Introduction to Athletic Training

Transcription

1 I Introduction to Athletic Training A. Defining Athletic Training Athletic training is practiced by athletic trainers, health care professionals who collaborate with physicians to optimize activity and participation of patients and clients. Athletic training encompasses the prevention, diagnosis, and intervention of emergency, acute, and chronic medical conditions involving impairment, functional limitations, and disabilities. Students who want to become certified athletic trainers must earn a bachelors degree from an athletic training curriculum accredited by the Commission on Accreditation of Athletic Training Education (CAATE). Accredited programs include formal instruction in areas such as injury/illness prevention, first aid and emergency care, assessment of injury/illness, human anatomy and physiology, therapeutic modalities, and nutrition. Classroom learning is enhanced through clinical education experiences. More than 70 percent of certified athletic trainers hold at least a master s degree. In order to practice as an athletic trainer, students must pass a comprehensive on-line test administered by the Board of Certification (BOC). Once certified, all athletic trainers must meet ongoing continuing education requirements in order to remain certified and practice as an athletic trainer. Athletic training is not the same profession as personal training and certified athletic trainers work with more than just athletes they can be found just about anywhere that people are physically active. Certified athletic trainers are a diverse group. Although once considered a white male-dominated profession, athletic training today includes both men and women of all backgrounds, with two national committees devoted to promoting the involvement of underserved populations. The addition of the World Federation of Athletic Training Task Force has opened even more doors to a diverse population, encouraging participation from people and cultures all over the globe. To become certified athletic trainers, students must graduate with a bachelors or masters degree from an accredited professional athletic training education program and pass a comprehensive test administered by the Board of Certification (BOC). Once certified, they must meet ongoing continuing education requirements in order to remain certified. The National Athletic Trainers Association (NATA) is the professional membership association for certified athletic trainers and others who support the athletic training profession. Founded in 1950, the NATA has grown to more than 30,000 members worldwide today. The majority of certified athletic trainers choose to be members of the NATA to support their profession, and to receive a broad array of membership benefits. The mission of the National Athletic Trainers Association is to enhance the quality of health care provided by certified athletic trainers and to advance the athletic training profession. B. Education and Training Students who want to become certified athletic trainers must earn a Bachelor s degree from an accredited athletic training curriculum or meet other requirements set by the BOC ( A growing number of colleges/universities are gaining accreditation of their programs through Commission on Accreditation of Athletic Training Education (CAATE). The 5 th edition of the Athletic Training Education Competencies (Competencies) provides educational program personnel and others with the knowledge, skills and clinical abilities to be mastered by students enrolled in professional Athletic Training Programs. The Commission on Accreditation of Athletic Training Education (CAATE) requires that the competencies be instructed and evaluated in each accredited professional Athletic Training Program. The Competencies are categorized according to eight content areas demonstrating integration of knowledge and skills. Further, the Competencies are subcategorized according to the following behavioral classifications: 1. Cognitive Competencies (knowledge and intellectual skills) = C 2. Skill Competencies (manipulative and motor skills) = S 3. Clinical Integration Proficiencies (decision-making and skill integration) = CIP The Foundational Behaviors of Professional Practice (Behaviors) comprise the application of common values in the athletic training profession and should permeate every aspect of professional practice. These Behaviors should be infused into every aspect of a students education in order to prepare them legally, culturally, ethically, and professionally. These Behaviors will either be demonstrated in the clinical setting by preceptors and in the classroom by educators. As a student progresses through the Athletic Training Programs, he or she should apply these Behaviors during clinical experiences with patients/athletes he or she is working with while under the supervision of a preceptor. The ultimate goal is to achieve these Behaviors after a student becomes certified as an athletic trainer and has been practicing for some time. 1

2 The athletic trainer s professional preparation is based on the development of specified educational competencies and clinical integration proficiencies. Through a combination of formal classroom, clinical instruction, and clinical experience, athletic training students graduate from accredited curricular programs. Through these programs they are prepared to provide health care within each of the following 8 content areas: 1. Content Areas Evidence-Based Practice (EBP) Prevention and Health Promotion (PHP) Clinical Examination and Diagnosis (CE) Acute Care of Injuries and Illnesses (AC) Therapeutic Interventions (TI) Psychosocial Strategies and Referral (PS) Healthcare Administration (HA) Professional Development and Responsibility (PD) Clinical Integration Proficiencies (CIP) 2. Foundational Behaviors of Professional Practice Primacy of Patient Recognize sources of conflict of interest that can impact the patient/client s health Know and apply the commonly accepted standards for patient confidentiality Provide the best health care available for the client/patient Advocate for the needs of the client/patient Team Approach to Practice Recognize the unique skills and abilities of other health care professionals Understand the scope of practice of other health care professionals Execute duties within the identified scope of practice for athletic trainers Include the patient (and family, where appropriate) in the decision making process Work with other in effecting positive patient outcomes Legal Practice Practice athletic training in a legally competent manner Identify and conform to the laws that govern athletic training Understand the consequences of violating the laws that govern athletic training Ethical Practice Comply with the NATA s Code of Ethics and the BOC s Standards of Professional Practice Understand the consequences of violating the NATA s Code of Ethics and BOC s Standards of Professional Practice Comply with other codes of ethics, as applicable Advancing Knowledge Critically examine the body of knowledge in athletic training and related fields Use evidence-based practice as a foundation for delivery of care Appreciate the connection between continuing education and the improvement of athletic training practice Promote the value of research and scholarship in athletic training Disseminate new knowledge in athletic training to fellow athletic trainers, clients/patients, other health care professionals, and others as necessary Cultural Competence Demonstrate awareness of the impact that clients /patients cultural differences have on their attitudes and behaviors toward healthcare Demonstrate knowledge, attitudes, behaviors, and skills necessary to achieve optimal health outcomes for diverse patient/client populations Work respectfully and effectively with diverse populations and in a diverse work environment 2

3 Professionalism Advocate for the profession Demonstrate honesty and integrity Exhibit compassions and empathy Demonstrate effective interpersonal communication skills 3. Clinical Education Classroom learning is enhanced through clinical education experiences. Students are required to participate in a minimum of two years of academic clinical education under the direct supervision of Preceptors in a variety of field and clinical settings. Using an outcomes-based approach, students are instructed and evaluated by the preceptors in a variety of practice settings such as: colleges/universities, secondary schools, professional sports, physician's offices, healthcare clinics, industrial settings, hospitals, emergency rooms, Olympic settings, and other settings that employ certified athletic trainers throughout their education. Clinical education should occur throughout their education. A segment of the clinical education experience must be directed towards a patient population having general medical ailments (eg - cardiorespiratory, respiratory, metabolic, etc.). C. BOC Certification The Mission of the Board of Certification is to certify athletic trainers and to identify for the public, quality healthcare professionals through a system of certification, adjudication, standards of practice and continuing competency programs. Purpose of Certification The Board of Certification (BOC) was incorporated in 1989 to provide a certification program for entry-level athletic trainers and recertification standards for certified athletic trainers. The purpose of this entry-level certification program is to establish standards for entry into the profession of athletic training. Additionally, the BOC has established continuing education requirements that a certified athletic trainer must satisfy in order to maintain current status as a BOC certified athletic trainer. Annually, the Board of Certification reviews the requirements for certification eligibility and standards for continuing education. Additionally, the Board reviews and revises the certification examination in accordance with the test specifications of the BOC Role Delineation Study that is reviewed and revised every five years. The Board of Certification uses a criterion-referenced passing point for the anchor form of the examination. Each new examination version is equated to the anchor version to ensure that candidates are not rewarded or penalized for taking different versions of the examination. The BOC does not discriminate against any individual on the basis of religion, gender, ethnic background, or physical disability. Candidate Requirements In order to attain certification as an athletic trainer, a candidate must satisfy Education and Exam Requirements. Education Requirements Certification by the BOC is the entry-level credential and is required to practice as an athletic trainer. Candidates must graduate from an entry-level CAATE Accredited Athletic Training Curriculum in order to take the national BOC exam. Exam Requirements After interested students have met the curriculum requirements, they must pass an on-line national certification examination administered by the BOC. For additional information regarding exam development and policies and procedures, including fee structure go to Most students earn their ATC credentials after completing the entry-level program and passing the BOC exam. Many also continue their studies at the graduate school level. 3

4 D. NATA Code of Ethics The National Athletic Trainers Association Code of Ethics states the principles of ethical behavior that should be followed in the practice of athletic training. It is intended to establish and maintain high standards and professionalism for the athletic training profession. The principles do not cover every situation encountered by the practicing athletic trainer, but are representative of the spirit with which athletic trainers should make decisions. The principles are written generally; the circumstances of a situation will determine the interpretation and application of a given principle and of the Code as a whole. When a conflict exists between the Code and the law, the law prevails. PRINCIPLE 1: Members shall respect the rights, welfare and dignity of all. 1.1 Members shall not discriminate against any legally protected class. 1.2 Members shall be committed to providing competent care. 1.3 Members shall preserve the confidentiality of privileged information and shall not release such information to a third party not involved in the patient s care without a release unless required by law. PRINCIPLE 2: Members shall comply with the laws and regulations governing the practice of athletic training. 2.1 Members shall comply with applicable local, state, and federal laws and institutional guidelines. 2.2 Members shall be familiar with and abide by all National Athletic Trainers Association standards, rules and regulations. 2.3 Members shall report illegal or unethical practices related to athletic training to the appropriate person or authority. 2.4 Members shall avoid substance abuse and, when necessary, seek rehabilitation for chemical dependency. PRINCIPLE 3: Members shall maintain and promote high standards in their provision of services. 3.1 Members shall not misrepresent, either directly or indirectly, their skills, training, professional credentials, identity or services. 3.2 Members shall provide only those services for which they are qualified through education or experience and which are allowed by their practice acts and other pertinent regulation. 3.3 Members shall provide services, make referrals, and seek compensation only for those services that are necessary. 3.4 Members shall recognize the need for continuing education and participate in educational activities that enhance their skills and knowledge. 3.5 Members shall educate those whom they supervise in the practice of athletic training about the Code of Ethics and stress the importance of adherence. 3.6 Members who are researchers or educators should maintain and promote ethical conduct in research and educational activities. PRINCIPLE 4: Members shall not engage in conduct that could be construed as a conflict of interest or that reflects negatively on the profession. 4.1 Members should conduct themselves personally and professionally in a manner that does not compromise their professional responsibilities or the practice of athletic training. 4.2 National Athletic Trainers Association current or past volunteer leaders shall not use the NATA logo in the endorsement of products or services or exploit their affiliation with the NATA in a manner that reflects badly upon the profession. 4.3 Members shall not place financial gain above the patient s welfare and shall not participate in any arrangement that exploits the patient. 4.4 Members shall not, through direct or indirect means, use information obtained in the course of the practice of athletic training to try to influence the score or outcome of an athletic event, or attempt to induce financial gain through gambling. REPORTING OF ETHICS VIOLATIONS Anyone having information regarding allegations of ethical violations, and wishing to supply such information to NATA, shall supply this information, with as much specificity and documentation as possible, to NATA's Executive Director or Chair of the Ethics Committee. Information need not be supplied in writing, and the reporting individual need not identify him or herself. Information, however, that is too vague, cannot be substantiated without the assistance of the reporting 4

5 person, or information where, in the opinion of the NATA Executive Director or Ethics Chair, there is no need for anonymity for the reporting individual will not be forwarded for action by the committee. An individual may report information on the condition that the individual's name or certain other facts be kept confidential. NATA may proceed with an investigation subject to such a condition; however, NATA must inform the reporting individual that at some point in the investigation NATA may determine that it cannot proceed further without disclosing some of the confidential information, either to the applicant or member under investigation or to some other party. A reporting individual, upon receiving this information from NATA, may decide whether or not to allow the information to be revealed. If the reporting individual decides that the necessary information must remain confidential, NATA may be required to close the unfinished investigation for lack of necessary information. Individuals are strongly encouraged to provide relevant information, with as much detail as possible, in writing to: NATA Ethics Investigations; 2952 Stemmons Freeway; Dallas, TX E. Standards of Professional Practice The BOC Standards of Professional Practice consists of two sections: 1. Practice Standards 2. Code of Professional Responsibility 1. Practice Standards a. Preamble The Practice Standards (Standards) establish essential practice expectations for all Athletic Trainers. Compliance with the Standards is mandatory. The Standards are intended to: assist the public in understanding what to expect from an Athletic Trainer assist the Athletic Trainer in evaluating the quality of patient care assist the Athletic Trainer in understanding the duties and obligations imposed by virtue of holding the ATC credential The Standards are NOT intended to: prescribe services provide step-by-step procedures ensure specific patient outcomes The BOC does not express an opinion on the competence or warrant job performance of credential holders; however, every Athletic Trainer and applicant must agree to comply with the Standards at all times. b. Standards of Professional Practice for Athletic Training Direct Service Standard 1: Direction The Athletic Trainer renders service or treatment under the direction of a physician. Standard 2: Prevention The Athletic Trainer understands and uses preventive measures to ensure the highest quality of care for every patient. Standard 3: Immediate Care The Athletic Trainer provides standard immediate care procedures used in emergency situations, independent of setting. Standard 4: Clinical Evaluation and Diagnosis Prior to treatment, the Athletic Trainer assesses the patient s level of function. The patient s input is considered an integral part of the initial assessment. The Athletic Trainer follows standardized clinical practice in the area of diagnostic reasoning and medical decision making. Standard 5: Treatment, Rehabilitation and Reconditioning In development of a treatment program, the Athletic Trainer determines appropriate treatment, rehabilitation and/or reconditioning strategies. Treatment program objectives include long and short term goals and an appraisal of those which 5

6 the patient can realistically be expected to achieve from the program. Assessment measures to determine effectiveness of the program are incorporated into the program. Standard 6: Program Discontinuation The Athletic Trainer, with collaboration of the physician, recommends discontinuation of the athletic training service when the patient has received optimal benefit of the program. The Athletic Trainer, at the time of discontinuation, notes the final assessment of the patient s status. Standard 7: Organization and Administration All services are documented in writing by the Athletic Trainer and are part of the patient s permanent records. The Athletic Trainer accepts responsibility for recording details of the patient s health status. 2. Code of Professional Responsibility Preamble The Code of Professional Responsibility (Code) mandates that BOC credential holders and applicants act in a professionally responsible manner in all athletic training services and activities. The BOC requires all Athletic Trainers and applicants to comply with the Code. The BOC may discipline, revoke or take other action with regard to the application or certification of an individual that does not adhere to the Code. The Professional Practice and Discipline Guidelines and Procedures may be accessed via the BOC website, Code 1: Patient Responsibility - The Athletic Trainer or applicant: 1.1 Renders quality patient care regardless of the patient s race, religion, age, sex, nationality, disability, social/economic status or any other characteristic protected by law 1.2 Protects the patient from harm, acts always in the patient s best interests and is an advocate for the patient s welfare 1.3 Takes appropriate action to protect patients from Athletic Trainers, other healthcare providers or athletic training students who are incompetent, impaired or engaged in illegal or unethical practice 1.4 Maintains the confidentiality of patient information in accordance with applicable law 1.5 Communicates clearly and truthfully with patients and other persons involved in the patient s program, including, but not limited to, appropriate discussion of assessment results, program plans and progress 1.6 Respects and safeguards his or her relationship of trust and confidence with the patient and does not exploit his or her relationship with the patient for personal or financial gain 1.7 Exercises reasonable care, skill and judgment in all professional work Code 2: Competency - The Athletic Trainer or applicant: 2.1 Engages in lifelong, professional and continuing educational activities 2.2 Participates in continuous quality improvement activities 2.3 Complies with the most current BOC recertification policies and requirements Code 3: Professional Responsibility - The Athletic Trainer or applicant: 3.1 Practices in accordance with the most current BOC Practice Standards 3.2 Knows and complies with applicable local, state and/or federal rules, requirements, regulations and/or laws related to the practice of athletic training 3.3 Collaborates and cooperates with other healthcare providers involved in a patient s care 3.4 Respects the expertise and responsibility of all healthcare providers involved in a patient s care 3.5 Reports any suspected or known violation of a rule, requirement, regulation or law by him/herself and/or by another Athletic Trainer that is related to the practice of athletic training, public health, patient care or education 3.6 Reports any criminal convictions (with the exception of misdemeanor traffic offenses or traffic ordinance violations that do not involve the use of alcohol or drugs) and/or professional suspension, discipline or sanction received by him/herself or by another Athletic Trainer that is related to athletic training, public health, patient care or education 3.7 Complies with all BOC exam eligibility requirements and ensures that any information provided to the BOC in connection with any certification application is accurate and truthful 3.8 Does not, without proper authority, possess, use, copy, access, distribute or discuss certification exams, score reports, answer sheets, certificates, certificant or applicant files, documents or other materials 3.9 Is candid, responsible and truthful in making any statement to the BOC, and in making any statement in connection with athletic training to the public 3.10 Complies with all confidentiality and disclosure requirements of the BOC 3.11 Does not take any action that leads, or may lead, to the conviction, plea of guilty or plea of nolo contendere (no contest) to any felony or to a misdemeanor related to public health, patient care, athletics or education;, this includes, but is 6

7 not limited to: rape; sexual abuse of a child or patient; actual or threatened use of a weapon of violence; the prohibited sale or distribution of controlled substance, or its possession with the intent to distribute; or the use of the position of an Athletic Trainer to improperly influence the outcome or score of an athletic contest or event or in connection with any gambling activity 3.12 Cooperates with BOC investigations into alleged illegal or unethical activities; this includes but is not limited to, providing factual and non-misleading information and responding to requests for information in a timely fashion 3.13 Does not endorse or advertise products or services with the use of, or by reference to, the BOC name without proper authorization Code 4: Research - The Athletic Trainer or applicant who engages in research: 4.1 Conducts research according to accepted ethical research and reporting standards established by public law, institutional procedures and/or the health professions 4.2 Protects the rights and well being of research subjects 4.3 Conducts research activities with the goal of improving practice, education and public policy relative to the health needs of diverse populations, the health workforce, the organization and administration of health systems and healthcare delivery Code 5: Social Responsibility - The Athletic Trainer or applicant: 5.1 Uses professional skills and knowledge to positively impact the community Code 6: Business Practices - The Athletic Trainer or applicant: 6.1 Refrains from deceptive or fraudulent business practices 6.2 Maintains adequate and customary professional liability insurance F. Athletic Training Employment Settings Professional Sports In this setting, ATC s work only one sport as part of their job requirements. Although teams operate only a few months per year, ATC s work year-round conditioning and rehabilitating athletes. Few jobs are available in this setting due to gender issues and a limited number of teams. Expansion of professional sports and teams in existing leagues and teams has increased opportunities for ATC s. Colleges and Universities Employment in this setting remains stable with little turnover. Colleges and universities require a master s degree for employment. A certified athletic trainers job in colleges and universities generally fall into three categories: Athletic department staff / athletic coverage only Combined instructor/professor and athletic trainer for athletic coverage Athletic Training Educator The ATC in this college/university setting is primarily geared towards educating athletic training students within accredited Athletic Training Education Programs in both formal and clinical class settings. Competencies, clinical integrated proficiencies, and the foundational behaviors are taught using a learning-over-time model. The AT educators work closely with the ATC s who work on the medical side to assess clinical skills and knowledge while overseeing the athletic training students within clinical experiences. Secondary schools Public and private secondary schools offer special job opportunities for ATC s. Parents and administrators are discovering the benefits an ATC can offer in preventing and caring for injuries. Some certified athletic trainers also teach classes at the high school level although some secondary schools are large enough to employ athletic trainers solely for sport coverage. Hospitals and Clinics These settings provide ATC s the opportunity to work with a number of different health care professionals and a diverse patient population. In addition to injury rehabilitation, many clinics and hospitals provide athletic training services for local secondary schools. Industrial/Occupational This athletic training setting is geared towards decreasing medical costs from acute and chronic musculoskeletal injuries suffered on the job site. ATC s in this setting work under the direction of a plant / factory physician and provide ergonomic instruction, injury treatment and rehabilitation. Military - Over the course of the last several years, certified athletic trainers have been increasingly employed by the various Armed Forces to assist in the health and welfare of both active duty soldiers and their dependents. Although each particular branch has it own specific employment policies, most ATCs being hired today are either independent contractors or part of the Government Civil Service system. 7

8 Performing Arts - World-renowned entertainment venues and performing arts groups such as Cirque du Soleil, Disney World and Disneyland, Radio City Music Hall Rockettes, Pittsburgh Ballet Theater, Cincinnati Ballet and Blue Man Group utilize an athletic training program to keep their performers in peak condition. Performing Arts athletic trainers provide specialized injury prevention and rehabilitative care to dancers, musicians and vocalists. Physician Extender This athletic training setting is geared towards assisting physicians in evaluating and / or rehabilitating the physician s patients. ATC s in this setting work under the direction of the physician and provide initial assessments, assist with patient care, and work as the physician s assistant as needed. ATC s in this setting work as physician extenders for any of the practice settings below: Orthopaedics; Osteopathy; Family Practice; Primary Care; Occupational medicine; Chiropractic Public Safety Within the last few years, certified athletic trainers have been employed through various Public Safety Departments and Academies. They are hired to prevent overuse injuries and advise employees on techniques and processes related to injury prevention, care and conditioning. Other possible athletic training employment opportunities include corporate health programs, health and fitness clubs, clinical and industrial health care programs, pharmaceutical companies, and medical distribution companies. G. State Licensure and Regulation In addition to certification, athletic trainers must meet individual state regulation requirements in 46 of 50 states (as of summer 2008). To determine if these added requirements apply, athletic training students who are preparing to take the certification exam must check with the governing body of the particular state that he/she will be employed in. What is the difference between a state licensure and BOC certification? State law delineates the scope of practice and requirements for the legal practice of athletic training. Scope of practice can vary from state to state. State regulation always takes precedence over certification standards. The BOC certification is a voluntary certification that is international in scope. More than 27,000 individuals hold BOC certification. What are the requirements for state licensure? Currently 48 states list some form of regulation of practice for athletic trainers (i.e., certification, exemption, licensure, or registration). Licensure is the most restrictive form of regulation while registration is the least. Requirements vary from state to state. Most states accept BOC certification to meet one of their standards for regulation. Individuals must still be accepted by the appropriate state regulatory agency prior to beginning employment. For specific information on requirements, contact the state regulatory agency in the state where employment is intended or go to and click the state regulation link. How do I apply for state licensure or the equivalent? To apply for state licensure, contact the state regulatory board. In Indiana, the state licensure board is the Health Professions Bureau, (317) , or H. CEU Maintenance The BOC has established that all certified athletic trainers must obtain 75 continuing education units (CEUs) within a three- (3) year reporting term. Each individual is also required to submit proof of current CPR and Emergency Cardiac Care certification during that three-(3) year term. Newly certified athletic trainers will be advised, when they receive their certification notice, of their continuing education requirement, as well as other information about the BOC s continuing education requirement. 8

9 Certified athletic trainers must meet the following 4 criteria in order to become recertified. Please refer to the BOC website at: for further details. Adherence to BOC Standards of Professional Practice (SOP) Continuous certification in emergency cardiac care (ECC) Completion of continuing education (CE) Payment of recertification fees Changes Recertification Deadline: Current ATs have a 12/31/2013 expiration date. If you log in to BOC Central, you can find personalized information regarding your total CEUs due and your CE accumulation period on your CE203 form. The BOC reviews requirements for an AT to maintain certification periodically. The changes described will be effective January 1, Certification Maintenance Period The Certification Maintenance Period (currently known as Reporting Period ) is currently a 3-year period. Beginning January 1, 2014, it will be a 2-year period. Compliance with the BOC Standards of Professional Practice, emergency cardiac care (ECC), maintenance fees and CE are still required. The number of CEUs required will be reduced to 50 CEUs. ATs certified in the even years will have their number of CEUs prorated for their first certification maintenance period. New Certification Maintenance Period (Begins 1/1/2014) 50 CEUs, ECC, maintenance fees and compliance with BOC Standards of Professional Practice/2 years ATs certified prior to 2013 will have 50 CEUs due 12/31/2015 (January 1, 2014 December 31, 2015) ATs certified in 2013 will have 50 CEUs due 12/31/2015 (Date Certified 12/31/2015) ATs certified in 2014 will have 25 CEUs due 12/31/2015 (Date Certified 12/31/2015) ATs certified in 2015 will have 50 CEUs due 12/31/2017 (Date Certified 12/31/2017) Current Reporting Period (Ends 12/31/2013) *75 CEUs, ECC, recertification fees and compliance with BOC Standards of Professional Practice/3 years 9

10 *Not all ATs have 75 CEUs due 12/31/2013; please log on to BOC Central and review form CE203 under the Completed Forms tab to verify the number of CEUs you are required to report. Definition of Continuing Education (CE) The definition of CE will be modified by eliminating the phrase beyond the levels required for entry-level practice. Entry-level practice is dynamic and eliminating the phrase allows an AT to participate in CE that enhances competence at entry-level or beyond. New Definition of CE (Begins 1/1/2014) Continuing education (CE) requirements are intended to promote continued competence, development of current knowledge and skills and enhancement of professional skills and judgment. CE activities must focus on increasing knowledge, skills and abilities related to the practice of athletic training. Current Definition of CE (Ends 12/31/2013) Continuing education (CE) requirements are intended to promote continued competence, development of current knowledge and skills and enhancement of professional skills and judgment beyond the levels required for entry-level practice. CE activities must focus on increasing knowledge, skills and abilities related to the practice of athletic training. CE Classification System The CE classification system will be slightly modified. There will be two levels of CE with different categories in each level. Level I categories are for competence activities and programs that require a level of BOC approval. Level II categories are competence activities and programs that do not require BOC approval. All categories continue to require that the content of the activity or program fall within the domains of athletic training based on the Role Delineation Study/Practice Analysis, Sixth Edition. LEVEL I EBP (Evidence Based Practice) Category A new category will be added and is considered a Level I category; EBP (evidence based practice) requires a minimum of 10 CEUs (based on 50 CEUs due) each certification maintenance period. EBP programs will be approved on an individual basis and must meet specific content and quality requirements. The BOC has announced the new category to BOC Approved Providers and will work with them to get qualified programs eligible for the EBP Category. The BOC will post a list of eligible EBP programs in late 2013 and will continue to update the list as courses are made available. New EBP Category (Begins 1/1/2014) 10

11 LEVEL I EBP: Qualified/Enhanced Competence Programs Pre-approved programs (live events or home study courses) that meet specific content and quality requirements and include evidence based practice (EBP). Programs must adhere to one of the following formats: Clinical: A clinically oriented topic structured and delivered in a manner consistent with the principles of EBP EBP: An EBP specific topic: about EBP or a topic relevant to EBP Clinical A clinically oriented topic must be designed in a way that reflects the basic principles of EBP. Examples of appropriate clinical topics include glenohumeral assessment, ACL rehabilitation and sport-related concussion. The presentation must take an approach similar to that described by Steves and Hootman (2004)1 and include the following components: A focused and clinically relevant question structured in PICO format A detailed search strategy including search terms Identification of databases used in literature search A critical appraisal of resultant literature including the determination of levels of evidence and/or strength of recommendations A clinical application of the evidence An appraisal of the outcome gained through the application of the evidence-based intervention 1Steves R, Hootman JM. Evidence-based medicine: What is it and how does it apply to athletic training. Journal of Athletic Training, 2004; 39(1) EBP The topic of EBP should address theoretic or practical aspects of EBP, EBP knowledge gaps or the application of topics relevant to EBP such as critical appraisal or statistical analysis. Programming in this category is intended to promote EBP within the profession by enhancing a clinician s ability to find and evaluate evidence and apply it to their clinical practice. Diversity among topics is encouraged in order to provide appropriate content for all clinicians relative to their level of expertise with BP. Other Possible Activities2 Post professional graduate of an NATA accredited AT graduate level program Post professional graduate of a PhD/EdD program may qualify if dissertation has a narrow focus of athletic training 2Must have graduated within the certification maintenance period and must be able to provide an official transcript indicating as such. Based on 2-year period (50 CEUs): Minimum = 10 Maximum = 50 LEVEL I Category A Category A: Approved Competence Programs (currently known as Category A Approved Provider Programs) will continue to be live events and home study courses that are from BOC Approved Providers. New Category A Requirements (Begins 1/1/2014) LEVEL I Category A: Approved Competence Programs Based on 2-year period (50 CEUs): Minimum = 0 Maximum = 40 Current Category A Requirements (Ends 12/31/2013) Category A Approved Provider Programs Based on 3-year period (75 CEUs): Minimum = 0 Maximum = 75 11

