Mission Statement: · Web viewMeasure athletes’ weight before and after each practice to ensure they do not lose more than 2% of their pre-workout weight Equation: (Pre-exercise

Valley View High School

Athletic Training

Policies & Procedures

Valley View ISD Athletic TrainingPolicies & Procedures

ContentsMission Statement:......................................................................................................................................3

Athletic Training Room (ATR) Policies & Procedures:.............................................................................3

Purpose of ATR:........................................................................................................................................3

ATR Rules:..............................................................................................................................................3

Reporting for Treatment:..........................................................................................................................4

Daily Reporting & Recording of Injuries:...................................................................................................4

Practice & Game Procedures for Injured Student-Athlete(s):....................................................................6

General Return to Play Protocol:..............................................................................................................7

Athletic Training Coverage:.......................................................................................................................8

Priority of Medical Coverage:.................................................................................................................8

Practice/ Game Schedule Changes:.........................................................................................................8

Visiting Teams:.........................................................................................................................................8

Equipment:...............................................................................................................................................8

Injury Report/ Playing Status:....................................................................................................................8

Pre-Participation Examination & Clearance Requirements:.....................................................................9

Concussion/ mTBI Policy & Procedures:....................................................................................................9

Over the Counter (OTC) Medication Policy:............................................................................................16

Lightning Safety Policy:............................................................................................................................18

Event Procedures (Lightning):..............................................................................................................20

Prevention & Care of Heat Related Illnesses:...........................................................................................21

Heat Illness Return to Play:..................................................................................................................24

Prevention & Care of Cold Related Illnesses:...........................................................................................25

UIL Cold Weather Illness Information:................................................................................................26

Automated External Defibrillator Policy:.................................................................................................28

Protocol Regarding Use of AED:..........................................................................................................29

Infection Control Guidelines:....................................................................................................................29

Guidelines for Players/ Spectators During a Serious On-Field Injury:....................................................31

Standard Operational Procedures for Therapeutic Modalities:...............................................................32

Cryotherapy:.........................................................................................................................................32

Thermotherapy:....................................................................................................................................33

Hot & Cold Whirlpools:........................................................................................................................34

Appendix A: Valley View ISD Athletics Physician Release Form............................................................35

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Mission Statement:The mission of Valley View ISD Athletic Training/ Sports Medicine coincides with

Valley View Athletics’ mission to develop championship student-athletes of character on and off the field; and to provide the best quality of medical care to the student-athletes at Valley View. This medical care includes prevention, recognition, evaluation & diagnosis, treatment, management, rehabilitation and medical referral, if necessary, of all athletic injuries.

The purpose of the Athletic Trainer is to:1. Allow easy access to sports medicine services for student-athletes2. Encourage a philosophy of sport that places a high value on health and wellness3. Enable injured student-athletes to return to their sport as soon as medically safe4. Substantially reduce the risk of athletic injury for student-athletes

Athletic Training Room (ATR) Policies & Procedures:Purpose of ATR:

The ATR is a medical facility where student-athletes receive treatments, preventative care, as well as rehabilitation. The Athletic Trainer is responsible for providing services in an attempt to maintain the student-athletes’ highest level of competition safely.

The ATR (including supplies) is designated for Valley View ISD student-athletes involved in a UIL activity only; in-season student-athletes have priority

Athletes must check in with the Athletic Trainer prior to beginning treatment or using any equipment

o Student-athletes are prohibited from performing self-treatment or use any aspect of the ATR/ equipment without the Athletic Trainer’s supervision &/ or permission.

This includes ice bags! During the season, a student-athlete is expected to report for treatment prior to practice,

unless otherwise specified (ex. lunch-time treatment) All equipment is to stay in the ATR unless issued by Athletic Trainer

ATR Rules:1. Be respectful to all coaches, athletic trainers, and other athletes2. NO food or drink (except for water)3. NO CELL PHONES (except to use as timers)4. No shoes on treatment/ taping tables5. Bags and personal items should be stored in the athlete’s locker room6. Profanity, loud disruptions, racial/ ethnic/ religious and/or sexual comments, and horse

play will not be tolerated7. Do not leave your trash in athletic training room8. Do Not touch/ take equipment without permission9. Violation of any of these rules will result in a dismissal from the athletic training room

until the issue is resolveda. Coaches will be notified when student-athletes are non-compliant with treatments/

rehabs or athletic training facility rules3


Dress Code:A. Valley View’s Athletic Training Room is co-edB. Shirts and shorts (not just sliders) must be worn at ALL times

a. This includes in the whirlpoolsC. Cleats, spikes, pads are not permitted in athletic training room

NO LOITERINGIf you are not injured, you do not belong here.

Reporting for Treatment:All student-athletes should report to the ATR for injury evaluation and treatment during the

hours of operation. The Athletic Trainer will administer care to the student-athletes and at no time should the athletes be permitted to use the ATR without supervision.

1. Treatments/ Rehabilitation:a. Student-athlete is responsible for getting treatments, rehabilitation, and/ or taping

done in time before all team meetings and practicesb. Appropriate treatment for any musculoskeletal injury will be decided by the

Athletic Trainer; and when appropriate, by physician and/ or physical therapist c. Student-athlete is expected to complete rehabilitation & treatments until cleared

by Athletic Traineri. Do not stop treatments/ rehabilitation because injury is feeling better

ii. If student-athlete does not report for treatment, it will be recorded and the student-athlete’s coach will be notified

d. Non-athletic injuries will not be treatedi. Non-athletic injuries will be seen in the ATR under the following

guidelines:1. Due to liability concerns, the student-athlete must first see a

medical doctor prior to being treated by the Athletic Trainer2. The student-athlete must provide a prescription for treatment/

rehabilitation from the medical doctor. The information must be specific as to what type of rehabilitation is to be done

3. No injuries that are a result of a motor vehicle accident will be seen

2. Taping:a. Taping must be accompanied by prescribed rehabilitation or exercise, no

exceptionsb. Braces may be utilized in lieu of routine taping when deemed necessary by

Athletic Trainer3. Dress:

a. Student-athletes should be dressed appropriately for evaluationi. Dress should include T-shirts and workout shorts

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ii. Student-athletes reporting in jeans or other clothing that may hinder evaluation may be asked to change or come in the next day with proper clothing

b. Student-athletes must report for evaluation and follow-up treatment in clean clothing. Those dressed in soiled or dirty clothing may be asked to change and/or shower or report for treatment the next day.

c. Spikes/ cleats and athletic equipment are to be left in the locker room4. Conduct:

a. All school rules of conduct apply in the ATR similar to the classroomb. All student-athletes not needing evaluation or treatment of an injury may be asked

to leavec. Student-athletes may have to wait to see the Athletic Trainer, and are encouraged

to wait patiently as misbehavior will be dealt with accordingly

Daily Reporting & Recording of Injuries:It is the student-athlete’s responsibility to report to the Athletic Trainer and Coach

all athletic injuries associated with athletic participation within 48 hours.When the Athletic Trainer learns of such an injury, they will notify the appropriate Coach

or Coaches. Similarly, when a Coach learns of an injury he/ she will notify the Athletic Trainer. The Athletic Trainer will make the necessary medical referrals as indicated.

In the event of an injury:1. Athlete(s) will report to the ATR and see the Athletic Trainer regarding the injury. If the

injury is severe and the student-athlete cannot be moved the coach should contact the Athletic Trainer via phone or radio (channel 9) for the Athletic Trainer to meet the student-athlete at the injury location.

