Transcript Budgetary Concerns - Staunton River High School

Budgetary Concerns
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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
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Supplies
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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
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Items that can be used for a number of years
Fixed (remain in the training room- ice machine, tables)
Non-fixed (crutches, coolers, training kits)
 Purchasing
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Direct buy vs. competitive bidding
Lease alternative
 Additional
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Systems
Budget Considerations
Telephone and postage expenses
Contracts for outside services
Purchases relative to liability insurance and
professional development
Developing a Risk
Management Plan
 Security
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Accessibility to athletic training room (staff,
physicians, student athletic trainers)
Supervision issues
 Fire
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Issues
Safety
Post evacuation plan in case of fire
Smoke detectors/alarm system and fire
extinguisher should be tested and in place
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Electrical and Equipment Safety
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Major concern
Be aware of power distribution system to avoid
accidents
Emergency Injury Management
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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
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
Human Resources and
Personnel Issues
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sports medicine team is only as good
as the individuals in the group
 Recruitment, hiring and retaining qualified
personnel is necessary to be effective
 Specific policies are established relative
to hiring, firing, performance evaluations
and promotions
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Must adhere to these principals
 Roles
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and responsibilities must be established
(job descriptions - job specifications,
accountability, code of conduct, and scope)
 Head
athletic trainer must serve as a supervisor
and work to enhance professional development
of staff
 Performance evaluations should take place
routinely
Record Keeping
 Major
responsibility
 Rule not the exception - accurate and
up-to-date
 Medical records, injury reports, insurance
information, injury evaluations, progress
notes, equipment inventories, annual
reports
Administering Pre-participation
Examinations
 Initial
pre-participation exam prior to start
of practice is critical
 Purpose is to identify athlete that may be
at risk
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Medical history, physical exam, orthopedic
screening, wellness screening
 Establishes
a baseline
 Satisfies insurance and liability issue
 Examination
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Yields an in-depth history and ideal physicianpatient relationship
May not result in detection of factors that
predispose the athlete to injury
 Station
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by Personal Physician
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)
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Medical History
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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
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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
 Maturity
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Assessment
Means to protect young physically active athletes
Methods
 Circumpubertal
(sexual maturity)
 Skeletal
 Dental
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Tanner’s five stage assessment is most expedient
 Orthopedic
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Screening
Part of physical exam or separate
Various degrees of detail concerning exam
 Wellness
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Purpose is to determine if athlete is engaged in a
healthy lifestyle
 Sport
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Screening
Disqualification
Certain injuries and illnesses warrant special
concern when dealing with sports
Recommendations can be made
American with Disabilities Act (1990)
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that athlete makes the final decision
Potential disqualifying factors should be
determined during the pre-participation exam
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
Treatment Log
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Sign-in to keep track of services
Daily treatments can be recorded
Can be used as legal documentation in
instances of litigation
Personal Information
Card
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Contains contact information for family,
personal physician, and insurance information
Injury Evaluation and Progress
Notes
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Injuries and progress should be monitored by
athletic trainer and recorded
SOAP note format
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S: Subjective (history of injury/illness)
O: Objective (information gathered during eval)
A: Assessment (opinion of injury based on
information gained during evaluation)
P: Plan (short and long term goals of
rehabilitation)
Supplies and Equipment
Inventory
 Managing
budget and equipment/supplies is
critically important
 Inventory must be taken yearly in order to
effectively replenish supplies
Annual Report
 Summary
of athletic training room functioning
 Can be used to evaluate recommend potential
changes for program
 Includes number and types of injuries
seen/treated
Release of Medical
Records
 Written
consent is required
 Waiver must be signed for any release (include
specifics of information to be released and to
whom)
Computer as Tool for
Athletic Trainer
 Indispensable
tool
 Can make the job more efficient with appropriate
software
 Must maintain security
 Can also be used for other administrative tasks
Collecting Injury Data
 Accident
- unplanned event resulting in loss of time,
property damage, injury or death
 Injury- damage to the body restricting activity
 Case study- looks at specific incident of injury
 Injury study falls under numerous categories
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Age, gender, body part, occurrence in different sports
Contact vs. non-contact sports
 Catastrophic
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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
 Current
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National Injury Data-Gathering Systems
State of the art injury surveillance is still developing
Ideal situation
 Epidemiological
approach that studies relationship of
various factors that influence frequency and
distribution of injury in sport
 Extrinsic factors (activity, exposure, equipement)
 Intrinsic factors (age, gender, neuromuscular aspects,
structural aspects….etc)
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Number of different surveillance systems in place
 Surveillance
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Systems
National Safety Council (general sports injury data)
Annual Survey of Football Injury Research (public
school, college, professional, sandlot football injury
data)
National Center of Catastrophic Sport Injury
Research (Tracks catastrophic injuries in all levels of
sports)
NCAA Injury Surveillance System (data collected
on most major sports- ATC data collection)
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National Electronic Injury Surveillance System
(Monitor injuries relative to different products -consumer safety, determine if products are
hazardous or defective)
National High School Sports Injury Registry (tracks
injuries in specific sports at 150-200 high schools)