Kentucky State University

Athletic Training

Policy And Procedures Manual

2013-2014

1 Table of Contents 1. Athletic Training Personnel 1.1 Medical Staff 1.2 On-campus Personnel 1.3 Work Study Assignments 1.4 Coaches 1.5 Chain of Command

2. Athletic Training Coverage 2.1 Facilities 2.2 Home Event Coverage 2.3 Away Event Coverage 2.4 Visiting Team Coverage 2.5 Practices 2.6 Recruits 2.7 Non-athletes 2.8 Summer Camps

3. Treatment and Care 3.1 Confidentiality 3.2 Athletic Insurance 3.3 Physicals 3.4 Evaluations 3.5 Medical Records 3.6 Sports Injury Reports 3.7 Medical Appointments 3.8 Surgery 3.9 Medical Redshirt 3.10 Return to Participation 3.11 Student-athlete Travel 3.12 Modalities 3.13 Equipment Use 3.14 Medications 3.15 Drug Testing 3.16 At Risk Student-athlete 3.17 Pregnancy 3.18 Concussion Management 3.19 Sickle Cell Trait

4. Emergency Procedures 4.1 Emergency Personnel 4.2 Emergency Equipment 4.3 Emergency Transportation 4.4 Emergency Action Plans

5. Environmental Concerns 5.1 Inclement Weather 5.2 Heat Illness 5.3 Necessary Precautions 5.4 Hydration 5.5 Heat Index Recommendations

6. Athletic Training Room Rules

2 APPENDICES

1. Pre-Participation Physical Examination Form 2. Recruit Tryout / Evaluation Waiver Form 3. Sports Injury Report 4. Emergency Action Plans 5. Chain of Command for Catastrophic Injury 6. Student-Athlete Pregnancy Policy 7. Concussion Management Plan

3 Sports Medicine Personnel

1.1 Medical Staff The medical staff consists of 2 certified athletic trainers (Carrie McCloskey, MS, ATC and Nicole Lounsberry, MS, ATC) and team physicians, along with various support personnel. The team physicians are Dr. Scott Mair and Dr. Robert Hosey who are assisted by two orthopedic fellows and two general practice fellowship doctors. The Athletic Training staff is responsible for coordinating all aspects of Athletic Training services under the direction of the team physician(s) and within the competencies of the National Athletic Training Association Role Delineation Study.

The team physician is the medical advisor for the Athletic Training staff. Some of the main roles of the team physician include but are not limited to:  Pre-participation physical examinations (2-3 dates in Aug/Sept and 1-2 dates in Jan) See Appendix 1  Weekly visits in Athletic Training room  Status of participation from physicals, injuries, and illness  Coverage of all football games, home basketball games, and the spring football game  Guidance on evaluation, treatment, rehabilitation, policies and procedures  Availability of office appointments and surgeries in a timely fashion

1.2 On-Campus Personnel Kentucky State University has on-campus medical personnel to handle basic care of students. The Betty White Health Center is available for the physical and mental care of a student-athlete, respectively. When a student athlete is seen at either facility, the Athletic Training staff will work with the appropriate staff to provide the optimal care.

1.3 Work-Study Assistants The Athletic Training staff incorporates student workers into the medical care of student-athletes as part of the Work-Study program on campus. Students working with student-athletes receive basic training on blood-borne pathogen exposure, first aid, taping/wrapping, and confidentiality. The individual is strongly encouraged to obtain CPR and first aid certification through the American Red Cross or American Heart Association. Work study students will only be asked to complete technical based tasks (filling water, cleaning, restocking supplies) not clinical based tasks (decisions on rehabilitations or return to play status).

1.4 Coaches Coaches are an important part of the student-athlete's health care. The Athletic Training staff communicates with each head coach through the daily coach's report, email, and phone conversations. Each head coach has the responsibility to:  Have every student athlete complete a physical through our team physicians prior to participating in any level of activity  Communicate any concerns regarding a student athlete's health care, including hospitalization and off season injury/illness  Communicate practice changes with a 48 hour notice  Communicate event changes with a four day notice  Have a stocked medical kit available for team functions

All coaches are required to have training in first aid, cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) training.

4 1.5 Chain of Command In the case of a catastrophic injury you will need to notify the following in order; head Athletic Trainer, team physician, and athletic director. From there a designated athletic administrator point person will contact family, update all other athletic staff, and all other necessary KSU administration. No contact with media will be done by any athletic member staff. All media contact will be done by the designated athletic administrator. A meeting to discuss situation will be scheduled with all other student-athletes. A counselor will be brought in to assist those student athletes that request services. Athletic staff members involved with incident may need to assist with documentation, and insurance claims. For more details and phone numbers please see Appendix 5.

Athletic Training Coverage

2.1 Facilities The Alumni Stadium Athletic Training Room is the central location for the evaluation, treatment, and rehabilitation of all student athletes. During the fall and spring semesters treatment times will be set according to the practice schedules of in-season teams. Times will be set on a monthly basis and will be posted at the Stadium. Coaches and administrators will also be notified of the Athletic Training room’s hours of operation via e-mail.

The Exum Center Athletic Training Room is designed to handle pre-practice, post-practice, and event care for all Kentucky State’s indoor sports (basketball, volleyball, and track and field).

Winter, summer, and holiday hours of operation will be announced in advance of the break (semester, holiday, etc.).

2.2 Home Event Coverage A certified Athletic Trainer (ATC) is in attendance for all home Contact/Collision varsity athletic events. The coaching staff is responsible for providing notification of schedule changes to the athletic training staff with a minimum four-day notice.

2.3 Away Event Coverage The host institution provides medical coverage to all of our varsity teams with the exception of football. For an away football event, one ATC travels with one team physician (general practice or orthopedic based on availability). For post-season contests or conference tournaments, an ATC is available when requested by the head coach (home events must be covered first).

When a team travels without an ATC, contact will be made by the Athletic Training staff with the host institution for any pre-game treatments or instructions.

5 2.4 Visiting Team Coverage The Athletic Training room is open two hours prior to the event, unless otherwise requested. Visiting medical staffs are allowed to handle their student athletes according to their protocol. If there is no medical staff with the team, a member of our staff will provide limited care. Communication (i.e., note, email, phone call) by the visiting teams’ physician or athletic trainer is needed for the use of ultrasound and/or electrical muscle stimulation. The visiting team should provide their own tape and supplies for the care of their student athletes.

The Athletic Training staff will provide the following items or services to visiting teams: Water  Area for treatment  Ice  Emergency Care

2.5 Practice An ATC is on-site or on-call for all scheduled in-season practices. A practice scheduled outside the available coverage range needs to be reported 48 hours prior to the event so that staffing arrangements can be made. Coverage cannot be guaranteed for practices scheduled outside of the available times listed below. Available coverage includes:  Monday - Friday: 10am -  In season teams receive priority 6pm  Home competition receives priority over practice  Saturday: 10am - 2pm  Sunday: 2pm – 4pm

Practice and game schedules are requested of all coaches prior to the start of their pre-season.

