1. © 2007 McGraw-Hill Higher Education. All rights reserved. Organizing and Administering an Athletic Health Care Program

2. © 2007 McGraw-Hill Higher Education. All rights reserved. Rules of Operation for and Athletic Healthcare Program Must develop policies and procedures Delineate daily routine of program Define scope of program Who will be served by program? Athlete: to what extent and what services will be rendered Institution: who else can be served medically and educationally and what are the legalities

3. © 2007 McGraw-Hill Higher Education. All rights reserved. Providing Coverage Facility Personnel Coverage Budgetary concerns may be a limiting factor What personnel are available? Sports Coverage Different institutions (including high schools) have different levels of coverage based on personnel and risks involved with sports

4. © 2007 McGraw-Hill Higher Education. All rights reserved. Athletic Training Room Policies Facility should be used only for prevention and care of sports injuries Rules must be established in the interest of sanitation Policies regarding environmental conditions and emergency protocols should also be set

5. © 2007 McGraw-Hill Higher Education. All rights reserved. Hygiene and Sanitation: Facility Rules concerning room cleanliness and sanitation must be set and made known to population using facility Examples No equipment/cleats in training room Shoes off treatment tables Shower prior to treatment No roughhousing or profanity No food or smokeless tobacco Must adhere to OSHA standards and guidelines

6. © 2007 McGraw-Hill Higher Education. All rights reserved. Cleaning responsibilities are divided between athletic training staff and maintenance personnel Division of responsibilities Maintenance crew Sweep floors daily, clean and disinfect sinks and tubs, mop hydrotherapy room, empty waste baskets Athletic Training staff Clean treatment tables, disinfect hydrotherapy modalities daily, clean equipment regularly Hygiene and Sanitation: Facility

7. © 2007 McGraw-Hill Higher Education. All rights reserved. Health Safety and Hygiene: Athletes Promotion of good health and hygiene is critical Are the athletes cleared to participate? Is each athlete insured? Does the athlete promptly report injury and illnesses? Does the athlete follow good living habits? Do they avoid sharing clothes and towels? Does the athlete exhibit good hygiene practices? Does the athlete avoid common drinking sources?

8. © 2007 McGraw-Hill Higher Education. All rights reserved. Emergency Action Plan DEFINITION: Systematic plan for accessing the emergency medical system Must be venue specific Schedule meetings with EMTs/paramedics to make sure everyone understands their role Communicate and plan ahead!

9. © 2007 McGraw-Hill Higher Education. All rights reserved. When to activate the EAP: An athlete is not breathing An athlete has lost consciousness It is suspected that an athlete may have a neck or back injury An athlete has an open fracture (bone has punctured through the skin) Severe heat exhaustion or suspected heat stroke Severe bleeding that cannot be stopped Emergency Action Plan

10. © 2007 McGraw-Hill Higher Education. All rights reserved. Northwood’s Emergency Action Plan

11. © 2007 McGraw-Hill Higher Education. All rights reserved. Northwood’s Emergency Action Plan

12. © 2007 McGraw-Hill Higher Education. All rights reserved. Establish Roles Immediate care of athlete Activation of Emergency Medical System (EMS) Call 911 Emergency Equipment Retrieval Directing of EMS to scene Developing an Emergency Action Plan

13. © 2007 McGraw-Hill Higher Education. All rights reserved. Communication Primary Method: Landline vs. Cell phone Back-up method Test prior to event Activation of EMS Contact numbers Script Student emergency information Red Flag Lists: Significant medical history concerns Emergency Contact Information Accessible Developing an Emergency Action Plan

14. © 2007 McGraw-Hill Higher Education. All rights reserved. Emergency Equipment: ACCESSIBLE Staff trained in use of equipment Maintained in good condition Developing an Emergency Action Plan

15. © 2007 McGraw-Hill Higher Education. All rights reserved. Emergency Transportation Ambulance on site for high risk events When not on site: Clearly marked entrance Designated parking/loading area Know the location of closest hospital and know where the ambulance is planning to take the injured/ill athlete Developing an Emergency Action Plan

16. © 2007 McGraw-Hill Higher Education. All rights reserved. Specific Conditions Sudden Cardiac Arrest Heat Illness Head and Neck Injury Asthma Anaphylaxis Developing an Emergency Action Plan

17. © 2007 McGraw-Hill Higher Education. All rights reserved. Once you have the EAP, it should be: Posted throughout school and sport venues Reviewed and rehearsed annually Developing an Emergency Action Plan

18. © 2007 McGraw-Hill Higher Education. All rights reserved. Moodle  1. Open Folder “Northwood EAP Activity” 2. Open Northwood EAP and Worksheet 3. Complete “Northwood EAP Worksheet” 4. Submit when finished! Developing an Emergency Action Plan

19. © 2007 McGraw-Hill Higher Education. All rights reserved. You are going to write out an EAP for your home. Your EAP must include the following items: Map of streets leading to your house Hand drawn or using Google maps with area highlighted Typed directions Home address Contact and Emergency phone numbers Red Flag Lists for your family members: Allergies, Significant Medical History Location of emergency supplies Emergency procedures For at least 3 different emergency situations that could happen at your house (i.e. cardiac arrest, car accident etc). EAP Assignment

