Care & Prevention Ch1
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  • 1. Athletic TrainingCare & Prevention
    Instructor: Eric Molina L/ATC
    Period: 8
  • 2. 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)
  • 3. Athletic Training
    Involves an entire team:
    • Board Certified (BOC) Certified Athletic Trainer
    • 4. Athletic Training Students
    • 5. Team Physician
    • 6. Parents
    • 7. Coaches
    • 8. School Administration
    • 9. Maintenance Personnel
  • The Certified Athletic Trainer in addition to the traditional setting are working as integral members:
    • Sports Medicine Clinics
    • 10. Industrial Settings
    • 11. Professional Sports Programs
    • 12. Educational Institutions
    • 13. Athletic Health Care Settings
    Athletic Trainer
  • 14. The Athletic Training Profession
    NATA 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."
    National Athletic Trainers’ Association
  • 15. The Athletic Training Profession
    • 1960’ The NATA assumed the leadership in establishing high standards for the education and certification of athletic trainers.
    • 16. In 1990, the American Medical Association (AMA) recognized athletic training as an allied health profession.
  • 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)
    • 17. Designated area within the facility for medical care/athletic training room
    • 18. Medical files that include accident injury reports, parental consent, insurance referral, and other reports
  • Establishing An Athletic Training/Sports Medicine Program
    • Adequate funding
    • 19. Educational program for athletes
    • 20. Emergency medical action plan
    • 21. First Aid, Wound Care, Taping, and wrapping supplies
    • 22. H.I.P.A.A. (The health Insurance Portability and Accountability Act) standards are followed
  • Establishing An Athletic Training/Sports Medicine Program
    • Injury notification system
    • 23. Medical and dental insurance
    • 24. Qualified Coaches
    • 25. Qualified Officials
    • 26. Safe Sports Facilities
    • 27. Required pre-participation physical examinations
    • 28. All coaches, cheerleader, band, and drill team sponsors be certified in CPR, AED, & ARC Sports Safety Training (First Aid)
  • The Sports Medicine TEam
    Starts with the ATC
    • Supervise care & Prevention
    • 29. Finding a Team Physician
    • 30. Supervises ATC & Staff
  • Team Physician
    • Supervise pre-participation physicals and medical histories.
    • 31. Clearing of players for return to activity after injury.
    • 32. Working with the athletic trainers
    • 33. On call for emergencies
    • 34. 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
  • 35. 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
  • 36. The Sports Medicine Team
    BOC Certified Athletic Trainer
    • Prevention of athletic injuries
    • 37. Recognition, evaluation, and immediate care of athletic injuries
    • 38. Rehabilitation and reconditioning of athletic injuries
    • 39. Health care administration/Immediate Care
    • 40. Professional development and responsibility
    • 41. Organization and Administration
  • The Sports Medicine Team
    BOC Certified Athletic Trainer
    • Use the designation “ATC” as their professional credential
    • 42. State licensure requirements
    • 43. Studies have shown that injury rates will increase without an ATC on site at practices
    • 44. Serves as a liaison between team physician, coach, parent, and athlete.
    • 45. Especially at the high school level, should maintain contact with parents regarding their son/daughters injury status, and return to play
  • The Sports Medicine Team
    BOC Certified Athletic Trainer
    During the off-season the ATC should work with coaches to improve the conditioning level of the team.
    • Devising specific conditioning programs for certain athletes
    • 46. Assisting athletes recovering from injuries
    • 47. Monitoring athletes who need to increase their lean body weight or decrease their body fat
    • 48. Assist on purchasing and reconditioning of protective equipment.
  • The Sports Medicine Team
    BOC Certified Athletic Trainer
    Scope 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
    • 49. Initiate treatment plan/protocol (involving ice, heat, e-stim, ultrasound, and other modalities)
  • The Sports Medicine Team
    BOC Certified Athletic Trainer
    • Design and implement rehabilitation programs based on the physician protocol
    • 50. Apply protective/supportive techniques that will allow the athlete to regain a physically active lifestyle.