2. Athletic Trainer will evaluate injury and report findings to student-athlete, Coach, and parent(s)/ guardian(s).

a. If injury is to remain confidential the Athletic Trainer will not report exact finding to the Coach, the Athletic Trainer will report to the Coach that the student-athlete will be unable to participate due to injury.

3. The Athletic Trainer will notify parents or legal guardian. The Athletic Trainer will provide current information regarding options for follow-up care, EMS or current transport.

a. In the event that parents, legal guardian, or emergency contacts cannot be reached it is at the Athletic Trainer’s discretion to call EMS, if appropriate.

4. The Athletic Trainer will maintain accurate records of student-athletes who report for care.

a. The Athletic Trainer will collect and record all physician notes returned to them by the student-athletes, as a running tabulation of injury as well as medical record.

b. A daily record of all new injuries as well as current treatment of ongoing injuries will be maintained by the Athletic Trainer

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Practice & Game Procedures for Injured Student-Athlete(s):Decisions regarding the availability of the student-athlete for practice or game

competition require the cooperative efforts of the student-athlete, Coach, Athletic Trainer, physician, parents/ guardian, and the Athletic Director. These decisions should and will be based on sound medical judgments, with the priority being the student-athlete’s health and safety. With this in mind, the Athletic Trainer will attempt to provide quality health care for the student-athlete under the following guidelines:

1. If a student-athlete is under the care of a physician, or the team physician is present, the physician determines the ability of the student-athlete to practice or compete in practice or game.

2. If the student-athlete is NOT under a physician’s care, the Athletic Trainer is providing the primary care, the Athletic Trainer determines the ability of the student-athlete to practice or compete.

a. The Athletic Trainer will convey a “no-play” decision to the appropriate coachb. Under no circumstances should the coach allow the student-athlete to practice or

compete until either they are cleared directly by the Athletic Trainer or there is written documentation by the physician that the student-athlete is able to return to play

i. A “no-play” decision by the physician will always be followed. 3. Under NO circumstances shall the Coach allow a student-athlete to practice or compete

when a “no-play” decision by the Athletic Trainer and/or physician is in effecta. Should a coach or student-athlete disregard the “no-play” order, action will be

taken to safeguard the student-athlete’s healthi. Athletic Trainer will notify the Athletic Director if student-athlete’s

and/or coaches actionsii. Athletic Trainer will notify the student-athlete’s parents/ guardian

b. NUMBER ONE PRIORITY OF THE ATHLETIC TRAINER IS THE HEALTH AND SAFETY OF THE ATHLETE. IF IT IS UNSAFE FOR THE ATHLETE TO PARTICIPATE OR IT IS DEEMED THAT FURTHER PLAY WILL RESULT IN EXACERBATING INJURY, THEY SHOULD NOT BE PARTICIPATING!

4. If a “no-play” decision is in place the student-athlete is expected to perform rehabilitation of the injury and is expected to report to the ATR daily for treatments.

5. Medical Referral & Continued Care:a. At any time of the comprehensive examination of the injury, the Athletic Trainer

will present their opinion on the need of a medical referral. b. Parents/ guardian will be notified if there is a need for a medical referral.

i. Athletic Trainer will give advice about the type of physician that would best help the student-athlete

c. The final decision rests with the parent/ guardian, if the parent/ guardian disregards the referral the student-athlete will be medically disqualified until they are seen by a physician

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d. If the student-athlete receives care from a physician, with or without the Athletic Trainer’s knowledge, the “Valley View ISD Athletics Physician Release” must be filled out and signed by the physician. Appendix A

i. Other physician written releases may be substituted for this form as long as similar information is provided.

ii. If no release is returned to the Athletic Trainer, the student-athlete will not be permitted to practice/ compete until a release is filed with the Athletic Trainer

e. Continued care of the student-athlete is carried out in the form of daily re-evaluation of their progress, daily treatments, and rehabilitation

f. Where needed and available, such care is performed with periodic consultation of the attending physician

General Return to Play Protocol:All student-athletes who have sustained an injury must be cleared by the Athletic Trainer

and/ or physician in order to return to play.Regardless of clearance from a physician, a student-athlete wishing to return to play must

also adhere to this protocol in order to be cleared by the Athletic Trainer.

The following is a standard protocol for releasing a student-athlete to return to play:1. Student-athlete must maintain full range of motion bilaterally2. Student-athlete must maintain 90-100% strength bilaterally3. Student-athlete must be pain free while performing functional aspects of their sports4. Any student-athlete needing extra support or padding must report to the ATR daily in

order to maintain that equipment given to the athlete5. Any student-athlete needing tape support must report to the ATR daily to have tape

applieda. Supplies for taping are not endless, and no student-athlete shall be taped every

day for an entire season for their injuryb. Student-athlete must complete prescribed rehabilitation in order to receive tape;

this includes after being returned to play6. Student-athlete must have little to no swelling within the injury site7. Student-athlete must understand the risks involved in returning to play after the injury

and must be ready to adapt to the physical demands of their sport in relation to their injury

8. If the Athletic Trainer feels that continued play with injury is detrimental to the student-athlete, regardless of physician clearance, student-athlete will remain under “no-play/ practice” status until Athletic Trainer can contact physician and get clarification on exact findings of the evaluation

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Athletic Training Coverage:Home athletic practices & contests will have a Certified &/ or Licensed Athletic Trainer

present or on call. Coaches are expected to provide the Athletic Trainer with practice & game schedules prior to the start of their season. With multiple sports, multiple event sites, and possibility conflicting schedules, direct coverage by the Athletic Trainer will be determined by priority of medical coverage.

Priority of Medical Coverage:Medical Coverage for athletic teams will be provided on the following basis:

1. In-Season Sportsa. Collision (ex. Football)b. Contact (ex. Basketball)c. Non-Contact (ex. Cross Country)

2. Off-Season Sports

Practice/ Game Schedule Changes:Changes in practice/ game times & dates MUST be reported to the Athletic

Trainer 24-48 hours prior to the scheduled change. Failure to adhere to this policy may result in practice/ game being uncovered by the Athletic Trainer.

Visiting Teams:Visiting teams will be extended the same courtesy, service, and respect as the

student-athletes at Valley View ISD. Visiting teams (and visiting athletic trainers) will have the opportunity to utilize athletic training facilities, but not equipment. The Athletic Trainer will provide the same quality of care to visiting student-athletes regardless of game situation. In the event of an injury the Emergency Action Plan and Athletic Training Policies & Procedures will be followed. As soon as possible the visiting team’s athletic trainer will be notified as to the injury and what care was rendered to the injured athlete.

Equipment:1. Travel Kits & Ice/ Water Coolers

a. Athletic Training Kiti. The travel kit contains most supplies used during practices, home events,

and when traveling to another siteii. Kits can be checked out in the ATR and must be returned after the

conclusion of the seasoniii. The kit provides necessary first-aid supplies as well as the most generally

used athletic supplies used in the ATRiv. The coach is responsible for the care & maintenance of the supplies within

the kit8


1. Coach is expected to bring kit back to Athletic Trainer if supplies needs re-stocked

v. The coach is responsible for bringing the kit to all events, home or away, where the Athletic Trainer will not be directly supervising the event

vi. Missing equipment may be charged to that coach’s budget.b. Ice & Water Coolers

i. Ice & water coolers can be checked out in the ATRii. The coach is expected to return ice &/ or water cooler.

iii. If water bottles are used, coaches must emphasize proper hygiene, do NOT allow the athlete to place the spout in contact with their mouths or remove lids to drink

1. Water bottles are not to be thrown!2. Rehabilitation Equipment

a. ATR equipment is available to the student-athletes only with the Athletic Trainer’s supervision

b. Rules are posted in each area and will be enforced by the Athletic Trainer

3. Equipment & Supplies for Individual Usea. When equipment is taken from the ATR the Athletic Trainer will record the

student-athlete’s name & equipment issuedb. The student-athlete is responsible for returning all equipment handed out

4. Golf Carta. The golf carts are to be used to get to an injury and for the transportation of

injured student-athletes, equipment, and supplies at the discretion of the Athletic Director and Athletic Trainer

Injury Report/ Playing Status:An injury report will be communicated either in person, by e-mail, or telephone to the

coaches every day after practices/ competitions. If no report is communicated on a given day, it should be assumed that there are no changes to the previous day’s report.