2.6 Recruits The Athletic Training staff does not cover recruit try-outs. However, a recruit can receive pre-practice and post-practice care with respect to ice and heat only. In the event a recruit is injured, basic emergency and first aid care is provided. A recruit is not covered by the athletic insurance plan. Any prospective recruit or transfer visiting KSU must show proof of insurance, a current physical form, and sign tryout/evaluation waiver form before participating in any physical activity on campus. Their insurance will be kept on file with the KSU Athletic Training staff. See Appendix 1, 2

2.7 Non-athletes All non student-athletes should be evaluated by the Betty White Health Center on campus. A member of the Athletic Training staff can provide a basic evaluation and educate the individual on a proper referral process, including ice and first aid care.

2.8 Summer Camps The Athletic Training staff can assist coaches in finding athletic training coverage for summer camps. Supplies and equipment (ice bags, cups, water coolers, tape, band aids, etc) are the responsibility of the coach. The handling of injuries and/or illnesses and emergency plans should be handled through the director of Summer Programs and Camps.

6 Treatment and Care

3.1 Confidentiality All medical information on a student-athlete is confidential. Information that is not pertinent to an injury is not shared with unauthorized personnel without the consent of the student-athlete; this includes teammates, administration, media, and etc.

3.2 Insurance The athletic insurance policy is an excess policy, similar to being a secondary provider, and is only for athletic related injuries. The college also carries a catastrophic insurance policy, as required by the NCAA. The policy covers athletic related injuries that occur during official athletic practices or games. The policy does not cover pre-existing conditions and non-athletic injuries. All student-athletes are required to show proof of purchase primary insurance coverage before participating.

If a student-athlete is injured during an official game or practice, the student-athlete’s primary insurance will be given to the medical provider at the time of treatment. Medical bills incurred due to an athletic injury must be filed first with the athlete’s primary insurance company. If referred to a physician by the KSU Athletic Training staff, the primary insurance company will be contacted, prior to the appointment, for benefits and eligibility. In order to submit remaining balances after the primary insurance has processed their allowance, it is the responsibility of the student athlete to turn in all bills; this also includes the explanation of benefits (EOB) and itemized bills. All bills must be provided to the Athletic Training staff within 30 days of denial or receipt of notice of any balance. Any late fees incurred will be the responsibility of the student-athlete and or parent / guardian.

An injury that occurred during a scheduled athletic practice or event must be reported to be covered by the school insurance.

Insurance issues are difficult; the student-athlete/family is encouraged to contact a member of the Athletic Training staff with questions. When a claim is filed each case is reviewed on an individual basis. Just because a claim is filed does not mean that the bills/injury are covered; there are no guarantees of coverage. A claim can be denied for the following reasons:  Denial of a claim by the primary insurance company  Illness; pre-existing, chronic, or overuse injury  Injury incurred other than during an organized athletic practice or competition  Bills incurred beyond the 6 months from the initial date of injury  Lack of documentation of the injury, including the daily sign-in log  Failure to adhere to a rehab program  Lack of communication or failure to bring in bills to the Athletic Training staff beyond 6 months from the initial date of injury  Medical visit not approved by the KSU Athletic Training staff

Orthotics, contacts, glasses, birth control are not covered by the school’s insurance plan and thus will be the reasonability of the student-athlete to pay for them on their own.

7 3.3 Physicals All student-athletes, including walk-ons, participating in intercollegiate sports at Kentucky State University must have a pre-participation physical examination (PPE) administered by a team physician prior to engaging in any practice or competition. PPE's are designed to address any detected orthopedic or general medical concerns prior to practice/competition to allow the student-athlete to compete in a healthy manner. All physicals must be done by the team physician; physicals from any other doctors are not accepted. The recommendations of the team physician during a PPE must be followed prior to participation. When the team physician feels that a student-athlete has a medical condition or injury that puts the student athlete at risk, the student-athlete will NOT be allowed to participate until their safety can be assured.

Any new student-athlete (i.e., freshmen, transfer, walk–on, and change in sport) must have a complete physical. A student-athlete who leaves school for one or more years, or athletic years (in an individual sport) must undergo a new physical exam. All student-athletes’ physicals are updated annually by the Athletic Training staff. Only returning student-athletes designated by the Athletic Training staff or student--athletes with concerns will need to see the team physician in order to have a physical considered complete. Student-athletes will NOT be allowed to practice or compete until they have passes a physical examination.

If a student-athlete has a pre-existing injury or requires additional medical care, medical documentation from the treating physician must be on file. Kentucky State University athletic insurance is not responsible for expenses incurred for follow-up care. Thus, all follow-up work must be performed within the guidelines of the primary insurance. See Appendix 1

3.4 Evaluations, Treatments, and Rehabilitation Evaluations, treatments, and rehabilitation for injuries or illnesses will take place during normal Athletic Training room hours. Following the evaluation a plan between the student-athlete and Athletic Trainer (and team physician at times) will be made outlining the type of treatment, rehabilitation, or doctor referral as needed. A Daily Treatment Log is used to document a student-athlete's treatment. Priority of care will be given to student athletes that are in season. Failure of the student athlete to appear at scheduled appointments for treatment, rehab or team physician visit will be reported to head coaches. If a student athlete misses more then three scheduled treatment / rehab sessions for an inexcusable reason, they will not be allowed to practice or compete by the KSU Athletic Training staff. This will be verbalized to the student athlete at the being of any rehab session.

When a student-athlete reports to the Athletic Training room, he/she must:  Wear appropriate attire (shorts for lower extremity/t-shirt for upper extremity)  Sign the Daily Treatment Log  Adhere to the Athletic Training rules

If there is a legitimate conflict in scheduling during these hours due to class or work, arrangements can be made to evaluate the student-athlete at a more convenient time.

All treatments and tapings must be done at least 30 minutes before practice time. This is in order to make sure all student-athletes make practice on time. Thus, student-athletes need to get in early to get all treatments done or to schedule an appointment with ATC staff if they have a busy class schedule. Post practice treatments will consist of ice treatments only unless a special case. If, you have further questions or concerns about treatment times please see KSU ATC staff to discuss details.

8 3.5 Medical Records A variety of documents are used in the Athletic Training room to aide in the care of student-athletes and the administration needs. All medical records are confidential and are locked in the training room. Under the Health Insurance Portability and Practice Act (HIPPA), medical information is released under the direct consent of the student-athlete. Medical information can include type of injury, injury status, and any physician notes.

3.6 Sports Injury Report A coach's report is distributed to all sports that are in-season each weekday. The coach's report allows for appropriate information and participation status to be communicated via e-mail or phone conversation. Further communication can be exchanged through email, phone, and meetings as needed. It is the responsibility of the student-athlete and head coach to follow the recommendations of the medical staff. Failure to follow guidelines set forth by the medical staff can result in acceptance of liability. See Appendix 3

3.7 Medical Appointments All medical appointments with team physician will be made by the KSU ATC staff. In the case of minor to moderate sprains and strains the student athlete is to work with the KSU ATC staff for treatments and rehab. At the time where the injury does not get better with conservative treatment then an appointment will be set up with the team physicians for further evaluation. Student athletes that are in season or have serve injuries will have priority to see the team physician. The team physicians will onlybe out twice a week and there is a limit to how many student athletes that they will see at a given visit.

In certain cases student-athletes may require follow up appointments with the team physician or other diagnostic testing (x-ray, MRI) that is not offered on campus. The KSU Athletic Training staff will make the appointment with the appropriate medical provider and will attempt to coordinate travel to and from the appointment based on the following: 1. Student-athlete gets his/her self to appointment. 2. Member of coaching staff provides transportation for student-athlete. 3. Athletic Training staff provides transportation for student-athlete 4. Member of athletics department provides transportation for student-athlete.