    • 51. Inventory/purchasing of supplies and completing/accident record forms
  • The Sports Medicine TeamBOC Certified Athletic Trainer
    Typical patients and clients served by athletic trainers include:
    • Recreational, amateur, and professional athletes
    • 52. Individuals who have suffered musculoskeletal injuries
    • 53. Those seeking strength, conditioning, fitness, and performance enhancement
    • 54. Others delegated by the physician
  • The Sports Medicine TeamAthletes
    Responsibilities:
    Maintain Good Physical Condition
    Practice the techniques taught by the Coaches
    Follow instructions of the Coaches and the ATC
  • 55. The Sports Medicine TeamParents
    Responsibilities:
    Should be updated on current illnesses and First Aid
    Home Care
    Health and Nutrition
    Fair Rules
    ATC should disseminate information.
  • 56. The Sports Medicine TeamOfficials
    Responsibilities:
    Enforcing fair Rules
    Monitoring Playing Conditions
    Co-operating with Athletic Trainer and Physicians when injuries Occur and when Environmental Hazards Exist.
  • 57. The Sports Medicine TeamCoaches
    Responsibilities:
    Plan Practices: include conditioning and training of the athlete, teach techniques and rules of their sport
    Selecting, fitting, and maintaining protective equipment
    Supervision of practice and game facilities
    Update education by attending clinics that review rule changes, skill development, first aid and CPR
    Must place the athlete’s welfare foremost; work with ATC and Physicians to determine what is best for the athlete
  • 58. The Sports Medicine TeamAthletic Training Student
    Roles and Responsibilities:
    Obtain First Aid and CPR certification
    Develop skills in immediate care of injuries, preventive techniques
    Basic treatment protocols
    Maintain a clean athletic training area/facilities
    Inventory control
    Packing Kits
  • 59. The Sports Medicine TeamAthletic Training Student
    Roles and Responsibilities:
    Preparation for practice and Games
    Prepare electrolyte drink or water for practice/games
    Assist in record keeping
    Become involved in taping, wrapping, changing of dressings, giving minor treatments, and first aid.
    Must be under direct supervision of an ATC.
  • 60. 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.
  • 61. Athletic Training Facility and Management
    Administrative Office
    Document, 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
  • 62. Athletic Training Facility and Management
    Hydrotherapy Area
    Have whirlpool safety inspected yearly
    Fill whirlpool
    Fill and rotate ice cups
    Make ice bags for treatment
    Clean and disinfect
    Wash and fold towels
  • 63. Athletic Training Facility and Management
    Prevention (Taping Area)
    Restock taping areas
    Roll-up elastic/cloth wraps
    Disinfect tables
    Prepare heel and lace pads
    Replace tape cutter blades as needed
  • 64. Athletic Training Facility and Management
    Rehabilitation Area
    Inspect all equipment
    Make sure all equipment is in its proper place
    Check paper supply in isokinetic machine
    Clean and disinfect all equipment
  • 65. Athletic Training Facility and Management
    Treatment (Therapeutic Modality) Area
    Have all modalities safety inspected yearly
    Turn off when not in use
    Clean machines
    Wash and folds towels
    Check hydrocollator and paraffin bath levels
  • 66. Athletic Training Facility and Management
    Physician’s Examination Office
    • Confirm specialized medical equipment for physician is available
    • 67. Update and restock supplies in physicians medical kit weekly
    • 68. Clean surgical trays and refill disinfectants weekly
    • 69. Clean, disinfect, restock and organize exam room weekly
  • Athletic Training Facility and Management
    Storage Area
    Keep accurate inventory and notify supervisor when is low
    Clean and rotate stock
  • 70. Athletic Training Facility and Management
    Daily Duties
    Disinfect
    Restock
    Sweep, mop, empty trash
    Check ice machine/freezer
    Review emergency procedures
    Review/confirm newly acquired skills/knowledge
  • 71. Athletic Training Room Rules
    Outline Services that will be Offered
    Remember! This is a Medical Facility!
    Common Rules:
    • Co-educational facility
    • 72. Treatment provided only to student –athletes
    • 73. Athletes should shower after activity before receiving routine treatments
  • 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
  • 74. 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
  • 75. Record Keeping
    Accident/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
  • 76. Record Keeping
    Daily Treatment
    Athletes name
    Date and Time
    Treatment Provided
    Protective Technique
    Rehab procedure utilized
  • 77. 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.
  • 78. 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.
  • 79. 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
  • 80. Fundamentals of Athletic Training
    Education
    Commission 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)
  • 81. 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
  • 82. 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
  • 83. Multiple Certifications
    Certified 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