTICE HAZARDOUS ENVIRONMENTAL CONDITION DISTRACTING, TEASING, WILLFUL MISCONDUCT INCLEMENT WEATHER OTHER (EXPLAIN)

TO YOUR KNOWLEDGE HAS THE EMPLOYEE HAD A PREVIOUS SIMILAR INJURY?

 YES

 NO

IN ADDITION TO THE CHECKLIST, PLEASE DESCRIBE IN DETAIL THE CAUSE(S) OF EVENT – ROOT CAUSES WHICH COULD INCLUDE ANY OR ALL OF THE FOLLOWING: PHYSICAL CAUSES, HUMAN CAUSES, AND ORGANIZATIONAL CAUSES.

To be completed by Supervisor

DETAILS OF PROPERTY DAMAGE (IF APPLICABLE)

CORRECTIVE MEASURES 1 2 3 4 5 6 7

ACTIONS TO PREVENT RECURRENCE () (Check all that apply).

REINSTRUCTION OF PERSON INVOLVED REASSIGNMENT OF PERSON ERGONOMIC ASSESSMENT IMPROVED PERSONAL PROTECTIVE EQUIPMENT EQUIPMENT REPAIR OR REPLACEMENT CORRECTION OF CONGESTED AREA INSTALLATION OF GUARD OR SAFETY DEVICE

8 9 10 11 12

ACTIONS TO IMPROVE WORK PROCEDURE CHECK WITH MANUFACTURER DISCIPLINE OF PERSONS INVOLVED COMMUNICATION TO THE REPONSIBLE PERSON/DEPARTMENT OTHER (EXPLAIN)

IN ADDITION TO THE CHECKLIST, PLEASE DESCRIBE IN DETAIL CORRECTIVE MEASURES TO PREVENT RECURRENCE

PERSON RESPONSIBLE FOR ACTION:

COMPLETION DATE:

LOST TIME INCIDENT ONLY Scheduled Shift on Day of Injury

Date/Time Last Worked

Date/Time Returned to Work

Regular Days & Hours of Work:

S M T W Th F Sa ___ ___ ___ ___ ___ ___ ___

SIGNATURES I certify that the above information is true and complete to the best of my knowledge. SUPERVISOR / EXTENSION # (PRINT NAME) DATED

SIGNATURE

______________________________

________________

_______________________________________

DEPARTMENT HEAD (PRINT NAME)

DATED

SIGNATURE

______________________________

________________

_______________________________________

ABOVE INFORMATION TO BE USED FOR COMPLETION OF WSIB CLAIM FORM #7 PLEASE PROVIDE A COPY TO: HR/Rev Dec 2011

 Department Chair, Manager or Director

2  Environmental & Occupational Health Support Services  Employee/Other RETURN TO: EOHSS, GH 304 (Fax# 905.540.9085) OR HEALTH SCIENCES SAFETY, HSC 1J11 (Fax# 905.528.8539)


