Transcript Organizing & Administering an Athletic Training Program Mrs. Marr Sports Med I

Organizing & Administering
an Athletic Training Program
Mrs. Marr
Sports Med I
Topics of Discussion
Student shall:
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Describe a well- designed athletic training
facility
Identify the rules of operation that should
be enforces in an AT facility
Explain budgetary concerns for ordering
supplies and equipment
Explain the importance of the preparticipation physical exam
Identify the necessary records that must
be maintained by the Athletic Trainer
What is a welldesigned
Athletic
Training
facility?
What is a well- designed
Athletic Training facility?
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How much money?
How much room?
How many student- athletes?
Needs vs. Wants
Accessible/ location
Other
Planning a Training Room
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Proposed uses of facility
Type of sports to be served
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Placement of facility (exits, locker rooms,
easy access, male/female access)
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# staff members
# patients served
Traffic flow patterns
Hours of use
Other functions
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Classes/labs
Planning a Training Room
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Intended Space Allocation
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Offices & Record Keeping - confidentiality
Evaluation & Treatment
Rehabilitation
Taping – waste buckets, sink, flooring
Storage - shelving
Drug screening – separate bathroom, privacy
Exam room
Teaching room/lab
What type of equipment?
Size (2-3 sq. ft./person during peak loads – square
footage occupied by equipment) + others in area at
time (AT, Dr.) (ideal is 1000-1200 sq. ft)
Location compared to other facilities
Planning a Training Room
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Intended space allocation
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Specific space allocation
Electrical
 Plumbing
 Ventilation (hydrotherapy)
 Telephone, computer, communication systems,
stereo systems
 Ceiling type & height – tall athletes
 Door width & height  Cabinetry, workstations
 Flooring type – non-slip, industrial grade
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Carpet vs. tile
Planning a Training Room
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Wall covering – sound absorbers
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Colors –
 White – safe, cleanliness, sanitary
 Black – strong accent color, use in small quantities
 Reds – exciting, stimulation, unpleasant tensions
 Orange – similar to reds, but not as great an extent
 Yellow (creams, beiges) – humor, cheery, decrease tensions
 Green – calm, restful
 Blue – rest, calm, overuse = depression
 Violet – rest, calm, uncertainty, depression, tension
 Neutrals (gray, brown, tan) – grays – good background w/
other colors, browns/tans – homelike = lighter tones;
masculine = heavier tones
Lighting – 4-5 ft. off ground GFIC,
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20-50 foot candles of illumination 4’ above floor for taping, rehab
50-100 foot candles – facial expressions, skin color
Windows – more calming effect
Planning a Training Room
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Application of Title III from ADA
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Installing ramps
Making curbs cut in sidewalks/entrances
Repositioning telephones
Adding raised markings on elevator control buttons
Installing flashing alarm lights
Widening doors
Installing accessible door hardware
Installing grab bars in toilet stalls
Rearranging toilet partitions to increase maneuvering
space
Repositioning paper towel dispenser in bathroom
Installing paper cup dispenser at water fountains
Removing high-pile, low-density carpeting
Designing a Facility - Area
Construction Considerations
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Program areas
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General facility considerations
Taping area
Treatment area
Rehabilitation area
Hydrotherapy area
Office area
Exam room area
Pharmacy area
Storage area
Specialty pad & Orthotic work area
Locker room, lavatory, & shower
Janitorial storage & closet
Conference room or library
Rehabilitation pool
X-ray room
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Special Service Areas
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Treatment Area: area that
accommodates 4-6 adjustable treatment
tables, 3-4 stools, and hydrocollator and
ice machine accessibility
Electrotherapy Area: area that houses
ultrasound, diathermy, electrical stim units,
storage units, grounded outlets, treatment
tables and wooden chairs, under constant
supervision
Hydrotherapy Area: area with centrally
sloping floor to drain, equipped with 2-3
whirlpools, shelving and storage space and
outlets 5 feet above the floor
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Exercise Rehabilitation Area: area that
provides adequate space and equipment to
perform reconditioning of injuries
Taping, Bandaging & Orthotic Area: 3-4
taping tables and storage cabinets to treat
athletes with proximity to a sink
Physician’s Exam Room: space for physician
to work which may hold exam table, lockable
storage, sink, telephone, refrigerator
Records Area: space devoted to record
keeping which may include filing system or
computer based database, that allows access
only to medical personnel
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Storage Facilities
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Training rooms 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
Athletic Trainer’s Office
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Space at least 10x12 feet is ample
All areas of training room should be supervised without
leaving office space (glass partitions)
Equipment should include, desk, chair, tack board,
telephone, computer (if necessary) and independent
locking system
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Additional Areas (college/ Pro teams)
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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
X-Ray Room: separate room with lead
shielding in walls, large enough to house
necessary equipment
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Floor plans
Communicate with the Architect
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Concept Plans
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What you want in the facility (wants vs. needs)
Preliminary Drawing
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Look at the plans & review:
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Space allocation
Traffic flow
Electrical, Plumbing, Lighting, Ventilation, Heating &
Cooling
Walls & floors
Door placements
Final Drawing
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Review everything again! Last chance to change
things
Remodeling an Existing
Facility
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What do you want to change?
