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Chapter 2: Health Care Administration in Athletic Training

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Title: Chapter 2: Health Care Administration in Athletic Training


1
Chapter 2 Health Care Administration in Athletic
Training
2
System of Healthcare Management
  • Strategic Plan Development
  • Determine why there is need for such a program
  • Determine function of program within scope of
    athletic program
  • Decision of administrators will determine extent
    of health care program
  • Develop written mission statement to focus
    direction of program

3
  • Strategic Plan Development (cont.)
  • Strategic plan development must include
    administrators, student-athletes, coaches,
    physicians, athletic trainers, parents and
    community health leaders
  • Ongoing process that reviews strengths and
    weaknesses of program

4
Providing Coverage
  • Facility Personnel Coverage
  • Appropriate coverage of facility and sports
  • Setup of treatments, rehabilitation, game and
    practice coverage vary
  • Sports Coverage
  • Certified athletic trainer or at least a student
    should attend all practices and games
  • Different institutions have different levels of
    coverage based on personnel and risks involved
    with sports

5
Emergency Telephones
  • Accessibility to phones in all major areas of
    activity is a must
  • Should be able to contact outside emergency help
    and be able to call for additional athletic
    training assistance
  • Radios, cell and digital phones provide a great
    deal of flexibility

6
Budgetary Concerns
  • Size of budget??
  • Different settings different size budgets and
    space allocations
  • Equipment needs and supplies vary depending on
    the setting (college vs. high school)
  • Continuous planning and prioritizing is necessary
    to effectively manage monetary allocations to
    meet programmatic goals

7
  • Supplies
  • Expendable (supplies that cannot be reused- first
    aid and injury prevention supplies)
  • Non-expendable (re-useable supplies -ace wraps,
    scissorsetc)
  • Yearly inventory and records must be maintained
    in both areas

8
Facility Design
  • Design will vary drastically based on number of
    athletes, teams, and various needs of the program
  • Size
  • Varies between settings
  • Must take advantage and manage space effectively
  • Interact with architect relative to needs of
    program and athletes

9
  • Location
  • Outside entrance (limits doors that must be
    accessed when transporting injured athletes)
  • Double door entrances and ramps are ideal
  • Proximity to locker rooms and toilet facilities
  • Light, heat and water source should be
    independent from rest of facility

10
  • Special Service Areas
  • Treatment Area area that accommodates 4-6
    adjustable treatment tables, 3-4 stools, and
    hydrocollator and ice machine accessibility
  • Electrotherapy Area area that houses ultrasound,
    diathermy, electrical stim units, storage units,
    grounded outlets, treatment tables and wooden
    chairs, under constant supervision

11
  • Storage Facilities
  • Training rooms often lack ample storage space
  • Storage in training room that holds general
    supplies and special equipment
  • Large walk-in storage cabinet for bulk supplies
  • Refrigerator for equipment, ice cups, medicine
    and additional supplies

12
  • Athletic Trainers Office
  • Space at least 10x12 feet is ample
  • All areas of training room should be supervised
    without leaving office space (glass partitions)
  • Equipment should include, desk, chair, tack
    board, telephone, computer (if necessary) and
    independent locking system

13
Record Keeping
  • Major responsibility
  • The rule not the exception - accurate and
    up-to-date
  • Medical records, injury reports, insurance
    information, injury evaluations, progress notes,
    equipment inventories, annual reports

14
Administering Pre-participation Examinations
  • Initial pre-participation exam prior to start of
    practice is critical
  • Purpose it to identify athlete that may be at
    risk
  • Should include
  • Medical history, physical exam, orthopedic
    screening, wellness screening
  • Establishes a baseline
  • Satisfies insurance and liability issue

15
  • Maturity Assessment
  • Means to protect young physically active athletes
  • Methods
  • Circumpubertal (sexual maturity)
  • Skeletal
  • Dental
  • Tanners five stage assessment is most expedient
  • Orthopedic Screening
  • Part of physical exam or separate
  • Various degrees of detail concerning exam

16
Injury Reports and Injury Disposition
  • Injury reports serve as future references
  • Reports can shed light on events that may be hazy
    following an incident
  • Necessary in case of litigation
  • All reports should be filed in the athletic
    training room

17
Treatment Log
  • Sign-in to keep track of services
  • Daily treatments can be recorded
  • Can be used as legal documentation in instances
    of litigation
  • Personal Information Card
  • Contains contact information for family, personal
    physician, and insurance information

18
Injury Evaluation and Progress Notes
  • Injuries and progress should be monitored by
    athletic trainer and recorded
  • SOAP note format
  • S Subjective (history of injury/illness)
  • O Objective (information gathered during
    evaluation)
  • A Assessment (opinion of injury based on
    information gained during evaluation)
  • P Plan (short and long term goals of rehab)

19
Chapter 3 Legal Concerns and Related Issues
20
Liability
  • State of being legally responsible for the harm
    one causes to another person.

21
Standard of Reasonable Care
  • Negligence
  • the failure to use ordinary or reasonable care.
  • Standards of reasonable care
  • Assumes that a person is of ordinary and
    reasonable prudence
  • Bring commonsense approach to the situation
  • Must operate within the appropriate limitations
    of ones educational background

22
Torts
  • Legal wrongs committed against a person
    (liability results)
  • May emanate from
  • Nonfeasance
  • Fail to perform legal duty (i.e. fail to refer)
  • Malfeasance
  • Performs action that is not his/hers to legally
    perform (i.e. perform advanced treatment leading
    to complications)

23
Proving Negligence
  • Care giver does something a reasonably prudent
    individual would not.
  • Care giver fails to do something a reasonably
    prudent individual would not.
  • Athletic trainer has a duty to provide coverage
    to athletes (obligation)

24
  • Individual possessing higher level of training
    will possess higher level of competence
  • Once coach or athletic trainer assumes duty of
    caring for athlete that person has an obligation
    to provide appropriate care
  • Obligation to provide services vs. Scope of
    employment

25
  • Good Samaritan Law
  • Provides limited protection against legal
    liability to one that provides care should
    something go wrong

26
Assumption of Risk
  • Athlete is made aware of inherent risks involved
    in sport and voluntarily decides to continue
    participating
  • Expressed in written waiver or implied from
    conduct of athlete once participation begins
  • Can be used as defense against an athletes
    negligence suit

27
  • Does not excuse overseers from exhibiting
    reasonable care and prudence in regards to
    conduct of activities or foreseeing potential
    hazards
  • Many and varied interpretations (particularly
    with minors)
  • Often a waiver will stand in court except in
    incidents of fraud, misrepresentation or duress

28
Reducing the Risk of Litigation
29
Athletic Trainer
  • Work to establish good working relationships
    with athletes, parents and coworkers
  • Establish policies regarding athletic training
    facility and coverage
  • Develop emergency action plan
  • Know the medical history of athletes
  • Maintain adequate records

30
  • Detailed job description
  • Obtain written consent relative to providing
    health care
  • Maintain confidentiality
  • Exercise caution with regards to medication
    distribution and modality use
  • Ensure safe equipment and facilities

31
  • Follow physicians orders, particularly when
    dealing with participation of athlete
  • Purchase liability insurance
  • Know scope of practice
  • Use common sense
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