In the event that the student-athlete must cancel an appointment immediate notification must be given to the Athletic Training staff. Failure to do so may delay rescheduling of the appointment. All medical appointments must be scheduled or approved by the Athletic Training staff. If a student-athlete misses three appointments with a team physician they will be removed from the system and will not be seen again by the team physicians. If a student-athlete goes to a physician or medical facility without approval or knowledge of the Athletic Training staff that student-athlete is responsible for all the medical bills.

3.8 Surgery When surgery is necessary, a post-operative student-athlete must attend rehabilitation and follow the established protocol designed by the medical staff. This is imperative for a full and complete recovery. If a student-athlete has surgery outside of the team physician network all medical documents must be sent to the Athletic Training staff. Without medical records, proper treatment, rehabilitation, and return to play status cannot be established. A student-athlete will be listed as No Participation until the proper records are on file.

9 3.9 Medical Redshirt The Athletic Training staff will adhere to NCAA guidelines for applying for a medical redshirt. Team and individual team statistics, team physician notes, and treatment and rehabilitation notes will be required for application. Medical redshirt status will be considered by the NCAA if the injury occurred within the first 20 percent of the season.

3.10 Returning to Participation The ability of a student-athlete to return to participation following an injury or illness is based on treatment/rehabilitation progress, the ability to pass a functional test, and recommendations by the team physician. A student-athlete receiving care from medical personnel outside of the team physician network must have a medical clearance on file, along with all medical records of the treatment. A student-athlete will be listed as No Participation until proper records are on file. A decision on returning to participation is the sole responsibility of the team physician and KSU Athletic Training staff.

3.11 Student-Athlete Travel When a student-athlete is unable to compete due to injury or illness, that student-athlete will not be allowed to travel with the team for away competitions. Any exceptions must be approved by the head athletic trainer, and athletic director. If a student athlete is allowed to travel with a team that is injured, they will be given a rehab program that they must complete.

3.12 Modalities Modalities are used in medicine to provide the optimal environment for healing. Modalities include, but are not limited to:  Ice  Ultrasound  Whirlpools (hot & cold)  Electrical Muscle Stimulation  Heat  Iontophoresis Settings are determined upon current research within the profession and recommendations from the team physicians. The following guidelines must be followed with regards to modalities:  Electrical modalities must be administered by a trained individual  Written documentation of specific parameters must be provided by physicians or physical therapists outside the team physician network  Modalities must be examined and calibrated once per year for proper function  Ground Fault Interrupter (GFI) outlets must be used

3.13 Equipment Use When a student-athlete uses of a piece of Athletic Training equipment (i.e., ace bandage, braces, crutches, ice chest), it is documented in the student-athlete’s file. When the item is returned, the return date is marked. If a student-athlete fails to return a piece of equipment, the following steps are taken to have the item returned or to receive reimbursement, with efforts made to avoid billing an account:  Two verbal reminders  One written reminder  Bill sent to the student athlete’s college account (cost of the equipment, shipping, and handling) All protective equipment must follow the NCAA Division II rules/regulations. Please note: If a student- athlete alters any piece of equipment (pads, shoes, helmet, and etc.) the school’s insurance can deny the student athlete’s injury claim.

All teams will be provided a stocked Athletic Training medical kit for use during regular season and travel. Inform ATC staff if running low on supplies. A medical roster will also be in the kit that has emergency information, medical history, and insurance information on that sports student-athletes. If a team loses the Athletic Training kit, that sport will be charged.

10 3.14 Medications Certain OTC medications are kept in stock in a locked cabinet in the Alumni Stadium ATR and can be administered to a student-athlete that has a current physical on file. Guidelines for administering OTC medications are determined in standing order from our team physicians. OTC medications can be administered in single doses to a student-athlete within the initial 24 hours of an acute injury and documented in the student-athlete’s file. When traveling, OTC medications from the Athletic Training room are only permitted in the medical kit of the Athletic Training staff.

When a team physician writes a prescription for a student-athlete for mediation due to an athletic injury, the ATC staff will fill out a form so that the athlete may get the script filled at a local Kroger pharmacy. The charge will then be billed back to the school, if this privilege is abused by any sport the account will be closed immediately.

3.15 Drug Testing NCAA Division II drug testing is mandatory. Every institution sponsoring football will be tested at least once each academic year. In addition to football, one additional sport will be randomly selected for drug tested. However, Kentucky State University can be selected for drug testing more than once each academic year and all sports can be tested. Student-athletes will be notified by the Athletic Training staff of date, time, and location of testing if selected. Failure to appear is deemed a positive test and will result in the loss of eligibility. Two samples of the specimen will be taken. If a student-athlete tests positive, he/she will be notified and the second sample will be tested. If the student-athlete’s second sample tests positive he will result in a loss of NCAA eligibility.

If a student-athlete is suspected of drug use by a coach, Athletic Training staff, and/or athletic administration, that student-athlete is subject to drug testing at a local facility. Refer to athletic department drug testing policy for further information.

3.16 At Risk Athlete Certain conditions arise where it is not beneficial for a student-athlete to participate in athletics. Efforts are made by the Athletic Trainers and team physicians to counsel the individual of the risks associated with the condition. Even with education, some individual's may still desire to participate. At this point, it is in the best interest of Kentucky State University to have a meeting with the individual, his/her parents, head coach, athletic director, legal counsel, and Athletic Trainer. At this meeting the evaluation and recommendation of the team physician should be provided, along with discussion as to the risks associated with participating in athletics. Once an agreement has been reached, a waiver should be drafted, signed, and notarized.

3.17 Pregnancy A pregnancy is not an athletic related injury or illness and is not covered by the Kentucky State University’s athletic insurance plan. It is the responsibility of the pregnant student-athlete to notify the head coach and Athletic Trainer of their condition. The Athletic Training staff will help to refer the student-athlete for any desired counseling and medical supervision. The pregnant student-athlete must be under the care of a physician. It is highly recommended that pregnant student-athletes not participate in any activities that require heavy lifting or straining. Medical experts recommend that women should avoid contact sports after the first trimester. Written permission to participate, deciding when to stop participating, and permission to return to participation are determined by the attending physician in consultation with the team physician, Athletic Trainer, and athletic director. The Athletic Training staff assumes no responsibility for complications that could result from participation in athletics. See Appendix 6

11 3.18 Concussion Management A concussion is a brain injury that may be caused by a blow to the head, face, neck or elsewhere on the body with an “impulsive” force transmitted to the head. Concussion can also result from hitting a hard surface such as the ground, ice or the floor. Players colliding with each other or being hit by a piece of equipment such as a bat are also capable of producing concussions. A concussion can range from mild to severe and may present itself differently from one athlete to another. A concussion can happen even if the athlete does not lose consciousness.

All student athlete and coaches will receive a concussion fact sheet and also sign the acknowledgment sheet that they will report all injuries including concussion. All student athletes will undergo a baseline concussion test at the time of physicals. It is the student-athlete’s responsibility to report any signs or symptoms associated with a concussion (loss of consciousness, balance or memory problems, nausea, headache, ringing in the ears).

