Clinical Experiences in Athletic Training I

ATHT 214 F12

Huntingdon College ATEP Department of Sport Science and Physical Education ATHT 214 Clinical Experiences in Athletic Training I

Instructor: Dr. Mike Bamman Office: Weil 104 Telephone No.: 334-833-2244 Office Hrs: M/W 9-10:30; T/R 9-9:30 E-mail: [email protected] http://mbamman.huntingdon.edu

Course Description: Provide the athletic training student with clinical and practical experiences in the athletic training setting. During the semester the student will be assessed on athletic training competencies related to the use and application of therapeutic modalities. Recommended athletic training majors take this course concurrently with ATHT 204.

Credit Hours: 1 semester hour

Textbook: Therapeutic Modalities: ISBN: 0803611390 Pharmacology Application for AT's: ISBN: 0803611277

Clinical I Notebook- (reference in ATEP resource room) & ATRACK Documentation System.

Class Schedule: The instructor for this course will schedule at time at which all students can meet. All students are required to meet with the instructor outside of the regular clinical experience on a weekly basis. The purpose of the weekly meetings is to review each student’s progression with fulfilling the clinical skills assigned to the course.

Learning Outcomes: Education competencies and/or proficiencies specific to the area[s] of Injury/Illness Prevention and Wellness Protection, Clinical Evaluation and Diagnosis, Immediate and Emergency Care, Treatment and Rehabilitation, Organizational and Professional Health and Well‐ being for the Athletic Training Education Program have been matched with this course within the content of this course. Students will receive instruction and/or evaluation relative to the identified educational competencies.

Course Objectives: At the completion of this course the student will be able to:

 Describe and demonstrate the theory and use of superficial heating techniques, the indications and contraindication of each technique, and proper care of equipment.  Describe and demonstrate the theory and use of deep heating techniques, the indications and contraindications of each technique, and the proper care of equipment.  Describe and demonstrate the theory and use of cryotherapy, methods of application, and indications and contraindication.  Describe and demonstrate the theory and use of electrotherapy, methods of application, indications and contraindication, and care of equipment.  Describe and demonstrate the theory and use of traction techniques, indications and contraindications, and the care of equipment. ATHT 214 F12

 Describe and demonstrate the theory and use of contrast baths, indications and contraindications, and the care of equipment.  Describe and demonstrate the theory and use of combined ultrasound and electrical stimulation, indications and contraindication, and proper care of equipment.  Describe and demonstrate the theory and use of intermittent compression, indications and contraindications and proper care of equipment  Describe and demonstrate the theory and use of massage, and the indications and contraindications to its use.  Describe and demonstrate the theory and use appropriate wound care techniques and the indications and contraindications to its use.  Describe and demonstrate the theory and use of prescribed medications, a documentation system , legal and ethical issues as well as the indications and contraindications to its use in the practice. 

Clinical Experience:

The purpose of the clinical experiences is to provide the student with the opportunity to practice and master specific clinical skills identified in the course. Laboratory sessions associated with the ATHT 204 course will provide opportunities to introduce to the student specific skills related to the evaluation and initial treatment of the injured athlete. Laboratory sessions will also provide the student the opportunity to practice the identified skills. It is the responsibility of the student to become proficient relative to performance of the specific clinical skills identify in this course. To ensure that the student is spending ample time in the athletic training setting so as to have the opportunity to use and refine specific clinical skills, the student will be required to complete a minimum of 150 hours in the traditional athletic training setting.

Course Activities: The course will require active participation in various instructional activities such as the physical examination and assessment and treatment of specific structures of the body. On those days that students will be participating in these activities, the student will need to wear appropriate attire (shorts, tee-shirt, and socks). On those days that the student will be observing in the athletic training facility, or at an athletic event, the student will need to wear appropriate attire (khaki pants or shorts, collared shirt, socks and athletic shoes). On days the student is visiting a physician’s office or physical therapy clinic, the student will need to dress appropriately (Huntingdon Athletic Training shirt, no shorts, no wind pants or sweats, no jeans, no open toe shoes).

Assignments: The student will be issued a series of assignments that address specific use of therapeutic modalities for the treatment of athletic injuries.

Clinical Skills: The student will be expected to demonstrate competency for skills related to the selection and use of therapeutic modalities for the treatment of athletic injuries. ATHT 214 F12

Grading Criteria: The student’s final grade for this course will be based on performance on the following evaluation techniques and weighted accordingly:

Clinical Skills and Competencies 40% The student must demonstrate a satisfactory level of performance (passed/ proficient) for each clinical skill and competencies identified with this course.

