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					 Greensboro College

Athletic Training Room

Policies and Procedures

       Manual
                      Table Of Contents


I.     Athletic Training Staff Directory

       A.     Athletic Training Staff Contact Numbers
       B.     Athletic Training Room Phone Numbers

II.    Athletic Training Room Operational Procedures

       A.    Equipment Calibration
       B.    Ice Machine and Ice Purchases
       C.    Daily Opening and Closing Duties
       D.    Dress Code/Professionalism
       E.    Record-Keeping for Clinical Hours
       F.    General Record-Keeping
       G.    Practice/Event Coverage
       H.    Travel Policy
       I.    First Responder
       J.    Hours of Operation
       K.    Correspondence Letters
       L.    Cell Phone Use Policy
       M.    Work Study
       N.    Drug Policy
       O.    Drug Testing
       P.    Athletic Training Room Policies
       Q.    HIPAA
       R.    Communicable Disease Policy
       S.    Atypical Medical Conditions

III.   Medical Emergency/Referral Procedures

       A.     Consultants
       B.     Referral to Team Physicians
       C.     Emergency Action Plans
       D.     Insurance Information

IV.    Physicals/Out of Season/Non Traditional Sports

       A.     Policy on Receiving Physicals
       B.     Coverage of Out of Season/Non Traditional Sports
V.    Personnel Education Programs

      A.    OSHA Protocol
      B.    CPR and First Aid/Sport Safety
      C.    Hepatitis B Vaccination
      D.    Inclement Weather
      E.    Liability Insurance

VI.   Evaluation Procedures

      A.    Coach Evaluations of Certified Athletic Trainer
      B.    Coach Evaluations of Athletic Training Student
      C.    Head Athletic Trainer Evaluations of Staff
I.   Athletic Training Room Staff Directory
     A.     Athletic Training Staff Contact Numbers
     Head Athletic Trainer: Ted Eaves             W (336) 272-7102        X254
                                                  C (336) 253-6662
                                                  H (336) 288-3280


     Graduate Assistants: Ryan McCrea               W (336) 272-7102 X322
                          Jill Sparrow              W (336) 272-7102 X322
                          Robby Wise                W (336) 272-7102 X322

     B.     Athletic Training Room Directory
     Campbell Center Athletic Training Room              (336) 272-7102 X254

II. Athletic Training Room Operating Procedures

     A.     Equipment Calibration

     All electrical equipment utilized in the treatment and rehabilitation of
     intercollegiate athletes in the Greensboro College athletic training room
     must be professionally calibrated a minimum of one time a year for
     maintenance purposes. The calibration is to be completed by an approved
     company prior to the beginning of preseason practices. The company
     currently utilized for this service is Stan Kowalski, Inc. The telephone
     number is (336) 255-8869.

     B.     Ice Machines and Ice Purchases
     Each ice machine should be kept in a neat and orderly manner. Any ice on
     the floor should be picked up and placed in the sink or over a drain in the
     floor. The ice scoop should not be left in the machine for any reason. The
     door of the ice machine should always remain closed unless in use. If for
     any reason the ice machine is not working properly, the Head Athletic
     Trainer should be notified immediately so that necessary repairs can be
     made.
Each year, a portion of the athletic budget is designated for the purchase of
ice to supplement that which is produced by the ice machines. An order is
placed for each home football game because these events are held off
campus. This order must be placed during the week, and delivery
scheduled for an appropriate time prior to the start of the game. The
delivery must be received by the athletic training staff at the field house at
Jamison Stadium, located at Grimsley High School.

Orders are placed with Starr Ice, Inc. Their telephone number is (336)
697-0286.

C.     Daily Opening and Closing Duties
A daily checklist for opening and closing duties will be posted in each
athletic training room. These duties are to be completed by the personnel
available at the established beginning and ending hours of operation. Each
of these duties must be completed appropriately and checked off prior to
any personnel leaving for the day. The weekly duty checklist should be
completed sometime prior to the end of the day on Friday. These tasks
can be checked off on Friday’s checklist. A copy of the checklist may be
found in Appendix A.

D.     Dress Code/Professionalism
All athletic training students and staff are expected to dress in the
appropriate attire when they are representing Greensboro College. As a
general rule, students should maintain clean, professional business casual
attire. All shirts must be cleaned, wrinkle free, and tucked in at the waist.
It is at the discretion of the clinical instructor to determine if clothing is
appropriate. Students without the proper attire will be sent home to
change.

While rotating on campus, students will be given one polo shirt each year
and may choose to buy additional shirts. T-shirts will be distributed at no
cost.

The proper attire for practice coverage and work in the athletic training
room on campus is limited to Greensboro College T-shirts with clean and
neat pants or shorts. While in attendance for indoor competitions, athletic
training students are expected to where a GC athletic training polo or dress
shirt with dress pants. While in attendance for outdoor competitions,
athletic training students are expected to where a GC athletic training polo
with khaki’s, wind pants, or nice shorts. Students may wear a Greensboro
College or plain colored hat outdoors, however, the bill must be worn
forward. Inclement weather attire should be well kept and clean.

The following attire is not permitted in any of the athletic training rooms:
spandex tights or shorts, sports bras, cut off jeans or shorts, ragged T-
shirts, hats, sweat pants, Birkenstocks or open toe sandals. In addition, no
facial piercing of any kind will be allowed.

All athletic training staff and students will be expected to act in a
professional manner when conducting their duties:
             Treat other athletic training students and athletes with
                 respect.
             Do not criticize peers in front of others.
             Handle conflicts privately and maintain the proper
                 professional rapport in the athletic training room.
             Know your limitations and act within them.
             Be dependable and on time.
             Notify the supervising ATC of schedule conflicts ahead of
                 time.
             Treat all individuals equally. No preferential or
                 discriminatory treatment will be tolerated.
             Sexual harassment will not be tolerated in any form and
                 students must follow the published Greensboro College
                 Sexual Harassment policy found in the Student Pride
                 Guide.

E.     Record-Keeping for Clinical Hours
Each student is responsible for recording and maintaining the Clinical
Education Documentation Form (see Appendix B) for their individual
clinical experience. The student is expected to log the starting and
finishing time during which they were under the supervision of the
certified athletic trainer, the total amount of time spent, and the location
that was covered during those times. Hours should be documented to the
nearest quarter hour (e.g. 15 minutes equals 0.25 hours, 30 minutes equals
0.5 hours, 45 minutes equals 0.75 hours). Students are required to have
the supervising ATC sign off on the documentation form each day.

At the end of each month or rotation, the student should add the total
amount of supervised time and place it at the bottom of the column.

Once a student’s form is complete, the hours must be verified and then the
form must be turned into the Proctor Hall Secretary who will enter the
hours into the computer. The Program Director will place the information
in each student’s academic file.
F.     General Record Keeping
If a student-athlete suffers an injury or develops a condition that will
require some type of medical treatment, then an injury report must be
completed and signed by the individual (staff or athletic training student)
who evaluated the injury. No student-athlete is to receive treatment
without a thorough evaluation. If an athletic training student conducts the
evaluation, a certified athletic trainer must sign the document prior to
giving the document to the Head Athletic Trainer. An injury report should
be written no more than 24 hours after a new injury is reported. This
record should be given to the Head Athletic Trainer to be placed in the
athlete’s personal file. A SOAP note should be completed at intervals to
show the progress of the athlete’s treatment and rehabilitation. Any
dictations from doctor’s visits should also be filed in the athlete’s personal
file upon receipt. All documents in the student-athlete’s personal file
should be in chronological order with the most recent reports and
documents on top.

A certified athletic trainer must approve all treatment procedures. All
treatments administered must be recorded on the Treatment Log. The
athlete’s name must be entered for each different injury, and the
appropriate code, time, and athletic trainer recorded. At no time should an
athlete administer his or her own treatment.

If a rehabilitation program is designed, it should be filed in the
rehabilitation log. Once the injury has been resolved, documentation of
the rehab protocol should be placed in the athlete’s personal file. These
forms may be found in Appendices C, D, E, and F.

G. Event Coverage
The following practices/games are held on Greensboro College’s campus,
and are covered by certified athletic trainers and athletic training students:

       Men’s Soccer – Pride Field
       Women’s Soccer – Pride Field
       Volleyball – Hanes Gymnasium
       Men’s Basketball – Hanes Gymnasium
       Women’s Basketball – Hanes Gymnasium
       Swimming – Royce Reynolds Student Life Center
       Women’s Lacrosse – Pride Field

The following practices are held at the Price Complex, and are covered by
certified athletic trainers and athletic training students:
       Men’s Soccer
       Women’s Soccer
       Football
       Men’s Lacrosse
       Women’s Lacrosse

The following practices are held off campus and are not covered by
certified athletic trainers or athletic training students. Coaches are trained
as first responders for these situations:

       Men’s Cross Country
       Women’s Cross Country
       Baseball – Grimsley High School
       Softball – Salvation Army Field
       Men’s Tennis
       Women’s Tennis
       Golf

The following games/matches are held off campus and are covered by
certified athletic trainers and athletic training students:

       Football – Grimsley High School
       Cross Country – Any hosted event
       Baseball – War Memorial Stadium/Grimsley High School
       Softball – Salvation Army Field
       Men’s Tennis – Bur-Mill Country Club
       Women’s Tennis – Bur-Mill Country Club

The athletic training staff requests at least 24 hours notice to cover an
athletic practice or event.

It is the policy of the Greensboro College athletic department to prioritize
home events and in-season practices for coverage by the athletic training
staff. Off-season sports will still be treated during open athletic training
room hours, but will not have their practices covered by an ATC. Off-
season events that are hosted on campus will be covered based upon
request and staff availability.

Sideline/venue set-up explanations may be found in Appendix G.

H. Travel Policy
The intent of this campus-wide policy is to ensure the safety and well
being of student-athletes, coaches, and support personnel to the greatest
extent possible when traveling as representatives of Greensboro College.
Van travel is limited to 9 passengers per van (including driver). Teams
involved in non-local travel with traveling parties of 19 or more will travel
by bus. Students are not permitted to drive passenger-occupied vans. In
situations in which there is not a coach available to drive, substitute
drivers will be employed at a flat rate of $12 per hour (actual rolling time).
Substitute drivers will also receive a $25 stipend for overnight travel and
all expenses for meals and accommodations shall be covered by
Greensboro College.

For all van travel, the passenger seated in the front opposite the driver is
required to remain awake and alert whenever the vehicle is rolling to assist
the driver. Assistance includes spotting road hazards, reading
maps/directions, making essential cellular phone calls, managing comfort
and entertainment dashboard controls, and otherwise helping the driver
stay alert.

The head coach is responsible for having a contingency plan in the
unlikely event that a driver cannot safely operate a vehicle due to such
conditions as illness, extreme drowsiness, vision problems or serious
health impairment. Depending upon the circumstances (distance to
destination, time of day/evening, road or weather conditions, availability
of experienced substitute driver) the coach may appoint a student
replacement (minimum 21 years of age with prior experience driving a
van) to continue the trip or seek temporary or overnight accommodations.

As a general rule, combined time for travel and competition should not
exceed 12 hours per day.

A bus will be contracted for all non-local travel in which more than two
vans are needed to transport the traveling party. Trips within 150-mile
radius of campus must return to campus the same day/evening unless it is
a continuing trip. When employing bus service, no additional vehicle
rental will be permitted without prior approval of the Director of Athletics.
Teams are expected to transport all equipment and luggage under or on the
bus.

I.     First Responder
During those practices not covered by a certified athletic trainer and an
athletic training student, a first responder must be available for medical
emergency needs.