Instruction for Completing Form The employee has the responsibility of reporting incidents promptly. The employee and the supervisor must fill out the designated portions of this form and the employee, supervisor and department head (chair, director, etc.) must sign it. The supervisor is responsible for investigating the accident and for ensuring corrective action to prevent a recurrence of the incident for due diligence purposes. If personal injury is involved, all appropriate procedures must be followed (please refer to RMM 1000 and 1002). The report must be forwarded immediately to Environmental and Occupational Health Support Services at 905.540.9085, or for areas in the Faculty of Health Sciences, forward to the Safety Office at 905.528.8539. If you require additional assistance, please contact Environmental & Occupational Health Support Services at ext. 24352 or the Health Sciences Safety Office at ext. 24956. TYPES OF INCIDENTS TO REPORT HAZARDOUS SITUATION – Refers to an incident caused by an unsafe act, an unsafe condition or a combination of both in the work environment which could have resulted in property loss and/or physical harm. FIRST AID INJURY – An injury of such minor nature that treatment can be carried out by application of a band aid, cold compress or any other content of a first aid kit. HEALTHCARE INJURY – An incident which requires treatment or service rendered by a health care professional but does not result in time lost from work other than the day of injury. LOST TIME INJURY – Refers to an injury which results in time lost from work beyond the day of the injury. BLOOD / BODY FLUID EXPOSURE – Refers to exposure to body fluids with the capability of transmitting disease organisms, i.e. blood, seminal fluid, vaginal secretions, cerebral spinal fluid, synovial fluid, pleural fluid, peritoneal fluid, pericardial fluid, amniotic fluid and tissues. Critical Injury is defined as an injury of a serious nature that:  places life in jeopardy;  produces unconsciousness;  results in substantial loss of blood;  involves the fracture of a leg or arm, but not a finger or toe;  involves the amputation of a leg, arm, hand or foot, but not finger or toe;  consists of burns to a major portion of the body; or  causes the loss of sight in an eye. In the case of a critical injury, supervisors are responsible for: 1. Securing the accident site and ensure that further injury is prevented. 2. Immediately arranging for medical and emergency assistance by call Security at “88” or “5555” at host hospitals and “911” at any other off-campus locations. 3. Immediately notifying Environmental and Occupational Health Support Services at ext. 24352 and communicate details of the incident. 4. Ensure that the site remains undisturbed until Environmental and Occupational Health Support Services provide clearance. 5. Cooperating with directives from Environmental and Occupational Health Support Services and the Ministry of Labour. RESPONSIBILITIES Employee Responsibilities 1. Promptly receive appropriate medical treatment. 2. Notify supervisor as soon as possible of injury and any related healthcare. 3. Assist with the completion of Injury/Incident form and sign it. 4. Assist in the incident investigation and implementation of any corrective action. 5. Adhere to the legal requirements of WSIB and participate in McMaster University’s Return to Work Program if modified work and/or lost time results from a work related injury. Supervisor Responsibilities 1. Ensure that the injured employee receives appropriate medical treatment in the case of personal injury. 2. Provide transportation for the injured employee to a healthcare practitioner or Emergency and provide a Functional Abilities Form. 3. Report the injury/incident to Environmental and Occupational Health Support Services or the Faculty of Health Sciences Safety Office using the Injury/Incident Form. 4. Investigate the incident as soon as possible and take corrective actions when appropriate to prevent reoccurrence. 5. Inform Environmental and Occupational Health Support Services and Employee Health Services promptly if an employee has been diagnosed with an occupational disease. 6. Inform Employee Health Services at ext. 23564 / 23454 if healthcare was sought and/or employee lost time from work, of any return to work or any change in the employee’s status. 7. If person responsible for corrective measures/completion date is unknown, the Incident/Injury report is to be submitted with this information to follow when available. 8. If the Supervisor or Department Head is unavailable to sign the injury/incident report, the report should be submitted with all available signatures and resubmitted with remaining signatures when possible. The information gathered on this form is collected under the authority of the McMaster University Act, 1976. The information is used for the academic, administrative, employment-related, financial and/or statistical purposes of the University including, but not limited to, admissions; registration and maintaining records; awards and scholarships; convocation; provision of student services, including access to information systems; alumni relations; and disclosure to or on the behalf of the applicable McMaster student government. This information is protected and is being collected pursuant to section 39(2) and section 42 of the Freedom of Information and Protection of Privacy Act of Ontario (RSO 1990). Questions regarding the collection or use of this personal information should be directed to the University Secretary, Gilmour Hall, Room 210, McMaster University. In addition to collecting personal information for its own purposes, McMaster University collects specific and limited personal information on behalf of the McMaster Student Union, the McMaster Association of Part-time Students and/or the McMaster Graduate Students Association. The groups use the information for the purpose of membership, administration, elections, annual general meetings, health plans and other related matters only. Please contact the relevant Student Union/Association office if you have questions about this collection, use and disclosure of your personal information. ABOVE INFORMATION TO BE USED FOR COMPLETION OF WSIB CLAIM FORM #7 PLEASE PROVIDE A COPY TO: HR/Rev Dec 2011

 Department Chair, Manager or Director

3  Environmental & Occupational Health Support Services  Employee/Other RETURN TO: EOHSS, GH 304 (Fax# 905.540.9085) OR HEALTH SCIENCES SAFETY, HSC 1J11 (Fax# 905.528.8539)


S t u d e n t We l l n e s s C e n t r e Sc a nt os a v eo u r c o n t a c ti n f o !

C o u n s e l l i n g

F o r c o mmo nc o n c e r n s s u c ha s s u b s t a n c eu s e , r e l a t i o n s h i pi s s u e s a n dl o ws e l f e s t e e m; me n t a l h e a l t h s u p p o r t a n dt h e r a p e u t i c g r o u p s .

