Chapter 5 Flashcards
Employed by Athletic Department
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
Employed by Educational Programs
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
Employed by University Health System
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
Employed by Outside Hospital
A:
- decrease athletic department responsibility of medical decisions
D:
- institutions may compare best medical provider to best financial package
AT duties
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…
Team Physician duties
ultimate authority for medical decisions
Operational practices
understanding & adhering to approved organizational and professional practices along with guidelines to ensure individual and organizational well-being
- policy
- procedures
- purpose
- documentation
Policy
basic rules & principles
Procedures
steps to follow the policy
Purpose
explanation of why the policy is important
Documentation
provide evidence that policy and procedures have been followed
Reasons for conducting PPE
- 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
Office-Based PPE
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
Station-Based PPE
- 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
Cornerstone of PPE
medical history
Roles of managing physician clinics
- 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
Administration of medication
- Done by AT
- providing a single dose of an OTC drug
Dispensing medication
- done by pharmacist
- preparation, packaging, and labeling of prescription medication
Distributing medication
- done by a physician
- discusses the process by which a drug is provided to the patient
Information to document for medication log
- patient name
- patient sports team
- drug name
- date given
- dose given
- expiration date
- lot number
- ATC initial/signature
HIPAA
Health Insurance Privacy and Accountability Act
- protects medical records & other individually identifiable health information
- regulated how patients’ private health information can be shared
FERPA
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
Facility Design: Location
- allow for entrance from outside (not through locker room)
- doors/hallways should accommodate stretchers and wheelchairs
- on ground floor
- reasonable proximity to locker rooms
Facility Design: Saftey elements
- 1/2 walls for supervision
- non-slip floors
- adequate ceiling heights
- proper lighting
Facility Design: Mechanical elements
- GFIs (ground fault circuit interrupters)
- proper ventilation and air circulation
- water fill pipes and drains in hydrotherapy area
Facility Design: Ergonomics
- how ATC works should be considered in design
- noise control in office area
- adjustable chair heights