“A first responder has additional, specialized training that qualifies an
athletic training student to assist in the evaluation or recognition
stabilization, initial treatment and disposition of an individual who is
injured or suddenly takes ill; these tasks are achieved with minimal skill.
First responders are trained in first aid and CPR techniques. A first
responder’s responsibility includes referral to appropriate medical
personnel or facility. An athletic training student who is unsupervised
must function only as a first responder. This may include activities such
prophylactic taping, stretching, first aid and referral of injured/ill athletes.
Other athletic training functions such as return-to-play decisions, modality
or rehabilitation treatments are out of the realm of a first responder.”
(NATA Education Council, CIE Seminar, 2002). 2

A first responder is also defined as an individual who has been trained and
is currently certified in both first aid/sport safety and CPR. Each coach is
expected to attain these certifications prior to each academic year. The
first responder takes on the role of emergency personnel when a medical
emergency requires it. This person is expected to determine the severity
of the injury/illness and activate the emergency medical service if
warranted. The first responder is responsible for the injured person until
more experienced help arrives. The first responder or other institutional
personnel is also expected to accompany the victim to the hospital with
insurance information. The first responder is to notify the Head Athletic
Trainer as well as the director of athletics as soon possible..

J.      Hours of Operation
The athletic training room in the Campbell Center will be open every day
Monday through Friday from 10:00 AM until 6:00 PM. The athletic
training room will also open and close depending upon the scheduled
practices. The athletic training room will open one hour prior to practice
and close thirty minutes after the end of practice. This schedule is only
effective if the practices occur outside of regular business hours. On the
days when a game/match occurs, the athletic training room will be open
two hours prior to the start of the game and will close one hour after the
game is concluded.

The athletic training room in the Price complex will open at 1:30 PM
every day that a practice is scheduled for that field and close thirty
minutes after the last practice concludes.

K. Correspondence Letters
Prior to each home event, a welcome letter will be sent to the visiting
school. In the letter, the Head Athletic Trainer will provide the hours of
operation for the athletic training room both prior to and after the
scheduled event. The letter will also request a written prescription for
modality treatment a team is traveling without a certified athletic trainer.
There should also be a request for prior notification if no athletic training
staff will be present to assist the team with treatments. The letter will
include any treatment modality that will be available for the visiting team
and the sideline/venue setup for the event. Finally, the letter should
include the important phone numbers for the host institution. These
numbers should include the Head Athletic Trainer’s work, home, pager,
and cell phone numbers; the team physician’s work, pager, and cell phone
numbers; and the emergency room number. A sample of the visiting team
letter may be found in Appendix H.

In the event that a certified athletic trainer or an athletic training student is
not able to travel to an away event with an athletic team, the Head Athletic
Trainer is responsible for contacting the host school and providing them
with advance notice of the absence. The Head Athletic Trainer should
contact the host team’s athletic training staff no less than 24 hours before
the event by telephone. This notice is meant to allow the host team time to
prepare for the treatment and preparation required by the visiting team. A
signed letter should also be sent with the traveling team detailing any
treatment modality that is required by any of the athletes. The Head
Athletic Trainer should also ensure that the team has a stocked medical kit
with them. This is meant to provide the host team with any supplies
needed to treat and prepare the visiting team’s athletes for the event. A
sample of the treatment prescription may be found in Appendix I.

L.      Cell Phone Use
The cellular phones are to be used by athletic training staff to
communicate athletic department information. The following are
acceptable forms of use:

        Calls ATC-ATC regarding coverage, scheduling, etc.
        Calls to team physicians regarding athletes
        Calls to athletic department staff
        Calls in emergency situations

Athletic training students should only use these phones when directly
instructed to do so by the supervising certified athletic trainer.
Inappropriate use of athletic department cell phones will be billed to the
individual responsible for the calls.
M. Work Study
The purpose of the work-study program is to assist students who qualify
through the Office of Financial Aid to earn money toward their college
expenses. Through this program students have the opportunity to gain
valuable work experience, enhance their communication skills, learn new
skills, and refine some of the skills they already have. For students
completing work-study hours through athletic training, the Head Athletic
Trainer will act as the supervisor of activities.

Athletic training students may receive work-study funds, but must meet
with the Head Athletic Trainer and the Clinical Coordinator to arrange
their work schedule around their academic responsibilities as well as their
Clinical Education. Work-study is available in the Athletic Department,
as well as in the Department of Kinesiology. Based on the number of
positions available, students that are eligible for work-study funds will be
given the opportunity to apply for these funds. Students with the highest
number of credit hours will be given first priority, and this will be the
process until all positions are filled. The amount of work-study positions
will vary from year to year depending on budgetary factors.

At NO time can clinical education be counted toward work-study hours
for payment. For example: a student assigned to work in a clinical
education setting under an ACI with a particular sport must work other
athletic contests/practices or event set up in order to receive work study
funds. First year students assigned observation hours may count hours
worked above the 4-hour per week minimum.

All time sheets must be signed by the Head Athletic Trainer and turned in
no later than the first of every month. The students are responsible for
maintaining their own hour’s sheets.

N.     Prescription and Non-prescription Drug
       Policy
No member of the athletic training staff will dispense prescription drugs
unless already prescribed to the athlete by a team physician. All athletic
training staff members must monitor the athlete’s use of non-prescription
drugs provided by the athletic department. Athletes are not to be given
any more than the recommended dosage of any over the counter drug. If
an athlete requests another dosage for a teammate, the athlete is to be told
that each individual athlete must be present to receive any over the counter
drug. It must be noted in the non-prescription drug log each time an
   athlete is given an over the counter drug. This form may be found in
   Appendix J.

   O. Drug Testing
   Greensboro College has established a drug use prevention program in
   order to allow its athletes to progress toward their academic and athletic
   goals in a drug-free environment. Prior to participation in practices and
   games, all athletes will be required to attend a meeting on the drug
   education, screening, and intervention program. After having the
   opportunity to read the program and ask questions, athletes will be
   required to sign a consent form which states that the student agrees to
   cooperate in the drug screening program in accordance with the published
   guidelines. Students who refuse to sign the waiver will not be given the
   privilege of practicing or competing on an intercollegiate squad at
   Greensboro College. A student, during the period of their membership on
   or affiliation with an intercollegiate athletic team, may not use the drugs
   specified by the NCAA’s Banned-Drug Classes regardless of whether
   such use occurs before, during, or after the student-athlete’s competitive
   season. The athletic training staff discourages the use of nutritional
   supplements for performance enhancement.

   Greensboro College contracts with outside proctors and the National
   Center for Drug Free Sports to randomly select student athletes, perform
   the urine sample collections, maintain the chain of custody, and coordinate
   analysis and notification of results. The date and time of each drug test
   will be planned in cooperation with the athletic director, the Head Athletic
   Trainer. Individuals, who in the judgment of the Head Athletic Trainer
   and the athletic director, exhibit behavior that is symptomatic of drug use
   may be tested independently of the random sample based on the
   reasonable suspicion standard. The policy in its entirety may be found in
   Appendix K.


   P.      Athletic Training Room Policies
 Please refrain from socializing in the athletic training room. It is a place
  for treatment and rehabilitation, not for meeting new friends.

 No cleats or spikes are allowed in the athletic training room.

 Telephone use is prohibited to the student-athlete except for emergency or
  official business use.

 Foul or abusive language is not allowed in the athletic training room.
 Treatments and rehabilitation are to be administered by athletic training
  staff only.

 All injuries must be reported to a certified athletic trainer or athletic
  training student.

 Athletes that do not report injuries to an athletic trainer or do not attend
  scheduled treatment times are expected to participate fully during the next
  scheduled practice.

 Athletes must report for scheduled treatment times until the injury is
  resolved.

 Athletes that do not participate in practice due to injury must participate in
  a conditioning/rehabilitation program during each practice that they are
  absent.

 Athletes that have returned to practice but are still undergoing
  rehabilitation must attend a rehabilitation session prior to practice. There
  will be no rehabilitation scheduled after practice.

 Wear appropriate apparel to the athletic training room for all treatment and
  rehabilitation sessions. Athletes should wear loose-fitting clothing that
  allows for full range of motion in the injured area. Men and women must
  wear shirts in the athletic training room.

 Please keep the athletic training room neat and clean. Please replace all
  rehabilitation equipment used and clean up after yourself.

 Athletic training students are to be treated with the utmost respect and be
  given full cooperation.

 Athletic training students should act in a manner befitting a representative
  of Greensboro College.

 The athlete is not to remove any of the rehabilitation equipment in the
  athletic training room without prior permission from the Head Athletic
  Trainer.

 An Equipment Check-Out Card must be filled out by an athletic training
  staff member any time an athlete requires any form of rehabilitation
  equipment outside the athletic training room. A copy of this form may be
  found in Appendix L.

 Tobacco and alcohol use are not permitted in the athletic training room.
 Please use the scrap tape box in the athletic training room for any tape jobs
  not completed by the athletic training staff.

 All treatments and rehabilitation of athletic injuries must take place in the
  athletic training rooms.

 All injuries requiring medical referral should be reported to the Head
  Athletic Trainer on an injury report form. An insurance claim form must
  be completed and signed by the injured athlete within five days of the
  injury.

 The Athletic Department does not purchase contact lenses or eyeglasses
  for the athlete. All eyeglasses worn during competition must have
  shatterproof lenses.

 The athletic training staff or team physician must make all medical
  referrals. The person making unauthorized referrals assumes all financial
  responsibility for the referral. Any referral made for off-season or non-
  sport related injuries are the athlete’s financial responsibility.

 Greensboro College carries a secondary athletic insurance policy. In the
  event of an athletic related injury, any medical bills must first be
  submitted to the athlete’s primary insurance company. Upon receiving an
  Explanation of Benefits from the primary insurance company, the Head
  Athletic Trainer will submit a claim to the ABCO 100, the secondary
  insurance carrier.

 If an athlete is injured out of season, the team physician must provide a
  medical release prior to the beginning of the athlete’s intercollegiate
  season. This includes injuries received during intramural play.


   Q.      HIPAA
   The Administrative Simplification provisions of the Health Insurance
   Portability and Accountability Act of 1996 (HIPAA, Title II) require the
   Department of Health and Human Services to establish national standards
   for electronic health care transactions and national identifies for providers,
   health plans, and employers. It also addresses the security and privacy of
   health data.

   Athletic Training staff and students must adhere to the guidelines of
   confidentiality established by HIPAA and must not discuss an athlete’s
   medical condition with individuals outside of the athletic department
   family (as stipulated in FERPA). The athletic department family shall
   include: Athletic Director, Athletic Team Coach, Certified Athletic
Trainer, Team Physicians, the Student Health Care and the Athletic
Department Insurance Representative. In addition, if the athlete is a
minor, the immediate family may be included. If the athlete is not a
minor, the student athlete must provide written approval to discuss or
divulge medical information in immediate family members.

R.     Communicable Disease Policy
Communicable diseases, those understood to have serious, deleterious
effects on human health and which are transmitted and spread through
various forms of human contact, can pose a considerable threat to the
well-being of the college community. Examples of communicable diseases
include, but are not limited to:
        Hepatitis A & B
        HIV/AIDS
        MRSA
        Measles
        Mumps
        Rubella
        SARS
        Tuberculosis
Recognizing the serious implications of communicable diseases on
campus, Greensboro College will:
        1. Operate under the auspices of sound medical advice and practice
        based on current information.
        2. Conform to all Occupational Safety and Health Association
        (OSHA) standards mandated under federal law.
        3. The uncertain risk of infection posed by involvement in varsity
        contact sports will be addressed by compliance with NCAA
        regulations.
MRSA:
Methicillin-Resistant Stapholoccus Aureus (MRSA) is a serious medical
issue that must be referred to a physician immediately to minimize the risk
for more serious infections. Without proper referral and care, more serious
infections may cause pneumonia, bloodstream, bone, and/or joint
infections, and/or surgical wound infections. If you or anyone you know
has what appears to be what looks like “staph” and/or MRSA, please
contact a Sports Medicine staff member as soon as possible for
evaluation.