Me d i c a l S e r v i c e s

F o r a s s e s s me n t a n dt r e a t me n t o f i l l n e s s a n di n j u r y , h e a l t hc h e c k u p s , i mmu n i z a t i o n s a n da l l e r g yi n j e c t i o n s , s e x u a l h e a l t hc o u n s e l l i n ga n dt e s t i n g ; s p e c i a l t yh e a l t hs e r v i c e s s u c ha s s p o r t s me d i c i n e , p s y c h i a t r ya n d n a t u r o p a t h i c me d i c i n e .

We l l n e s s E d u c a t i o n

F o r wo r k s h o p s , e v e n t s a n d r e s o u r c e s t o h e l p y o u m a k e b e t t e r c h o i c e s f o r y o u r h e a l t h a n d we l l b e i n g .


EMERGENCY CARE LOCATIONS Driving directions to 690 Main St W, Hamilton, ON L8S 1A4, Canada : URGENT CARE David Braley Athletic Centre Hamilton, ON L8S 4E8, Canada 1. 2. 3. 4.

Head south toward Stearn Dr – 290m Turn left onto Sterling St – 89m Take the 1st right onto Forsyth Ave N – 800m Turn left onto Main St W/County Road 8 Continue to follow Main St W – 1.8km Destination will be on the left

690 Main St W Hamilton, ON L8S 1A4 Tel: 905-521-2100 Ext 72000

Driving directions to St Joseph's Healthcare Hamilton Charlton Campus David Braley Athletic Centre Hamilton, ON L8S 4E8, Canada Head south toward Stearn Dr – 290m Turn left onto Sterling St – 89m Take the 1st right onto Forsyth Ave N – 800 m Turn left onto Main St W/County Road 8 – 4.2 km Continue to follow Main St W 5. Turn right onto James St S – 650 m 6. Turn left onto Charlton Ave E – 180 m Destination will be on the right 1. 2. 3. 4.

St Joseph's Healthcare Hamilton Charlton Campus 50 Charlton Ave E Hamilton, ON L8N 4A6, Canada Tel: 905-522-4941

Driving directions to Hamilton General Hospital David Braley Athletic Centre Hamilton, ON L8S 4E8, Canada Head south toward Stearn Dr – 290m Turn left onto Sterling St – 89m Take the 1st right onto Forsyth Ave N – 800m Turn left onto Main St W/County Road 8 – 4.4km Continue to follow Main St W 5. Turn left onto John St S – 1km 6. Turn right onto Barton St E – 850m Destination will be on the left 1. 2. 3. 4.

Hamilton General Hospital 237 Barton Street East Hamilton, ON L8L 2X2, Canada Tel: 905-527-0271


Driving directions to Hamilton Health Sciences - McMaster University Medical Centre, Hamilton, ON L8S 4J9, Canada David Braley Athletic Centre Hamilton, ON L8S 4E8, Canada 1. 2. 3. 4.

Head south toward Stearn Dr – 290m Turn left onto Sterling St – 89m Take the 1st right onto Forsyth Ave N – 650m Turn right – 72m Destination will be on the left

Hamilton Health Sciences - McMaster University Medical Centre Hamilton, ON L8S 4J9, Canada


McMaster University Department of Athletics and Recreation

Emergency Procedures and Safety Guidelines for Volunteers 2013/2014


Health and Safety All Department of Athletics and Recreation volunteers and staff members have a role to play in ensuring the safety of participants and visitors. Preventing accidents before they occur is the goal. It is impossible to remove all possibility of an injury occurring. But you can remove the probability of an accident – by anticipating potential dangers; by manipulating the environment so that the danger is minimized; by finding the right balance between safety and fun; by keeping your first aid skills current, ensuring participants are safe and caring for them properly if an emergency occurs. If you are unable to manipulate the environment yourself, it is your responsibility to inform your supervisor of a dangerous situation. In some instances, you may have to make a decision to close an area off or down due to imminent danger.

If you get injured If you are injured while volunteering, seek assistance from a co-worker for treatment. If necessary, follow up with medical assistance immediately. Your health and safety is our first concern. It is absolutely essential that you report any injuries that occurred to your full time supervisor and fill in the McMaster University Injury/Incident Form. Electronic versions can be found at: http://www.workingatmcmaster.ca/med/document/InjuryIncident-Report%28Fillable%29-1-36.pdf If you are unable to reach your full time supervisor, you must fill in the McMaster University Injury/Incident Form (located in the appendix) and leave it in your supervisor’s mailbox. Follow up with an e-mail to your supervisor. This is to ensure that follow up procedures outlined in Workplace Safety and Insurance Board legislation are initiated.

