Organizing & Organizing & Administering an Athletic Administering an Athletic

Training ProgramTraining Program

Mrs. MarrMrs. MarrSports Med I Sports Med I

Topics of DiscussionTopics of DiscussionStudent shallStudent shall::1.1. Describe a well- designed athletic Describe a well- designed athletic

training facilitytraining facility2.2. Identify the rules of operation that Identify the rules of operation that

should be enforces in an AT facilityshould be enforces in an AT facility3.3. Explain budgetary concerns for Explain budgetary concerns for

ordering supplies and equipmentordering supplies and equipment4.4. Explain the importance of the pre-Explain the importance of the pre-

participation physical examparticipation physical exam5.5. Identify the necessary records that Identify the necessary records that

must be maintained by the Athletic must be maintained by the Athletic TrainerTrainer

What is a What is a well- designed well- designed

Athletic Athletic Training Training facility?facility?

What is a well- designed What is a well- designed Athletic Training facility?Athletic Training facility?

How much money?How much money? How much room?How much room? How many student- athletes?How many student- athletes? Needs vs. WantsNeeds vs. Wants Accessible/ locationAccessible/ location OtherOther

Proposed uses of facilityProposed uses of facility Type of sports to be servedType of sports to be served

# staff members# staff members # patients served # patients served

Placement of facility (exits, locker rooms, Placement of facility (exits, locker rooms, easy access, male/female access)easy access, male/female access) Traffic flow patternsTraffic flow patterns Hours of useHours of use

Other functions Other functions Classes/labsClasses/labs

Planning a Training Planning a Training RoomRoom

Intended Space Allocation Intended Space Allocation Offices & Record Keeping - confidentialityOffices & Record Keeping - confidentiality Evaluation & TreatmentEvaluation & Treatment RehabilitationRehabilitation Taping – waste buckets, sink, flooringTaping – waste buckets, sink, flooring Storage - shelvingStorage - shelving Drug screening – separate bathroom, privacyDrug screening – separate bathroom, privacy Exam roomExam room Teaching room/labTeaching room/lab What type of equipment?What type of equipment? Size (2-3 sq. ft./person during peak loads – Size (2-3 sq. ft./person during peak loads –

square footage occupied by equipment) + square footage occupied by equipment) + others in area at time (AT, Dr.) (ideal is 1000-others in area at time (AT, Dr.) (ideal is 1000-1200 sq. ft)1200 sq. ft)

Location compared to other facilitiesLocation compared to other facilities

Planning a Training Planning a Training RoomRoom

Intended space allocationIntended space allocation Specific space allocationSpecific space allocation

ElectricalElectrical PlumbingPlumbing Ventilation (hydrotherapy)Ventilation (hydrotherapy) Telephone, computer, communication Telephone, computer, communication

systems, stereo systemssystems, stereo systems Ceiling type & height – tall athletesCeiling type & height – tall athletes Door width & height - Door width & height - Cabinetry, workstationsCabinetry, workstations Flooring type – non-slip, industrial gradeFlooring type – non-slip, industrial grade

Carpet vs. tileCarpet vs. tile

Planning a Training Planning a Training RoomRoom

Wall covering – sound absorbersWall covering – sound absorbers Colors – Colors –

White – safe, cleanliness, sanitaryWhite – safe, cleanliness, sanitary Black – strong accent color, use in small quantitiesBlack – strong accent color, use in small quantities Reds – exciting, stimulation, unpleasant tensionsReds – exciting, stimulation, unpleasant tensions Orange – similar to reds, but not as great an extentOrange – similar to reds, but not as great an extent Yellow (creams, beiges) – humor, cheery, decrease tensionsYellow (creams, beiges) – humor, cheery, decrease tensions Green – calm, restfulGreen – calm, restful Blue – rest, calm, overuse = depressionBlue – rest, calm, overuse = depression Violet – rest, calm, uncertainty, depression, tensionViolet – rest, calm, uncertainty, depression, tension Neutrals (gray, brown, tan) – grays – good background w/ Neutrals (gray, brown, tan) – grays – good background w/

other colors, browns/tans – homelike = lighter tones; other colors, browns/tans – homelike = lighter tones; masculine = heavier tonesmasculine = heavier tones

Lighting – 4-5 ft. off ground GFIC, Lighting – 4-5 ft. off ground GFIC, 20-50 foot candles of illumination 4’ above floor for taping, 20-50 foot candles of illumination 4’ above floor for taping,

rehabrehab 50-100 foot candles – facial expressions, skin color50-100 foot candles – facial expressions, skin color Windows – more calming effectWindows – more calming effect