Staph infections, including MRSA, generally start as small red bumps that
resemble pimples, boils or spider bites. These can quickly turn into deep,
painful abscesses that require surgical draining. Sometimes the bacteria
remain confined to the skin. But they can also burrow deep into the body,
causing potentially life-threatening infections in bones, joints, surgical
wounds, the bloodstream, heart valves and lungs.

Although treatable, there can be complications associated with “staph” and
MRSA infections, making prevention the best measure to combat these
infections. The Centers for Disease Control suggest the following
measures for preventing staphylococcal skin infections, including MRSA:
        1. Practice good hand hygiene by washing hands frequently and in
        a thorough fashion with soap and warm water or using an alcohol-
        based hand sanitizer.
        2. Take a shower with hot water and wash with soap (liquid
        antibacterial soap, not bar soap) following all activities (e.g.
        strength & conditioning sessions, practices, and competitions).
        3. Avoid sharing towels, equipment, razors, soap (use liquid soap
        instead of bar soap), etc.
        4. Use a barrier (e.g. clothing or a towel) between your skin and
        shared equipment.
        5. Wipe surfaces of equipment before and after use.
        6. Clean and properly cover any open wounds such as turf burns,
        abrasions, lacerations, etc. with an appropriate bandage at all
        times.
        7. Avoid whirlpools, hydrotherapy pools, cold tubs, swimming
        pools, and other common tubs if you have an open wound.
        8. Maintain clean facilities and equipment.
        9. Do not ignore skin infections, pimples, pustules, abscesses,
        etc. Report these to a Sports Medicine staff member and/or
        physician immediately.

The Sports Medicine staff are responsible for maintaining a clean, sanitary
environment within the athletic training facilities to minimize the risk of
infection for athletes and staff. All surfaces, therapeutic equipment,
coolers, and water bottles will be appropriately cleaned and disinfected
daily following use to decrease the risk for contamination. Towels should
only be used on a single patient and should be laundered after each use.

S.     Atypical Medical Conditions
All atypical medical conditions that may affect an athlete’s playing status
(i.e. pregnancy, single paired organ, diabetes, etc.) should be referred to
the team physician for evaluation and determination of conditions to
participate in athletics. The athlete may be required to sign an
individualized release form detailing the risks associated with athletic
competition, especially in light of the pre-existing condition. By signing
the waiver, the athlete acknowledges that these risks are present and he or
she will not hold the team physician, sports medicine staff, athletic
    department, or Greensboro College liable for injuries or illnesses that
    occur during athletic involvement that are directly the result of the pre-
    existing condition.

III. Medical Emergency/Referral Procedures

    A.     Consultants
    Team Physician:        Dr. James Kramer   (336) 375-2300
    Orthopedic Surgeon:    Dr. Robert Wainer  (336) 375-2300
    Allergist:             Dr. J.A. Bardels   (336) 373-0936
    Cardiologist:          LeBauer Healthcare (336) 547-1752
    Dermatologist:         Dr. Hope Gruber    (336) 632-9272
    Gynecologist:          Dr. Charles Lomax   (336) 274-1200
    Ophthalmology:         Dr. Robert Groat   (336) 378-1442
    Optometrist:           Dr. Charles Barnes  (336) 272-5252
    Dentist:               Dr. Lisa Adornetto (336) 288-9878

    B.     Referral to Team Physicians
    In the event that an athlete requires additional medical attention, the
    athletic training staff will refer the athlete to the team physician. After
    making an appointment, the athletic training staff will make a copy of the
    athlete’s insurance information to send with them. The staff should ensure
    that the insurance company has been contacted to determine if pre-
    authorization is required. Any pre-authorization cases should be reported
    immediately to the Head Athletic Trainer. A Medical Referral Form must
    accompany the athlete to the team physicians’ offices. Once the
    appointment has been made, the staff member must record the referral on
    the master Medical Referral Log. Finally, an insurance claim form for the
    athlete and the specific injury must be completed. This procedure for
    medical referral should be followed at all times. In cases of emergency
    that needs immediate referral, the Emergency Action Plan should be
    followed. The supervising certified athletic trainer will approve all
    decisions for medical referral. The Medical Referral Form and Medical
    Referral Log may be found in Appendix M and N.

    C.     Emergency Action Plans
    The purpose of the Greensboro College Emergency Action Plan is to
    provide a documented plan of action for all individuals who may be
involved in handling potential emergency situations during the course of
intercollegiate practice sessions or games.

The primary emphasis with this plan revolves around the first responder to
the injury scene being able to identify the appropriate emergency and
implementing the guidelines. The first responder may be a certified
athletic trainer, athletic training student, or a coach. The entire athletic
department and athletic training staff undergo yearly first aid and CPR
training, which will enable them to be Greensboro College first
responders. If a certified athletic trainer is present, they will always be in
charge. However, if a certified athletic trainer is not present, the
responsibility of being the first responder falls upon the head coach. The
witness or second responder may be anyone else who is present and is
aware of the situation. This should either be conducted by an assistant
coach or team member. It is the duty of the second responder to activate
the Emergency Medical Service, notify Campus Security, and page the
team physician. Once Campus Security has been notified of the
emergency, it is their responsibility to notify either the Vice-President of
Student Services and Dean of Students or the Director of Residence Life,
who will follow-up as appropriate and necessary.

The official copy of the Emergency Action Plan will be kept on file in the
Head Athletic Trainer’s office. A copy of the plan may be found in
Appendix O. Each athletic training student will be required to sign the
Emergency Action Plan Verification Form stating that they have read and
understand the Greensboro College Emergency Action Plan, and will
implement it in the event of an emergency.


D.     Insurance Information
Greensboro College has an accidental injury policy on each of its students.
This policy is secondary in nature and requires claims to be submitted to
the primary carrier prior to the processing of any claim. Evidence of this
submission, in the form of an explanation of benefits or letter of denial,
should be sent to the secondary carrier with an itemized bill. The bills will
be paid to the limits of the policy; there is no guarantee that all bills will
be paid.

Prior to competition each athlete will provide the athletic training staff
with current insurance information regarding medical coverage.

When an athlete is sent to a physician, a claim form should be completed,
signed, and given to the Head Athletic Trainer. Completed claim forms
and itemized bills will be sent to the insurance company. Copies of sent
materials should be kept to help clarify any questions that may arise. An
    insurance claim form may be found in Appendix P. Any balance that
    remains after the secondary policy has finished paying is the responsibility
    of the athlete.

IV. Physicals/ Out of Season/Non Traditional
     Sports

    A. Policy on Receiving Physicals
    All athletes will have a yearly physical examination performed by our
    team physicians. This will be kept on file in the athletic training room.
    Each physical will contain a participation waiver that each athlete must
    initial and sign yearly prior to participation. A date will be set during the
    summer for the upcoming year’s physicals. There will be two established
    dates for the physicals to be completed. The first date will be the first day
    that football players report for preseason camp. The second date will be
    the first day that men’s and women’s soccer, volleyball, and cross-country
    are on campus for preseason camp. The winter and spring season
    physicals will take place on a set day prior to competition beginning for
    the respective sports. Physicals will take place in an orderly and timely
    manner. There is to be no horseplay during this time to help expedite the
    process.

     Any physicals completed by the team physician prior to the date
    established for team physicals must be submitted to the athletic training
    staff prior to the first preseason practice. The Athletic Department may
    schedule physicals for returning athletes in the spring semester prior to
    their return. Any athletes suffering from season ending/surgical injuries
    must be cleared by the team physician before return to participation. The
    physical form and participation waiver may be found in Appendix Q.


    B. Coverage of Out of Season/Non Traditional
    Sports
    All athletes participating in any intercollegiate athletic practice or game
    whether in or out of season will have a physical completed and have
    signed a participation waiver. Any athlete who has not completed a
    physical will not be allowed to participate in any form, including weight
    lifting and conditioning drills.
    Out of season/non traditional sports will only be covered by the athletic
    training staff when available. These sports will not have athletic training
    staff coverage at practice, only for home events upon request. Head
    coaches are responsible for notifying the athletic training staff a week in
    advance to schedule out of season/non traditional season competitions
    which require athletic training coverage. Out of season athletes will still
    be treated and rehabilitated for any injury during regular athletic training
    room hours.

V. Personnel Education Programs

    A. OSHA Protocol
    The athletic training room has developed an OSHA policy that must be
    followed by each member of the athletic training staff, as well as the entire
    athletic department. An OSHA education class will be held each year
    prior to the fall sports season. All coaches and members of the athletic
    training staff are required to attend and be certified in OSHA protocol. If
    an exposure to hazardous substances does occur, the proper forms must be
    completed. A copy of the OSHA protocol may be found in Appendix R.

    All OSHA supplies are ordered through BFI Medical Waste Products.
    The contact person at BFI is Terri Hicks-Masten. Her phone number is
    (910) 724-0842. All necessary supplies should be ordered prior to the first
    athletic practice to ensure their arrival and availability for use.

    B. CPR and First Aid/Sport Safety
    All athletic training staff and athletic department head coaches are
    required to be certified in American Red Cross CPR/First Aid/AED
    Training. This certification allows all athletic trainers and coaches to play
    the role of first responder. A class will be held during the athletic
    department workdays prior to the arrival of athletes on campus for
    preseason camps. CPR/AED certification is only valid for one year; each
    staff member and coach must undergo certification classes each year.
    First Aid certification is valid for three years.

    C. Hepatitis B Vaccination
    It is recommended that all athletic training staff be immunized for the
    Hepatitis B virus. This vaccination is a three stage injection. The staff
    member must return one month and six months after the initial shot to
    complete inoculation. This vaccine will help to prevent disease
    transmission in the event that the staff member comes in contact with the
    virus or an individual who has the virus.

    The Student Health Center will provide the vaccine to the student at cost
    and the student is responsible for payment. The Student Health Center
    will provide the vaccine to the staff at cost and bill the Athletic
    Department.

    If a student or staff member is not vaccinated and chooses not to have the
    vaccine, he/she must sign the Hepatitis B Waiver.

    In the athletic training profession the possibility for disease transmission is
    considered high due to the number of incidents in which athletic trainers
    deal with biohazardous materials. The vaccine is considered one more
    step in the process of protecting individuals from blood-borne pathogens.

    D. Inclement Weather
    To protect athletes and athletic department personnel, a policy has been
    established regarding inclement weather. The policy may be found in
    Appendix S.

    E. Liability Insurance
    Due to the possibility of litigation in particular situations, individual
    professional liability insurance is a requirement for participation in the
    Athletic Training Education Program. Upon acceptance into the program,
    an application form will be sent to each student and must be returned prior
    to the start of clinical education in the Athletic Department. The student
    will be expected to pay for the insurance at that time. Students will be
    responsible for renewing liability insurance on an annual basis. Students
    who do not have liability insurance, or fail to complete the required forms
    will not be allowed to attend classes until payment is received.

    Staffs are provided liability insurance through the college’s
    comprehensive coverage plan. Individual staff members will not be
    compensated for individual protection. Athletic Trainers providing
    athletic training services at non-GC sponsored events are encouraged to
    carry professional liability insurance.

IV. Evaluation Procedures
A.     Coach Evaluations of Certified Athletic
       Trainer
At the end of each sports season, the head coach will complete a written
evaluation of the certified athletic trainer assigned to his or her sport. This
evaluation will be given to the Head Athletic Trainer and discussed with
both the head coach and the certified athletic trainer being evaluated. This
evaluation will then be kept in a personnel file and used by the Head
Athletic Trainer for the overall evaluation of the athletic trainer at the end
of the year. This evaluation should be used as a tool for improvement by
the athletic trainer being evaluated.