Emergency Phone Number: Campus Phone Dial 88 Cell Phone Dial 905-522-4135 DO NOT DIAL 911

Dialing 9-1-1 will delay an ambulance because EMS will call McMaster Security to verify the call. McMaster Security will meet EMS at the McMaster entrance. EMS relies on McMaster Security to get them to the scene quickly.


Medical Emergencies If you are volunteering with a team where an athletic therapist is present, they have been trained in these procedures and will lead the provision of first aid. If they are not available, please follow the following steps.

'Critical Injury' the following steps must be followed:

isor, contact the Environmental and Occupational Health Support Services office at ext. 24352 or by dialing 88 during off hours.

Do Not Alter the Scene! The Occupational Health and Safety Act requires specific procedures to be followed in the event of a 'Critical Injury'.

A Critical Injury is defined as an injury of serious nature that:

urns to a major portion of the body

In case of a suspected critical injury contact Environmental and Occupational Health Support Services Office at ext. 24352 during regular business hours or ext. 88 during off hours for assistance and clarification. In the Event of a MILD INJURY or ILLNESS 1. If there is any doubt about the nature or severity of the situation, follow Critical Injury/Illness procedure. 2. If the injury is mild and the victim does not want emergency assistance, call Security at ext. 24281 to request transportation to the hospital.


3. Qualified staff may provide assistance. 4. Fill out a McMaster Injury/Incident Report Note: The David Braley Sport Medicine and Rehabilitation Centre is staffed by a variety of medical professionals that will assist in CRITICAL INJURY or ILLNESS. For basic first aid assistance, and your athletic therapist is not available, please contact the Joan Buddle Service Desk.

Incident/Accident Reports All accidents, injuries and incidents must be followed-up with a McMaster University Injury/Incident Report. It is essential that all information is complete, and handed in immediately to your supervisor. Bring any incident that requires immediate action to her/his attention. Use this form for personal injury to a staff member or critical injury to any person. Use this form for any minor personal injury to any program participant. Use this form for any incident or misbehaviour that does not involve personal injury. Some examples include fire alarm, criminal activity, and situations of potential personal injury or property damage e.g. unsafe equipment or conditions.

General Emergency Procedures FIRE ALARM 1. Activate nearest fire alarm. Pull stations are located along exit paths. Fire department is automatically dispatched. 2. Close doors. 3. Evacuate building. 4. If possible, call “88� to give location and nature of emergency. 5. If you have information about the emergency, meet the Fire Department at the South Entrance to the building. 6. Ensure that no one re-enters the building until the Fire Department gives permission.


FIRE WARDENS Chief Building Fire Warden: Mark Alfano, Manager of Athletics and Events Associate Chief Fire Warden: TJ Kelly, Facility Supervisor Primary Fire Wardens: Debbie Marinoff Shupe, Wayne Terryberry and Joan Buddle Service Desk Staff In the event of a fire, the Chief Building Fire Warden is the report person to ensure the facility is cleared quickly and safely. In his absence, the Associate Chief Fire Warden will assume responsibility. Primary Fire Wardens will be assigned to specific areas in the building and will communicate to the Chief Fire Warden by radio. They will ensure their area is cleared by advising people to leave the building and providing assistance to anyone who requires it, without endangering themselves. The people will collectively evacuate the building in an orderly fashion and provide emergency personnel with pertinent information.

CHEMICAL/ GAS LEAKS Contact the Joan Buddle Service Desk for assistance. If they are unable to assist follow these procedures: 1. If you detect a peculiar smell but are unsure of the source, contact “88” and request assistance. 2. Report immediately to your supervisor. 3. Meet emergency personnel and give them information regarding the nature and location of the leak.

PEOPLE TRAPPED IN AN ELEVATOR 1. Contact the Joan Buddle Service Desk for assistance. If they are unable to assist follow these procedures: a. Tell the people in the elevator to use the emergency phone to call security. b. Security will dispatch an elevator technician. c. Wait by the elevator for security personnel. d. Ask for information about who is trapped and notify those who might be looking for them. e. If someone else is available, ask him/her to post “out of order,” signs at the elevator door on each floor of the building. Please remember to remove these signs once the elevator is serviceable again.


Storm Emergency Procedure McMaster closures will be announced on local radio stations: Y95, 95.3 FM, Oldies 1150 AM, CHAM 820 AM, CHML 900 AM, CBC Radio One, 99.1 FM, CFMU 93.3 FM Your coordinator will provide further information on storm emergencies.