The injury report is divided into four different playing status categories:

“Cleared/ Full RTP”—A student-athlete listed under this category has been cleared by the Athletic Trainer &/ or physician. The student-athlete may participate in all athletic events including practice, competitions, and workouts.

“Activity Limitations”—A student-athlete under this category may participate in athletic activities under the specific limitations communicated to the athlete & coach by the Athletic Trainer. The limitations must be followed.

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“Activity Limitations/ Needs Rehab/ Treatment”—The student-athlete under this category is still in the process of recovering from an injury and should still be receiving treatment/ rehabilitation on a regular basis. Coaches must also understand that the student-athlete is still in the recovery process and may participate in athletic activities under certain limitations. These limitations will be communicated to the coach and athlete. The limitations must be followed.

“Out/ No Activity”—A student-athlete listed under this category will be held from all physical activity. A medical physician &/ or the Athletic Trainer must clear the student-athlete prior to returning to participation. A student-athlete must perform and pass range of motion, strength, and functional testing prior to returning to participation.

Pre-Participation Examination & Clearance Requirements:Each student-athlete must be cleared by a physician & the Athletic Trainer prior to participation at the high school level.

All required forms must be completed in their entirety and returned to the athlete’s head coach or Athletic Trainer before a student participates in any try-out, practice, athletic class, open gym, open weight room, athletic competition, or travels with an athletic team for any purpose.

The student-athlete is required to use the UIL Pre-Participation -Physical Examination form (which can be found on the Valley View Athletics’ Website). NO OTHER physical examination form can be accepted as per UIL. A new physical exam must be given prior to each school calendar year as per district rules.

PPE Form must be completed by either a Physician, a Physician Assistant licensed by a State Board of Physician Assistant Examiners, a Registered Nurse recognized as an Advanced Practice Nurse by the Board of Nurse Examiners, or a Doctor of Chiropractic.

The required forms are: UIL Pre-Participation Physical Evaluation – Medical History & Physical Examination UIL Acknowledgment of Rules UIL Sudden Cardiac Arrest Awareness Form UIL Concussion Acknowledgment Form UIL Parent & Student Notification/ Agreement Form – Illegal Steroid Use & Random

Steroid Testing (High School Only) Valley View ISD Biological Testing Valley View ISD Consent for Treatment of a Minor

Concussion/ mTBI Policy & Procedures:Introduction:

The centers for Disease Control (CDC) estimates that there are approximately 300,000 cases of mild traumatic brain injuries (mTBI) or concussions annually in the United States as the

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result of participation in sports. The Sports Concussion Institute estimates that 10% of athletes in contact sports suffer a concussion during a season. A 2006 report estimated that there were 92,000 cases of concussions in American high school sports annually, and that these rates seem to be increasing.

Also of concern is the risk of repeated concussions and second impact syndrome to our young athletes. These two problems can have long lasting, and even terminal effects, on the individual. In order to have a standard method of managing concussion for VV ISD athletes, the following guidelines are intended to serve as a written protocol for concussion management.What is a Concussion?A concussion is a type of traumatic brain injury (TBI), specified as a mild traumatic brain injury (mTBI). Concussions can be a serious and potentially life threatening injuries in sports. Concussions are the common result of a blow to the head or body which causes the brain to move rapidly within the skull. This injury causes brain function to change which results in an altered mental state (either temporary or prolonged). Physiologic and/ or anatomic disruptions of connections between some nerve cells in the brain occur. Concussions can have serious and long-term health effects, even from a mild bump on the head.

Concussion Oversight Team (COT):This team is required by Section 38.153 of the Texas Education Code (TEC).This team is responsible for establishing a Return-to-Play protocol based on peer-

reviewed scientific evidence, for a student’s return to interscholastic athletics practice and/ or competition following the force or impact believed to have caused a concussion.

The COT has the final decision as to whether a student involved in VVISD athletics has a concussion and must comply with the protocol and procedures outlined.

Valley View ISD Concussion Oversite Team

Medical AdvisorDr. Ryan Matthiessen, DO

Wise Health Care(817) 369-5876

Krystal Bewley, FNPPolly Klement, FNP

Valley View Family Medical Clinic(940) 726-5750

School Health Services RepresentativeHayden Terry

Valley View Head Athletic Trainer(940) 230-3260

[email protected]

Mandy Ford, RN

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School Nurse(940) 726-3681 EXT. 115

[email protected]

High School Representative Mr. Jesse Newton

High School Principal(940) 726-3244 ext. 147

[email protected]

Ms. Hillary TerryPre K – 4 Assistant Principal

(940) [email protected]

Continuing Education for COT Members and Coaches: Requirements for continuing education are described in Section 38.158 of the TEC. Each physician serving as a member of the COT must attend a course concerning the

subject matter of concussions that has been approved for continuing education credit by the appropriate licensing authority for the profession.

The athletic trainer serving as a member of the COT must attend a course concerning the subject matter of concussions that has been approved for continuing education credit by the Department of State Health Services Advisory Board of Athletic Trainers.

All coaches must take a course approved by the University Interscholastic League that includes the subject matter of concussions, including evaluation, prevention, symptoms, risks, and long-term effects.

Any school employee or representative serving as a member of the COT must take a course approved by the University Interscholastic League that includes the subject matter of concussions, including evaluation, prevention, symptoms, risks, and long-term effects.

Each member must complete the equivalent of 2 hours of training every 2 years. Each member must submit proof of timely completion of an approved course to the

Athletic Department designee.

Responsible Individuals:At every activity under the jurisdiction of the UIL in which the activity involved carries a

potential risk for concussion in the participants, there should be a designated individual who is responsible for identifying student-athletes with symptoms of concussion injuries. That individual should be a physician or an advanced practice nurse, athletic trainer, neuropsychologist, or physician assistant, as defined in TEC section 38.151, with appropriate training in the recognition and management of concussion in athletes. In the event that such an individual is not available, a supervising adult approved by the school district with appropriate training in the recognition of the signs and symptoms of a concussion in athletes could serve in that capacity. When a certified/ licensed athletic trainer is available such an individual would be the appropriate designated person to assume this role. The individual responsible for determining

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mailto:[email protected]


the presence of the symptoms of a concussion is also responsible for creating the appropriate documentation related to the injury event.

Prevention Strategies:1. Insist that safety comes first.2. Teach and practice safe playing techniques.3. Teach athletes the dangers of playing with a concussion.4. Encourage athletes to follow the rules of play and to practice good sportsmanship at all

times.5. Make sure athletes wear the correct protective equipment for their activity (such as

helmets, padding, and mouth guards).6. All headgear must be NOCSAE certified.7. For all sports that require headgear, a coach or appropriate designate should check

headgear before use to make sure air bladders work and are appropriately filled. Padding should be checked to make sure they are in proper working condition.

