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Training Care & Prevention Instructor: Eric Molina L/ATC Period: 8

Care & Prevention Ch1

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Page 1: Care & Prevention Ch1

Athletic TrainingCare &

Prevention

Instructor: Eric Molina L/ATCPeriod: 8

Page 2: Care & Prevention Ch1

Chapter 1Organization & Administration

What is Athletic Training?

It is the prevention, recognition, evaluation, treatment, rehabilitation, and health care

administration of athletic injuries. (Cramer)

Athletic training encompasses the prevention, diagnosis, and intervention of emergency, acute, and chronic medical conditions involving impairment, functional limitations, and disabilities. (NATA)

Page 3: Care & Prevention Ch1

Athletic Training

Involves an entire team:• Board Certified (BOC) Certified Athletic

Trainer• Athletic Training Students• Team Physician• Parents• Coaches• School Administration• Maintenance Personnel

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Athletic Trainer

The Certified Athletic Trainer in addition to the traditional setting are working as integral members:

Sports Medicine Clinics Industrial SettingsProfessional Sports ProgramsEducational InstitutionsAthletic Health Care Settings

Page 5: Care & Prevention Ch1

National Athletic Trainers’ Association

The Athletic Training ProfessionNATA was founded in 1950

Membership now exceeds 30,000 members

"The mission of the National Athletic Trainers' Association is to enhance the

quality of health care provided by certified athletic trainers and to advance the

athletic training profession."

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The Athletic Training Profession

1960’ The NATA assumed the leadership in establishing high standards for the education and certification of athletic trainers.

In 1990, the American Medical Association (AMA) recognized athletic training as an allied health profession.

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Establishing An Athletic Training/Sports Medicine Program

Checklist for Safety in Sports: To establish an effective AT program, school

administrators should seek the following:BOC Certified Athletic Trainer (ATC)Designated area within the facility for

medical care/athletic training roomMedical files that include accident injury

reports, parental consent, insurance referral, and other reports

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Establishing An Athletic Training/Sports Medicine Program

Adequate fundingEducational program for athletesEmergency medical action planFirst Aid, Wound Care, Taping, and

wrapping suppliesH.I.P.A.A. (The health Insurance

Portability and Accountability Act) standards are followed

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Establishing An Athletic Training/Sports Medicine Program

Injury notification systemMedical and dental insuranceQualified CoachesQualified OfficialsSafe Sports FacilitiesRequired pre-participation physical

examinationsAll coaches, cheerleader, band, and drill

team sponsors be certified in CPR, AED, & ARC Sports Safety Training (First Aid)

Page 10: Care & Prevention Ch1

THE SPORTS MEDICINE TEAM

Starts with the ATC

Supervise care & PreventionFinding a Team Physician

Supervises ATC & Staff

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Team Physician Supervise pre-participation physicals and

medical histories. Clearing of players for return to activity after

injury. Working with the athletic trainers On call for emergencies A school should have a qualified team

physician on the sideline at all football games and other high risk sporting activities.

The Sports Medicine Team

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The Sports Medicine Team

BOC Certified Athletic Trainer

A highly educated and skilled professional specializing in health care of the

physically active. (Cramer)Athletic trainers: health care professionals

who collaborate with physicians to optimize activity and participation of

patients and clients. Approved by NATA Board of Directors

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The Sports Medicine Team

BOC Certified Athletic Trainer

Prevention of athletic injuries Recognition, evaluation, and immediate

care of athletic injuries Rehabilitation and reconditioning of athletic

injuries Health care administration/Immediate Care Professional development and responsibility Organization and Administration

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The Sports Medicine Team

BOC Certified Athletic Trainero Use the designation “ATC” as their

professional credentialo State licensure requirementso Studies have shown that injury rates will

increase without an ATC on site at practiceso Serves as a liaison between team

physician, coach, parent, and athlete.o Especially at the high school level, should

maintain contact with parents regarding their son/daughters injury status, and return to play

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The Sports Medicine Team

BOC Certified Athletic TrainerDuring the off-season the ATC should work with

coaches to improve the conditioning level of the team.

