Chapter 5

Question 1

Employed by Athletic Department

Answer 1

A:
- Allows for a closer relationship between sports med and athletic department
- increase communication between HCPs and athletes
D:
- increase conflicts of interest
- influence of coaches on RTS

Question 2

Employed by Educational Programs

Answer 2

A:
- reduce conflicts of interest
- provide AT with advancement opportunities
- increase mentoring
D:
- athletic department may perceive a lack of commitment
- AT may sacrifice athlete medical needs for educational demands

Question 3

Employed by University Health System

Answer 3

A:
- decrease conflict of interest
- AT provided full rights of medical needs
- better salary
D:
- athletic department may perceive lack of care for their personnel
- Athletic department does not control AT employment

Question 4

Employed by Outside Hospital

Answer 4

A:
- decrease athletic department responsibility of medical decisions
D:
- institutions may compare best medical provider to best financial package

Question 5

AT duties

Answer 5

provide patient-centered care to help student-athletes reach full potential
- EAP
- preventing, recognizing, diagnosing, referring, treating, and rehabbing injuries
- RTP criteria
- maintaining medical records
- monitoring safe practice/participation
- communication with coaches, parents, physicians…

Question 6

Team Physician duties

Answer 6

ultimate authority for medical decisions

Question 7

Operational practices

Answer 7

understanding & adhering to approved organizational and professional practices along with guidelines to ensure individual and organizational well-being
- policy
- procedures
- purpose
- documentation

Question 8

Policy

Answer 8

basic rules & principles

Question 9

Procedures

Answer 9

steps to follow the policy

Question 10

Purpose

Answer 10

explanation of why the policy is important

Question 11

Documentation

Answer 11

provide evidence that policy and procedures have been followed

Question 12

Reasons for conducting PPE

Answer 12

• to detect any conditions that may limit an athlete’s participation & predispose them or others to injury or illness during competition
• determine general health of athlete
• assess fittness level
• counsel athlete on health-related issues
• legal

Question 13

Office-Based PPE

Answer 13

Individual exam with physician

A:
- better continuity of care
- better opportunity to discuss sensitive topics
- improve patient-physician relations

D:
- lack of primary care physician
- increased cost
- lack of communication
- physician not comfortable with determining clearance

Question 14

Station-Based PPE

Answer 14

• Athlete moves from station to station with various components of PPE
• used for a large number of people in a short period of time
• physician at end for “check-out” exam

A:
- cost-effective
- efficient
- use skills/expertise of various people
- better communication
D:
- can be noisy or confusing is not well-organized
- may compromise continuity of care
- lack of time & privacy

Question 15

Cornerstone of PPE

Answer 15

medical history

Question 16

Roles of managing physician clinics

Answer 16

• when physician clinics will be held
• how all student-athletes can be provided access to the physician and notified of appointments
• how AT staff will assist during the physician clinic
• how referrals or diagnostic tests will be handled after the clinic
• what info from the clinic can be shared with other AT staff
• how notes and referrals will be documented and filed
• how the organization will address missed appointments

Question 17

Administration of medication

Answer 17

• Done by AT
• providing a single dose of an OTC drug

Question 18

Dispensing medication

Answer 18

• done by pharmacist
• preparation, packaging, and labeling of prescription medication

Question 19

Distributing medication

Answer 19

• done by a physician
• discusses the process by which a drug is provided to the patient

Question 20

Information to document for medication log

Answer 20

• patient name
• patient sports team
• drug name
• date given
• dose given
• expiration date
• lot number
• ATC initial/signature

Question 21

HIPAA

Answer 21

Health Insurance Privacy and Accountability Act
- protects medical records & other individually identifiable health information
- regulated how patients’ private health information can be shared

Question 22

FERPA

Answer 22

Family Education Rights and Privacy Act
- rights of students in an educational setting to:
1. review and inspect educational records
2. have their educational records amended or corrected
3. control disclosure of certain portions of their educational records

Question 23

Facility Design: Location

Answer 23

• allow for entrance from outside (not through locker room)
• doors/hallways should accommodate stretchers and wheelchairs
• on ground floor
• reasonable proximity to locker rooms

Question 24

Facility Design: Saftey elements

Answer 24

• 1/2 walls for supervision
• non-slip floors
• adequate ceiling heights
• proper lighting

Question 25

Facility Design: Mechanical elements

Answer 25

• GFIs (ground fault circuit interrupters)
• proper ventilation and air circulation
• water fill pipes and drains in hydrotherapy area

Question 26

Facility Design: Ergonomics

Answer 26

• how ATC works should be considered in design
• noise control in office area
• adjustable chair heights