2. Smith College Athletic Training Services Introduction

3. Staff Deb Coutu, MS, LATC Kelli Steele, MS, LATC Aisha Visram, CAT(C), LATC

4. Hours Usually… Mon – Fri10-7 (Closed 1-2) (School Days) 10-1, 2-3:30 = Admin, mtgs, rehab, evals 3:30-7 = Practice, event prep and coverage Sometimes… 1 hr before earliest practice (Non-School Days) until 30 min after last practice Week-end or Holiday Contest… 1 hr before start of warm-up or team mtg * depending on needs of athletes

5. Evaluation, Treatment & Rehab By appointment whenever possible Allows us to give you the most time and attention Helps to avoid you showing up when we’re in a meeting During pre-practice times, you may be asked to return later or schedule an appointment for the next day Call, visit or email to schedule an appointment During closed hours, schedule will be outside door

6. Locations Scott Gym AT Room Basement of Scott Gym Any and all services here Field House AT Room Storage, filling water & ice Absolutely no services (unless we notify you) Leave your stuff outside and Sign-In!! (Please)

7. Reporting Injuries It is YOUR responsibility to report ALL injuries and illnesses to our staff Restricted by us = Must be cleared by us Coaches get daily report/injury update

8. Clearance After Injury/Illness If you see a health care practitioner on or off-campus you must provide written documentation of clearance to return to sport. Doctor Physician’s Assistant Emergency room Specialist Nurse Practitioner Nurse

9. Insurance Each athlete must have primary insurance coverage. Smith College Family's insurance Personal policy All medical bills related to athletic injury go to athlete’s primary insurance FIRST Expenses denied or not fully covered by primary insurance can be billed to our Sports Accident Insurance Policy

10. Sports Accident Insurance Policy If you suffer an injury while participating in a regularly scheduled, supervised activity “Excess" policy providing coverage of the remaining balance of expenses not covered by the athlete's primary insurance $500 deductible Maximum $90,000

11. Sports Accident Insurance Policy THIS CAN BE QUITE CONFUSING…WE ARE HERE TO HELP!!

12. NCAA Lifetime Catastrophic Athletic Injury Policy Covers lifetime rehabilitation, medical and dental expenses $90,000 Deductible $20 million lifetime benefit Insurance Claims: Claim form must be filed within 90 days of the injury Available online or in the athletic training room We will assist you in completing the form Completing and filing of claim forms is your responsibility

13. Health Services All students have access to Health Services at no charge regardless of the type of insurance If tests or lab work are needed, they will bill your insurance company Open 8AM to 8PM Monday to Friday Visits are by appointment only When closed: a nurse is available by phone: 585-1260 A counselor is also available by phone: 585-2840 *except: Spring break; Winter break; Summers

14. Counseling Services Available to all students Number of visits determined by type of insurance By appointment only Available for phone consultation after hours

15. Travel Treatment: Van trips = treated at Smith Bus trips = treated at away site Exception = week-ends and holidays when we are not open Don’t forget to say “please” and “thank you” Injuries @ away sites: Host athletic trainer is responsible for evaluation, care and return to play decisions Check in with us ASAP upon your return or early the next day

16. Travel Kit:We provide kit with all needed supplies Take it with you to AT Don’t expect them to use their supplies for you Communication: We let the host staff know who will need what, so they expect you Bring:Water bottle, medications, inhalers, etc.

17. Hygiene Q: Why do we have to talk about this? A: Athletes are notorious for having poor hygiene!!

18. Hygiene Q: What’s the big deal if you’re a little stinky? A: It’s WAY more than that!! Disclaimer: The following slides of skin infections that are COMMON IN ATHLETES are not suitable for the squeamish.

19. Folliculitis: Infected hair follicle

20. Tinea Capitus: Ringworm of the scalp

21. Tinea Corporis: Ringworm

22. Herpes Simplex

23. Molluscum Contagiousum

24. Impetigo

25. Faruncle: Boil

26. MRSA

27. Hygiene Hands Visibly soiled – wash with antibacterial liquid soap minimum of 15 seconds dry completely Not visibly soiled – alcohol based hand sanitizer Body Shower as soon as possible after practice or competition using antibacterial soap

28. Hygiene Equipment: Solid/hard surfaces wiped with disinfectant wipe Soft (knee pads, knee sleeves, shin guards) laundered after each use Clothes Washed and dried after each use Water Bottle Washed daily in warm, soapy water or in dishwasher

29. Hygiene DO NOT SHARE: Practice gear Clothing Razors Deodorant Towels Water bottles

30. Hygiene Wounds: Athletes with open wounds, scrapes or scratches must not use whirlpool Report all wounds to AT staff for proper cleansing, treatment and dressing All wounds should be covered until healed and inspected daily Signs of infection: swelling, redness, warmth, pus, fever, odor

31. Hygiene Illness If you are sick, protect yourself and your teammates If you think you have a fever, get it checked! Wash your hands (hand sanitizer) after you blow your nose

32. Hygiene Illness Cough and sneeze into your elbow, NOT your hands! Don’t share water bottles, etc You must be fever-free (without medication) for 24 hours before re-joining your team

33. Banned Substances The NCAA bans the following classes of drugs: Stimulants (many ADD and ADHD meds) Anabolic Agents Alcohol and Beta Blockers (banned for rifle only) Diuretics and Other Masking Agents Street Drugs Peptide Hormones and Analogues Anti-estrogens Beta-2 Agonists (some cardiac meds) Athletes who are prescribed banned medications for treatment of an illness can file “exceptions” documents.