Recognition of a Concussion:A concussion is defined in Section 38.151 of the TEC as a “complex pathophysiological process affecting the brain caused by a traumatic physical force or impact to the head or body, which may include temporary or prolonged altered brain function resulting in physical, cognitive, or emotional symptoms or altered sleep patterns and involve loss of consciousness.”

Common Signs & Symptoms of Sports-Related Concussion:o Signs – things or conditions which are observed

Athlete appears dazed or stunned Confusion (about assignments, plays, ect.) Forgets plays Unsure about game, score, opponent Moves clumsily (altered coordination) Balance problems Personality change Responds slowly to questions Forgets events prior or after the hit Loss of consciousness (any duration)

o Symptoms – things or conditions which the athlete feels and reports Headache or feeling of pressure in head Temporary loss of consciousness Confusion or feeling as if in a fog Amnesia surrounding the traumatic event Dizziness or “seeing stars” Ringing in the ears Nausea or vomiting Slurred speech Fatigue

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o These signs & symptoms are indicative of a probable concussion. Other causes for symptoms should also be considered.

Cognitive Impairment (Altered or Diminished Cognitive Function):o General cognitive status can be determined by sideline cognitive testing. The

athletic trainer will utilize a sideline concussion card and/ or a SCAT form.

Management and Referral Guidelines for Staff:Items in this section comply with Sections 38.153, 38.156, and 38.157 of the TEC.

A. Guidelines for Immediate Management of Sports-Related Concussions1. Any athlete who has symptoms of a concussion, and who is not stable (i.e.

condition is changing or deteriorating), should be spine boarded (if appropriate) and transported immediately to the nearest trauma-qualified emergency department via emergency vehicle.

a. An athlete who exhibits any of the following symptoms should be considered not stable:

Deterioration of neurological function Decreasing level of consciousness or prolonged loss of

consciousness Decrease or irregularity in respirations Decrease or irregularity in pulse Unequal, dilated or nonreactive pupils Vomiting Any signs or symptoms of associated injuries, spine or skull

fracture or bleeding Mental status changes: lethargy, difficulty maintaining arousal,

confusion or agitation Seizure activity Cranial nerve deficits

2. An athlete who is symptomatic but stable does not need to go immediately to a trauma-qualified emergency department or concussion-trained physician and will be handled as follows:

a. Give parent/ guardian the option of emergency transportation, even if you do not feel it necessary.

b. A “Concussion Information for Parent/ Guardian” sheet must be given and discussed with the parent/ guardian.

c. Discuss the list of signs to watch for listed on the “Concussion Information for Parent/ Guardian” sheet which indicate the need to take an athlete immediately to hospital.

d. Recommend to the parent/ guardian to take the athlete home and allow them to sleep.

e. Recommend to the parent/ guardian that they remove the athlete from contact with all auditory and visual stimulation (i.e. cell phones, TV, computer, stereo, music players, ect.)

f. Athlete should rest for at least 24 hours before returning to school.

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g. Athlete and/ or parent/ guardian must meet with school Athletic Trainer before they return to school to begin the post-injury concussion assessment.

3. Any student suspected of having sustained a concussion (according to previously stated criteria) will be removed from a practice or competition immediately.

a. The student must be evaluated by the school Athletic Trainer as soon as possible.

b. In some instances, an Athletic Trainer from another school will be in attendance at a game or practice. In this case, they need to be asked to be evaluate the athlete.

c. If school athletic trainer or an athletic trainer from another school is not in attendance of game or practice the coach is responsible for determining which management strategy applies and for taking appropriate action.

The school Athletic Trainer must be notified of the suspected injury as soon as possible.

d. If a concussion is suspected, the athletic trainer (or the coach in the absence of the athletic trainer) will notify the athlete’s parents and give written and verbal home and follow-up care instructions.

B. Guidelines for Follow-Up Care of a Concussion:1. The school athletic trainer will notify the COT members of the student.

a. An email will be sent by the appropriate school representative on the COT to each teacher of the student including information about concussions and strategies that could be used to help the student. A copy of the document “Concussion Education for Teachers” is included in Appendix E.

2. The student-athlete check in daily with athletic trainera. Valley View Head Evaluation (Based off SCAT5)b. Other neuropsychological testing tools (i.e. Impact, C3Logix) may be used

as available and/ or deemed necessary by the treating physician.c. The “Concussion Daily Signs & Symptoms Tracker” will be completed

and reviewed by the athletic trainer every 24-48 hours.3. A “Concussion Progress Worksheet” will be started when the student completes

the first Post-Injury Concussion Assessment. Each step in the recovery process will be recorded on this worksheet.

4. If a student is symptomatic and it is affecting his/ her academics, the athletic trainer will contact the appropriate members of the COT in order for the school to take appropriate action to provide academic modifications.

a. These modifications could be ordered by an examining physicianb. These modifications could require a 504 Planc. Possible modifications include but are not limited to:

Temporarily assign shorter assignments and lighter workloads. Temporarily assign a classmate to take notes/ assignments for

them. Increase the repetition of verbal instructions. Provide assignments and instructions in writing to avoid confusion.

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Provide smaller pieces of information to aid in retention and recall of facts and ideas.

Increase time allotments for homework assignments. Slow down verbal instructions. Move the student to an area of the classroom that is less prone to

bright lights or increased noise (i.e. away from windows or hallway doors).

Postpone important tests if possible as to not allow their injury to affect their grades.

Allow periodic rest breaks. You can send them to the nurse if they need a quiet are to rest.

Allow the student to wear dark glasses, use computer monitor glare filters and/ or earplugs (especially in music classes) to decrease visual and auditory stimulation.

5. When the student is symptom-free without use of medication, the athletic trainer will inform the parent/ guardian that the student must now be evaluated by a physician (if not done already) for release to begin activity.

a. A “Valley View ISD Concussion Release Form” is available from the athletic trainer and must be returned prior to start of the Return-to-Play Protocol.

b. Other written release from the physician may be substituted for the “Valley View ISD Concussion Release Form.”

c. This applies if the student was initially referred to an emergency department.

Emergency Room Doctor cannot clear athlete.6. Once the student is cleared by a physician, they must complete a Return-to-Play

Protocol (RTPP) designed to slowly and safely return them to full activity.a. The athletic trainer will supervise the athlete through each step of the

RTPP.b. Each step must be documented c. One step of the RTPP may be completed every 24 hours as long as the

student does not begin to experience any concussion symptoms.d. If the student begins to have concussion symptoms during the RTPP, the

RTPP will be terminated until the student is again sign and symptom free for 24 hours.

e. The RTPP consists of the following steps: Step 1 – Ride stationary bike for no more than 30 minutes or walk

for no more than 1 continuous mile (no resistance training) Step 2 – Light running no more than 2 miles and non-impact

activities (no resistance training) Step 3 – Running of no more than 4 miles and non-impact, sport

specific activities (with resistance training)

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Step 4 – May begin wearing sport-specific equipment (helmet, shoulder pads, ect.), running of no more than 4 miles and non-impact, sport-specific activity (with resistance training)

Step 5 – May participate in full contact practice7. After completion of Step 5 of the RTPP, the following steps must be completed

for the student to be released to full, unrestricted activity.a. The treating physician must sign the “Valley View ISD Concussion

Release Form” acknowledging that the student has completed the RTPP and is released for full, unrestricted activity.

The treating physician may provide this release on the form at the same time they release the athlete to begin the RTPP only upon successful completion of the RTPP under the supervision of the Athletic Trainer.

Other written release from the physician may be substituted for the “Valley View ISD Concussion Release Form.”

b. The UIL Concussion Management Protocol Return to Play Form must be completed before the student returns to full activity.

