I. Vision Statement Page 2 a. Mission Statement Page 2-3 II. First Steps Page 3 a. Injury Reporting Protocol Page 3-4 b. Referral Protocol Page 4

Transcription

1 I. Vision Statement Page 2 a. Mission Statement Page 2-3 II. First Steps Page 3 a. Injury Reporting Protocol Page 3-4 b. Referral Protocol Page 4 III. Guidelines for Concussion Page 4 IV. Concussion Policy Page 5-7 V. Baseline Testing Page 8 VI. Daily Triage Page 8 VII. General Room Rules Page 8 VIII. Student-Athlete Signature Page Page 9

2 GSU Vision & Mission Statement Vision Statement It is the vision of the Governors State University Sports Medicine Department to provide the student-athletes of GSU with the highest quality health care system available. We will strive to stay on the leading edge of knowledge and practices providing the most aggressive yet safe approaches to athlete health care. Mission Statement The Governors State University Sports Medicine Department delivers traditional athletic training and sports medicine services to the student-athletes of GSU. The services provided to the student-athlete can be divided into four areas: 1. Prevention of athletic injuries. 2. Recognition, evaluation, and treatment of athlete injuries and illnesses. 3. Referral and provision for rehabilitation and reconditioning of all injuries incurred by student athletes. 4. Health and wellness education. Our goal is to provide the student athletes at GSU with the best health care possible. In providing these services, the GSU Sports Medicine staff strives to utilize the most efficient, proven and current technologies, including the best equipment available. Consistent with this goal, we aim to offer a health care system that is proactive in approach, reducing the risk of athletic injury for our student athletes; provide easily accessible sports medicine services that are responsive to the needs of the studentathlete; and facilitate injured student-athletes safe return to participation in athletic competition as soon as possible. Our philosophy is that the needs of the student athlete will always be the first consideration for all members of the sports medicine staff. The Governors State Sports Medicine Department strives to be a program of recognized excellence in sports medicine. We will comply with the recommendations and guidelines as established by the NAIA, the Chicagoland Collegiate Athletic Conference, and the National Athletic Trainers Association. FIRST STEPS Prior to formal athletic participation with GSU, ALL student-athletes are required to file the following with the Athletics Office. Your safety is a priority therefor 2

3 non-compliance will result in non-participation until ALL valid items are on file. 1. Yearly pre-participation physical exam (PPE) form signed only by a physician a. Health History form (attached to PPE) to be completed prior to yearly physical exam 2. Medical insurance card copy, front and back 3. Travel emergency contact form, including medical insurance information Injury Reporting Protocol In the realm of athletics, injuries can and will happen. Just as important as it is to prepare for emergencies it is important to properly report and document Injuries as they occur. IT IS YOUR RESPONSIBILITY AS A GSU ATHLETE, TO REPORT ALL INJURIES IMMEDIATELT TO YOUR COACHING STAFF AND AHTLETIC TRAINER. This practice allows the administration and sports medicine team the abilities to: Make informed decisions Limit Liabilities that arise from injuries occurring at a given site Learn from injuries to; prevent recurrence of the same injuries, modify practice or conditioning based upon types and amount of specific injuries, and monitor the amount of time loss from injuries Report and properly document how the injuries occur, nature of injuries, and actions taken - Documentation must be accurate and reported in a timely fashion - Documentation must include name, date, age, sport, type of injury, and actions performed - Parents must be notified of injuries immediately unless athlete is 18 years of age. IT IS YOUR RESPONSIBILITY TO: 3