Devising specific conditioning programs for certain athletes

Assisting athletes recovering from injuries Monitoring athletes who need to increase their

lean body weight or decrease their body fat Assist on purchasing and reconditioning of

protective equipment.

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The Sports Medicine Team

BOC Certified Athletic TrainerScope of Practice:A letter of delegated authority from the

team physician on file, and under his/her direction. State licensure requirement.

The ATC will evaluate and provide first aid care

Initiate treatment plan/protocol (involving ice, heat, e-stim, ultrasound, and other modalities)

Page 17: Care & Prevention Ch1

The Sports Medicine Team

BOC Certified Athletic Trainer Design and implement rehabilitation

programs based on the physician protocol Apply protective/supportive techniques

that will allow the athlete to regain a physically active lifestyle.

Inventory/purchasing of supplies and completing/accident record forms

Page 18: Care & Prevention Ch1

The Sports Medicine TeamBOC Certified Athletic Trainer

Typical patients and clients served by athletic trainers include:

Recreational, amateur, and professional athletes

Individuals who have suffered musculoskeletal injuries

Those seeking strength, conditioning, fitness, and performance enhancement

Others delegated by the physician

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The Sports Medicine Team Athletes

Responsibilities:

1. Maintain Good Physical Condition2. Practice the techniques taught by the

Coaches3. Follow instructions of the Coaches and

the ATC

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The Sports Medicine TeamParents

Responsibilities:

1. Should be updated on current illnesses and First Aid

2. Home Care3. Health and Nutrition4. Fair Rules

ATC should disseminate information.

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The Sports Medicine TeamOfficials

Responsibilities:

1. Enforcing fair Rules2. Monitoring Playing Conditions3. Co-operating with Athletic Trainer and

Physicians when injuries Occur and when Environmental Hazards Exist.

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The Sports Medicine TeamCoaches

Responsibilities:

1. Plan Practices: include conditioning and training of the athlete, teach techniques and rules of their sport

2. Selecting, fitting, and maintaining protective equipment

3. Supervision of practice and game facilities4. Update education by attending clinics that review

rule changes, skill development, first aid and CPR5. Must place the athlete’s welfare foremost; work

with ATC and Physicians to determine what is best for the athlete

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The Sports Medicine TeamAthletic Training Student

Roles and Responsibilities:

1. Obtain First Aid and CPR certification2. Develop skills in immediate care of

injuries, preventive techniques3. Basic treatment protocols4. Maintain a clean athletic training

area/facilities5. Inventory control6. Packing Kits

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The Sports Medicine TeamAthletic Training Student

Roles and Responsibilities:

7. Preparation for practice and Games8. Prepare electrolyte drink or water for

practice/games9. Assist in record keeping10. Become involved in taping, wrapping,

changing of dressings, giving minor treatments, and first aid.

Must be under direct supervision of an ATC.

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Athletic Training Facility and Management

Athletic training facilities at high schools vary from almost non-existent to those as modern and spacious as professional/college athletic training rooms.

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Athletic Training Facility and Management

Administrative OfficeDocument, review and file all medial

records/notes (Physical forms, Injury forms, Treatment forms, Insurance forms, Rehab forms, Physicians referral forms)

Maintain a clean organized office and filling system

Accessibility to phone, fax, and e-mail

Updates computer, printer, and software

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Athletic Training Facility and Management

Hydrotherapy Area

Have whirlpool safety inspected yearly

Fill whirlpoolFill and rotate ice cupsMake ice bags for treatmentClean and disinfectWash and fold towels

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Athletic Training Facility and Management

Prevention (Taping Area)

Restock taping areasRoll-up elastic/cloth wrapsDisinfect tablesPrepare heel and lace padsReplace tape cutter blades as

needed

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Athletic Training Facility and Management

Rehabilitation Area

Inspect all equipmentMake sure all equipment is in its

proper placeCheck paper supply in isokinetic

machineClean and disinfect all equipment

Page 30: Care & Prevention Ch1

Athletic Training Facility and Management

Treatment (Therapeutic Modality) Area

Have all modalities safety inspected yearly

Turn off when not in useClean machinesWash and folds towelsCheck hydrocollator and paraffin

bath levels

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Athletic Training Facility and Management