Clinical Experience 30% The student must complete a minimum of 150 hours of clinical experience working with a certified athletic trainer. This assignment carries an all-or-none criteria meaning the students does not receive the 30% credit if the total number of hours does not equal at least 150 hours. This includes the minimum 1 hour of Athletic Training Room(ATR) hours assigned. Also, the student must demonstrate satisfactory performance on the mid-term and end-of- semester evaluations.

Assignments 15 % Assignments relative to the selection and use of therapeutic modalities will be assigned to the student.

Semester evaluations: 2.5% Completed semester evaluations (MT and Final) for clinical instructors and clinical sites for this course should be completed. This assignment carries an all-or-none criteria.

Student evaluations: 2.5% Completed student evaluations (MT and Final) by your clinical instructors and Student Responses for this course must be completed. This assignment carries an all-or-none criteria.

Clinical Final Exam 10% The practical final exam will require the student to demonstrate his/her ability to use specific modalities for the assessment and treatment of specific body segments of the torso, upper and lower extremity, and illness for possible injuries.

Grading Scale: A 90% or above C 70 – 79 % F 59% or less B 80 – 89 % D 60 – 69%

Failure to earn a grade of “C” or better will result in the retaking of this course ATHT 214 F12

Classroom Policies: Students must be familiar with, and abide by, the standard classroom policies below. These policies are for the student’s benefit and are designed to help the student succeed in class.

Attendance Policy Students are expected to attend all classes.

Completion of Absence-related Work Make-up of any graded work may be granted at the discretion of the instructor, in cases of documented medical, personal or family emergency. In the case of absence due to participation in a college-sanctioned event, the student notification process is as follows: 1. It is the student’s responsibility to complete an online notification form prior to the event (http://www.huntingdon.edu/athleticsForm.aspx?ekfrm=4169).

2. Verification of the student’s participation must be provided by the sponsoring organization (travel roster or similar documentation).

Code of Classroom Conduct

Preamble: Huntingdon College seeks to nurture wisdom, service, and faith. As a community of learners, we hold one another to a high level of conduct. Learning cannot take place in an environment of disrespect or disorder. In order to facilitate learning and discovery, Huntingdon students and faculty are expected to conduct themselves in a way befitting the 155 year-old tradition of Huntingdon College.

I. What faculty can expect from students: 1. Students are expected to treat their peers and professors with respect. Students shall not interrupt their fellow students or professor. Derogatory or sarcastic comments directed at students or professors are never acceptable. 2. Students shall attend all scheduled classes. 3. Students shall bring all necessary books and other materials to every class. 4. Students shall arrive for class on time. 5. Students shall not leave class early or gather materials together until the class has ended. 6. Students shall not engage in text messaging (receiving or sending) during class or talking on cell phones during class. If students have an emergency and must receive a message or call, they shall alert their professor at the beginning of class and then step out of the class to take the emergency call or message. 7. Students shall refrain from Internet surfing during class. If a faculty member believes that a student is using his or her electronic device in ways unrelated to class, the professor may prohibit the student from bringing his or her computer to class. 8. Students shall not talk with fellow students during class about topics unrelated to the course. Side conversations are distracting to one’s colleagues and the professor. 9. Students shall uphold the standards of academic integrity and the Student Honor Code. Failure to adhere to these standards represents a violation of the Huntingdon College Student Code of Classroom Conduct and may result in students being asked to leave the class. Repeated violations that cause disruption to the learning environment may result in additional sanctions, including removal from the course or, in extreme circumstances, dismissal from the College. ATHT 214 F12

II. What students can expect from faculty: 1. Faculty shall treat all students with respect, regardless of differences of opinion or program of study. 2. Faculty shall be well prepared for classes. 3. Faculty shall grade students fairly based on the policies in the syllabus. 4. Faculty shall return graded materials in a timely fashion. 5. Faculty shall provide students with their current grade when asked. 6. Faculty shall keep regular and consistent office hours. 7. Faculty shall keep student information confidential. 8. Faculty shall make every effort to alert students ahead of time if he or she must cancel a class. 9. Faculty shall work with students to make reasonable accommodations to make up work missed as a result of a documented, excused absence

Accommodation of Special Needs: “Faculty at Huntingdon College makes every effort to accommodate unique and special needs of students with respect to speech, hearing, vision, seating, or other possible adaptations. Please notify the Disability Services Intake Coordinator, Ms. Camilla Irvin, as soon as possible of requested accommodations."