B.     Head Athletic Trainer Evaluations of
       Staff
At the end of each semester, the Head Athletic Trainer will evaluate each
member of the athletic training staff. This evaluation will be discussed
with the staff member and then kept in a personnel file for the Head
Athletic Trainer. This evaluation should be used by the staff member
being evaluated to improve their clinical practice and professional
development.
           Appendices

Appendix       Subject
A              Daily Opening and Closing Duties
B              Clinical Education Documentation Form
C              Injury Report
D              SOAP Note
E              Rehabilitation Log
F              Treatment Log
G              Sideline/Venue Set Up for Home Events
H              Visiting Team Letter
I              Treatment Prescription
J              Non-Prescription Drug List
K              Drug Education, Screening, and Intervention
L              Equipment Check Out Card
M              Physician Referral Form
N              Physician Referral Log
O              Emergency Action Plan
P              Insurance Claim Form
Q              Physical and Participation Waiver
R              OSHA Protocol
S              Hepatitis B Waiver Form
T              Inclement Weather/Winter Policy
U              Directions from Event Sites to Hospitals
V              Policy for Supervising Athletic Trainer
Appendix A:   Daily Opening and Closing Duties
Opening Duties

   1. Fill Whirlpool

   2. Fill Coolers for Afternoon Practices

   3. Stock Taping Tables

   4. Check Supplies and Stock

   5. Check Laundry Status, Complete as Needed

   6. File Dictations and other Documents

   7. Make Sure Treatments from Previous Day are Recorded


Closing Duties

   1. Drain, Scrub and Rinse Whirlpool

   2. Check and Fill Hydrocollator

   3. Spray and Wipe down Treatment and Taping Tables

   4. Empty, Clean and Dry Coolers and Water Bottles

   5. Return and Organize Rehabilitation Equipment

   6. Clean and Check Modalities

   7. Check and Fill Ice Cups

   8. Do Laundry

   9. Check Stocking Supplies (restock from classroom)

   10. Lock all Cabinets

   11. Turn off Lights and Lock Doors
Appendix B: Clinical Experience
     Documentation Form
Appendix C: Injury Report
                 Greensboro College Injury Report

Name: ____________________________________ Date:________                Sport:___________

Injury occurred during:   ( ) Practice ( ) Scrimmage ( ) Game ( ) Other____________

Playing surface: ( ) Turf ( ) Grass ( ) Hard court ( ) Other ____________
                    st    nd     rd      th
Time of Injury: ( ) 1 ( ) 2 ( ) 3 ( ) 4 ( ) OT ( ) Quarter ( ) Half
_____________________________________________________________________________
Mechanism of Injury:       ( ) Running    ( ) Cutting       ( ) Jumping ( ) Kicking

                          ( ) Twisting        ( ) Throwing    ( ) Catching

                            ( ) Direct Contact with:    ( ) Opponent    ( ) Equipment    ( ) Surface
_____________________________________________________________________________
Location of Injury: ( ) Toe ( ) Foot ( ) Ankle ( ) Shin/Calf    ( ) Knee ( ) Thigh/Hamstring

                          ( ) Hip/Groin ( ) Abdomen ( ) Back ( ) Chest ( ) Neck ( ) Head/Face

                          ( ) Shoulder ( ) Upper Arm ( ) Elbow ( ) Lower Arm ( ) Wrist

                          ( ) Hand ( ) Finger/Thumb

Side:    ( ) Left ( ) Right ( ) N/A

History of Present Injury or Illness___________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Objective______________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Assessment____________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Plan__________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Referral: ( ) Team Ortho ( ) Team Internist ( ) Emergency Room/ Urgent Care   ( ) Other:_______

Special Tests Recommendation: ( ) X-ray ( ) MRI ( ) Bone Scan ( ) Other____________________

                                                              ________________________________
                                                              Reporting Athletic Training Staff Member
Appendix D: SOAP Note
                  Greensboro College SOAP Notes
Name:_______________                      Sport:________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Appendix E: Rehabilitation Log
                                Greensboro College Rehabilitation Log

Name _____________________    Injury __________________          Injury Date _______________

Surgery ___________________   Surgery Date ____________          Release Date ______________


Exercise Date
Strengthening




Stretching
                         Appendix F: Treatment Log




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711e4665-9bd6-445e-8bb5-38d738e22514.doc   36
            Appendix G:        Sideline/Venue Set Up for Event




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                      Appendix H: Visiting Team Letter




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To: Visiting Athletic Trainers and Teams

Re: Medical Coverage at Greensboro College Sporting Events

                          Welcome to Greensboro College

We would like to welcome you to our athletic training facility located in the Campbell
Center, the building directly beside the Hanes Gymnasium. The athletic training room
will be open 2 hours prior to all contests. If a certified athletic trainer or athletic training
student will not be traveling with your team, and the team will need pre-game assistance,
please contact me in advance so that I may provide appropriate coverage. All athletes are
required to bring a prescription for modality use signed by an ATC or physician. All tape
and first aid supplies should be sent with the team. If you have any questions, please feel
free to contact us. I hope you have safe travels.

Therapeutic Modalities:
      Ultrasound, Electrical Stimulation, Whirlpool, Hot Packs, Ice Massage, &
Cryocuff

Items Provided on the Field:
       Water, Cups, Injury Ice and Bags, AED, & Biohazard Supplies

Medical Staff:
Head Athletic Trainer                                           Ted Eaves, ATC
                                                                (336) 272-7102 X254 (O)
                                                                (336) 253-6662 (C)

Graduate Assistant Athletic Trainers                            Jill Sparrow, ATC
                                                                (336) 272-7102 X322 (O)

                                                                Ryan McCrea, ATC
                                                                (336) 272-7102 X322 (O)

                                                                Robby Wise, ATC
                                                                (336) 272-7102 X322 (O)

Team Physician                                                  Dr. James Kramer
                                                                (336) 375-2300

Team Orthopedist                                                Dr. Daniel Murphy
                                                                (336) 375-2300

Moses Cone Hospital Emergency Room                              (336) 832-7000




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To: Visiting Football Teams and Athletic Trainers

Re: Medical Coverage at Greensboro College Football Games

                         Welcome to Greensboro College
The game day athletic training facility is located in the field house at Jamieson Stadium,
adjacent to Grimsley High School. Space and modalities are very limited. We will be on
duty at the facility two hours prior to game time. On game day we will provide taping
tables in the locker room. Please make provisions for towels and cups/water bottles since
they will not be provided.

If you need any type of electrical or heat modality, you must call prior to your team’s
arrival to arrange a time for your athletes to come to the Greensboro College athletic
training room. We apologize for any inconveniences, but we wish to provide the optimal
care for your athletes.

A physician and ambulance service will be present at all football games. Emergency
equipment will also be available.


       Phone Numbers and Information:

       Pride Athletic Training Facility             (336) 272-7102 X322

       Ted Eaves, Head Athletic Trainer             (336) 272-7102 X254

       Dr. James Kramer, Team Physician             (336) 375-2300

       Dr. Daniel Murphy, Team Orthopedist          (336) 375-2300

       Moses Cone Hospital Emergency Room           (336) 832-7000

Let us know if we can do anything for you during your stay in Greensboro. We hope you
have a safe trip and look forward to your visit.

Sincerely,




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                    Appendix I: Treatment Prescription




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To:

From:

Date:

Re:


Please allow __________________________, an Athletic Training student at
Greensboro College to treat the following athletes under your supervision:

Name of Athlete                     Treatment Needed             Parameters

_______________________             __________________           __________________

_______________________             __________________           __________________

_______________________             __________________           __________________

_______________________             __________________           __________________


Thank you for supervising the treatment programs. If you have any questions, you can

reach me at _______________________________.




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                  Appendix J: Non-Prescription Drug Log




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               Appendix K: Drug Education, Screening, and
                             Intervention




711e4665-9bd6-445e-8bb5-38d738e22514.doc                    44
                     Greensboro College
                  Department of Athletics
    Drug Education, Screening, and Intervention Program
                  STATEMENT OF POLICY

Program Philosophy
             Greensboro College emphasizes the importance of student-athletes’
         health and wellness in each of its intercollegiate sports. The college
         strives to ensure that each athlete remains physically, psychologically,
         and socially at his/her optimum level of performance in order to
         compete successfully at the Division III level. An integral part of this
         effort is the Drug Education, Screening and Intervention Program. The
         Athletic Department at Greensboro College strongly believes that drugs
         and athletics are incompatible. It is not possible for the student-athlete
         to perform at the high level required to meet college academic,
         athletic, and social standards, even if minimal abuse is allowed.
         There are many problems that drug use combined with intercollegiate
         sports participation may cause which the non-athlete user does not
         face. First, many drugs when used in connection with athletic
         participation pose serious risks to the health of the athlete. Symptoms
         of illness, temporary injury, heat illness, and even death can be caused
         by such drug use. Second, the use of certain drugs temporarily may
         improve some types of athletics performance and thereby create an
         unfair competitive advantage for the person using them. Such uses of
         drugs may impair the long-term health of the user.
         Therefore, Greensboro College has established a drug use prevention
         program in order to allow its athletes to progress toward their
         academic and athletics goals in a drug-free environment.

Program Purposes
            This program has five primary objectives:
                 1. To educate athletes on the effects of abusive drugs on
                    their physical, psychological, and social health;



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                 2. To educate athletes on nutritional supplements and the
                    current status of research on performance enhancement
                    and potential side-effects;
                 3. To identify potential drug abusers and provide them a
                    mechanism for counseling and rehabilitation;
                 4. To remove the stigma of drug abuse from the vast
                    majority of athletes, who are not abusers;
                 5. To reassure athletes, parents, alumni/alumnae, and the
                    community that the health and academic progress of each
                    athlete is the Athletic Department’s primary goal.

Program Notification and Consent
             Prior to participation in practices and games, all athletes will be
         required to attend a meeting on the Drug Education, Screening, and
         Intervention Program. Any student who inquires about participating in
         intercollegiate athletics after the scheduled meeting will be made
         aware of this policy by the coaching staff and be provided with a copy
         of the policy. This policy will be provided in writing. After having the
         opportunity to read through the policy and ask questions, athletes will
         be required to sign the consent form (Appendix 2) which states that
         the student agrees to cooperate in the drug screening program in
         accordance with the published guidelines.
         Students who refuse to sign this waiver will not be given the privilege
         of practicing or competing on an intercollegiate squad at Greensboro
         College. All signed consent waivers will be kept on file in the
         Department of Athletics office.

Program Education Component
             An integral element of this program is an on-going educational
         component designed for the student-athletes, parents, coaches, and
         intercollegiate staff. The Athletic Training staff, the Director of
         Counseling and Disability Services, the Student Health Center nurse,
         the Team Physician, and the Director of Campus Activities as well as
         other members of the student development staff will be collaborating
         to plan and present various educational approaches that emphasize
         the deleterious effects of drugs and alcohol on athletic performance as
         well as on other aspects of life. The intent is to increase the student-
         athletes awareness, to prevent involvement with drugs, as well as to
         recognize and handle drug and alcohol related problems. Each
         member of every intercollegiate athletics team shall be required to
         participate in prescribed drug education activities.




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Prohibited Drugs
              A student, during the period of their membership on or affiliation
         with an intercollegiate athletic team, may not use the drugs specified
         by the NCAA’s Banned –Drug Classes (see Appendix 1 for the complete
         listing) regardless of whether such use occurs before, during, or
         after the student-athlete’s competitive season.

         Any athlete who has a medical condition for which the use of a
         banned- drug is authorized must provide a statement by a physician of
         such authorization to the Head Athletic Trainer.

         Greensboro College discourages the use of nutritional supplements for
         performance enhancement. Nutritional supplements are not
         strictly regulated by the Food and Drug Administration (FDA)
         and therefore may contain substances banned by the NCAA
         and result in a positive drug test. For questions regarding
         nutritional supplements, the NCAA recommends athletes visit the
         National Center for Drug Free Sport’s (here after referred to as the
         Center) Resource Exchange Center (REC) Website
         (http://www.drugfreesport.com/REC/Default.html)

Program Description
         The Greensboro College program follows the guidelines established by
         the NCAA for institutional drug testing programs. The basis for the
         screening process is informed consent, a chain of custody and
         handling of specimens, and state-of-the-art laboratory testing. All
         athletes will be eligible for selection to unannounced random
         screening procedures throughout the academic year. Care of
         the student athlete involves the notification process as well as the
         sanctions and intervention for positive test results.

