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to supervise and oversee recreational sport and physical activity and include coaches, fitness professionals, athletic administrators. PE teachers, and others in various aspects of exercise and sports science |
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generically, to a broad field of health care related to PA and sport. The ACSM defines as a multidisciplinary approach to health management/ achievement of full potential associated with exercise and sports including physiological, biomechanical, psychological and pathological |
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The umbrella of sports medicine includes |
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a lot of specialized aspects to do with physical activity or athletic populations |
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How is the umbrella divided |
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2 things 1 performance enhancing 2 injury care and management some can be both |
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Those to do with enhancing are |
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exercise physiology, bio mechanics, sport psychology, nutrition, strength and conditioning, Personal fitness training, coaching and PE |
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physicians and PA, athletic training, sports physical therapy, massage, dentistry, osteopathic med, orthopedists/prosthetists, chiropractic, podiatry, Emergency medical specialists. |
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System / method health care is delivered by any of the sports team depends on __ |
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if the activity is recreational or organized |
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It is critical that the sports be aware of |
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are aware of both treatment and prevention |
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Athletes have the right to |
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have overseers that view their health and safety as a priority. |
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Well-trained professions of the health care team may be in violation |
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if they try to provide treatment or care t DO NOT ATTEMPT THE DUTIES OF A PHYSICIAN, ATC, PT…etc. ONLY provide care that you are qualified for: Do not go beyond “scope of care”. You may assist medical personal |
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All should be certified in |
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Injury care management members are |
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physicians and PAs, , sports PT, Athletic training, Massage Therapy, orthotists, sports dentists, Osteopathic, chiropractors, podiatrists, Emergency treatment specialists |
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You should have from each player’s: |
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Consent form Health History form Emergency Information form |
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Sports Medicine organizations |
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National Athletic Trainers Association (1950) American College of Sports Medicine (1954) American Orthopaedic Society for Sports Medicine (1972) National Strength and Conditioning Association (1978) American Academy of Pediatrics, Sports Committee (1979) Sports Physical Therapy Section of APTA (1981) |
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What are the goals of sports medicine organizations? |
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making and maintaining a set of professional standards aka code of ethics aka ethical standards Bring professionals together for ideas and research to advance profession To provide opportunities to collaborate toward single purpose |
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The sports medicine team description |
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group effort. involves many. each member of the team must perform specific functions in the care for the injured athlete |
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The FITNESS Professional's role in the sports medicine team |
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focus on performance, performance enhancement and injury prevention are critical |
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Role of strength and conditioning coaches: |
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Oversees fitness often in collegiate level for team and individual training Usually NSCA certified CPR/AED and basic first aid certified. Work with athletic trainer in strength training related to injury |
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Who is responsible to communicate with the athletic trainer as to how the conditioning program should be limited or modified? |
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the strength and conditioning coach should tell the athletic trainer the limits |
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The athletic trainer dictates what an injured athlete can or cannot do when |
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engaging in strength and conditioning program... strength and conditioning coaches are not at high schools usually; and so the athletic trainer or team coach assumes this role and have to program develop and oversee the weight room |
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strongest growth segment increasing services in post-rehab training, sport conditioning, special medical needs and weight management. |
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certified in CPR/AED basic First Aid. provide first aide and refer for medical assistance Serve an recreation and Parks Directors to manage recreation programs a man settings and make budgets for recreational programs SUPERVISIORS are liaisons between parts director and recreation leaders.. plan, organize, manage activities direct events and activities |
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Oversees policies and procedures, risk management, emergency action plans, responsible for budget and funding all the healthcare program ... salaries, supplies, equipment, insurance The administration has huge impact on success of athletic programs |
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has to be aware of each persons responsibility in the team especially if there is no athletic trainer Know the state limits legally certified in CPR/AED and first aid Role preventive conditioning program provide equipment coaching license and certification know environmental factors and skill techniques and be a coach |
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Athletic trainer ATC not to be confused with personal fitness trainer that can be certified from 400 different places and work with people already health to just enhance |
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big academic preparation and experience Board of Certification requirements Work with athletes from time of injory to resolution Directly responsible for all phases of health care in an athletic environment Work at Universities S[ports medicine clinics armature/professional athletic military NASA NASCAR Performing arts equipment sales PREVENT INJURY AND PROMOTE HEALTH Ensure right training, monitor environment, nutrtion, maintain and fit equipment, appropriate use of medication Clinical examination and diagnosis |
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Role of the Athletic Trainer *** |
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training, monitor environment, nutrition, maintain equipment, use of medication, clinical examination and diagnosis (recognize nature and extent of injury) provide acute care of injury and illness first aid and manage acute injury Recognize abnormal behavior use intervention and refer Theraputic intervention equipment, manual therapy,m therapeutic modalities Health care administrated, budget, inventory, injury records, supervises, insurance EAP development educate public seminars, research and care |