The athletic trainer will notify the parent/ guardian that the student has successfully completed the RTPP.

The athletic trainer will complete the appropriate portion of the UIL Concussion Management Protocol Return to Play Form.

The athlete and parent/ guardian must sign the appropriate portion of the UIL Concussion Management Protocol Return to Play Form.

8. All documents related to the concussion must be kept by the athletic trainer as part of the medical records of the student.

C. This protocol will apply to any student involved in Valley View ISD Athletics in grades 7-12 that has sustained a concussion.

1. Concussions suffered in non-school related activities must complete the Guidelines for follow-up care as outlined in this protocol.

2. No student involved in Valley View ISD Athletics in grades 7-12 may return to activity unless they have completed all requirements of this protocol.

3. protocol.

Over the Counter (OTC) Medication Policy:Improper dispensation of both prescription and non-prescription drugs can lead to serious

medical and legal consequences. A state licensed a board certified athletic trainer and licensed health personnel are authorized to administer drugs and other substances according to the policies and standing orders in this section.

The Certified and/ or Licensed Athletic Trainer is the only member of the athletic department authorized to administer OTC medications under the following standing orders.

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Over-the-counter (OTC) medications may be dispensed according to directions on the package as long as the medicine is not contraindicated for the patient.

Ibuprofen—200mg X2 (1 Packet), with food for anti-inflammatory purposes; not to exceed 1200mg in a twenty-four hour period. No Ibuprofen will be dispensed 1.5 hours prior to practice and/ or competition.

Acetaminophen—325 X2 (1 Packet) for pain, not to exceed eight (8) tablets in a twenty-four-hour period.

Diphenhydramine—25mg X2 (1 Packet) every four to six hours, not to exceed twelve (12) tablets a twenty-four-hour period for allergy symptoms.

Chlorpheniramine Maleate—4mg X1 (1 Packet) every four to six hours, not to exceed six (6) tablets in a twenty-four-hour period for allergy symptoms.

Loratadine—10mg X1 (1 Packet) daily, not to exceed one (1) tablet in a twenty-four-hour period for allergy symptoms.

Phenylephrine—5mg X2 (1 Packet) every four hours, not to take more than twelve (12) tablets in a twenty-four-hour period for nasal decongestion.

Alamag Plus: Active Ingredients Include:Aluminum Hydroxide (200mg), Magnesium Hydroxide (200mg), & Simethicone (25mg)—one (1) to four (4) tablets 4X per day, 20 to 60 minutes after meals or at bedtime; up to sixteen (16) tablets in a twenty-four-hour period.

Loperamide Hydrochloride—2mg X2 (2 Packets) after first loose bowel movement followed by 2mg X1 (1 Packet) after each subsequent loose bowel movement, not to exceed four (4) caplets in a twenty-four-hour period.

1. Medication Storage Procedures:a. At times the athletic training room serves as the office of a Team Physician and

the Team Physician directs that specific OTC medications be stocked and available for his/ her use. The athletic training facility and personnel shall comply with all state and federal laws regarding dispensing medication. Any medication administered from the athletic training room stores shall be recorded in a log and the physician’s script or standing order must be kept on file in the athletic training room.

b. Labeling and Inspection:i. State, federal and DEA regulations regarding packaging, labeling, record

keeping and storage of prescribed medications in the athletic training facility must be followed.

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ii. All drug stocks shall be regularly inspected for expiration dates and those expired drugs shall be appropriate discarded with such disposal logged by date and disposal process.

c. Storage:i. Drugs must be stored in a cabinet with tamper proof locks in a location

that is under the direct supervision of the certified athletic trainer. ii. In addition, the athletic training facility must be locked whenever the

facility is not under the direct supervision of the certified athletic trainer.iii. Medical kits containing OTC medications must be stored in a locked

cabinet or closet when not being carried by a certified athletic trainer.

Lightning Safety Policy:All coaches and athletes will use the guidelines set forth by the NATA in the event of

lightning. Weather and lightning conditions will be monitored by the Athletic Trainer by using SkyScan Lightning Detector, WeatherBug Spark, as well as other weather monitoring technology. If weather monitoring technology is malfunctioning or if there is poor cell phone service, the “Flash-to-Bang” method will be used.

Flash-to-Bang Method: Begin counting when sighting a lightning flash Counting is stopped when the associated bang (thunder) is heard Divide the count by five (5) to determine the distance of the lightning flash (in

miles)

The Athletic Trainer will alert coaches prior to practice of forecasted storms. The Athletic Trainer will give coaches lightning alerts in the follow sequence:

Lightning Alerts:

Lightning Distance: Actions:

"Heads Up" Within 15mi (13nmi) Be prepared to activate safety procedures

"Clear Field(s)"

Within 10mi (8.68nmi) Initiate safety procedures

"Danger" Within 8mi (6.95nmi) All athletes, coaches, & spectators should be in building

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"All Clear" Lightning has not been detected at 10mi (8.68nmi) for 30min

Safe to resume activity

Locations not safe from lightning: Picnic & park shelters, athletic storage sheds, dugouts, tents, press box, open garages, & mobile refreshment stands.

If the Athletic Trainer is not present to provide alerts in person, coaches will receive alerts in any of the following ways: 1.) Athletic Trainer comes and alerts coach in person; 2.) Athletic Trainer calls head coach; 3.) Athletic Trainer calls assistant coach (if head coach did not answer initial phone call); 4.) Athletic Trainer text messages head and assistant coaches. Coaches may also use their own discretion if at any time lightning is visible, and/ or they feel their athletes are in an unsafe situation.

Event Procedures (Lightning):

Prior to Competition: The Athletic Trainer will greet officials, explain that we have means to monitor lightning, and offer to notify the officials during the game if there is imminent danger from lightning.

Announcement of Suspension of Activity: Once it is determined that there is danger of lightning in the area, the Athletic Trainer will notify the head coach and officials, and subsequently summon athletes from the playing field.

Evacuation of the Playing Field: Immediately following the announcement of suspension of activity, all athletes, coaches, officials, support staff, and fans are to evacuate to an enclosed grounded structure.

Evacuation of Stands: During competition, once the officials signal to suspend activity, a member of the Athletic Department support staff will announce via PA system: “May I have your attention. We have been notified of approaching inclement weather. Activity will be cease until we have determined it is safe and the risk of lightning is diminished. We advise you to seek appropriate shelter in the Agricultural Barn. Though protection from lightning is not guaranteed, you may seek shelter in automobiles. Thank you for your cooperation.”

Resumption of Activity: Activity may resume once the Athletic Trainer gives permission. Thirty (30) minutes after the last lightning strike within 10 miles (8.68nmi).

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Look for these symptoms in athletes when a lightning strike is suspected:

Prevention & Care of Heat Related Illnesses:Heat illnesses are a spectrum of illness that occur due to heat exposure. This heat

exposure can come from either environmental heat (air temperature) or simply intense exercise. As with all emergency conditions, there are measures that can be taken to prevent heat illnesses. The key determinant for good prognosis following a heat illness is rapid recognition and treatment.

Heat Cramps—Painful cramps involving abdominal muscles and extremities caused by intense, prolonged exercise in the heat and depletion of salt and water due to sweating.

Prevention:o Acclimatizing athletes to environmento Gradual progression of intensity and duration of practice/ exerciseo Educating athletes to replace fluids and salt lost in their sweato Maintain a balanced electrolyte level before, during, and after athletic

event. Symptoms:

o Dehydration, thirst, sweating, transient muscle cramps and fatigueo Painful, involuntary muscle spasms (usually occurring in the legs)

associated with exercise in the heat when athletes have been sweating profusely

o A precursor to the initial onset of cramps involves muscle twitches or fasciculations.