         Greensboro College contracts with outside proctors and The Center to
         randomly select student athletes, perform the urine sample collections,
         maintain the chain of custody, and coordinate analysis and notification
         of results. The date and time of each drug test will be planned in by
         the Head Athletic Trainer.

         Individuals, who in the judgment of the Head Athletic Trainer and the
         Athletic Director, exhibit behavior that is symptomatic of drug use may
         be tested independently of the random sample based on the
         reasonable suspicion standard.




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A. Selection and Notification of Athletes
              Greensboro College may select student-athletes for drug screen
          either through random sampling or through individual reasonable
          suspicion.

1) Random Sampling
             Greensboro College will randomly select a total of twenty percent of
         the student-athlete population per year. On the day prior to a
         scheduled test date the Head Athletic Trainer will contact each
         selected student by phone and notify them of their selection, the
         location of the testing site, and the time to report. The Head Athletic
         Trainer will remind athletes of the consequences if they fail to report
         for testing. The Head ATC will also notify the Head Coach of any
         athletes selected for testing on that date.

2) Individualized reasonable suspicion:
               Individualized reasonable suspicion may be based on information
          from any source, deemed reliable by the Director of Athletics,
          including, but not limited to: 1) observed possession or use of
          substances that reasonably appear to be drugs of the type prohibited;
          2) arrest or conviction for a criminal offense related to the possession,
          use or trafficking in drugs of the type prohibited; 3) observed
          abnormal appearance, conduct or behavior, including unusual patterns
          of absence from training, competition, or class, reasonably
          interpretable as being caused by the use of drugs of the type
          prohibited. Student-athletes who are charged with drug related
          offenses through the Judicial Policies of the Student Conduct Code
          may be selected for drug testing independently of the random sample.
          Positive test results, failure to participate, and tampering with a test
          will be sanctioned in the same manner as unannounced random
          testing according to the schedule identified below.

          Athletes who have been selected based on reasonable suspicion will be
          contacted by the Head ATC by phone on the morning of the test date,
          and notified of their selection, the location of the testing site, and the
          time to report. The Head Athletic Trainer will remind the athlete of the
          consequences if they fail to report for testing. The Head ATC will also
          notify the Head Coach of any athletes selected for testing based on
          reasonable suspicion.

          Upon arrival at the testing site, the student athlete will be asked to
          verify their identity through a photo identification card. The athlete
          will then be provided with written notice of their selection, and the
          student will be asked to sign the Individual Notification Form


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         (Appendix C). The athlete will be asked to identify any medications
         that he/she has recently taken.

Screening Process and Sample Collection
               After signing the Individual Notification Form, the student will be
      asked to select a sealed beaker form a supply of such and record his/her
      initials on the lid. When ready to urinate, the athlete will be escorted to
      the appropriate bathroom under the supervision of a member of the same
      sex. The supervisor will be in the bathroom observing while the athlete
      furnishes a 100 mL sample. Once the specimen is provided, the student-
      athlete is responsible for keeping control of the specimen container. If an
      individual is unable to provide a sufficient sample, the athlete will remain
      in the testing station and provided with additional caffeine- and alcohol-
      free fluids until an appropriate sample can be collected.
               Once a sample has been collected, the Center staff will assess the
      sample for appropriate levels of specific gravity and pH to prevent the
      collection and analysis of diluted urine and/or other fluids. If a sample is
      found to have a specific gravity below 1.005 (1.010 if measured with a
      reagent strip), the student-athlete will discard the specimen, and a second
      sample will be required. If a sample is found to have a pH greater than
      7.5 or less than 4.5 the student-athlete will discard the specimen, and a
      second sample will be required.

Chain of Custody and Analysis
            Once a specimen has been provided that meets the on-site specific
         gravity and pH parameters, the Center will assume the chain of
         custody for the specimen. The outside proctor will seal the samples
         with chain of custody tape, label the samples, complete the necessary
         forms, and package the samples. The outside proctor will ship all
         samples collected from the test site to one of its designated
         laboratories. The samples will be identified by number rather than by
         name to insure confidentiality. The Center will retain the master list of
         athletes’ names and identification numbers. The laboratory will
         analyze the specimen for the presence of drugs, masking agents, and
         diuretics.

   B. Notification of Results
         After analysis, all negative specimens will be discarded. If a specimen
         is found positive, it will undergo a second testing procedure to verify
         and minimize the risk of false-positive test results. The laboratory will
         notify the Center of the test results based on identification number.
         The Center will then notify the Head Athletic Trainer at Greensboro
         College of the test results who will share the result with the Director of
         Athletics and the appropriate Head Coach. Please note: if an


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         athlete tests positive for a prescription medication (i.e.
         codeine) and cannot show proof of a prescription from a
         licensed physician, then they will follow the same
         consequences as any other positive.

      Consequences
         1.            Voluntary Admission and Request for Counseling
              If prior to being selected for drug testing a student-athlete self-
      identifies him/herself as having a drug abuse problem to a member of the
      athletic department staff, the student will be referred to the Director of
      Counseling and Disability Services. The student must schedule an
      appointment with the Director within 72 hours of admitting drug use. The
      student athlete will not be suspended from competition or participation in
      team activities for self-identification. The Director of Counseling and
      Disability Services will determine whether the student requires a more
      formal assessment with an outside facility. Any charges for the
      assessment will be at the athlete’s expense.
              During the course of the academic year, the athlete may be subject
      to drug screening at the discretion of the athletic training staff to ensure
      compliance with the program. Subsequent test results will be treated
      according to the schedule of consequences outlined below.

          2.          Failure to Participate
          Any student who refuses to sign the release form will not be given the
      privilege of participating in the practices or games of a Greensboro
      College intercollegiate athletics team.
          Any student-athlete who refuses to provide an appropriate urine
      sample once selected for testing will be treated as a Second Offense (see
      Item 5 below).


         3.          Tampering with Sample
      Tampering with a urine sample during collection will be viewed
      as a positive test result and carry the same sanctions as a Second
      Offense.


         4.          First Offense * – within the student’s 4-year
                     eligibility period
         In the event a student athlete tests positive, the Athletic Director or
         the Head Athletic Trainer will schedule a meeting between the student,
         the AD, the Head ATC a member of the student development staff,
         and the Head Coach within 48 hours of notification. During this
         meeting, the athlete will be informed of the sanctions listed below and
         be required to sign an Agreement to Comply with Sanctions (Appendix


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         4). If the athlete refuses to sign the agreement to comply or fails to
         follow through with the sanction procedures, the athlete will remain
         ineligible until all sanctions and forms have been completed.

              *NCAA rules stipulate 1 yr of ineligibility from date of test, requires
      a negative exit test after 11 months, and an application for reinstatement
      of eligibility*


         5.           Second Offense**– within the student’s 4-year
                      eligibility period

         In the event a student athlete tests positive on a second test, or
         tampers with a drug specimen, the Athletic Director or the Head
         Athletic Trainer will schedule a meeting between the student, the AD,
         the Head ATC, a member of the student development staff, and the
         Head Coach within 48 hours of notification. During this meeting, the
         athlete will be informed of the sanctions listed below and be required
         to sign an Agreement to Comply with Sanctions (Appendix 4). If the
         athlete refuses to sign the agreement to comply or fails to follow
         through with the sanction procedures, the athlete will remain ineligible
         until all sanctions and forms have been completed.

      **NCAA Bylaw 18.4.1.5 states that an athlete who tests positive twice for
      any substance other than “street” drugs will forfeit all remaining eligibility
      in intercollegiate athletics. Any positive drug test for “street drugs” is
      given the same consequences as a first offense (loss of 1 year of
      eligibility) and reinstatement requirements.

         6.           Third Offense***– within the student’s 4-year
                      eligibility period

         In the event a student athlete tests positive on a third test, , the
         Athletic Director or the Head Athletic Trainer will schedule a meeting
         between the student, the AD, the Head ATC, a member of the student
         development staff, and the Head Coach within 48 hours of notification.
         During this meeting, the athlete will be informed of the sanctions listed
         below and be required to sign an Agreement to Comply with Sanctions.
         If the athlete refuses to sign the agreement to comply or fails to follow
         through with the sanction procedures, the athlete will remain ineligible
         until all sanctions and forms have been completed.

      *** No mention of a sanction for third test from the NCAA other than 1
      year loss for “street drug” use.


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Grievance Procedures and Appeals

         If a student wishes to file a grievance or appeal the decision and
         sanctions resulting from a positive test result, the student must submit
         an appeal in writing no more than 48 hours after the notification
         conference to the Faculty Athletic Representative who will convene the
         Appeals Board which consists of the Senior Women’s Administrator for
         Athletics, the Faculty Athletics Representative, Student Health Center
         Director, the Dean of Students, and the SAAC President (student
         representative)? The Appeals Board will hear evidence from both the
         Athletic Director or designee and the student or his/her representative.
         After hearing such evidence as it deems relevant, the board shall
         deliberate in private for the purpose of making findings of fact. The
         findings and conclusions shall be based exclusively on information
         supplied at the hearing. Within three days after it concludes its
         inquiry, the Board shall report its conclusions regarding the facts, as
         well as any advice concerning the severity of sanctions proposed to the
         Provost, who will decide what sanction, if any, shall be imposed.

Confidentiality

             Any information concerning a student’s alleged or confirmed
      improper use of drugs, solicited or receive pursuant to implementation of
      this policy, shall be restricted to institutional personnel identified within
      this document and to parents of minors. No other release of such
      information will be made without the student’s written consent, unless it is
      in response to the appropriate judicial process. The institution cannot
      guarantee that law enforcement or prosecuting authorities will not gain
      access to information in the possession of the institution since valid
      subpoena or other enabling court order might be issued to compel
      disclosure. The institution, however, will not voluntarily disclose such
      information, in the absence of a court order.

            If asked by any member of the community or the
      media, the institution will reply with the following
      statement, “The student-athlete in question was found
      in violation of Greensboro College’s eligibility rules and
      has been declared ineligible for a period of _________
      .”




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Adminstrative Approval
        This drug education, screening, and intervention program
        has been approved and adopted by the administration of
        Greensboro College.


   Appendices
   1. Consent to Participate Form
   2. Individual Notification Form
   3. Agreement to Comply with Sanctions




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   VII. Greensboro College
Drug Education, Screening, and Intervention Program
Consent to Participate Form


   I, __________________________, have read this Statement of Policy and
   been given the opportunity to ask any questions I may have had about the
   Policy. I understand the Policy and my responsibilities under it. I have
   decided voluntarily to participate in the intercollegiate athletics program at
   Greensboro College to which this Policy applies.




   Signature of Student                                                      Date




   Signature of Parent or Guardian (ifstudent is under age 18)               Date




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                     Greensboro College
      Drug Education, Screening, and Intervention Program
                  Individual Notification Form

   To:       ______________________________         Date: ______
             Student Athlete’s Name

   From:     ______________________________         Time: ______
             Head Athletic Trainer

   RE:       Scheduled Urinalysis

   Check one of the following:

    Your name has been selected, by anonymous random sample, from the
     members of the ____________ team. You will be required to provide a
     urine specimen consistent with the policies and procedures established by
     the Greensboro College Drug Education, Screening, and Intervention
     Program

    Based on individualized reasonable suspicion that you may be engaged in
     the impermissible use of drugs prohibited by the Drug Education,
     Screening, and Intervention Program at Greensboro College, you have
     been selected to provide a urine specimen consistent with the polices and
     procedures established by the Program.