12 LEVEL II Categories B, C and D Categories B and C have only minor modifications. The maximum number of CEUs allowed in Category D Non- Approved Competence Programs will increase to 28 CEUs (based on 50 CEUs due). New Category B, C and D Requirements (Begins 1/1/2014) LEVEL II Category B: Professional and Scholarly Activities Three changes from previous Category B: Remove EMT initial training (can be used in Category D) Remove BOC qualified examiner or model Add member of clinical research study team (10 CEUs/research project) Based on 2-year period (50 CEUs): Current Category B, C and D Requirements (Ends 12/31/2013) Category B Professional Development Includes EMT initial Includes BOC qualified examiner or model Does not include member of clinical research study team Based on 3-year period (75 CEUs): Minimum = 0 Maximum = 50 Minimum = 0 Maximum = 33 LEVEL II Category C: Post-Certification College/University Coursework Two changes from previous Category C: Add accredited AT residency/fellowship (20 CEUs/year) Remove medical residency Based on 2-year period (50 CEUs): Minimum = 0 Category C Post-Certification College/University Coursework Does not include AT residency or fellowships Includes medical residency Based on 3-year period (75 CEUs): Minimum = 0 Maximum = 75 Maximum = 40 LEVEL II Category D: Non-Approved Competence Programs Two changes from previous Category D: Videos/DVDs/Audiotapes/Multimedia - independent verification (from an immediate supervisor that details title, length, date of activity and successful completion of an exam) The maximum number of CEUs allowed increased to 56% of the total CEUs due Based on 2-year period (50 CEUs): Minimum = 0 Category D Individualized Options Videos/DVDs/Audiotapes/Multimedia receipt of purchase and independent verification (from an immediate supervisor that details title, length and date of activity) The maximum number of CEUs allowed is 27% of the total CEUs due Based on 3-year period (75 CEUs): Minimum = 0 Maximum = 20 Maximum = 28 12

13 II Athletic Training Program Information A. Introduction The Franklin College Athletic Training Program (AT Program) has been in existence since 1999 and is housed in the Department of Kinesiology. The major consists of 5 required classes in the pre-professional aspect, 13 in the professional aspect, 7 clinical experience classes, and 2 field/professional development experience classes. Students are strongly encouraged to also pursue a minor in fitness, biology, or psychology to enhance marketability. The AT Program is an accredited curriculum program through the Commission on Accreditation of Athletic Training Education (CAATE). The AT Program requirements are based on the NATA Role Delineation Study, CAATE requirements, and the athletic training competencies and integrative proficiencies established by the NATA Professional Education Committee. The AT Program is a progressive, student-based curriculum blend of academic preparation, practical application, and personal attention and is designed to prepare students for competitive health care careers. The clinically focused, competitive AT Program carefully leads students through incremental and sequenced classes designed to provide solid evidence-based knowledge combined with hands-on practical experience. Numerous clinical experience rotations complement course work throughout the three-year professional athletic training sequence and provide a solid professional development foundation. Diverse clinical settings in the Franklin, Greenwood, Columbus, and Indianapolis areas offer unique opportunities for educational advancement. Preceptors working with various male and female athletic teams on the Franklin College campus and in multiple diverse settings within the community supervise ATS s during clinical experiences. From the beginning, students complete competencies and integrative proficiencies that progress them through each clinical level and move them through the AT Program at a regulated pace. This ensures quality retention of knowledge and clinical skills in addition to academic success. Through the direct teaching, supervision, and dedication to excellence in academics of the Athletic Training Faculty and Staff, athletic training students learn to be independent in their clinical experiences and are prepared to become certified as athletic trainers or enter other healthcare fields. Along with competency completion, oral-practical examinations are given each semester to assist with evaluating the ATS s clinical progress. By the completion of the 6 th semester in the program, ATS s have integrated a wide assortment of professional skills into practice and clinical experiences in preparation for the BOC exam and as entry-level athletic trainers for the profession. B. Athletic Training Program Accreditation Status The Franklin College AT Program received initial CAAHEP (Commission on Accreditation of Allied Health Education Programs) accreditation in the fall of 2003 and is now a recognized accredited program through CAATE (Commission on Accreditation of Athletic Training Education). The program was re-accredited in October 2009, receiving a10 year accreditation status. The AT Program will go up for re-accreditation in spring C. Athletic Training Program Mission Statement The Franklin College AT Program is a four-year curriculum that purposefully leads each athletic training student through incremental and sequential classes that blend didactic and clinical experiences with an emphasis on learning over time. Through the integration of formal classroom knowledge and planned clinical experiences, our athletic training students will be prepared to provide quality health care in a variety of employment settings. Upon completion of the AT Program, our graduates will have the ability to think critically, problem solve, make ethical decisions, and assume professional responsibility. Our AT Program faculty and staff are committed to the preparation of highly qualified and skilled athletic trainers by providing personalized attention, excellence in learning, and acknowledging them as individuals throughout their education. D. Athletic Training Program Goals and Objectives A. To integrate the athletic training students didactic and clinical knowledge through a wide variety of clinical experiences and instructional techniques. Objectives 1. Expose athletic training students to health care clinical settings and professions in the classroom and as part of their clinical education. 2. Attend conferences related to the education of athletic training students. 3. Seek out faculty development opportunities. 4. Place athletic training students in supervised situations which put classroom theory into practice and encourage common sense, rational thinking and problem-solving skills. 13

14 5. Encourage athletic training students to develop good communication, organizational, and administrative skills in the athletic training setting. 6. Maintain high quality preceptors through continued communication, training, and personal interaction. B. To graduate the highest caliber athletic training student possible. Objectives 1. Advise all athletic training students effectively and thoroughly. 2. Provide a variety of athletic training clinical experiences to the students in the AT Program. 3. Have 25% of our AT Program students on the Dean s list each semester. 4. Receive positive feedback from the Employer surveys about our Alumni. 5. Maintain a low certified athletic trainer to athletic training student ratio. C. To place 100% of our graduates into the athletic training profession or other related health care occupations. Objectives 1. Provide the proper tools and resources to seek a job in the athletic training profession. 2. Provide opportunities to promote the profession of athletic training as a career and foster a positive attitude toward the profession. D. To maintain an 85% or higher 1 st time BOC passing rate. Objectives 1. Maintain an 85% or higher first time BOC passing rate for the students in our AT Program. 2. Perseverance and persistence of the athletic training faculty and staff with students when working on competencies and Clinical Integrative Proficiencies. E. To maintain a 10-year CAATE accreditation period. Objectives 1. Maintain proper documentation. 2. Ensure proper communication with all faculty and staff associated with the AT Program. 3. Stay abreast of current issues within athletic training education. 4. Follow the most current standards and guidelines when making decisions that affect the AT Program. 5. Regularly attend conferences related to the education of athletic training students. F. To continually stay abreast of current trends in the field of athletic training. Objectives 1. Regularly attend professional conferences, seminars, workshops, etc. 2. Fully utilize the professional development funds provided to faculty members. 3. Utilize a variety of guest speakers in our AT Program classes. 4. Stay abreast of current research findings. E. Advising AT Program advisors meet with athletic training majors minimally twice a year to discuss academics, future class scheduling, and career plans. Mid-term and final grades are closely monitored by AT Program advisors and faculty to catch academic problems early. Every attempt will be made to ensure success both in and out of the classroom for all athletic training students. Please refer to the clinical appendices for copies of the most recent 4-year plans for athletic training major. F. Class Scheduling The majority of clinical experience hours will be from 3-7 PM on weekdays. However, certain teams may practice earlier or later than this time. Once assigned to a clinical experience rotation, ATS will be able to meet with the respective preceptor to discuss the practice and competition schedules. ATS s should attempt to schedule classes around the 3-7 PM time frame as best able. If there is a class-practice conflict, this needs to be discussed with the respective preceptor or AT Program faculty member prior to classes beginning to ensure that a plan is established. ATS s are expected to perform clinical responsibilities as in any work setting. ATS s are expected to be: professional, dressed appropriately, on time, and performing duties and tasks as asked. Academics are a priority of the AT Program and ATS s are to anticipate upcoming assignments and plan accordingly. In the event than an ATS will not be able to fulfill a clinical assignment, the supervising preceptor must be notified as soon as possible. 14

15 G. Retention The Franklin College Athletic Training Student s academic success is of the utmost importance to all members of the Athletic Training Program. Academic achievement is directly tied to passing the BOC exam, being accepted into graduate programs, and achieving professional success. In order to help students achieve academic success and higher cumulative grade point averages (GPA), mid-term and final grades are reviewed by the student s individual academic advisor as well as the AT Program Director each semester. In addition, academic advisors and the AT Program Director communicate on a regular and consistent basis so as not to allow any AT Program students to struggle without notice. For those students who are struggling with their semester and/or overall GPA, the AT Program has implemented an Academic Achievement Program (AAP). To demand anything less than the highest quality of academic success from the program s athletic training students would be negligent of the AT Program faculty and staff. Academic Requirements for Successful Completion of the Athletic Training Major 1. A 2.75 (4.0 scale) cumulative GPA must be maintained. 2. A C+ or higher is required in all courses required by the Athletic Training Major. 3. Successful completion of all Clinical Experience rotations, on and off campus. Consequences for failure to meet the requirements 1. Each student within the AT Program must maintain a minimum 2.75 (4.0 scale) cumulative GPA to participate in clinical experience rotations. If a student s cumulative GPA falls below the 2.75 (4.0 scale) minimum, he/she will be placed on academic probation and required to stop participating in clinical experience rotations for one semester. Students will have one semester to improve his/her cumulative GPA to acceptable standards or will be dismissed from the AT Program. Once positive improvement has been demonstrated in the student s cumulative GPA, he/she will be eligible for reinstatement to the AT Program. The semester the student is reinstated to the AT Program he/she is required to be part of the Academic Achievement Program, regardless of cumulative GPA. 2. A grade of C+ or higher is required for all required courses within the athletic training major. If a student receives a C or below in a course required by the athletic training major, the course must be repeated and the student is placed on academic probation. The student will be removed from probation when he/she has successfully repeated the course with a C+ or higher. 3. All courses within the AT Program are sequential and are prerequisites for subsequent athletic training courses. Any student who must repeat any required athletic training course will fall behind in his/her coursework. Most required athletic training courses are only offered once a year so any course that must be repeated will put the student behind by one year and will thusly postpone graduation. The AT Program faculty and staff makes every effort to provide support and access to appropriate tutorial assistance to help all students restore good academic standing. The role of the preceptors includes not only instruction and supervision of the student, but also advising and supporting student academic success. 4. If a student is placed on probation a second time, either for low cumulative GPA or unacceptable course grades, the student will be automatically dismissed from the AT Program. If a student s cumulative GPA AND an athletic training course grade or grades are below the AT Program standards in the same semester, the student will be automatically dismissed from the AT Program without the possibility of reinstatement. 5. Junior and senior athletic training students meet with a preceptor minimally twice during each clinical experience rotation to discuss his/her personal evaluation. Sophomore athletic training student meet with their preceptor at the beginning and end of each rotation. The evaluation encompasses skills, techniques, proficiencies and behaviors appropriate to athletic training. The purpose of the evaluation is for the student to receive feedback from his/her preceptor and the preceptor to receive feedback from the student. Preceptors may request more frequent evaluations if they feel students are not performing adequately in the clinical portion of the major. If additional meetings are required, the student and preceptors will discuss the concerns and come to a mutual agreement on a plan for improvement. If inappropriate behavior persists, or an evaluation average falls below a 3 on a 1 to 5 scale, the AT Program Director reserves the right to place a student on probation from clinical experience rotations until the student can show progress towards improving skills, techniques, proficiencies and/or behavior. Consequences of this probation will be determined in each situation depending on the probation reasoning. 15

16 H. Academic resources for students within the AT Program (above and beyond resources available to all Franklin College students) Academic Achievement Program The AAP is a program specifically designed to help athletic training students who might be struggling with AT Program or other college classes. The program is designed to be an incentive to help students achieve a GPA suitable for graduate programs and to learn skills that are imperative for professional success. Optional participation in the AAP 2 nd semester sophomore, junior or senior AT Program students with a semester GPA of or higher Incoming sophomore AT Program students with a cumulative GPA of 3.0 or higher Required participation in the AAP 2 nd semester sophomore, junior or senior AT Program students who receive a semester GPA of below a 2.75 Incoming sophomore AT Program students with a cumulative GPA of Students who participate in AAP, either chosen or required, will participate in AAP for a full semester. The semester of participation will be the semester subsequent to the semester where grades did not meet the minimum requirement. At the end of each semester, all student grades will be reviewed by the AT Program director. At that time, students will either be notified of their involvement in AAP for the following semester or informed they no longer are required to participate. All students in the AAP are required to complete a minimum of 10 hours of studying per week (see AAP policy for further details). Athletic training students who are also student-athletes and are required to participate in an athletic study table may count the hours for both purposes. Failure to obtain 10 hours/week will be considered a minor violation and will be handled according to the AT Program violation policy. All missed hours must be made up the following week (i.e. if a student only completed 8 hours one week, 12 hours must be completed the following week). Additionally, all students in the AAP will be required to meet a pre-determined amount of times with a member of the AT Program faulty/staff to discuss time management skills, note taking techniques, grades, review and complete required paperwork, and to review overall semester achievement and study skills. During these meetings, students will be provided with paperwork to assist with their time management and academic organization. Rewards for students in the AT Program All athletic training students who earn a semester GPA of 3.5 or higher will be rewarded by the AT Program faculty and staff during the semester in which the 3.5 is received. Rewards vary by semester and will be determined on a semester to semester basis. I. Franklin College Athletic Training Club The purpose of the Athletic Training Club is for members of the Franklin College Athletic Training Program who are interested in the advancement of athletic training to meet to promote health and safety in athletics. The goals of FCAT are to: 1. Encourage attendance to state and district symposiums and conferences. 2. Provide opportunities for the educational growth of athletic training students. 3. Assist with building campus-wide knowledge and understanding of athletic training. 4. Perform fundraising efforts to help support the aforementioned objectives, as well as to help our club s continued growth and efforts. 5. Oversee an interactive buddy system in which members of the Franklin College Athletic Training Education Program become more integrated with the club and its functions, as well as improve relationships amongst its members. J. Iota Tau Alpha The purpose of Iota Tau Alpha (ITA) Athletic Training Education Honor Society is the promotion and encouragement of scholarly activity in athletic training and the recognition of outstanding achievement among students enrolled in athletic training programs. Juniors and seniors who excel in the AT Program are eligible to join ITA in the fall semester of their junior or senior year. Criteria are a 3.5 or higher cumulative GPA, junior status in the AT Program, and in good standing in the program. 16

17 K. Scholarship Opportunities 1. OrthoIndy Scholarship Each year Franklin College athletic training students have the opportunity to apply for two scholarships that are provided through the generosity of OrthoIndy. Students who receive one of these scholarships exhibit and exemplify the characteristics of a successful athletic trainer: professionalism, involvement, athletic training knowledge and skills, and a sincere interest in the profession. The top scholarship is worth $300 and the second scholarship is worth $200. The scholarship winners may use these monies in any form that relates to their education as an athletic training student or to advance their knowledge as an athletic trainer. Examples of how these monies can be used are: books for athletic training classes, attending related conferences, registration fees for the BOC exam, etc. Once the winners have been determined, students should submit receipts, etc. for reimbursement for any accrued expenses up to the allotted amount. Scholarship criteria are: 1. A member of the Franklin College Athletic Training Program for a minimum of 2 years 2. A cumulative GPA of 3.0 or higher 3. Current member of both the NATA and IATA Application requirements are: 1. Submitting a complete resume detailing involvement in on and off-campus athletic training events while at Franklin College (Ex - internships, conferences, volunteer work, observed surgeries, quiz bowl, etc.) 2. Submitting an essay discussing your strengths, weaknesses, athletic training goals, and reasons why you should receive a scholarship 3. Demonstrating a willingness to be a leader within the Athletic Training Program and to put forth extra effort to be an excellent athletic trainer 4. Demonstrating professionalism, responsibility, and a love of athletic training SCHOLARSHIP DEADLINE: December 31 st each year. 2. Other Scholarships Other scholarship opportunities for athletic training students are available through our state organization, Indiana Athletic Trainers Association (IATA) and our district organization, Great Lakes Athletic Training Association (GLATA). Visit the IATA website, and the GLATA website, for more information. Make sure to pay attention to the deadlines associated with each scholarship as they differ from one another. 17

18 III. Athletic Training Program Policies and Procedures A. Franklin College Athletic Training Program Code of Conduct An Athletic Training Student will: 1. Dress in a professional manner to effectively represent the AT Program in every aspect. 2. Exhibit courtesy and professionalism in all aspects while representing the AT Program. 3. Exhibit professionalism in the AT clinic, clinical settings (on and off campus), athletic venues, classroom, and other AT Program settings at all times. (ie - no sleeping or lounging on tables, cleanly shaved/groomed, acting professional, dressing professionally, etc.) 4. NOT fraternize with the student athletes in any aspect which is known to be in poor taste, will unethically represent the AT Program, or will result in the athletic training student not abiding by the institution s rules. 5. Respect and abide by the instructions and rules established by the athletic training staff. 6. Demonstrate honesty, integrity, and loyalty in all aspects of the AT Program. 7. NOT condone the unauthorized and/or non-therapeutic use of drugs and/or alcohol. It will be considered a violation of this code should an athletic training student be involved in any public embarrassment, violent incidents, or damage of property as a result of substance abuse. Punitive action from the AT Program Director will result. 8. NOT wear any part of his/her athletic training clothing or represent the AT Program in any fashion while partaking in extracurricular activities that are not supervised by the AT Program or athletic training staff. 9. NOT provide or accept academic work that is not his/her own. If a student is in violation of Franklin College policy, the student will be penalized and his/her status in the AT Program will be in jeopardy. 10. Demonstrate sound moral judgment in his/her academics and decisions directly involving the AT Program. 11. NOT remove any inventory from the athletic training facility for his/her own personal use without verbal consent of a member of the athletic training staff. B. Athletic Training Program Bloodborne Pathogen and Biohazard Control Policy As a result of potential exposure to blood and other infectious materials, it is the policy of the AT Program to give each student enrolled in the AT Program formal instruction in Universal Precautions, according to the recommendations from the Center for Disease Control. This formal instruction will be provided as part of the AT Program as well as each August during a training session. Each student in the AT Program is required to complete an on-line training session and successfully complete the associated quiz in order to participate in clinical experiences. Formal instruction in Universal Precautions includes: Disposal of needles and other sharp instruments; hand washing; cleaning, disinfecting, and sterilizing; cleaning and decontaminating blood spills; laundry; disposal of infectious waste; use of disposable gloves, masks, eye wear, and gowns; and resuscitation equipment. In addition, students admitted to the AT Program are required to show proof of receiving the Hepatitis B Vaccination series. The Hepatitis B Vaccine is 85-95% effective in preventing the Hepatitis B infection in those who receive all 3 vaccines. Those students who decline immunization must sign a Hepatitis B Immunization declination form annually. 1. Open Hemorrhaging Wound Care Procedures a. Apply latex gloves, inspecting for rips or holes. b. Place sterile gauze over wound, apply direct pressure, and elevate above heart level for 5-10 minutes. If bleeding does not stop within 5-10 minutes, refer the person to a physician or the ER for further treatment. c. Once the bleeding has stopped, cleanse the wound with soap and water using a circular outward pattern to remove debris and / or bacteria from the wound. d. Dry the wound and apply an adhesive to the outer edges. e. Apply wound closure strips perpendicular to the wound pulling the edges closely together. f. Apply a wound dressing on top of the wound. g. Secure the dressing to the wound. h. Wash work surface with a 10:1 water to bleach concentration or suitable manufacturer s solution. i. Remove latex gloves without touching contaminated glove surface. Dispose of all contaminated materials in a biohazard container. J Wash hands with soap and water for 30 seconds. 2. Biohazard Guidelines Strictly adhere to the guidelines and procedures for disposing bio hazardous waste materials. Bio hazardous waste receptacles and a sharp's box are located in the athletic training clinic. Latex (and non-latex) gloves are available for use. It 18

19 is strongly recommended that gloves are worn when evaluating or treating open wounds that may involve blood or other bodily fluids. 3. Disposal Guidelines Materials contaminated by blood, bodily fluids, exudate, or other infectious substances are to be disposed in the bio hazardous waste receptacles lined with red biohazard bags. These waste receptacles are located in the athletic training facility. The following items should be disposed of in the bio hazard waste receptacles: gauze, wound dressings, gloves or other materials that have been contaminated with bodily fluids. Scalpels, blades or other sharp objects contaminated with blood, bodily fluids, exudates, or other infectious substances should be disposed of in the sharp's box located in the athletic training clinic. Disposable scalpels are also available and should be disposed of in the sharp s box. Laundry that has been exposed to blood or bodily fluids, no matter how minimal, should be placed in a separate laundry bag and taken to the laundry room. It is strongly recommended that ear gloves are worn when handling this bag. Notify the team manager about the contaminated towels and instruct that they should be washed separately in HOT WATER. Notify the Head Athletic Trainer immediately when the bio hazard bag or sharp's container is full. Appropriate personnel at the physical plant will be notified to pick-up, transport and dispose of these materials. 4. Bloodborne Pathogen Exposure Protocol If an exposure to a bloodborne pathogen is thought to occur, proceed as follows: a) Contact the Certified Head Athletic Trainer (x8014) or security (x8888) as soon as possible but no longer than 24 hours after exposure. b) Document the exposure completely and thoroughly. Documentation should include the following: how, when and where the exposure occurred, whose blood or bodily fluid the student contacted, where the blood or bodily fluid contacted the student, and the date and time of exposure. c) Make an immediate appointment at Johnson Memorial Occupational Health Facility or ER for a follow-up. d) All lab results will be kept confidential, except as required by law. 5. OSHA Current Bloodborne Pathogen and Hepatitis B Training and Documentation Procedure: a) Annual Bloodborne Pathogen (BBP) training is provided to security staff, physical plant staff, and athletic training staff and students - the three groups identified as at risk for potential exposure to bloodborne pathogens using OSHA standards and classifications. b) Documentation of this training will be through the college s educational software and accessible only by the AT Program Director. c) The Hepatitis B vaccine is required for all athletic training students. Athletic Training Students are required to obtain the series before entering the Athletic Training Program. Documentation of the series will be kept in his/her health record in the health center. Anyone who declines the Hepatitis B vaccine series must sign a declination form annually, which will be filed in the student s health center file. C. Athletic Training Program Communicable Disease Policy Illnesses are common amongst college-aged students and are usually difficult to predict. While the Athletic Training faculty and staff want all athletic training students to remain healthy, we understand that illnesses do occur. The Athletic Training faculty and staff also recognize the importance of minimizing exposure to patients, other athletic training students, and everyone else you contact. As a result, the Athletic Training Program has adopted the following communicable disease policy for all Franklin College Athletic Training Program faculty, staff and students. If an athletic training student becomes ill (i.e. sinus infection, flu, common cold, conjunctivitis, etc.) and feels unable to attend class and/or a clinical experience rotation assignment, the student MUST contact the respective instructors of the classes missed and his/her assigned preceptor. Both should be completed prior to class and/or the respective rotation reporting time. Note it is at the discretion of the instructor if any assignments and/or tests missed during your absence may be made-up based on the policies in their syllabus. If an athletic training student is ill for more than two consecutive days, he/she must report to the campus Student Health Center or to another medical practitioner for full evaluation. The qualified medical professional will determine if your condition is potentially communicable and/or requires further treatment. Upon evaluation, the practitioner will decide on 19

20 the appropriate intervention and provide a written notification of the student s status and ability to participate in the required academic and clinical activities of the AT Program. If a Franklin College preceptor determines that you are ill, or believes you may spread the illness amongst the patients/coaches/faculty/staff or other athletic training students, the preceptor may require you to leave the facility and return when your symptoms have resolved. This may occur despite any deficiencies you have in your clinical assignments, competencies or CIP s. If this occurs, it is your responsibility to make-up the requirements you were unable to perform due to your illness. If the preceptor feels that an athletic training student has missed an extended amount of time due to the communicable disease policy, the student will be directed to contact the AT Program Director and/or the AT Program Clinical Education Coordinator. All students in the AT Program are required to attend annual OSHA/blood-borne pathogen training to assist in limiting exposure in health care settings. Athletic training students are expected to adhere to proper hand washing techniques, practice good hygiene at all times, and follow universal precautions when practicing in any health care setting. Please refer to the Communicable Disease list in the Clinical Appendices for further details. D. Federal Work-Study Policy for Athletic Training Students working with Athletic Teams Students participating in the AT Program, who are Federal Work-Study eligible, may use their work study funding performing non-educational related activities. Examples of non-educational related tasks are listed below. Tasks are not limited to this list - additional tasks may be assigned as needed or required. Clean sink area, counter, and island Straighten hydrocollator area, restock if needed Clean hydrocollators and wash hydrocollator covers Clean rehabilitation equipment Organize storage closet Clean out and wash gators, fill with gas Clean and organize modality carts, check amount and quality of therabands Organize back room (crutch area, etc.) and clean portable treatment tables Taking inventory Assisting with medical screenings Travel time (not game or practice time) to and from a competition with a Preceptor Work-study hours cannot count as clinical experience rotation hours nor can required clinical experience rotation hours count as work study hours. All work study hours must be scheduled through the work study coordinator (Chris Shaff). Work study time sheets must be approved and signed by the work study coordinator each month and submitted to the business office by the respective due date in the following month. Daily/weekly/monthly work study duties will be assigned to each level of work study student as determined by the Athletic Training Staff. Remedial level $7.25/hour Intermediate level $7.75/hour Advanced level $8.25/hour This is based on HEA Section 443(b) (2) and 34 CRF (h) of the Federal Regulations governing Title IV Campus Based funding. E. Outside Employment and Athletic Training Outside employment combined with athletic training responsibilities is very difficult. Athletic training requires many hours in the classroom as well as in the clinical setting. Preceptors and coaches depend on athletic training students to perform various duties when needed. Athletic training students are expected to make athletic training a priority. F. Preseason/Holiday/Postseason/Fall and Spring Break Requirements Students assigned to Preceptors overseeing clinical experience rotations with preseason, holiday, postseason or break 20

21 responsibilities may need to continue their rotations during these times. Athletic training students are required to speak to their Preceptors when clinical experience assignments are posted to become aware of necessary expectations/requirements. G. Dress Code The American Medical Association (AMA) recognizes Athletic Training as an Health Care profession. All athletic training students are expected to present themselves professionally by wearing professional attire and being neatly groomed when assigned and representing Franklin College. Appearance is a non-verbal communicator of your personal attitude. As a result, all athletic training students are expected to dress acceptably and accordingly and maintain appropriate personal hygiene when assigned to clinical experience rotations, assisting with practices and competitions, and attending professional seminars / conferences. During practices, attire should be worn that is comfortable, functional and appropriate and should not be torn, revealing, or inappropriate. Every athletic training student will be issued one collared shirt and one t-shirt at the beginning of each academic year. Additional apparel is available for purchase if desired. Franklin College issued attire is to be worn when participating in your clinical experience rotation, assisting with a practice or competition, or if assigned to the clinic until otherwise notified or as directed by the Head Athletic Trainer or Preceptor. Collared shirts are to be worn at both home and away athletic competitions unless otherwise directed by your Preceptor, the Head Athletic Trainer, or as dictated by the weather. Clinical experience rotations and the clinic are not the places to make a fashion statement. Articles of clothing with rips, tears, holes or other missing material are not allowed at any time. Earn the respect of others by dressing professionally. This will gain the trust and confidence of others and show that students take themselves and the profession seriously. Please refer to the following regulations when making decisions on your attire: Shirts (AT shirts are preferred) 1. Shirts must not expose the stomach, chest, or the AC joint. Tank tops will not be allowed. 2. FC athletic training collared shirts must be worn for all home and away competitions unless otherwise stated by the clinical instructor. 3. Athletic training students must wear FC athletic training, Franklin College or other Athletic Training themed shirts for practices. Dress, as dictated by the weather, should also be appropriate. Sweatshirts / Sweaters 1. FC athletic training and logo sweatshirts and / or sweaters may be worn as long as they DON T advertise a fraternity or sorority. 2. Personal sweatshirts and sweaters may be worn ONLY if they display sport-related logos or companies with a plain logo (i.e. Nike, Under Armour, etc). All others are PROHIBITED. Jackets / Parkas 1. FC jackets / parkas which DON T advertise a fraternity or sorority may be worn. 3. Personal jackets / parkas may be worn ONLY if they display sport-related logos or companies with a plain logo (i.e. Nike, Under Armour, etc). All others are PROHIBITED. Shorts / Pants 1. Appropriate and functional shorts / pants / wind pants may be worn for practices. 2. Only khaki shorts / pants may be worn for all home and away competitions. 3. If gym shorts are worn, they must be of professional length (mid-thigh) and without tights / underwear being visible underneath. 4. Warm up pants and sweats may be worn for practice coverage but cannot be warn for any competitions. Warm up pants can be worn at any time but sweats can only be worn outside for practices. They cannot be worn in the AT facility but can be changed into prior to going outside. All sweats must display an FC athletic training, sport-related, or plain (i.e. Nike, Under Armour, etc) logo on them. All others are PROHIBITED. 5. NO short-shorts will be allowed anything shorter than the extended fingers down the leg! 6. NO jeans, or cut offs will be allowed unless otherwise dictated. Shoes 1. Solid toe functional shoes with socks should be worn. 2. Sports sandals, flip flops, summer sandals, and open-toed shoes are NOT allowed. Hats / Visors 1. MAY NOT be worn in the athletic training facility or any indoor practice facility. 2. MAY NOT advertise a fraternity or sorority. 4. Are acceptable for outdoor practices and / or competitions but must be FC athletic training or Franklin College. All others are PROHIBITED. 21