How can you change it?
What is cost effective?
Can those walls be moved?
Plumbing?
Are there more headaches than would be
if a new facility was made?
Athletic Training Facilities
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http://www.lsusports.net/ViewArticle.dbml?DB_OEM_ID=5200&ATCLID=1772
77
http://www.adrian.edu/academics/ESPE/athletic_training/facilities.php
http://www.omavs.com/sports/2008/6/5/training_room.aspx
http://www.rolltide.com/sports-med/medicine-facilities.html
http://bus.collins.utulsa.edu/atrg/donald_w.asp
http://www.niuhuskies.com/ot/training-facilities.html
http://www.csmfoundation.org/Division_Facilities.html
http://www.uni.edu/athtrn/pages/uniathletictraining/facilities.shtml
http://www.aggieathletics.com/ath-training/tam-ath-training-facilities.html
http://utepathletics.cstv.com/athletic-training/utep-athletic-training.html
http://www.uhcougars.com/facilities/hou-aac.html
http://www.ci.bryanisd.org/athtrain/
http://www.nkschools.org/1600206484550160/blank/browse.asp?a=383&BM
DRN=2000&BCOB=0&c=59055&1600206484550160Nav=|&NodeID=148
Assignment 1:
Part A: Design your own
Training Room
Part B: Remodel the Klein
Collins Training Room.
Identify the
rules of
operation that
should be
enforces in an
AT facility
Identify the rules of
operation that should be
enforces in an AT facility
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What kinds of rules should you have?
Safety 1st
Paperwork issues
Educational considerations
Schedules
Title IX issues (Co-Ed facilities)
Consistency
Klein Collins AT Rules
Hygiene & Sanitation
Rules
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Athletic Training Facility Rules
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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
 Shower prior to treatment
 No roughhousing or profanity
 No food or smokeless tobacco
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Hygiene & Sanitation
Rules
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Athlete Rules
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Promotion of good health and
hygiene is critical
 Athlete
clearance to participate
 Prompt injury and illness reporting
 Follow good living habits
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Avoid sharing clothes and towels
 Exhibit
good hygiene practices
 Avoid common drinking sources
Other AT facility rules:
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http://web.uccs.edu/sports_medicine/Rules%20and%20Regs%20Page%20new.htm
http://blogs.westmont.edu/athletics/athletic-training/athletic-training-rules/
http://www.ehc.edu/athletics/pdfs/ATR.pdf
http://www.jccc.edu/home/handbook/athletic.php/train_room
http://buhuskies.com/sports/2010/3/15/athletic_training.aspx
http://cruathletics.com/news/2010/9/7/WVB_0907101410.aspx?path=wvball
http://www.nevadawolfpack.com/ViewArticle.dbml?DB_OEM_ID=10000&ATCLID=1567810
http://trainer.lufkin.high.schoolfusion.us/modules/groups/group_pages.phtml?gid=425936&nid=32635&sessionid
=90bf0905ad20494142a586f01ac41095&sessionid=90bf0905ad20494142a586f01ac41095
http://www.butlersports.com/information/sports_medicine/sports-medicine
SAT Guidelines (Handbook):
http://www.utpabroncs.com/ath-training/SATmanual.html
http://www.edb.utexas.edu/atep/content/ACI%20handbook%206-27-06.pdf
Assignment 2:
Develop your own
Training Room Rules
(be able to justify!)