Planning a Training Planning a Training RoomRoom

Application of Title III from ADAApplication of Title III from ADA Installing rampsInstalling ramps Making curbs cut in sidewalks/entrancesMaking curbs cut in sidewalks/entrances Repositioning telephonesRepositioning telephones Adding raised markings on elevator control buttonsAdding raised markings on elevator control buttons Installing flashing alarm lightsInstalling flashing alarm lights Widening doorsWidening doors Installing accessible door hardwareInstalling accessible door hardware Installing grab bars in toilet stallsInstalling grab bars in toilet stalls Rearranging toilet partitions to increase Rearranging toilet partitions to increase

maneuvering spacemaneuvering space Repositioning paper towel dispenser in bathroomRepositioning paper towel dispenser in bathroom Installing paper cup dispenser at water fountainsInstalling paper cup dispenser at water fountains Removing high-pile, low-density carpetingRemoving high-pile, low-density carpeting

Planning a Training Planning a Training RoomRoom

Designing a Facility - Area Designing a Facility - Area Construction Construction

ConsiderationsConsiderations Program areasProgram areas General facility considerationsGeneral facility considerations Taping areaTaping area Treatment areaTreatment area Rehabilitation areaRehabilitation area Hydrotherapy areaHydrotherapy area Office areaOffice area Exam room areaExam room area Pharmacy areaPharmacy area Storage areaStorage area Specialty pad & Orthotic work areaSpecialty pad & Orthotic work area Locker room, lavatory, & showerLocker room, lavatory, & shower Janitorial storage & closetJanitorial storage & closet Conference room or libraryConference room or library Rehabilitation poolRehabilitation pool X-ray roomX-ray room

Special Service AreasSpecial Service Areas Treatment AreaTreatment Area: area that accommodates 4-6 : area that accommodates 4-6

adjustable treatment tables, 3-4 stools, and adjustable treatment tables, 3-4 stools, and hydrocollator and ice machine accessibilityhydrocollator and ice machine accessibility

Electrotherapy AreaElectrotherapy Area:: area that houses ultrasound, area that houses ultrasound, diathermy, electrical stim units, storage units, diathermy, electrical stim units, storage units, grounded outlets, treatment tables and wooden grounded outlets, treatment tables and wooden chairs, under constant supervisionchairs, under constant supervision

Hydrotherapy Area:Hydrotherapy Area: area with centrally sloping area with centrally sloping floor to drain, equipped with 2-3 whirlpools, shelving floor to drain, equipped with 2-3 whirlpools, shelving and storage space and outlets 5 feet above the floorand storage space and outlets 5 feet above the floor

Exercise Rehabilitation Area: Exercise Rehabilitation Area: area that area that provides adequate space and equipment provides adequate space and equipment to perform reconditioning of injuriesto perform reconditioning of injuries

Taping, Bandaging & Orthotic Area: Taping, Bandaging & Orthotic Area: 3-3-4 taping tables and storage cabinets to 4 taping tables and storage cabinets to treat athletes with proximity to a sinktreat athletes with proximity to a sink

Physician’s Exam Room:Physician’s Exam Room: space for space for physician to work which may hold exam physician to work which may hold exam table, lockable storage, sink, telephone, table, lockable storage, sink, telephone, refrigeratorrefrigerator

Records Area:Records Area: space devoted to record space devoted to record keeping which may include filing system keeping which may include filing system or computer based database, that allows or computer based database, that allows access only to medical personnelaccess only to medical personnel

Storage FacilitiesStorage Facilities Training rooms often lack ample storage spaceTraining rooms often lack ample storage space Storage in training room that holds general Storage in training room that holds general

supplies and special equipmentsupplies and special equipment Large walk-in storage cabinet for bulk suppliesLarge walk-in storage cabinet for bulk supplies Refrigerator for equipment, ice cups, medicine Refrigerator for equipment, ice cups, medicine

and additional suppliesand additional supplies Athletic Trainer’s OfficeAthletic Trainer’s Office

Space at least 10x12 feet is ampleSpace at least 10x12 feet is ample All areas of training room should be supervised All areas of training room should be supervised

without leaving office space (glass partitions)without leaving office space (glass partitions) Equipment should include, desk, chair, tack board, Equipment should include, desk, chair, tack board,

telephone, computer (if necessary) and telephone, computer (if necessary) and independent locking systemindependent locking system