34. Banned Substances Many substances found in supplements are banned by the NCAA Resource Exchange Center on AT Website (link from athletics) www.drugfreesport.com/rec/ Org Name: NCAA DivIII Password: ncaa3 Come to us…We will help you!

35. Lightning First visible lightning = evacuate to safe shelter Flash-to-bang less than 30 seconds = everyone should be indoors Stay indoors for 30 minutes AFTER last lightning or thunder

36. Heat Illness What we do: Measure heat and humidity Adjust practices as needed Provide water What you can do: Wear lightweight, light colored clothing Drink plenty of fluids (light colored urine) Report if you are starting to feel ill Eat foods with high water content (melon, fruits, vegetables, smoothies, etc)

37. Exercise (heat) Exhaustion Symptoms: DehydrationDizziness LightheadednessSyncope (fainting) HeadacheNausea Anorexia (due to lack of hunger)Diarrhea Decreased urine outputPersistent muscle cramps Pallor (Paleness)Profuse sweating ChillsCool, clammy skin Intestinal crampsWeakness Hyperventilation (fast breathing) REPORT IT!!

38. Privacy All of your information online is password protected so only our staff has access Health Services shares information with us only if it effects your participation We share information with coaches only if it pertains to your participation

39. Information about other things will only be shared with your permission We will not share information with your parents or family without your permission Coaches will be given Emergency Information Sheets containing: Emergency Contacts Insurance Information Medications Medical Conditions Emergency information sheets will be kept by coach when you are traveling with your team

40. Concussions

41. What is a concussion? A concussion is a brain injury that: Is caused by a blow to the head or body. – From contact with another player, hitting a hard surface such as the ground, ice or floor, or being hit by a piece of equipment such as a bat, lacrosse stick or field hockey ball. Can change the way your brain normally works. Can range from mild to severe. Presents itself differently for each athlete. Can occur during practice or competition in ANY sport. Can happen even if you do not lose consciousness.

42. How can I prevent a concussion? Basic steps you can take to protect yourself from concussion: Do not initiate contact with your head or helmet. You can still get a concussion if you are wearing a helmet. Avoid striking an opponent in the head. Undercutting, flying elbows, stepping on a head, checking an unprotected opponent, and sticks to the head all cause concussions. Follow your athletics department’s rules for safety and the rules of the sport. Practice good sportsmanship at all times. Practice and perfect the skills of the sport.

43. What are the symptoms of a concussion? You can’t see a concussion, but you might notice some of the symptoms right away. Other symptoms can show up hours or days after the injury. Concussion symptoms include: Amnesia Confusion Headache Loss of consciousness Balance problems or dizziness Double or fuzzy vision Sensitivity to light or noise Nausea (feeling that you might vomit) Feeling sluggish, foggy or groggy Feeling unusually irritable. Concentration or memory problems (forgetting game plays, facts, meeting times) Slowed reaction time

44. What are the symptoms of a concussion? Exercise or activities that involve a lot of concentration, such as studying, working on the computer, or playing video games may cause concussion symptoms (such as headache or tiredness) to reappear or get worse.

45. What you might notice in a teammate: Appears dazed or stunned Confused about assignment or position Forgets plays Unsure about game, score or opponent Moves clumsily Answers questions slowly Loses consciousness (even briefly) Behavior or personality changes Can’t recall events before injury Can’t recall events after injury

46. What should I do if I think I have a concussion? Don’t hide it. Tell your athletic trainer and coach. Never ignore a blow to the head. Also, tell your athletic trainer and coach if one of your teammates might have a concussion. Sports have injury timeouts and player substitutions so that you can get checked out.

47. Report it. Do not return to participation in a game, practice or other activity with symptoms. The sooner you get checked out, the sooner you may be able to return to play.

48. Get checked out. Your team physician, athletic trainer, or health care professional can tell you if you have had a concussion and when you are cleared to return to play. A concussion can affect your ability to perform everyday activities, your reaction time, balance, sleep and classroom performance.

49. Take time to recover. If you have had a concussion, your brain needs time to heal. While your brain is still healing, you are much more likely to have a repeat concussion. In rare cases, repeat concussions can cause permanent brain damage, and even death. Severe brain injury can change your whole life.

50. It’s better to miss one game than the whole season. When in doubt, get checked out.