2: CHAPTER ORGANIZING AND ADMINISTERING AN ATHLETIC HEALTH CARE PROGRAM
Facility Design
Design will vary drastically based on number of athletes, teams, and various needs of the program Size
Varies between settings Existing space or newly designed Outside entrance Double door entrances and ramps are ideal Proximity to locker rooms and toilet facilities Taping and bandaging Treatment and Rehab Wet area (whirlpools, refrigerator, ice machine) Physicians examination room Office space
2005 The McGrawHill Companies, Inc. All rights reserved.
Location
Distinct areas
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
2005 The McGrawHill Companies, Inc. All rights reserved.
Rules of Operation for an Athletic Healthcare Program
Must develop policies and procedures Define scope of program
Who will be served? Services? Institution: who else can be served medically and educationally and what are the legalities?
2005 The McGrawHill Companies, Inc. All rights reserved.
Providing Coverage
Facility Personnel Coverage Sports Coverage
2005 The McGrawHill Companies, Inc. All rights reserved.
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
2005 The McGrawHill Companies, Inc. All rights reserved.
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
2005 The McGrawHill Companies, Inc. All rights reserved.
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
2005 The McGrawHill Companies, Inc. All rights reserved.
Establishing Health Habits for the Athlete
Promotion of good health and hygiene is critical Is the athlete cleared to participate? Is each athlete insured? Does the athlete promptly report injury and illnesses? Does the athlete follow good living habits? Does the athlete avoid sharing clothes and towels? Does the athlete exhibit good hygiene 2005 The McGrawHill Companies, Inc. All rights reserved. practices?
Emergency Telephones
Accessibility to phones in all major areas of activity is a must
2005 The McGrawHill Companies, Inc. All rights reserved.
Developing a Risk Management Plan
Security Issues
Accessibility to training room (staff, physicians, student athletic trainers) Supervision issues Post evacuation plan in case of fire Smoke detectors/alarm system and fire extinguisher should be tested and in place
Fire Safety
2005 The McGrawHill Companies, Inc. All rights reserved.
Emergency Injury Management Plan
A plan must exist for accessing emergency personnel
Must include transportation of athletes to emergency facilities
Meeting with outside personnel is necessary to determine roles and rules regarding athlete and equipment care Must have knowledge of and local community health services and agencies in the event of referrals
2005 The McGrawHill Companies, Inc. All rights reserved.
Record Keeping
Major responsibility Rule not the exception Types
Medical records, injury reports, insurance information, injury evaluations, progress notes, equipment inventories, annual reports
2005 The McGrawHill Companies, Inc. All rights reserved.
Administering Preparticipation Examinations
Pre-participation exam prior to start of practice is critical Purpose:
Identify athlete that may be at risk Establish a baseline Reveal condition that may warrant disqualification
Examination by Personal Physician VS
Station Examination
2005 The McGrawHill Companies, Inc. All rights reserved.
Components of a PPE
Medical History Physical Examination Maturity Assessment
Methods
Circumpubertal Skeletal Dental
(sexual maturity)
Tanner's five stage assessment is most expedient
2005 The McGrawHill Companies, Inc. All rights reserved.
Orthopedic Screening
Release of Medical Records
Written consent Yearly Condition Specific
2005 The McGrawHill Companies, Inc. All rights reserved.
FERPA/HIPAA Regulations
Regulates how 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
2005 The McGrawHill Companies, Inc. All rights reserved.
Injury Reports
What is in it? Who should get it? How long do you have to keep it?
2005 The McGrawHill Companies, Inc. All rights reserved.
Treatment Log
Sign-in to keep track of services Daily treatments can be recorded Can be used as legal documentation Subject to HIPAA regulations Contains contact information for family, personal physician, and insurance information
2005 The McGrawHill Companies, Inc. All rights reserved.
Personal Information Card
Supplies 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
2005 The McGrawHill Companies, Inc. All rights reserved.
Annual Report
Summary of athletic training room functioning Can be used to evaluate/recommend potential changes for program Includes number and types of injuries seen/treated
2005 The McGrawHill Companies, Inc. All rights reserved.
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.
2005 The McGrawHill Companies, Inc. All rights reserved.
Ordering Supplies and Equipment
Expendable (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 2005 The McGrawHill Companies, Inc. All rights reserved. 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
2005 The McGrawHill Companies, Inc. All rights reserved.