   Please indicate below any medications (both prescription and over-the
   counter) as well as any nutritional supplements you have taken in the past
   month or are currently taking.
   _______________________________________________________________
   _______________________________________________________________
   _______________________________________________________________
   _______________
   _______________________________________________________________
   _______________________________________________________________
   _______________________________________________________________
   _______________


   Student’s Signature                                           Date


   Witness’s Signature                                           Date


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                 Appendix L: Equipment Check Out Card




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                   Appendix M: Physician Referral Form




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                     Appendix N: Physician Referral Log




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                    Appendix O: Emergency Action Plan




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                               Greensboro College
                              Department of Athletics
                              Emergency Action Plan
                                        (revised 8/08)

The purpose of the Greensboro College Emergency Action Plan is to provide a
documented plan of action for all individuals who may be involved in handling potential
emergency situations during the course of intercollegiate practice sessions or games.
Prior to each home competition, the athletic training staff and students must complete an
emergency procedures form. This form will outline each individual’s responsibilities in
case of an emergency. This form will be posted for all athletic training staff and students
to refer to in case of an emergency. The form is included at the end of the Emergency
Action Plan.

 The primary emphasis with this plan revolves around the first person that responds to the
injury scene being able to identify the appropriate emergency and implementing the
guidelines. The first responder may be a Certified Athletic Trainer, athletic training
student, or a coach. The entire athletic department and athletic training staff undergo
annual First aid, CPR, and AED training, which will enable them to be Greensboro
College first responders. If a Certified Athletic Trainer is present, they will be
responsible for handling the emergency. However, if a Certified Athletic Trainer is not
present, the responsibility of being the first responder falls upon the athletic training
student or the head coach. The witness and/or second responder may be anyone else who
is present and is aware of the situation and is able to provide assistance. The functions of
the second responder should either be conducted by an assistant coach or team member.
It is their duty to activate the Emergency Medical Service, and to notify Campus
Security. Once Campus Security has been notified of the emergency, it is the
responsibility of the witness and/or second responder to notify the Head Athletic Trainer,
Ted Eaves (pager #370-5377) who will follow-up as appropriate and necessary.


   1.)     The first responder assesses the situation and provides appropriate care to the
           injured athlete. They check for ABC’s (airway, breathing, circulation) and
           stay with the athlete until they are relieved by more highly trained personnel.
           If the athlete is unconscious or a head/neck injury is suspected, stabilize the
           head immediately, and DO NOT MOVE THE ATHLETE (unless they must
           be moved to a safer place)
   2.)     The first responder will instruct the designated second responder to activate
           EMS by dialing 911. If the phone call is being made on campus, you must
           dial 9-9-1-1.
   3.)      The caller will provide the EMS operator with the following information:
            Location of emergency: you may need to give street directions, location of
                the entrance and/or which gate to enter
            Name of athlete/coach/spectator that is injured
            Nature of the emergency
            Condition of the athlete (conscious/unconscious)


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               Any assistance that is being given
               Telephone number of emergency phone
              The caller will remain on line with EMS until the operator disconnects. The
              caller will then return to the injury scene in case he/she is needed for other
              assistance.
    4.)       The caller is also responsible for contacting Campus Security to apprise them
              of the situation. Campus Security’s office extension is X245. Their pager
              number is 665-8859. Security may also be contacted at their emergency cell
              phone number 312-9911.
    5.)       Another coach/athlete will be designated to go and meet EMS at an
              appropriate location (entrance to the facility)
    6.)       A coach or parent will accompany the injured athlete to the emergency room.
    7.)       Insurance information should be readily available and be given to the
              accompanying person.
    8.)       If a parent is not present, the athlete’s designated emergency contact will be
              notified of the injury.
    9.)       The certified athletic trainer will be responsible for contacting the Dean of
              Students, who must be notified of any emergency involving a Greensboro
              College student/athlete (272-7102 x336), as well as the Athletic Director
              (272-7102 x235). The team physician and orthopedic surgeon should also be
              notified.

An Automated External Defibrillator (AED) is available on-campus at Greensboro
College to be used in emergency situations. All members of the athletic training staff,
coaches, and campus security officers must be certified in AED use prior to each school
year. In case of emergency, the AED must only be used by individuals that have been
trained in its use. The AED will be kept in the athletic training center at all times to
provide optimal response time for any emergency on campus. A list of building codes
that should be used in an emergency is as follows:


Staff Phone Numbers
Name                Office #        Pager #    Home #           Cell Phone #
Ted Eaves           272-7102 x254              288-3280         253-6662
Ryan McCrea         272-7102 x322              (919) 271-3088
Jill Sparrow        272-7102 x322              209-5288
Robby Wise          272-7102 x322              402-5886
Dr. James Kramer    375-2300        370-5172   375-7113         337-1366
Dr. Daniel Murphy   375-2300        370-5375   288-1769         337-2022
GC Security         272-7102 x245   665-8859                    312-9911 (emergency)




Listed below is specific information regarding Greensboro College’s athletic venues:

Pride Field & Hanes Gymnasium
Emergency Phone: designated cell phone
Directions for EMS: Entrance to the parking lot is located at the intersection of Fulton St
and McGee St


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Directions to Facility:
From Western Greensboro: Head East on Market St. towards downtown. Turn right on
Campus Dr. at Greensboro College sign. Drive to the end of the street and turn left onto
McGee St. Turn into parking lot on your left after approximately 50 yards.

From Eastern Greensboro: Head West on Friendly St. Turn left on Mendenhall St.
Follow Mendenhall until McGee St. Turn left on McGee St. Turn left into parking lot
approximately 200 yards from turn.

From North Greensboro: Head South towards downtown. Turn left on Friendly and
follow above directions.

From South Greensboro: Head towards Lee St./High Point Rd. Turn onto Tate St. Take
Tate St. to Market St. Turn right on Market St. Turn right on Campus Dr. Drive to the
end of the street and turn left onto McGee St. Turn into parking lot on your left after
approximately 50 yards.

Greensboro College Sports Park
Emergency Phone: Athletic Department cell phone (see attached numbers) or other
designated cell phone
Directions for EMS: From the north or west: Take W Lee St to Dillard Ave. Turn onto
Dillard Ave. Turn left on Whittington St. Complex is on the left at the corner of
Whittington and Bilbro. From the south: Go north on Ashe St. Turn left on Whittington
St at the end of Ashe St. Complex is on the right at the corner of Whittington and Bilbro.
From the east: Take E. Whittington off of Martin Luther King Jr. Dr. Complex is on the
right at the corner of Whittington and Bilbro.

Grimsley High School
Emergency Phone: Athletic Department cell phone (see attached numbers) or other
designated cell phone
Directions for EMS: Located on Westover Terrace, specify whether you are at the
football stadium or the baseball field.

Salvation Army Field
Emergency Phone: Athletic Department cell phone (see attached numbers) or other
designated cell phone
Directions for EMS: Located on Aycock St just off of Lee St/High Point Rd. next to the
Salvation Army center.

Bur-Mill Park
Emergency Phone: Athletic Department cell phone (see attached numbers) or other
designated cell phone
Directions for EMS: Located on Bur-Mill Club Rd. Follow Battleground Avenue/N 220
to the stoplight at Owl Roost Rd. Turn right onto Owl Roost Rd. Turn left onto Bur-Mill
Club Rd. The tennis courts are located behind the clubhouse at the end of the road.



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War Memorial Stadium
Emergency Phone: athletic department cell phone (see attached numbers) or other
designated cell phone
Directions for EMS: Corner of Yanceyville/Dudley and Lindsay St.

Royce Reynolds Family student life center
Emergency Phone: athletic department cell phone (see attached numbers) or available
office phone
Directions for EMS: Located at the old Central YMCA on the corner of Tate and W.
Market St.

Hagan-Stone Park
Emergency Phone: athletic department cell phone (see attached numbers)
Directions for EMS: Turn left onto Lee St. from campus. Turn right onto Martin Luther
King Blvd. This road becomes Rte. 421 South. Follow for approximately 8 miles. Park
entrance is on the right.

Bryan Park
Emergency Phone: athletic department cell phone (see attached numbers) or available
office phone
Directions for EMS: Take Church St. north out of downtown. Turn right on Lees Chapel
Rd. This road will dead-end into Bryan Park Rd. Turn left at the dead-end. Take the
next left into Stadium complex.

Smith High School Soccer/Lacrosse Fields
Emergency Phone: athletic department cell phone (see attached numbers) or available
office phone
Directions for EMS: Take Lee St./High Point Rd. toward Four Seasons Mall. Turn left
onto Holden Street. Turn left onto Vanstory St. The fields will be on your right after the
high school.

Urgent Care/Hospital locations
Wesley Long Memorial Hospital-At the corner of Friendly Avenue and Elam Street.
Emergency Room and Fast track service are at the entrance on Elam Street.

Moses Cone Memorial Hospital-At the corner of Church Street and Northwood Drive.
Emergency Room is on Church Street. Urgent Care clinic is in building next to
emergency room entrance.

Pomona Urgent Care-At the corner of Friendly Avenue and Pomona Street.




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                                Greensboro College
                                 Athletic Training
                               Emergency Procedures

                             Practice/Event Coverage

Head Athletic Training Student:_________________________________
      Attend to athlete

Certified Athletic Trainer:______________________________________
        Attend to athlete/assist Head ATS and athlete/evaluate ATS

1st Assistant:_________________________________________________
        Get insurance information/stand by to help when needed/learn/observe

2nd Assistant:_________________________________________________
       Have cell phone. Call 911 and give the following information:

Your Name_____________________________

Location of emergency________________________________

Athlete’s Name__________________________

Athlete’s condition (and any assistance that is being provided)______________________

Cell phone number__________________________


             Location of emergency: you may need to give street directions, location of
              the entrance and/or which gate to enter
             Name of athlete/coach/spectator that is injured
             Nature of the emergency
             Condition of the athlete (conscious/unconscious)
             Any assistance that is being given
             Telephone number of emergency phone




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                     Appendix P: Insurance Claim Form




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              Appendix Q: Physical and Participation Waiver




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                         Appendix R: OSHA Protocol




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                                  Greensboro College Athletics
                                            OSHA Policies

These guidelines have been established in accordance with the Occupational Safety and
Health Administration (OSHA) and the National Collegiate Athletic Association
(NCAA) and are designed to prevent injuries and protect the health of the members of the
Greensboro College Athletic Training Staff. Bleeding injuries often occur during athletic
competition, therefore there is always a concern regarding the possible transmission of
Human Immunodeficiency Virus (HIV) and other blood-borne pathogens. All athletic
training staff and students will utilize reasonable care in dealing with potentially
infectious materials.


                             Athletic Training Room Restrictions
Athletic training facilities will be maintained in a clean and sanitary condition.

In work areas where there is a reasonable likelihood of exposure to blood or other
potentially infectious materials, athletic trainers and student-athletes are not to eat, drink,
apply cosmetics or lip balm, or handle contact lenses. Food and beverages are not to be
placed on cabinets or on counter tops where blood or other potentially infectious
materials are present.

All procedures will be conducted in a manner which will minimize potential
contamination and splashing, spraying, splattering, and generation of droplets of blood or
other potentially infectious materials. Methods which will be utilized at these facilities to
accomplish this are:

        A. Universal Precautions

        Universal precautions describe the concept that all blood and certain body fluids
        are to be treated as if they are known to be infectious for HIV, HBV, and other
        blood-borne pathogens. All members of the Greensboro College Athletic
        Training Staff will utilize this concept.

        B. Personal Protective Equipment (PPE)

        Personal protective equipment is specialized clothing or equipment worn by
        athletic training staff/students for protection against hazard. General clothing in
        not intended to function as protection against a hazard and is therefore not a type
        of PPE. If a garment is penetrated by blood or other potentially infectious
        materials, the garment(s) shall be treated following the procedures outlined in the
        contaminated laundry section which follows.

        All PPE should be removed prior to leaving the athletic facility. When removed,
        PPE shall be placed in a designated container for storage, decontamination, or
        disposal. Appropriate PPE will be available to athletic training staff/students
        exposed to infectious materials. Personal protection packs are available in each


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      athletic training facility. PPE includes, but is not limited to gloves, gowns, face
      shields, disposable bag valves, and cardiopulmonary resuscitation masks.