Additional Areas (college/ Pro Additional Areas (college/ Pro teams)teams) Pharmacy Area: Pharmacy Area: separate room that can separate room that can

be secured for storing and administrating be secured for storing and administrating medications (records must be maintained medications (records must be maintained concerning administration)concerning administration)

Rehabilitation Pool:Rehabilitation Pool: if space permits, if space permits, must be accessible to individuals with must be accessible to individuals with various injuries, with graduated depth various injuries, with graduated depth and non-slip surfaceand non-slip surface

X-Ray Room:X-Ray Room: separate room with lead separate room with lead shielding in walls, large enough to house shielding in walls, large enough to house necessary equipmentnecessary equipment

Floor plansFloor plans

Communicate with the Communicate with the ArchitectArchitect

Concept PlansConcept Plans What you want in the facility What you want in the facility (wants vs. needs)(wants vs. needs)

Preliminary DrawingPreliminary Drawing Look at the plans & review:Look at the plans & review:

Space allocationSpace allocation Traffic flowTraffic flow Electrical, Plumbing, Lighting, Ventilation, Electrical, Plumbing, Lighting, Ventilation,

Heating & CoolingHeating & Cooling Walls & floorsWalls & floors Door placementsDoor placements

Final DrawingFinal Drawing Review everything again!Review everything again! Last chance to Last chance to

change thingschange things

Remodeling an Remodeling an Existing FacilityExisting Facility

What do you want to change?What do you want to change? How can you change it?How can you change it? What is cost effective?What is cost effective? Can those walls be moved?Can those walls be moved? Plumbing?Plumbing? Are there more headaches than Are there more headaches than

would be if a new facility was made?would be if a new facility was made?

Athletic Training Athletic Training FacilitiesFacilities http://www.lsusports.net/ViewArticle.dbml?DB_OEM_ID=5200&ATCLID=1http://www.lsusports.net/ViewArticle.dbml?DB_OEM_ID=5200&ATCLID=1

7727777277

http://www.adrian.edu/academics/ESPE/athletic_training/facilities.phphttp://www.adrian.edu/academics/ESPE/athletic_training/facilities.php http://www.omavs.com/sports/2008/6/5/training_room.aspxhttp://www.omavs.com/sports/2008/6/5/training_room.aspx http://www.rolltide.com/sports-med/medicine-facilities.htmlhttp://www.rolltide.com/sports-med/medicine-facilities.html http://bus.collins.utulsa.edu/atrg/donald_w.asphttp://bus.collins.utulsa.edu/atrg/donald_w.asp http://www.niuhuskies.com/ot/training-facilities.htmlhttp://www.niuhuskies.com/ot/training-facilities.html http://www.csmfoundation.org/Division_Facilities.htmlhttp://www.csmfoundation.org/Division_Facilities.html http://www.uni.edu/athtrn/pages/uniathletictraining/facilities.shtmlhttp://www.uni.edu/athtrn/pages/uniathletictraining/facilities.shtml http://www.aggieathletics.com/ath-training/tam-ath-training-http://www.aggieathletics.com/ath-training/tam-ath-training-

facilities.htmlfacilities.html http://utepathletics.cstv.com/athletic-training/utep-athletic-training.htmlhttp://utepathletics.cstv.com/athletic-training/utep-athletic-training.html http://www.uhcougars.com/facilities/hou-aac.htmlhttp://www.uhcougars.com/facilities/hou-aac.html http://www.ci.bryanisd.org/athtrain/http://www.ci.bryanisd.org/athtrain/ http://www.nkschools.org/1600206484550160/blank/browse.asp?http://www.nkschools.org/1600206484550160/blank/browse.asp?

a=383&BMDRN=2000&BCOB=0&c=59055&1600206484550160Nav=|a=383&BMDRN=2000&BCOB=0&c=59055&1600206484550160Nav=|&NodeID=148&NodeID=148

Assignment Assignment 1:1:

Part A: Design your own Part A: Design your own Training RoomTraining Room

Part B: Remodel the Klein Part B: Remodel the Klein Collins Training Room.Collins Training Room.

