Domain IV: Professional conduct, safety and risk management Flashcards
Scope of Practice
Defines the range of responsibility that shouldn’t be exceeded beyond the limits and skills of your designated profession.
Standard of Care
Using care and good judgment with respect to a participant’s age and condition. Meeting the professional standards established by the industry.
Vicarious Liability
Stipulates that employers are responsible for their workplace environment including the conduct of employees.
An ACE certified personal trainer must complete how many continuing education hours in what period of time to keep their certification active?
20 hours in 2 years
When on the treadmill, your client becomes dizzy and passes out. She hits her head on the ground. She is unconscious and non-responsive. What is an appropriate action to take?
Have a coworker call 911 while you stay with her.
What should NOT be included in an emergency response report?
Your opinion of what happened
When should an emergency response report be filled out?
Immediately after the incident has been controlled.
After a client falls and EMS is called, with whom can you share the incident report with?
The facility general manager
What is a proper place to store an incident report?
In a locked filing cabinet at the gym
Upon approaching a client who is unconscious and non-responsive, what should you check and in which order?
Airway, breathing and circulation
You notice that a member of the gym has fallen to the ground. What is the first thing you should do?
Ask her if she is ok
What questions should you ask a victim of a fall who is conscious?
Medical history
In which situation should you call 911?
A client is having difficulty breathing and you are unsure of what to do
In which situation is it not necessary to call 911?
Your client is vomiting and ends her session early
What is the purpose of CPR?
To help the body maintain perfusion.
On whom should you use an Automated External Defibrillator (AED)?
A member who is unconscious, not breathing and doesn’t have a palpable pulse.
Howard is a diabetic client whom you have been training for 3 months. While exercising he begins to show signs of hypoglycemia. What is the best course of action?
Discontinue the exercise and have Howard sit down, give him something sugary to drink and monitor him.
Your client has been running sprints outside on a hot summer day. She begins to become dizzy and pale with cool, clammy skin. What steps should you take to prevent heat stroke?
Have her lie down in a cool area with her feet elevated and give her fluids.
Your client is exercising outside on a hot day and becomes confused. She has hot, bright red skin and is having difficulty breathing. She is scared and dizzy. What is the best course of action to take?
Discontinue exercise, begin actively cooling her and call 911.
Your client trips over a piece of exercise equipment and falls, twisting her ankle. She cannot get up on her own and it is painful to stand on. What is the best course of action?
Help her to a chair, offer an ice pack and allow her to call someone to transport her to the hospital.
In which situation is it not okay to utilize and display the ACE logo?
Items for sale such as videos
Kelly has been diagnosed with a ligament sprain in her knee. She has minimal impairment and tenderness and has been advised to bear weight as tolerated. What severity level is Kelly’s ligament sprain?
Grade I
At the least, how frequently should the training environment be examined for potential hazards?
Once a day
What should the trainer do if an unsafe facility condition is noticed?
Notify management and avoid the area
What is the best course of action if you come across a piece of exercise equipment that is broken or malfunctioning?
Disable or remove the equipment
What is the best course of action if you notice a client going into shock?
Have her lie down with her feet elevated
Amnesia, headache, drowsiness and nausea are signs and symptoms of which condition?
Concussion
What position should you take when spotting a client during a bench press exercise?
Stand with a steady base above the client’s head with your hands following under the bar in case they need assistance.
Which acronym represents a credible organization or agency which can be used as a valuable resource for the ACE personal trainer?
ACSM
Your client has hypoglycemia. When is the best time to schedule his exercise?
He should exercise in the morning after a meal.
What is the primary purpose of an informed consent?
To help clients understand the risks associated with exercise
fulfill responsibilities through…
ongoing education, collaboration and awareness of professional standards and practices necessary to protect clients, stakeholders and the personal trainer
business plan should cover all of the following…
Executive summary, business description, marketing plan, operational plan, risck analysis, decision-making criteria
financial plan
should provide specific details for how a business will generate cash flow and produce profit.
6 basic business models
sole proprietorship partnership independent contractor corporation s corporation (subchapter corporation) limited liability company
sole proproetorship and partnership
sole proprietorship - one person owns the business partnership - two or more people who form a business together
independent contractor
provides certain services for other individuals or businesses.
corporation and s corporation
corporation - a formal business entity subject to laws, regulations and the demands of stockholders. a corporation is a leagal entity completely seperate from its owners and managers.
s corporation - combines the advantages of sole proprietorship, partner
limited liability company
flexible for small and medium sized business and generally more advantages than partnerships or 2 corporations
negligence
a failure to perform as a reasoable and prudent professional would perform under the similar circumstances. a reasonable and prudent person is someone who adheres to the extablished standard of care.
