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Sports Medicine Ch. 2
Terms in this set (46)
Who will be taken care of in the athletic health care facility?
The athletic administrator or school principal must decide the extent to which the athlete will be served.
Athletic Health Care Facility Policies
Facility should be used only for prevention and care of sports injuries
Rules must be established in the interest of sanitation
Policies regarding environmental conditions and emergency protocols should also be set
Rules concerning room cleanliness and sanitation must be set and made known to population using facility, give examples
No equipment/cleats in training room
Shoes off treatment tables
Shower prior to treatment
No roughhousing or profanity
No food or smokeless tobacco
(Must adhere to OSHA standards and guidelines)
Sweep floors daily, clean and disinfect sinks and tubs, mop hydrotherapy room, empty waste baskets
Athletic Training staff
Clean treatment tables, disinfect hydrotherapy modalities daily, clean equipment regularly
Accessibility to phones in all major areas of activity is a must
Should be able to contact outside emergency help and be able to call for additional athletic training assistance
Radios, cell and digital phones provide a great deal of flexibility
Establishing Health Habits for the Athlete
Are the athletes cleared to participate?
Is each athlete insured?
Does the athlete promptly report injury and illnesses?
Does the athlete follow good living habits?
Do they avoid sharing clothes and towels?
Does the athlete exhibit good hygiene practices?
Does the athlete avoid common drinking sources?
Emergency Action Plan
A plan must exist for accessing emergency personnel
Must include transportation of athletes to emergency facilities
- accurate and up-to-date
Medical records, injury reports, insurance information, injury evaluations, progress notes, equipment inventories, annual reports
Administering Pre-participation Examinations
Pre-participation exam prior to start of practice is critical
Identify athlete that may be at risk
Establish a baseline
Reveal condition that may warrant disqualification
Satisfy insurance and liability issues
Examination by Personal Physician
Yields an in-depth history and ideal physician-patient relationship
May not result in detection of factors that predispose the athlete to injury
Provides athlete with detailed exam in little time
Team of nine is ideal (2 physicians, 2 non-physicians and 5 managers/student athletic trainers)
Complete prior to exam to identify past and existing medical conditions
Update yearly and closely review by medical personnel
Collect medical release and insurance info at the same time
Should include assessment of height, weight, body composition, blood pressure, pulse, vision, skin, dental, ear, nose, throat, heart, lungs, abdomen, lymphatic, genitalia, maturation index, urinalysis and blood work
Means to protect young physically active athletes
-Circumpubertal (sexual maturity)
(Tanner's five stage assessment is most expedient)
Certain injuries and illnesses warrant special concern when dealing with sports
Recommendations can be made
American with Disabilities Act (1990)
-Dictates that athlete makes the final decision
Potential disqualifying factors should be determined during the pre-participation exam
Release of Medical Records
The release of medical records cannot occur without written consent
If the athlete wants records released to colleges/universities, professional organizations, insurance companies or news media, he/she and the parents/guardians must provide written consent
-Waiver must specify information to be released
Regulates how any members of the sports medicine team can share health information concerning an athlete
Provides athletes with access to their medical records and control over how their health information is used and disclosed
Athletes can provide blanket authorization for release of specified medical information on a yearly basis
Family Educational Rights and Privacy Act
-Protects privacy of student educational records
Provides parents certain rights with respect to inspection of child's educational records
-Can request corrections if inaccurate or misleading
Rights transfer to child
-Age 18 or upon entering school beyond high school (become "eligible student")
(School must have written permission to release information)
Injury reports serve as future reference
Reports can shed light on events that may be hazy following an incident
Necessary in case of litigation
All reports should be filed in the athletic health care facility
-Filled out in triplicate
(Copy to school health office, physician and one copy should be retained)
-Sign-in to keep track of services
-Daily treatments can be recorded
-Can be used as legal documentation in instances of litigation
-Subject to HIPAA and FERPA regulations
Personal Information Card
Contains contact information for family, personal physician, and insurance information
Injury Evaluation and Progress Notes
Injured athlete should be evaluated by an athletic trainer or physician
-Record of the evaluation should be kept
If not available, a coach should encourage athlete and parents to set appointment with a local physician for injury assessment, diagnosis and documentation.
Supply and Equipment Inventory
Managing budget and equipment/supplies is critically important
Inventory must be taken yearly in order to effectively keep track of:
-New equipment that is needed
-Equipment that needs to be replaced
-Equipment needing to be replenished
-Summary of athletic health care function
-Can be used to evaluate/recommend potential changes for program
-Includes number and types of injuries seen/treated
Developing a Budget
-Size of budget??
-Different settings = different size budgets and space allocations
-Equipment needs and supplies vary depending on the setting (college vs. high school)
-Continuous planning, inventory and prioritizing is necessary to effectively manage monetary allocations to meet programmatic goals
Supplies that cannot be reused- first aid and injury prevention supplies
Items that can be used for a number of years
Other operating costs
-Telephone and postage expenses
-Contracts for outside services
-Purchases relative to liability insurance and professional development
-Clothing to be worn in the facility
Family Educational Rights and Privacy Act (FERPA)
a law that protects the privacy of student educational records.
Health Insurance portability and Accountability Act (HIPAA)
regulates how any member of the sports medicine team who has health information about an athlete can share that information with others.
(remain in the training room- ice machine, tables)
(crutches, coolers, training kits)
Occupational Health and Safety Administration (OSHA)
They establish regulations and guidelines for the athletic training facility to meet
a short physical exam done by the athletic trainer to determine motion in the body
to identify whether an athlete is at risk before he or she participates in a specific sport
Tools to help an injured athlete
What is the purpose of record keeping?
Records are important to keep in case of lawsuit, they must be regularly maintained.
What organization is responsible for enforcing operation guidelines for an Athletic Health Care Facility?
What is the purpose of the preparticipation examination?
May disqualify athlete from performance, and to satisfy liability and insurance issues
What areas must be included in an Athletic Health Care Facility?
Taping and bandaging, injury treatment using rehab equipment, wet area for whirlpools, fridge and ice machine, area where physician can conduct evaluation in privacy.
List six different types of records that must be kept up to date.
2. injury records
3. treatment logs
4. personal information cards
5. annual reports
6. supply and equipment inventories
List three components of a preparticipation exam
1. medical history
2. a physical examination
3. brief orthodontic screening
Explain The Health Insurance Portability and Accountability Act.
The Health Insurance Portability and Accountability Act (HIPAA) regulates how any member of the sports medicine team who has health information about an athlete can share that information about others.
What does HIPAA stand for?
Health Insurance Portability and Accountability
What does FERPA stand for?
Family Educational Rights and Privacy Act
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