2 - Scope of Practice, Professionalism, Safety and EAP Flashcards
before you start an assessment on a client, you need to prepare yourself and your environment. Which 3 questions were mentioned on the slides?
What is your scope of practice?
How will you keep your client safe?
How to be professional? (record keeping and notetaking)
in Canada, the only time scope of practice can be voided is _
if situation is life threatening and noone else is more experienced (good samaritan act)
What is a scope of practice?
- provides a concise description, in broad, non-exclusice terms, of the activities and areas of professional practice
- does not list specific tasks or procedures because these can become outdated as practice evolves in response to changes in knowledge (tends to list things you CAN’T do cause CAN is too long)
What happens when professionals work outside their SOP?
- risk the safety of clients
Expose themselves to legal risk:
1) If the trainer causes an injury
2) Fails to refere a client to another more appropriate health care provider
*liability insurance only cover SOP
under the CSEP-CPT SOP, who can they work with?
apparently healthy people or people with one stable chronic condition who are able to exercise independently
(don’t need to be ambulatory, aka can be in a wheelchair but they should be able to do exercises on their own without 24/7 monitoring)
What CAN a CSEP-CPT do in their SOP?
- conducts basic pre-participation health screening
- gathers info about client’s PA/lifestyle behaviours
- administers CSEP-PATH fitness assessment according to client’s goals and wishes
- develops a health/fitness related, client-tailored exercise prescription
- recognizes their own area of expertise and refers clients who fall outside that expertise
what CAN’T a CSEP-CPT do within their SOP?
- use an ECG
- conduct an exercise test/design prescription that is >90% maximal effort
- create diet plans (can make general guidance but no explicit plans)
*work within knowledge even if their within SOP, should refer to someone more knowledgable or educate yourself
what effect does the CSEP high performance specialist have on the CSEP CPT SOP?
- previous restrictions on maximal aerobic and anaerobic assessment protocols or exercise program development are lifted
- previous restrictions on muscular strentgth assessment protocols or program design that exceeed 90% of 1-RM are lifted
who can CSEP-CEPs work with under their scope of practice?
work with clients with more than one medical condition or with unstable medical condition
describe the CSEP-CEP SOP
- does everything a CPT can do
- work with clients with more than 1 medical condition or with unstable medical condition
- can work with youth, older-aged persons, and performance testing
- accept referrals from health care professionals
suggest dietary practices for health and performance related fitness (NOT explicit diet plan just suggestions) - monitor the use of common medication in response to exercise
- use ECG
- take finger prick blood samples (must comply with CSEP blood sampling policy)
What CAN’T a CSEP-CEP do within their SOP?
- diagnose pathology or abnormal ECG tracings
- work with acutely injured or diseased persons who are not within their area of expertise
*if ppl are sent for a stress test they already have a cardiologist, have to follow up with them about issues CAN’T say anything
What 4 things should we consider in terms of client safety and injury prevention?
- consider benefits vs risk
- ensure adequate physical activity readiness screening and monitoring of client
- err on the side of caution
- avoid high-risk/contraindicated exercises
how do the risks of exercise compare to the benefits?
relative risk is low, especially when compared to the health benefits associated with physical activity
- lowest among young adults
elaborate on “err on the side of caution”
- mild to moderate exercise intensity at the start of a program
- excessive intensity, frequency and duration offer very little additional benefit in terms of health status
list the 4 components of facility & equipment standards
- equipment maintenance
- building maintenance
- safety & policy signs in clear view
- environmental factors
describe equipement maintenance
- cleaned, functioning, intact, calibrated equipment
- cleaning done regularly + after use
- checking functioning and intactness at minimum once each day
- calibrating equipment based on manufacturer recommendations, a little less regular
describe building maintenance
- flooring, mirrors, walls, exits, storage areas, lighting
- floor is clear
- mirrors are around, encouraging proper form for reduced risk of injury
- walls are safe and sturdy since people lean onto them
- exits are available and well-defined for clients
- storage areas for equipment
- good lighting to see risks
Describe environmental factors
- stereo volume, air temp, etc
- stereo volume: might not hear instructions and increase risk
- air temp needs to not be too hot and humid since it could increase risk
describe safety & policy signs in clear view
- esp, fire, privacy policy, etc.
- EAP = emergency action plan
- fire prevention
- privacy policies
*all placed in plain view and accessible to everyone in facility
what’s the best 1st step in preparing for emergencies?
avoiding emergencies
- always do physical activity readiness screening and ensure equipment is properly maintained
- conduct emergency drills and practice CPR scenarios on routine basis
- have emergency action plan (EAP) and know your role
describe emergency action plans
- an EAP is required
- written document with proper procedures for caring for injuries and dealing with emergencies
- prepare to deal with CV and/or MSK complications
*clearly defined and posted in a visible location
what makes an EAP clearly defined?
- simple to follow, shouldn’t have to analyze the info for 10 minutes in the middle of an emergency
- presented ona signle page and posted somewhere so people can follow it
- summarized steps
- posted somewhere visible so you won’t have to go looking for it
What should be included on the EAP?
- ambulance phone number
- loacl hospital or closest medical clinic
- name + phone of physician and next of kin
Procedures for common issues like dizzyness, loss of consciousness, any other serious incident
what should you do if a client is experiencing dizzyness
1) lie client in supine position & elevate legs
2) monitor BP (could also be low blood glucose so ask if they ate anything)
3) keep client in this position until his/her BP returns to the pre-ex level
*if no improvement suggest seeing doctor
*typically happens after the exercise
what should you do if a client loses consciousness?
1) Initiate emergency procedures immediately, call 911
*if temporarly loss could take them to physician yourself
what should you do if any other serious incident occurs?
- request emergency services
- provide emergency treatment CPR/AED
What should you do if any adverse event occurs to your client?
complete an incident report form
- date, time, describe situation, how you tried to resolve it, how you tried to reduce risk before
- typically in university needs to be submitted to environmental health and safety office within 24 hours of occurence