Budgetary
concerns
(ordering supplies
and equipment)
What is a budget?
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“…a strategic plan for how the sports medicine unit will function over a
given period and an operational plan for how it will accomplish its goals”
(Ray, 117).
“…a financial plan of operation that commits resources for projects,
programs, or activities and specifies the services to be provided and the
resources that must be spent to achieve these service deliveries”
(Rankin, 125).
 MONEY!-
the amount of
money you can spend.
 Use
it or lose it!
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
Types of Budgets
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Zero-based budgeting
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Lump-sum budgeting
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Line-item budgeting
Zero-based Budgeting
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Prioritizes services & goods needed
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New budget each year
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What is necessary to provide care?
How important is each good/service?
Budget based on program goals
Need documentation
ATC needs to justify and evaluate all
expenses
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Why??
Line-Item Budgeting
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Expenses are broken down into…
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Classes, subclasses
Expendable supplies
 Permanent equipment
 Maintenance & repair
 Salaries & benefits
 Professional organization memberships
 Physician involvement
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Line-item Budgeting
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Allows parent organization greater
monetary control
Advantage:
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Breakdown of categories=easy
comprehension
Disadvantage:
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“Mid-year financial crisis”
Funds cannot be interchanged between
classes.
Lump-sum Budgeting
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ATC is given a “lump-sum” of money
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Uses where and when needed
Spending freedom
Athletic trainer held accountable for spent
money
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By administrators
Budget Settings
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College/University
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Traditional (High School)
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Professional athletics
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Industrial
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Rehabilitation
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Choose budgeting type that fits employment
setting (if you can)
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Consider past budgets when creating a new
one.
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Documentation!
Effectively communicate program needs
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Meets the program needs (college vs. pro)
Less money for more sports…
Think outside the box & be creative!
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Remember the Trainers Lament!
The Trainer's Lament
WE THE WILLING
LED BY THE UNKNOWING
ARE DOING THE IMPOSSIBLE
FOR THE UNGRATEFUL
WE HAVE DONE SO MUCH
FOR SO LONG
WITH SO LITTLEWE ARE NOW QUALIFIED
TO DO ANYTHING
WITH NOTHING!
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Supplies
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Expendable (supplies that cannot be reusedfirst 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)
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Purchasing Systems
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Direct buy vs. competitive bidding
Lease alternative
Additional Budget Considerations
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Telephone and postage expenses
Contracts for outside services
Purchases relative to liability insurance and
professional development
Assignment 3:
Use the catalogs provided,
internet and any other
resources to order
athletic training
supplies for Klein
Collins HS.
The importance
of the preparticipation
physical exam
The importance of the preparticipation physical exam
Every year thousands of athletes undergo a preparticipation physical evaluation.
Physicals can identify an athlete who may be at risk for
injury before he or she participates in a sport.
The physical can reveal conditions that can warrant
disqualification from participation in all or certain sports
or it could warrant the use of special equipment such as
a brace or eye glasses.
The physical evaluation also sets a baseline in case of
injury.
This allows the athletic trainer to help the athlete get
back to or as close to his or her original physical
condition after an injury.
Pre-participation physical exam
The pre-participation physical evaluation is administered
by a family physician or by a group of individuals who
work together with physicians and are trained in
assessing the health of an athlete such as a Certified
Athletic Trainer.
Most often, an athlete’s annual physical evaluation is
completed by a medical doctor in a private-practice
setting. If the physician is the athlete’s primary-care
physician then the doctor is more familiar with the
medical history and the past health conditions of the
athlete.