Physician’s Examination Office

Confirm specialized medical equipment for physician is available

Update and restock supplies in physicians medical kit weekly

Clean surgical trays and refill disinfectants weekly

Clean, disinfect, restock and organize exam room weekly

Page 32: Care & Prevention Ch1

Athletic Training Facility and Management

Storage Area

Keep accurate inventory and notify supervisor when is low

Clean and rotate stock

Page 33: Care & Prevention Ch1

Athletic Training Facility and Management

Daily Duties

Disinfect RestockSweep, mop, empty trashCheck ice machine/freezerReview emergency proceduresReview/confirm newly acquired

skills/knowledge

Page 34: Care & Prevention Ch1

Athletic Training Room Rules

Outline Services that will be Offered

Remember! This is a Medical Facility!

Common Rules: Co-educational facility Treatment provided only to student –

athletes Athletes should shower after activity

before receiving routine treatments

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Athletic Training Room Rules

Athletic Training Room supplies and equipment will not be removed, except with permission of the athletic trainer

Athletes/sports equipment should be left in the locker room

LOUD MUSIC IS NOT PERMITTED No cell phone use

Rules can be adapted or added

Page 36: Care & Prevention Ch1

Record Keeping

To ensure proper treatment of the athlete, careful records should be kept on all athletes

Physical Exam: Should include past and present

condition of the athlete

Page 37: Care & Prevention Ch1

Record KeepingAccident/Injury Form Include Athletes Name Date time of accident/injury Place of Injury Mechanism of Injury Evaluation of Injury First Aid and Treatment provided Rehab Recommendations Medical referral

Page 38: Care & Prevention Ch1

Record Keeping

Daily Treatment

Athletes name Date and Time Treatment Provided Protective Technique Rehab procedure utilized

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Record Keeping

Health Insurance Portability and Accountability Act HIPPA

Passed to insure the rights of the athlete (patient) when it comes to their health records

This law restricts who has access to the medical records, for a specific length of time, and for what reasons. The athlete (physical form) signs waivers to allow physicians and other health care providers to exchange information.

Page 40: Care & Prevention Ch1

Fundamentals of Athletic Training

Every Athlete is entitled to adequate conditioning, injury prevention measures, proper treatment of injuries, and complete rehabilitation.

These programs are best designed and supervised by highly educated and skilled ATC’s.

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Fundamentals of Athletic Training

Athletic Trainer Characteristics: Professional skills AT Knowledge Enjoy Athletics Well-being of Athletes/People Good Fitness/Personal Health Common Sense Willingness to Complete Assigned Tasks

Page 42: Care & Prevention Ch1

Fundamentals of Athletic Training

EducationCommission on Accreditation of Athletic Training

(CAATE) Sets accreditation standards for athletic training

programs Includes formal instruction in all areas

documented in the NATA Athletic Training Educational Competencies.

BOC certification exam (after graduating from a CAATE accredited ed program)

Page 43: Care & Prevention Ch1

Employment OpportunitiesTraditional Setting

►College/University setting Traditional setting Where profession began

►Secondary School Similar to the College/University setting

►Professional Sports Care for a Specific Team Restricted employment due number of

venues

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Employment OpportunitiesNon-Traditional Setting

► Sports Medicine Clinics Most recognizable non-traditional setting Assist other allied health professionals Include time spent in clinic, then off site work

with high schools► Corporate/Industrial

Newer and developing outlet Help the employee return to the work force A healthy worker is more productive

► Community Recreation Centers Services a wide range of ages From the very young to geriatric population

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Multiple CertificationsCertified Strength and Conditioning Specialist

• The National Strength and Conditioning Association (CSCS)– Most recognized strength and conditioning certification– http://www.ncsa.com

• Massage Therapy– Recognized by the NATA in a number of competencies

• American Massage Therapy Association– www.amtamassage.org

• Massage professionals– www.abmp.com

• National Certification Board for Therapeutic Massage and Bodywork– www.ncbtmb.com

An athletic trainer that is more diverse and knowledgeable is more valuable to an organization