Organizing & Administering an Athletic Training Program by 1B10IHr7


									 Organizing & Administering
an Athletic Training Program

                        Mrs. Marr
                     Sports Med I
         Topics of Discussion
Student shall:
1.   Describe a well- designed athletic training
2.   Identify the rules of operation that should
     be enforces in an AT facility
3.   Explain budgetary concerns for ordering
     supplies and equipment
4.   Explain the importance of the pre-
     participation physical exam
5.   Identify the necessary records that must
     be maintained by the Athletic Trainer
What is a well-
      What is a well- designed
      Athletic Training facility?
   How much money?
   How much room?
   How many student- athletes?
   Needs vs. Wants
   Accessible/ location
   Other
    Planning a Training Room
   Proposed uses of facility
   Type of sports to be served
       # staff members
       # patients served
   Placement of facility (exits, locker rooms,
    easy access, male/female access)
       Traffic flow patterns
       Hours of use
   Other functions
       Classes/labs
Planning a Training Room
    Intended Space Allocation
        Offices & Record Keeping - confidentiality
        Evaluation & Treatment
        Rehabilitation
        Taping – waste buckets, sink, flooring
        Storage - shelving
        Drug screening – separate bathroom, privacy
        Exam room
        Teaching room/lab
        What type of equipment?
        Size (2-3 sq. ft./person during peak loads – square
         footage occupied by equipment) + others in area at
         time (AT, Dr.) (ideal is 1000-1200 sq. ft)
        Location compared to other facilities
Planning a Training Room
   Intended space allocation
       Specific space allocation
          Electrical
          Plumbing

          Ventilation (hydrotherapy)

          Telephone, computer, communication systems,
           stereo systems
          Ceiling type & height – tall athletes

          Door width & height -

          Cabinetry, workstations

          Flooring type – non-slip, industrial grade
                Carpet vs. tile
Planning a Training Room
     Wall covering – sound absorbers
           Colors –
               White – safe, cleanliness, sanitary

               Black – strong accent color, use in small quantities

               Reds – exciting, stimulation, unpleasant tensions

               Orange – similar to reds, but not as great an extent

               Yellow (creams, beiges) – humor, cheery, decrease tensions

               Green – calm, restful

               Blue – rest, calm, overuse = depression

               Violet – rest, calm, uncertainty, depression, tension

               Neutrals (gray, brown, tan) – grays – good background w/
                other colors, browns/tans – homelike = lighter tones;
                masculine = heavier tones
     Lighting – 4-5 ft. off ground GFIC,
           20-50 foot candles of illumination 4’ above floor for taping, rehab
           50-100 foot candles – facial expressions, skin color
           Windows – more calming effect
Planning a Training Room
   Application of Title III from ADA
       Installing ramps
       Making curbs cut in sidewalks/entrances
       Repositioning telephones
       Adding raised markings on elevator control buttons
       Installing flashing alarm lights
       Widening doors
       Installing accessible door hardware
       Installing grab bars in toilet stalls
       Rearranging toilet partitions to increase maneuvering
       Repositioning paper towel dispenser in bathroom
       Installing paper cup dispenser at water fountains
       Removing high-pile, low-density carpeting
     Designing a Facility - Area
    Construction Considerations
   Program areas
       General facility considerations
       Taping area
       Treatment area
       Rehabilitation area
       Hydrotherapy area
       Office area
       Exam room area
       Pharmacy area
       Storage area
       Specialty pad & Orthotic work area
       Locker room, lavatory, & shower
       Janitorial storage & closet
       Conference room or library
       Rehabilitation pool
       X-ray room
   Special Service Areas
       Treatment Area: area that
        accommodates 4-6 adjustable treatment
        tables, 3-4 stools, and hydrocollator and
        ice machine accessibility
       Electrotherapy Area: area that houses
        ultrasound, diathermy, electrical stim units,
        storage units, grounded outlets, treatment
        tables and wooden chairs, under constant
       Hydrotherapy Area: area with centrally
        sloping floor to drain, equipped with 2-3
        whirlpools, shelving and storage space and
        outlets 5 feet above the floor
   Exercise Rehabilitation Area: area that
    provides adequate space and equipment to
    perform reconditioning of injuries
   Taping, Bandaging & Orthotic Area: 3-4
    taping tables and storage cabinets to treat
    athletes with proximity to a sink
   Physician’s Exam Room: space for physician
    to work which may hold exam table, lockable
    storage, sink, telephone, refrigerator
   Records Area: space devoted to record
    keeping which may include filing system or
    computer based database, that allows access
    only to medical personnel
   Storage Facilities
       Training rooms often lack ample storage space
       Storage in training room that holds general supplies and
        special equipment
       Large walk-in storage cabinet for bulk supplies
       Refrigerator for equipment, ice cups, medicine and
        additional supplies
   Athletic Trainer’s Office
       Space at least 10x12 feet is ample
       All areas of training room should be supervised without
        leaving office space (glass partitions)
       Equipment should include, desk, chair, tack board,
        telephone, computer (if necessary) and independent
        locking system
   Additional Areas (college/ Pro teams)
       Pharmacy Area: separate room that can be
        secured for storing and administrating
        medications (records must be maintained
        concerning administration)
       Rehabilitation Pool: if space permits, must
        be accessible to individuals with various injuries,
        with graduated depth and non-slip surface
       X-Ray Room: separate room with lead
        shielding in walls, large enough to house
        necessary equipment
   Floor plans
Communicate with the Architect
   Concept Plans
       What you want in the facility (wants vs. needs)
   Preliminary Drawing
       Look at the plans & review:
            Space allocation
            Traffic flow
            Electrical, Plumbing, Lighting, Ventilation, Heating &
            Walls & floors
            Door placements
   Final Drawing
       Review everything again! Last chance to change
Remodeling an Existing
   What do you want to change?
   How can you change it?
   What is cost effective?
   Can those walls be moved?
   Plumbing?
   Are there more headaches than would be
    if a new facility was made?
Athletic Training Facilities
Assignment 1:
Part A: Design your own
     Training Room