A student-athlete who exhibits signs, symptoms or behavior consistent with a concussion shall be removed from practice or competition and evaluated by the KSU Athletic Training staff with experience in the evaluation and management of a concussion. Student-athletes diagnosed with a concussion shall NOT return to activity or competition for the remainder of that day. When in doubt, sit the athlete out.

The KSU Athletic Training staff will give home instructions to a responsible roommate or guardian for an emergency plan if he/she exhibits signs and symptoms of deterioration. If on the road with no ATC the student –athlete should be monitored for recurrence of symptoms both from physical exertion and also mental exertion for the rest of the day and night. If signs/symptoms deteriorate then the student athlete needs to be transported to the local ER. Medical clearance will be determined by the team physician and KSU Athletic Training staff once the student-athlete is asymptomatic, post exertion assessments are within normal limits, baseline testing within normal limits, and the student athlete goes through the 4 phase progression program successfully. See Appendix 7

3.19 Sickle Cell Trait Sickle cell trait is not a disease. Sickle cell trait is the inheritance of one gene for sickle hemoglobin and one for normal hemoglobin. Sickle cell trait is a life-long condition that will not change over time. During intense exercise, athletes with sickle cell trait have experienced significant physical distress, collapsed and even died. Heat dehydration, altitude and asthma can increase the risk for and worsen complications associated with sickle cell, even when exercise is not intense. The KSU athletic training staff will inform coaches know which student athlete has the sickle cell trait. They student athletes will need to build up intensity slowly, avoid pushing then in all-out exertion drills. If you notice signs and symptoms of undue fatigue or breathlessness stop activity immediately and notify ATC or seek prompt EMS care when experiencing unusual physical distress. Keep these student athletes well hydrated and maintain their proper asthma management. NCAA Division II has mandated that all student athletes be tested for sickle cell trait and have a copy of the results in the student athletes file. The KSU sports medicine staff will have several testing dates set up for the student athletes. If the student athlete misses the assigned session, the coast of testing will be at their own expense. If the student athlete has already been tested for sickle cell trait and please have them provide the proper documentation.

12 Emergency Procedures

4.1 Emergency Personnel The Athletic Training staff works with the local Emergency Medical Services (EMS) on proper pre- hospital care of an injured student-athlete, particularly with respect to football. It is important that personnel supervising a team be minimally qualified to render emergency medical care in the event that a member of the medical staff is unavailable. Thus, all personnel who may be associated with intercollegiate sport participation are strongly encouraged to obtain minimum qualification of first aid, CPR, and prevention of disease transmission.

4.2 Emergency Equipment The Athletic Training room is equipped with two AEDs, biohazard waste receptacle, blood pressure cuff, stethoscope, gloves, vacuum splints, arm slings, and wound care supplies (band aids, gauze, etc.) for use during an emergency. These items are accessible during all practices, home events and daily treatment hours.

Each team has the opportunity to use a medical kit for away contest travel when an Athletic Trainer is not present. The coach should have the medical kit available for the duration of the trip. The kit should be properly maintained and include the following (not limited to):  Blood pressure cuff  Stethoscope  CPR Face Mask  Gloves  Splint and Ace Wrap  Biohazard Bag  Wound Care Supplies  Medical Information on Student-Athletes

4.3 Emergency Transportation In an emergency, Campus Safety is our primary contact for initiating EMS services. An unstable student- athlete must be transported by an ambulance and not in a personal vehicle. When a student-athlete is taken to the hospital, an Athletic Trainer or coach should travel and remain with the student-athlete; if the ATC accompanies the student-athlete, he/she must ensure medical coverage continues for the event. The emergency information provided in the medical kit should accompany the student-athlete. At all home football games EMS is present.

4.4 Emergency Action Plan Emergency action plans are developed for each venue in a coordinated effort of the Athletic Training staff, team physician(s), campus safety, head coach, EMS, and athletic department administrators. They are designed and implemented to provide pre-thought guidance in handling any potential emergency situation for the variety of sites used. The KSU Athletic Training staff will review and give a copy of the EAP’s to each head coach and work study assistants before the start of the season. Appendix 4

13 Environmental Concerns

5.1 Inclement Weather Coaches should monitor inclement weather conditions when practicing or competing outdoors, as thunder, lightning, and tornadoes pose a risk to participants and spectators. In the event of inclement weather approaching on a game day, guidelines about suspending a contest will be set with officials and administrators prior to the game.

In case of lightening and severe weather, the decision to terminate a KSU Intercollegiate athletic activity will be made by a member of the KSU Athletic Training department and a KSU administrator present at the practice or game in consultation with the head coach and game officials. In the event of thunder and lightning, a coach should use a Flash to bang count of 30 seconds or less, or the equivalent of a storm being 5 miles from your location. To determine, count the number of seconds from the sight of lightning to the next bang of thunder. With a Flash to bang count of 30 seconds or less, all personnel should leave the athletic fields and seek immediate safe shelters. Activity should not resume until 30 minutes from the last sight of lightning or sound of thunder. Each time the “flash/bang” count goes below 30 seconds, lightning is observed and/or thunder is heard; the “30 – minute clock” is to be reset. A member of the KSU Athletic Training staff will inform the visiting team’s Athletic Trainer/coach of a severe weather cancellation. All spectators will need to seek a safe location if lightening or severe weather occurs.

Safe shelters include:  Enclosed buildings  Fully enclosed metal vehicle with windows up

Unsafe shelters include:  Open Fields  Golf Cart / Gator  Fences  Umbrellas  Tall Trees  Metal Bleachers  Tent / Canopy Dugouts

In situations where thunder and/or lightning may or may not be present, yet someone feels his/her hair stand on end and skin tingle, LIGHTNING IS IMMINENT! Therefore, all persons should assume the “lightning safe” position. The lightning safe position is a crouched position on the ground with feet together, weight on the balls of the feet, head lowered, and ears covered, DO NOT LIE FLAT. Minimize the body’s surface area and minimize contact with the ground. Pre-hospital care of victims of a Lightning strike will first be your own personnel safety; do not venture into a dangerous situation to render care. When safe move the victim to a safe location and start CPR and use an AED as needed and call 911.

Tornados can develop from storms. When a tornado warning is announced, all participants should seek immediate shelter in an enclosed building, finding the lowest and most central location. Activity should not resume until the tornado warning has been cancelled.

When the University is closed due to inclement weather, such as snow storms or ice storms there should be no athletic practices or events held. This is for the safety of the staff and student-athletes. Coaches need to consult with KSU Athletic Training staff in cold weather conditions when having outdoor practices to make sure that conditions are safe for the student athletes. 5.2 Heat Illness

14 Heat illness occurs from the loss of body fluid (in the form of sweat) and an increase in body temperature, a combination most often seen during the summer and early fall months of practice and competition. Heat illness has several stages, beginning with dehydration and leading into heat cramps, heat exhaustion, and heat stroke with possible death. Signs of dehydration include: ● Thirst ● Cramps ● Nausea ● Headaches ● Dizziness light headedness ● Weakness ● Irritability ● Decreased Performance

It is important to recognize the early stages of heat illness so that proper hydration can begin and further problems can be prevented. A student-athlete exhibiting any signs should be moved to the shade or indoors, given water, and monitored for worsening of signs. The Athletic Trainer should also be contacted regarding the situation. If vomiting, fainting, or a decrease in sweat production occurs, EMS will be activated immediately.