      Gloves
      1. Disposable latex/non-latex gloves must be worn when it can be reasonably
         anticipated that there will be exposure to blood or other potentially infectious
         materials of any patient.
      2. Gloves should be of an appropriate size, material (hypoallergenic as needed)
         and quality.
      3. The use of gloves does not exclude the necessity for hand-washing.
      4. Disposable gloves shall be replaced as soon as practical when contaminated
         or immediately if they are torn, punctured, or when no longer able to provide
         an adequate barrier.
      5. Disposable gloves shall not be washed or re-used.

      C. Pre-event Preparation

      Pre-event preparation includes proper care for existing wounds, abrasions, cuts or
      weeping wounds that may serve as a source of bleeding or as a port of entry for
      blood-borne pathogens. These wounds should be covered with an occlusive
      dressing that will withstand the rigors of competition. Athletic training
      staff/students who have healing wounds should have these areas adequately
      covered to prevent transmission to or from a patient.

      D. Open Wounds During Competition

      When a student-athlete is bleeding, the bleeding must be stopped and the open
      wound covered with a dressing sturdy enough to withstand the rigors of activity
      before the student-athlete may continue to participate in practice or competition.
      Current National Collegiate Athletic Association policy mandates the immediate,
      aggressive treatment of open wounds of skin lesions that are deemed potential
      risks for transmission of disease. Participants with active bleeding should be
      removed from the event as soon as is practical. Return to play is determined by a
      member of the Athletic Training Staff. Any participant whose uniform is
      saturated with blood, regardless of the source, must have that uniform evaluated
      by a member of the Athletic Training Staff for potential to infect and changed if
      necessary before return to competition (see procedure for cleaning laundry below)

      E. Biohazardous Waste needs to be disposed of properly, and not through the
      regular trash collection. Each athletic training facility has containers identified
      for the disposal of biohazardous waste and sharps. Sharps are defined as any
      disposable instrument that has the ability to puncture the skin. Scalpel blades are
      used frequently and should be changed and disposed of after every use. Care
      should be taken during the removal of the blade so as to not cause injury to the
      individual changing the blade. The blade should never be handled with the
      fingers. It should be handled with an instrument, such as forceps or a hemostat,



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      and dropped into the sharps container. All used blades or needles should be
      placed into a sharps container for storage.

             1. Disposal of Biohazardous Waste

             Biohazardous waste should be collected by an established environmental
             control company. The following are the procedures for packaging medical
             waste for disposal:

                    a. All medical waste, collected for disposal, must be placed in a
                    box which is lined. The plastic bag used for this purpose must be
                    of sufficient strength to prevent ripping or tearing. In addition, the
                    bag must be red and marked with the biohazard symbol.
                    b. Sharp materials must be placed in a special puncture resistant
                    container. Sharps include needles, broken glass, scalpels, test
                    tubes, pipettes, Petri dishes, and anything that can potentially
                    pierce a plastic bag. As with other medical waste, containers filled
                    with sharps may be placed within the lined box.
                    c. Each bag must be sealed.
                    d. The cardboard box must be securely closed.
                    e. The outside of the box must bear the label showing a specially
                    provided bar code.

      F. Contamination

             1. Contaminated Surfaces

             Provide the student-athlete with the appropriate first aid before addressing
             the contaminated surface. If gloves worn during care of student-athlete
             have been bloodied, dispose in a biohazard container and use a new pair
             for surface decontamination. The following procedure should then be
             followed to clean blood or other potentially infectious materials from
             contaminated floors, mats, or other surfaces:
                     a. Use Biowipe bags or disposable paper towels to wipe the blood
                     or other potentially infectious materials from the surface. Place
                     Biowipe bag or towels in a biohazardous container.
                     b. Spray the contaminated area with a 1:10 bleach solution or other
                     commercially available solution designed to decontaminate
                     potentially infectious material. Use liberal amounts of liquid to
                     ensure to disinfect the entire contaminated area.
                     c. Use Biowipe bags or disposable paper towels to wipe the
                     solution from the surface. Allow the area to completely dry before
                     competition resumes.
                     d. Place all contaminated materials in a biohazardous container.




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            2.   Contaminated Instruments

            All attempts will be made to utilize disposable instruments, such as
            scalpels, to minimize the need for decontamination. However, when non-
            disposable instruments become contaminated, the following procedure
            should be utilized to clean blood or other potentially infectious materials
            from contaminated instruments:
                    a. Contaminated instruments should be placed in a designated
                    container for immediate decontamination. Contaminated
                    instruments are not to be left anywhere where they could
                    contaminate other instruments or materials.
                    b. As soon as possible following contamination, the instruments
                    should be cleaned and disinfected. Disposable gloves should be
                    worn throughout the cleaning process.
                    c. Sterilized instruments that have been contaminated may be taken
                    to Murphy/Wainer to be re-sterilized. Place instruments in plastic
                    bag or sharps container labeled biohazardous and Greensboro
                    College Athletic Training, and give to Dr. Kramer when he is on
                    campus or deliver to Murphy/Wainer to be sterilized.

            3. Contaminated Athletic Equipment

                   The following procedures should be utilized to clean blood or other
                   potentially infectious materials from contaminated equipment:
                   a. Athletic equipment which has been contaminated should be
                   removed from the field of competition as soon as possible.
                   b. If the equipment has a non-porous surface, it should be cleaned
                   utilizing the procedure for contaminated surfaces listed above.
                   c. If the equipment is made of a porous surface, it should be placed
                   into a biohazard laundry bag and laundered before being used
                   again.

            4. Contaminated Laundry

                   Contaminated laundry should be separated from non-contaminated
                   laundry. In most cases, contaminated laundry will be cloth athletic
                   training towels, elastic bandages, or uniforms. During practice or
                   competition, athletes should be instructed to attempt to prevent
                   blood exposure to their uniforms. When uniforms become
                   contaminated, they should be decontaminated as soon as possible,
                   which would require the student-athlete to be removed from the
                   event. The following procedure should be utilized to clean blood
                   or other potentially infectious materials from contaminated
                   laundry:

                   Minor Exposure to Uniform


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                   Provide the student-athlete with the appropriate first aid before
                   addressing the contaminated surface being sure to utilize universal
                   precautions.
                   a. Gloves must be worn when handling laundry or waste materials.
                   b. The exposed uniform should be removed from the athlete, when
                   possible. If removal is not sensible, place a towel underneath the
                   uniform.
                   c. To remove an exposed jersey, instruct the student-athlete to roll
                   the shirt as it is pulled toward the head. This will decrease the
                   chance of further contamination of skin. After rolling up the shirt,
                   have the student-athlete carefully pull it over the head to avoid
                   contact with the face or mucous membranes.
                   d. Saturate the contaminated area with a 1:10 bleach solution or
                   other commercially available solution designed to decontaminate
                   potentially infectious material.
                   e. Blot the contaminated area with absorbent material, such as
                   gauze, to remove the blood.
                   f. If the contaminated area is removed or adequately diluted, the
                   student-athlete may return to competition utilizing his/her original
                   uniform. If not, the uniform most be decontaminated in the
                   laundry.

                   Laundry
                   a. Gloves must be worn when handling laundry or waste materials.
                   b. If the contaminated laundry is white, a 1:10 bleach solution
                   should be prepared to pre-soak the laundry prior to washing. If the
                   contaminated laundry is colored clothing, it should be soaked in a
                   color-safe bleach.
                   c. Contaminated laundry should be not be washed with non-
                   contaminated laundry.
                   d. All contaminated laundry should be washed in hot water.
                   e. Prior to being placed into the dryer, each item of clothing should
                   be checked to determine the status of the exposed area. Areas
                   which still contain blood should be re-washed and not placed into
                   the dryer until the entire contaminated area has been removed.

      G.   Reporting Exposure to Human Blood or Other Potentially Infectious
           Material

                   In the event that a person giving first aid during the course of an
                   athletic event, practice, or clinical education experience is exposed
                   to potentially infected blood or other body fluid, the individual
                   should follow the procedures mentioned below:

                   1. If possible, allow another appropriately trained person to
                   assume care for the emergency situation and proceed to the nearest



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                   washing area. If no other trained individual is available, continue
                   to provide appropriate care until you are relieved.
                   2. Remove all PPE Equipment and dispose of them according the
                   procedures outlined above.
                   3. Once at the washing area, clean and disinfect the exposed area
                   with an anti-viral/anti-bacterial soap and water. If clothing has
                   been contaminated, treat as above.
                   4. Immediately complete the Report of Exposure to Human Blood
                   or Other Potentially Infectious Material form and submit it in
                   writing to the Head Athletic Trainer.
                   5. If an athletic training student, you must also notify the Clinical
                   Coordinator for Athletic Training Education within 24 hours.
                   6. Persons reporting an exposure will be referred to the Student
                   Health Center for examination by the Medical Director or Student
                   Health Center Nurse. They will refer the individual to the
                   appropriate facility for follow-up care.
                   7. The Head Athletic Trainer and the Clinical Coordinator will
                   complete the Supervisor’s Report of Exposure to Human Blood or
                   Other Potentially Infectious Material form.
                   8. All originals for staff will be kept in the athletic training room.
                   All originals for student exposures will be kept in the ATEP
                   program director’s office. Copies of the forms and any additional
                   documentation will be distributed to the Medical Director, and the
                   individual.
                   9. The costs associated with the referral to the Medical Director
                   and any additional care will be the responsibility of Greensboro
                   College.




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Greensboro College Athletic Training
Report of Exposure to Human Blood or Other
Potentially Infectious Materials


Exposed Individual

1.   Please complete the following questions. If you have any questions, please ask your supervisor.

Name:                                                                     Title:
School Address:                                                           Phone #:
Home Address:                                                             Phone #:
City:                                        State:                       Zip Code:


On                          (date) at         AM/PM, at                                   (location), I
received an exposure to the following potentially infectious materials:
         [ ] Blood
         [ ] other potentially infectious body fluid
                           Specify:
This material came into contact with my:
         [ ] Eyes ( R / L / Both )                     [ ] Mouth
         [ ] Nose                                      [ ] Open skin wound
This exposure occurred while I was:




I was wearing:
         [ ] Gloves                                    [ ] Protective clothing
         [ ] Face protection                           [ ] Protective eyewear
Immediately following the incident, I:
         [ ] Washed the exposed area thoroughly [ ] Reported exposure to supervisor
         I [ ] have [ ] have not been vaccinated against the hepatitis B virus.
         I [ ] can [ ] cannot identify the individual to whose blood of body fluid I was exposed:
         Name:
         Address:
         Phone #:


Signature of Exposed Individual:
Date:




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Greensboro College Athletic Training
Supervisor’s Report of Exposure to Human Blood or Other
Potentially Infectious Materials

Exposed Staff/Student:                                                    Exposure Date: _______________

Supervisor

1. Confirm that the exposed employee has followed the OSHA guidelines established by the Greensboro
College Athletic Training Department for disinfecting/decontaminating the exposed area and has
completed the appropriate Report of Exposure to Human Blood or Other
Potentially Infectious Materials form.

Supervisor:                                                     Title:

On                          (date) at         AM/PM, the above-named individual reported this exposure
to me. Circumstances regarding the exposure are as follows:




According to departmental records, the exposed individual has:
[ ] received    [ ] 1 [ ] 2 [ ] 3 hepatitis B vaccinations
[ ] not received hepatitis B vaccination
[ ] had [ ] not had        training regarding exposure to blood-borne pathogens

Source individual identification [ ] cannot [ ] can be confirmed.


I referred the exposed individual to the following health care professional:
[ ] Student Health Center/School Nurse
[ ] School Physician


Signature of Supervisor:                                                 Date:


Original will be kept on file in the Campbell Student Center athletic training room. A copy will be placed
in the exposed individuals file.