Part B: Remodel the Klein
 Collins Training Room.
 Identify the
   rules of
operation that
  should be
enforces in an
  AT facility
       Identify the rules of
     operation that should be
     enforces in an AT facility
   What kinds of rules should you have?
   Safety 1st
   Paperwork issues
   Educational considerations
   Schedules
   Title IX issues (Co-Ed facilities)
   Consistency
Klein Collins AT Rules
    Hygiene & Sanitation
   Athletic Training Facility Rules
       Rules concerning room cleanliness and
        sanitation must be set and made known to
        population using facility
       Examples
          No equipment/cleats in training room
          Shoes off treatment tables

          Shower prior to treatment

          No roughhousing or profanity

          No food or smokeless tobacco
        Hygiene & Sanitation
   Athlete Rules
       Promotion of good health and
        hygiene is critical
         Athlete clearance to participate
         Prompt injury and illness reporting

         Follow good living habits
              Avoid sharing clothes and towels
         Exhibitgood hygiene practices
         Avoid common drinking sources
    Other AT facility rules:

   SAT Guidelines (Handbook):
   Assignment 2:

  Develop your own
Training Room Rules
 (be able to justify!)
(ordering supplies
 and equipment)
      What is a budget?
   “…a strategic plan for how the sports medicine unit will function over a
    given period and an operational plan for how it will accomplish its goals”
    (Ray, 117).
   “…a financial plan of operation that commits resources for projects,
    programs, or activities and specifies the services to be provided and the
    resources that must be spent to achieve these service deliveries”
    (Rankin, 125).

 MONEY!-    the amount of
    money you can spend.
      Use      it or lose it!
     Budgetary Concerns
   Size of budget??
   Different settings = different size budgets
    and space allocations
   Equipment needs and supplies vary
    depending on the setting (college vs. high
   Continuous planning and prioritizing is
    necessary to effectively manage monetary
    allocations to meet programmatic goals
       Types of Budgets
   Zero-based budgeting

   Lump-sum budgeting

   Line-item budgeting
    Zero-based Budgeting
   Prioritizes services & goods needed
       What is necessary to provide care?
       How important is each good/service?
   New budget each year
       Budget based on program goals
   Need documentation
   ATC needs to justify and evaluate all
       Why??
Line-Item Budgeting
   Expenses are broken down into…
       Classes, subclasses
          Expendable supplies
          Permanent equipment