5.3 Necessary Precautions The following steps can be taken to prevent heat-related injuries: ● Encourage student athletes to begin conditioning before pre-season starts ● Limit practice sessions during unusually hot and humid conditions to very moderate workouts or practice during the cooler times of the day (morning and late afternoon/evenings) ● Readily accessible water; encouraging consumption of water as needed ● Wearing light colored and loose fitting clothing ● Weigh in before and after practice to monitor fluid loss; a loss of 3% body weight or greater is a warning sign of dehydration and heat exhaustion

5.4 Hydration Student-athletes must also be educated on the following: ● Drink 32oz of water one hour prior to practice, drink throughout practice, and replace fluid loss after practice (for every one pound lost after practice you need to drink 20oz of fluid to replace it); remember that the body is 70% water ● Avoid caffeine and carbonated drinks (i.e., coffee, tea, soda, alcohol) ● Stay in a cool place when not practicing ● Eat three healthy meals each day; this is not the time to lose weight by decreasing your food consumption or wearing rubber suits ● Monitor urine color; a yellow or darker color to urine or a strong odor is a sign of dehydration and heat exhaustion ● Monitor fluid loss from practice through weighing in before and after practice ● Report the following signs or symptoms immediately: nausea, cramps, extreme thirst, headaches, weakness, dizziness/light headedness, irritability, or vomiting

5.5 Heat Index Recommendations Temperature, humidity, and heat index with be monitored by the Athletic Training staff prior to the beginning of practice and every 45 minutes during practice.

Below 85° F Heat Index Normal practice 86 - 99° F Heat Index Additional water breaks, shorter practices, and modification in uniform, pay attention to susceptible athletes

Above 100° F Heat Index Stop all outside activity

15 KSU SPORTS MEDICINE ATHLETIC TRAINING ROOM RULES

No talking on cell phones (texting is fine).

You may listen to music using headphones, but it cannot be so loud that you can’t hear us if we call for you.

Wipe your table off after treatment. There are wipes in the containers with red lids.

Sign in for all treatment/taping/rehab.

You must be clean before receiving treatment, unless you are getting ice only.

Bring your own towel if you need to use the cold whirlpool.

Shirt, pants and shoes are required (no spandex/girdles unless you are inside the cold whirlpool).

No cleats

No food

No swearing

If you need something that is inside a drawer or a cabinet, you need to ask a member of the sports medicine staff to get it for you. If you are caught opening a cabinet/drawer without permission, you will be excused from the training room and reported to your coach.

16 APPENDICES APPENDIX 1 Kentucky State University Athlete Information Sheet 2013-2014

Personal Information Name: ______Last First MI Cell Phone #: ______Sport(s): ______Social Security #: ______Sport Classification: ___Fr ___Soph ___Jr ___Sr Date of Birth: ______Gender: ______Male ______Female

Permanent Address: ______Street City State Zip

Local Address: ______Street City State Zip

Emergency Contact (must be a family member/legal guardian) Name: ______Relation: ______First Last Address: ______Street ______City State Zip Phone: (______) ______Business Phone: (_____) ______

Insurance Information Medical Insurance Company: ______Address: ______City/State/Zip: ______Phone: ______Policy/ID #: ______Policy Holder Name: ______Effective Date: ______

Type of Insurance (circle one): HMO PPO POS Other______Does insurance cover vision? _____ Yes _____ No Dental Insurance: Yes, Company Name: ______None: ______

Primary Care Physician: ______Phone: ______

**A PHOTOCOPY OF YOUR INSURANCE CARD (FRONT/BACK) IS REQUIRED**

Medical Records Release I ______,(PRINT NAME) authorize the release of my medical information to the athletic training staff of Kentucky State University (Nicole Lounsberry MS, ATC and Matthew Hatcher MS, ATC) along with my team physicians Drs. Scott Mair and Robert Hosey of the University of Kentucky Sports Medicine Clinic. This document is valid for one year from the date shown on the document.

Signature of student - athlete ______Date: ______18 Signature of Parent /Guardian ______Date: ______(If under 18 years of age) KENTUCKY STATE UNIVERSITY HEALTH HISTORY QUESTIONNAIRE General 1. Do you have any medical condition where you see the doctor regularly? ______YES NO 2. Have you ever been hospitalized? ______YES NO 3. Have you ever had surgery? ______YES NO 4. Are you currently taking any medication, pills, supplements? ______YES NO Please list: ______5. Do you have any allergies (bees, medication, food, latex, etc)? ______YES NO 6. Are there any other medical conditions in your family history (diabetes, cancer, etc)? ______YES NO 7. Have you ever been denied/restricted from activity by a doctor?______YES NO

Cardiopulmonary Disease: HAVE YOU EVER… 8. Had discomfort, pain, pressure in the chest during or before activity? ______YES NO 9. Passed out or nearly passed out during or after activity?______YES NO 10. Been dizzy during or after activity? ______YES NO 11. Had high blood pressure or high cholesterol? ______YES NO 12. Been told you have a heart murmur? ______YES NO 13. Had your heart race or skip beats during activity? ______YES NO 14. Had a family member die a sudden death or heart problems before age 50?______YES NO 15. Been treated for a condition or abnormality of the heart or circulatory system? (Marfan’s Syndrome) ______YES NO 16. Had a doctor deny/restrict activity due to any cardiovascular problems?______YES NO

Head and Neck Injuries: HAVE YOU EVER… 17. Had a head injury? ______YES NO 18. Been knocked out/unconscious, or had a concussion? ______YES NO If yes, give all dates:______19. Had a neck injury involving nerves, vertebrae, vertebral discs causing numbness or tingling in the arms or legs? ______YES NO 20. Had a seizure? ______YES NO 21. Had a burner or stinger? Date of last injury? ______YES NO

Eyes and Dental: 22. Do you wear glasses and/or contacts? ______YES NO 23. Do you have a bridge or false teeth? ______YES NO 24. Do you wear a mouth protector? ______YES NO

Bone and Joint: HAVE YOU EVER… 25. Had a fracture, broken bone, stress fracture during the past two years? Body part, L/R, Date: ______YES NO 26. Had pins, screws, wires, or plates in your body? ______YES NO 27. Do you currently or have ever worn any type of protective bracing?______YES NO If yes, indicate brand/model/reason: ______SHOULDER 28. Dislocated, separated, or had any other shoulder injury during the past two years that kept you from participation for a week or more? ______YES NO 29. Been advised to have surgery to correct a shoulder condition? ______YES NO Date of surgery: ______ELBOW 30. Had a severe sprain, dislocation, or fracture during the past two years? ______YES NO 31. Been advised to have surgery to correct an elbow condition? ______YES NO Date of surgery: ______BACK 32. Had an injury to your back? ______YES NO 33. Been advised to have surgery to correct a back condition? ______YES NO Date of surgery: ______KNEE 34. Had a sprain during the past two years to either knee? ______YES NO 35. Torn ligaments in either knee during the past two years? ______YES NO 36. Been advised to have surgery on a knee to correct a condition? ______YES NO Date of surgery: ______ANKLE 37. Experienced a severe sprain, fracture, dislocation to either ankle during the past two years?______YES NO 38. Been advised to have surgery to correct an ankle condition? ______YES NO Date of surgery: ______