Academic Success Center: http://huntingdon.edu/academics.aspx?id=1648 Writing Center Jackson 112 / M-TH 12:30- 4:30 At the Writing Center, located in Jackson 112, Huntingdon students may work one-on-one with peer tutors to improve their reading and writing skills and get assistance with the writing components of any Huntingdon course. The Writing Center offers assistance with any stage of the writing process (brainstorming ideas, developing thesis statements, organizing and developing arguments, revising and editing), research documentation methods such as MLA or APA, and answering SWE (Standard Written English) or grammar questions. The Writing Center is a free service for all Huntingdon students and is open daily from 11-4pm and Tuesday through Thursday from 7-9pm. Appointments or walk-ins are welcome. Please contact Mr. Jim Hilgartner or Ms. Jamie Brazell at [email protected] to set up an appointment or get more information. Jamie Brazell is also available in Weil 101 for assistance. Please contact her at [email protected] to set up an appointment or for more information. ATHT 214 F12

Tentative Schedule Week Topic Skills to be covered Assignments/ Proficiencies Due FRIDAY by 1:00 pm. 1 Safety in the athletic Safety inspection of AT Assignment 5: Due first week of preseason. training facility facilities. Development of the Safety inspection of athletic training facility. Treatment Plan Construct a résumé. Assignment 1 2 Treatment plan Development of treatment Develop a treatment plan to include STG/ LTG's for a specific plans injury - SOAP note on a specific patient- Assignment 2 3 Pain Assessment of pain Pain Assessment . Assignment 3

4 Therapeutic Cold Ice pack, ice massage, cold Demonstration of methods of therapeutic cold application. Application whirlpool, slush bucket, Clinical Proficiencies Due for Cold Application- 5% of cyrocuff, cryo-kinetics final grade 5 Superficial Heat Moist heat, warm Demonstration of methods of superficial heat application. Application whirlpool, paraffin Clinical Proficiencies Due for Heat Modalities- 5% of final grade 6 Therapeutic Massage Massage strokes Demonstration of therapeutic massage techniques. Myofascial release Clinical Proficiencies Due for Massage- 5% of final grade 7 Ultrasound Continuous, pulsed, Demonstration of methods of ultrasound application. indirect, phonophoresis Clinical Proficiencies Due for Ultrasound- 5% of final grade 8 Electrical Stimulation High-voltage Demonstration of use of e-stim for edema management. Techniques a. neuromuscular stimulation b. pain control 9 Electrical Stimulation High-voltage Demonstration of use of e-stim for pain management. Techniques a. control / reduction of edema b. sensory-level edema control c. motor-level edema control 10 Electrical Stimulation Transcutaneous electrical Demonstration of use of e-stim for pain management. Techniques nerve stimulation Interferential stimulation Clinical Proficiencies Due for ALL Electrical Stimulation Modalities- 10% of final grade 11 Electrical Stimulation Iontophoresis and muscle Demonstration of use of iontophoresis & biofeedback. Techniques re-education 12 Traction Mechanical traction Demonstration of use of lumbar traction. Manual traction Demonstration of use of cervical traction Positional traction Clinical Proficiencies Due for ALL traction modalities- 5% of final grade 13 Intermittent Compression Acute injury care Demonstration of use of intermittent compression. 14 THANKSGIVING Modalities Workbook Completed. Assignment 4 BREAK 15 Wound Care Clinical Proficiencies Due for compression and wound care- 5% of final grade Assignment 6- Notebook/ Binder 16 Lab Practical Exam Documentation of completed hours, evaluations and ALL ATRACK requirements. ATHT 214 F12 ATHT 214 F12

1. Resume Project (50pts ): You will be required to construct a resume in a format acceptable as if you were applying for a job as a certified athletic trainer (ATC). You must include a copy of the NATA listing for the job you are applying, cover letter for a current job listing on the NATA career center, 3 references with current contact information (You must have a minimum of 1 ATC and 1 professor listed as a reference) and include three letters of recommendation in your resume package.

2. Treatment Plan (20 pts): you will be required to complete a detailed SOAP note on the NEXXT system for an athlete whom you have been treating in the ATR. You must include STG/ LTG pertinent to their injury and return to play status.

