Concussion Protocol Implementation Strategies and Next Steps

Background Information • • • • •

Concussion – Ministry of Education - PPM 158 :

Awareness Identification Management Prevention Training • Ophea concussion template (minimum standard) •

Board Implementation - January 30, 2015

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Session Objectives

This session will provide participants with the opportunity to:

• • • share board implementation strategies and resources; share board implementation challenges and solutions; network and participate in an open Q/A session.

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Ophea Template 1 . Strategies to raise concussion awareness with: - students, parents/guardians, community partners?

2.

Board’s plan for ongoing concussion awareness and training for: teachers (new and returning), students, parents/guardians?

3. Strategies implemented to create a culture of safety mindedness encompassing concussion prevention strategies?

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Ophea Template (cont’d) 4.

Procedures implemented re: concussion identification (no signs or symptoms), management (concussions that occur offsite and out of school time)?

5.

Issues or concerns related to the implementation of school board policy. How have they been addressed?

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Board Sharing – Process

For each of the questions we will:

• Highlight a few “best practices” • • Review resources Participant sharing

Question and answer forum

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Concussion Awareness Strategies

Students:

o o o o o Concussion Education Program -e-modules for Grades 3,6,9 (HDSB) Includes modules/scenes and a question asked Student selects best answer from those provided “Extra Information” and “Learn More” buttons Modules include; Instructor’s Script with Answers, Discussion Points and Reference Guide.

Parents/Guardians:

postcard (HCDSB)* Niagara Concussion Summit, April 24, 2015 Page 7

Concussion Awareness Strategies (cont’d)

Community Partners:

o Physicians/Nurse practitioner – letter,* (Middlesex London Public Health) o o Concussion Algorithm(Hamilton Public Health Services) * Permit Holders – new requirement (TCDSB)

Resources Participant Sharing?

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Ongoing Concussion Awareness and Training

Teachers:

o Online module with tracking,(YCDSB); o Responsibility checklist for each member of the collaborative team (HCDSB); *

Coaches:

o Mandatory training for coaches (TDSB) * Niagara Concussion Summit, April 24, 2015 Page 9

Ongoing Concussion Awareness and Training (cont’d)

Parents/Guardians:

o Newsletter inserts and pamphlets (RCDSB)

Students:

o Information sheets and info-graphics; o Athlete and coach codes of conduct (TDSB) *

Resources Participant Sharing?

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Strategies to Promote a Culture of Safety Mindedness/Concussion Prevention

Students:

o Parachute Canada posters in all schools (TCDSB)*; o e-learning modules for all secondary coaches to share with students (HDSB)

Parents/Guardians:

o Concussion information added to Permission/consent to participate, recommend parents watch Dr. Evans video (YCDSB)*

Resources Participant Sharing?

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Board Concussion Identification Approaches • • If no signs or symptoms, removed from physical activity and monitored for 24 hours (TCDSB) (HDSB) (LCDSB) (HCDSB)(GEDSB) Post pictures of students with concussions, Trillium data-system used to track students with concussions (DSBN) Niagara Concussion Summit, April 24, 2015 Page 12

Implementation Challenges • Parent/guardian compliance: refusing to keep concussed student home (TCDSB) • Parent/guardian refusal to have child seen by medical doctor/nurse practitioner re: diagnosis (LDSB, DSBN) • Chiropractor/athletic therapists/physiotherapists: roles in the management of concussion not diagnosis Niagara Concussion Summit, April 24, 2015 Page 13

Implementation Challenges (cont’d) • Use of Student Information System to track and disseminate information to secondary school staff re: stage in Return to Lean/Return to Physical Activity processes – (SCDSB)

Participant Sharing

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Implementation Concerns • Signature requirement in Appendix C-2 – Sample Tool to Identify a Suspected Concussion • Appendix C-2 Quick Memory Function Assessment and young students and or students with special needs • Playground incidents and professional judgment • Outside providers of concussion training • Concussions outside of school Niagara Concussion Summit, April 24, 2015 Page 15

Question and Answer Forum

Questions ?

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Next Steps • Opheacanada.ning.com

– Links to presentation, handouts, resources and Q/A, posted to the PPM 158 Collaboration Ning homepage • Ask the Expert – [email protected]

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