Scope of ATP Flashcards
Scope of ATP
- who will be served?
- club/intramurals
- employees
- members of community
- camps in the summer?
- have insurance policy for yourself just in case
Coverage
- appropriate coverage of the athletic training facility should be provided
- treatments, rehab, game, and practice coverage vary by institution, personnel and risk associated with each sport
- should have on file an appropriate athletics event coverage plan
- ATC should attend all practices and games?
Equitable medical care
- NCAA member institutions should neither condone nor practice illegal discrimination based on race, creed, national origin, sex, age, disability, social status, , financial status, sexual orientation or religious affiliation
- availability and accessibility to medical resources should be based on established medical criteria rather than the sport itself
Equitable medical care con’t
- member institutions should not place sports medicine staff in compromising situations by asking them to provide inequitable treatment in violation of medical codes and ethics
- member institutions should be encouraged to incorporate questions about adequacy of medical care, with emphasis on equitable treatment, into exit interviews with student-athletes
Team Physician (MD or DO)
- ultimately responsible for clearance to participate and return-to-play decisions
- leadership role in the management, organization, oversight and provision of medical care for athletes and evaluation of the medical staff
- should make regular on site visits
Day-to-day duties of an ATC
- injury eval
- rehab/conditioning
- after hours consultation
- injury prevention contracts
Organization and Administration
- budgeting, meetings, staff scheduling,
Fiscal Management
- staff and workload management
- medical services
- fundraising
- insurance premiums
- budget management
- contracts
Academics
- academic teaching
- preceptor
- life skills presentations
- psychological issues and referrals
- counseling referrals
- student retention through return to play management
Emergency care and planning should include
- planned access to a physician
- planned access to early defib
- annually update EAP
- look who’s going to be around and put them in plan or not
Emergency care and planning
- access to a working telephone or other telecommunications device
- equipment: at site or quickly accessible, in good operating condition, personnel trained on proper use of equipment, annual training
- set up e-bags ahead of time
Emergency care paperwork
- emergency information for each student-athlete at home events and away events
- inclement weather policy
- require CPR, first aid, prevention etc
- EAP should address: concussion, heat illness, spine injury etc.
Catastrophic Incident Plan
- develop one
- aftermath of a catastrophic incident can be a time of uncertainty and confusion
- develop a plan to provide information and support to family, teammates, friends, coaches and staff after incident
- review annually
Catastrophic injuries include
- deaths
- permanent disability injuries
- serious injuries: neck or spinal fracture or head injury even with a full recovery
- temporary or transient paralysis
- injuries with severely diminished mental capacity or other neurological injury
- irrevocable loss of speech hearing or sight in both arms, both legs or one arm and one leg
Components of a catastrophic incident plan
- definition: sudden death of an athlete, coach, or staff member or disabling or quality-of-life altering injuries
- management team: select group - admin, receive all information about the incident, collab communicate information to family, team, coaches, staff and the institution and media
Immediate action plan
- checklist of who to call and immediate steps to secure facts and offer support should be included in plan
additional components of EAP
- chain of command/role delineation
- criminal circumstance: outline the collaboration of the athletic department with university, local and state law enforcement officials
- away-contest: who shall stay behind with patient to coordinate communication and acts s the institutions representative
- incident record
Additional components con’t.
notification process
assistance to visiting team’s catastrophic incident as host insitution
Catastrophic injury insurance program
- NCAA sponsored
- covers a student athlete who is catastrophically injured while participating in a covered intercollegiate athlete activity
- 90,000 deductible
- pays 25,000 death benefit
- know process for contacting the insurance program
Concussion management plan
- NCAA member institutions must have a concussion management pan on file
- definition
- objective
- initial evaluation
- secondary eval
- referral
- RTP
- management team
Drug Testing
- member institutions are responsible for ensuring compliance with NCAA drug testing program requirements
NCAA bans the following drugs
- stimulants
- anabolic agents
- alcohol and beta blockers
- diuretics and other masking agents
- street drugs
- peptide hormones
- beta 2 agonists
- any substance chemically related to these classes is also banned
Drugs and Procedures subject to restrictions
- blood doping
- local anesthetics under some conditions
- manipulation of urine samples
- beta2 agonists permitted only by prescription and inhalation
caffeine: concentrations in urine above 15 micrograms/mililiter
NCAA nutritional/dietary supplements warning
- review the product and its label with a member of the athletics department staff
- ## dietary supplements are not well regulated, may cause + test
Legislation
- member institutions are responsible for complying with NCAA bylaws relevant to health and safety
- NCAA sports medicine handbook: appendix B
Injury surveillance systems
- evidence based approach for identifying risk factors for injury
- serves as a foundation for intervention in the best interest of public health and preventative medicine
Injury surveillance research peeps
- national safety council: general sports injury data
- annual survey of football injury research: public school, college, youth, and professional football
- national center of catastrophic sport injury research
Using injury data
- main goal is to reduce injury and allow safer participation by athletes
- may allow for: rule modification
- assist coaches and players in understanding risks of sport
- research
- resource justification and allocation.