Identify the Identify the rules of rules of

operation that operation that should be should be

enforces in an enforces in an AT facilityAT facility

What kinds of rules should you have?What kinds of rules should you have? Safety 1Safety 1stst

Paperwork issuesPaperwork issues Educational considerationsEducational considerations SchedulesSchedules Title IX issues (Co-Ed facilities)Title IX issues (Co-Ed facilities) ConsistencyConsistency

Identify the rules of Identify the rules of operation that should be operation that should be enforces in an AT facilityenforces in an AT facility

Klein Collins AT Klein Collins AT RulesRules

Hygiene & Hygiene & Sanitation RulesSanitation Rules

Athletic Training Facility RulesAthletic Training Facility Rules Rules concerning room cleanliness and Rules concerning room cleanliness and

sanitation must be set and made known to sanitation must be set and made known to population using facilitypopulation using facility

ExamplesExamples No equipment/cleats in training roomNo equipment/cleats in training room Shoes off treatment tablesShoes off treatment tables Shower prior to treatmentShower prior to treatment No roughhousing or profanityNo roughhousing or profanity No food or smokeless tobaccoNo food or smokeless tobacco

Athlete RulesAthlete Rules Promotion of good health and Promotion of good health and

hygiene is criticalhygiene is critical Athlete clearance to participateAthlete clearance to participate Prompt injury and illness reportingPrompt injury and illness reporting Follow good living habitsFollow good living habits

Avoid sharing clothes and towelsAvoid sharing clothes and towels Exhibit good hygiene practicesExhibit good hygiene practices Avoid common drinking sourcesAvoid common drinking sources

Hygiene & Sanitation Hygiene & Sanitation RulesRules

http://web.uccs.edu/sports_medicine/Rules%20and%20Regs%20Page%20new.htmhttp://web.uccs.edu/sports_medicine/Rules%20and%20Regs%20Page%20new.htm http://blogs.westmont.edu/athletics/athletic-training/athletic-training-rules/http://blogs.westmont.edu/athletics/athletic-training/athletic-training-rules/ http://www.ehc.edu/athletics/pdfs/ATR.pdfhttp://www.ehc.edu/athletics/pdfs/ATR.pdf http://www.jccc.edu/home/handbook/athletic.php/train_roomhttp://www.jccc.edu/home/handbook/athletic.php/train_room http://buhuskies.com/sports/2010/3/15/athletic_training.aspxhttp://buhuskies.com/sports/2010/3/15/athletic_training.aspx http://cruathletics.com/news/2010/9/7/WVB_0907101410.aspx?path=wvballhttp://cruathletics.com/news/2010/9/7/WVB_0907101410.aspx?path=wvball http://www.nevadawolfpack.com/ViewArticle.dbml?DB_OEM_ID=10000&ATCLID=1567810http://www.nevadawolfpack.com/ViewArticle.dbml?DB_OEM_ID=10000&ATCLID=1567810 http://trainer.lufkin.high.schoolfusion.us/modules/groups/group_pages.phtml?http://trainer.lufkin.high.schoolfusion.us/modules/groups/group_pages.phtml?

gid=425936&nid=32635&sessionid=90bf0905ad20494142a586f01ac41095&sessionid=90bf0905agid=425936&nid=32635&sessionid=90bf0905ad20494142a586f01ac41095&sessionid=90bf0905ad20494142a586f01ac41095d20494142a586f01ac41095

http://www.butlersports.com/information/sports_medicine/sports-medicinehttp://www.butlersports.com/information/sports_medicine/sports-medicine

SAT Guidelines (Handbook):SAT Guidelines (Handbook): http://www.utpabroncs.com/ath-training/SATmanual.htmlhttp://www.utpabroncs.com/ath-training/SATmanual.html http://www.edb.utexas.edu/atep/content/ACI%20handbook%206-27-06.pdf http://www.edb.utexas.edu/atep/content/ACI%20handbook%206-27-06.pdf

Other AT facility Other AT facility rules:rules:

Assignment 2:Assignment 2:

Develop your own Develop your own Training Room Training Room

RulesRules(be able to (be able to

justify!)justify!)

Budgetary Budgetary concerns concerns (ordering (ordering

supplies and supplies and equipment)equipment)

What is a budget?What is a budget? “…“…a strategic plan for how the sports medicine unit will function a strategic plan for how the sports medicine unit will function

over a given period and an operational plan for how it will over a given period and an operational plan for how it will accomplish its goals” (Ray, 117).accomplish its goals” (Ray, 117).

“…“…a financial plan of operation that commits resources for a financial plan of operation that commits resources for projects, programs, or activities and specifies the services to be projects, programs, or activities and specifies the services to be provided and the resources that must be spent to achieve these provided and the resources that must be spent to achieve these service deliveries” (Rankin, 125).service deliveries” (Rankin, 125).

