1. Organizing and Administering
Athletic Health Care Program

2. 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

3. 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

4. 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

5. 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

6. 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

10. 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

11. 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.

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

13. 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.

14. 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.

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

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

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

18. 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

19. 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

20. 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

21. 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)

22. 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

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

24. 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

25. 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

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