1. CH 8 Athletic Training Practice

2. Credentialing Regulates the practice of ATC’s Protects the layperson Insures competence of ATC’s

3. AT practice acts- see GA law. -defines the roles and responsibilities of the athlete, ATC and SAT -Varies from state to state

4. Types of Credentialing LicensureRegistration CertificationExemption

5. Licensure Most restrictive form of credentialing Protects the rights of the public: limiting the practice of AT to those who have met the requirements of a licensing board established under the law

6. Licensure Licensure prohibits unlicensed persons from performing tasks reserved for AT’s under the law. Unlicensed persons can not call themselves Athletic trainers There may be an examination to become licensed. May or may not accept NATABOC

7. Licensure Once licensed, AT is subject to to laws/rules of the state practice act defining profession, scope of practice, etc. In some states AT is the only allied health profession where the practice act may define patient base

8. Registration Usually an exam is not required AT must meet standards of eligibility & pay a fee to be registered. Registration defines those able to call themselves AT’s = title protection The least restrictive form of credentialing.

9. Certification Not same as NATABOC Means person has submitted minimum credentials required of practioners and has taken some form of state exam. No title protection but may restrict application of specific skills and knowledge to persons who are regulated

10. Exemption May provide a legal basis for AT practice by exempting them from complying with the practice acts of other professions. Without exemption, AT’s would be in violation of the practice act of a licensed profession Usually applies to the PT practice act

11. Scope of Practice The practice of medicine is unlimited in scope when performed by allopathic of osteopathic physicians All other medical or allied health professions have a limited scope of practice subordinate to physicians

12. Scope of Practice Diagnosis, surgery, prescribing are ascribed to physicians Limited scope means the AHP (allied health profession (al)) works under the auspices of a physician AHP may apply their knowledge but within a narrow scope of practice.

13. Standards of Care Is the level of medical sophistication and competency that must be demonstrated by someone who has similar education and training to other members of a particular group. Different state regulation of AT means the standard of care may vary from state to state. State regulation may supercede agency standards.

14. Standards of Care Standards are used to provide evidence of a duty to act. NATABOC standards (see text) help to est. minimum requirements of action for practicing athletic trainers You WILL be held accountable to published standards of practice.

15. Terms Tort = legal wrong other than breach of contract for which the courts provide some remedy –Most often are negligence –Two keys Professionals have a duty to exercise the skills and and knowledge normally employed by members of the profession to prevent unreasonable risk of harm to others Negligence = can be either an act of omission or commission

16. Terms Negligence –To prove Negligence 4 points must be proven 1.Duty to use reasonable care to conform to a standard (Duty to Care) 2.Breach of duty 3.Causation 4.Damages/injury

17. 1.Duty to act/care = usually is delineated in a contract, if no contract then interpretation is open. 2.Breach of Duty = the standard of care has been violated 1.Prevention 2.Standard of care 3.disclosure

18. 3.Causation = determines that the actions led to damages and to what extent a person is responsible for the damages. 1.Foreseeable = causation occurs if the action that resulted in damages was forseeable 1.Using SATs can lead to liability (see text)

19. 4. Damages = the act must be proven to have caused damages

20. Blond’s Torts Locality rule Success not guaranteed Differing schools of thought Specialists Novices Unreasonable standard Doctrine of informed consent

21. Negligence Proven by expert testimony or circumstantial evidence When est. damages are awarded

22. Reduce Risk Prepare for activity –Physical exams –Monitor fitness levels –Access activity levels –Monitor environmental conditions Conduct of activity –Maintain equipment –Instruct techniques –Allow for adequate recovery time

23. Reduce Risk Injury Management –Make sure the MD is involved –Eval injuries correctly and promptly –Supervise Records Management –Document MD orders –Document treatment plan –Document treatment records –Document progress

24. Professional Liability Insurance Always maintain Make sure you understand your coverage (what about when volunteering and you are not bound by a contract) Purchase as much coverage as you can afford Seabury and Smith used often

25. Defenses Statute of limitations Sovereign immunity Assumption of risk Good Samaritan laws Comparative negligence