Another system of administering preparticipation evaluations is a station evaluation
Seen in HS Settings
Pre-participation physical exam
The station evaluation can handle a large number of athletes
at the same time and it is organized by stations using a
group of individuals in the medical profession.
Volunteers who help administer the evaluations at each
station include medical doctors, dentists, certified athletic
trainers, physical therapists, physician assistants, nurses,
and other allied-health personnel. Parents and coaches
also assist in making these screenings possible.
The evaluations include a medical history, height, weight,
blood pressure, pulse rate, dental screening (college),
vision screening, general medical screening,
musculoskeletal exam, orthopedic screening, body
composition, and a number of fitness assessments.
After all the screenings are complete, then a physician will
determine whether the athlete can participate in athletics
or if there are any limitations for the athlete.
Pre-participation physical exam
The following sections are included in the station pre-participation physical
evaluation:
Medical History (MOST IMPORTANT!)
Cardiovascular: Family history of sudden death under the age of 50,
Prior heart disease in family, heart murmur, exertional shortness of
breath or chest pain, fainting during or following exertion, high blood
pressure, excessive fatigue, palpitations (skipped, irregular, or racing
heart beats)
Orthopedic: Recent or significant musculoskeletal injuries, neck injuries,
unexplained hip or knee pain, dislocations, broken bones
Neurologic: Seizure history, concussion history
Pulmonary: Asthma history
Gastrointestinal: Spleen or liver enlargement
Menstrual History: Absence or irregular periods, stress fractures,
disordered eating
Medical Illnesses: Infectious mononucleosis, hepatitis, sickle cell trait,
HIV, diabetes, heat illness, allergic reactions, other chronic illnesses,
drug or other allergies
Use of glasses, contact lenses, hearing aids
Medication Use: Including nutritional supplements
Pre-participation physical exam
All parts of the pre-participation physical evaluation
come together to assess the athlete’s overall health
level.
Clearance is made at the end of the screening by a state
licensed physician who has reviewed the athlete’s
history and has performed the general examination.
Often, for those who are not cleared, there are certain
criteria that have to be met before they can be
cleared.
In rare cases, it is found that playing sports could
endanger or threaten the health of the athlete.
If this happens, the athlete is denied participation or
another sport is recommended.
No matter the outcome, the pre-participation evaluation
is one of the best tools to help prevent athletic
injuries.
Assignment 4:
Use the internet, UIL
website or any other
resource to determine 3
reasons why an athlete
may NOT be cleared for
participation
Identify the
necessary records
that must be
maintained by the
Athletic Trainer
Identify the necessary records that
must be maintained by the Athletic
Trainer -Record Keeping
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Paperwork, Paperwork, Paperwork!
Major responsibility
Rule not the exception
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Must be accurate and up-to-date
Medical records, injury reports, insurance
information, injury evaluations, progress
notes, equipment inventories, annual
reports
Injury Reports and Injury
Disposition
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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
Injury Evaluation and
Progress Notes
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Injuries and progress should be monitored
by the 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)
HOPS evaluation format
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 CardEmergency Card
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Contains contact information for family,
physician, insurance information and Past
Medical History (PMHx)
Supplies and Equipment
Inventory
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Managing budget and
equipment/supplies is critically
important
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Document every penny!
Inventory must be taken yearly in order
to effectively replenish supplies
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End of sport season
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
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Release of Medical Records
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Written consent is required
Waiver must be signed for any release
(include specifics of information to be
released and to whom)
Buckley Amendment
HIPPA
Computer as Tool for
Athletic Trainer
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Indispensable tool
Can make the job more efficient with
appropriate software
Must maintain security
Can also be used for other
administrative tasks
SportsWare/ RankOne
Collecting Injury Data
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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
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
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 Strains,
sprains, contusions, fractures,
abrasions
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Current National Injury DataGathering Systems
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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, equipment)
 Intrinsic factors (age, gender, neuromuscular
aspects, structural aspects….etc)
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Number of different surveillance systems in
place
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Surveillance Systems
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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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Surveillance Systems cont’d
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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)
QUESTIONS / COMMENTS?