Criminal Emergency Procedures ROBBERY (IN PROGRESS) 1. As soon as it is safe to do so, call “88” to report a robbery. 2. Follow all directions of the burglar without endangering your own life or those of any others. 3. Do not withhold cash or property. 4. Make observations carefully for the police THEFT Contact the Joan Buddle Service Desk for assistance. If they are unable to assist follow these procedures: 1. Upon discovery of the theft, call Campus Security at ext. 24281 to describe the situation. 2. Try to identify what is missing without disturbing the scene. 3. Wait for security for further instructions.

ASSAULT/ALTERCATION 1. 2. 3. 4. 5.

Immediately call “88” to inform security of the situation. If either party wants to leave the situation, ask them to wait in a protected area. Do not attempt to intervene in the altercation. Ensure the safety of bystanders by clearing the area. Fill out “Occurrence Report”


Blood Exposure Procedures Contact the Joan Buddle Service Desk for assistance. If they are unable to assist follow these procedures: 1. When informed of a blood exposure, you must attend to the situation only after you put on non-latex gloves (available in the first aid kit). 2. Disinfect the wound with Salvodil and apply sterile gauze. 3. Remove gloves only after all blood has been cleaned properly. Any used gloves, gauze pads or other contaminated materials must be placed in plastic Ziploc bags found in first-aid kits and disposed of in the “Biohazard” containers located in the Service Desk and the Sport Medicine Clinic. The contaminated bags must not be disposed of in any other manner. 4. If blood is transferred to the body or clothes of another person, the area must be disinfected. On skin, use an alcohol swab. On clothing, use bleach/water solution found at the Service Desk, or in the Sport Medicine Clinic. 5. If blood has been spilled onto the floor or other hard surfaces, close off the area to avoid spreading the hazard. Use disinfectant spray on the area, allow it to soak for one minute, then use paper towel to clean the area. Place all materials in plastic Ziploc bags (see #3). If any type of instrument punctured the skin (e.g. broken glass) it must be disposed of in the sharps container in the Sport Medicine Clinic. For your own safety, needles should not be recapped. 6. Any contaminated laundry should be washed in hot water with bleach.

First Aid Kits are located at the Joan Buddle Service Desk in the David Braley Rehabilitation and Sport Medicine Clinic, the pool and the Pulse. Automatic External Defibrillators (5) are located in the Ron Joyce Stadium, pool, outside the Smith Gym – south wall, in front of the Joan Buddle Service Desk and in the David Braley Rehabilitation and Sport Medicine Clinic. Trained AED staff are lifeguards, Joan Buddle Service Desk staff, Pulse trainers, student field therapists and the David Braley Rehabilitation and Sport Medicine Clinic staff.


Emergency Phones  In case of an emergency, dial “88” from a building phone and this will connect you directly to security. Emergency phones are located throughout the building and surrounding athletic fields. The phones are automatically connected to security. Emergency Phone Locations In David Braley Athletic Centre - 2nd floor of the Pulse - Pool Deck - Women’s Locker Room - Men’s Locker Room - North Side Indoor Track In Ivor Wynne Centre -

Outside East Auxiliary Gym Women’s Locker Room Ticket Booth on 1st floor North Side Track

Outside the building - South entrance to track - North end of Alumni Field Pay Phone Locations -

Across from concession stand on 1st floor – IWC Beside Maroon Shop - DBAC


COACHES PARKING 2013-2014    

 

Monthly rate lot H $68.00 per month; evening rate $46.00 per month At beginning of season determine who of your coaching staff should receive parking & communicate this to Nicole Grosel x24466 or groseln@mcmaster.ca Will need to know name, contact information and length of parking term for each of your staff requiring parking Coaches need to fill out a parking application and send it to Nicole to forward to parking. The form can be downloaded at http://parking.mcmaster.ca/apply.htm

A transponder will be issued in your name (please see instructions in brochure on how to mount & utilize). They are not transferable to another vehicle, nor should they be shared. Athletics and Recreation will not pay for fines resulting from misuse; it will be your responsibility to rectify your own fines. Journal entries to your account will be made on a monthly basis. Validation tickets or rebate vouchers for one-time parking allowances (i.e. recruiting) are issued through Nicole Grosel up to a maximum one time parking charge of $20 – An account number will need to be provided to charge this to prior to issuing.

APPAREL AND UNIFORMS 2013-2014 

Please contact Nicole Grosel for apparel, and uniform inquiries at x23400 or through email at groseln@mcmaster.ca.