22 Jewelry 1. Must be kept to a minimum and should not interfere with duties. 2. NO body or tongue piercing jewelry is allowed, other than standard earrings, if visible. Hair 1. Must be maintained so as not to touch an athlete or interfere while assisting an athlete. 2. Facial hair is allowed but must be maintained and well groomed. 3. Some sports may demand specific policies be followed as to facial hair. Please be aware of each sports requirement in this area. Game Day / Travel Attire (unless otherwise dictated) 1. Collared FC athletic training shirts for all outdoor competitions. Professional dress and attire or FC athletic training collared shirt for all indoor competitions. 2. Khaki pants or shorts, or other colors as designated, are permitted. 3. Travel attire will be specific to the sport assigned. 4. Dress clothes worn for travel / game day attire must look neat and professional. Crop / halter-tops, lowcut tops, form fitting / sheer tops, short hemlines, etc. are NOT acceptable. ** These regulations are subject to change under the discretion of the Head Athletic Trainer, Assistant Athletic Trainers, and/or the AT Program Director. H. Athletic Training Program Cell Phone Policy Cell phones do have a place, but the academic and clinical education setting is not one of them. During all athletic training classes, cell phones must be turned off. No ringing, vibrating, or text messaging is allowed. This includes the use of cell phones during an examination as this is a form of academic dishonesty. The professor reserves the right to confiscate any cell phones that are seen or heard during class. If confiscated, the cell phone will be returned at the professor s discretion. During clinical experiences, cell phones are to be used in emergency situations only and at the discretion of the supervising preceptors. Preceptors will review his/her cell phone policy at the beginning of each rotation. If used inappropriately or not in accordance to this policy, cell phones can be confiscated by the respective preceptor. Class grades, including clinical experience grades, will be affected for any student who violates this policy. Class grades, including clinical experience grades, will be affected for any student who violates this policy. Please note that this policy includes Blackberry s and other similar electronic devices. I. Social Media Policy and Confidentiality Statement This policy was developed so athletic training students understand the importance of confidentiality with regards to studentathletes / patients personal health information. Students must also understand how communication related to social media and electronic forms of communication ( , texting) should be handled, particularly as it relates to clinical education and patient information. All athletic training students are required to complete a confidentiality statement annually. This signed statement will become part of the athletic training students permanent file. Any release of confidential information will cause the athletic training student to be discharged immediately from the AT Program. 1. Students should avoid social media interaction (e.g., Facebook friends, Twitter followers) with current AT Program faculty, staff, and preceptors. Students may follow a coach s (for a sport/preceptor he/she is currently assigned to) Twitter account for team-related information. Twitter is not to be used for other communications with the coach, to share injury related information, or to make suggestions for injury care. 2. Students should avoid using social media/electronic forms of communication to discuss health-related issues with student-athletes or patients, particularly if the student is currently engaging in clinical education experiences that may result in interaction with that athlete or patient. This includes Facebook, Twitter, , and texting. (If the patient/athlete has a medical need, he/she should contact the ATC or the appropriate health care professional, not the student). 3. Students should avoid any social media/electronic forms of communication with any athletes or patients who are minors. This includes Facebook, Twitter, , and texting. 4. Students should avoid taking pictures or posting information about the patients they are providing care to, or patients other students are providing care to, on any social media. This includes Facebook, Twitter, , and texting. It is unprofessional and is a HIPAA violation. 5. Do NOT share any information regarding patient diagnosis, diagnostic imaging, injury related information, or suggestions for injury care, etc. to any form of social media. 6. No records are to leave the athletic training clinic. 7. Any questions or concerns from the media or other persons outside the athletic department must be directed to the Head Athletic Trainer or designated Assistant Athletic Trainer. 22

23 8. If medical records are needed for a case study, the athletic training student must complete a release form and have it approved by both the student-athlete and the Head Athletic Trainer. This form provides the athletic training student access to the medical records of only the athlete noted on the form. The records still may not be removed from the facility. I,, understand that any and all personal medical information heard, read or athletic training student name learned in any athletic training clinic; athletic facility; athletic training faculty or staff members office; athletic complex; and/or any athletic department; at Franklin College or at any other athletic or clinical setting, is confidential. No information may be divulged to anyone, in any form, except the person who owns the information; the faculty, staff, or administrators who have the need to know; and those individuals or agencies who fulfill the requirements under the Federal Educational Rights and Privacy Act of 1974 (FERPA) and the Health Insurance Portability and Accountability Act (HIPAA). If I release confidential information or discuss confidential information outside of the clinic, office, or department, in any form, or violate this policy in any way, I understand I will be immediately placed on probation or discharged from the Athletic Training Program. I have read the above statement and policy and agree to maintain the confidentiality of all information I have access to through this program and office. Please refer to the clinical appendices for the complete confidentiality form and statement. J. HIPAA Confidentiality Policy INTRODUCTION Franklin College s Athletic Training Department s information systems contain confidential information pertaining to student-athletes / patients, health care professionals, the department, and the Department of Athletics. These systems may include computer hard drives, removable media storage mediums, filing cabinets, and medical records. This information is a major asset to the Franklin College Athletic Training Department and is required by law to be protected. The use of information systems is shared by many individuals and imposes many obligations. A task of this Confidentiality / Security Agreement is to inform individuals who use these resources of their responsibilities and to secure their agreement to abide by the associated policies and procedures. I, Print Name I WILL: Only disclose information, verbally and in written form, to those authorized to receive it; Respect the privacy and rules governing the use of any information accessible through an information system or computer network and only utilize information necessary for performance of my job; Report any violation of confidentiality of computer usage policies; Respect the ownership of proprietary software; Respect the capability of the systems and limit my use so as not to interfere unreasonably with the activity of others Abide by all the procedures and policies established to manage the use of the system. I WILL NOT: Exhibit or divulge the contents of any record or report except to fulfill a work assignment; Attempt to access information by using a user identification code or password other than my own; Remove any records, reports, or copies from their storage location except in the performance of my duties; Release my user identification code or password to anyone or allow anyone to access or alter information under my identity; I will only make incidental person use of these resources; Use these resources to engage in illegal activities, or harass anyone; Allow unauthorized use of information maintained, stored or processed by the FC Athletic Training Department; See personal benefit of, or permit others to benefit personally by any confidential information or use of equipment available through my work assignment; Remove any documents from the FC Athletic Training Department, for any reason, without prior consent from the Head Athletic Trainer. 23

24 I UNDERSTAND: That the information accessed through all FC Athletic Training Department information systems contains sensitive and confidential patient, business, financial, and employee information; That I may access health information on myself, but must have specific authorization to access information on anyone else; That I am responsible for logging out of computer information systems and will not leave unattended a display device to which I have logged on; That all access to FC Athletic Training Department information systems will be monitored; That my user identification code and password are the equivalent of my signature and that I am accountable for all entries and actions recorded under them; That my obligation under this agreement will continue after termination of my employment and that my privileges are subject to review, revision, and renewal; That violators of this agreement will be denied access to information systems (electronic or otherwise), subject to disciplinary action (including termination) and may be subject to penalties under state law and federal laws and regulations. I AM FULLY AWARE: The FC Athletic Training Department purchases or licenses the use of copies of computer software from a variety of outside companies. The FC Athletic Training Department does not own the copyright to this software or its related documentation and, unless authorized by the software developer, does not have the right to reproduce it for use on more than one computer. With regard to the use on local area networks or on multiple machines, FC Athletic Training Department personnel shall use the software only in accordance with the license agreement. FC Athletic Training Department personnel learning of any misuse of software or related documentation within the department shall notify the Head Athletic Trainer and/or the Director of Athletics immediately. According to the US Copyright Law, illegal reproduction of software can be subjected to civil damages of as much as $100,000 per work copied and criminal penalties, including fines and imprisonment. FC Athletic Training personnel who knowingly make, acquire, or use unauthorized copies of computer software shall be disciplined as appropriate under the circumstances. Such discipline may include termination. The FC Athletic Training Department does not condone the illegal duplication of software. Of the software protection policies of the FC Athletic Training Department and agree to uphold those policies. By signing, I pledge that I have read, understand, and will comply with all Franklin College HIPAA policies as related to the Athletic Training Department. Print Name Signature Date of Birth Date Position K. Policy for 5 th year students 1. If a 5 th year athletic training student (ATS) has completed all degree requirements except for ATR 498 (due to research project) and ATR 499 (due to mock BOC exam), the ATS must complete paperwork by the required deadline to graduate in May. This will allow the ATS to walk with classmates in May during the actual graduation ceremony but the graduation certificate will have a graduation date of December 30 th of that particular year. 2. All other December graduates will complete their degree requirements in December and graduate and walk in the following May ceremonies. L. Therapeutic Equipment Policy The purpose of this policy is to safeguard the health of the patient. Furthermore, this policy is intended to ensure that athletic training students are competent in applying therapeutic modalities prior to using them with patients. This policy will primarily apply to athletic training students who have not yet completed ATR 347: Therapeutic Modalities. Students who have not yet completed ATR 347 are not allowed to work with, utilize or apply any therapeutic modality, even if directly supervised by a preceptor. 24

25 Students in ATR 347 complete the associated competencies and proficiencies as part of the course/lab requirements. Any athletic training student who has successfully completed Therapeutic Modalities should be able to show competence through a 5-10 minute clinical exam. a. Clinical competency will be demonstrated by the following: Being knowledgeable about the basic effects, indications, contraindications and safety precautions that apply to each therapeutic modality/agent. Being able to properly apply, integrate, and monitor a patient s use of the therapeutic modalities / agents. b. The student must arrange to complete the clinical competency exam with a preceptor. c. A file of completed clinical competency exams will be maintained in each student s clinical file. d. Athletic training students may NOT initiate patient s treatment plan without the supervision of a Preceptor. Athletic training students who have successfully completed the clinical competency exam will be permitted to apply the plan only after a Preceptor has approved it. e. Failure to comply with this policy will be considered professional misconduct and grounds for probation in the Athletic Training Program. All applicable therapeutic equipment will be inspected and calibrated on an annual basis as needed by an outside company. Maintenance will be done as warranted. The dates of inspection and calibration are noted on each piece of applicable therapeutic equipment. M. Athletic Training Program Violation Policy Failure to comply with the policies and procedures found in this manual, The Key (a publication of Franklin College), and local, state, and federal laws will result in various consequences based on the severity of the violation. First Time Minor Violation: Examples of minor violations include, but are not limited to, arriving late for clinical experience rotations, not adhering to the dress code, and inappropriate and/or excessive cell phone use. First time minor violations will result in a verbal warning from the supervising Preceptor or AT Program Director and will be documented on the AT Program Incident Tracking Form. Second Time Minor Violation: A second violation will result in a written warning provided to the student by the supervising Preceptor and a mandatory meeting with the AT Program Director. This violation will be recorded on the AT Program Incident Tracking Form and a copy of the written warning, along with notes from the meeting with the AT Program Director, will be placed in the student s clinical file. Third Time Minor Violation: A third violation will result in a meeting with the AT Program Director and removal of the student from his/her clinical experience rotation (duration to be determined). Additional penalties, which may include community service hours, will be added, if deemed necessary. Removal of a student from his/her clinical experience rotation will result in a deduction in his/her corresponding clinical experience course grade. If the grade deduction results in a C+ or lower for the clinical experience course, the student will be placed on academic probation (refer to Section II Retention). All documentation of the third violation will be placed in the student s clinical file and on the AT Program Incident Tracking Form. Violations are cumulative throughout the duration of an academic year. If repetitive violations are prevalent, they will be addressed on an individual basis and may result in the student being placed on probation or removed from the AT Program. Major Violations: Examples of major violations include, but are not limited to: written on-campus violations, on or offcampus arrests, and inappropriate use of the athletic training room or athletic training equipment. All major violations will be handled on an individual basis by the AT Program Director based on the severity of the violation and will be documented in the student s clinical file. Major violations may result in the student being placed on probation or removed from the AT Program. Violations may be reported to the appropriate Franklin College administrators and/or legal authorities if deemed necessary. N. Athletic Training Student Grievance Policy 1. Grievance Procedure The purpose of the student grievance system is to provide a channel for athletic training students' complaints about conflicts with other students, faculty, or staff in an appropriate manner. The environment of Franklin College will be the most 25

26 conducive for teaching and learning where interpersonal relationships between members of the college community are healthy and strong. Members of the community are encouraged, therefore, to address difficulties and resolve conflicts that arise between themselves directly and without delay. If the grievance is of a sexual nature, please refer to the Sexual Assault and Sexual Harassment policies of Franklin College. Academic Grievances If the athletic training student alleges a violation of the student rights in an academic manner, he/she may redress the allegations through the provisions of the Department or College appeal procedures. Athletic Grievances If the athletic training student protests a suspension by the Head Athletic Trainer or alleges any other violation of student rights, he/she should request a meeting with the Head Athletic Trainer. If the problem is not solved between the Head Athletic Trainer and the athletic training student, he/she may request a meeting with the AT Program Director. 2. General Appeal Procedure When charged with misconduct, an athletic training student shall have the right to: a) be given notice, in writing, of the specific charge(s) against him/her. b) a hearing. c) be given adequate time to prepare a defense of charges. d) refuse to testify or to answer any questions if his/her testimony or answers would tend to establish against him / her a violation of this code. e) be confronted with the evidence against him/her. f) present evidence on his/her behalf. g) be confronted by his/her accuser(s). h) have reasonable cross-examination of his/her accusers and of the witnesses appearing against him/her. i) have a copy of the proceedings provided at his/her own expense. j) have sanctions imposed that are commensurate with the violations charged. k) appeal decisions of the Coach, Head Athletic Trainer, or the Athletic Director. 3. Informal Grievance Procedure a) Members of the Athletic Training Program are encouraged to resolve conflicts by communicating directly with the person or persons with whom they have the conflict. An effort should be made to reach a resolution without the intervention of others. b) If a matter cannot be resolved by communication between parties involved, conversation should occur with the Athletic Training Program Director or another clinical staff member. The Program Director or clinical staff member can then take the appropriate steps to deal with the conflict. c) If a matter cannot be resolved by the above two options, mediation may be attempted. This is a process whereby a third party, trained in mediation intervention, will work with both parties to help them resolve his/her concerns. To explore this option, contact the Dean of Students. 4. Formal Grievance Procedure a) If, after making reasonable efforts to resolve a conflict directly with the other person or persons involved, an athletic training student concludes that such efforts will not result in successful resolution of the conflict, the student may file a formal grievance. b) If the grievance is academic in nature (involving faculty or events arising from teaching or advising), or with the Dean of Students, it shall be filed with the VPAA or Dean of the College. If the grievance is non-academic (involving staff members, other students, or any non-academic event), or is with the VPAA or Dean of the College, it shall be filed with the Dean of Students. The grievance should be in written form. The appropriate Dean or their designee will conduct a thorough investigation and a response will be made to the complainant. 26

27 IV Athletic Training Program Clinical Education A. Introduction to Clinical Education Develop ATS into well-rounded individuals through a combination of liberal arts education, professional preparation and clinical experiences that will further their ability to effectively compete, function and contribute as a professional and as a community member in a pluralistic society. Provide diverse and structured experiences Recognize individuality Foster self-confidence Reinforce clinical decision-making skills Foster leadership skills 1. Overview Athletic training students are encouraged to become an integral part of patient care in all clinical experience settings. He/she should become involved in all facets of the AT Program or delivery system and become familiar with the complex roles of an athletic trainer. These roles include functioning in a multi-disciplinary environment with a variety of health care professionals. The athletic training student should gain as much knowledge and experience as possible concerning injuries, conditions, patients, health care providers and administrative tasks in the different athletic training clinical experience settings. A variety of clinical experience rotations will be assigned during the clinical education program. Assignments will include individual and team sports, contact and non-contact sports, men's and women's sports, HS and other college sports, as well as off-campus clinical settings. Further, each student will be assigned to one clinical experience rotation with football. Clinical experience rotations are supervised by Preceptors in those settings and guided by the AT Program Director. The program director and clinical education coordinator delegate the clinical experience rotation assignments. 2. Clinical Experience Rotations Specific clinical experience rotations provide athletic training students with opportunities to practice and eventually integrate clinical proficiencies while working with patients. Franklin College Preceptors directly supervise athletic training students during these rotations. During this time, Preceptors guide students while integrating didactic and clinical knowledge in the prevention, care, treatment, evaluation, rehabilitation, and return of the patient to his/her respective sport. First year students in the professional phase of the Franklin College AT Program complete 3-week rotations through clinical experience rotation settings on and off campus. Five (5) 3-week clinical experience rotations are completed each fall and spring semester. During January term, athletic training students complete, three or four 1-week rotations at offcampus clinical experience rotation sites. For the January rotations, athletic training students can choose from a list of offcampus clinical sites they are interested in from the list of clinical experience sites associated with the Franklin College AT Program. Second and third year professional athletic training students complete three on/off campus clinical experience rotations each year. A variety of clinical education experiences that address the continuum of care that would prepare a student to function in a variety of settings with patients engaged in a range of activities that expose the and conditions that expose the student to situations commonly found in athletic training settings. Examples of clinical experiences will include, but are not limited to: individual and team sports; sports requiring protective equipment (e.g. helmet and shoulder pads); patients of different gender; non-sport patient populations (e.g. outpatient clinic, ER, primary care office, industrial, performing arts, military); a variety of conditions other than orthopaedics (e.g. primary care, internal medicine; dermatology). The last rotation, required by the AT Program, is a Professional Development Internship Experience. This is a semester long clinical experience rotation at an off-campus clinical site, performed during the summer, fall, winter or spring semester of a student s senior year. Students performing this experience are given the opportunity to integrate their skills and knowledge in a setting that further prepares the student for both the BOC exam and to work independently after graduation. The AT Program offers many clinical sites to choose from to meet all student needs. 27

28 3. Clinical Education Goals and Objectives The Franklin College AT Program includes formal didactic and clinical education components. Clinical education begins fall semester of the student s application year. Formal application is made in the spring semester with student enrollment in ATR 182: Clinical Experiences in Athletic Training I. Goals and objectives specific to the AT Program are: GOAL 1: Develop athletic training students (ATS) into well-rounded individuals through a combination of liberal arts education, professional preparation and service experiences that will further their ability to effectively compete, function and contribute as a professional and as a community member in a pluralistic society. Objective 1: Provide diverse and structured clinical education experiences that recognize individuality and foster self-confidence, critical thinking and leadership skills. Criterion: 1. The AT Program will promote increased exposure to meaningful experiential learning opportunities in a variety of settings. 2. Athletic training faculty and clinical staff will encourage students to connect theory with practice in all settings. 3. Athletic training faculty and clinical staff will be instructed upon and will use clinical teaching methods that consider different learning styles. 4. Athletic training faculty and clinical staff will promote regular use of written and verbal reflective practice 5. Athletic training faculty and clinical staff will provide students with frequent decision-making opportunities in all environments under guidance as well as independently. 6. Athletic training faculty and clinical staff will assess student proficiency during meaningful, experiential learning experiences as often as possible. GOAL 2: Facilitate socialization of students into the AT Program and professional communities through regularly scheduled orientation sessions as well as thoughtful educational programming. Objective 1: Educate and orient AT Program staff and faculty to program goals and role expectations in order that all parties consistently project the AT Program mission to all students and readily aid in student professional socialization. Criterion: 1. The Clinical Education Coordinator will schedule Preceptor training near the start of each academic year for new and returning AT Program Preceptors. 2. Preceptor training will include a variety of educational sessions related to the AT Program 3. On-campus clinical staff and faculty will meet monthly to discuss problems, recent program changes or initiatives as well as student progress or other necessary program items. Off campus Preceptors will be encouraged to attend 4. The AT Program director and/or CEC will remain in regular contact with all on and off-campus Preceptors. Objective 2: Orient new students into the program early by educating students about the goals and expectations of the professional preparation program. Criterion: 1. Prior to the start of each academic year, the Program Director will schedule a meeting with all professional athletic training students (ATS s) to review any changes in AT Program policies and procedures as well as necessary program items. 2. Prior to the start of each academic year, the Program Director will schedule a longer orientation session with newly admitted professional ATS s in order to review AT Pprogram information in-depth. 3. Students will be oriented to the roles and expectations within various clinical settings prior to assignment in the setting through written and verbal information (See Goal 2, Objective 3). 4. Program administrators will communicate regularly with AT Program students as a whole and individually through written, oral and web-based means to keep students abreast of current programmatic information. 5. Informational meetings will be scheduled throughout the academic year for interested candidacy students campus-wide to learn about the mission and goals of the program. 28

29 Objective 3: Provide students with various avenues for formal interaction with all members of FC clinical education community. Criterion 1. AT Program candidates and professional athletic training students (ATS s) will enroll in clinical education courses each semester (except fall semester of application year) in order to review clinical proficiencies under the guidance of a Preceptor. Students will have the opportunity to interact with various Preceptors throughout the tenure of the program. 2. AT Program candidates will accumulate a minimum of 50 observational hours in order to interact with program students, staff and faculty and practice specified beginning skills under guidance of these individuals (See ATR 182 course requirements). 3. AT Program professional ATS s will be assigned to a Preceptor throughout each phase of their clinical education in order for them to work with a variety of professionals, in various settings, throughout their tenure in the program. 4. Preceptors will arrange a formal one-on-one meeting with each assigned student prior to or within the first week of each new clinical experience rotation assignment. It is highly recommended that Preceptors consider designating 1 hour per week as a clinical office hour in order to meet with students. a. Preceptors will discuss student expectations and set student goals. (See Clinical Site Description and Student Clinical Experience Goals forms). b. Preceptors will make every effort to formally introduce the ATS s to coaches and other key participants relevant to the setting. c. Preceptors will meet with students to review student evaluations within one week following the completion of evaluation forms. Formal evaluations are scheduled as follows: 1) Sophomores: a) Every three weeks by Preceptors b) Mid-term & final evaluation by Athletic Training Faculty member 2) Juniors and Seniors: a) Mid-term and final evaluation with overseeing Preceptor 5. Professional ATS s will participate in the interview process of AT Program candidates. Objective 4: Provide students with various avenues for informal interactions with all members of FC clinical education community. Criterion: 1. AT Program candidates and newly admitted professional students will be provided with a mentor. a. Mentors will include current sophomore, junior, and senior students b. Each candidate will be assigned a mentor as deemed appropriate by the athletic training staff and faculty c. Mentors will arrange a minimum of one interaction per month with candidates ( buddies ) during the second semester and will provide brief documentation regarding the interaction. (See Buddy Interaction Form) d. Mentors will arrange a minimum of one interaction per month with newly admitted professional ATS ( buddies ) to facilitate socialization into the PROGRAM community. 1) Mentors will determine the mode and time of each monthly interaction with buddy. 2) Monthly buddy interaction forms will be due on the first of each month (following the interaction) to the Clinical Education Coordinator. e. The Clinical Education Coordinator will report to the AT Program Director as to the nature and success of monthly interactions. 2. AT Program administrators will schedule informal functions throughout the year to further the socialization initiative. a. Buddies will be instructed to follow-up with candidates to facilitate attendance b. An annual AT Program kick-off event will be arranged by the AT Program Director and/or Head ATC to welcome all professional ATS, clinical instructors and faculty back to the new academic year. 1) Buddies should follow-up with newly admitted professional students to facilitate attendance. c. One informal AT Program function will be arranged by the AT Director and or Head ATC at the end of the first semester. Objective 5: Provide students with opportunities to interact formally and informally with various healthcare professionals. 29

30 Criterion: 1. Sophomore professional athletic training students will interact with ATC s as well as other health care professionals through their on and off-campus clinical experience rotations. 2. All professional athletic training students will interact with the Franklin College team physician through off-campus clinical experience rotations, surgical cases, and during on-campus injury checks. 3. All professional athletic training students will be exposed to a variety of health-care professionals in the classroom as guest speakers, lecturers, and visiting professionals. 4. All professional athletic training students are required to complete a professional development internship experience as part of the AT major. Each student will be exposed to a variety of healthcare professionals depending on the site chosen. These experiences can be completed during any semester senior year or in the fall if going a ninth semester, as deemed by the student s schedule and desire. 4. Clinical Education Terminology/Definitions a. Able to intervene - Preceptor is in the immediate physical vicinity and interacts with the ATS regularly and consistently to provide direction and correct inappropriate actions. Same as being physically present. b. AT Program or Program - The Franklin College AT Program is an accredited curriculum program through CAATE. It is a six semester program with an elective admission process that includes formal didactic and clinical education components. Clinical education begins one semester prior to entry into the formal program with student enrollment in ATR 182: Clinical Experiences in Athletic Training I. c. AT Program Candidate - Students who plan to apply to the AT Program for entry into the program the following fall semester. Successful completion of required classes and other prerequisites are considered during the formal application process. d. AT Program Faculty and Staff - The AT Program faculty consists of 5 full-time certified athletic trainers, two whose primary responsibility is to teach athletic training classes and three who are primarily responsible for working with the Franklin College student athletes and athletic teams but also teach classes within the program. All five ATC s are also Preceptors for the AT Program and work with all AT Program candidates and professional athletic training students. e. Athletic Training Professional Student An athletic training/professional student (ATS) is a student who has been accepted into and is enrolled in a CAATE accredited entry-level athletic training education program who is participating in AT Program clinical education experiences. To differentiate from AT Program candidates, athletic training students may also be referred to as professional students. These professional students are preparing, through rigorous academic preparation, to become professionals who offer their athletic training services to the physically active population. It is required that all professional students complete all the required courses in the Athletic Training Major as well as the associated Clinical Integrate Proficiencies and clinical experiences. Completion of these requirements allows students to be eligible for the BOC examination. It is HIGHLY recommended that students are a member of the NATA for at least one year prior to taking the BOC exam. f. Clinical Education The application of athletic training knowledge, skills, and clinical abilities on an actual patient base that is evaluated and feedback provided by a preceptor. g. Clinical Education Coordinator (CEC) - An individual that the AT Program designates as having the primary responsibilities for coordination of the clinical experience activities associated with the AT Program. h. Clinical Education Experience - Clinical experiences provide an opportunity for integration of competencies, clinical integration proficiencies, and foundational behaviors within the context of direct patient care. Clinical experiences are those that involve patient care and the application of athletic training skills under the supervision of a qualified instructor. The primary settings for clinical experiences must include athletic training facilities, athletic practices, and competitive events with opportunities to work with both genders. i. Clinical Instructor Educator (CIE) - A Clinical Instructor Educator (CIE) is a Board of Certification, Inc. (BOC) Certified Athletic Trainer or physician (MD or DO) who attends the NATA CIE Seminar and is subsequently qualified to conduct a Preceptor training workshop. The CIE is expected to have a minimum of three years of work experience as an athletic trainer or physician. The CIE may or may not be the Director of the Athletic Training Education Program. The CIE assists in developing, implementing, and evaluating the clinical education program at the academic institution. This includes assisting in coordinating clinical experiences in accordance with the clinical education objectives of the Program and facilitating the development of the clinical education setting(s) and the Preceptors. 30