Heat Illness: HAVE YOU EVER 39. Suffered from heat related illness? ______YES NO Check all that apply: _____ heat cramps or syncope (fainting) ______heat exhaustion _____ heat stroke 40. Received intravenous (IV) fluids or been hospitalized for heat related problems? ______YES NO

Medical: HAVE YOU EVER… 41. Been diagnosed as having the sickle cell trait? ______YES NO 19 42. Had hepatitis A, B, or C during the past three years? ______YES NO 43. Been treated for infectious diseases such as MONO, pneumonia, bronchitis, STD, MRSA during the past year? Please list: ______YES NO 44. Been treated for diabetes or been told you may have diabetes? ______YES NO 45. Been told you have a hernia? ______YES NO If surgically corrected, give date:______46. Had or regularly contract any skin diseases (ringworm, impetigo, etc)? ______YES NO 47. Been diagnosed/treated for asthma, exercise induced asthma, or breathing problems? ______YES NO 48. Are you currently using or have ever used an inhaler or taken asthma medication? ______YES NO 49. Had a kidney infection or kidney stones? ______YES NO 50. Do you have only one of two paired functioning organs? (kidneys, ovaries, testicles) ______YES NO 51. FEMALES ONLY: Do you have regular menstrual cycles? ______YES NO

20 Kentucky State University Athletic Physical

Name: ______Date: ______Sport(s): ______Date of Birth: ______

Height: ______Weight: ______Vision: R 20/_____ L 20/_____ Contacts: Y N

Pulse: ______BP: ______/______re-check: ______/______; ______/______

Normal Abnormal Findings Initials GENERAL MEDICAL Appearance Eyes/Ears/Nose/Throat Hearing Lymph Nodes Heart Murmurs Pulses Lungs Abdomen Genitourinary (males only) MUSCULARSKELETAL Neck Back Shoulder/Arm Elbow/Forearm Wrist/Hand/Fingers Hip/Thigh Knee Leg/Ankle Foot/Toes

Notes: ______

□ Cleared without restriction □ Cleared with restriction: ______□ NOT cleared: Reason(s): ______

Name of physician (print): ______Signature: ______Date: ______

21 KENTUCKY STATE UNIVERSITY

Consent for Treatment Form

I, ______, (PRINT NAME) hereby authorize the Athletic Training staff at Kentucky State University, who are under the direction and guidance of the University of Kentucky team physicians, to provide preventative first aid, rehabilitative, or emergency treatment they may deem reasonable and necessary to my health and safety.

I also grant permission to the University of Kentucky team physicians and/or consulting physicians to provide any treatment, medical or surgical care, they may deem reasonable and necessary to my health and safety.

I give my permission to the Athletic Training staff to assess, treat, rehabilitate, and refer me as appropriate during my participation in Kentucky State Athletics.

______Student-athlete Name (print)

______Date: ______Student-athlete Name (signature)

______Date: ______Parent’s Signature (if under 18 years of age)

Authorization to Obtain Information Student-Athlete Medical Release Form (HIPAA)

IMPORTANT: Kentucky State Athletic Training staff is committed to protecting the privacy of all health information obtained and maintained while participating in Intercollegiate Athletics at Kentucky State University. In order to act in accordance with with the Health Insurance Portability and Accountability Act, a valid release from student-athletes to acquire medical records is vital. Given the institution’s involvement in the excess accident medical claims management process, handling certain records will be necessary and appropriate authorization must be obtained.

Per the Health Insurance Portability and Accountability Act the following signature will authorize the Kentucky State University Athletic Training Staff, Student Health Center, Athletic Director, Head Coach, and the University of Kentucky team physicians, to communicate and view medical information pertaining to health related issues as a result of your participation in NCAA Athletic Program at Kentucky State University.

I, ______, (PRINT NAME) authorize Kentucky State University and the University of Kentucky Sports Medicine staff to disclose my protected health information and any related information regarding any injury or illness during my participation in Intercollegiate Athletics at Kentucky State University.

I understand that my injury/illness information is protected by federal regulations under the Health Insurance Portability and Accountability Act and may not be disclosed without my authorization or consent. I understand that my signing of this authorization/consent form is voluntary. I also understand that I am not required to sign this authorization/consent in order to be eligible for participation in NCAA athletics.

A copy of this authorization/consent will be valid for a period of one year from the signed date as long as I remain associated with Kentucky State University Intercollegiate Athletics. If at any time I wish to revoke this authorization/consent, a written notification must to be sent to the Athletic Director of the University. I understand that a revocation takes effect on its request date and does not affect any action taken prior to that date.

□ I hereby authorize the release of the above medical information relating to my student athletic injuries as designated above.

□ I do NOT wish to release the above medical information and understand that it will be my responsibility to handle all aspects of the communication and payment information for my student athletic related injuries.

______Date: ______Student-athlete’s Signature

Student-Athlete Injury and Illness Reporting Acknowledgement Form

I, ______, (PRINT NAME) acknowledge that I have to be an active participant in my own healthcare. As such, I have the direct responsibility for reporting all of my injuries and illnesses to the sport medicine staff of my institution (e.g., team physicians, athletic training staff). I recognize that my true physical condition is dependent upon an accurate medical history and a full disclosure of any symptoms, complaints, prior injuries and/or disabilities experienced. I hereby affirm that I have fully disclosed in writing any prior medical conditions and will also disclose any future conditions to the sports medicine staff at my institutions.

I further understand that there is a possibility that participation in my sport may result in a head injury and/or concussion. I have been provided with education on head injuries and understand the importance of immediately reporting symptoms of a head injury/concussion to my sports medicine staff.

By signing below, I acknowledge that my institution has provided me with specific educational materials on what a concussion is and given me an opportunity to ask questions about areas and issues that are not clear to me on this issue.

I HAVE READ, UNDERSTAND, AND VOLUNTARILY AGREE TO THE ABOVE STATEMENTS

______Student-athlete Name (Print)

Student-Athlete Acknowledgement and Assumption of Athletic Risk and Responsibility

I understand that training, traveling, and participating in an intercollegiate sport requires personal acceptance of risk of serious injury. I acknowledge that sports at the collegiate level can be an inherently dangerous activity and there are serious risks to anyone who engages in this activity.

I understand while participating in intercollegiate athletics at Kentucky State University that the risk of serious physical injury, including catastrophic injuries resulting in permanent paralysis, brain injury/concussion, or death does exist. I further understand that Kentucky State University and the University of Kentucky Sports Medicine staff will offer reasonable precautions to ensure my safety and health.

I accept that Kentucky State University and the University of Kentucky Sports Medicine personnel are not held responsible for any pre-existing medical condition(s) that I may have.

I understand and agree that it is my responsibility to inform my Head Coach and the Athletic Training staff if I experience any change to my health due to illness/injury. I will adhere to injury management guidelines which include rehabilitation and re-assessment before return to full participation.

I have read the above risk statement. I understand and acknowledge that there are risks involved while training, traveling, and participating in Intercollegiate Athletics program at Kentucky State University. I do hereby voluntarily choose to participate in this sport despite these risks and assume responsibility for any and all such risks while participating in Intercollegiate Athletics at Kentucky State University.