QUICK LINKS 2013-2014 ATH & REC ALTITUDE CIS HP TESTING M.A.C OUA PARKING SPORTS MEDICINE S&C

http://www.marauders.ca/ http://www.marauders.ca/index.aspx?path=altitude&tab=altitude

http://www.cis-sic.ca/splash/index http://www.marauders.ca/sports/2011/3/28/Highperformancetesting.aspx?tab=hptesting&path=strength http://www.marauders.ca/index.aspx?path=mac&tab=mcmasterathletescare

http://oua.ca/ http://parking.mcmaster.ca/ http://www.marauders.ca/index.aspx?path=sportsmed&tab=home2 http://www.marauders.ca/index.aspx?path=strength&tab=home2


Strength and Conditioning Resources Strength & Conditioning Coordinator Steve Lidstone lidston@mcmaster.ca 905-525-9140 x20365 Sport – Strength & Conditioning Coach Men’s Basketball – Josh Ford Women’s Basketball – Josh Ford Football – Scott MacKenzie Men’s Soccer – Tony Giannikouris Women’s Soccer – Tony Giannikouris Men’s Rugby – Tony Giannikouris Women’s Rugby – Tony Giannikouris Men’s Volleyball – Josh Ford Women’s Volleyball – Josh Ford Swimming – Stu Wilson Track – Tony Giannikouris Wrestling – Jamie Cote

Email Address jford@mcmaster.ca jford@mcmaster.ca scott.imackenzie@gmail.com gianna2@mcmaster.ca gianna2@mcmaster.ca gianna2@mcmaster.ca gianna2@mcmaster.ca jford@mcmaster.ca jford@mcmaster.ca stu-wilson@hotmail.com gianna2@mcmaster.ca cotejm@mcmaster.ca

High Performance Area Hours Fall Schedule September 3, 2013 – December 5, 2013 Facility open 7am-11pm Monday – Friday CIS Open Varsity Hours Monday, Tuesday, Wednesday, Friday Thursday

12:00pm - 3:00pm 1:30pm – 3:00pm

Winter Schedule January 6, 2014 – April 30, 2014 CIS Open Varsity Hours Monday to Friday

12:00pm - 3:00pm

Summer Schedule May 1, 2014 – September, 2014 CIS Open Varsity Hours Monday - Thursday Friday Saturday

1:00pm – 9:20pm 1:00pm – 8:20pm 10:00am – 2:00pm


The Bastable Resource Centre is a place of study and educational advancement for McMaster student-athletes. In order to maintain an environment appropriate to our purpose, the following rules and regulations must be followed: USE OF THE RESOURCE CENTRE 1. The Resource Centre is open during regular Athletic facility building hours. Please consult http://www.marauders.ca for hours of operation. 2. Please treat the Resource Centre as a QUIET study area for the benefit of you and other student-athletes. 3. In cases of deliberate and repeated breach of these regulations, the Resource Centre may suspend the privilege of access to the facility. THEFT, MISAPPROPRIATION OR MUTILATION OF RESOURCE CENTER MATERIALS 4. The University considers theft, misappropriation, mutilation, or tampering with the Resource Centre materials, equipment or property by any user to be a serious offence. Please respect all resources in the Centre. RESOURCE MATERIAL-Not Returned, Lost or Damaged 5. Please do not abuse the white-boards found in the Resource Centre. Only specific markers are to be used. STUDY SPACE 6. Individual study space cannot be reserved. Please take books and personal belongings when leaving the Centre. 7. The Group Study room may be booked for such use through Claire Arsenault (baillic@mcmaster.ca). NOISE 8. Conversation should not take place in quiet study areas and other noise should be kept to a minimum. OTHER 1. Please refrain from using cell phones in the Resource Centre. Student-athletes should turn off or make silent all cell phones and pagers when entering the Resource Room. 2. Lounge chairs and seating should remain in designated areas. Only one lounge chair or seat per person is allowed. Do not put feet on the furniture. 3. Please use the facility during its normal hours of operation. 4. Please leave bikes outside of the Resource Centre. 5. Banners or notices must have the prior permission of the Bastable Resource Centre administration before being posted on the Resource Center premises. Postings on the bulletin boards require permission from Claire Arsenault (baillic@mcmaster.ca). Many of the rules and regulations were founded from the General Regulations for McMaster University Libraries

McMaster Coaches Handbook 2013-2014  

Schedules, forms and guidelines for Marauder coaching staff.

Read more
Read more
Similar to
Popular now
Just for you