          Maintenance & repair

          Salaries & benefits

          Professional organization memberships

          Physician involvement
Line-item Budgeting
   Allows parent organization greater
    monetary control
   Advantage:
       Breakdown of categories=easy
   Disadvantage:
       “Mid-year financial crisis”
       Funds cannot be interchanged between
    Lump-sum Budgeting
   ATC is given a “lump-sum” of money
       Uses where and when needed
   Spending freedom
   Athletic trainer held accountable for spent
       By administrators
       Budget Settings
   College/University

   Traditional (High School)

   Professional athletics

   Industrial

   Rehabilitation
   Choose budgeting type that fits employment
    setting (if you can)
       Meets the program needs (college vs. pro)
   Consider past budgets when creating a new
       Documentation!
   Effectively communicate program needs
       Less money for more sports…
   Think outside the box & be creative!
       Remember the Trainers Lament!
 The Trainer's Lament


   Supplies
       Expendable (supplies that cannot be reused-
        first aid and injury prevention supplies)
       Non-expendable (re-useable supplies -ace
        wraps, scissors…etc)
       Yearly inventory and records must be
        maintained in both areas
   Equipment
       Items that can be used for a number of years
       Fixed (remain in the training room- ice machine,
       Non-fixed (crutches, coolers, training kits)
   Purchasing Systems
       Direct buy vs. competitive bidding
       Lease alternative

   Additional Budget Considerations
       Telephone and postage expenses
       Contracts for outside services
       Purchases relative to liability insurance and
        professional development
 Assignment 3:
Use the catalogs provided,
  internet and any other
     resources to order
     athletic training
    supplies for Klein
        Collins HS.
The importance
   of the pre-
 physical exam
    The importance of the pre-
    participation physical exam
Every year thousands of athletes undergo a pre-
  participation physical evaluation.
Physicals can identify an athlete who may be at risk for
  injury before he or she participates in a sport.
The physical can reveal conditions that can warrant
  disqualification from participation in all or certain sports
  or it could warrant the use of special equipment such as
  a brace or eye glasses.
The physical evaluation also sets a baseline in case of
  This allows the athletic trainer to help the athlete get
  back to or as close to his or her original physical
  condition after an injury.
 Pre-participation physical exam
The pre-participation physical evaluation is administered
  by a family physician or by a group of individuals who
  work together with physicians and are trained in
  assessing the health of an athlete such as a Certified
  Athletic Trainer.
Most often, an athlete’s annual physical evaluation is
  completed by a medical doctor in a private-practice
  setting. If the physician is the athlete’s primary-care
  physician then the doctor is more familiar with the
  medical history and the past health conditions of the
Another system of administering pre-
  participation evaluations is a station evaluation
  Seen in HS Settings
Pre-participation physical exam
The station evaluation can handle a large number of
   athletes at the same time and it is organized by stations
   using a group of individuals in the medical profession.
Volunteers who help administer the evaluations at each
   station include medical doctors, dentists, certified athletic
   trainers, physical therapists, physician assistants, nurses,
   and other allied-health personnel. Parents and coaches
   also assist in making these screenings possible.
The evaluations include a medical history, height, weight,
   blood pressure, pulse rate, dental screening (college),
   vision screening, general medical screening,
   musculoskeletal exam, orthopedic screening, body
   composition, and a number of fitness assessments.
After all the screenings are complete, then a physician will
   determine whether the athlete can participate in athletics
   or if there are any limitations for the athlete.
  Pre-participation physical exam
The following sections are included in the station pre-participation physical
    Medical History (MOST IMPORTANT!)
    Cardiovascular: Family history of sudden death under the age of 50,
      Prior heart disease in family, heart murmur, exertional shortness of
      breath or chest pain, fainting during or following exertion, high blood
      pressure, excessive fatigue, palpitations (skipped, irregular, or racing
      heart beats)
    Orthopedic: Recent or significant musculoskeletal injuries, neck injuries,
      unexplained hip or knee pain, dislocations, broken bones
    Neurologic: Seizure history, concussion history
    Pulmonary: Asthma history
    Gastrointestinal: Spleen or liver enlargement
    Menstrual History: Absence or irregular periods, stress fractures,
      disordered eating
    Medical Illnesses: Infectious mononucleosis, hepatitis, sickle cell trait,
      HIV, diabetes, heat illness, allergic reactions, other chronic illnesses,
      drug or other allergies
    Use of glasses, contact lenses, hearing aids
    Medication Use: Including nutritional supplements
 Pre-participation physical exam
All parts of the pre-participation physical evaluation
   come together to assess the athlete’s overall health
Clearance is made at the end of the screening by a state
   licensed physician who has reviewed the athlete’s
   history and has performed the general examination.
Often, for those who are not cleared, there are certain
   criteria that have to be met before they can be
In rare cases, it is found that playing sports could
   endanger or threaten the health of the athlete.
   If this happens, the athlete is denied participation or
   another sport is recommended.
No matter the outcome, the pre-participation evaluation
   is one of the best tools to help prevent athletic
 Assignment 4:
   Use the internet, UIL
   website or any other
 resource to determine 3
reasons why an athlete
may NOT be cleared for
   Identify the
necessary records
  that must be
maintained by the
 Athletic Trainer
    Identify the necessary records that
    must be maintained by the Athletic
         Trainer -Record Keeping
   Paperwork, Paperwork, Paperwork!
   Major responsibility
   Rule not the exception
       Must be accurate and up-to-date
   Medical records, injury reports, insurance
    information, injury evaluations, progress
    notes, equipment inventories, annual
    Injury Reports and Injury
   Injury reports serve as future references
   Reports can shed light on events that may
    be hazy following an incident
   Necessary in case of litigation
   All reports should be filed in the athletic
    training room
         Injury Evaluation and
            Progress Notes
   Injuries and progress should be monitored
    by the athletic trainer and recorded
   SOAP note format
       S: Subjective (history of injury/illness)
       O: Objective (information gathered during eval)
       A: Assessment (opinion of injury based on
        information gained during evaluation)
       P: Plan (short and long term goals of
   HOPS evaluation format
           Treatment Log
   Sign-in to keep track of services
   Daily treatments can be recorded
   Can be used as legal documentation in
    instances of litigation
Personal Information Card-
     Emergency Card
   Contains contact information for family,
    physician, insurance information and Past
    Medical History (PMHx)
    Supplies and Equipment