20. © 2007 McGraw-Hill Higher Education. All rights reserved. Record Keeping Major responsibility Rule not the exception - accurate and up-to-date Medical records, injury reports, insurance information, injury evaluations, progress notes, equipment inventories, annual reports

21. © 2007 McGraw-Hill Higher Education. All rights reserved. Release of Medical Records The release of medical records can not occur without written consent If the athlete wants records released to colleges/universities, professional organizations, insurance companies or news media, he/she and the parents/guardians must provide written consent

22. © 2007 McGraw-Hill Higher Education. All rights reserved. HIPAA Regulations Health Insurance Portability and Accountability Act Regulates how any members of the sports medicine team can share health information concerning an athlete Provides athletes with access to their medical records and control over how their health information is used and disclosed Athlete can provide blanket authorization for release of specified medical information on a yearly basis Waiver must specify information to be released Satisfy insurance and liability issues

23. © 2007 McGraw-Hill Higher Education. All rights reserved. Pre-participation Examinations Pre-participation exam prior to start of practice is critical Purpose: Identify athlete that may be at risk Establish a baseline Reveal condition that may warrant disqualification

24. © 2007 McGraw-Hill Higher Education. All rights reserved. Examination by Personal Physician Yields an in-depth history and ideal physician-patient relationship May not result in detection of factors that predispose the athlete to injury Administering Pre-participation Examinations

25. © 2007 McGraw-Hill Higher Education. All rights reserved. Medical History Complete prior to exam to identify past and existing medical conditions Update yearly Physical Examination Should include assessment of height, weight, body composition, blood pressure, pulse, vision, skin, dental, ear, nose, throat, heart, lungs, abdomen, lymphatic, genitalia, maturation index, urinalysis and blood work Pre-participation Examinations

26. © 2007 McGraw-Hill Higher Education. All rights reserved. Orthopedic Screening Part of physical exam or separate Various degrees of detail concerning exam Short exam could be as quick as 90 seconds Detailed exam would provide information on strength, range of motion, and stability of joints Pre-participation Examinations

27. © 2007 McGraw-Hill Higher Education. All rights reserved. Sign-in to keep track of services Daily treatments can be recorded Can be used as legal documentation in instances of litigation Subject to HIPAA regulations Types of Medical Records: Treatment Log

28. © 2007 McGraw-Hill Higher Education. All rights reserved. Contains contact information for family, personal physician, and insurance information Types of Medical Records: Personal Information Card

29. © 2007 McGraw-Hill Higher Education. All rights reserved. Injured athlete should be evaluated by an athletic trainer, physical therapist, or physician Record of the evaluation should be kept If not available, a coach should encourage athlete and parents to set appointment with a local physician for injury assessment, diagnosis and documentation. Types of Medical Records: Injury Evaluation and Progress Notes

30. © 2007 McGraw-Hill Higher Education. All rights reserved. Budgetary Concerns Size of budget?? Different settings = different size budgets and space allocations Equipment needs and supplies vary depending on the setting (college vs. high school) Continuous planning, inventory and prioritizing is necessary to effectively manage monetary allocations to meet programmatic goals

31. © 2007 McGraw-Hill Higher Education. All rights reserved. Ordering Supplies and Equipment Expendable items Supplies that cannot be reused- first aid and injury prevention supplies Equipment Items that can be used for a number of years Fixed (remain in the training room- ice machine, tables) Non-fixed (crutches, coolers, training kits) Yearly inventory and records must be maintained in both areas

32. © 2007 McGraw-Hill Higher Education. All rights reserved. Facility Design Design will vary drastically based on number of athletes, teams, and various needs of the program Size Varies between settings Must take advantage and manage space effectively Interact with architect relative to needs of program and athletes Existing space or newly designed

33. © 2007 McGraw-Hill Higher Education. All rights reserved. Location Outside entrance (limits doors that must be accessed when transporting injured athletes) Double door entrances and ramps are ideal Proximity to locker rooms and toilet facilities Distinct areas Taping and bandaging Injury treatment with rehabilitation equipment and/or therapeutic modalities Wet area (whirlpools, refrigerator, ice machine) Physicians examination room Office space Facility Design

34. © 2007 McGraw-Hill Higher Education. All rights reserved. Storage Facilities Training rooms often lack ample storage space Storage in training room that holds general supplies and special equipment Storage available in the specified areas of the training room Large walk-in storage cabinet for bulk supplies Refrigerator for equipment, ice cups, medicine and additional supplies Facility Design

35. © 2007 McGraw-Hill Higher Education. All rights reserved.

36. Facility Design Vary GREATLY between settings…

37. © 2007 McGraw-Hill Higher Education. All rights reserved. Facility Design

38. © 2007 McGraw-Hill Higher Education. All rights reserved. Facility Design University of Oregon’s amazing facility University of Oregon’s amazing facility

39. © 2007 McGraw-Hill Higher Education. All rights reserved. Facility Design In-Class Group Project You are going to get in small groups and brainstorm all of the supplies and equipment that you would need for a high school athletic training program. Once you have come up with a list of supplies, you are going to create an order Finalize your order in two separate lists Expendable Equipment

40. © 2007 McGraw-Hill Higher Education. All rights reserved. Facility Design In-Class Group Project Budget is...$10,000!!! Each list (expendable, equipment) should include: Item name Quantity ordering Price per unit Total price Grand total Come to me to make your purchases and start designing!