4 Follow through on the recommendations given by the GSU Sports Medicine Staff Notify your coaching staff and Athletic Trainer daily of injury status Report all injuries and illness to the GSU Sports Medicine Staff Give 100% effort during all home, clinic, and in-house rehabilitation and prehabilitation programs Referral Protocol If the staff determines a need for further medical attention, imaging, or treatment the athlete will be withheld from sports participation until they cleared for full return to sport by an MD or PA only. All GSU Athletes will be promptly referred to our team physician unless other arrangements are necessary. NO return to play notes from a chiropractor, np, registered nurse, physical therapist, or similar, will be accepted. The best attempt will be made to offer athletic training services in house however, some more extensive treatments will need to be seen in clinic. GSU students will receive a 40% off discount on pre-habilitation and rehabilitation services at Effort Performance and Rehabilitation or may seek out the rehabilitation clinic of their choosing if medically referred. Athletes that see a physician must turn in all paperwork from their visit. An athlete can not return to sport until a signed note by a physician states that they are cleared for full activity. This includes illnesses, non-sports related procedures, and hospitalizations. NO EXCEPTIONS! GUIDELINES FOR CONCUSSION Head injuries are among the most serious types of injuries that occur among athletes. Fortunately, serious injuries are rare. Careful attention to any head injuries can help prevent complications from developing. Statistics 4

5 20% of the 1.5 million head injuries that occur in the US each year are sports related. Approximately one tenth of sports related injuries require hospitalization. Those who have had a head injury are at 2 to 4 times greater risk of having another head injury. Definitions Concussions do not always involve a loss of consciousness. ANY traumatic blow to the head or to another part of the body (which causes a whiplash effect to the head) should be considered a mechanism of concussion injury. While headache is the most common symptom of concussion, all people will experience concussion differently. Therefore, all of the potential signs and symptoms of concussion should be considered. A symptom checklist can assist the evaluator in making a more objective return to play decision. If a player sustains any signs or symptoms of concussion, he/she must be removed from play. Only an Athletic Trainer or a physician may clear the athlete to return to play. Concussion Signs and Symptoms Amnesia Loss of orientation Balance problems Memory problems Bell rung Nausea Dazed of confused Nervousness Depression Numbness or tingling Double vision Drowsiness Poor concentration Easily distracted Personality changes Glassy eyed Excessive sleep Ringing in the ears Fatigue Sadness Feeling like in a fog Seeing stars Feeling slowed down Sensitivity to light Headache Sluggishness Inappropriate emotions Change in personality Sensitivity to noise Irritability Sleep disturbance Loss of consciousness Vacant stare Vomiting All athletes who get rocked and exhibit any of these signs or symptoms should be referred immediately to an Athletic Trainer and/or a physician After any significant head injury, the athlete should NOT be left alone. What to watch for after a head injury; Normal signs in the first 2 days include: 5

6 Fatigue and desire for extra sleep (can be awaked normally during sleep) Headache (should be fairly mild and not worsening) Nausea and vomiting (occasional- or persistent) Problems with thinking, concentration and attention span *Signs that suggest the need for immediate medical attention include: Marked change in personality often with confusion and irritability Worsening headache, especially associated with nausea or vomiting Numbness tingling or weakness in arms/legs changes in breathing or seizure Eye and vision changesdouble vision., blurred vision, unequal sized pupils. Concussion Policy If an athlete is suspected of having a concussion, or exhibits the signs or symptoms of concussion, they will be: 1. Immediately removed from participation 2. Undergo evaluation by the medical staff in a quiet, distraction-free environment conducive to conducting a neurological evaluation. 3. If an athlete with a suspected concussion exhibits the signs and symptoms of a concussion during the evaluation performed by the Athletic Trainer, he or she will not return to participation on that same day. 4. Within 24 hours they will be referred to the team orthopedic doctor, or primary care physician. Upon the diagnosis of a concussion by a doctor the athlete will be removed from participation until the athlete has adequately passed the 5 step Return to Play Protocol and is released to play by the team physician or athletic trainer. 5. Upon becoming symptom free for 24 hours the athlete will begin a Return to Play Protocol 6. The Return to Play Protocol will involve a 5 step process that includes: DAY 1- Evaluation, activity monitored by Athletic Trainer at 40-50% of Max heart rate on recumbent or stationary bike no more than 20 minutes, and follow up evaluation. If symptoms return, wait 24 hours and until symptom free, then begin Day 1 again. 6

