1. Health Care Administration in Athletic Training Britni Racus MS, ATC, LAT, CSCS, PES

2. Policy and Procedure Development  Creation of policies and procedures for all involved in health care of athletes necessary  Policies = clear written out statements of basic rules  Procedures = describe the process  Abbreviated version of policies and procedures should be provided to athletes and parents (if financially feasible)

3. Providing Coverage  Facility Personnel Coverage  Appropriate coverage of facility and sports  Setup of treatments, rehabilitation, game and practice coverage vary  Sports Coverage  Certified athletic trainer should attend all practices and games  Different institutions have different levels of coverage based on personnel and risks involved with sports

4. Hygiene and Sanitation  Athletic Training Facility  Rules concerning room cleanliness and sanitation must be set and made known to population using facility  Examples  No equipment/cleats in training room  Shoes off treatment tables  No roughhousing or profanity  No food or smokeless tobacco

5. Budgetary Concerns  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 and prioritizing is necessary to effectively manage monetary allocations to meet programmatic goals

6. Budgetary Concerns Cont.  Supplies  Expendable (supplies that cannot be reused- first aid and injury prevention supplies)  Non-expendable (re-useable supplies -ace wraps, scissors…etc)  Yearly inventory and records must be maintained in both areas  Equipment  Items that can be used for a number of years  Capital (remain in the training room- ice machine, tables)  Non-consumable capital (crutches, coolers, training kits)

7. Emergency Action Plan  Accessing emergency personnel outside setting in the event of emergency  Include transportation of athletes to emergency facilities  Meeting with outside personnel is necessary to determine roles and rules regarding athlete and equipment care

8. Accessing Community Based Health Services  Must have knowledge of local and community health services and agencies in the event of referrals  Referrals should be made with assistance from a physician  Parental involvement is necessary when dealing with psychological and sociological events

9. Record Keeping  Major responsibility  The rule not the exception - accurate and up-to-date  Medical records, injury reports, insurance information, injury evaluations, progress notes, equipment inventories, annual reports

10. Administering Pre-participation Examinations  Initial pre-participation exam prior to start of practice is critical  Purpose it 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 issue

11. Types of PPE  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  Station Examination  Provides athlete with detailed exam in little time  Team of nine is ideal (2 physicians, 2 non-physicians and 5 managers/student athletic trainers)

12. What’s in a PPE  Medical History  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  Physical Examination  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

13. What’s in a PPE Cont.  Wellness Screening  Purpose is to determine if athlete is engaged in a healthy lifestyle  Sport Disqualification  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

14. Injury Reports and Injury Disposition  Injury reports serve as future references  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 training room

15. Treatment Log/ Emergency Card  Treatment Log  Sign-in to keep track of services  Daily treatments can be recorded  Can be used as legal documentation in instances of litigation  Emergency Card  Contains contact information for family, personal physician, and insurance information

16. Injury Evaluation and Progress Notes  Injuries and progress should be monitored by athletic trainer and recorded  SOAP note format  S: Subjective (history of injury/illness)  O: Objective (information gathered during evaluation)  A: Assessment (opinion of injury based on information gained during evaluation)  P: Plan (short and long term goals of rehab)

17. Release of Medical  Written consent is required  Waiver must be signed for any release (include specifics of information to be released and to whom)

18. Catastrophic Injuries  98% of injuries requiring hospital emergencies are treat and release relative to sport  Sports deaths (struck with object, heat stroke)  Catastrophic injuries also include spinal cord trauma, cardiorespiratory injuries/problems  Most injuries are related to appendages  Strains, sprains, contusions, fractures, abrasions

19. 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