31 j. Clinical Integration Proficiencies - The entry-level athletic training clinical proficiencies define the common set of skills that entry-level athletic trainers should possess and redefine the structure of clinical education from a quantitative approach to an outcomes-based qualitative system. k. Clinical Setting - A clinical setting is a clinical environment where health care services are provided. The clinical setting shall include the athletic training facility, athletic practices, and competitive events. Students must complete clinical experiences in these settings for a minimum of one of the two academic years of clinical education under the supervision of a BOC Certified Athletic Trainer. The athletic training facility is considered to be a designated physical facility located within the sponsoring institution or within an acceptable affiliated clinical setting in which comprehensive athletic health care services are provided. Comprehensive health care services include practice and game preparation, injury/illness evaluation, first aid and emergency care, follow-up care, rehabilitation, and related services. Additional clinical experience settings may be utilized and may include sports medicine clinics, physical therapy sites, and/or rehabilitation clinics, college or university health centers, hospital emergency rooms, physician's offices, or other appropriate health care settings. The student must be supervised by an appropriate Preceptor in these settings. l. Communicable disease - A contagion that may be directly transmitted from person-to-person or by a person from an inert surface. m. Direct Supervision - Supervision of the AT student during clinical experiences. The Preceptor must be physically present and have the ability to intervene on behalf of the athletic training student and patient. n. Directed Observation Athletic Training Student - A student who may be present in an athletic training facility, but not necessarily enrolled in the athletic training major, who is required to observe the practices of a Certified Athletic Trainer. This student may not provide direct patient care. o. Educational Competencies - The educational content required of entry-level athletic training programs. These competencies should be used to develop the curriculum and educational experiences of students enrolled in CAATE-accredited entry-level athletic training education programs. p. Preceptor An appropriately credentialed professional identified and trained by the program CEC to provide instruction and evaluation of the Athletic Training Educational Competencies and/or Clinical Integration Proficiencies. The Preceptor may not be a current student within the AT Program. A Preceptor provides formal instruction and evaluation of clinical integration proficiencies in classroom, laboratory, and/or in clinical education experiences through direct supervision of athletic training students. q. Pre-professional student - A student who has not yet been admitted formally into the AT Program. May be also be considered a Directed Observation Athletic Training Student. r. Standards and Guidelines - The Standards are the minimum standards of quality used to accredit programs that prepare individuals to enter Athletic Training. The Standards constitute the minimum requirements to which an accredited program is held accountable. The Guidelines provide examples to assist in interpreting the Standards. 5. Athletic Training Competencies The Athletic Training Education Competencies provides Athletic Training Program (AT Program) personnel with the knowledge, skills, and clinical abilities to be mastered by students enrolled in an AT Program. Mastery of these Competencies provides the entry level athletic trainer with the capacity to provide athletic training services to patients of varying ages, lifestyles, and needs. The Commission on Accreditation of Athletic Training Education (CAATE) requires that the Competencies be instructed and evaluated in each accredited AT Program. The Competencies are the minimum requirements for a student s professional education. AT Program s are encouraged to exceed these minimums to provide their students with the highest quality education possible by employing innovative, student-centered teaching and learning methodologies to connect the classroom, laboratory and clinical settings whenever possible. Practicing concepts through clinical experiences and real life situations allows students to demonstrate decision-making and skill integration abilities. Clinical Integrated Proficiencies (CIPs) are designed to measure such real life application. Ideally, students should be assessed in their performance of CIPs on actual patients. If this is not possible, standardized/simulated patients or scenarios should be used to measure student proficiency. The foundational Behaviors of Professional Practice (Behaviors) comprise the application of common values in the athletic training profession and should permeate every aspect of professional practice. These Behaviors should be infused into every aspect of a students education in order to prepare them legally, culturally, ethically, and professionally. These Behaviors will either be demonstrated in the clinical setting by a Preceptor or in the classroom by educators. As a student progresses through the AT Program, he or she should apply these Behaviors during clinical experiences with patients he or she is working with while under the supervision of a Preceptor. The ultimate goal is to achieve these Behaviors after a student becomes certified as an athletic trainer and has been practicing for some time. 31

32 6. Clinical Integration Proficiency Evaluation A Franklin College Preceptor must evaluate all Clinical Integration Proficiencies (CIPs) in order to meet the requirements of the AT Program. Students will be asked to demonstrate the appropriate skills and answer questions associated with the respective Competency or CIP. When a student has successfully mastered the CIP, the CIP worksheet will be signed and dated by the evaluating Preceptor. It is the student s responsibility to complete CIP s so time management is essential. There will be many opportunities for students to demonstrate mastery of CIP s associated with each clinical class. ATS are encouraged to seek out as many learning opportunities as possible during these experiences. Mock opportunities will be available as needed but should NEVER replace opportunities that present themselves during clinical experiences. Remember clinical integration proficiency evaluation should ideally take place during a field or clinical experience rotation with an actual patient Failure to complete the required CIP s will put an ATS s course grade and status in the AT Program at risk. ATS s are encouraged to use time during clinical experience rotations wisely. It is at the Preceptor s discretion to say a student has waited too long. Student-athletes will be challenged even more since less time is available to complete CIP s. In the event CIP s are not completed, a failing grade will be assigned and the student s status in the AT Program will be jeopardized. Plan accordingly!! 7. Professional Portfolio Throughout 3 of the 6 professional clinical experience classes students will construct a portfolio as part of the class requirements. This portfolio is a summative assessment of a student s efforts and achievement designed to capture evidence of competence and learning using a purposeful collection of work. Further details regarding portfolio development and assessment will be discussed in class. Please refer to the clinical appendices for a complete copy of the professional portfolio rubric. B. Clinical Education Policies 1. Purpose Clinical experience rotations are an integral component of the AT Program curriculum. Book knowledge, information that the student learns in the classroom or laboratory, is important only if the student can apply that knowledge in a clinical setting. The purpose of the clinical experience portion of the AT Program is to allow the ATS to practice, apply, and integrate what they learn; that is to take the skills and knowledge from the classroom and use them in a real-world setting under the supervision of a credentialed Preceptor. While the purpose of the clinical setting is to allow the ATSs to integrate what they have learned in the classroom or laboratory, ATSs must NOT take the place of a credentialed professional by providing health care services in an unsupervised manner. The ATSs should use the clinical exposures to improve and perfect their skills and knowledge while learning decision-making skills in a supervised environment. A supervised environment is one in which there is "constant visual and auditory interaction" between the student and the Preceptor. Furthermore, ATS s are not to perform a skill or task for which they have not received formal instruction or for which they have not proven clinical competency. Only after formal instruction and proof of competency may an ATS perform a skill or technique in the clinical setting and always under the supervision of a Preceptor. Students will participate in clinical experience rotations for every semester in which the ATS is enrolled, in good standing, in the AT Program. Clinical experience rotations may encompass morning, afternoon, evening, and / or weekend time commitments on the part of the ATS. Some Preceptors may also request attendance over holiday and semester breaks; however, students are not obligated to participate in clinical experience rotations when school is not in session. If the opportunity presents itself for the ATS to continue with clinical experience rotations when school is not in session, it is up to the ATS to determine if he / she desires to take advantage of that opportunity. 2. Clinical Supervision Policy During clinical experience rotations, athletic training students will be assigned to a Preceptor who will provide direct supervision of the athletic training student. Direct supervision at Franklin College is defined as: Daily personal/verbal contact between the athletic training student and Preceptor, who plans, directs, advises, and evaluates the students athletic training clinical experience, at the supervision site. The Preceptor shall be physically present to intervene on behalf of the student-athlete or patient. 32

33 The Preceptor must be physically present and have the ability to intervene on behalf of the athletic training student and the patient. No athletic training student will be present at a clinical experience site without being directly supervised by a Preceptor. Preceptors will communicate daily with the athletic training student to provide verbal direct and indirect feedback on skills and daily tasks. Preceptors are charged with the formal evaluation of the athletic training student s integration of clinical proficiencies during clinical experience rotations. The Preceptor will meet twice with Junior and Senior level athletic training students to discuss mid-term and final clinical evaluations for each clinical experience rotation. Preceptors will also formally evaluate sophomore level athletic training students at the completion of the student s 3-week clinical rotation. The AT Program will provide regular communication with each Preceptor in order to maintain the quality of the student clinical experience rotations. The number of students assigned to a Preceptor will not exceed a ratio of eight students per Preceptor in each clinical experience setting. Although ATS s are expected to be supervised in the clinical settings at all times, there are times when direct supervision is not possible (i.e. the supervisor temporarily leaves). When an ATS is not under direct supervision (i.e. they are not under constant visual and auditory interaction) by a Preceptor, the ATS will act as a first responder. The role of a first responder is to provide first aid or emergency treatment to injured athletes or patients, NOT to provide athletic training services. 3. Clinical Experience Hour Policy Clinical Site Minimum Clinical Experience Hours Maximum Clinical Experience Hours Minimum Days off/week AT clinic rotation Clinical experience rotations Sophomores 6 hours/week or 24 hours/month Non-FB Rotations 10 hours/week or 30 hours/3-week rotation 10 hours/week or 40 hours/month 15 hours/week or 45 hours/3-week rotation 1/week 1/week Sophomores (cont.) Juniors and seniors FB Rotation 15 hours/week or 45 hours/3-week rotation 15 hours/week or 60 hours/month 20 hours/week or 60 hours/3-week rotation 100 hours/month 1/week Junior and Senior athletic training students Clinical experience rotations are not to exceed 100 clinical experience hours per month or go below a minimum of 60 hours/month, with the exception of an AT clinic rotation When completing season long clinical experience rotations students should discuss their schedule with the supervising Preceptor on a weekly basis to make any required modifications to be compliant with the clinical experience hour requirement Complete a daily hour sheet and obtain preceptor initial weekly for all clinical experience rotations Sophomore athletic training students Three-week clinical rotations are not to exceed 45 clinical experience hours per rotation, or go below a minimum of 30 hours per rotation, with the exception of an AT clinic rotation and FB clinical experience rotation Students completing the football clinical experience rotation will complete a minimum of 15 hours/week and a maximum of 20 hours per week, not to exceed 60 hours for the 3-week rotation Complete a daily hour sheet and obtain preceptor initial weekly for all clinical experience rotations 33

34 Notes If hour sheets are not signed within 4 days of the previous week, the clinical experience rotation hours for that week will not be accepted and will not count towards the minimum or maximum clinical experience hour amount. Minimum hours accrued could be dependent on weather-related or other events causing practices/competitions to be cancelled. If the cancellations cause a student to be unable to meet the minimum number of clinical hours, the minimum hour requirement will be dealt with on a case-by-case basis. C. Clinical Expectations and Responsibilities of the Athletic Training Student 1. Overview You have been selected into the AT Program as an athletic training student over numerous other students who had the same interest. You were chosen because of your potential for a successful career in athletic training. Among other qualities, you possess good intelligence, perseverance, dedication, communication skills and work ethic. However, all the other students in the AT Program have these same qualities so you must reach for excellence to distinguish yourself. You will be expected to perform at your best in the classroom, laboratory and clinical settings. You must strive for academic excellence in all your courses. The theoretical information that you gain from your classes will give you the foundation for your clinical expertise. You must continue to improve all aspects of your education to provide the best care to your patients. Your experience in the clinical setting should be treated as a class and job. You are expected to report on time and be prepared to assume your responsibilities as an athletic training student. You should be inquisitive and pose questions to your peers, Preceptors, and other health care providers. Supplement your education with additional reading in relevant journals and books. Take the initiative to perform your clinical duties to the best of your abilities. As you gain experience, assume a leadership role among your peers in the classroom, laboratory and clinical settings. Attempt to improve different areas of your athletic training skills every day. Now that you are admitted into the AT Program, you will be assigned to a Preceptor who has an athletic team assignment. Most team assignments will have a minimum of 2 athletic training students. Typically, one will be an upper level student and one will be a sophomore rotating through the various teams. We expect both students to work closely together, in conjunction with their respective Preceptor. Further, we expect the upper level student to share knowledge and experience with the rotating sophomore students. The purpose of the team assignment is to provide the student with clinical experiences in the comprehensive health care of an athletic team and with a variety of patients. This includes injury prevention, evaluation, rehabilitation, and administrative experiences. The student will make decisions concerning injury prevention, evaluation and care of injuries, and design and implement rehabilitation and reconditioning procedures while being supervised by a Preceptor. Each student should draw upon his/her educational and clinical experiences in performing these duties. Each Preceptor has his/her own expectations based on the nature of the clinical experience rotation assignment and level of student. A description of student expectations according to student level for each sport assignment is included. 2. Clinical Assignment Descriptions Below are clinical assignment descriptions for each clinical setting rotation on and off-campus. Each description is a fullydetailed explanation of what is expected for each rotation for each level of athletic training student. Please refer to these before rotating through each clinical experience and meeting with the respective Preceptor. 34

35 Clinical Assignment Description Football Preceptor: Chris Shaff, MA,, ATC, LAT Phone: (Chris) (Main line) Coach: Mike Leonard, ext Location: Faught Stadium Typical Practice Hours: varies Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, Certified Athletic Trainer in a NCAA Division III collegiate environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during clinical experiences. All Preceptors at Franklin College may formally instruct and/or evaluate athletic training student s competencies in clinical integration competencies during clinical experience opportunities. This clinical experience rotation assignment provides athletic training students experience with managing the day to day operations of an equipment intensive, male, collision sport. Primary Expectations* of Sophomore AT Program Students: 1. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, and other duties. 2. Assist with entering daily treatments on SportsWare. 3. Daily taping of position players as proficiency allows 4. Assist with basic treatments under supervision of the Preceptor and as proficiency allows. 5. Take initiative to evaluate injuries/illnesses on/off the field and make appropriate assessments. 6. Participate in pre-practice/game preparation and post-practice/game clean-up. 7. Assist with Sunday post-game treatments (1 week only). 8. Be aware of opportunities to travel with the team (limited basis) with the Preceptor. Primary Expectations* of Junior and Senior AT Program Students: 1. Arrive prior to practice and games to participate in pre-practice/game preparation, taping and other duties. 2. Communicate daily with the Preceptor regarding individual schedule and patient care. 3. Take responsibility for the daily management of assigned position players to the best of your ability prior to seeking assistance from the Preceptor. a. Take the initiative to evaluate injuries and illnesses on and off the field b. Take the initiative to set up treatment and rehabilitation protocols 4. Help update injury reports daily on SportsWare for position players. 5. Help maintain an appropriately stocked medical kit. 6. Be prepared on the field with basic first aid supplies and other necessary items in your fanny pack. 7. Be aware of opportunities to travel with the team and the Preceptor. 8. Be a role model for younger ATSs by being actively involved in their clinical education at all times. 9. Communicate with coaches regarding status of players as directed by the Preceptor. 10. Assist with Sunday post-game treatments as assigned. 11. Assist with treatments and rehabilitation as assigned by the Preceptor. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress professionally. a. Practices: Comply with FC dress code. b. Competitions: Khaki shorts / slacks and collared shirts should be worn unless otherwise directed by the Preceptor. 3. Arrive promptly at time designated by the Preceptor. a. Students are expected to participate in competition and practice clinical experiences. b. Competitions may include weekends and times may vary. 4. Remain alert at all times at practice and competitions. 5. Be prepared to implement Emergency Action Plan relative to location and complete designated role appropriately. 35

36 Clinical Assignment Description Volleyball Preceptor: Kelly Zimmerman, MS, ATC, LAT Phone: (main line) Coach: Mary Helak, ext Location: Spurlock Center Typical Practice Hours: varies Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in a NCAA Division III collegiate environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during clinical experiences. All Preceptors at Franklin College may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. This clinical experience rotation assignment provides athletic training students experience with managing the day to day operations of a female sport in which acute and chronic upper and lower extremity injuries are common. Primary Expectations* of Sophomore AT Program Students: 1. Arrive prior to practice and matches to participate in pre-practice/match preparation, taping, and other duties. 2. Assist with entering daily treatments on SportsWare. 3. Actively assist in taping players as proficiency allows 4. Take initiative to evaluate injuries/illnesses on/off the court and make appropriate assessments. 5. Assist with basic treatments such as stretching and icing under supervision of the Preceptor and as proficiency allows. 6. Participate in pre-practice/game preparation and post-practice/match clean-up. 7. Be aware of opportunities to travel with team on a limited basis with the Preceptor. 8. Communicate with the Preceptor regarding weekly schedule. Primary Expectations* of Junior and Senior AT Program Students: 1. Communicate daily with the Preceptor regarding individual schedule and patient care. 2. Update injury reports daily on SportsWare. 3. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, treatments and rehabilitation. 4. Take initiative to evaluate injuries/illnesses on and off the field and make appropriate independent assessments. 5. Develop and implement treatment and rehabilitation plans and goal setting. 6. Participate in rehabilitation sessions as directed by the Preceptor. 7. Maintain an appropriately stocked medical kit. 8. Be aware of opportunities to travel with team and the Preceptor. 9. Communicate with coaches and visiting team staff as directed by the Preceptor. 10. Be a role model for younger ATSs by being actively involved in their clinical education at all times. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress professionally a. Practices: Comply with FC dress code. b. Competitions: Dress pants and dress shirt or sweater (males); Conservative skirts/dress pants and dress shirt or sweater. Minimal dress: Khaki pants/slacks and collared shirts. 3. Arrive promptly at time designated by the Preceptor a. Students are expected to participate in both competition and practice clinical experience rotations. b. Competitions may include weekday evenings and weekends and times may vary. 4. Remain alert at all times at practice and competitions. 5. Be prepared to implement Emergency Action Plan relative to location and complete designated role appropriately. 36

37 Clinical Assignment Description - Men s Soccer Preceptor: Caroline Wesley, MS, ATC, LAT cwesley@franklincollege.edu Phone: (Main line) Coach: Shawn Mahoney, ext or 8594 Location: Elsey field and Faught Stadium Typical Practice Hours: varies Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in a NCAA Division III collegiate environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during clinical experience rotations. All Preceptors at Franklin College may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. This clinical experience rotation assignment provides athletic training students experience with managing the day to day operations of a male sport in which acute and chronic lower extremity injuries are common. Primary Expectations* of Sophomore AT Program Students: 1. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, and other duties. 2. Assist with entering daily treatments on SportsWare. 3. Actively assist in taping players as proficiency allows 4. Assist with basic treatments such as stretching and icing under supervision of the Preceptor and as proficiency allows. 5. Take initiative to evaluate injuries/illnesses on/off the field and make appropriate assessments. 6. Participate in pre-practice/game preparation and post-practice/game clean-up. 7. Be aware of opportunities to travel with team on a limited basis with the Preceptor. 8. Communicate with the Preceptor regarding the weekly schedule. Primary Expectations* of Junior and Senior AT Program Students: 1. Communicate daily with the Preceptor regarding individual schedule and patient care. 2. Update injury reports daily on SportsWare. 3. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, treatments and rehabilitation. 4. Take initiative to evaluate injuries/illnesses on and off the field and make appropriate independent assessments. 5. Develop and implement treatment and rehabilitation plans and goal setting. 6. Participate in rehabilitation sessions as directed by the Preceptor. 7. Maintain an appropriately stocked medical kit. 8. Be aware of opportunities to travel with the team and the Preceptor. 9. Communicate with coaches and visiting team staff as directed by the Preceptor. 10. Be a role model for younger ATSs by being actively involved in their clinical education at all times. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress Professionally a. Practices: Comply with FC dress code b. Competitions: Comply with FC dress code as coordinated by the Preceptor 3. Arrive promptly at time designated by the Preceptor. a. Students are expected to participate in both competition and practice clinical experience rotations. b. Competitions may include weekday evenings and weekend and times may vary. 4. Remain alert at all times at practices and competitions. 5. Be prepared to implement the Emergency Action Plan relative to location and complete designated role appropriately. 37

38 Clinical Assignment Description - Women s Soccer Preceptor: Krystal Brazel, MS, ATC, LAT kbrazel@franklincollege.edu Phone: (Main line) Coach: Justin Sullivan, ext Location: Elsey field and Faught Stadium Typical Practice Hours: varies Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in a NCAA Division III collegiate environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during clinical experience rotations. All Preceptors at Franklin College may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. This clinical experience rotation assignment provides athletic training students experience with managing the day to day operations of a female sport in which acute and chronic lower extremity injuries are common. Primary Expectations* of Sophomore AT Program Students: 1. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, and other duties. 2. Assist with entering daily treatments on SportsWare. 3. Actively assist in taping players as proficiency allows 4. Assist with basic treatments such as stretching and icing under supervision of the Preceptor and as proficiency allows. 5. Take initiative to evaluate injuries/illnesses on/off the field and make appropriate assessments. 6. Participate in pre-practice/game preparation and post-practice/game clean-up. 7. Be aware of opportunities to travel with team on a limited basis with the Preceptor. 8. Communicate with the Preceptor regarding weekly schedule. Primary Expectations* of Junior and Senior AT Program Students: 1. Communicate daily with the Preceptor regarding individual schedule and patient care. 2. Update injury reports daily on SportsWare. 3. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, treatments and rehabilitation. 4. Take initiative to evaluate injuries/illnesses on and off the field and make appropriate independent assessments. 5. Develop and implement treatment and rehabilitation plans and goal setting. 6. Participate in rehabilitation sessions as directed by the Preceptor. 7. Maintain an appropriately stocked medical kit. 8. Be aware of opportunities to travel with the team and the Preceptor. 9. Communicate with coaches and visiting team staff as directed by the Preceptor. 10. Be a role model for younger ATSs by being actively involved in their clinical education at all times. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress Professionally a. Practices: Comply with FC dress code b. Competitions: Comply with FC dress code as coordinated by the Preceptor 3. Arrive promptly at time designated by the Preceptor a. Students are expected to participate in both competition and practice clinical experience rotations. b. Competitions may include weekday evenings and weekend and times may vary. 4. Remain alert at all times at practices and competitions. 5. Be prepared to implement the Emergency Action Plan relative to location and complete designated role appropriately. 38

39 Clinical Assignment Description Men s and Women s Cross-Country Preceptor: Kelly Zimmerman, MS, ATC, LAT kzimmerman@franklincollege.edu Phone: (Main line) Coach: Paul Sargent, ext Location: Spurlock Center Typical Practice Hours: varies Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in a NCAA Division III collegiate environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during clinical experiences. All Preceptors at Franklin College may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. This clinical experience rotation assignment provides athletic training students experience with managing the day to day operations of a male and female sport in which chronic lower extremity injuries are common. Primary Expectations* of Sophomore AT Program Students: 1. Arrive prior to practice and meets to participate in pre-practice/meet preparation, taping, and other duties. 2. Assist with entering daily treatments on SportsWare. 3. Actively assist in taping players as proficiency allows 4. Assist with basic treatments such as stretching and icing under supervision of the Preceptor and as proficiency allows. 5. Take initiative to evaluate injuries/illnesses and make appropriate assessments. 6. Participate in pre-practice/game preparation and post-practice/meet clean-up. 7. Communicate with the Preceptor regarding weekly schedule. Primary Expectations* of Junior and Senior AT Program Students: 1. Communicate daily with the Preceptor regarding individual schedule and patient care. 2. Update injury reports daily on SportsWare. 3. Arrive prior to practice and meets to participate in pre-practice/meet preparation, taping, treatments and rehabilitation. 4. Take initiative to evaluate injuries/illnesses on and off the field and make appropriate independent assessments. 5. Develop and implement treatment and rehabilitation plans and goal setting. 6. Participate rehabilitation sessions as directed by the Preceptor. 7. Maintain an appropriately stocked medical kit. 8. Be aware of opportunities to travel with the team and the Preceptor. 9. Communicate with coaches and visiting team staff as directed by the Preceptor. 10. Be a role model for younger ATSs by being actively involved in their clinical education at all times. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress Professionally a. Practices: Comply with FC dress code b. Competitions: Comply with FC dress code as coordinated by the Preceptor 3. Arrive promptly at time designated by the Preceptor a. Students are expected to participate in both competition and practice clinical experience rotations. b. Competitions may include weekday evenings and weekend and times may vary. 4. Remain alert at all times at practices and competitions. 5. Be prepared to implement the Emergency Action Plan relative to location and complete designated role appropriately. 39

40 Clinical Assignment Description - Men s Basketball Preceptor: Caroline Wesley, MS, ATC, LAT cwesley@franklincollege.edu Phone: (Main line) Coaches: Kerry Prather, ext Location: Spurlock Center Typical Practice Hours: varies Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in a NCAA Division III collegiate environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during clinical experience rotations. All Preceptors at Franklin College may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. This clinical experience rotation assignment provides athletic training students experience with managing the day to day operations of a male sport in which acute and chronic upper and lower extremity injuries are common. Primary Expectations* of Sophomore AT Program Students: 1. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, and other duties. 2. Assist with entering daily treatments on SportsWare. 3. Actively assist in taping players as proficiency allows 4. Assist with basic treatments such as stretching and icing under supervision of the Preceptor and as proficiency allows. 5. Take initiative to evaluate injuries/illnesses on/off the court and make appropriate assessments. 6. Participate in pre-practice/game preparation and post-practice/game clean-up. 7. Communicate with the Preceptor regarding weekly schedule. Primary Expectations* of Junior and Senior AT Program Students: 1. Communicate daily with the Preceptor regarding individual schedule and patient care. 2. Update injury reports daily on SportsWare. 3. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, treatments and rehabilitation. 4. Take initiative to evaluate injuries/illnesses on/off the court and make appropriate independent assessments. 5. Develop and implement treatment and rehabilitation plans and goal setting. 6. Participate in rehabilitation sessions as directed by the Preceptor. 7. Maintain an appropriately stocked medical kit. 8. Be aware of opportunities to travel with the team and the Preceptor 9. Communicate with coaches and visiting team staff as directed by the Preceptor. 10. Be a role model for younger ATSs by being actively involved in their clinical education at all times. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress Professionally a. Practices: Comply with FC dress code b. Competitions: Comply with FC dress code as coordinated by the Preceptor 3. Arrive promptly at time designated by the Preceptor a. Students are expected to participate in both competition and practice clinical experience rotations. b. Competitions may include weekday evenings and weekend and times may vary. 4. Remain alert at all times at practices and competitions. 5. Be prepared to implement the Emergency Action Plan relative to location and complete designated role appropriately. 40

41 Clinical Assignment Description - Women s Basketball Preceptor: Kelly Zimmerman, MS, ATC, LAT kzimmerman@franklincollege.edu Phone: (Main line) Coach: Dana Haggenjos, ext Location: Spurlock Center Typical Practice Hours: varies Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in a NCAA Division III collegiate environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during clinical experience rotations. All Preceptors at Franklin College may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. This clinical experience rotation assignment provides athletic training students experience with managing the day to day operations of a female sport in which acute and chronic upper and lower extremity injuries are common. Primary Expectations* of Sophomore AT Program Students: 1. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, and other duties. 2. Assist with entering daily treatments on SportsWare. 3. Actively assist in taping players as proficiency allows 4. Assist with basic treatments such as stretching and icing under supervision of the Preceptor and as proficiency allows. 5. Take initiative to evaluate injuries/illnesses on/off the court and make appropriate assessments. 6. Participate in pre-practice/game preparation and post-practice/game clean-up. 7. Communicate with the Preceptor regarding weekly schedule. Primary Expectations* of Junior and Senior AT Program Students: 1. Communicate daily with the Preceptor regarding individual schedule and patient care. 2. Update injury reports daily on SportsWare. 3. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, treatments and rehabilitation. 4. Take initiative to evaluate injuries/illnesses on/off the court and make appropriate independent assessments. 5. Develop and implement treatment and rehabilitation plans and goal setting. 6. Participate in rehabilitation sessions as directed by the Preceptor. 7. Maintain an appropriately stocked medical kit. 8. Be aware of opportunities to travel with the team and the Preceptor. 9. Communicate with coaches and visiting team staff as directed by the Preceptor. 10. Be a role model for younger ATSs by being actively involved in their clinical education at all times. *Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress Professionally a. Practices: Comply with FC dress code b. Competitions: Comply with FC dress code as coordinated by the Preceptor 3. Arrive promptly at time designated by the Preceptor a. Students are expected to participate in both competition and practice clinical experience rotations. b. Competitions may include weekday evenings and weekend and times may vary. 4. Remain alert at all times at practices and competitions. 5. Be prepared to implement the Emergency Action Plan relative to location and complete designated role appropriately. 41

42 Clinical Assignment Description Men s and Women s Swimming Preceptor: Chris Shaff, MA, ATC, LAT cshaff@franklincollege.edu Phone: (Main line) Coach: Andrew Hendricks Location: Franklin Community Middle School Typical Practice Hours: 3:30-6:00 pm Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in a NCAA Division III collegiate environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact in the clinic. All Preceptors at Franklin College may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. This clinical experience rotation assignment provides athletic training students experience with managing the day to day operations of a male and female sport in which chronic upper extremity injuries are common. Primary Expectations* of Sophomore AT Program Students: 1. Arrive prior to practice and meets to participate in pre-practice/meet preparation, taping, and other duties. 2. Assist with entering daily treatments on SportsWare. 3. Assist with basic treatments such as stretching and icing under supervision of the Preceptor and as proficiency allows. 4. Take initiative to evaluate injuries/illnesses and make appropriate assessments. 5. Participate in pre-practice/meet preparation and post-practice/meet clean-up. 6. Communicate with the Preceptor regarding weekly schedule. Primary Expectations* of Junior and Senior AT Program Students: 1. Communicate daily with the Preceptor regarding individual schedule and patient care. 2. Update injury reports daily on SportsWare. 3. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, treatments and rehabilitation. 4. Take initiative to evaluate injuries/illnesses on and off the field and make appropriate independent assessments. 5. Develop and implement treatment and rehabilitation plans and goal setting. 6. Participate in rehabilitation sessions as directed by the Preceptor. 7. Maintain an appropriately stocked medical kit. 8. Be aware of opportunities to travel with the team and Preceptor. 9. Communicate with coaches and visiting team staff as directed by the Preceptor. 10. Be a role model for younger ATSs by being actively involved in their clinical education at all times. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress Professionally a. Practices: Comply with FC dress code b. Competitions: Comply with FC dress code as coordinated by the Preceptor 3. Arrive promptly at time designated by the Preceptor a. Students are expected to participate in both competition and practice clinical experience rotations. b. Competitions may include weekday evenings and weekend and times may vary. 4. Remain alert at all times at practices and competitions. 5. Be prepared to implement the Emergency Action Plan relative to location and complete designated role appropriately. 42

