Chapter 2- Organizing and Administering an Athletic Health .ppt
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1、Chapter 2: Organizing and Administering an Athletic Health Care Program,Rules of Operation for and Athletic Healthcare Program,Determine who will take care of athletic health care facility Must develop policies and procedures Delineate daily routine of program Define scope of program Who will be ser
2、ved by program? Athlete: to what extent and what services will be rendered Institution: who else can be served medically and educationally and what are the legalities,Providing Coverage,Facility Personnel Coverage Budgetary concerns may be a limiting factor What personnel are available? Sports Cover
3、age Different institutions (including high schools) have different levels of coverage based on personnel and risks involved with sports,Athletic Health Care Facility Policies,Facility should be used only for prevention and care of sports injuries Rules must be established in the interest of sanitati
4、on See Focus Box 2-1 Policies regarding environmental conditions and emergency protocols should also be set,Hygiene and Sanitation,Rules concerning room cleanliness and sanitation must be set and made known to population using facility Examples No equipment/cleats in training room Shoes off treatmen
5、t tables Shower prior to treatment No roughhousing or profanity No food or smokeless tobacco Must adhere to OSHA standards and guidelines,Cleaning responsibilities are divided between athletic training staff and maintenance personnel Division of responsibilities Maintenance crew Sweep floors daily,
6、clean and disinfect sinks and tubs, mop hydrotherapy room, empty waste baskets Athletic Training staff Clean treatment tables, disinfect hydrotherapy modalities daily, clean equipment regularly,Establishing Health Habits for the Athlete,Promotion of good health and hygiene is critical Are the athlet
7、es cleared to participate? Is each athlete insured? Does the athlete promptly report injury and illnesses? Does the athlete follow good living habits? Do they avoid sharing clothes and towels? Does the athlete exhibit good hygiene practices? Does the athlete avoid common drinking sources?,Emergency
8、Telephones,Accessibility to phones in all major areas of activity is a must Should be able to contact outside emergency help and be able to call for additional athletic training assistance Radios, cell and digital phones provide a great deal of flexibility,Emergency Action Plan,A plan must exist for
9、 accessing emergency personnel Must include transportation of athletes to emergency facilities Meeting with outside personnel is necessary to determine roles and rules regarding athlete and equipment care Must have knowledge of local and community health services and agencies in the event of referra
10、ls,Record Keeping,Major responsibility Rule not the exception - accurate and up-to-date Medical records, injury reports, insurance information, injury evaluations, progress notes, equipment inventories, annual reports,Administering Pre-participation Examinations,Pre-participation exam prior to start
11、 of practice is critical Purpose: Identify athlete that may be at risk Establish a baseline Reveal condition that may warrant disqualification Satisfy insurance and liability issues,Examination by Personal Physician Yields an in-depth history and ideal physician-patient relationship May not result i
12、n detection of factors that predispose the athlete to injury Station Examination Provides athlete with detailed exam in little time Team of nine is ideal (2 physicians, 2 non-physicians and 5 managers/student athletic trainers),Medical History Complete prior to exam to identify past and existing med
13、ical conditions Update yearly and closely review by medical personnel Collect medical release and insurance info at the same time Physical Examination Should include assessment of height, weight, body composition, blood pressure, pulse, vision, skin, dental, ear, nose, throat, heart, lungs, abdomen,
14、 lymphatic, genitalia, maturation index, urinalysis and blood work,Maturity Assessment Means to protect young physically active athletes Methods Circumpubertal (sexual maturity) Skeletal Dental Tanners five stage assessment is most expedient Orthopedic Screening Part of physical exam or separate Var
15、ious degrees of detail concerning exam,Sport Disqualification Certain injuries and illnesses warrant special concern when dealing with sports Recommendations can be made American with Disabilities Act (1990) Dictates that athlete makes the final decision Potential disqualifying factors should be det
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