3. Pain Assessment: (30 pts) Write a brief summary of pain and how to assess it. This must include the following: a. Definition and scope of pain b. Physiological aspects c. Psychological aspects d. Assessment tools and techniques e. Conclusion/ Summary- how pain contributes and affects you as an ATS f. References (APA format)

4. Modalities Workbook: (100pts) template will be sent to you via email. Submit the completed book in the exact format as it is provided to you. This must be submitted electronically to Instructor of ATHT 204 and Faculty member overseeing the clinical class. (Dr. Bamman)

5. ACI/CI introductory Letter: (10 pts) Submit a written letter explaining who you are, your progress in the ATEP, and your personal goals for the semester to your supervising ACI/CI. You must also submit a copy of this letter to the ATEP Program Director. This can be submitted electronically. Due Friday by 5:00pm of the first week of PRESEAON.

6. Black Binder/ Notebook: (30 pts) Each student is to keep a notebook [Black binder] for All ATEP courses. This notebook will be housed in the ATEP resource room and will be divided the following sections: Individual ATHT Courses Course work/ assignments Examinations- written & practical The notebook will be graded relative to content, organization and neatness. Due: November 30, 2012 ATHT 214 F12

Clinical skills and competencies to the evaluated in this course:

1. The student will use the PDR or another drug reference to search for information on the medications commonly prescribed to athletes and others involved in physical activity and to identify the following facts: a. generic and brand names e. Dosing b. indications for use f. Other notes (e.g., banned substance) c. contraindications g. Side (adverse) effects d. warnings

2. The student will document, or simulate the documentation of, the tracking of medications by recording the following information about the medication: a. name d. Dosage b. manufacturer e. Lot number c. amount f. Expiration date

3. The student will locate the policies-and-procedures manual, identify the section on medications, and replicate the procedures for administering medications to athletes and others involved in physical activity, which include the following: a. determine type of over-the-counter (OTC) medication to be used according to the physical ailment and established protocols b. identify the precautions, expiration date, lot number, and dosage for the medication as provided on the package and individual dose packets c. administer OTC medication by providing verbal and written instruction for its use to the patient and then recording and documenting the administration

4. The student will locate the phone number and address of the nearest poison control center and replicate the reporting of a drug overdose or poisoning situation. The report should state the following information: a. name and location of person making the call b. name and age of person who has taken the medication c. name and dosage of the drug taken d. time the drug was taken e. signs and symptoms associated with overdose or poison situation, including vital signs

5. The student will perform a physical examination to identify the current inflammatory stage.

6. The student will perform a physical examination and interview to identify the indications, contraindications, and precautions to various treatment protocols.

7. The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply the following: a. cold whirlpool treatment e. Ice immersion b. controlled cold therapy unit f. Ice massage c. ice pack g. cryokinetics d. vapo-coolant spray

8. The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply the following: a. moist heat pack c. Contrast bath ATHT 214 F12

b. paraffin treatment d. Warm whirlpool treatment

9. The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply the following: a. sensory-level pain control treatment f. Muscle atrophy retardation treatment b. noxious-level pain control treatment g. Acute edema treatment c. motor-level pain control treatment h. Muscle splinting/spasm treatment d. muscle re-education treatment i. iontophoresis treatment e. muscle pumping treatment

10. The student will set-up and apply the following types of electrical stimulation units: a. monophasic stimulator (e.g., high volt stimulation) b. biphasic stimulator (e.g., Transcutaneous Electrical Nerve Stimulation [TENS], Neuromuscular Electrical Stimulation [NMES]) c. direct current (e.g., iontophoresis) d. alternating current (e.g., interferential, NMES) e. multifunction electrical stimulation devices

11. The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply the following: a. thermal ultrasound treatment b. non-thermal ultrasound treatment c. combination electrical-stimulation/ultrasound treatment d. phonophoresis treatment e. indirect application of ultrasound treatment (underwater, bladder)

12. The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply the following: a. mechanical traction b. manual traction c. positional traction

13. The student will demonstrate the ability to select the appropriate parameters for and then prepare and apply intermittent compression to the upper and lower extremities.

14. The student will demonstrate the ability to prepare and apply a massage treatment.

15. The student will demonstrate the proper use of wound care techniques to facilitate the proper healing process

16. The student will demonstrate the ability to properly perform the following therapeutic massage strokes: a. effleurage d. Tapotement b. petrissage e. Vibration c. friction (circular, transverse) f. Myofascial release techniques