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Minor Moderate Severe

Temporary to no LOC Disorientation, combative, or comatose

Brain damage

Possible blindness, deafness, tympanic ruptrure

Possible temporary paralysis of extremities (may be pale, blue,

pulseless)Hypoxia secondary to cardiac arrest

Confusion/ amnesia Hypovolemtic shock alook for blunt abdominal trauma

Blunt trauma fractures and intracranial injuries

Stable vital signs (possible hypertension)

Temporary cardiopulmonary standstill

Possible parasthesia, muscle pain, headache lasting days to months

1st & 2nd degree burns usually occur a few hours after injury


If this occurs, remove athlete from the heat and encourage rehydration with an electrolyte beverage

Treatment:o Remove athlete from exercise session or practice and have them rest in the

shade or an air-conditioned roomo Stretch, massage and knead the muscles that are cramping in its full-length

positiono Provide the athlete with cold fluids, such as water or an electrolyte sports

drink to replace sweat losseso Provide food high in salt content to replenish the electrolytes lost from

sweat.o In cases of heat cramps that persist, use ice massage on the affected

muscleMay return to activity when cramps are gone, providing they display no other signs or symptoms of other illness. If systemic cramps do not subside after one hour of rest and other treatment outlined above, they will be referred to a physician.

Heat Syncope—Weakness, fatigue and fainting due to loos of salt and water in sweat and exercise in the heat.

Prevention:o Acclimatizing athletes to environmento Gradual progression of intensity and duration of practice/ exerciseo Educating athletes to replace fluids and salt lost in their sweat

Symptoms:o Dizziness or

lightheadednesso Loss of consciousnesso Pale or sweaty skin

o Weakness o Tunnel visiono Decreased or weak

pulse Treatment:

o Typical recovery within 10-15 minuteso Move athlete to shaded/ cool area to decrease body temperatureo Sit or lie down as soon as the athlete begins to feel symptomso Monitor vital signs to ensure the athlete does not also acquire another

medical conditiono Elevate legs to promote blood returning to the hearto Rehydrate with water or sports beverage

May return to activity once symptoms have resolved and any other medical conditions have been ruled out and cleared by the athletic trainer.

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Heat Exhaustion—Inability to continue exercise in the heat due to cardiovascular insufficiency and energy depletion that may or may not be associated with physical collapse.

Prevention:o Acclimatizing athletes to environmento Gradual progression of intensity and duration of practice/ exerciseo Educating athletes to replace fluids and salt lost in their sweato Appropriate work to rest ratios based on environmental conditions

Symptoms:o Fatigueo Nauseao Fainting o Weakness o Vomiting o Dizziness/ light-

headedness o Paleo Chills o Diarrheao Heavy sweating

o Decreased urine output/ dehydration

o Irritability o Headacheo Sodium losso Decreased blood

pressureo Decreased muscle

coordinationo Hyperventilationo Core body

temperature between 36-40°C (96.8-104°F)

Treatment:o Move athlete to shaded/ cool area to decrease body temperatureo Elevate legs to promote venous returno Cool the athlete with fans, rotating ice towels, or ice bagso Provide oral fluids for rehydration

If signs/ symptoms do not subside, the athlete will be referred to a physician for evaluation.

Heat Stroke—An acute medical emergency related to thermoregulatory failure. Associated with nausea, seizures, disorientation, and possible unconsciousness or coma. It may occur suddenly without being preceded by any other clinical signs. The individual is usually unconscious with a high body temperature and a hot dry skin (heat stroke victims, contrary to popular belief, may sweat profusely).

Prevention:1. Ensure Hydration

a. Measure athletes’ weight before and after each practice to ensure they do not lose more than 2% of their pre-workout weight

i. Equation: (Pre-exercise weight – post-exercise weight / pre-exercise weight) x 100.

ii. By the time next practice begins, athletes should ingest fluids and weight the original weight.

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b. Encourage drinking throughout practice2. Wear loose-fitting, absorbent or moisture wicking clothing3. Practice and perform conditioning drills at appropriate times during the day, avoid the

hottest part of the day (10:00-17:00).4. Ensure proper body cooling methods are available, including a cold water immersion tub,

ice towels, access to water & ice; equipment will be prepared prior to practice beginning.5. Pre-season heat acclimatization will be followed.

Symptoms: Core temperature greater than 104°F

(40°C) Irrational behavior, irritability,

emotional instability Altered consciousness, coma Disorientation or dizziness Headache Confusion or just look “out of it” Nausea or vomiting Diarrhea

Muscle cramps, loss of muscle function/ balance, inability to walk

Collapse, staggering or sluggish feeling

Profuse sweating Decreasing performance or weakness Dehydration, dry mouth, thirst Rapid pulse, low blood pressure,

quick breathing

Treatment: Remove all equipment and excess clothing Cool the athlete as quickly as possible within 30 minutes via whole body ice water

immersion If immersion is not possible, take athlete into a cold shower or move to shaded, cool area

and use rotating cold, wet towels to cover as much of the body surface as possible. Maintain airway, breathing and circulation After cooling has been initiated, activate EMS Monitor vital signs

Heat Illness Return to Play:After a heat illness occurs, there may be physiological changes, such as heat tolerance, that are temporarily, and occasionally, permanently compromised. Long-term complication and morbidity are directly related to the time that the core body temperature remained above the critical threshold. To safely return an athlete to full participation, a specific return-to-play (RTP) strategy should be implemented. The RTP is as followed:

Physician clearance prior to return to physical activityo The athlete must be asymptomatic and lab tests must be normal

The athlete should avoid exercise for at least one (1) week after the incident The athlete should begin a gradual RTP protocol in which they are under the direct

supervision of an appropriate health-care professional

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Step 1: Refrain from exercise/ activity for at least 7 days following release of medical care.Step 2: Following up in about 1 week for physical exam and repeat lab testing or diagnostic imaging of affected organs that may be indicated, based on the physician’s evaluationStep 3: When cleared for activity (note must be received), begin exercise in a cool, climate controlled environment and gradually increase the duration and intensity and heat exposure for two (2) week period to acclimatize and demonstrate heat tolerance

This would be an example plan of return to play:RTP After Heat Illness:

Step A: 3-5 days of easy to moderate activity/ exercise (HR: 100-179BPM) in a climate controlled environment; followed by 3-5 days of strenuous activity/ exercise (HR: 180+BPM) in a climate controlled environmentStep B: 3-5 days of easy to moderate activity/ exercise (HR: 100-179BPM) in heat followed by 3-5 days of strenuous activity/ exercise (HR: 180+BPM) in heatStep C (if applicable): Easy to moderate activity/ exercise (HR: 100-179BPM) in heat with equipment followed by 3-5 days of strenuous activity/ exercise (HR: 180+BPM) in heat with equipment

Prevention & Care of Cold Related Illnesses:Cold weather is defined as any temperature that can negatively affect the body’s regulatory system. These do not have to be freezing temperatures.

Cold Weather Caution: When temperature or wind-chill (which is lower than actual temperature) is from 40°F - 30°F

No modification of practice, but a warning will be given to coaches & athletes Coaches & Athletic Trainer emphasizing the importance of following UIL Cold Weather

Illness Recommendations Watching those “high risk” athletes

Cold Weather Warning: When temperature or wind chill is from 30°F - 20°F, there may be a modified outside participation of 45 minutes.

