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Cramer

Brothers that developed a line of liniment to treat ankle sprains (1920's) and followed the publication The First Aider (1932)

Bilik

Dr. S.E.Bilik wrote, The Trainers Bible (1917)

liability

state of being legally responsible for the harm one causes to another person

negligence

failure to use ordinary or reasonable care

standards of reasonable care

-assumes that a person is of ordinary and reasonable prudences
-bring commonsense approach to the situation
-must operate within the appropriate limitations of ones educational background

torts

legal wrongs committed against a person (liability results)

nonfeasance

fail to perform legal duty (i.e. fail to refer)

malfeasance

performs action that is not his/hers to legally perform (i.e. perform advanced treatment leading to complications)

misfeasance

performs action incorrectly that the he/she has the legal right to do

Sovereign Immunity

-neither government nor individuals employed by the government can be held liable for negligence
-may vary state to state

Good Samaritan Law

provides limited protection against legal liability to one that provides care should something go wrong

Statues of Limitation

-specific length of time an individual can sue for injury resulting from negligence
-varies by state but generally ranges from 1-3 years
-clock begins at the time the negligent act results in suit or from the time injury is discovered following negligent act
-minors have generally have an extension

NOCSAE

National Operating Committee on Standards for Athletic Equipment
-minimum standards for equipment to ensure safety

General Heath Insurance

-Policy that covers illnesses, hospitalization and emergency care
-sometime offered through academic institutions for students (athletics)
-secondary insurance provided through institutions to cover costs above primary insurance coverage
-schools and universities must ensure that individuals have primary insurance coverage (in place or arranges for)

Accident Insurance

-low cost plan to cover accident on school grounds or in workplace
-protects against financial loss from medical and hospital bills
-provides for additional protection for institution above regular policy
-will cover cost associated with hospital care, surgery, and catastrophic injuries

Professional Liability Insurance

-most employees have insurance to protect against damages that may arise form injuries occurring on their property
-liability insurance covers against claims of negligence on part of individuals
-b/c of rise in lawsuits, professionals must be fully protected, particularly in regards to negligence
-All ATs should carry and understand limits of coverage

Catastrophic Insurance

-catastrophic injuries in athletics are relatively rare, but are staggering to all involved
-organization (nCAA, NAIA, NFSHSA) provide additional coverage to deal with lifetime extensive care

Points of Service

-combination of HMO and PPO
-based on HMO model but allows for care outside of the plan
-flexibility is allowed for certain conditions and circumstances

Medicare

-federal health insurance program for the aged and disabled
-most people age qualify for benefits
-two parts
A: Hospital portion- premium free at retirement to beneficiaries
B: Physician portion- monthly premium charge

Medicaid

-health insurance program for people with low incomes and limited resources
-funded via federal government and individual states
-individual stated administer Medicaid -Benefits will vary by state

Indemnity Plan

-most traditional form of billing for health care
-free-for-service plan that allows insured party to seek care without restrictions
-provider charges patient or third-party payer
-charge are set on fee schedule

Expendable

involves supplies that cannot be reused i.e. first aid and injury prevention supplies

Non-expendable

re-usable supplies i.e. ace wraps, scissors... etc

Hydrotherapy Area

area with centrally located sloping floor to drain, equipped with 2-3 whirlpools, shelving and storage space and outlets 5 feet above the floor

FERPA

Family Educational Rights and Privacy Act
-law protecting privacy of student education records
-provides parents with certain rights with respects to child's educational records
-when child turns 18 rights are transferred to student
-schools must have written permission prior to releasing information

Maturity Assessment

-means to protect young, physically active athletes
-methods
*circumpubertal (sexual maturity)
*skeletal
*dental
-Tanner's five stage assessment is most expedient

Team Physician

-serves to advise and supervise ATC
-responsible for compiling medical histories and conducting physical exams
-preparticipation screening
-diagnosing injury
-deciding on disqualification
*Decisions regarding athlete's ability to participate based on medical knowledge and psychophysiological demands of sport
-attending practice and games
-commitment to sports ant athlete
-Potentially serve as the academic program medical director
*Coordinates and guides medical aspects of program
*Provides input into educational content and provides programmatic instruction

Recognition and Accreditation of The AT as an Allied Health professonal

-June 1990 AMA officially recognized athletic training as an allied health profession

Licensure

-limits practice of athletics training to those who have minimal requirements established by a state licensing board
-limits the number of individuals who can perform function related to athletic training as dictated by the practice act
-most restrictive of all forms of regulations

Certification

-does not restrict using the title of athletic trainer to those certified by the state
-can restrict performance of athletic training functions to only those individuals who are certified

Registration

-before an individual can practice athletic training her or she must register in the state
-individuals has pad a fee for being placed on an existing list of practitioners but say nothing about competency

Exemption

state recognizes that an athletic trainer performs similar functions to other licensed professions (e.g. physical therapy), yet still allows them to practice athletic training despite the fact they do not comply with the practice acts of other regulate professions

Pre-Participation Exam

-purpose is to identify athlete that may be at risk
-should include: medical history, physical exam, orthopedic screening, wellness screening
-establishes a baseline
-satisfies insurance and liability issues

Personal Information Card

Contains contact information for family, personal physician, and insurance information

SOAP

-S: Subjective (history of injury/illness)
-O: Objective (information gathered during evvaluation
-A: Assessment (opinion of injury based on information gained during evaluation)
-P: Plan (short and long term goals of rehab)

HMO

Health Maintenance Organization
-provide preventive measures and dictate where individual can receive can receive care
-HMO will pay 100% of costs it care rendered within the HMO plan providers
-ATs must have working knowledge of HMP limits and restrictions

PPO

-Provide discount health care and also limit where treatment can be obtained
-Must be aware of what facilities are approved for the program in order have cost completely covered
-May include additional types of coverage (physical therapy)
PPO pay on a fee-for-service basis

premium insurance

...

deductible

...

NATA National Athletic Trainer's Association

to enhance the quality of health care for athletes and those engages in physical activity, and to advance the profession of athletic training through education and research in the prevention, evaluation, management and rehabilitation of injuries

Injury Prevention

-ensure safe environment
-conduct pre-participation physicals
-develop training and conditioning programs
-select and fit protective equipment properly
-explaining important diet and lifestyle choice
-ensure appropriate medication use while discouraging substance abuse

NCAA

-supervises drug-education and drug-testing programs

Continuing Education Requirements

Requirements that must be met to remain certified
75 CEUs over the course of three years

OSHA

Occupational Safety and Health Administration a federal agency of the United States that regulates workplace safety and health

Sports deaths

struck with object, heat stroke

Snellen Test

a test of visual acuity using a Snellen chart

Premium insurance

An insurance premium is the actual amount of money charged by insurance companies for active coverage

Deductible

the amount of money a person has to pay before his insurance coverage begins.

co pay

the amount of money the patient has to pay that the insurance company will not pay

allowable charge

the maximum dollar amount that a third party, usually an insurance company, will reimburse a provider for a specific service

beneficiary

The person or persons designated by the insured to receive the proceeds of an insurance policy upon the death of the insured.

Exclusions

the expenses that the insurance company/plan will not pay.

URC Charge

Usual, customary and reasonable charges , (URC) charge is an established maximum amount that an insurance company will reimburse for a medical expense covered under your health insurance policy

omission

not performing an act that is usually done or expected to be performed by a 'normal' person

commission

performing an act that results in some harm

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