Joint Handbook 2023 2024

FA Medical Emergency Action Plan Form

Don ’ t Know

Some times

Questions/Responses (Please tick box)

Yes

No

Is there a Medical Emergency Action Plan in place at your training

Is there an MEAP when you are at unfamiliar venues - away

Do you always know the address of the venue you are at? Is a phone always immediately available for contacting the Emer gency Medical Services? Is there an appropriately trained/competent first - aider at the pitch

Is there anyone to help the first - aider?

Is an AED (Automated External Defibrillator) immediately accessi-

Is there an appropriately stocked first aid kit which is accessible at

Do any of your players have a pre - existing medical condition? Do your players complete a Medical Declaration Form? Have the players always got immediate access to their medication? Do you know where the nearest hospital is with an Emergency

Is there vehicle access to your playing areas?

Is there a list of contact details for the players ’ parents/guardians/

Do your players complete a Medical Consent Form?

Club name:

Club address:

Name (s) and telephone numbers of First Aider (s):

1. 2. 3 Names and telephone numbers of Facility Manager / Safety Officer: Location of Club first aid room:

Location of defibrillator: Location of first aid kit: Location of stretcher: Access routes:

For ambulance into Club:

From pitch to ambulance:

From Club ’ s first aid room to ambulance: Nearest Hospital Emergency Department:

Directions:

Distance / Journey time: Nearest Hospital Neurological Unit (for head Injuries):

Directions:

Distance / Journey time: Nearest Minor Injuries Unit / Walk In Centre:

Directions:

Distance / Journey time:

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