MONEY!MONEY!- the amount of - the amount of money you can spend.money you can spend.Use it or lose it!Use it or lose it!

Budgetary ConcernsBudgetary Concerns Size of budget??Size of budget?? Different settings = different size budgets Different settings = different size budgets

and space allocationsand space allocations Equipment needs and supplies vary Equipment needs and supplies vary

depending on the setting (college vs. high depending on the setting (college vs. high school)school)

Continuous planning and prioritizing is Continuous planning and prioritizing is necessary to effectively manage monetary necessary to effectively manage monetary allocations to meet programmatic goalsallocations to meet programmatic goals

Types of BudgetsTypes of Budgets Zero-based budgetingZero-based budgeting

Lump-sum budgetingLump-sum budgeting

Line-item budgetingLine-item budgeting

Zero-based Zero-based BudgetingBudgeting

Prioritizes services & goods neededPrioritizes services & goods needed What is necessary to provide care?What is necessary to provide care? How important is each good/service?How important is each good/service?

New budget each yearNew budget each year Budget based on program goalsBudget based on program goals

Need documentationNeed documentation ATC needs to justify and evaluate all ATC needs to justify and evaluate all

expensesexpenses Why??Why??

Line-Item Line-Item BudgetingBudgeting

Expenses are broken down into…Expenses are broken down into… Classes, subclassesClasses, subclasses

Expendable suppliesExpendable supplies Permanent equipmentPermanent equipment Maintenance & repairMaintenance & repair Salaries & benefitsSalaries & benefits Professional organization membershipsProfessional organization memberships Physician involvementPhysician involvement

Line-item Line-item BudgetingBudgeting

Allows parent organization greater Allows parent organization greater monetary controlmonetary control

Advantage:Advantage: Breakdown of categories=easy Breakdown of categories=easy

comprehensioncomprehension Disadvantage:Disadvantage:

““Mid-year financial crisis”Mid-year financial crisis” Funds cannot be interchanged between Funds cannot be interchanged between

classes.classes.

Lump-sum Lump-sum BudgetingBudgeting

ATC is given a “lump-sum” of moneyATC is given a “lump-sum” of money Uses where and when neededUses where and when needed

Spending freedomSpending freedom Athletic trainer held accountable for Athletic trainer held accountable for

spent moneyspent money By administratorsBy administrators

Budget SettingsBudget Settings College/UniversityCollege/University

Traditional (High School)Traditional (High School)

Professional athleticsProfessional athletics

IndustrialIndustrial

RehabilitationRehabilitation

Remember-Remember- Choose budgeting type that fits Choose budgeting type that fits

employment setting (if you can)employment setting (if you can) Meets the program needs (college vs. pro)Meets the program needs (college vs. pro)

Consider past budgets when creating a Consider past budgets when creating a new one.new one. Documentation!Documentation!

Effectively communicate program needsEffectively communicate program needs Less money for more sports…Less money for more sports…

Think outside the box & be creative!Think outside the box & be creative! Remember the Trainers Lament!Remember the Trainers Lament!

The Trainer's Lament

WE THE WILLING

LED BY THE UNKNOWING ARE DOING THE IMPOSSIBLE

FOR THE UNGRATEFUL

WE HAVE DONE SO MUCH FOR SO LONG

WITH SO LITTLE- WE ARE NOW QUALIFIED

TO DO ANYTHING WITH NOTHING!

SuppliesSupplies Expendable (supplies that cannot be reused- Expendable (supplies that cannot be reused-

first aid and injury prevention supplies)first aid and injury prevention supplies) Non-expendable (re-useable supplies -ace Non-expendable (re-useable supplies -ace

wraps, scissors…etc)wraps, scissors…etc) Yearly inventory and records must be Yearly inventory and records must be

maintained in both areasmaintained in both areas EquipmentEquipment

Items that can be used for a number of Items that can be used for a number of yearsyears

Fixed (remain in the training room- ice Fixed (remain in the training room- ice machine, tables)machine, tables)

Non-fixed (crutches, coolers, training kits)Non-fixed (crutches, coolers, training kits)

Purchasing SystemsPurchasing Systems Direct buy vs. competitive biddingDirect buy vs. competitive bidding Lease alternative Lease alternative

Additional Budget ConsiderationsAdditional Budget Considerations Telephone and postage expensesTelephone and postage expenses Contracts for outside servicesContracts for outside services Purchases relative to liability Purchases relative to liability

insurance and professional insurance and professional developmentdevelopment

Assignment 3:Assignment 3:Use the catalogs Use the catalogs

provided, internet and provided, internet and any other resources to any other resources to

order order athletic athletic training supplies for training supplies for

Klein Collins HS.Klein Collins HS.