I HAVE READ, UNDERSTAND, AND VOLUNTARILY AGREE TO THE ABOVE STATEMENTS

______Student-athlete Name (Print)

25 APPENDIX 2

KENTUCKY STATE UNIVERSITY

Tryout Release and Waiver of Responsibility

I, ______, certify that I am currently enrolled as a full-time student at Kentucky State University (at least 12 credit hours). I acknowledge as a tryout candidate that I MUST show proof of primary insurance before participating in said tryout.

I am in a status of good health and fully able to participate in vigorous athletic activity without consequence. I have completed and passed a physician validated examination for athletic participation within the past calendar year. I am fully aware and accept that there may be inherent risks, injuries, permanent disability and death associated with ______. (sport)

I understand that Kentucky State University, the Kentucky State University Sports Medicine staff, and coaches will take all precautions to safeguard the environment and with strict observance of the rules, that injuries are still a possibility.

I understand that the Kentucky State University Sports Medicine staff may review my Health History Questionnaire and if necessary may deny my participation in said tryout. I agree to promptly notify the coaching staff and Athletic Training staff of any changes to my health status, including injuries or illness occurring as a result of my athletic participation. I acknowledge and affirm that all the statements and information are true and accurate to the best of my knowledge; and that no answers or information have been withheld on the Health History Questionnaire. It is my understanding that any pre-existing medical condition may have to be corrected prior to the tryout and/or at the acceptance to the team. I grant permission to the Kentucky State University Athletic Training staff to provide and/or secure treatment for myself for any athletic injury or illness that may occur during my athletic participation. In addition, any medical costs incurred (tests, consultations, medical procedures) are the responsibility of myself and my parent(s)/guardian(s) and no medical insurance can be provided for me by Kentucky State University during my tryout evaluation.

I hereby waive, release, and discharge Kentucky State University, Kentucky State Department of Athletics, Kentucky State Sports Medicine, the University of Kentucky Sports Medicine and all their respective agents, members, and employees from any and all liability, claims, costs, or expense in the event that I become injured caused by or arising from my participation in the tryout. I also acknowledge that I will not hold the above mention parties responsible for any aggravation of pre-existing injuries or medical conditions prior to or during the tryout.

By signing below, I acknowledge that I have read, understand, and agree to the policy statement and its procedures. I also understand that this information shall remain confidential among the coaching/medical staff at Kentucky State University. This release remains valid for year.

______Student-athlete Signature Date

______26 Parent/Guardian Signature (if under 18) Date

APPENDIX 3

KENTUCKY STATE UNIVERSITY DAILY INJURY REPORT

Name Onset Side / Injury Days Missed Return Practice Progress / Comments Date Status

27 APPENDIX 4

Kentucky State University Emergency Action Plan – Alumni Stadium

Emergency Personnel: Certified Athletic Trainer (ATC) on site for practice and games (Football), and present or on call for Baseball and Track. EMT and team physician will be on location for home games (Football).

Emergency Communication: ATC will have a cellular phone on site. Fixed telephone line in Alumni Stadium Building.

Emergency Equipment: Supplies (First Aid kit, splints, AED) located in the Alumni Stadium Athletic Training Room during practices and on field during games.

First Responder Procedure: 1. Assist the Athletic Training staff 2. If Athletic Training staff is not available: a. Perform CPR or First Aid b. Activate EMS by calling 911 with the following information: i. Name, address, telephone number, number of injured person(s), nature of injury, specific directions, or other information requested 3. Directions for EMS to Alumni Stadium: a. Alumni Stadium is located on Athletic Drive. Gate entrance is located on Athletic Drive where personnel will be located to direct the ambulance. b. During home games, police will meet ambulance. 4. Document information regarding situation (Be Specific) 5. Contact a staff Athletic Trainer as soon as possible

Directions to Emergency Room (ER): Frankfort Regional Medical Center: 1. Athletic Drive to MLK Blvd 2. L) onto MLK Blvd 3. R) onto East-West Connector 4. Follow to King’s Daughter Dr. 5. ER on the corner of King’s Daughter Dr. and Doctor Dr.

28 Kentucky State University Emergency Action Plan – Exum Center

Emergency Personnel: Certified Athletic Trainer (ATC) will be present or on call for practice. ATC, team physician, and campus police will be on location for home basketball games.

Emergency Communication: ATC will have a cellular phone on site. Fixed telephone line inside Athletics Office (former campus police office across from training room).

Emergency Equipment: Supplies (First Aid kit, splints, AED) located in the Exum Athletic Training Room.

First Responder Procedure: 6. Assist the Athletic Training staff 7. If Athletic Training staff is not available: a. Perform CPR or First Aid b. Activate EMS by calling 911 with the following information: i. Name, address, telephone number, number of injured person(s), nature of injury, specific directions, or other information requested 8. Directions to Exum Center: a. Exum Center is located on University Drive on campus off of Main Street. Personnel will be located outside of Exum Center to direct the ambulance 9. Document information regarding situation (Be Specific) 10. Contact a staff Athletic Trainer as soon as possible

Directions to Emergency Room (ER): Frankfort Regional Medical Center: 6. University Drive to MLK Blvd 7. Go through the light onto MLK Blvd 8. R) onto East-West Connector 9. Follow to King’s Daughter Dr. 10. ER on the corner of King’s Daughter Dr. and Doctor Dr.

29 Kentucky State University Emergency Action Plan – Bell Gym

Emergency Personnel: certified Athletic Trainer (ATC) will be present or on call for Volleyball and Basketball practices. ATC will be on location for home Volleyball games.

Emergency Communication: ATC will have a cellular phone on site. Fixed telephone line inside Track Office (next to the gym).

Emergency Equipment: Supplies supplied by the ATC during covered practices and games.

First Responder Procedure: 11. Assist the Athletic Training staff 12. If Athletic Training staff is not available: a. Perform CPR or First Aid b. Activate EMS by calling 911 with the following information: i. Name, address, telephone number, number of injured person(s), nature of injury, specific directions, or other information requested 13. Directions to Bell Gym: a. King’s Daughter Dr. to East-West Connector b. L) onto MLK Blvd c. R) onto East Main St (US 460 E) d. L) onto Douglas Ave e. L) onto Silvey St f. Bell Gym is across from the Carl M. Hill Student Center Personnel will located outside of Bell Gym to direct the ambulance 14. Document information regarding situation (Be Specific) 15. Contact a staff Athletic Trainer as soon as possible

Directions to Emergency Room (ER): Frankfort Regional Medical Center: 11. R) onto Douglas Ave 12. R) onto East Main St (US 460 E) 13. L) onto MLK Blvd 14. R) onto East-West Connector 15. Follow to King’s Daughter Dr. 16. ER on the corner of King’s Daughter Dr. and Doctor Dr.

30 Kentucky State University Emergency Action Plan – Lakeview Park

Emergency Personnel: Certified Athletic Trainer (ATC) will be present or on call for Softball and Golf practices. ATC will be on location for home Softball games.

Emergency Communication: ATC will have a cellular phone on site. Coach/athlete is responsible to have a cellular phone during practice. Fixed telephone line located at Juniper Hill Golf Course in Pro Shop.

Emergency Equipment: Equipment (First Aid kit, splints, AED) supplied by the ATC during covered practices and games.