43 Clinical Assignment Description Men s and Women s Indoor Track and Field Preceptor: Kelly Zimmerman, MS ATC, LAT kzimmerman@franklincollege.edu Phone: (Main line) Coach: Paul Sargent, ext Location: Fitness Center Typical Practice Hours: varies Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in a NCAA Division III collegiate environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact in the clinic. All Preceptors at Franklin College may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. This clinical experience rotation assignment provides athletic training students experience with managing the day to day operations of a male and female sport in which chronic lower extremity injuries are common. Primary Expectations* of Sophomore AT Program Students: 1. Arrive prior to practice and meets to participate in pre-practice/meet preparation, taping, and other duties 2. Assist with entering daily treatments on SportsWare. 3. Actively assist in taping players as proficiency allows 4. Assist with basic treatments such as stretching and icing under supervision of the Preceptor and as proficiency allows. 5. Take initiative to evaluate injuries/illnesses and make appropriate assessments. 6. Participate in pre-practice/meet preparation and post-practice/meet clean-up. 7. Communicate with the Preceptor regarding weekly schedule. Primary Expectations* of Junior and Senior AT Program Students: 1. Communicate daily with the Preceptor regarding individual schedule and patient care. 2. Update injury reports daily on SportsWare. 3. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, treatments and rehabilitation. 4. Take initiative to evaluate injuries/illnesses on and off the field and make appropriate independent assessments. 5. Develop and implement treatment and rehabilitation plans and goal setting. 6. Participate in rehabilitation sessions as directed by the Preceptor. 7. Maintain an appropriately stocked medical kit. 8. Be aware of opportunities to travel with the team and Preceptor. 9. Communicate with coaches and visiting team staff as directed by the Preceptor. 10. Be a role model for younger ATSs by being actively involved in their clinical education at all times. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress Professionally a. Practices: Comply with FC dress code b. Competitions: Comply with FC dress code as coordinated by the Preceptor 3. Arrive promptly at time designated by the Preceptor a. Students are expected to participate in both competition and practice clinical experience rotations. b. Competitions may include weekday evenings and weekend and times may vary. 4. Remain alert at all times at practices and competitions. 5. Be prepared to implement the Emergency Action Plan relative to location and complete designated role appropriately. 43

44 Clinical Assignment Description Softball Preceptor: Caroline Wesley, MS, ATC, LAT Phone: (Main line) Coaches: Butch Zike, ext. TBD Location: Grizzly Park Typical Practice Hours: 3:30-6:00pm Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in a NCAA Division III collegiate environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during clinical experiences. All Preceptors at Franklin College may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. This clinical experience rotation assignment provides athletic training students experience with managing the day to day operations of a female sport in which chronic upper extremity injuries are common. Primary Expectations* of Sophomore AT Program Students: 1. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, and other duties 2. Assist with entering daily treatments on SportsWare. 3. Actively assist in taping players as proficiency allows 4. Assist with basic treatments such as stretching and icing under supervision of the Preceptor and as proficiency allows. 5. Take initiative to evaluate injuries/illnesses on/off the field and make appropriate assessments. 6. Participate in pre-practice/game preparation and post-practice/game clean-up. 7. Communicate with the Preceptor regarding weekly schedule. Primary Expectations* of Junior and Senior AT Program Students: 1. Communicate daily with the Preceptor regarding individual schedule and patient care. 2. Update injury reports daily on SportsWare. 3. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, treatments and rehabilitation. 4. Take initiative to evaluate injuries/illnesses on and off the field and make appropriate independent assessments. 5. Develop and implement treatment and rehabilitation plans and goal setting. 6. Participate in rehabilitation sessions as directed by the Preceptor. 7. Maintain an appropriately stocked medical kit. 8. Be aware of opportunities to travel with the team and Preceptor. 9. Communicate with coaches and visiting team staff as directed by the Preceptor. 10. Be a role model for younger ATSs by being actively involved in their clinical education at all times. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress Professionally a. Practices: Comply with FC dress code b. Competitions: Comply with FC dress code as coordinated by the Preceptor 3. Arrive promptly at time designated by the Preceptor a. Students are expected to participate in both competition and practice clinical experience rotations. b. Competitions may include weekday evenings and weekend and times may vary. 4. Remain alert at all times at practices and competitions. 5. Be prepared to implement the Emergency Action Plan relative to location and complete designated role appropriately. 44

45 Clinical Assignment Description Baseball Preceptor: Chris Shaff, MA, ATC, LAT Phone: (Chris) (Main line) Coaches: Lance Marshall, ext Typical Practice Hours: 3:30 6:00 PM Location: John P McDowell Mem. Field Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in a NCAA Division III collegiate environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during clinical experience rotations. All Preceptors at Franklin College may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. This clinical experience rotation assignment provides athletic training students experience with managing the day to day operations of a male sport in which chronic upper extremity injuries are common. Primary Expectations* of Sophomore AT Program Students: 1. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, and other duties. 2. Assist with entering daily treatments on SportsWare. 3. Actively assist in taping players as proficiency allows 4. Assist with basic treatments such as stretching and icing under supervision of the Preceptor and as proficiency allows. 5. Take initiative to evaluate injuries/illnesses on/off the field and make appropriate assessments. 6. Participate in pre-practice/game preparation and post-practice/game clean-up. 7. Communicate with the Preceptor regarding weekly schedule. Primary Expectations* of Junior and Senior AT Program Students: 1. Communicate daily with ACI regarding individual schedule and patient care. 2. Update injury reports daily on SportsWare. 3. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, treatments and rehabilitation. 4. Take initiative to evaluate injuries/illnesses on and off the field and make appropriate independent assessments. 5. Develop and implement treatment and rehabilitation plans and goal setting. 6. Participate in rehabilitation sessions as directed by the Preceptor. 7. Maintain an appropriately stocked medical kit. 8. Be aware of opportunities to travel with the team and Preceptor. 9. Communicate with coaches and visiting team staff as directed by the Preceptor. 10. Be a role model for younger ATSs by being actively involved in their clinical education at all times. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress Professionally a. Practices: Comply with FC dress code b. Competitions: Comply with FC dress code as coordinated by the Preceptor. 3. Arrive promptly at time designated by the Preceptor a. Students are expected to participate in both competition and practice clinical experience rotations. b. Competitions may include weekday evenings and weekend and times may vary. 4. Remain alert at all times at practices and competitions. 5. Be prepared to implement the Emergency Action Plan relative to location and complete designated role appropriately. 45

46 Clinical Assignment Description - Track & Field Preceptor: Kelly Zimmerman, MS, ATC, LAT kzimmerman@franklincollege.edu Phone: (Main line) Coaches: Paul Sargent, ext Location: Grizzly Park Typical Clinical Hours: 3:30 6:00 PM Practice Location: Franklin College Track/Field Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in a NCAA Division III collegiate environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during clinical experience rotations. All Preceptors at Franklin College may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. This clinical experience rotation assignment provides athletic training students experience with managing the day to day operations of a male and female sport in which chronic lower extremity injuries are common. Primary Expectations* of Sophomore AT Program Students: 1. Arrive prior to practice and meets to participate in pre-practice/meet preparation, taping, and other duties. 2. Assist with entering daily treatments on SportsWare. 3. Actively assist in taping players as proficiency allows 4. Assist with basic treatments such as stretching and icing under supervision of the Preceptor and as proficiency allows. 5. Take initiative to evaluate injuries/illnesses on/off the field and make appropriate assessments. 6. Participate in pre-practice/meet preparation and post-practice/meet clean-up. 7. Communicate with the Preceptor regarding weekly schedule. Primary Expectations* of Junior and Senior AT Program Students: 1. Communicate daily with the Preceptor regarding individual schedule and patient care. 2. Update injury reports daily on SportsWare. 3. Arrive prior to practice and meets to participate in pre-practice/meet preparation, taping, treatments and rehabilitation. 4. Take initiative to evaluate injuries/illnesses on and off the track and make appropriate independent assessments. 5. Develop and implement treatment and rehabilitation plans and goal setting. 6. Participate in rehabilitation sessions as directed by the Preceptor. 7. Maintain an appropriately stocked medical kit. 8. Be aware of opportunities to travel with the team and Preceptor. 9. Communicate with coaches and visiting team staff as directed by the Preceptor. 10. Be a role model for younger ATSs by being actively involved in their clinical education at all times. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress Professionally a. Practices: Comply with FC dress code b. Competitions: Comply with FC dress code as coordinated by the Preceptor 3. Arrive promptly at time designated by the Preceptor. a. Students are expected to participate in both competition and practice clinical experience rotations. b. Competitions may include weekday evenings and weekend and times may vary. 4. Remain alert at all times at practices and competitions. 5. Be prepared to implement the Emergency Action Plan relative to location and complete designated role appropriately. 46

47 Clinical Assignment Description - Women s Lacrosse Preceptor: Krystal Brazel, MS, ATC, LAT kbrazel@franklincollege.edu Phone: (Main line) Coach: Stephanie Eft Location: Elsey field and Faught Stadium Typical Practice Hours: varies Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in a NCAA Division III collegiate environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during clinical experience rotations. All Preceptors at Franklin College may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. This clinical experience rotation assignment provides athletic training students experience with managing the day to day operations of a female sport in which acute and chronic lower extremity injuries are common. Primary Expectations* of Sophomore AT Program Students: 1. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, and other duties. 2. Assist with entering daily treatments on SportsWare. 3. Actively assist in taping players as proficiency allows. 4. Assist with basic treatments such as stretching and icing under supervision of the Preceptor and as proficiency allows. 5. Take initiative to evaluate injuries/illnesses on/off the field and make appropriate assessments. 6. Participate in pre-practice/game preparation and post-practice/game clean-up. 7. Be aware of opportunities to travel with team on a limited basis with the Preceptor. 8. Communicate with the Preceptor regarding weekly schedule. Primary Expectations* of Junior and Senior AT Program Students: 1. Communicate daily with the Preceptor regarding individual schedule and patient care. 2. Update injury reports daily on SportsWare. 3. Arrive prior to practice and games to participate in pre-practice/game preparation, taping, treatments and rehabilitation. 4. Take initiative to evaluate injuries/illnesses on and off the field and make appropriate independent assessments. 5. Develop and implement treatment and rehabilitation plans and goal setting. 6. Participate in rehabilitation sessions as directed by the Preceptor. 7. Maintain an appropriately stocked medical kit. 8. Be aware of opportunities to travel with the team and the Preceptor. 9. Communicate with coaches and visiting team staff as directed by the Preceptor. 10. Be a role model for younger ATSs by being actively involved in their clinical education at all times. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress Professionally a. Practices: Comply with FC dress code b. Competitions: Comply with FC dress code as coordinated by the Preceptor 3. Arrive promptly at time designated by the Preceptor a. Students are expected to participate in both competition and practice clinical experience rotations. b. Competitions may include weekday evenings and weekend and times may vary. 4. Remain alert at all times at practices and competitions. 5. Be prepared to implement the Emergency Action Plan relative to location and complete designated role appropriately. 47

48 Clinical Assignment Description Athletic Training Clinic/General Rehabilitation Preceptors: Chris Shaff, Caroline Wesley, Kelly Zimmerman Kelly Zimmerman, Krystal Brazel Phone: (Chris); (Caroline); (317) (Kelly); (317) (Krystal) Location: Spurlock Center Clinic Typical Clinical Hours: varies Description: This athletic training clinical site is a Division III collegiate environment that provides students with direct interaction with state licensed, certified athletic trainers. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during this general rehabilitative clinical education rotation experience. In addition, the Preceptor may formally instruct and / or evaluate athletic training students in clinical integration competencies during these experiences. This clinical experience rotation assignment provides athletic training students with the opportunity to participate in shortterm and long-term treatment and rehabilitation programs and techniques under the direct supervision of a certified athletic trainer. Students will have the opportunity to follow physician-based protocols, as well as develop and implement appropriate, individualized treatment and rehabilitation plans and goals (juniors and seniors). Primary Expectations* of Sophomore AT Program Students: 1. Arrive promptly as designated by your Preceptor to participate in pre-practice/game preparation, taping, and other duties. 2. Assist with entering daily treatments on SportsWare. 3. Actively assist in taping players as proficiency allows. 4. Assist other athletic training students and your Preceptor with facility duties and team preparation. 5. Assist with basic treatments such as stretching, wrapping, and icing under supervision of your Preceptor and as proficiency allows. 6. Take initiative to evaluate injuries/illnesses and make appropriate assessments. 7. Assist team physician with note taking during on-site injury/illness evaluations. 8. Communicate with your Preceptor regarding weekly schedule. Primary Expectations* of Junior and Senior AT Program Students: 1. Communicate daily with your Preceptor regarding individual schedule and patient care. 2. Assist with updating injury reports daily on SportsWare. 3. Arrive promptly as designated by your Preceptor to participate in pre-practice/game preparation, taping, and treatments. 4. Assist with taping, wrapping, and implementing treatment and rehabilitation plans as proficiency allows. Seniors may be involved in treatment and rehabilitation planning and goal setting. 5. Take initiative to evaluate injuries and illnesses (all sports) as proficiency allows. Seek assistance as needed. 6. Assist other students and Preceptors with facility and administrative duties. 7. Be a role model for younger ATSs by being actively involved in their clinical education at all times. 8. Assist AT Program candidates with proficiency practice (spring semester). 9. Assist team physician with note taking during injury/illness evaluations. * Students may be expected to perform other duties as assigned by the Preceptors. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress professionally by complying with FC dress code (and as coordinated by your Preceptor). 3. Arrive promptly at time designated by your Preceptor. a. Students are expected to report as directed by your Preceptor. b. Clinical hours may vary according to weekly practice and clinic hours. 4. Remain alert at all times. 5. Be prepared to implement the Emergency Action Plan relative to location and complete designated role appropriately. 6. Communicate frequently with your Preceptor regarding daily duties and clinical education experiences. 48

49 Clinical Assignment Description - Franklin Community High School Franklin Community Middle School Preceptor: High School - Marcus Davis, ATC, LAT Preceptor: Middle School Kacey Bennett davism@franklinschools.org kbennett@johnsonmemorial.org Phone: Marcus: (cell) Phone: Kacey: (765) Location: Franklin Community High School, 2600 Cumberland Drive, Franklin, IN Franklin Community Middle School, 625 Grizzly Cub Drive, Franklin, IN Approximate Hours: 2:45 6:00 PM Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in traditional high school or middle school environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during clinical experience rotations. All Franklin College Preceptors may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. Potential clinical experiences at FCHS and FCMS include practices and/or competitions with the following sports: Football; Volleyball; Girls /Boys Soccer; Girls /Boys Cross Country; Girls /Boys Basketball; Wrestling; Girls /Boys Swimming; Baseball; Softball and Girls /Boys Track & Field. Primary Expectations* of Sophomore AT Program Students: 1. Assist with pre-practice taping and wrapping. 2. Assist Preceptor with practice/game day preparation. 3. Apply first aid and actively participate in basic treatments such as ice application and stretching as directed by the Preceptor and as proficiency allows. 4. Take initiative to evaluate injuries/illnesses and make appropriate assessments. 5. Obtain patient histories and assist in basic injury evaluations as proficiency level allows. 6. Assist with post-practice/ game clean-up. Primary Expectations* of Junior and Senior AT Program Students: 1. Assist with pre-practice/game taping and wrapping. 2. Assist with game day preparation. 3. Assist with injury evaluations and treatments as proficiency allows. 4. Assist patients with rehabilitation and functional return to sport activities as proficiency allows. 5. Assist with post-practice/ game clean-up. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress professionally by complying with FC dress code (and as coordinated by Preceptor). 3. Arrive promptly at time designated by the Preceptor a. Students are scheduled as directed by the Preceptor, but the Preceptor is cognizant of the students class schedule. b. Clinical experience hours may vary according to weekly practice and competition schedules. 4. Remain alert at all times. 5. Be prepared to implement the Emergency Action Plan relative to location and complete designated role appropriately. 6. Communicate frequently with the Preceptor regarding daily duties and clinical education experiences. Clinical Assignment Description Indian Creek High School Preceptor: Joe Gutzwiller, ATC, LAT Phone: (317) (main line)/ (803) (cell) Location: 803 West Indian Creek Drive, Trafalgar, IN gutzwillerj@aol.com Approximate Hours: 2:45 6:00 PM 49

50 Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, certified athletic trainer in traditional high school environment. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during clinical experience rotations. All Franklin College Preceptors may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. Potential clinical experiences at FCHS include practices and/or competitions with the following varsity sports: Football; Volleyball; Girls /Boys Soccer; Girls /Boys Cross Country; Girls /Boys Basketball; Wrestling; Girls /Boys Swimming; Baseball; Softball and Girls /Boys Track & Field. Expectations of students The expectations of students at this site are the same as the ones listed above for FCHS Clinical Assignment Description Butler University Preceptors: Ryan Galloy, MA,, ATC, LAT, CSCS rgalloy@butler.edu Lauren Mitchell, MS, ATC, LAT lsmitche@butler.edu Phone: (317) (o) - Ryan Location: Hinkle Fieldhouse (317) (cell) - Lauren Typical Practice Hours: 2:00-6:00 p.m Description: This athletic training clinical education assignment provides students with direct interaction with a state licensed, Certified Athletic Trainer in an NCAA Division I collegiate setting. A Butler University Preceptor will supervise students through constant, daily visual and auditory contact during clinical experience rotations. All Franklin College Preceptors may formally instruct and/or evaluate athletic training students in clinical integration competencies during clinical experience opportunities. Primary Expectations* of Junior or Senior AT Program Students: 1. Arrive prior to practice and games to participate in pre-practice/game preparation, taping and other duties. 2. Communicate daily with the Preceptor regarding individual schedule and patient care. 3. Take responsibility for the daily management of assigned patients to the best of your ability prior to seeking assistance from the Preceptor. a. Take the initiative to evaluate injuries and illnesses b. Take the initiative to set up treatment and rehabilitation protocols (seniors) 4. Help update injury reports daily for position players. 5. Help maintain an appropriately stocked medical kit. 6. Be prepared with basic first aid supplies and other necessary items in your fanny pack. 7. Be aware of opportunities to travel with the team and the Preceptor. 8. Communicate with coaches regarding status of players as directed by the Preceptor. 9. Assist with Sunday post-game treatments as assigned. 10. Assist with treatments and rehabilitation as assigned by the Preceptor. * Students may be expected to perform other duties as assigned by the Preceptor. While all duties are supervised by the Preceptor, advanced students are expected to take the initiative to perform duties more independently as permitted by their level of clinical proficiency. Expectations of All AT Program Students: 1. Act professionally by following the FC Code of Conduct. 2. Dress professionally. a. Practices: Comply with assigned dress code. b. Competitions: Khaki shorts / slacks and collared shirts should be worn unless otherwise directed by the Preceptor. 3. Arrive promptly at time designated by the Preceptor. a. Students are expected to participate in clinical experiences during competition and practice experiences. a. Competitions may include weekends and times may vary. 4. Remain alert at all times at practice and competitions. 5. Be prepared to implement Emergency Action Plan relative to location and complete designated role appropriately. 50

51 Clinical Assignment Description Select Physical Therapy Preceptor: Danielle Johnson Franklin Office Phone: (317) Location: 1130 West Jefferson Street, Franklin, IN Approximate Hours: 8-7 M-R; 8-4 F Description: This athletic training clinical education assignment provides students with the opportunity to observe short and long-term rehabilitation care at a physical therapy/ rehabilitation clinical setting. Students will be exposed to a variety of orthopaedicrelated injuries sustained by a wide variety of patients. In addition, students will learn about patient interaction, communication, and education as they observe physical therapists and physical therapy aides interacting with patients of a variety of age ranges and different genders. A Franklin College Preceptor will supervise students through constant, daily visual and auditory contact during this experience. Primary Expectations* of AT Program Students: 1. Students are expected to be active observers and learners. In order to do this students should: a. Communicate specific learning goals to the therapists b. Ask questions and demonstrate active interest in cases. c. Participate in duties and tasks as asked by professional. d. Remain alert at all times. 2. Demonstrate professional behavior at all times and follow the FC Code of Conduct. In order to do this students should: a. Keep non-professional conversation to a minimum. b. Respect patient confidentiality at all times. c. Maintain a positive, professional disposition. d. Do not use cell phone at any time during rotation, except in cases of emergency. e. Be prompt! 3. Dress professionally at all times. a. Dress slacks, conservative skirts, collared/button-down shirts or sweaters are recommended. b. No shirts or skirts that are too revealing (conservative is key). c. FC dress code may be followed as allowed by the Preceptor (no T-shirts!). 4. Take responsibility for assisting with the daily management of patients to the best of your ability prior to seeking assistance from the Preceptor. a. Take the initiative to evaluate injuries and illnesses b. Take the initiative to set up treatment and rehabilitation protocols (seniors) c. Help update injury reports daily for position players. 5. Be prepared to implement Emergency Action Plan relative to location and complete designated role. Policies, Procedures and other Important Information: 1. Students may be exposed to acute and chronic illnesses. 2. Students who have not been immunized against particular contagious diseases should make the Preceptor aware of this fact. 3. Clinical hours may vary according to weekly schedules. Students are expected to communicate any changes of schedule to both the supervising Preceptor and to the Clinical Education Coordinator. 5. Remain alert at all times. 6. Communicate frequently with the Preceptor regarding daily duties and clinical education experiences. Clinical Assignment Description Emergency Department Preceptors: Various physicians, PA s, nurses, and radiologists Phone: (317) Office Hours: as scheduled Preceptor: Kathy Remsburg/ER Physician Location: Johnson Memorial Hosp; 1125 West Jefferson Street; Franklin, IN Description: This athletic training clinical education assignment provides students with observational experience at an Emergency Department setting. Each student will observe healthcare personnel in a wide variety of specialties. Students will be exposed to many acute and chronic illnesses and injuries to all systems of the body. In addition, students will learn about 51

52 patient interaction, communication, and education as they observe physicians, nurses, PA s, and other health specialists interacting with patients of all age ranges. This clinical assignment provides athletic training students with direct exposure to managing a wide variety of medical conditions to populations of all ages and backgrounds. Primary Expectations* of AT Program Students: 1. Students are expected to be active observers and learners. In order to do this students should: 1. Communicate specific learning goals to the therapists 2. Ask questions and demonstrate active interest in cases. 3. Participate in duties and tasks as asked by professional. 4. Remain alert at all times. 2. Demonstrate professional behavior at all times and follow the FC Code of Conduct. In order to do this students should: a. Keep non-professional conversation to a minimum. b. Respect patient confidentiality at all times. c. Maintain a positive, professional disposition. d. Do not use cell phone at any time during rotation, except in cases of emergency. e. Be prompt! 3. Dress professionally at all times. a. Dress slacks, conservative skirts, collared/button-down shirts or sweaters are recommended. b. No shirts or skirts that are too revealing (conservative is key). c. FC dress code may be followed as allowed by the Preceptor (no T-shirts!). d. Wear a Franklin College ID at all times. 4. Take responsibility for assisting with the daily management of patients to the best of your ability prior to seeking assistance from the Preceptor. a. Take the initiative to evaluate injuries and illnesses b. Take the initiative to set up treatment and rehabilitation protocols (seniors) c. Help update injury reports daily for position players. 5. Be prepared to implement Emergency Action Plan relative to location and complete designated role. Policies, Procedures and other Important Information: 1. Students may be exposed to acute and chronic illnesses. 2. Students who have not been immunized against particular contagious diseases should make the Preceptor aware of this fact. 3. Clinical hours may vary according to weekly schedules. Students are expected to communicate any changes of schedule to both the supervising Preceptor and to the Clinical Education Coordinator. 4. Remain alert at all times. 5. Communicate frequently with the Preceptor regarding daily duties and clinical education experiences. Clinical Assignment Description HyPERFORMance Athletic Development Preceptors:Kevin Ahaus and Jeremy Swinford Phone: (317) Office Hours: as scheduled around classes and commitments ahaus@hyperformancead.com Location: The Gathering Place, 1495 West Main Street, Greenwood, IN Description: This athletic training clinical education assignment provides students with observational experience at a sports performance setting. Each student will observe sports performance trainers provide individualized training programs that improve an athlete s drive, athleticism, and confidence in a safe, fun and uplifting environment to a variety of clientele. Hyperformance athletic development has been created by sports training professionals; degreed in Physical Education with an emphasis on Sport and Fitness Studies. Primary Expectations* of AT Program Students: 1. Students are expected to be active observers and learners. In order to do this students should: 5. Communicate specific learning goals to the therapists 6. Ask questions and demonstrate active interest in cases. 7. Participate in duties and tasks as asked by professional. 8. Remain alert at all times. 52

53 2. Demonstrate professional behavior at all times and follow the FC Code of Conduct. In order to do this students should: a. Keep non-professional conversation to a minimum. b. Respect patient confidentiality at all times. c. Maintain a positive, professional disposition. d. Do not use cell phone at any time during rotation, except in cases of emergency. e. Be prompt! 3. Dress professionally at all times. a. Dress slacks, conservative skirts, collared/button-down shirts or sweaters are recommended. b. No shirts or skirts that are too revealing (conservative is key). c. FC dress code may be followed as allowed by the Preceptor (no T-shirts!). d. Wear a Franklin College ID at all times. 4. Take responsibility for assisting with the daily management of patients to the best of your ability prior to seeking assistance from the Preceptor. a. Take the initiative to evaluate injuries and illnesses b. Take the initiative to set up treatment and rehabilitation protocols (seniors) c. Help update injury reports daily for position players. 5. Be prepared to implement Emergency Action Plan relative to location and complete designated role. 6. Clinical hours may vary according to weekly schedules. Students are expected to communicate any changes of schedule to both the supervising Preceptor and to the Clinical Education Coordinator. 7. Remain alert at all times. 8. Communicate frequently with the Preceptor regarding daily duties and clinical education experiences. Clinical Assignment Description St. Thomas Clinic Preceptor: Dr, MaryBeth Hensley Phone: (317) Contact: Jane Beers stthomasclinic@aol.com Office Hours: as scheduled on evenings from 6:15pm 9:30pm Location: 600 Paul Hand Boulevard (housed in St. Thomas Episcopal Church), Franklin, IN Description: This athletic training clinical education assignment provides students with observational experience at a health care setting for non-insured patients. During this rotation students will be exposed to a variety of acute and chronic illnesses and injuries to all systems of the body. In addition, students will learn about patient interaction, communication, and education as they observe physicians, nurses, and other health specialists interacting with patients of all age ranges. This clinical assignment provides athletic training students with direct exposure to managing a wide variety of medical conditions to populations of all ages and backgrounds. Primary Expectations* of AT Program Students: 1. Students are expected to be active observers and learners. In order to do this students should: a. Communicate specific learning goals to the therapists b. Ask questions and demonstrate active interest in cases. c. Participate in duties and tasks as asked by professional. d. Remain alert at all times. 2. Demonstrate professional behavior at all times and follow the FC Code of Conduct. In order to do this students should: 1. Keep non-professional conversation to a minimum. 2. Respect patient confidentiality at all times. 3. Maintain a positive, professional disposition. 4. Do not use cell phone at any time during rotation, except in cases of emergency. 5. Be prompt! 3. Dress professionally at all times. 1. Dress slacks, conservative skirts, collared/button-down shirts or sweaters are recommended. 2. No shirts or skirts that are too revealing (conservative is key). 3. FC dress code may be followed as allowed by the Preceptor (no T-shirts!). 4. Wear a Franklin College ID at all times. 4. Take responsibility for assisting with the daily management of patients to the best of your ability prior to seeking assistance from the Preceptor. 5. Be prepared to implement Emergency Action Plan relative to location and complete designated role. 53