The The importance of importance of

the pre-the pre-participation participation

physical examphysical exam

The importance of the pre-The importance of the pre-participation physical examparticipation physical exam

Every year thousands of athletes undergo a pre-Every year thousands of athletes undergo a pre-participation physical evaluation.participation physical evaluation.

Physicals can identify an athlete who may be at risk Physicals can identify an athlete who may be at risk for injury before he or she participates in a sport. for injury before he or she participates in a sport.

The physical can reveal conditions that can warrant The physical can reveal conditions that can warrant disqualification from participation in all or certain disqualification from participation in all or certain sports or it could warrant the use of special sports or it could warrant the use of special equipment such as a brace or eye glasses. equipment such as a brace or eye glasses.

The physical evaluation also sets a baseline in case The physical evaluation also sets a baseline in case of injury. of injury. This allows the athletic trainer to help the athlete This allows the athletic trainer to help the athlete get back to or as close to his or her original get back to or as close to his or her original physical condition after an injury. physical condition after an injury.

Pre-participation physical Pre-participation physical examexamThe pre-participation physical evaluation is The pre-participation physical evaluation is

administered by a family physician or by a group administered by a family physician or by a group of individuals who work together with physicians of individuals who work together with physicians and are trained in assessing the health of an and are trained in assessing the health of an athlete such as a Certified Athletic Trainer. athlete such as a Certified Athletic Trainer.

Most often, an athlete’s annual physical evaluation Most often, an athlete’s annual physical evaluation is completed by a medical doctor in a private-is completed by a medical doctor in a private-practice setting. If the physician is the athlete’s practice setting. If the physician is the athlete’s primary-care physician then the doctor is more primary-care physician then the doctor is more familiar with the medical history and the past familiar with the medical history and the past health conditions of the athlete. health conditions of the athlete.

Another system of administering pre-Another system of administering pre-participation evaluations is a station participation evaluations is a station evaluationevaluationSeen in HS SettingsSeen in HS Settings

Pre-participation physical Pre-participation physical examexam

The station evaluation can handle a large number of The station evaluation can handle a large number of athletes at the same time and it is organized by athletes at the same time and it is organized by stations using a group of individuals in the medical stations using a group of individuals in the medical profession. profession.

Volunteers who help administer the evaluations at each Volunteers who help administer the evaluations at each station include medical doctors, dentists, certified station include medical doctors, dentists, certified athletic trainers, physical therapists, physician athletic trainers, physical therapists, physician assistants, nurses, and other allied-health personnel.  assistants, nurses, and other allied-health personnel.  Parents and coaches also assist in making these Parents and coaches also assist in making these screenings possible.   screenings possible.   

The evaluations include a medical history, height, weight, The evaluations include a medical history, height, weight, blood pressure, pulse rate, dental screening (college), blood pressure, pulse rate, dental screening (college), vision screening, general medical screening, vision screening, general medical screening, musculoskeletal exam, orthopedic screening, body musculoskeletal exam, orthopedic screening, body composition, and a number of fitness assessments. composition, and a number of fitness assessments.

After all the screenings are complete, then a physician After all the screenings are complete, then a physician will determine whether the athlete can participate in will determine whether the athlete can participate in athletics or if there are any limitations for the athlete. athletics or if there are any limitations for the athlete.

Pre-participation physical Pre-participation physical examexamThe following sections are included in the station pre-participation The following sections are included in the station pre-participation

physical evaluation:physical evaluation:Medical History (MOST IMPORTANT!)Medical History (MOST IMPORTANT!)Cardiovascular:Cardiovascular: Family history of sudden death under the age of Family history of sudden death under the age of

50, Prior heart disease in family, heart murmur, exertional 50, Prior heart disease in family, heart murmur, exertional shortness of breath or chest pain, fainting during or following shortness of breath or chest pain, fainting during or following exertion, high blood pressure, excessive fatigue, palpitations exertion, high blood pressure, excessive fatigue, palpitations (skipped, irregular, or racing heart beats) (skipped, irregular, or racing heart beats)

