Organizing and Administering Athletic Health Care Program

Facilities High School, College, Professional, and Clinics Size: Closets - 15,000 Square feet Location Proximity close to locker rooms and bathrooms Treatment Area Area that accommodates 4-6 adjustable treatment tables, 3-4 stools, hydrocollator and ice machine accessibility

Facilities, cont. Electrotherapy Area that houses ultrasound, electrical stim units, grounded outlets, treatment tables and under constant supervision Hydrotherapy Areas Area with centrally located sloping floor to drain, equipped with 1-3 whirlpools, shelving and storage space and outlets 5 feet above the floor Exercise Rehabilitation Area Area that provides adequate space and equipment to perform reconditioning of injuries Taping Area 3-4 taping tables and storage cabinets to treat athletes with proximity to a sink

Facilities, cont. Physical Examination Room/Athletic Trainer’s Office Space for physician to work which may hold exam table, lockable storage, sink, telephone All areas of training room should be able to be supervised without leaving office space (glass partitions Records Area Space devoted to record keeping which may include filing system or computer based database, that allows access only to medical personnel

Facilities, cont. Storage Facilities Athletic training clinics often lack ample storage space Storage in training room that holds general supplies and special equipment Large walk-in storage cabinet for bulk supplies Refrigerator for equipment, ice cups, medicine and additional supplies

Additional Areas: Pharmacy Area: separate room that can be secured for storing and administrating medications (records must be maintained concerning administration) Rehabilitation Pool: if space permits, must be accessible to individuals with various injuries, with graduated depth and non-slip surface

Budgetary Concerns Budgets can be very different for your work setting Be wise when spending your budget, think of it as your own money The more you can do with what budget you have, the more you may get to do with in the future

Budget Direct buy: going straight to a vendor and making an order vs. Competitive bidding: usually for more expensive purchases, getting multiple bids and buying the least expensive Lease alternative Inventory your supplies to know how much you use, then you will know how much to order.

Additional Budget concerns Office Cost, postage, printing, etc. Contracts with physicians Professional Dues CEU/Professional Development costs Athletic Training clothing

Supplies 2 types Expendable supplies are those supplies that can not be reused. Tape, Bandages, Hydrogen Peroxide etc. Nonexpendable supplies are those supplies that can be used over and over. Scissors, compression wraps, neoprene sleeves, etc.

Equipment Equipment refers to items that may be used by the athletic training room for a number of years. Ice machines, treatment tables, crutches, etc.

Equipment Two types of equipment Fixed Equipment Items that are not usually moved from the athletic training facility. Ex. Ice Machines, Treatment Tables

Equipment Non-fixed supplies supplies that are removed from the training room but should be used for several years Examples: Crutches, training kits, coolers

Why is record Keeping Important? Legal Protection Memory/Communication Aid Legal requirement (OSHA) Professional Standard of Practice Insurance Requirement Discharge Decisions

Medical Records guidelines Specific outline of the athlete’s health history during care Patient specific Medical Specific Write Legibly (easy with computer records) Use permanent ink For every entry identify the time, date and sign it Describe patient’s care Describe findings Document changes in condition Indicate patient/caregivers response to teaching

Medical Records guidelines Cont. Write entries chronologically Write entries shortly after care provided Be factual & specific Use patient quotes Document patient complaints/needs/resolutions Chart care provided

Forms in Medical Record - Basics Health History Yearly Physical Injury/Rehabilitation Evaluation (SOAP) Daily Treatment form Emergency information Insurance Information Allergies/Life-threatening illnesses Permission to provide medical treatment form

Medical Records - May also include Surgical/x-ray/MRI reports Physician notes Insurance Communication from other professionals Release of medical information form Written consent is required Waiver must be signed for any release (include specifics of information to be released and to whom including colleges, professional organizations)

Medical Records - Health Insurance Portability and Accountability Act (HIPAA) Regulates release of Personal History Information (PHI) by coaches, ATC’s, physicians or other members of sports medicine team Guarantees athlete access to information and control over disclosure Athlete may provide written authorization for release of information Family Educational Rights and Privacy Act FERPA = law protecting privacy of student education records, may contain medical When child turns 18 rights are transferred to student School must have written permission prior to releasing information

Personal Information Card Especially for High School Athletic Trainers Insurance Information Emergency Contact Information Waiver to receive medical treatment PARENT SIGNATURE

Injury/Rehabilitation Evaluation (SOAP NOTE) Subjective - athlete conveys symptoms History of injury/illness Use quotes if possible Objective - physical data observed Information gathered during evaluation Use information such as “2+ strength” Assessment Opinion of injury based on information gained during evaluation Plan Refer? Short and long term goals of rehab

Injury Reports Communication is the key to Coaches Satisfaction Daily injury reports with players name and status Using Injury Data Valid and reliable data can be utilized to decrease injuries May allow for: Rule modification Assist coaches and players in understanding risks Help manufacturers Educate parents, athletes and the public on inherent risks associated with sport

Treatments Log Record all treatments!! Time Date Name All Treatments Received Any Remarks KEEP ON FILE