Warm-up to be started indoors to not take away from 45min. A practice that keeps individuals moving, try to avoid working up a big sweat in the first

20 minutes, having them be wet, and then sit around watching Wearing a hat that covers the ears, and some sort of gloves to cover the hands are

required Keeping a very close eye on those “high risk” athletes If available, a cool-down indoors

Cold Weather Termination: When temperature or wind chill reaches 19°F and below, there may be a termination of outside practices and games.

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UIL Cold Weather Illness Information:

Hypothermia: Hypothermia is a decrease in core body temperature.1. Mild Hypothermia—shivering, cold sensation, goose bumps, numb hands2. Moderate Hypothermia—intense shivering, muscle incoordination, slow & labored

movements, mild confusion, difficulty speaking, signs of depression, withdrawn3. Severe Hypothermia—shivering stops, exposed skin is bluish & puffy, inability to walk,

poor muscle coordination, muscle rigidity, decrease in pulse & respiration rate, unconsciousness

Management: Remove athlete from cold environment Remove wet clothing & replace with dry clothing &/ or blankets Refer all moderate cases to the emergency room once safe to transport Treat severe hypothermia as a medical emergency! Wrap the athlete in an insulated

blanket & seek emergency medical care immediately

Frostbite: Thermal injury to the skin caused by cold exposure.1. Frostnip—skin appears white & waxy or gray & mottled; possible numbness & pain2. Superficial Frostbite—skin appears white, mottled or gray; feels hard or rubbery but

deeper tissue is soft, insensitive to touch.3. Deep Frostbite—skin is white & has a wooden feel, numbness & anesthesia.

Management: Do not rub the area Gently rewarm the area by blowing warm air onto the area, placing the

area against a warm body part, or placing the affected area into a warm (101 - 108°F) water for several minutes

If not absolutely certain that the tissue will stay warm after rewarming, do not rewarm it.**Refreezing newly thawed frostbitten tissue can cause extensive tissue damage!

If a person is also suffering from hypothermia, the first concern is core rewarming

Prevention: The best method of management is prevention. Dress in layers Cover the head to prevent excessive heat loss from the head & neck Stay dry by wearing a wicking fabric next to the body & a breathable,

water repellent outer layer Stay adequately hydrated Eat regular meals Avoid alcohol, caffeine, & nicotine

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Educate participants, coaches, officials & administrators in recognition of cold-related illnesses

Consider cancellation of athletic events if weather conditions warrant If unsure whether an athlete is hypothermic, err on the side of caution &

treat accordingly

Recognition, Management & Prevention of Cold Exposure:Although excessive & prolonged exposure to cold may be an infrequent problem in

Texas high school athletics, the prevention, recognition and management of cold-related conditions are still an important consideration for coaches, administrators & athletic trainers.

The human’s body’s mechanisms of heat retention are significantly less efficient than our ability to dissipate heat. During the day, the temperature may be moderate and the sun shining, but as the sun sets & the temperature begins to fall, when coupled with conditions of exhaustion, dehydration & wet clothing associated with physical activity, the risk of cold-related pathology can increase.

Understanding the mechanisms of heat retention & production are essential to the prevention & management of cold-related illnesses & injuries:

Vasoconstriction—Decreases blood flow to the periphery to prevent loss of body heat Shivering—While involuntary shivering generates heat through increased muscle

activity, it may also hinder an athlete’s sport performance & ability to perform behavioral tasks to aid in heat retention

Activity Increase—Increases heat production through a general increase in metabolic activity. Quick bouts of intense activity can generate incredible amounts of heat

Behavioral Responses—Adjusting the number & type of clothing layers will result in heat regulation by controlling the amount of heat lost by the body

Recognition of Cold-Related Issues:There are several factors influencing one’s susceptibility or risk of cold related injury or

illness. These factors can be additive. Thus, it is essential to appreciate each of these factors, along with the associated signs & symptoms of hypothermia & frostbite. Risk Factors:

Low air temperature—When cold exposure exceeds or overwhelms the body’s ability to compensate for heat loss due to the external environment.

Wind chill—Interaction of the wind speed & air temperatures Moisture—Wet skin freezes at a higher temperature than dry skin Exposed skin—Heat loss occurs primarily through convection & radiation to the external

environment, but may also include evaporation if the skin is moist. This is a concern for those exercising & sweating in cold environments.

Insulation—The amount of insulation from cold & moisture significantly affects thermoregulation

Dehydration—Negatively influences metabolic & thermoregulation

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Alcohol—Increases peripheral blood flow & heat loss; can also disrupt the shivering mechanism

Caffeine—Acts as a diuretic, causing water loss & dehydration Tobacco—Acts as a vasoconstrictor; increasing the risk of frostbite

Automated External Defibrillator Policy:

Medical Necessity for Use of AED:Sudden Cardiac Arrest (SCA) is a condition that occurs when the electrical impulses of

the human heart malfunction causing a disturbance in the heart’s electrical rhythm. The erratic and ineffective electrical heart rhythms that cause complete cessation of the heart’s normal function of pumping blood are called ventricular fibrillation (VF) and pulseless ventricular tachycardia (PVT), and result in sudden death. The most effective treatment for these conditions is the administration of an electrical current to the heart by a defibrillator, delivered within a short time of the onset of VF or pulseless ventricular tachycardia. Defibrillation is a recognized means of terminating potential fatal heart arrhythmias during SCA. A direct current defibrillator applies a brief, high-energy pulse of electricity to the heart muscle. AEDs accurately analyze cardiac rhythms and, if appropriate, advise and deliver an electric shock.

AEDs have become an essential link in the “chain of survival” as defined by the American Heart Association. Successful resuscitation is related to the length of time between the onset of VF or PVT. The AHA states that with every minute it takes to respond, the chance of successful defibrillation decreases 7-10%. The provision of timely emergency attention saves lives.

Authorized AED Users:The certified/ licensed athletic trainer, team physician, and all coaches at Valley View

ISD are trained to use an AED.

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Protocol Regarding Use of AED:In the event of SCA, the Valley View Athletic Emergency Action Plan should be

activated immediately. The certified/ licensed athletic trainer will provide initial care as appropriate to the situation and coordinate with other emergency medical service providers upon their arrival in the provision of CPR, defibrillation, and basic life support. The AED is to be used only on patients in SCA. Before the devise is utilized to analyze the patient’s ECG rhythm, the patient must be:

Unconscious Pulseless Not breathing spontaneously

Infection Control Guidelines:

Proper precautions are needed to minimize the potential risk of the spread of communicable disease and skin infections during athletic competition. These conditions include skin infections that occur due to skin contact with other competitors and equipment. The transmission of infections such as Methicillin-Resistant Staphylococcus Aureus (MRSA) and Herpes Gladiatorum, bloodborne pathogens such as HIV and Hepatitis B, and other infectious diseases such as Influenza can often be greatly reduced through proper hygiene.

Universal Hygiene Protocols for All Sports: Athletes should shower immediately after every competition and practice (including

workouts), using liquid soap and not a shared bar of soap. Clean and/ or wash all personal gear (knee pads, head gear, braces, ect.) and gym bags at

least weekly. Do not share towels or other personal hygiene products with others.

Cleaning of Facilities:Primary cleaning product: BH-38 Available through MaintenanceOther cleaning products: Recommended product for cleaning whirlpool tubs Whizzer (until current supplies on hand is depleted). Clorox Wipes used for tables and counter tops.