*the 4 elements that a plaintif must prove in a neglige
contracts
provide the best method to ensure that all aspects of a relationship are properly established. whether a trainer works as an independent contractor or employee the basic tenets of contract law should be understood.
waiver
voluntary abandonment of a right to file suit; not always legally binding. it is recommended that personal trainers utilize their own waivers in addition to any waivers potentially signed by a client when they joined the fitness center or club where the t
agreement to participate
is a signed document that indicates the client is aware of the inherent risks and potential injuries that can occur from participation in eercise.
informed consent
is a written statement signed by a client prior to testing that informs them of testing purposes, process and all potential risks and discomforts.
tort law
body of law that regulates civil wrongdoing
HIPPA (health insurance portability and accountability act)
law that requires health care professionals to have strict policies regarding the safetly and security of private records. written permission from the client must be obtained prior to sharing confidential information with an outside party
FERPA (family educational rights and privacy act)
federal privacy law that gives parents certain protections with regard to their childrens education records and some control over the disclosure of information from the records.
Risk management protocol
should consist of the following 5 steps: - risk identification - risk evaluation - selection of an approach for managing each risk - implementation - evaluation
forms to be kept and maintained to ensure business practices conform to the standards set by the professional organization
- Par-Q - health history questionnaire - physicians statement and medical clearance form - fitness assessment or evaluation forms - release, waiver, or informed consent - client progress notes - incident reports
high risk clients with cardiac disease are
10 times more likely tohave a cardiovascular event during exercise that those who are apparently healthy.
professional liability insurance
a business and/or persoanl trainer should carry this wich transfers the risk to the insurance company in the event of an incident or claim by a client. the best insurance policies cover the cost of legal defense and any claims awarded. ACE recommends reta
client confidentiality
must be kept and protected to prevent potential harm to a clients repuation and liability to the personal trainer or business. personal trainer must obtain a signed release form before disclosing any personal information about a client. * this includes po
injury prevention program
area of tort law called “premises liability” regulates and incidents that result from conditions of the physical setting where training activities occur.
dyspena
difficult or labored breathing signs: poor movement of the chest wall, flaring of the nostrils, straining of the neck muscles, poor air exchange from the mout and nose, pale sweaty skin and cyanosis
apenic
not breathing no chest movement or sounds indicating air movement, the personal trainer should give breaths. if there is no pulse then CPR should be given.
Heat exhaustion
profuse sweating, cold clammy skin, dizziness, weak rapid pulse
heat stroke
hot dry skin, bright red skin color, strong rapid pulse
contraindicated exercises
full squats, straight leg sit ups, double leg raises, standing bent over toe touch, cervical or lumbar hyperextension
sprain
a stretching or tearing of ligaments
strain
a stretching or tearing of muscles or tendons
tendonitis
inflammation of a tendon and/or tendon-muscle attachment
fascitis
inflammation of the connective tissue called fascia
bursitis
inflammation of a bursa, typically one in the knee, elbow or shoulder *bursa is a closed fluid-filled sac or cavity that reduces friction between tissues/joints in the body
shoulder and rotator cuff injuries
modifications are often needed for overhead movements such as limiting ROM and adjusting shoulder position to help prevent impingement and further injury. in general exercises with elbows are bent are prefered over straight arm exercises.
elbow tendinitis
high rep exercises (15-20 reps) involving the elbow and wrist should be avoided. exercises should begin with low weight and reps gradually progress.
greater trochanteric bursitis
inflammation of the trochanteric bursa, a part of the hip. avoid side lying positions, as well as squats and lunges.
iliotibial band syndrome (ITBS)
commone overuse injury of the tissues located on the outer thigh and knee. clients with ITBS should return slowly to activity with an exercise program that helps to regain flexibilty and strength at the hip and lateral thigh.
patellofemoral pain syndrome (PFPS)
pain in the anterior of the knee orignination from the contact of the posterior surface of the patella with the femur.
infrapatellar tendinitis
inflammation of the pattellar tendon connecting the kneecap to ths shinbone AKA jumpers knee
ankle sprains
a person can usually resume exercise activity in 1-2 weeks grade I sprain 4-8 weeks grade II sprain 12-16 weeks grade III sprain
achillies tendinitis
inflammation of the achillies tendon. controlled eccentric exercises for the calf comples can help relieve symptoms
inflammatory phase
imobilizes the injured area, blood flow is increased to bring oxygen and nutrients to repair damaged tissue. this phase can last up to 6 days
fibroblastic/proliferation phase
injured area fills with collage and other cells which will eventually form a scar. this pahse starts around day 3 and lasts until aprox. day 21.
maturation/remodeling phase
final phase begins around day 21 by remodeling the scar, bone or tissue that was injured. this phase can last for 2 years.
RICE
should be used immediatley after musculoskelata injuries such as sprains, strains, bruises and other soft tissue injuries. Rest Ice Compresson Elevation
pre-existing injury
thourough medical history and assessment is recomended for these clients to make sure if it is appropriate for them to exercise. *modified exercise programs are appropriate for localized injuries
