2Legal considerations for the athletic trainer First need to know what is the athletic trainers DUTY to the athleteDuty is the legally defined responsibilities of an athletic trainerTo do what a reasonable an careful person (athletic trainer) would do under the same or similar circumstances “reasonably prudent man theory”
3What Defines a DUTY? Job Description Standard of Care Contract Athletic Trainer Domains
4Breach of DutyNonfeasance - not fulfilling legal duty “don’t do something you should have done”Misfeasance - Doing something we should be doing, but improperlyMalfeasance - Doing something we have no duty to perform
5Breach of Duty- Other Factors MoralityEconomic good of the groupPractical administration of the lawJusticeFact pattern of the case
6Standard of CareWhat is the standard of care an athletic trainer has to uphold?Standard of care is determined by what the individuals duty is.For example - a coach managing a serious head injury would not be held to as high a standard of care as an athletic trainer or EMT.
7Duty owed to each individual is different Licensee - On property with permission of owner but of no benefit to owner. Should be warned of harms owner is aware of.Invitee - Greatest duty! Person who has been invited expressly onto landTrespasser Least Duty!
8Legal considerations for the athletic trainer Liability: Appropriate actions for particular situationsMust perform in a reasonable manner or liableMust not fail to perform or liable
9Definitions of Liability Negligence - Guilty of being liableContributory Negligent - the degree to which the injured athlete is determined to have contributed to his/her own injury.Comparative Negligence - similar to Contributory but compared the relative negligence not the part of the defendant
10Definitions of Liability Tort - What a trainer is legally charged withOmission - don't carry out legal dutyCommission - commit act not legally able to perform
11Defenses Against Negligence Assumption of Risk - an athlete assumes certain risk of injury (need to consider age, and experience)Act of GodContributory and Comparative negligenceForseability
12Legal Issues - Informed Consent Implies that an athlete or his/her parents must be informed of the risks inherent in a particular sport before they voluntarily assume the risk of participation.Remember that guardians/parents cannot waive a minors rights. A minor can reinstate his/her right when turning 18.
13Legal Issues - Shared Responsibility Acknowledges the impracticality of coaches and other athletic personnel being responsible for the prevention of all injuries that occurring sports. Consequently, the athlete is asked to share in this responsibility.
14Legal Issues - Transportation Guest Statue - no person riding in an auto as a guest has any right of action against the driver or any person liable if:willingly volunteered (remember minorscannot volunteer)Colins V. Board of Kent County - Student rode home with a friend not on a school bus from an event. Was killed in auto crash. Parent sued school for not providing transportation when the event was required.
15Legal Issues- Governmental or Proprietary Function Institution is responsible for all activities that occur on their property “Respondent Superior”Charitable Immunity
16What is the athletic trainer legally liable for? Nutritional aspects of team - Can't watch what eat but need to supply them with information and recognize eating disordersSupervise the play and practice areas: make sure they are safe, control the environment (move objects, suggest take practice inside due to lightning or heat/cold)Legally liable to give the athlete the best equipment whether JV or sub-athlete
17Specific Responsibilities to the Training Program Obtain readily available medical records.Conduct pre-play physical exam and maintain accurate emergency information. Can't assume all athletes are healthy.Work closely with parents and coaches keep communication open.
18Specific Responsibilities to Athlete Make sure athlete knows how to conditionBetween onset of practice and competition make sure the athlete is prepared. Gear etc..W/out any hesitation--must remove athlete from activity if impaired.Responsible for athlete in the environment.
19Specific Responsibilities to Athlete Must have ability to evaluate and analyze the injury and athletes statusGive proper fitting equipmentAthlete must have qualified medical care in practice and competition. If beyond your scope, you need a physician. You don't need to know everything--have a support group.
20How Do Athletic Trainers Protect Themselves? Keep accurate recordsHave the health history of the athlete current and accessible in case of emergency
21How Do Athletic Trainers Protect Themselves? Make sure the area you are responsible for is properly supervised; students and equipment are safe.Don't give out medicine. That is for the physician. May not want to give out aspirin or Tylenol prior the comp/practice; if injured may mask symptoms.If dispensing over the counter drugs, keep accurate record of how many and who.
22How Do Athletic Trainers Protect Themselves? Use only ability capable of using - don't act outside capabilitiesDon't use faulty equipmentDon't return injured player until cleared by doctorNever use pain killing drugs that allow athlete to participateFollow orders of the physicianCommunicate clearly with doctors, coaches, athletes, and families
23Part of being prepared and avoiding liability is having an emergency care procedure in place and following that procedure.
24Release and WaiverRelease - institution is not responsible for injuries (worthless)Parents can't sign away anything for a minorRelease of information to anyone else other than athlete need a release from the athlete.