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medical histories and physical exams pre-participating screening, diagnosing injury, decided on disqualification, and when can return .. supervises athletic trainer.. attends practice and games.. |
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who educates the athlete? |
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athletic trainer and coach athletic trainer much deal with multiple healthcare providers at parent's request may be required by ins. Must make sure athlete and family know HIPAA Health Insureance Portability and Accountabilit Act.. |
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What is the most often limiting factor in health care for athletes? |
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Rules of operation for an Athletic Health care program |
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Decide who will take care of the health care facility Develop polices and procedures + delineate daily routine of porbram Define scope of program like who will be served by what program. to what extent ans what service will be rendered, who else can be served and what are the legalities. |
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The Ideal situation in every secondary school would be to hire who? |
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A Certified Athletic Trainer |
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Athletic Health Care Facility policies |
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Used only for prevention and care of sports injuries OSHA clean sweep floors daily clean drinking fountains, showers, sinks, toilet daily air out and sanitize lockers often clean mats daily use clean towels for each No swapping of equipment change clothing often Wear dry stuff |
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no cleats shower before treatment No roughhousing or profanigty no food or tobacco adhere to OSHA ( Occupational Safety and Health Administration ) standards Clean treatment tables, disinfect hydrotherapy modalities clean equipment |
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Health habits for the athlete |
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must be cleared to participate must be insured report injuries and illness no share clothing or towels good hygiene avoid common drinking sources |
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Phones in all major areas be able to contact 911 and athletic training assistance Radios, cell and digital phones give flexibility |
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A plan for getting emergency personnel Include transportation of athletes to ER meet with outside personnel to determine roles and rules about athlete and equipment care Know local and community halth servies and agencies for referrals Must have a plan for each site |
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Document everything, now critical to health care program document all practices to assure responsibilities are being met medical records, injury reports, insurance info, injury eval, progress notes, equipment inventory, annual reports.. paper vs electronic |
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Pre-participation Exam purpose: |
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Identify athlete at risk establish base line reveal condition that may disqualify satisfy insurance and liability issues for schools and you |
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What are the 2 ways of doing a pre-participation exam ( PPE )? |
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1. personal physician that gives good history but may miss things 2. Station examination gives detailed exam in short time It is a team of 9 ideally, 2 physicians, 2 non-physicians and 5 managers/student athletic trainers. The goal is to establish if they are ready to play |
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PPE administration consists of |
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Medical History for past and existing medical conditions, done yearly. Done before exam + collect medical release and insurance info Physical exam ht, wt, BMI BP, pulse, vision, skin, dental, ear, nose, throat, heart, lungs, abd, lymph, genitalia, maturation index, urinalysis and blood work Maturity Assessment..methods circumpubertal (sexual maturely), skeleton, dental and Tanners 5 stage Orthopedic screening Sport disqualification Americans with disability Act (190) dictates athlete makes the final decision. |
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release of medical records |
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The release of medical records cannot 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 Waiver must specify information to be released |
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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 |
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Family Educational Rights and Privacy Act Protects privacy of student educational records Provides parents certain rights with respect to inspection of child’s educational records Can request corrections if inaccurate or misleading Rights transfer to child Age 18 or upon entering school beyond high school (become “eligible student”) School must have written permission to release information |
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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 health care facility Filled out in triplicate Copy to school health office, physician and one copy should be retained |
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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 |
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Personal Information Card |
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Contains contact information for family, personal physician, and insurance information.. like a chipped pet. |
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Injury Evaluation and Progress Notes |
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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 |
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Supply and Equipment Inventory |
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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 |
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Summary of athletic health care function Can be used to evaluate/recommend potential changes for program Includes number and types of injuries seen/treated |
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Different settings = different size budgets and space allocations Many high schools have difficulty providing sufficient funding 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 |
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What are expendable items? |
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Supplies that cannot be reused- first aid and injury prevention supplies |
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Equipment Fixed vs non-fixed |
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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 |
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Additional Budget Considerations |
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operating costs Telephone and postage expenses Contracts for outside services Purchases relative to liability insurance and professional development Clothing to be worn in the facility |
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Direct buy vs. competitive bidding competitive bidding can save money .. (unless it's a corrupt system) |
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Athletic Health Care Facility Design |
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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) Physicians examination room Office space |
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