Chapter 3: The Central Training Room. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS...

Chapter 3:

The Central Training Room

Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 2

Central Training Room

A Multipurpose facility designed to accommodate a variety of athletic training needs

The central training room must be easily accessible to both male and female athletes.

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

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

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

Hygiene and Sanitation

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

– 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

Establishing Health Habits for the Athlete

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?

Emergency Telephones

Accessibility to phones in all major areas of activity is a must

Should be able to contact outside emergency help and be able to call for additional athletic training assistance

Radios, cell and digital phones provide a great deal of flexibility

Injury Reports

Injury reports serve as future reference

Reports can shed light on events that may be hazy following an incident

Necessary in case of litigation All reports should be filed in the

athletic training room

Treatment Log

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 and FERPA

regulations

Injury Evaluation and Progress Notes

Injured athlete should be evaluated by an athletic trainer 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.

Supply and Equipment Inventory

Managing budget and equipment/supplies is critically important

Inventory must be taken yearly in order to effectively keep track of: – New equipment that is needed– Equipment that needs to be replaced – Equipment needing to be replenished

Annual Report

Summary of athletic healthcare function Can be used to evaluate/recommend

potential changes for program Includes number and types of injuries

seen/treated

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

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

Additional Budget Considerations

Other operating costs– Telephone and postage expenses– Contracts for outside services– Purchases relative to liability insurance

and professional development

Purchasing Systems Direct buy vs. competitive bidding


Organization

The central training room should be organized for efficient use of the space available.

Ideally, 1200 square feet is suitable Realistically, most schools have

about 400 – 800 square feet. Should have good lighting for

proper exams and treatment

Organization Ground Fault Interrupters (GFI)

must be used in areas near water. Must have proper ventilation and

heating Must have telephone access Great storage space Office Space


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

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)– Office space

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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

Wet Area

Refrigerator, Ice machine, whirlpool and Hydrocollator

Must be separate with special flooring and a floor drain.



Taping

The taping area is the most used space of the central training room.

Taping area should hold 4-6 tapping tables

The size and type of tables is up to the athletic trainer on staff.


Exercise and Rehab

Access to an exercise area in the central training room allows athletes to work out under supervision.

Should hold various exercise machines and weights for rehab purposes.

Staff

Staff varies from school to school Most HS have one or two staff

athletic trainers Colleges can have anywhere from

1-20 staff athletic trainers HS have many student athletic

trainers Colleges have a selection of 10

student athletic trainers per level.Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 27


Central Training RoomRules and Procedures

All injuries are to be reported to the training staff, regardless of severity

Treatments are given only after training staff approval

Treatments are continued until cleared by medical staff


Central Training RoomRules and Procedures (cont.)

Athletes are not to treat themselves No horseplay or improper language

allowed Appropriate dress required: shirt,

shorts, shoes No cleats allowed



Do not move any supplies without the trainer’s permission

All athletes must sign in before receiving treatment

Return all loaned items to the training room

No food or drink allowed


No use of training equipment without prior approval

The telephone is not for personal use Only athletes being treated and their

coaches are allowed in the training room

Attend and work at the athletic contests and practices assigned



Complete daily jobs as assigned Athletes are not to bring their bags

or other nonessential personal items into the training room

Do not leave the training room or office open if no one will be in the training room

Supervise all treatments



Wear gloves whenever your work might involve contact with bodily fluids

Wash your hands after working with each athlete

Document every injury



Medical Kit

Supplies include– Adhesive tape– Analgesics– Antibacterial/Antiseptic cream– Antimicrobial hand wipes– Applicators, cotton-tipped– Bandage scissors and/or tape cutters


Medical Kit (cont.)

Supplies include– Bandages– Biohazard bags– Cold pack, instant– Contact lens kit– Emergency contact information for

athlete– Eyewash, sterile solution


Supplies include– Foot powder– Gauze pads, sterile– Gloves, latex– Heel cups– Hydrogen peroxide– Mirror with plastic holder

Medical Kit (cont.)


Supplies include– Moleskin– Mouth shield or CPR protector– Pencil and paper– Plastic bags for ice– Roller gauze– Saline solution/eyewash– Scissors

Medical Kit (cont.)


Supplies include– Skin lubricant or petroleum jelly– Sling or triangular bandage– Tape adherent– Thermometer– Tongue depressors– Underwrap– Wraps, elastic

Medical Kit (cont.)


Sharps Container

Sharps equipment includes scalpel blades, razors, uncapped syringes, and needles.


OSHA

The Occupational Safety and Health Administration (OSHA) establishes federal standards for prevention of work-related injury associated with exposure to blood-borne pathogens.


OSHA Regulations

Exposure control plan must be on hand.

Staff are trained about bloodborne pathogens.

All exposures are documented and reported.

Personal protective equipment is available to staff.


OSHA Regulations (cont.)

Hepatitis B vaccine is offered to all at-risk staff.

There are special containers for biohazardous materials and sharps.

All staff members follow standard precautions.

Proper disinfection techniques are used to clean tools and work surfaces.

Chapter 3: The Central Training Room. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS...

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