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              Appendix S: Hepatitis B Waiver Form




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Greensboro College Athletic Training
Hepatitis B Vaccine Declination


Staff/Student Name

SS#                                   Job Title

Working in an allied health setting, I understand that due to my occupational exposure to
blood or other potentially infectious materials, I may be at risk of acquiring hepatitis B
virus (HBV) infection.



           [ ] I have already received the Hepatitis B vaccine series and have provided
           the proper documentation.

[ ]    I have started the Hepatitis B vaccine and it will be completed on ____________.


[ ]    I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no
       charge to me. However, I decline this vaccine at this time. I understand that by
       declining this vaccine, I continue to be at risk of acquiring Hepatitis B. If in the
       future I continue to have occupational exposure to blood or other potentially
       infectious materials and I want to be vaccinated with hepatitis B vaccine, I can
       receive the vaccination series at no charge to me.




Signature of Staff/Student                                    Date




Signature of Authorized Employer Representative               Date




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         Appendix T: Inclement Weather/Winter Policy




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                                 Greensboro College Department of Athletics
                               Lightning/Inclement Weather Policy
Greensboro College Department of Athletics has developed the following lightning/inclement weather
policies, in accordance with the guidelines published in the 1999-2000 National Collegiate Athletic
Association Sports Medicine Handbook.

While the probability of being struck by lightning is extremely low, the odds are enormously greater when
a thunderstorm is in the area and the proper safety precautions are not followed. The state of North
Carolina has one of the highest rates of cloud-to-ground lightning strikes in the United States, especially in
the Piedmont. Over half of the national deaths and injuries that result from lightning occur between the
times of 2:00 P.M. and 6:00 P.M. This also is the time period when most outdoor teams practice, so
precautions have to be taken when a storm approaches.

The best offense against inclement weather is to become educated in prevention of hazardous situations.
Greensboro College staff must be aware of what has to be done long before an event. An emergency plan
has to be incorporated into everyday athletic events. The first preventative measure is to obtain a daily
report of the weather before practice/game. This will make staff aware of any possible storms that may be
approaching. Also, the coach/athletic trainer should be able to find out about current weather conditions
by calling the National Weather Service (NWS) at 454-1927 (www.weather.com) or by contacting the
school for information. A “watch” means conditions are favorable for severe weather to develop in the
area. A “warning” means that the NWS has reported severe weather in the area, and everyone in that area
should take the necessary precautions.

Secondly, the coach/athletic trainer should be knowledgeable and weary of the signs of thunderstorms
developing in the area. A thunderstorm can become threatening in as little as half an hour. Lightning and
thunder activity are the warning signs for the staff to begin monitoring thunderstorm activity, such as the
movement and distance from the lightning flashes. The next measure for the staff is to have a
predetermined safe shelter within the immediate vicinity of the athletic event. The closest shelter must be
designated before hand and all of the athletes must know how to get there in case of an emergency. The
shelter needs to be a place that is commonly inhabited by people and has electricity and plumbing to
ground the structure. If a building is not available, then a car with a metal roof and sides is the next safest
place (provided the sides of the vehicle are not being touched during the storm.) If there is no safe structure
within range, find a small grove of trees that are surrounded by taller objects. Crouch down into a fetal
position with only the balls of the feet touching the ground to minimize contact. Stay away from all metal
objects and pools of water. *If at any instance you feel your hair stand on end or your skin tingle
immediately crouch down into this position.

The safe shelters for all Greensboro College athletic facilities are as follows:
         · Price Fields: Price field house.
         · Grimsley High School Football Field: Field house
         · Hanes Field: Hanes Gymnasium
         · Campus Tennis Courts: West Hall
         · Hanes Pool: Locker rooms
         · Grimsley High School Baseball Field: an appropriate vehicle
         · Softball Field: Boys and Girls Club; or an appropriate vehicle
         · Greensboro Day School Tennis Courts: gymnasium; or an appropriate vehicle
         · Friendly Tennis Courts: an appropriate vehicle
         · Hagan Stone Park: an appropriate vehicle
         · War Memorial Stadium: stadium concourse, field house/club house; or an appropriate
                                         vehicle




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Lastly, all staff must know how to determine how close the lightning strikes are occurring. Greensboro
College will utilize one of two methods, the flash-to-bang method, or an electronic lightning detection
device. To utilize the flash-to-bang method, begin counting up immediately after the lightning flashes until
the point when the thunder is heard. Take this number and divide it by five. This will give you the
distance in miles that the lightning is away from the field. An electronic lightning detection device detects
the characteristic electromagnetic emissions from individual lightning strikes and can determine the
distance within 40 miles from your location. Greensboro College owns four of these devices, which will
normally be utilized at Price Fields, Hanes Fields, and by the baseball and softball teams.

Lightning researchers have documented lightning strikes as far as ten miles from the rain shaft. Lightning
strikes from this distance are a rare occurrence, but in theory it can happen. The coach and athletic training
staff must assess the situation immediately regarding the threat of lightning. During games, the ultimate
discretion to postpone or cancel the event falls upon the officials. It is our responsibility to inform the
officials, the head coach and/or the athletic training staff of our opponents, regarding our policy, and to
inform them of the proximity of lightning strikes during the event. If the decision is made to vacate the
playing field, seek the safe shelter location as quickly as possible and remain there until the threat of
lightning has passed. When considering resumption of an athletic activity, the National Severe Storms
Laboratory staff recommends that everyone wait at least 30 minutes after the last flash of lightning or
sound of thunder before returning to the field or activity.

The following are the procedures that members of the Greensboro College athletic department must follow
when inclement weather approaches:

         1. If the weather forecast predicts the possibility for thunderstorm activity, a staff member present
                   must be delegated to watch for the signs of an approaching thunderstorm and activate the
         lightning detection device (where available) and/or begin the flash-to-bang counting
         when lightning or thunder is present.

         2. When the lighting detection device registers the presence of lightning within the 8 to 20 mile
         range or the flash-to-bang time interval is fifty seconds (lighting strike was ten miles
         away), preparations must be made to vacate the premises and seek safe shelter.

         3. When the lighting detection device registers the presence of lightning within the 3 to 8 mile
         range or the flash-to-bang time interval is forty seconds or less (lighting strike was eight
         miles away), the game officials must be advised and all people involved must immediately vacate
         the athletic site to seek safe shelter. This includes swim meets. Even though a swimming pool is
         indoors, this does not guarantee safety. Avoid using the locker room shower facilities for safe
         shelter, and do not use the shower or plumbing facilities.

         4. If any individual feels his or her hair stand on end or their skin tingle, immediately assume a
         crouched position on the ground, wrap your arms around your knees, and lower your
         head. Minimize contact with the ground by rising up onto the balls of your feet. Do not
         lie flat on the ground!

         5. Allow half an hour to pass after the last sound of thunder or flash of lightning before resuming
         any intercollegiate athletics activity.

         6. Do not use the telephone, except in emergency situations. A cellular or cordless telephone is a
         safe alternative to a land line phone, if the person and the antenna are located within a
         safe shelter.

         7. If lightning strikes a victim, follow the procedures outlined in the Greensboro College
         Department of Athletics Emergency Action Plan for cardiac emergencies. Lightning
         strike victims do not carry an electrical charge. Therefore, first responders can safely
         touch victims of lightning strikes. Lightning strike victims who show signs of cardiac


711e4665-9bd6-445e-8bb5-38d738e22514.doc                                                                      80
      and/or respiratory arrest need prompt emergency help.




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     Appendix U: Directions from Event Sites to Hospitals




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     Appendix V: Policy for Supervising Athletic Trainer




711e4665-9bd6-445e-8bb5-38d738e22514.doc                   83
             Policy for Supervising Athletic Trainer’s Sport Assignment


A supervising athletic trainer is defined as an athletic trainer who has been certified by
the NATABOC and Licensed by the State of North Carolina. This individual is
employed by Greensboro College as a staff member and is in good standing with the
school and all governing agencies. At the end of each academic year, each supervising
athletic trainer is assigned specific sports teams that fill both preferences and needs
within the athletic department for the upcoming academic year. The supervising athletic
trainer is expected to perform certain tasks and duties for their assigned teams throughout
the year. The required duties are listed below. This list may be altered and the Director
of Athletic Training or the Head Athletic Trainer may add ancillary duties at any time.

Pre-Season

      The supervising athletic trainer must schedule a meeting with the head coach prior
       to the season to discuss all athletic training duties and expectations that the coach
       has regarding coverage of team.
      The supervising athletic trainer must examine the practice and game schedule
       prior to the meeting to determine if any absences may occur that the coach and
       other staff members should be made aware.
      The supervising athletic trainer is responsible for finding replacement coverage if
       absences must occur during the season.
      The supervising athletic trainer is responsible for making copies of each athlete’s
       insurance information, filing one copy in the athlete’s file and keeping another
       copy with the team notebook for home and away competition. If an athlete is
       missing insurance, the supervising athletic trainer is responsible for notifying the
       head athletic trainer who will then find the information on that athlete.
      The supervising athletic trainer is responsible for ensuring that each athlete’s file
       is complete prior to competition. This includes determining if the athlete has
       completed a pre-participation physical, has been cleared by a team physician for
       any prior surgeries, and has any pre-existing condition that may need further
       examination.
      The supervising athletic trainer will prepare a medical kit for practices and
       competition. The medical kit will be restocked as needed and ready prior to each
       day’s activity. The supervising athletic trainer will also prepare a team notebook
       to maintain insurance and injury reports to better prepare a replacement athletic
       trainer for the team’s treatment and medical needs.
      The supervising athletic trainer will discuss the schedule with the athletic training
       students assigned to assist them. They will establish a schedule for the student to
       attend practices and games that does not conflict with the student’s course
       schedule.




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In-Season

      The supervising athletic trainer will attend all practices and games, both home and
       away. If an absence is necessary, the athletic trainer will find an appropriate
       replacement for coverage. If an absence is necessary for an away competition, the
       athletic trainer will do everything possible to provide replacement coverage. If no
       one is available, the athletic trainer will contact the host institution to notify him
       or her that the team will be traveling without coverage. The athletic trainer will
       then provide the team with a medical kit and a treatment prescription list for the
       host athletic trainer.
      The supervising athletic trainer will schedule appointments for injured athletes
       with the team physician and follow-up with the physician to determine diagnosis
       and treatment protocol.
      The supervising athletic trainer will file insurance claims with the head athletic
       trainer for any athlete who requires advanced medical care as the result of an
       athletic injury. The claim form must be completed appropriately with the
       student’s insurance information and signature.
      The supervising athletic trainer is responsible for maintaining all appropriate
       injury information and treatment protocol. This paperwork shall remain in the
       team notebook until the season is complete and the injury is resolved. At this
       time, the athletic trainer is responsible for filing all paperwork in the athlete’s
       permanent medical folder.

Post-Season

      The supervising athletic trainer is responsible for ensuring that all athletes who
       require surgery have had an appointment with the team surgeon and been
       scheduled for surgery. The athletic trainer is responsible for following up with
       any athlete who has surgery with an outside group to determine rehabilitation and
       return to play standards.
      The supervising athletic trainer will close out all injuries that occurred during the
       season. If an injury has not resolved, the athletic trainer will schedule the athlete
       for rehabilitation times and develop a rehabilitation protocol for that athlete.
      The supervising athletic trainer will check each athlete’s file to ensure that the file
       is complete and ready for the next season. All paperwork has been filed
       appropriately and physician’s notes, when missing have been requested.
      The supervising athletic trainer will have an exit interview with the coaches to
       resolve any issues that may have arisen and prepare for the off-season. The
       athletic trainer will also provide the coach with an end-of-season review. The
       coach is expected to complete the review for the athletic training department and
       submit it to the head athletic trainer.




711e4665-9bd6-445e-8bb5-38d738e22514.doc                                                   85

				
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