54 V Athletic Training Facility Policies and Procedures A. Athletic Training Facility The athletic training clinic is housed in Spurlock Center on the first floor, west wing. The athletic training clinic contains state-of-the-art modality equipment, an extensive collection of rehabilitation equipment, a variety of supplies for taping and protective pad fabrication, as well as a hydrotherapy area. The Franklin College Athletic Training Department is committed to providing the highest quality medical care to all of its collegiate student-athletes. With this commitment and the demands of the athletic training major, the athletic training student gains and acquires the clinical skills to successfully sit for the national BOC examination. B. General Athletic Training Policies 1. End of Day Cleaning a. Tables and stools are to be sprayed with Unicide, let sit for 5 minutes, then wipe clean with towel. b. Whirlpools are to be sprayed with Unicide and Supercleaner, let sit for 5 minutes, then wipe clean with towel and rinse out tubs. c. Pillow cases need changed. d. Laundry needs to be folded and put away, any laundry in the bin needs to be washed and then dried in the morning. e. Supplies tables need to be checked and restocked if necessary. f. All equipment and supplies need to be cleaned up and put in respective areas. g. If water bottles were use at practice they need to be cleaned and sanitized with Betadine, and the lids placed in a small bucket with water and Betadine. 2. Gator Rules a. Absolutely NO horseplay while driving or riding the gators. b. The gators are to be driven at a safe speed and manner at all times. c. The gators are to only be used for practices and games, unless otherwise specified by the AT staff. d. No driving on practice or game facilities, unless in an emergency. e. Absolutely no athletes are to ride in the gator, unless injured. f. A maximum of 2 ATCs or ATSs are allowed to ride at one time. g. Keep the gator clean and free of trash. h. Students will be in charge of putting away the gator after every use and returning the key to a member of the AT Staff after every use. i. Gas should be checked monthly. j. Head lights must be in use before dawn and after dusk. k. Strobe lights must be in use at all times when the vehicle is in use. l. Gators cannot be driven on the paved walkways on campus unless it is an emergency. m. Seatbelts must be worn at all times while riding the gators. n. Failure to follow these rules will result in lost privileges. 3. Modalities a. Authorized Users 1) All certified athletic trainers working for Franklin College. 2) Athletic Training students who have completed modalities class and have shown proficiency in performing modalities. b. Daily/Weekly Tasks 1) Skin is to be cleaned with alcohol before pads are applied (when using electrical stimulation, ultrasound, laser). 2) Hydrocollators are to be filled with water everyday. 3) Paraffin bath is cleaned as necessary. 4) Whirlpools are cleaned everyday/ or additionally during the day with disinfectant and stainless steal cleaner. Every time whirlpool is filled up Cholorozine is added. 5) Wipe down modalities when necessary. 4. Laundry Room a. Laundry needs to be administered when the yellow laundry bin is full or there are no more towels available for use. 54

55 1) How to do Laundry a) Put all materials into either washer. b) Make sure washed in hot water (White cycle). c) Push detergent button corresponding to either washer 1 or 2. d) Once washer has gone through cycle, remove materials and place into dryer. e) Press D on the dryer to dry the materials. f) Once the dryer is done, take materials out, put in yellow bin, bring into Athletic Training clinic to be folded and put in proper place. 2) Laundry keys are not to be given out to any student athlete for any reason. Braces should be put in mesh bag to be washed. (Directions should always be followed by mnfct.) 3) Make sure to check whether or not they can go in the dryer or air dry. 4) After clean laundry has been folded and put away, the laundry bin needs to be disinfected on a regular basis. 5. General Athletic Training Facility Expectations a. Athletic Training Facility Keys: A card access key will be checked out for the athletic training student to use and must be returned the following day unless other arrangements have been made. If an athletic training student accesses the ATR without permission, that students access privileges may be revoked. b. Athletic Training Facility Library: The library in the athletic training facility is there as a courtesy to the athletic training students, or other departmental students, to use for research, projects, papers, etc. The materials are either purchased through athletic training funds or donated by the athletic training staff. Please treat all the materials with respect and appreciate that there are other students, current and future, who would also like to have the capability of utilizing the library and its materials. If it is discovered that the library is being used inappropriately, during field rotation times, or during peak facility times, the student s privileges will be revoked. Athletic Training Students who wish to borrow journal, periodicals, books or materials from the library in the athletic training facility need to complete the required information on the official library registry. The materials can be checked out for a maximum of 7 days. When the materials are returned, the registry must be initialed and the materials should be placed in the red bin to be filed. c. Athletic Training Facility Computers: The computer in the Wellness Lab is the only computer that athletic training students are allowed to use unless the student has permission from one of the athletic training staff members to use their computer. The computers are to be used only at non-peak times or outside of field rotation requirements for personal purposes and/or research. If it is discovered that the computers are being used inappropriately, during field rotation times, or during peak facility times, the student s privileges will be revoked. d. Our Clinic is a place we should be proud of and ready to show to anyone who is visiting Franklin College at any time. The condition of our facilities directly reflects upon our athletic training staff and is part of being professional. C. Protective Equipment Protocol 1. All equipment will be kept in the closet in its appropriate container or space. 2. Before administering any equipment to an athlete, the athletic training student must obtain approval from a member of the athletic training staff. 3. When issuing equipment, the following information must be documented: Name and sport of the athlete Equipment name, size and type The date the equipment was issued Initials of the ATC / ATS 4. When equipment is returned, the following information must be completed: Date the equipment was returned on the same line the equipment was checked out Initials of the ATC / ATS who received the returned equipment 5. When equipment is returned, sign it in and take the appropriate steps to have it washed. 6. Any questions concerning equipment protocol should be directed to the Head Athletic Trainer or a member of the athletic training staff. 55

56 D. Therapeutic Equipment Policy 1. Policy The purpose of this policy is to safeguard the health of the patient. Furthermore, this policy is intended to ensure that athletic training students are competent in applying therapeutic modalities prior to using them with patients. This policy will primarily apply to athletic training students who have not yet completed ATR 347: Therapeutic Modalities. Students in this class complete the associated competencies and proficiencies as part of the course/lab requirements. Any athletic training student who has successfully completed Therapeutic Modalities should be able to show competence through a 5-10 minute clinical exam. f. Clinical competency will be demonstrated by the following: Being knowledgeable about the basic effects, indications, contraindications and safety precautions that apply to each therapeutic modality/agent. Being able to properly apply, integrate, and monitor a patient s use of the therapeutic modalities / agents. g. The student must arrange to complete the clinical competency exam with a preceptor. h. A file of completed clinical competency exams will be maintained in each student s clinical file. i. Athletic training students may NOT initiate patient s treatment plan without the supervision of a Preceptor. Athletic training students who have successfully completed the clinical competency exam will be permitted to apply the plan only after a Preceptor has approved it. j. Failure to comply with this policy will be considered professional misconduct and grounds for probation in the Athletic Training Program. 2. Daily/Weekly Tasks a. Skin is to be cleaned with alcohol before pads are applied (when using electrical stimulation, ultrasound, laser). b. Hydrocollators are to be filled with water every day. c. Paraffin bath is cleaned as necessary. d. Whirlpools are cleaned everyday/ or additionally during the day with disinfectant and stainless steel cleaner. Every time whirlpool is filled up Cholorozine is added. e. Wipe down modalities when necessary. E. Orthopedic and Sports Medicine Services Orthopedic and Sports Medicine services are provided to Franklin College by Orthopedics Indianapolis (OrthoIndy). The team orthopedic physician that provides his services specifically to Franklin College is Dr. Scott Gudeman. Dr. Gudeman has been providing orthopedic services to Franklin College since He specializes in the knee and shoulder. To schedule an appointment with Dr. Gudeman: Contact Monica or Danielle, at or For additional information about Dr. Gudeman and his staff, you can use the following link: For other specific injuries to other areas of the body, please refer to the list below: Ankle and foot Dr. Mihir Patel (OrthoIndy) Dr. Scott Benjamin (podiatrist) Hip and Pelvis Dr. Matthew Lavery (OI) Dr. Mark Dillela (OI) Dr. David Brokaw (OI) Dr. Thomas Trainer (OI) Spine Dr. Terry Trammell (OI) Dr. Joseph Riina (OI) Trunk, Spine, Hip, Pelvis Dr. Tony Origer, DC, ATC Performance Chiropractor Shoulder and Knee Dr. Scott Gudeman (OI) Hand, Wrist and Elbow Dr. Jeffery Whitaker (OI) Concussion Dr. Todd Arnold (St. V)

57 General medical conditions There is a physician on campus daily (refer to Student Health Center schedule) Dr. Thomas Lahr also provides coverage of some football events and is a general Physician Johnson Memorial Hospital Radiology When possible, we would like to refer student-athletes to the physicians at OrthoIndy, however, on occasion an athlete s insurance may not allow us to do this. If that is the case, we should make every attempt to have the athlete see an orthopedic physician that is covered within their primary insurance policy and within a close proximity of campus. 1. Services of Team Physician for the Franklin College Athletic Training Program The team physician shall provide competent direction and/or guidance to ensure that the medical components of the curriculum, both didactic and supervised clinical practice, meet current acceptable performance standards. He/she must also have an interest in the professional preparation of the athletic training student and should be willing to share his/her knowledge through ongoing informal discussion, clinics, and other in-service educational sessions. Specifically, the head team physician for the Athletic Training Program will provide the following athletic related services: Home and away football coverage Select men s and women home basketball games Coverage of tournaments or special events Minimum of one day per week on-campus injury check for the entire academic year Referral of surgical candidates to an orthopedic surgeon 2. The head team physician for the will also provide the following educational related services: Teach or assist in instructing assigned material and/or subjects as part of the Athletic Training Program Willingness to educate and present ideas and thoughts through on-going informal discussion during events, injury checks, classes, and in-services Include athletic training students in injury checks, clinical settings, and outreach settings Willingness to coordinate surgery observation opportunities for students in the Athletic Training Program with orthopedic surgeon. F. Practice and Game Setup 1. Men s and Women s Soccer Practice and Game Setup (Spine board located in restrooms) a. Practice Setup 10-gallon of water with 2 racks of water bottles Kit with bag of splints AED Cooler of ice with bags Biohazard bags b. Game Setup Visitors Bench 10-gallon of water with 1 sleeve of cups Biohazard kit Trash bag Cooler of ice with bags Home Bench 10-gallon of water with 2 racks of water bottles Supplies kit Biohazard kit Trash bag Splints AED Cooler of ice with bags 2. Football Practice and Game Setup (Spine board located in restroom for practices and on bench for games) a. Practice Setup Gator 4 water caddies 4-6 racks of water bottles 57

58 Supplies kit (small trunk) 6-8 white towels Splint bag AED Cooler of ice with bags Biohazard bags b. Game Setup Visitors Bench Three or four 10-gallon coolers or water One ice chest with bags 5 sleeves of cups Biohazard kit Home Bench Four to five 10-gallons coolers of water OR one hydration cart 6 racks of bottles Ice w/bags (filled completely) 2 water caddies Ice towels (if necessary) Travel trunk 2 medicine kits Doctor s table Splints Crutches AED Spurlock Center (Visitor s area) Two 10-gallon coolers of water 100 cups One ice chest with bags (filled completely) Hydrocollator w/ covers (plugged in by water fountain) Fitness Center (Grizzles Pre-Game/Half-time) Two - 10 gallon coolers of water 200 cups 10 gallons of PowerAde (half time use only hide) Towels for floor under each nozzle Officials Room Ice chest with various drinks (mix of 12 water/powerade s) and ice Towels (8-10) ATS Assignments for Game * All other ATS students will help with water and sideline care of athletes 1 st quarter w/preceptor 2 nd quarter w/preceptor 3 rd quarter w/preceptor 4 th quarter w/preceptor * 2 nd and 3 rd quarter ATS s will help Preceptor with team management in Fitness Center. Others will check and refill water for both sidelines. 3. Volleyball Practice and Game Setup 1. Practice Setup 10-gallon water cooler Small cooler of ice 1 rack of water bottles 2-3 towels Supplies Kit 2. Game Setup Home Bench 10-gallon water cooler Small cooler of ice with bags 58

59 2-3 towels Supplies Kit Visitors Bench 10-gallon water cooler 1 sleeve of cups Small cooler of ice with bags Home Locker Room 5-gallon water cooler 25 cups Visitors Locker Room 5-gallon water cooler 25 cups Officials Locker Room in back hallway on 2 nd floor of Spurlock Ice chest (small one) with a variety of bottled water/powerade Towels (one per official) 4. Men s and Women s Basketball Practice and Game Setup a. Practice Setup 5 gallon cooler of water (10 gallons if practices are back to back) Small towel to catch drips Box of tissues Supplies kit 2-3 big towels b. Game Setup (Men s) Visiting Bench 10 gallon cooler or water use newest PowerAde cooler Blood borne pathogen bin 5 bench towels Tissues ~100 cups (less if the team has water bottles) Ice Chest with bags and Flexi-wrap Biohazard kits Home Bench 10 gallon cooler or water(fill about ½ full) use newest PowerAde cooler Blood borne pathogen bin 5 bench towels (change out to clean ones at half time) Tissues ~20 cups 1 rack of water Bottles Ice Chest with bags and Flexi-wrap Medical kit at the end of the bench Visitor Locker Room 5 gallon cooler or water Sign on cooler Please fill up water bottles in the ATR ~25 cups Home Locker Room 5 gallon cooler or water 25 cups Officials in back hallway on 2 nd floor of Spurlock Small ice chest with iced bottled water/powerade Towels (one per official) Sign on cooler and ice chest Officials only please Game Setup (Women s) Visitor s Bench 10 gallon cooler of water use newest PowerAde cooler 59

60 Blood borne pathogen bin 5 bench towels Tissues ~100 cups (less if the team has water bottles) Ice Chest with bags and Flexi-wrap Home Bench 10 gallon cooler or water (fill about ½ full) use newest PowerAde cooler Blood borne pathogen bin 5 bench towels (put 5 fresh towels out at half-time) Kleenex ~20 cups Ice Chest with bags and Flexi-wrap Medical kit at the end of the bench Visitor Locker Room 10 gallon water cooler Sign on cooler Please fill up water bottles in the ATR* ~25 cups Home Locker Room NOTHING it is currently not used at half time Spurlock Room 226 (this is the half time location for the WBB team) 5 gallon water cooler about ½ full ~ 20 cups Tissues Officials in back hallway on 2 nd floor of Spurlock 5 gallon water cooler on rolling cart (place small older towel under spout to catch drips) ~ 10 cups Ice chest (small one) with a variety of beverages; usually 2 Cokes, 2 Sprites, and 2 Diet-Cokes Towels (one per official) Sign on cooler and ice chest Officials only please 5. Baseball Practice and Game Set-Up (Spine board located in Press box) a. Practice 10-gallon water cooler Small cooler of ice and bags 1 rack of water bottles 2-3 towels Supplies Kit Biohazard bags AED b. Game setup Home Dug-Out 10-gallon water cooler Small cooler of ice with bags 1 rack of water bottles 2-3 towels Supplies Kit AED Visitors Dug-Out 10-gallon water cooler 1 sleeve of cups Small cooler of ice with bags Biohazard kit 60

61 6. Softball Practice and Game Setup a. Practice Setup 10-gallon water cooler Small cooler of ice 1 rack of water bottles 2-3 towels Supplies Kit Biohazard bags Splints AED b. Game Setup Home Dug-Out 10-gallon water cooler Small cooler of ice with bags 1 rack of water bottles 2-3 towels Supplies Kit Splints AED Visitors Dug-Out 10-gallon water cooler 1 sleeve of cups Small cooler of ice with bags Biohazard kit 7. Women s Lacrosse Practice and Game Setup (Spine board located in restrooms) a. Practice Setup 10-gallon of water with 2 racks of water bottles Kit with bag of splints AED Cooler of ice with bags Biohazard bags b. Game Setup Visitors Bench 10-gallon of water with 1 sleeve of cups Biohazard kit Trash bag Cooler of ice with bags Home Bench 10-gallon of water with 2 racks of water bottles Supplies kit Biohazard kit Trash bag Splints AED Cooler of ice with bags 7. Practice and Game Coverage For all sports arrive 1 hour prior to practice time and 2 hours prior to games to prepare for setup, except for football arrive 4 hours prior to competition. G. Outside Sports Coverage and Weather 1. Lightning Policy a. The coaching and athletic training staffs are to check the weather reports each day before a scheduled practice or competition. b. The coaching and athletic training staffs are to be aware of the signs of nearby thunderstorm development. 61

62 c. When lightning and thunder activity are recognized in the local area, the coaching and athletic training staffs are to monitor the movement and distance of the lightning flashes. d. The athletic training staff is to use the SkyScan Lightning Storm Detector or Personal Lightning Detector to determine the distance of the lightning strike. e. If the lightning detector indicates that the lightning storm is less than 8 miles away, all outdoor intercollegiate activities must cease. All persons must immediately leave the athletic site and seek shelter. The locker room shower and plumbing facilities do not provide safe shelter and must not be used at this time due to the risk of electrical charge passing through the pipes. f. If the SkyScan Lightning Storm Detector is unavailable, use the flash to bang method to determine the distance to a lightning strike. Count the seconds between seeing the lightning flash and hearing the clap of thunder bang. Divide this number by five to determine how far away, in miles, the lightning is occurring. g. If the flash to bang interval is rapidly decreasing, and the storm is approaching your location, or if the flash to bang count approaches thirty (30) seconds, all outdoor intercollegiate activity must cease. All persons must immediately leave the athletic site and seek shelter. h. Stay away from tall or individual trees, lone objects (i.e. light or flag poles), metal objects (i.e. metal fences or bleachers), standing pools of water, and open fields. Avoid being the tallest object in a field. Do not take shelter under a single tall tree. i. A safe shelter is defined as: a. any sturdy building that has metal plumbing or wiring, or both, to electrically ground the structure, i.e., not a shed or a shack, and b. in the absence of a sturdy building as described above, any vehicle with a hard metal roof (i.e., not a convertible or golf cart) with the windows rolled up. j. Safe shelters and travel time are listed below: From Safe Shelter Travel Time 1) Faught Stadium Fitness Center 1 minute 2) Elsey Practice Fields Elsey Hall 1 minute Spurlock Center 2 minutes 3) Grizzly Park Tennis Courts Dietz Center 1 minute Spurlock Center 2 minutes 4) Grizzly Park Softball Field Dietz Center 5 minutes Spurlock Center 7 minutes 5) Grizzly Park Track and Field Dietz Center 6 minutes Spurlock Center 9 minutes 6) Grizzly Park Practice Fields Dietz Center 8 minutes Spurlock Center 10 minutes 7) Baseball Field Dietz Center 3 minutes Spurlock Center 4 minutes k. If there is no safe shelter within a reasonable distance, crouch in a thick grove of small trees surrounded by larger trees or in a dry ditch. Crouch with only your feet touching the ground and keeping your feet close together, wrap your arms around your knees and lower your head to minimize your body s surface area. Do not lie flat! Locate safe shelter as quickly as possible. l. If you feel your hair stand on end or your skin tingle or hear crackling noises, immediately crouch (as in No. 11) to minimize your body surface area. m. Allow 30 minutes to pass after the last sound of thunder or flash of lightning before resuming any intercollegiate athletic activity. n. Do not use the telephone unless there is an emergency. People have been struck by lightning and killed while using a land-line telephone. o. Lightning strike victims do not carry an electrical charge. CPR is safe for the responder and has been shown to be effective in reviving lightning strike victims. p. Pay much more attention to the lightning than to the rain. It need not be raining for lightning to strike; lightning can strike far from the rain shaft. Bennett, B.L. (1997). A Model Lightning Safety Policy for Athletics, Journal of Athletic Training. 32(3), pp College of William and Mary Lightning Safety Policy, in Bennett (1997). 2. Procedures for Extraordinary Environmental Conditions a. Heat Illness Coaches should encourage off-season aerobic conditioning to help athletes prepare for excessive heat. Coaches should be aware that appropriate clothing is required for the prevention of heat illness. 62

63 Clothing and protective gear interfere with the evaporation of sweat and overall heat loss; therefore, on hot days athletes should wear light colored t-shirts and shorts and wear minimal protective gear. Yearly comprehensive medical history and physical evaluations are performed on each athlete. The Athletic Training Staff will monitor heat and humidity on a daily basis to determine practice Zone High Moderate Low 65 (*F) Relative Humidity (%) HIGH DANGER Z ONE - Only fit and heat acclimatized athletes can participate, still use extreme caution. Practice modifications are necessary. MODERATE WARNING ZONE - Heat sensitive and un-acclimatized athletes may suffer, use caution during prolonged activity with multiple rest and water breaks. LOW SAFE ZONE - Little danger of heat stress. To identify heat stress conditions, regular measurements of environmental conditions are recommended. Members of the athletic training staff will take a reading using the Ti-Plus Heat Index Warning System or a sling psychrometer to measure the relative humidity and heat index to assess the potential impact of humidity, air temperature and solar radiation. The readings will be communicated to the head coach and proper practice modifications suggested if necessary. Fluid replacement must be readily available o Athletes should drink as much fluid as frequently as comfort allows o Athletes should drink fluid oz. 2-3 hours preceding practice/competition, 7-10 fluid ounces minutes prior to exercise and continue drinking at least 7-10 ounces every minutes of play. Carbonated drinks with caffeine should be discouraged. o After practice/competition every pound of weight lost will be replenished with one 20 ounce glass of fluid within 1-2 hours. o Body weight will be recorded before and after practice/competition to insure proper re-hydration for the following sports: Football Soccer Men s and Women s Volleyball Eating tips o Eat several small, carbohydrate-rich meals throughout the day. o Avoid meals high in fat or protein. o Use high-carb supplements with meals or as snacks. o Lightly salt foods or eat salty foods. Some athletes may be more susceptible to heat illness o Over weight individuals closely monitor progress. o Individuals with a history of heat illness. o Athletes with a history of asthma. o Athletes who are inadequately re-hydrated. 63

64 o Athletes inadequately acclimatized or not aerobically fit. o Athletes who are on prescription or over the counter drugs. Dehydration signs and symptoms o Thirst o Irritability o Headache o Weakness o Dizziness o Cramps o Chills o Nausea o Decrease in performance H. Franklin College Emergency Action Plans 1. Individual Roles In establishing a comprehensive emergency action plan, each individual within the department has certain responsibilities to ensure the plan works as developed. a. CERTIFIED ATHLETIC TRAINER Primary care and first aid for the injured athlete. Must be certified in cardiopulmonary resuscitation (CPR). Takes supervision role over the implementation and operation of the emergency action plan. Has updated and accessible emergency information for athletes and for the college. Has established communication lines with on-site EMS (when available) and will summon them on to the competition site. Responsible for finding an individual from the coaching / athletic training staff to accompany the individual, as a professional courtesy, to the hospital. Will contact the head athletic trainer and team physician as soon as possible in an emergency situation. a. HEAD ATHLETIC TRAINER In addition to filling the role of the certified athletic trainer, will contact the athletics director regarding emergency and other situations as deemed necessary. Is responsible for arranging EMS and/or M.D. coverage of events at the college. b. TEAM PHYSICIAN Provide advanced medical aid for the injured athlete. Takes command from a certified athletic trainer or nurse practitioner in an emergency situation when deemed necessary. c. NURSE PRACTITIONER Provide advance medical aid for the injured athlete. d. SECURITY OFFICER Provide emergency communication to a designated local ambulance service. Escort the emergency vehicle on and off campus. Provide crowd control when necessary. e. EMERGENCY MEDICAL SERVICES Provide advanced medical care and transportation to a medical facility determined by the certified athletic trainer. Must be certified in cardiopulmonary resuscitation (CPR). Immediately available for high-risk events (i.e. home football games), on-call for other events and activities. f. TEAM COACHES Must have first aid and cardiopulmonary resuscitation (CPR) training or the equivalent as preparation for handling athletic emergencies in the absence of a certified athletic trainer. Understand and be competent in the implementation and operation of the emergency action plan. Takes a supervisory role when a certified athletic trainer or a student athletic trainer is not present. Responsible for contacting the athletic trainer responsible for that team and the teams head coach. g. STRENGTH AND CONDITIONING COACHES Must have first aid and cardiopulmonary resuscitation (CPR) training or the equivalent as preparation for handling athletic emergencies in the absence of a certified athletic trainer. Understand and be competent in the implementation and operation of the emergency action plan. Takes a supervisory role when a certified athletic trainer is not present. Responsible for contacting the athletic trainer responsible for that team and the teams head coach. h. ATHLETIC DIRECTOR Must be made aware of all emergency and serious situations within the athletics department. Consult with the President and sports information director about an athletics department statement regarding the incident. All public statements will be approved in advance by the athletic director. 64

65 i. SPORTS INFORMATION DIRECTOR Responsible for release of a prepared statement to appropriate outlets. 2. Emergency Action Plan Chain of Command a. Chain of command in an emergency situation 1) If a member of the athletic training staff or medical staff is present, that person will take command of the situation. 2) The coach is to be available to assist the medical staff as needed. 3) If there is no athletic training staff or medical staff available the head coach shall take command of the situation. b. Notifying Emergency Medical Services 1) A second member of the athletic training staff (certified or student member) is to call Security. This role may also be filled by either an assistant coach or a student athlete. Emergency Telephone Protocol a) Stay calm b) Dial 8888 from an on campus phone (Security), or from an off campus phone or pay phone (EMS). c) Provide the operator with: Caller s name and title Nature of injury / situation Exact location of the injured person / situation (be very specific) DO NOT HANG UP until instructed by the operator to do so. 2) The same individual who notified Security will meet the ambulance at the pre-determined location. 3) Security will notify the local ambulance service and escort EMS from the campus entrance to the location of the emergency. 3. Nearest phone/location of each facility and EMS entry point: Spurlock Center (volleyball, basketball, various outdoor athletics) Nearest phone: During all practices and competitions there is a telephone available in the athletic training room. There is a telephone available in the downstairs lobby in the Spurlock Center. Exact location: Located at the southeast corner of campus. Closest intersection is Forsythe Street and Grizzly Drive. Specific point of entry: Southwest doors off of Grizzly Drive. Faught stadium: (football and soccer practices/games) Nearest phone: located in the Von Boll press box during, football games only. Exact location: Grizzly Drive, south side of the street Specific point of entry: Ambulance should enter through the parking lot between the football field and the physical plant. The ambulance can then enter the field through the gate south of the concession stand. *** Ambulance is on-site at all home varsity/jv football games. Elsey Field (occasional football and soccer practices) Nearest phone: Phones located in the Dietz Center and Elsey Hall. Exact location: Field is east of Elsey Hall and the Dietz Center dormitories. Specific point of entry: Ambulance should enter by baseball field off of South Middleton Road and enter at north side of baseball field along the center and left field fence and proceed to Elsey Field from there. John P. McDowell Memorial Field: (baseball practices and games) Nearest phone: Press box. Exact location: East of Elsey and Dietz dormitories and Elsey Field. Specific point of entry: Ambulance should enter baseball field off of South Middleton Road and enter at north side of baseball field along the center and left field fence and proceed to Home team dugout along 3 rd base line. Grizzly Park: (Tennis, softball, track and field, football/soccer practice fields) Nearest phone: Tennis Dietz Center; Softball/Track and Field Softball press box 65

66 Exact location: located inside the front lobby of Dietz Center; second floor of softball press box Specific point of entry: Off of Greensburg Road just to the EAST of the American Legion entrance. Fitness Center: (baseball, softball, track and field practices) Nearest phone: located inside the Fitness Center, near East doors. Exact location: located on the northeast corner of Grizzly Drive and State Street. Specific point of entry: East doors (facing Spurlock Center). Weight room Nearest phone: phone in the weight room. Exact location: Spurlock Center 1 st floor, west side. Specific point of entry: Refer to emergency plan for Spurlock Center. Franklin Community High School Nearest phone: outside use cell phone; inside use phone in ATR Exact location: entrance on west side of building Specific point of entry: go through entrance on west side and the athletic training room in down the hall, 1 st hallway on the left, then 1 st doorway on the right Indian Creek High School Nearest phone: outside use cell phone; inside use phone in athletic training facility Exact location: locker room entrance on west side of building athletic training room is down hall, turn left through door and 1 st door on left Specific point of entry: through gates to FB field on east side of field 4. Emergency Phone Numbers Emergency medical services 911, on campus Campus security 8888 Athletic training room Spurlock Center Downstairs lobby 8790 Weight room 6105 Faught Stadium Von Boll press box 8133 Fitness Center Emergency Transportation a. As a professional courtesy, the athletic training staff member in charge will either ride with the injured party to the hospital or find an appropriate individual to ride with the injured person. b. If a member of the athletic training staff is not present, the supervising coach will find an appropriate person to ride with the injured person. c. Phone Chain - Post-Emergency 1) The individual in charge of the situation will call the Head Athletic Trainer to inform him of the situation. 2) The Certified Athletic Training staff member or Head Athletic Trainer will contact the Team Physician and the injured person s parents or legal guardians informing them of the situation and where the athlete is being transported. 3) The Head Athletic Trainer will contact the Athletics Director regarding the situation as deemed necessary. 4) The supervising coach will contact the athletic trainer responsible for that team and the team s head coach. 5) The Athletic Director will contact the sports information director to inform him of the situation, as deemed necessary. 66