7 DAY 2 Evaluation, activity monitored by Athletic Trainer at 65-75% of max heart rate on a stationary bike or elliptical for no more than 30 minutes, and follow up evaluation. If symptoms return, wait 24 hours and until symptom free, then begin Day 1 again. DAY 3 Evaluation, activity monitored by Athletic Trainer at % of max heart rate, follow up evaluation. If symptoms return, wait 24 hours and until symptom free, then begin Day 1 again. DAY 4 Evaluation, practice with non contact drills, follow up evaluation. If symptoms return, wait 24 hours and until symptom free, then begin Day 1 again. DAY 5 Post injury ImPact testing, physician visit, upon clearance from a physician full practice. (If the athlete has symptoms during any one of these days they must start back at day 1 and wait an additional 24 hours of being symptom free to restart the 5 day return to play protocol again. 8. If the athlete participates during full contact practice symptom-free the athlete may participate in competition 9. If the athlete sees a doctor and does not diagnose the athlete with a concussion the athlete must provide the proper documentation, in the form of a doctors note, releasing the athlete for full participation 10. In the instance that a physician does not diagnose the athlete with a concussion the Athletic Trainer, upon a full evaluation, has the right to withhold the athlete from participation if he or she deems it unsafe to return to play. 11. RETURN TO LEARN: Protocols will be put in place as necessary on an individual basis. If symptoms of concussion stay moderate-severe during initial physician evaluation, the team physician, athletic trainer, and University support staff will work together to create an individualized return to learn plan that may involve cognitive rest, academic accommodations, or syllabus due date amendments etc. Baseline Cognitive Testing At Governors State University, the Athletic Trainers should encourage baseline testing on all collision sport athletes prior to the start of the season. In the event a concussion is sustained, all athletes will repeat the testing and the scores will be compared to those of the baseline test. This provides for more objective return to play decisionmaking. Returning the athlete to play too soon following even a concussion with mild symptoms can lead to death. Second Impact Syndrome or SIS, typically, involves an 7

8 athlete suffering post-concussive symptoms following a head injury. If, within several weeks, the athlete returns to play (too soon) and sustains a second head injury, diffuse cerebral swelling, brain herniation, and death can occur. SIS can occur with any two events involving head trauma. US National Library of Medicine, National Institute of Health. Daily Room Triage Treatment priority will be given in the following order: 1. Severe Injury (cardiac arrest, concussion, fractures, dislocations, large lacerations etc.) 2. In-season athletes who need the following will be treated first come first serve basis: a. Pre-established athletic taping and bracing b. Pre-established stretching & first aid/wound cover 3. In-season athletes who are reporting a new injury will be given priority next after all athletes needing the above mentioned services. All athletes needing new injury evaluations must check-in with coaching staff prior to the start of practice. 4. All vital in-season rehabilitation needs 5. Off-season pre-established athletic taping and bracing (first come- first serve) 6. Off-season injury evaluations ATHLETIC TRAINING ROOM RULES 1. Always give 100% effort 2. NO cellphone recording, FaceTime, Snapchat, Instagram etc. permitted while in the ATR 3. NO food will be left, disposed of, or carelessly consumed in the ATR 4. Put away all rehabilitation equipment when finished 5. NO prophylactic athletic taping will be performed 6. NO loitering 7. NO loud music 8. Misconduct of any kind will result in removal from the ATR and you will be subject to suspension through the GSU Athletics Department 9. Non-athletes will not be permitted into the ATR without permission 10. All Athletes MUST sign-in prior to receiving treatment 8

9 Signature Page I, have read and reviewed the GSU Policies and Procedures. In signing, I agree to abide by these Policies and Procedures. This copy is to be signed, dated, and stored in the GSU Facility. GSU Team(s) Sign Date 9