Orthopedic:Orthopedic: Recent or significant musculoskeletal injuries, neck Recent or significant musculoskeletal injuries, neck injuries, unexplained hip or knee pain, dislocations, broken injuries, unexplained hip or knee pain, dislocations, broken bones bones

Neurologic:Neurologic: Seizure history, concussion history Seizure history, concussion history Pulmonary:Pulmonary: Asthma history Asthma history Gastrointestinal:Gastrointestinal: Spleen or liver enlargement Spleen or liver enlargement Menstrual History:Menstrual History: Absence or irregular periods, stress fractures, Absence or irregular periods, stress fractures,

disordered eating disordered eating Medical Illnesses:Medical Illnesses: Infectious mononucleosis, hepatitis, sickle cell Infectious mononucleosis, hepatitis, sickle cell

trait, HIV, diabetes, heat illness, allergic reactions, other chronic trait, HIV, diabetes, heat illness, allergic reactions, other chronic illnesses, drug or other allergies illnesses, drug or other allergies

Use of glasses, contact lenses, hearing aids Use of glasses, contact lenses, hearing aids Medication Use: Including nutritional supplements Medication Use: Including nutritional supplements

All parts of the pre-participation physical evaluation All parts of the pre-participation physical evaluation come together to assess the athlete’s overall health come together to assess the athlete’s overall health level. level.

Clearance is made at the end of the screening by a Clearance is made at the end of the screening by a state licensed physician who has reviewed the state licensed physician who has reviewed the athlete’s history and has performed the general athlete’s history and has performed the general examination. examination.

Often, for those who are not cleared, there are certain Often, for those who are not cleared, there are certain criteria that have to be met before they can be criteria that have to be met before they can be cleared. cleared.

In rare cases, it is found that playing sports could In rare cases, it is found that playing sports could endanger or threaten the health of the athlete.endanger or threaten the health of the athlete.If this happens, the athlete is denied participation or If this happens, the athlete is denied participation or another sport is recommended. another sport is recommended.

No matter the outcome, No matter the outcome, the pre-participation the pre-participation evaluation is one of the best tools to help prevent evaluation is one of the best tools to help prevent athletic injuriesathletic injuries. .

Pre-participation physical Pre-participation physical examexam

Assignment 4:Assignment 4:Use the internet, UIL Use the internet, UIL website or any other website or any other

resource to determine resource to determine 3 reasons why an 3 reasons why an

athlete may NOT be athlete may NOT be cleared for cleared for

participationparticipation

Identify the Identify the necessary necessary

records that records that must be must be

maintained by maintained by the Athletic the Athletic

TrainerTrainer

Identify the necessary records Identify the necessary records that must be maintained by the that must be maintained by the Athletic Trainer -Athletic Trainer -Record KeepingRecord Keeping

Paperwork, Paperwork, Paperwork!Paperwork, Paperwork, Paperwork! Major responsibilityMajor responsibility Rule not the exceptionRule not the exception

Must be accurate and up-to-dateMust be accurate and up-to-date Medical records, injury reports, Medical records, injury reports,

insurance information, injury insurance information, injury evaluations, progress notes, evaluations, progress notes, equipment inventories, annual reportsequipment inventories, annual reports

Injury Reports and Injury Injury Reports and Injury DispositionDisposition

Injury reports serve as future Injury reports serve as future referencesreferences

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

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

athletic training roomathletic training room

Injury Evaluation and Injury Evaluation and Progress NotesProgress Notes

Injuries and progress should be monitored by Injuries and progress should be monitored by the athletic trainer and recordedthe athletic trainer and recorded

SOAPSOAP note format note format S:S: Subjective (history of injury/illness) Subjective (history of injury/illness) O:O: Objective (information gathered during eval) Objective (information gathered during eval) A:A: Assessment (opinion of injury based on Assessment (opinion of injury based on

information gained during evaluation)information gained during evaluation) P:P: Plan (short and long term goals of rehabilitation) Plan (short and long term goals of rehabilitation)

HOPS HOPS evaluation formatevaluation format

Treatment LogTreatment Log Sign-in to keep track of servicesSign-in to keep track of services Daily treatments can be recordedDaily treatments can be recorded Can be used as legal documentation in Can be used as legal documentation in

instances of litigationinstances of litigationPersonal Information Personal Information Card- Emergency CardCard- Emergency Card

Contains contact information for Contains contact information for family, physician, insurance family, physician, insurance information and Past Medical History information and Past Medical History (PMHx) (PMHx)

Supplies and Equipment Supplies and Equipment InventoryInventory

Managing budget and Managing budget and equipment/supplies is critically equipment/supplies is critically importantimportant Document every penny!Document every penny!