67 d. Post Emergency Documentation 1) The athletic trainer supervising the situation will file an injury report upon returning to campus. 2) All media correspondence shall be conducted through the sports information director after review by the athletic director. 6. Important Phone Numbers a. For an emergency call from an on-campus phone, call from an off-campus phone, or a pay phone on campus. b. To reach an outside phone number from an on-campus phone, you must first dial 9 to reach an outside line. c. All numbers are area code 317 Ambulance / Emergency Medical Services 911 Franklin College Security Athletic Training Room Chris Shaff, Head Athletic Trainer - Office Cell Caroline Wesley, Asst. Athletic Trainer - Office Home/Cell Kelly Zimmerman, Asst. Athletic Trainer - Office Home/Cell Krystal Brazel, Asst. Athletic Trainer Office Dr. Scott Gudeman, Team Orthopedic Physician Pager Kerry Prather Athletic Director /8122 Cell Dale Long Sports Information Director Johnson Memorial Hospital Emergency Department I. Athletic Training Department Policies 1. Franklin College Department of Intercollegiate Athletics Random Drug Testing Policy & Procedures Purpose Franklin College is concerned with the health, safety and welfare of student-athletes who participate in its programs and represent the institution in competitive athletics. The athletics department believes that drug screening is appropriate and necessary to insure the health and safety of our student-athletes; to promote fair competition in intercollegiate athletics; to affirm compliance with the NCAA rules and regulations governing drug and alcohol use and abuse; and to prevent studentathletes from injuring themselves or others or becoming physiologically or psychologically dependent. Further, the athletics department recognizes its responsibility to provide educational programming which educates student-athletes on the physiological and psychological dangers inherent in the misuse of drugs and alcohol; informs student-athletes about local, state, and federal laws concerning the use and possession of alcohol and drugs; and reinforces alternative activities which reflect and support a drug- or alcohol-free lifestyle. A comprehensive drug and alcohol program which includes educational, screening, and, as necessary, rehabilitation components will help facilitate informed, intelligent decisionmaking among student-athletes. In addition to Franklin College s drug testing policy, the NCAA conducts its own drug testing program during championship games, events and the year-round program. If a student-athlete tests positive during one of these drug testing sessions, the NCAA sanctions will apply in addition to Franklin College sanctions. Franklin College s policy is consistent with the NCAA drug testing policy, but it is independent, separate, and distinct from the NCAA drug testing policy. Goals 1. To aid and educate coaches and student-athletes concerning the problems and dangers associated with the use and abuse of alcohol and drugs. 67

68 2. To discourage and prevent illicit drug use and alcohol abuse by Franklin College student-athletes. To provide education, counseling and referral services to those student-athletes identified as having a drug- or alcohol-related problem. 3. To encourage an atmosphere of open discussion with student-athletes about issues related to the use and abuse of alcohol and other drugs. 4. To promote informed, intelligent decision-making on the part of student athletes with regard to use of alcohol and other drugs. Conditions of Eligibility All student-athletes of Franklin College must sign an NCAA form through which they consent to drug testing during NCAA postseason championships, for the use of drugs and substances banned by NCAA legislation. At the beginning of each academic year, each Franklin College student-athlete must acknowledge receipt of Franklin College s Random Drug Testing Policy & Procedures and sign a consent form to allow for drug screening and release of screening results to a limited group of individuals directly involved in implementing Franklin College s Random Drug Testing Program. If the student-athlete is under 18 years of age at the time of signing, the parent or guardian will also need to consent for the student-athlete to participate in Franklin College s Random Drug Testing program as a condition of the student-athlete s eligibility. Any student-athlete who does not wish to sign Franklin College s consent form may choose not to do so. Failure to complete and sign the consent form before practice or competition or before the Monday of the fourth week of classes, whichever date occurs first, shall result in the student-athlete not being eligible to participate in any intercollegiate athletics at Franklin College. Prohibited Drugs/Banned Substances A student-athlete, during the period of either his/her membership on or affiliation with an intercollegiate athletic team, may not use the drugs/banned substances listed in Appendix A (hereafter referred to as Banned Drugs ). Appendix A incorporates the list of NCAA banned drug classes as of June The NCAA at any time may add or delete drugs from its list of banned drug classes. Updates to the NCAA s list of banned drug classes may be found at Any use of these or other non-prescription substances is expressly prohibited, whether such use occurs before, during, or after the student-athlete s competitive season. The only drugs student-athletes should take are those prescribed by his/her physician. A student-athlete will provide the Athletic Training staff of Franklin College with a note from the student-athlete s prescribing physician demonstrating the need for use of the drug/substance which will be kept in the student-athlete s medical file. Franklin College recognizes that some Banned Drugs are used for legitimate medical purposes. Franklin College allows an exception to be made for those student-athletes with a documented medical history demonstrating a need for regular use of such a drug. Exceptions for Banned Drugs in the classes of stimulants, anabolic agents, alcohol and beta blockers, diuretics and other masking agents, peptide hormones and analogues, anti-estrogens and beta 2 agonists may be made by the Head Athletic Trainer and Director of Athletics after consulting with a physician chosen by Franklin College. Consistent with NCAA policy, alternative non-banned based medications for the treatment of various conditions exist and should be considered before an exception is pursued. In the event that the student-athlete and the physician, coordinating with the sports-medicine staff of Franklin College, agree that no appropriate alternative medication to the use of a banned substance is available, the decision may be made to continue the use of the medication. Anabolic or peptide hormone must be approved by the NCAA before the student-athlete is allowed to participate in competition while taking these medications. Student-athletes shall provide the Athletic Training staff with proper medical documentation from the student-athlete s physician supporting the diagnosis and treatment. The documentation can be a letter or copies of medical notes from the prescribing physician that documents how the diagnosis was reached and that the student-athlete has a medical history demonstrating the need for regular use of such drug. It should contain appropriate verification of the diagnosis, medical history and dosage information. A signed note is not considered proper documentation. All documentation should be submitted at the beginning of the academic year or when a particular medical situation requiring the use of a banned substance arises during the academic year. The documentation will be maintained in the student-athlete s medical record on campus. 68

69 Unless requesting a review for the medical use of an anabolic agent or peptide hormone, a student-athlete s medical records or physician s letters should not be sent to the NCAA unless requested by the NCAA. Use of any substance need not be reported to the drug-testing crew at the time of NCAA drug testing. In the event that a student-athlete is tested by the NCAA and tests positive for a substance for which Franklin College desires an exception, NCAA procedures for reporting positive test results will be followed. Franklin College, through its Athletic Director, may request an exception at the time of notification of the positive drug test by submitting to The National Center for Drug Free Sport the prescribing physician s letter and any other medical documentation demonstrating the need for regular use of the drug which it wishes to have the NCAA consider. The medical exception will be considered by the NCAA and the student-athlete will remain eligible during this time, if the medical documentation is submitted before the B sample is reported as positive, confirming the positive finding. If the medical documentation is submitted after the B sample is reported as positive to Franklin College, the student-athlete will be withheld from competition until such time as the documentation is received, reviewed and the medical exception granted. Also, in compliance with NCAA regulations, any student athlete prescribed ADD/ADHD medications must have documentation of appropriate diagnostic testing on file in the athletic training room. Education Program The College offers a number of educational programs each year on wellness, safety and risky behaviors (e.g., use of alcohol, other drugs, etc). Student athletes are encouraged to attend all such programs. Each year a specific program focusing on healthy lifestyle choices is provided specifically for student-athletes, and their attendance is required. Student athletes will be educated on an on-going basis by the Athletic Training staff on the use of nutritional supplements. Voluntary Admission and Request for Counseling Any student-athlete may refer himself/herself for voluntary evaluation, testing, and treatment by contacting his/her head coach, a staff athletic trainer, or athletic administrator. In such cases the athlete will be referred to the Student Health and Counseling Center to meet with the college s counseling staff. The student-athlete will be tested for Banned Drugs. A positive result under these circumstances will not subject the student-athlete to sanctions which otherwise apply to positive results. The student athlete will be responsible for any costs that are incurred for voluntary evaluation, testing, and treatment. The student-athlete will remain in the random drug screening pool. All drug screen results accumulate during the entire period of the student-athlete s athletic eligibility at Franklin College. Student-athletes who directly contact the counseling center for services are protected by Indiana laws of confidentiality, and the counseling staff can only contact the athletic department if a consent form has been signed by the student athlete. If the student-athlete does not report to the counseling center or does not follow through with the advice of the counseling staff, he/she will then be subject to the sanctions which apply to a positive test result. A student will be subject to the sanctions that apply to a positive result if the student refers himself/herself for voluntary evaluation, testing, and treatment after being informed of an impending drug test, or after receiving a positive test result. A student may refer himself/herself for voluntary evaluation, testing, and treatment without being subjected to the sanctions for positive test results only once during his/her athletic eligibility at Franklin College. The student athlete will be subject to testing in the next drug testing selection. After a student-athlete has referred himself/herself for voluntary evaluation, testing, and treatment, a subsequent test with a positive test result will subject him/her to the sanctions which apply to a 2nd positive test result. The Athletic Director, the Athletic Training staff, the student-athlete s head coach and team physician may be informed of the student s participation in voluntary treatment. Other Franklin College employees may be informed only to the extent necessary to implement this policy. Selection Procedures Effective with the Fall Semester of the academic year, the Franklin College Athletics Department will begin substance abuse screening in accordance with the accepted procedures set forth in this document. As part of this screening, a student-athlete may be asked to take a urine test to detect Banned Drugs at such times and places as directed by the Department of Athletics. The drugs or drug classes to be tested for are those Banned Drugs listed on Appendix A, including any NCAA updates to its list of banned drug classes. 69

70 Screening will be conducted for all student-athletes on the current year sport roster who have remaining athletic eligibility at the time of the testing. This includes student-athletes who are both in-season and out-of-season. Unannounced screening may occur at any time of any day. Screening will be based on random selection, a prior positive test, prior drug related issues or reasonable suspicion. All student-athletes will be subject to periodic, unannounced, random testing. The selection of individuals will be made through a random drawing of names from the team roster by the Head Athletic Trainer or designee. A student-athlete is subject to drug testing if there is reasonable cause to believe that the student-athlete is using a Banned Drug. Reasonable suspicion means suspicion founded on specific and objective facts and reasonable inferences from those facts when, taken as a whole, strongly suggest that the student-athlete is using a Banned Drug. The evidence must be reasonably reliable and documented. Any employee or student of Franklin College may provide the members of the coaching staff, medical staff or administrative staff with information, in writing, of the facts/evidence constituting reasonable suspicion. The Director of Athletics shall determine whether reasonable suspicion exists to warrant drug testing. Circumstances giving rise to reasonable suspicion include, but are not limited to: involvement with the criminal justice system for drug related activities, any report that includes the presence of drugs and/or drug paraphernalia, physical or mental impairment suggesting drug use, or a pattern of aberrant behavior. Selection Notification Procedures Student-athlete notification of selection shall come from the Head Athletic Trainer or designee as to the date on which testing will take place. The notification procedure shall occur at any time prior to the scheduled testing. Such notification shall be by delivery of a signed statement to the student-athlete as one who was selected to be tested on the date specified. The notification shall also include the time and location for the test. The student is required to sign and submit the form to the Certified Athletic Trainer or designee acknowledging that he/she has been notified of the drug test and verifying the date and time for the test. If testing is immediate upon notification, the student-athlete must remain with the tester until he/she produces a sample. Consequences of failure to participate in or cooperate with testing 1. If the student-athlete declines to execute the required individual consent form, eligibility to participate in intercollegiate athletics will be suspended immediately. 2. If the student-athlete fails to appear at the designated time and place for testing, he/she will be suspended from athletic participation immediately. This will be treated as a positive test result. A student-athlete who arrives late or misses a test due to an emergency (car accident, death/illness in family) must present proof of the emergency to the Director of Athletics. The Director of Athletics will decide what sanctions should be placed on the student. 3. If the student-athlete refuses to provide a sample, it will be considered a positive test result. Any student-athlete refusing to sign the notification of random selection shall be suspended from all athletic participation immediately. 4. If the student-athlete fails within a reasonable time to produce the required urine specimen, this will be considered a positive test. 5. Any student-athlete refusing to sign the notification of random selection shall be suspended from all athletic participation immediately. Screening procedures All urine samples for screening will be collected in compliance with the NCAA drug screening guidelines. The Athletic Training Staff will maintain constant supervision of the collected samples as well as written documentation of the chain of custody for the same. The Athletic Training Staff will screen the sample via the Reditest RediCup. Information for each sample will remain under the constant supervision of the Athletic Training Staff. The Franklin College Athletics Department bans the use of substances and methods that alter the integrity or validity of urine samples provided during drug screening. Examples of banned methods include catheterization, urine substitution, and tampering with or modification or renal excretion by the use of diuretics, bleach, probenecid, bromantan, or related compounds, and epitestosterone administration. Any urine screened for the presence of banned substances may also be screened for the presence of substances used to alter the integrity or validity of urine samples. A positive finding for these substances will be considered a positive test, with appropriate sanctions imposed. The results of the drug screening program will become a part of the student-athlete medical record and are considered, as all other medical records, confidential. Records and other information shall remain in the 70

71 confidential possession of the Athletic Training staff or their designee and may be released only to appropriate college personnel unless released by written consent of the student-athlete. Administration of drug screening program and collection procedures 1. Upon notification, the student-athlete will accompany the Athletic Training Staff member to the location designated for testing at that time. 2. If testing is not immediate upon notification, the student-athlete will report to the Athletic Training Room or otherwise specified location at the designated time in shorts and a t-shirt with a current photo ID card (Franklin ID or driver s license). A jacket and sweatpants may be worn if the weather necessitates. 3. The student-athlete will wash and dry his/her hands. 4. The Certified Athletic Trainer will select a sealed Redicup drug screen test kit. The student-athlete watches this selection to assure accuracy. 5. The Certified Athletic Trainer will attach a unique bar code to the cup/test kit. 6. The Certified Athletic Trainer or certified drug screen staff member takes the student-athlete and specimen cup/test kit to the collection area. 7. Prior to specimen collection, the student-athlete will be inspected to check for hidden or secreted tampering materials. The student-athlete will be asked to raise upper-body clothing for the Certified Athletic Trainer or certified drug screen staff member for urine manipulators. Any and all pockets will be emptied prior to collection of the urine specimen. 8. The student-athlete will enter the specimen collection room (private restroom) to produce the acceptable level/amount of urine at a specific concentration needed for testing. Please note that the collection of a urine specimen for drug/banned substances testing is a witnessed procedure. The Certified Athletic Trainer or certified drug screen staff member will monitor the furnishing of the specimen by direct observation in order to ensure the integrity of the specimen. 9. Fluids given to the student-athlete who have difficulty voiding must be from individual sealed containers (certified by the Certified Athletic Trainer or certified drug screen staff member) that are opened and consumed in the collection area. These items must be caffeine-free, alcohol-free and free of any other banned substances. 10. If the urine specimen is incomplete, the student-athlete must remain in the collection area until the sample is completed. During this period, the student-athlete is responsible for keeping the collection cup/kit closed and controlled. 11. If the specimen is incomplete and the student-athlete must leave the collection station for a reason approved by the Certified Athletic Trainer or certified drug screen staff member, the specimen may be discarded at the discretion of the Certified Athletic Trainer or certified drug screen staff member. Upon return to the collection area, the student-athlete will complete the collection procedure. 12. Once a specimen (at least 85 ml) is provided, the Certified Athletic Trainer or certified drug screen staff member who monitored the furnishing of the specimen by observation will sign that the specimen was directly validated. 13. The specimen will be checked by the staff member for temperature, specific gravity, ph, and tampering agents. 14. If the urine has a specific gravity at or above (1.010 if measured with a reagent strip) and the urine has a ph between 4.5 and 7.5, inclusive, the specimen will be screened for drug/banned substances following the protocols of the Redicup drug screen test kit. 15. A Redicup test that indicates a positive test result will be sent to Redwood Toxicology Labs for further testing and confirmation of test result validity. 16. The Certified Athletic Trainer or certified drug screen staff member will seal each collection cup/kit in the presence of the student-athlete and identify the cup/kit with a code number in the required manner under the observation of the student-athlete. 17. Collection cup/kits sent to Redwood Toxicology Labs shall not contain the name of the student-athlete. All sealed collection cups/kits will be secured in a shipping case. The Certified Athletic Trainer or certified drug screen staff member will prepare the case for forwarding to Redwood Toxicology Labs. 18. The student-athlete and Certified Athletic Trainer or certified drug screen staff member will sign certifying that the procedures were followed as described herein. Any deviation from the procedures must be described and recorded at that time. If deviations are alleged, the student-athlete will be required to provide another specimen. 19. A student-athlete who refuses to sign the custody and control forms, fails to provide a urine specimen according to protocol, leaves the collection station before providing a specimen according to protocol, or attempts to alter the integrity or validity of the urine specimen and/or collection process, will be treated as if there were a positive test for a banned substance other than a street drug as defined by the NCAA. The Certified Athletic Trainer or certified drug screen staff member will inform the student-athlete of these implications and record such. 20. The Certified Athletic Trainer or certified drug screen staff member will deliver the shipping case(s) to the carrier. 71

72 21. The Redwood Toxicology Labs will record that the shipping case(s) has been received from the carrier. 22. The Redwood Toxicology Labs will record whether the numbered bar-code seal on each collection cup/kit arrived intact. 23. If a specimen arrives at Redwood Toxicology Labs with security seals not intact, Franklin College may collect another specimen. Laboratory Notification of Results 1. Redwood Toxicology Labs will use a portion of the specimen sample for Sample A for its initial analysis. 2. The laboratory director or designated certifying scientist will review all results showing a Banned Drug in Sample A. 3. Redwood Toxicology Labs will inform the Head Athletic Trainer of Franklin College of the results by each respective code number by telephone and by sending a letter or marked Confidential. 4. Upon receipt of the results, the Head Athletic Trainer of Franklin College will break the number code to identify any individuals with positive findings. 5. Franklin College shall notify the student-athlete of the finding. 6. Redwood Toxicology Labs will advise the Head Athletic Trainer during the telephone notification that Sample B will be tested. The student-athlete may be present at the opening of Sample B. 7. Franklin College and/or the student-athlete will be given the option to be represented at Redwood Toxicology Labs for the opening of Sample B. Notification by Franklin College and/or the student-athlete to be represented must be given to Redwood Toxicology Labs. 8. If Franklin College and/or the student-athlete desire representation, they must inform Redwood Toxicology Labs within 48 hours of the telephone notification set forth above in paragraph 3 who will attend the opening of Sample B, and present themselves at the lab within 48 hours of informing Redwood Toxicology Labs. If they choose not to send a representative to be present for the opening of Sample B, Franklin College or the student-athlete will give approval to Redwood Toxicology Lab to arrange for a surrogate to attend the opening of sample B. 9. The surrogate will not otherwise be involved with the analysis of the sample. 10. The student-athlete, student-athlete s representative, Franklin College s representative or the surrogate will attest by signature as to the code number on Sample B, that the security seal has not been broken, and that there is no evidence of tampering. 11. Preparation for Sample B s analysis will be conducted by a laboratory staff member other than the individual who prepared the student-athlete s Sample A. 12. Sample B findings will be final. Redwood Toxicology Labs will inform Franklin College of the results. 13. For student-athletes who have a Sample B positive finding, Redwood Toxicology Labs will contact the Director of Athletics or the Head Athletic Trainer by telephone. Franklin College shall notify the student-athlete of the finding. 14. At this point, Franklin College s sanctions and eligibility policy will apply. 15. In the event that a student-athlete tests positive for a substance for which Franklin College has considered an exception and documentation has been submitted by the student-athlete prior to the notification of the positive Sample B, the eligibility of the student-athlete may be maintained while the exception request is under review. 16. A positive finding may be appealed by the student-athlete as set forth below. 17. All results of screening will be communicated to the Director of Athletics by the Head Athletic Trainer. Drug Screening Prior to NCAA Championships Teams and/or individuals likely to advance to NCAA championship competition are subject to a drug screen conducted on behalf of the NCAA. Screening may be required of all team members or individual student-athletes within thirty days prior to participation in NCAA Championship competition. Sanctions Following Positive Drug Screen Results 1st Positive A. Head Athletic Trainer and Director of Athletics notified B. Director of Athletics will notify Head Coach C. Additional drug screening whenever the Athletics Department conducts drug screening over the remainder of the student-athletes eligibility. D. Suspended immediately upon positive notification from intercollegiate athletic participation for one calendar year. E. The student athlete will be referred to the Dean of Students who will address the matter through the student judicial process. The college s student judicial process is an educational process, not a legal process, which addresses all 72

73 students who are alleged to have violated college policy. It is described in the student handbook, The Key: A Guide to Campus Life, which can be found on MyFC and the college s website. F. The student-athlete will be required to have an assessment by the Franklin College counseling center and may be referred off campus for an evaluation. An evaluation may also occur at an external agency approved by the Franklin College counseling center. Recommendations from counseling services or any external agency will be forwarded to the Director of Athletics and Head Athletic Trainer and the student-athlete must comply with the recommendations. The evaluation and any recommendation must be implemented within a two-week period of the positive test result. The student-athlete is responsible for all costs incurred for these services. 2nd Positive A. Head Athletic Trainer and Director of Athletics notified B. Director of Athletics will notify Head Coach C. Termination of intercollegiate athletic participation at Franklin College D. Mandatory conference call with parents/guardians by Director of Athletics or his/her designee. E. The student athlete will be referred to the Dean of Students who will address the matter through the student judicial process. The college s student judicial process is an educational process, not a legal process, which addresses all students who are alleged to have violated college policy. It is described in the student handbook, The Key: A Guide to Campus Life, which can be found on MyFC and the college s website. Failure to Comply Failure to comply with the recommendations of the counseling center or external counseling agency will subject the student-athlete to suspension from the team for a period of time designated by the Director of Athletics. Failure to comply with sanctions imposed through the college s student judicial process may have additional consequences as described in the student handbook, The Key: A Guide to Campus Life. Appeal Process Student-athletes who test positive under the terms of the Drug Screening Policy and Procedures will meet with the Director of Athletics or his/her designee prior to imposition of any sanction. The student-athlete may appeal the positive test finding and imposition of sanctions in writing to the Director of Athletics within 48 hours of the first post-positive test meeting. The student-athlete may have an advocate or other representative present to advise him/her while presenting the appeal. An appeal meeting will be set no more than seventy-two (72) hours after the written request is received. Either the student-athlete or other parties involved may request an extension of this time to the Director of Athletics, upon showing good cause. These proceedings shall include an opportunity for the studentathlete to present evidence, as well as to review the results of the drug test. The proceedings shall be confidential. The decision by the Director of Athletics or his/her designee will be final. Referral Process In the event of a positive screen, the student-athlete will be required to seek counseling and comply with any recommendations of the counselor. Part of the referral process will include the student-athlete signing a waiver and release of information that allows the Director of Athletics or his/her designee to contact parents/guardians and allows release of any treatment plan or recommendations to the Director of Athletics and parents/guardians. This waiver will also allow the Director of Athletics or his/her designee to monitor compliance with the treatment plan. Failure to comply with the recommendations of the counseling services office or external counseling agency will subject the student-athlete to an additional suspension from the team for a period of time designated by the Director of Athletics. Responsibility of the Student Athlete It is the responsibility of the student athlete to read the Franklin College Drug Random Testing Policy and Procedure prior to participation in athletics. If the student-athlete tests positive under the guidelines set forth in the Athletics Drug Testing Policy and Procedures, it will be the student-athlete s responsibility to pay for any services, which are required by sanctions. Confidentiality Each specimen will be identified at the testing site by only a code number to protect the anonymity of the student athlete and shall be analyzed for the presence of drugs. The identification of each sample taken will be kept confidential by the Athletic Training Staff. Only positive tests will be reported to the Director of Athletics. The identity of all student- athletes tested will be kept confidential. 73

74 Franklin College Drug Testing Process for Randomization of Athletes The selection of individuals will be made through a random drawing of names from the team roster by the Head Athletic Trainer or designee. This selection will be conducted using the following guidelines: 1. Coaches will be instructed to provide up to date rosters each month of the academic year to prevent selection of students that are no longer with the team due to voluntarily retiring or dismissal from the team. 2. With the use of the Sportsware Injury Tracking Program used by the athletic training department, randomization of athletes can be determined by: a. Entering the selected sports to be tested (in-season, single team, entire athletics roster, etc.) b. Entering the predetermined number of student athletes to be tested. c. Sportsware will provide an Excel spreadsheet with the names of the randomly selected student-athletes to be notified. 2. Concussion Policy Cerebral concussions represent the most common brain injury in athletics, and patients participating in contact and collision sports are particularly vulnerable. Significant head injury may not be readily observable for hours after initial trauma. Therefore, even seemingly insignificant head trauma should be thoroughly assessed. The Franklin College Athletic Training Department has adopted the following policy for the assessment and presentation of symptoms, and return to play guidelines. a. Prior to the start of an athlete s participation with a team: 1) Patient will be given an informational sheet on head injuries and their role in the prevention and management of such an injury. 2) Patient will sign the Concussion Agreement indicating they have received the informational sheet and understand their role in the prevention and management of head injuries. 3) Patient s in the following sports* will be given a baseline test utilizing the ImPACT concussion management software upon their first year of competition: 1) Football 2) M/W Soccer 3) Volleyball 4) M/W Basketball 5) Baseball 6) Softball 7) M/W Track and Field 8) Lacrosse *Recommended per the NCAA Concussion Management Plan April 29, 2010 b. General assessment guidelines: Any athlete presenting any of the following signs and symptoms should be thoroughly assessed: 1) the patient is mentally unresponsive, i.e. there is an inability to obey commands or directions. 2) the patient is confused and unable to focus attention, or disorientated. 3) the patient reports, or was observed, to have lost consciousness. 4) the patient has slurred or incoherent speech. 5) the patient e presents with gross observable lack of coordination. 6) the patient s emotions are out of proportion to the circumstances. 7) the patient shows evidence of post concussion symptoms, i.e. headache, nausea, dizziness, fatigue, vomiting or vision disturbances. 8) the patient shows evidence of post traumatic amnesia. 74

75 c. Management of Concussions While there is no substitution for common sense and training when dealing with emergency situations and head injuries, the following flow chart identifies the prudent course of action to be followed by the Franklin College Athletic Training staff when dealing with a potential concussion. Please refer to Concussion Symptom Score Sheet (CSSS) in Athletic Training Appendices. Assessment: Concussion Symptom Score Sheet, Cranial Nerve Exam and ImPACT Neurocognitive Testing Return to play criteria: Concussion Return to Play Guidelines by the American Academy of Neurology Documentation should occur at every stage of this evaluation and follow-up process. d. Concussion Management Plan - Flow Chart Injury Concussion Symptom Score Sheet (CSSS) and Cranial Nerve Examination (CNE) ImPACT Neurocognitive Test (Next day) CSSS and CNE Normal + ImPACT normal + Asymptomatic (no headaches, dizziness, etc) CSSS abnormal and / or Altered CNE and / or Symptoms of a concussion (headaches, dizziness, nausea, etc) Return to play permitted (Team physician / ATC have final say and may overrule this with cause.) Removed from participation for the remainder of the day as per NCAA Executive Committee: Student-athletes diagnosed with a concussion shall not return to activity for the remainder of that day. Medical clearance shall be determined by the team physician or their designee according to the concussion management plan. Periodic evaluations should be performed approximately every 15 minutes for the first hour to monitor for deterioration in the athlete s condition. This situation warrants referral to the emergency room. Before sending an athlete home following diagnosis of a concussion: 1. Give the athlete a Head Injury Warning Sheet 2. Insure the athlete knows when and where a follow-up evaluation will occur. In all cases, the athlete will be referred to a physician who has been specialty trained in the management of concussions within hours of the injury 75

76 Repeat Cranial Nerve exam Post Concussion Symptom Score Sheet Performed Daily Following Injury * ImPACT test administered as necessary No athlete shall return to play until completely asymptomatic. Athlete must meet the following criteria before any exertional testing and progress towards RTP can be started: - Normal ImPACT (compared to baseline) - Normal CSSS - Normal Cranial Nerve Exam - Completely asymptomatic - Clearance by a physician to begin exertional testing Exertional Progression* Phase 1 Phase 2 Phase 3 Phase 4 Phase 5-15 pushups additional cardio team individual drills limited contact full practice - 15 sit ups testing that are non-contact team drills - 15 jumping jacks limited controlled cardiovascular drills cardiovascular drills - 40 yd. dash individual drill work weight lifting - add. cardio if nec. * Athlete must remain ASYMPTOMATIC to progress to the next phase. This progression can be accelerated at the discretion of the treating physician. Multiple Concussions Multiple Concussions A second concussion in the same season will require 1 week asymptomatic and/or physician s clearance before return to play will be granted. A third concussion in the same season will prevent the athlete from participation the remainder of the season and require a physician s release for future athletic participation at Franklin College. e. Concussion Symptom Score Sheet (CSSS) ATHLETE NAME: DATE: DATE OF INJURY: TIME: SPORT: CIRCUMSTANCES: GAME PRACTICE OTHER : NUMBER OF PREVIOUS CONCUSSIONS: LOC: NO YES HOW LONG? AMNESIA: (ANTEGRADE) (RETROGRADE) INITIAL EVALUATION: FOLLOW UP: SYMPTOMS TABLE Headache Nausea Vomiting Light Headed Confused Foggy B/P Pulse Time after injury: B/P Pulse Time after injury: (MARK EACH ON A SCALE OF 0 5, 5 BEING MOST SEVERE) Date / Time 76