   Managing budget and
    equipment/supplies is critically
       Document every penny!
   Inventory must be taken yearly in order
    to effectively replenish supplies
       End of sport season
         Annual Report
 Summary of athletic training room
 Can be used to evaluate recommend
  potential changes for program
 Includes number and types of injuries
Release of Medical Records
   Written consent is required
   Waiver must be signed for any release
    (include specifics of information to be
    released and to whom)
   Buckley Amendment
    Computer as Tool for
      Athletic Trainer
   Indispensable tool
   Can make the job more efficient with
    appropriate software
   Must maintain security
   Can also be used for other
    administrative tasks
   SportsWare/ RankOne
    Collecting Injury Data
   Accident - unplanned event resulting in loss
    of time, property damage, injury or death
   Injury- damage to the body restricting
   Case study- looks at specific incident of
   Injury study falls under numerous categories
       Age, gender, body part, occurrence in different
       Contact vs. non-contact sports
 Catastrophic        Injuries
  98% of injuries requiring hospital
   emergencies are treat and release
   relative to sport
  Sports deaths (struck with object, heat
  Catastrophic injuries also include spinal
   cord trauma, cardiorespiratory
  Most injuries are related to appendages
              sprains, contusions, fractures,
      Strains,
   Current National Injury Data-
    Gathering Systems
       State of the art injury surveillance is still
       Ideal situation
          Epidemiological approach that studies relationship of
           various factors that influence frequency and
           distribution of injury in sport
          Extrinsic factors (activity, exposure, equipment)

          Intrinsic factors (age, gender, neuromuscular
           aspects, structural aspects….etc)
       Number of different surveillance systems in
   Surveillance Systems
       National Safety Council (general sports injury
       Annual Survey of Football Injury Research
        (public school, college, professional, sandlot
        football injury data)
       National Center of Catastrophic Sport Injury
        Research (Tracks catastrophic injuries in all
        levels of sports)
       NCAA Injury Surveillance System (data collected
        on most major sports- ATC data collection)
   Surveillance Systems cont’d
       National Electronic Injury Surveillance
        System (Monitor injuries relative to different
        products --consumer safety, determine if
        products are hazardous or defective)
       National High School Sports Injury Registry
        (tracks injuries in specific sports at 150-200
        high schools)

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