Policies and Procedures

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          1. Patient Population

    1. The CBHS sports medicine staff’s primary responsibility is to provide care to any and all athletes at Christian Brothers High School, regardless of them being in or out of season.

    2. The CBHS sports medicine staff will also provide care, and evaluate any injury to the faculty and staff of Christian Brothers High School and their families, as well as provide recommendations on the proper course of treatment.

      1. Treatment of faculty, staff, and family members will come secondary to treatment of CBHS athletes, unless the situation is emergent and requires immediate attention.

  1. Use of Facilities

    1. Records

      1. Any and all patient records that are kept at CBHS by the sports medicine staff are maintained under the guidelines and laws set forth by the Health Insurance Portability and Accountability Act (HIPAA).

      2. Patient information may be obtained only by those individuals with proper authorization to do so. This may include:

        1. Members of the sports medicine staff

        2. Student Athlete

        3. Parent(s) and/or Guardian(s)

        4. Coaches

        5. Athletic Administration

    2. Sterilization Procedures

      1. Instruments

        1. Any instrument/tool that has come into contact with bodily fluids must be properly sterilized before another use.

          1. If available, instruments/tools may be sent to Campbell Clinic to be autoclaved.

          2. If cleaned on-site at CBHS, all instruments/tools will be cleaned with Cavicide, soap and water, and rubbing alcohol.

      2. Sharps

        1. Once used, any and all sharps must be discarded into the sharps container in the athletic training room.

      3. Surfaces

        1. At the end of each day, all surfaces (treatment tables, taping tables, and countertops) will be cleaned with disinfectant.

        2. Surfaces will also be cleaned immediately if any bodily fluids are found after treatment of wounds/injuries.

      4. Towels

        1. All dirty towels are to be thrown in the sports medicine laundry bin, and then washed/dried as needed.

        2. If any towel comes into contact with blood or bodily fluids (other than sweat), it is to be discarded in the biohazard bin in the athletic training room.

      5. Miscellaneous

        1. Any other materials, not mentioned above that come in contact with blood, vomit, or other bodily fluids must be discarded in the biohazard bin in the athletic training room.

        2. All sterilization procedures and handling of blood and bodily fluids must adhere to proper OSHA guidelines (Appendix A).

  2. Student Athletic Training Program

    1. The CBHS sports medicine staff is always looking for students interested to help out. Students will participate in all daily activities with the staff, including:

      1. Practice and/or game set-up

      2. Taping

      3. First-Aid

      4. Rehabilitation of injuries

      5. Stretching athletes

    2. The sports medicine staff at CBHS adheres to the guidelines set forth in the NATA official statement on proper supervision of secondary school student aides

      1. Students will always be under supervision by a certified athletic trainer

      2. Students are not allowed to interpret referrals from other healthcare providers

      3. Students may not perform injury evaluations

      4. Students may not make decisions regarding treatment, procedures, or other activities related to patient care

      5. Students are not allowed to independently provide athletic training services if traveling with a team

    3. PE Credit

      1. Student Athletic Trainers can earn ½ PE credit for each season spent working with the sports medicine staff.

    4. Expectations

      1. Students will work a minimum of 3 days/week, including some weekend days depending on sports schedules

      2. Students will show up as soon as school is dismissed, and stay until all practices/games are completed, or until dismissed by a member of the CBHS sports medicine staff.

      3. Students will act professionally when dealing with all athletes, coaches, and parents

      4. Students will dress accordingly for the events of that day

        1. There is no “uniform” for student athletic trainers, but the sports medicine staff may designate a dress code for game days or other special events.

      5. Student Athletic Trainers will follow all HIPAA guidelines in regards to patient confidentiality

        1. The CBHS sports medicine staff will have a zero tolerance policy for breaches of the HIPAA policy.

  3. Emergency Action Plans (site specific)

    1. See Appendix B

  4. Heat Policy

    1. The CBHS sports medicine staff follows the regulations set forth by the TSSAA when determining to cancel or continue with practices and/or games. The TSSAA policy can be found at the following link: http://tssaa.org/compliance-publications/heat-policy/.

    2. If the conditions do not warrant cancellation, but still may pose a risk to the health of the athletes, modifications to practices will be made as set forth in the National Athletic Trainers Association (NATA) position statement: Preventing Sudden Death in Sports (Appendix C).

      1. Conditions will be monitored by use of a WBGT monitor.

  5. Athletic Training Room Hours

    1. The athletic training room will be open Monday – Friday beginning at 1:30 pm, and will remain open until all practices and/or competitions for that day have been completed. The athletic training room will be open on Saturdays at least 1 hour prior to any events and will remain open until all events that day have been completed.

      1. If your team will be practicing outside of “normal hours”, and you would like coverage, please provide at least 48 hours notice to the CBHS athletic training staff.

    2. During school hours, students are welcome to have an injury evaluated, do their rehab exercises, or seek any other services from the athletic training staff provided they either have a free period, or a note from their teacher that excuses them from class.

    3. If the athletic training room is open, but you cannot locate an athletic trainer, please refer to the dry-erase board for staff phone numbers and/or our current location to contact us.

  6. Injury Evaluation Procedures

    1. In the event of an injury, parents/guardians will be notified under the following conditions:

      1. The injury will affect the athlete’s practice/game status

      2. The athlete is being sent home with crutches, a brace, or some other protective device

      3. There was severe bleeding involved

      4. The athlete needs to seek further medical care

      5. The injury resulted in an emergent situation (911 was called)

    2. In the event of an emergency, the Emergency Action Plan will be activated for the venue in which the injury occurred. Parents and/or guardians will be called immediately, and emergency care will be provided to the best of the athletic training staff’s abilities.

      1. See Appendix D for the NATA Position Statements on emergent injuries/situations

    3. If a parent or guardian is not available, or cannot be contacted in an emergent situation, either a coach, or member of the sports medicine staff will accompany the athlete to the hospital, along with the Consent for Athletic Participation & Medical Care form.

  7. Appendices

    1. Appendix A: OSHA Guidelines

    2. Appendix B: Emergency Action Plans

    3. Appendix C: NATA Position Statement – Preventing Sudden Death in Sports

    4. Appendix D: NATA Position Statements