77 Poor Attention Nervousness Numbness or Tingling Irritability Difficulty Remembering Sensitive to Light Sensitive to Noise Ringing in Ears Balance Problems Blurry Vision Difficulty Focusing Vision Dizziness Poor Concentration More Emotional FOLLOW UP Sleep Disturbance/Trouble Sleeping Drowsiness Feeling Sadness Anxiety Sleeping more than usual Feeling Slowed Down Easily Frustrated Depression Easily Fatigued PHYSICAL EXAM DAY DATE / TIME B/P: PULSE: LEVEL OF CONSCIOUSNESS: 1. Alert 2. Confused 3. LOC OBSERVE: 1. Blank stare 2. delayed verbal/motor responses 3. easily distracted 4. disorientated 5. slurred speech 6. stumbling 7. emotional liability 8. memory deficits (asking same questions repeatedly) SKULL: Palpation Symmetry Battle Sign NECK: Palpation ROM Strength 77

78 FACE: Palpation bony landmarks Symmetry Teeth Clench OK NEURO EXAM: Retinal Exam Pupils CN II-XII DTR s - arms DTR s - legs Sensation Motor Finger to nose Toe walk Heel Walk Tandem Walk Romberg Balance MENTAL STATUS Date / Time 3/3 words Reverse Digits: Months backwards Serial 7 s (start from unique #) Recent Events 3/3 words at 5 min. ON FIELD PROVOCATIVE TESTS: PROGRESSION BACK TO ACTIVITY DATES: (Only if asymptomatic and normal exam) 1. No activity 40 yard dash 2. Light aerobic exercise (stationary bike) 15 sit ups 3. Sport specific (run, skate, throw, etc.) 15 push ups 4. No contact training drills, weight lifting 15 jumping jacks 5. Full contact training 6. Game f. Head Injury Warning Sheet This is a medical follow-up sheet for your health and safety. Quite often the signs of a head injury do not appear immediately after trauma, but hours after the injury itself. The purpose of this fact sheet is to alert you to the signs and symptoms of significant head injuries, symptoms that may occur several hours after you leave the athletic training room. If diagnosed with a concussion, you should avoid certain activities so that the symptoms do not become worse. Activities to avoid include: Playing video games Excessive computer work (do homework in moderation, taking breaks often) Driving a motor vehicle Consuming alcohol If you experience one or more of the following symptoms following a head injury, medical help should be sought immediately: 1) Difficulty remembering recent events or meaningful facts 2) Severe headache, particularly at a specific location 3) Stiffening of the neck 4) Bleeding or clear fluid dripping from the ears or nose 5) Mental confusion or strangeness 78

79 6) Nausea or vomiting 7) Dizziness, poor balance, or unsteadiness 8) Weakness in either arm or leg 9) Abnormal drowsiness or sleepiness or inability to sleep 10) Convulsions 11) Unequal pupils 12) Loss of appetite 13) Persistent ringing in the ears 14) Slurring of speech 15) Loss of consciousness The appearance of any of these symptoms tells you that you have sustained a significant head injury that requires medical attention. If any of these symptoms appear, it is vital that you notify a member of the Athletic Training Staff and report to the emergency room at Johnson Memorial Hospital immediately. REMEMBER: Head injuries can present signs and symptoms that are often found humorous and/or taken too lightly. Athletes may take acetaminophen (Tylenol) for headaches if necessary. Do not take ibuprofen. Your health may depend on the recognition of these symptoms and your decision to take them seriously Clinic phone number: Chris Shaff s cell phone: Caroline Wesley s cell phone: Kelly Zimmerman s cell phone: Krystal Brazel s cell phone: Dr. Todd Arnold s cell phone: JMH Emergency Department: g. Concussed Student-Athlete Academic Accommodations and Athletic Attendance Guidelines In the event that a student-athlete becomes concussed, the need may arise for modifications to the student-athlete s daily activities. Under the direction of a physician, these may include academic accommodations and limited attendance at athletic events and practices in order to ensure that he/she obtains rest to aid in recovery. Once the diagnosis of concussion is made, the following steps will be taken: 1. A member of the athletic training staff will contact the student-athlete s professors informing them of the concussion diagnosis. A member of the Academic Resource Center will also be informed of the student-athletes diagnosis. 2. The athletic training staff will recommend that the student-athlete schedule an appointment with a member of the ARC to discuss their academic accommodations, if any are necessary. 3. The ARC will contact the student-athlete s professors if any academic accommodations are necessary. 4. The student-athlete will meet with a member of the ARC to help monitor progress and communicate any academic concerns that arise during the time of the evaluation. 5. The athletic training staff will continue to communicate to the ARC the student-athlete s progress and recommendations by the treating physician. The following guidelines will determine the level of engagement the student-athlete may have at practice and games in correlation to the level of academic accommodations that are being made. If it is the recommendation of the treating physician and approved by the ARC that the student-athlete not attend regular class sessions, then it is recommended that the student-athlete also be restricted from attending practices and games at that time. Once the student-athlete has been cleared to resume limited return to his/her class schedule and the student-athlete or a member of the ARC has communicated with their professors/instructors, the athlete will be allowed to attend practice, team meetings and competitions on a limited basis. If at any time the student-athlete has any return of/or exacerbation of symptoms, their attendance at practices and class attendance will be re-evaluated. Once the student-athlete has been fully cleared for a return to attending a full class schedule and he/she continue to have no increase in symptoms, he/she will be fully cleared to attend regular practices, teams meetings and competitions. 79

80 2. Automated External Defibrillator (AED) Policy The Automated External Defibrillator (AED) program at Franklin College has two Zoll AED Plus unit and a third unit was purchased by the Physical Education Department. One unit is clearly labeled and permanently located outside the Franklin College Athletic Training Room on the first floor of the Spurlock Center. The other AED units, during the course of practice or games, are taken out to the designated practice or game field. a. Priority for AED usage will be based on the following conditions: 1) Competition/Scrimmage has priority over practice. 2) Home games have priority over away games. Team priority: 1). Football 9). Cross country/track and Field 2). Men s Basketball 10). Men s Tennis 3). Women s Basketball 11). Women s Tennis 4). Baseball 12). Lacrosse 5). Softball 6). Men s soccer 7). Women s soccer 8). Volleyball b. Parameters used to determine priority include: 1) Sudden cardiac death (SCD) occurs in male athletes more than female athletes. 2) SCD occurs in black athletes more than any other race of athletes. 3) Men s basketball has the highest reports of SCD followed closely by football. 4) Blunt injuries to the chest can cause ventricular fibrillation. The Franklin College Head Athletic Trainer will have the final decision over AED priority. c. Usage The AED units are permitted for use by those who are certified in CPR and AED use by the American Heart Association and the American Red Cross. The AED unit is also permitted for use by those who are responding to a cardiopulmonary arrest who are not certified in CPR and AED, and are protected by the Good Samaritan Act. The AED units are to be used only on patients in cardiopulmonary arrest. The patient must be unconscious, without a pulse, and not breathing spontaneously before the device is used to analyze the patient s ECG rhythm. Do not use on children less than eight years of age. d. AED Safety The following are general warning and caution statements concerning the AED units: Do not attempt to operate the AED units unless thoroughly familiar with their operating instructions, and the function of all controls, indicators, connections, and accessories. Do not disassemble defibrillator. Do not immerse any portion of the AED units in water or other fluids. Do not use this device in the presence of flammable gases or anesthetics. Avoid operating the AED units near cauterizers, diathermy equipment, or cellular phones. Maintain equipment separation of at least four feet. Always have access to a spare, fully charged, properly maintained battery. e. Inspection Inspections will be done on a monthly basis and after each use per the operating instructions manual. The AED Operator s Checklist will be used for the monthly and after use inspections. The AED units also perform self-tests every twenty-four hours and when turned on. f. Cleaning Cleaning of AED units will take place once every month or as needed. Use isopropyl alcohol or a peroxide solution to clean the AED units. IMPORTANT! Do not use bleach, bleach dilution, or phenolic compounds to clean any part of the AED. Do not use abrasive or flammable cleaning agents. Do not steam, autoclave or gas sterilize the AED. 80

81 3. Asthma Policy & Procedures a. Introduction: Asthma is described as a reversible obstruction that is temporary blockage or inflammation of the bronchial airways. Although the exact causes of asthma are unknown, several factors, including exercise, may induce an attack. An episode of asthma may exhibit difficulty in the exhalation of the lungs typically due to allergic reactions from pollution, climate, and air particles. The majority of patients will have exercised-induced bronchospasm (EIB) which usually occurs during or minutes after vigorous activity and reaches its peak 5-10 minutes post-activity. It typically resolves in another minutes. b. Asthma Medications: Depending on the severity of asthma, medication can be taken on an as-needed basis (prn) or regularly to prevent or decrease breathing difficulty. Most of the medications fall into two major groups: quick relief medications and long-term control medications. Quick relief medications are used to treat asthma symptoms or an asthma episode. The most common quick relief medications are the short-acting beta-agonists that relieve asthma symptoms by relaxing the smooth muscles around the airways. Common beta-agonists include Proventil and Ventolin (albuterol), Maxair (pirbuterol), and Alupent (metaproterenol). Atrovent (ipatroprium), and anticholinergic, are quick relief medications that open the airways by blocking reflexes through nerves that control the smooth muscle around the airways. Long-term control medications are used daily to maintain control of asthma and prevent asthma symptoms. Intal (cromolyn sodium) and Tilade (nedocromil) are long-term control medications, which help prevent swelling in the airways. Inhaled steroids are also long-term control medications. In addition to preventing swelling, they also reduce swelling inside the airways and may decrease mucus production. Common inhaled steroids include Vanceril, Vanceril DS, Beclovent and Beclovent DS (beclomethasone), Asmacort (triamcinolone), Aerobid (flunisolide), Flovent (flutiscasone) and Pulmicort (budesonide). Leukotriene modifiers are new long-term control medications. They may reduce swelling inside the airways and relax smooth muscles around the airways. Common leukotriene modifiers include Accolate (zafirlukast), Ayflo (zileuton) and Singulair (mutelkast). Another long-term control medication, Theophylline, relaxes the smooth muscle around the airways. Common theophyllines in oral form include Theo-Dur, Slo-Bid, Uniphyl and UniDur. Serevent (salmeterol), in inhaler form, is also a long-term control medication. As a long-acting beta-antagonist, it opens the airways in the lungs by relaxing smooth muscle around the airways. Inhaled medications are delivered directly to the airways, which is useful for lung disease. Aerosol devices for inhaled medications may include the metered-dose inhaler (MDI), MDI with spacer, breath activated MDI, dry powder inhaler or nebulizer. The most commonly used inhaled medications are delivered by the MDI, with or without the spacer. There are few side-effects because the medicine goes right to the lungs and not to other parts of the body. It is critical that the patient use the prescribed MDI correctly to get the full dosage and benefit from the medication. Unless the inhaler is used in the correct manner much of the medicine may end up on the patient s tongue, the back of their throat, or in the air. Use of a spacer or holding chamber helps significantly with this problem and its use is strongly recommended. A spacer is a device that attaches to a MDI and holds the medication in its chamber long enough for the patient to inhale it in one or two slow deep breaths. This eliminates the possibility of inadequate medicine delivery from poor patient techniques. c. Equipment: Using the Metered Dose Inhaler (MDI): The FC athletic training staff may assist a student-athlete in the use of a prescribed MDI as follows: 1) Remove the cap and hold the inhaler upright 2) Shake the inhaler 3) Tilt head back slightly and breathe out 4) Hold the inhaler 1-2 away from mouth 5) If spacer is available, place directly in mouth (Note: Spacers are useful for all patients and especially helpful for young children and older adults as well as when using inhaled steroid medicines) 6) Press down on the inhaler to release the medicine as you begin to breathe in slowly 7) Breathe in slowly for 3 to 5 seconds 8) Hold your breath for 10 seconds to allow medicine to go deeply into lungs 9) Repeat puffs as directed. Wait one minute between puffs to allow the second puff to get into the lungs Information provided by the American Academy of Family Physicians 81

82 Using a Peak Flow Meter: 1) Before each use, make sure the sliding marker or arrow on the Peak Flow Meter is at the bottom of the numbered scale (zero or the lowest number on the scale). 2) Stand up straight. Take a deep breath. Place the mouthpiece of the Peak Flow Meter into mouth, securing lips tightly around the mouthpiece, keeping the tongue away. In one breathe blow out as hard and as quickly as possible. (Fast hard breath vs. a slowly blowing breath) until emptying out all of the air from your lungs. 3) Note the number on the scale and repeat the routine three times. (Note: if done correctly the numbers should be close together.) Record the highest and not the average. 4) Suggested measurements are to take a reading between 7:00AM 9:00AM and between 6:00PM 8:00PM. Record measures twice daily. Chart reading. d. Basic Life Support Treatment for Severe Asthma: Patients who have progressed to severe asthma experience a combination of the following: shortness of breath (>30 respirations/min.), mental status changes (anxious, confused, combative, drowsy), inability to speak in sentences, sweaty and unable to lie down. If the patient is not responding to or is unable to properly use their MDI, the sports medicine staff will do the following: 1) Call for EMS 2) Maintain a patient airway 3) Administer oxygen therapy at 15 liters/minute with non-rebreather device 4) Be prepared to assist ventilation with positive pressure ventilation with bag-valve-mask 5) Administer epinephrine by a prescribed auto-injector (refer to Epi-Pen Policies and Procedures) 6) Initiate early emergency transport 4. Epi-Pen Policies and Procedures a. Epinephrine Auto-Injector Introduction Epinephrine is the drug of choice for the emergency treatment of severe allergic reactions to insect stings or bites, foods, drugs or other allergens and for basic life support treatment for severe asthma. Epinephrine mimics the responses of the sympathetic nervous system. It quickly constricts blood vessels to improve blood pressure, reduces the leakage from the blood vessels, relaxes smooth muscle in the bronchioles to improve breathing through bronchodilation and alleviate the wheezing and dyspnea, stimulates the heartbeat, and works to reverse the swelling and hives. The drug takes effect within seconds, but the duration of its effectiveness is short (about minutes). The Franklin College Athletic Training staff utilizes the Epi-Pen Auto-Injector, a disposable delivery system for selfadministration. The Epi-Pen has a spring activated needle that is designed to deliver a single precise dose (0.3 mg of 1:1000 solution) of epinephrine to adults when activated. It may be necessary in very severe reactions to administer a second dose after five minutes if initial response is inadequate. b. Emergency Care for Anaphylaxis and/or Severe Asthma with Epi-Pen The athletic training staff should: call for EMS (if not on-site or en-route) maintain a patent airway be prepared to administer CPR administer epinephrine by a prescribed auto-injector initiate early emergency transport c. Indications/Contraindications for Epinephrine Administration Epinephrine should be administered if the patient exhibits signs and symptoms of a severe allergic reaction (anaphylaxis), including respiratory distress and/or shock (hypoperfusion) or severe asthma. Patients who have progressed to severe asthma experience a combination of the following: shortness of breath (>30 respirations/min.), mental status changes (anxious, confused, combative, drowsy), inability to speak in sentences, sweaty and unable to lie down. There are no contraindications for the administration of epinephrine in a life-threatening allergic reaction or severe asthma; however, precautions should be taken with elderly patients or patients with heart disease or hypertension. d. Administration of Epinephrine a. Check the Epi-Pen to ensure the medication has not expired, has not become discolored, and does not contain particulates or sediments. b. Prep skin site with alcohol 82

83 c. Remove the gray safety cap from the auto-injector d. Place the tip of the auto-injector against the lateral aspect of the patient s thigh midway between the waist and knee e. Push the injector firmly against the thigh until the spring-loaded needle is deployed and the medication is injected (at least 10 seconds) f. Dispose of the auto-injector in a biohazard container designed for sharp objects. Be careful not to prick yourself since the needle will now be protruding from the end of the injector g. Record that epinephrine was administered, the dose, and the time of administration e. Side Effects The patient may complain of side effects following the administration of epinephrine. Possible side effects include increased heart rate, pale skin (pallor), dizziness, chest pain, headache, nausea, vomiting, excitability and anxiousness. f. Reassessment Following the administration of epinephrine, it is necessary to reassess the patient. Reassessment should include continued evaluation of airway, breathing and circulatory status. Decreasing mental status, decreasing blood pressure and increasing difficulty in breathing indicate the allergic reaction or severe asthma is worsening. If the condition is worsening, consider the following interventions: injection of second dose of epinephrine if second auto-injector is available, provide emergency care for shock, be prepared to initiate CPR and apply AED if patient has no pulse. If the patient s condition improves following administration of epinephrine, continue to perform ongoing assessments and wait for EMS arrival. Be aware patient may complain of side effects from the epinephrine. Any patient requiring epinephrine administration should be transported to the closest available medical facility for followup evaluation and treatment as soon as possible. Remember that epinephrine is short-acting (10-20 minutes) and signs and symptoms may return as drug wears off. 5. Policy on Use of Nutritional Supplements The Franklin College athletic department discourages the use of nutritional supplements of any kind, including so-called energy drinks. Student-athletes should be aware that many supplements commonly available through commercial outlets contain substances banned by the NCAA. Labeling on these products is often misleading and inaccurate since the supplement industry is unregulated at this time. We encourage reliance on food for nutrition, and we caution studentathletes that most nutritional supplements are ineffective, costly and unnecessary. It is our policy that the student-athlete is responsible for knowing and understanding the contents of any supplement he or she chooses to use. The use of any nutritional supplements, dietary aids or energy drinks is done without the encouragement or approval of the Franklin College athletic department staff, and the student-athlete assumes sole responsibility for the risks associated with such use. Any Franklin College student-athlete who chooses to use a nutritional supplement of any kind is required to disclose that information to the athletic training staff prior to use to insure that the product does not contain an NCAA-recognized banned substance. Please note that any substance that is chemically related to the banned drug class is also banned, even if it not listed as an example on the NCAA website. The NCAA list of Banned Drug Classes WITH EXAMPLES can be found in full text at the NCAA website: Additional information on banned substances can be found at: 6. MRSA Recognition and Prevention a. What is Staph / MRSA? Staphylococcus aureus, often referred to as staph, is a common type of bacteria that can live harmlessly on the skin or in the nose of 25 to 35 percent of healthy people (this is often referred to as being colonized with the germ). Occasionally, staph can cause an infection. Staph bacteria are one of the most common causes of skin infection in the United States, but most of these infections are minor, such as pimples or boils. Most of these infections can be treated without antibiotics, however, some staph infections can cause serious infections, such pneumonia, bloodstream, bone, and joint infections, and surgical wound infections. 83

84 In the past, most serious staph bacterial infections were treated with a certain type of antibiotic related to penicillin. In recent years, treatment of these infections has become more difficult because staph bacteria have become resistant to various antibiotics. These resistant bacteria are called methicillin-resistant staphylococcus aureus (MRSA). According to the Centers for Disease Control (CDC),1% of the population is colonized with MRSA. MRSA is one type of skin infection among several that are of concern in competitive sports. b. Who Gets Staph / MRSA? Staph infections, including MRSA, have been traditionally associated with outbreaks in health-care facilities, but they are becoming increasingly common in student-athletes participating in close contact sports (e.g. football, wrestling, lacrosse, etc.), although anyone, including coaches, staff, etc. who come into contact with colonized individuals, can contract the infection. Staph and MRSA are spread either by direct physical contact or indirect touching of contaminated objects. This includes touching, using, and/or sharing sheets, towels, clothes, equipment, dressings, personal items, bar soap, etc. which have been used by someone who has staph and/or MRSA, along with poor hygiene habits (e.g. hand washing, showering, etc.). c. What Does Staph / MRSA Look Like? Staph and/or MRSA usually first presents as some type of skin or soft tissue infection such as pimples, abscesses, pustules, and/or boils. Some can be red, swollen, painful, and/or have pus or other drainage. The pustules may be confused with insect bites initially, and may also be associated with existing turf burns and/or abrasions. d. What to Do 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 Franklin College Athletic Training Staff member as soon as possible for evaluation. e. Prevention of Staph and/or MRSA 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 (30 seconds) 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 an Athletic Training staff member and/or physician immediately. 7. MRSA Policies and Procedures In order to maintain proper sanitary conditions within the Franklin College Athletic Training facilities and to prevent the outbreak of Methicillin-resistant Staphylococcus aureus (MRSA) and other harmful infections, the following procedures will be in place. The individual(s) responsible for cleaning and disinfecting the area will adhere to Universal Precautions at all times and wear Personal Protection Equipment as needed; Treatment / Taping Tables, Weight Room / Rehabilitation Equipment, Countertops, Stools, etc.- a. Treatment tables, taping tables, weight room / rehabilitation equipment, countertops, stools, etc. must be cleaned everyday and/or following a possible contamination using Unicide 256 Germicidal Detergent (Brulin & Company, Inc.; Indianapolis, IN 46206) or other appropriate cleaner. 84

85 -half ounce of Unicide 256 Germicidal Detergent to each gallon of water used. Transfer the mix to a spray bottle for use. alcohol can also be used to clean porous and hard surfaces hard surfaces only b. Clean / Disinfect tables, equipment, countertops, stools, etc. in the following manner: 1) Spray the Unicide 256 solution on the surface to be cleaned; 2) Allow the solution to sit on the surface for five (5) minutes; and 3) Wipe down the surface with a towel. Coolersa. Coolers must be cleaned and disinfected every day following use, or as needed following every possible contamination using a diluted solution of Providone Iodine 10% solution or any household dishwashing detergent (e.g. Sun Light, Dawn, Joy, etc.) or other appropriate cleaner. b. Coolers are to be cleaned in the following manner: 1) Squirt the cleaning solution inside and outside the cooler and inside and outside the cooler top / lid. 2) Partially fill the cooler with hot water. 3) Use the assigned sponge to thoroughly scrub the inside and outside of the cooler and the inside and outside of the cooler top / lid. 4) Allow the soapy solution to circulate through the cooler spigot 5) Thoroughly rinse the cooler and cooler top / lid using hot water 6) Allow the hot water to circulate through the cooler spigot for rinsing. 7) Coolers should be towel dried and then allowed to air dry. 8) Store coolers upside down in the designated storage area(s). Cooler tops / lids should be stored standing up in their designated area(s). Water Bottles, Water Bottle Lids & Carriers, Etc.- 1. Water bottles, water bottle lids and carriers, etc. must be cleaned and disinfected every day following use, or as needed following every possible contamination using Providone Iodine 10% solution or a diluted solution of household dishwashing detergent (e.g. Sun Light, Dawn, Joy, etc.) or other appropriate cleaner. 2. Water bottles, water bottle lids and carriers, pouring pitchers, etc. are to be cleaned using the same cooler washing method listed above. Game Ready Attachmentsa. Game Ready attachments must be cleaned / disinfected following every use. b. Game Ready attachments are to be cleaned using Unicide 256 Germicidal Detergent (Brulin & Company, Inc.; Indianapolis, IN 46206) c. Clean / Disinfect Game Ready attachments in the following manner: d. Spray the Unicide 256 solution on the inner surface of the Game Ready attachment; e. Allow the solution to sit for five (5) minutes; and wipe down the Game Ready attachment with a towel. Towelsa. Cloth towels should only be used on a single patient and should be laundered following every use. b. Disposable towels should be used whenever feasible on the field / court and should be disposed of after a single use. Hydrocollator Packs / Coversa. A cloth and/or disposable towel should be placed between the patient and the hydrocollator pack / cover. b. Hydrocollator covers should be laundered every day and/or following a possible contamination. Soft Goodsa.Soft goods (e.g. neoprene braces / sleeves, knee / elbow / forearm / shin pads, splints, lace-up ankle braces, shoulder harnesses, walking boot liners, cast shoes, back braces, etc.) should be laundered upon return to the athletic training facility BEFORE being returned to inventory and/or administered to another student athlete. b. Soft goods that cannot be laundered (e.g. Philadelphia collars, Active ankle braces, Aircast ankle braces, hard splints, etc.) should be disinfected using the aforementioned guidelines for treatment / taping tables, weight room / rehabilitation equipment, etc. 85

86 Whirlpoolsa. Whirlpools shall be cleaned on a daily basis, or as needed following every possible contamination; b. Whirlpools are not to be used by student-athletes with open or draining wounds; c. Whirlpools are to be cleaned using Unicide 256 Germicidal Detergent (Brulin & Company, Inc.; Indianapolis, IN 46206) and Mission Super Cleaner (Mission Pharmacal Comp.; San Antonio, TX 78278). d. Whirlpools are to be cleaned in the following manner: e. Spray the Unicide 256 and Mission Super Cleaner in and around the sides of the whirlpool; f. Allow the whirlpool cleaner to sit for five (5) minutes; g. Using a clean towel, scrub all surfaces of the whirlpool, including the bottom, sides, turbine, etc. h. Rinse the tank very well with hot water and allow it to drain; i. Towel dry or air dry; j. Whirlpool turbines are to be cleaned using household bleach or ammonia by allowing the bleach or ammonia solution to circulate through a running turbine with hot water for ten (10) minutes. DO NOT use bleach and ammonia at the same time as this will create harmful / hazardous fumes. 8. Franklin College s Response to the H1N1 Influenza Franklin College is working diligently to stay abreast of the latest developments related to the Novel H1N1 flu virus, and will continue to do our best to keep you informed as well. We have posted informational fliers around campus reminding all of us of the measures we can each take as individuals to help slow the spread of this viral illness. Franklin College will continue to look to the public health officials for information and guidance. The Center for Disease Control (CDC) continues to recommend that each person be responsible to take the following actions (taken from CDC website): Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it. Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective. If you get sick, CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them. Avoid touching your eyes, nose or mouth. Germs spread that way. If one of your athlete s develops an illness with fever and respiratory symptoms, such as cough, runny nose, body aches or other associated symptoms though rare, such as nausea, vomiting or diarrhea, they should contact a member of the athletic training staff immediately so that they can be referred to the Student Health Center or another healthcare facility. How do I get more information about this flu? You can go to the CDC website at or to the Indiana State Department of Health website at You may also visit the World Health Organization website at For more detailed information, contact the ISDH Influenza Call Center at (877) J. Student Athlete Pre-Participation Physical Exams, Participation Packets and Screenings All Student-Athletes are expected to complete the following paperwork prior to the start of their scheduled team practices/competitions: 1. Incoming Freshman and Transfer Athletes - Pre participation physical, Student Athlete Participation Packet and Pre-season Screening 2. Returning Athletes Student-Athlete Participation Packet and Pre-season Screening These forms can be found on the Franklin College Athletic Training website and the student-athlete is expected to print these and return to the athletic training department PRIOR to the start of their scheduled team practices. Below is the Pre-season screening form utilized through the 4 years of a student-athlete s eligibility. This is placed into each student-athlete s medical file. 86

87 K. Student-Athlete Insurance Claims In the event a student-athlete sustains an injury while participating in practice/competition for their sport, the college s secondary insurance (Student Athlete Protection) will pick up the remaining balance of what their primary policy does not cover after the following information has been meet by the student-athlete: All intercollegiate student-athletes at Franklin College must be covered by a primary insurance policy with a minimum limitation of $90,000 and a maximum deductible of $1500 to be eligible to participate in intercollegiate athletics.* Insurance Coverage: Franklin College does provide insurance coverage for accidents/injuries that occur from the direct result of intercollegiate athletic participation at the College. This coverage is a secondary policy, and will only take effect after a claim has been filed and processed by the primary insurance provider that covers your son/daughter. Coverage for the athlete begins the first day of the required, in-season organized and supervised practice of that sport s season, and ends upon the completion of the final contest of that sport s season. Voluntary out-of-season workouts are NOT covered by the secondary policy of the College. Claim Procedure: All medical bills that your son/daughter incur as the result of an injury while participating in intercollegiate athletics will either be sent directly to your insurance company or to your home address. Any claim for benefits must FIRST be filed with the primary health insurance company providing coverage to your son/daughter. After they have paid all available benefits, our athletic insurance company will process the claim and determine benefits payable on the balance. 1. Any claims for benefits must first be filed with the student-athlete s insurance carrier. 2. If a balance remains after your health insurance has contributed towards the claim, a copy of the itemized bill and the Explanation of Benefits (EOB) from the insurance company should be submitted to the Athletic Training Department. For each claim, the student-athlete and parents will be responsible for the first $500 of the claim. 87