Inventory must be taken yearly in Inventory must be taken yearly in order to effectively replenish order to effectively replenish suppliessupplies End of sport seasonEnd of sport season

Summary of athletic training room Summary of athletic training room functioningfunctioning

Can be used to evaluate Can be used to evaluate recommend potential changes for recommend potential changes for program program

Includes number and types of Includes number and types of injuries seen/treatedinjuries seen/treated

Annual ReportAnnual Report

Release of Medical Release of Medical RecordsRecords

Written consent is requiredWritten consent is required Waiver must be signed for any Waiver must be signed for any

release (include specifics of release (include specifics of information to be released and to information to be released and to whom)whom)

Buckley AmendmentBuckley Amendment HIPPAHIPPA

Computer as Tool Computer as Tool for Athletic Trainerfor Athletic Trainer

Indispensable toolIndispensable tool Can make the job more efficient Can make the job more efficient

with appropriate softwarewith appropriate software Must maintain securityMust maintain security Can also be used for other Can also be used for other

administrative tasksadministrative tasks SportsWare/ RankOne SportsWare/ RankOne

Collecting Injury Collecting Injury DataData AccidentAccident - unplanned event resulting in loss - unplanned event resulting in loss

of time, property damage, injury or deathof time, property damage, injury or death Injury-Injury- damage to the body restricting damage to the body restricting

activityactivity Case study-Case study- looks at specific incident of looks at specific incident of

injuryinjury Injury study falls under numerous categoriesInjury study falls under numerous categories

Age, gender, body part, occurrence in different Age, gender, body part, occurrence in different sportssports

Contact vs. non-contact sportsContact vs. non-contact sports

Catastrophic InjuriesCatastrophic Injuries 98% of injuries requiring hospital 98% of injuries requiring hospital

emergencies are treat and release emergencies are treat and release relative to sportrelative to sport

Sports deaths (struck with object, heat Sports deaths (struck with object, heat stroke)stroke)

Catastrophic injuries also include spinal Catastrophic injuries also include spinal cord trauma, cardiorespiratory cord trauma, cardiorespiratory injuries/problemsinjuries/problems

Most injuries are related to appendagesMost injuries are related to appendages Strains, sprains, contusions, fractures, Strains, sprains, contusions, fractures,

abrasionsabrasions

Current National Injury Data-Current National Injury Data-Gathering SystemsGathering Systems State of the art injury surveillance is still State of the art injury surveillance is still

developingdeveloping Ideal situationIdeal situation

Epidemiological approach that studies Epidemiological approach that studies relationship of various factors that influence relationship of various factors that influence frequency and distribution of injury in sportfrequency and distribution of injury in sport

Extrinsic factors (activity, exposure, equipment)Extrinsic factors (activity, exposure, equipment) Intrinsic factors (age, gender, neuromuscular Intrinsic factors (age, gender, neuromuscular

aspects, structural aspects….etc)aspects, structural aspects….etc) Number of different surveillance systems in Number of different surveillance systems in

placeplace

Surveillance SystemsSurveillance Systems National Safety Council (general sports National Safety Council (general sports

injury data)injury data) Annual Survey of Football Injury Research Annual Survey of Football Injury Research

(public school, college, professional, (public school, college, professional, sandlot football injury data)sandlot football injury data)

National Center of Catastrophic Sport National Center of Catastrophic Sport Injury Research (Tracks catastrophic Injury Research (Tracks catastrophic injuries in all levels of sports)injuries in all levels of sports)

NCAA Injury Surveillance System (data NCAA Injury Surveillance System (data collected on most major sports- ATC data collected on most major sports- ATC data collection)collection)

Surveillance Systems cont’dSurveillance Systems cont’d National Electronic Injury Surveillance National Electronic Injury Surveillance

System (Monitor injuries relative to System (Monitor injuries relative to different products --consumer safety, different products --consumer safety, determine if products are hazardous or determine if products are hazardous or defective)defective)

National High School Sports Injury National High School Sports Injury Registry (tracks injuries in specific Registry (tracks injuries in specific sports at 150-200 high schools)sports at 150-200 high schools)

QUESTIONS / QUESTIONS / COMMENTS?COMMENTS?