Cleaning Schedule:End of each class period – training room treatment tables (after each student if body

fluids are left on the surface or open wounds are treated.)Daily – Whirlpool tubs

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Weekly – Padding on Weight Room EquipmentAnnually – Emptied lockers for custodial cleaning

Laundering of Uniforms & Towels (Practice & Games)General population (non-infected athletes): Towels, uniforms; and any other washable items are to be washed in hot water with ordinary laundry detergent, and dried on the proper setting in the dryer.Athletes with diagnosed or suspected wound infection: Soiled items are to be sent home for laundering. Items not sent home must be laundered separate from the items of non-infected athletes.

Training of Student Athletic Trainers:Minimum of 1-2 days training to include:

Bloodborne PathogensOrientation to facilities, equipment, guidelines, and procedures

Disposal of Soiled Bandages and Sharps:Sharp container located in main athletic training room.Disposal of sharps containers can be done on campus by using the following methods:

Tape the sharps container closed when full, place it inside a box and tape it securely before disposing it in the trash; or full containers can be taped closed and taken to a physician’s office that has agreed to accept the filled containers.

Soiled bandages should be properly disposed of in biohazard bag(s).

Infectious Skin Diseases:Strategies for reducing the potential exposure to these infectious agents include:

Athletes must notify a parent/ guardian and coach of any skin lesion prior to any competition or practice. An appropriate health-care professional shall evaluate all skin lesions before returning to practice or competitions.

If an outbreak occurs on a team, especially in a contact sport, all team members should be evaluated to help prevent the potential spread of the infection. All shared equipment shall be properly cleaned/ disinfected prior to use.

Bloodborne Infectious Diseases:Strategies for reducing the potential exposure to these agents include the following Universal Precautions such as:

An athlete who is bleeding, has an open wound, has any amount of blood on his/ her uniform, or has blood on his/ her person, shall be directed to leave the activity (game or

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practice) until the bleeding is stopped, the wound is covered, the uniform and/ or body is appropriately cleaned, and/ or the uniform is changed before returning to activity.

Athletic trainers or other caregivers (including student athletic trainers and coaches) must wear gloves and use Universal Precautions to prevent blood or body fluid-splash from contaminating themselves or others.

In the event of a blood or body fluid-splash, immediately wash contaminated skin or mucous membranes with soap and water.

Clean all contaminated surfaces and equipment with disinfectant before returning to competition. Be sure to use gloves when cleaning.

Any blood exposure or bites to the skin that break the surface must be reported and immediately evaluated by an appropriate health-care professional.

Guidelines for Players/ Spectators During a Serious On-Field Injury:

Players and coaches should go to and remain in the bench area once medical assistance arrives.

Adequate lines of vision between the medical staff and all available emergency personnel should be established and maintained.

Players, parents and non-authorized personnel should be kept a significant distance away from the seriously injured player or players.

Players and non-medical personnel should not touch, move or roll an injured athlete. Once the medical staff begins to work on an injured player, they should be allowed to

perform services without interruption or interference. Players and coaches should avoid dictating medical services to the Athletic Trainer, team

physician, or EMS or taking up their time to perform such services.

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Standard Operational Procedures for Therapeutic Modalities:In order to provide the students of Valley View ISD the Athletic Trainer is authorized to

utilize modalities such as thermotherapy, and cryotherapy (ice bag, ice massage, ice immersion, hot/ cold whirlpools, & intermittent cold compression).

Cryotherapy:The local & systemic effects of cold application are vasoconstriction, increased rate of cell metabolism resulting in a decreased need for oxygen, decreased production of cellular waste, reduced inflammation, decreased pain, decreased muscle spasm, decreased respiratory rate, decreased heart rate, increased muscle tone, and decreased temperature.

1. Indications:a. Acute injury or inflammation b. Acute or chronic painc. Postsurgical pain and edema

2. Contraindications:a. Cardiac or respiratory involvementb. Uncovered open woundsc. Circulatory insufficiency d. Cold allergy and/ or hypersensitivity e. Anesthetized skin

3. Precautions:a. Applying too much pressure with wrapb. Be careful using reusable cold packs as they get colder than ice and are more

likely to give a patient frostbitec. Application of ice to large superficial nerve can cause neuropathy, check on the

patient regularly if applying over superficial nervesd. Content of instant cold packs can burn the skin, if there is a break in the

packaging DO NOT use4. Parameters:

a. General cold applications:i. 20-30 minutes on time, every 2 hours

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Thermotherapy:The systemic effects of heat application are increased body temperature, increased pulse rate, increased respiratory rate, and decreased blood pressure. Superficial heat is delivered through the application of moist hot packs & hot whirlpools.

1. Indications:a. Facilitate exerciseb. Increase metabolic activity, blood flow, inflammation, tissue elasticityc. Decrease viscosityd. Pain relief

2. Contraindications:a. Burns b. Coronary conditionsc. Uncovered open woundsd. If patient is doing thermotherapy without following up with rehabilitation

3. Parameters: a. Moist hot packs:

i. Duration: 15-20 minutes

Hot & Cold Whirlpools:Whirlpools are used for delivering heat or cold treatment, ROM exercises, promoting muscular relaxation, or decreasing pain & muscle spasm

1. Indications:a. Decreased ROMb. Sub-acute or chronic inflammatory conditionsc. Peripheral vascular disease (use a neutral temperature)d. Peripheral nerve injuries (avoid the extremes of hot and cold)

2. Contraindications:

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a. Acute conditions in which water turbulence would further irritate the injured areas or in which the limb is placed in a gravity-dependent position

b. Fever (in hot whirlpool)c. Skin conditionsd. General contraindications listed for heat & cold treatments

3. Temperature Range:a. Cold Whirlpool:

i. 50-65°F. Temperature is increased as the proportion of the body area treated increases

b. Hot Whirlpool:i. 90-110°F. Temperature is decreased as the proportion of the body area

treated increases.4. Whirlpool Maintenance:

a. The whirlpool must be cleaned before & after treating a patient, and/ or at the end of the work day.

i. Drain the whirlpool after treatmentii. Refill the tub with hot (approximately 120°F) water to a level sufficient to

safely operate the turbineiii. Add chlorine bleach to the water, using the concentration indicated on the

packagingiv. Run the turbine for at least 1 minute to allow the cleaning agent to cycle

through the internal componentsv. Drain the whirlpool & scrub the interior using a towel with cleaner

applied, paying close attention to the external turbine, thermometer stem, drains, welds, and other areas that could retain germs

vi. Thoroughly rinse the tubvii. Clean the exterior surface with a stainless-steel cleaner

b. Check the ground fault circuit interrupter for proper functioning monthly

Appendix A: Valley View ISD Athletics Physician Release FormName: ________________________________ Today’s Date: __________________

Sport: ________________________________ Date of Injury: _________________

The student listed above, was seen by Dr. ________________________ office today located at:

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Street: ________________________________ Phone #: ______________________

City: _________________________________ Fax #: ________________________

The patient was seen for:

I Recommend:

The patient at this time is:

______ Not Cleared ______ Cleared with restrictions on: ___________________________

______ Cleared ______ Cleared based on symptoms on: ________________________

______ Patient has a follow up appointment scheduled for: ______________________________

______ Must contact Primary Care Physician for further care

This note must be filled out every time a student-athlete in Valley View ISD sees a doctor for any injury or illness that might relate to sports. This is so the Valley View Athletic Department can assure the safety of their student athletes. By signing this form, you are stating that all the information above relates to this student and their status as it relates to sports, specifically the sport this student will return to. We thank you for your cooperation in this manner.

Physician Signature: _________________________________ Date: _____________

Stamp if Possible:

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Documents

Mission Statement: · Web viewMeasure athletes’ weight before and after each practice to ensure they do not lose more than 2% of their pre-workout weight Equation: (Pre-exercise