First Responder Procedure: 16. Assist the Athletic Training staff 17. If Athletic Training staff is not available: a. Perform CPR or First Aid b. Activate EMS by calling 911 with the following information: i. Name, address, telephone number, number of injured person(s), nature of injury, specific directions, or other information requested 18. Directions to Lakeview Park: a. King’s Daughter Dr. to East-West Connector b. L) onto MLK Blvd c. R) onto Main St (US 460 E) d. L) onto Steadmantown Ln Personnel will be located on the corner of Steadmantown Ln and Georgetown Rd to direct the ambulance 19. Document information regarding situation (Be Specific) 20. Contact a staff Athletic Trainer as soon as possible

Directions to Emergency Room (ER): Frankfort Regional Medical Center: 17. R) onto Main St (US 460) 18. L) on MLK Blvd 19. R) on East – West Connector 20. Follow to King’s Daughter Dr. 21. ER on the corner of King’s Daughter Dr. and Doctor Dr.

31 APPENDIX 6

Kentucky State University

Student-Athlete Pregnancy Policy

A student-athlete’s pregnancy does not affect her Athletic Grant-In-Aid; however pregnancy does place unique challenges on student- athletes. The Kentucky State University Athletics Department has instituted a student-athlete pregnancy policy for the protection of our student-athlete and her developing child.

What to Do if You become Pregnant:

Pregnant student-athletes are encouraged to be honest about their circumstances and to seek counsel and medical care. As soon as you learn that you are pregnant, you should inform your Coach, Certified Athletic Trainer(s), Athletic Director, or Athletic Sports Administrator as well as, your personal physician/OBGYN, family or others who are important to you. This notification is necessary so that appropriate medical and emotional support can be made available to you as it relates to your decision. Confidentiality will be maintained by the Coach, Certified Athletic Trainer(s), and the Athletic Administration Staff.

Can You Continue to Train and Compete?

Assessing the risk of strenuous activity in pregnancy is difficulty. The American College of Obstetrics and Gynecology (ACOD) has recommended that following a thorough clinical evaluation, healthy pregnant women should be encouraged to engage in regular, moderate intensity, physical activity. The safety to participate in individual sports should be dictated by the movements and physical demands required to compete in that sport and the previous activity level of the student-athlete. The American college of Sports Medicine discourages heavy weight lifting or similar activities that require heavy straining. High intensity exercise required for competitions in nearly all sports has not been well studied and may increase fetal risk. Many medical experts recommend that women avoid participating in competitive contact sports after the 12th week of pregnancy, first trimester (NCAA Sports Medicine Handbook). Only after counseling and discussion have occurred with a certified physician, and written consent from the physician, in consultation with our Certified Head Athletic Trainer, and Athletic Director, determine whether or not you will be permitted to practice/compete. Additionally, your participation must be approved by Kentucky State University Athletics Department with the recommendation from the KSU Legal Counsel.

How will this affect Your Team Standing and Athletic Grant-In-Aid?

Your Athletic Grant-In-Aid, team membership status, benefits, or responsibilities, or exclusion from team activities for the current year will not be taken away due to pregnancy. Your physician and head Athletic Trainer will determine whether or not you are cleared to return to participation following pregnancy. The NCAA rules permit a one-year extension of the five-year period of eligibility for female student-athletes for reasons of pregnancy. You may choose not to continue participating on the team without jeopardizing your athletic grant-in-aid for the length of the award period. If you choose not to continue competing, your athletic grant-in-aid will not be renewed following the existing award period.

Who Pays for Your Medical Expenses?

It is understood that Kentucky State University is not obligated to cover any medical expenses associated with the student-athlete pregnancy. All medical expenses that are a result of pregnancy are the responsibility of you the student-athlete.

32 Where Can You Receive Confidential Counseling?

You as the student-athlete must have appropriate prenatal counseling and discussion with the KSU Student Support Services and our, Certified Athletic Trainer(s), regarding your medical condition and risk of injury to you as well as to the fetus. The KSU Student- Support Services will provide counseling and referrals for student-athletes who become pregnant. Additional support information can be found at:

 Franklin County Health Department  Avenues for Women  Bluegrass Health Department

Who Provides Prenatal Care?

Students who test positive for pregnancy in the Health Center are advised to seek prenatal care from an obstetrician of their choice. Students who are covered by third party insurances and decide to receive local prenatal care are referred to the Avenues for Women in Frankfort, KY. If students do not have health insurance, they are referred to the Franklin County Health Department or Bluegrass Health Department in Frankfort and Lexington, KY. Kentucky State University Student Health Center does not provide prenatal care to students.

The Athletics Department at Kentucky State University does not encourage student-athletes to terminate a pregnancy because of financial or psychological pressure or fear of losing their Athletic Grant-In-Aid. The Athletic Department will continue to increase our educational efforts in this area.

33 APPENDIX 6

CONCUSSION MANAGEMENT

WHAT IS A CONCUSSION A concussion is a brain injury that:  Is caused by a blow to the head or body from contact with another player, hitting a hard surface such as the ground, ice or floor, or being hit by a piece of equipment such as a bat, or ball  Can change the way your brain normally works  Can range from mild to severe  Presents it self differently for each athlete  Can occur during practice or competition in ANY sport  Can happen even if you do not lose consciousness

WHAT ARE THE SIGNS / SYMPTOMS OF A CONCUSSION You can’t see a concussion, but you might notice some of the symptoms right away. Other symptoms can show up hours or days after the injury. Concussion symptoms include:  Amnesia  Confusion  Headache  Loss of consciousness  Balance problems or dizziness  Double or fuzzy vision  Sensitivity to light or noise  Nausea - vomiting  Feeling, sluggish, foggy or groggy  Feeling unusually irritable  Concentration or memory problems ( forgetting game plays, facts, etc)  Slowed reaction time Exercise or activities that involve a lot of concentration, such as studying, working on the computer, or playing video games may causes concussion symptoms (such as headache or tiredness) to reappear or get worse.

WHAT SHOULD I DO IF I THINK I HAVE A STUDENT ATHLETE WITH A CONCUSSION?

Report It: Do not return that student athlete to participation in a game, practice or other activity with symptoms. The sooner they get checked out, the sooner they may be able to return them to play.

Get checked out: The KSU athletic training staff needs to know about all concussions. The KSU ATC staff and team physician have finale say on clearance and return to play. Make sure to monitor the student athlete for the rest of the day and night. If signs and symptoms continue to get worse, such as increase in headache, vomiting, loss of memory, very sluggish take to local ER and notify the KSU ATC staff.

Never ignore a blow to the head. A concussion needs time to heal, repeated concussion can cause permanent brain damage and even death.

34 Kentucky State University Concussion Return To Play Protocol RULES FOR PROGESSION * The graduated exertional return to play process is designed to all a gradual increase in exercise volume and intensity during the return to play process.

* Athlete proceeds to the next level only if asymptomatic at the current level.

* If symptoms occur during activity, stop activity, rest for 24 hours and begin at the previous level that did not produce symptoms.

* The following steps are not to be all completed in the same day; it should be done typically over several days.

* Progression should be based on symptoms severity and duration. The higher the severity score and / or the longer the duration of the symptoms, progress slower with return to play activities.

Phase 1 : 30 minutes on stationary bike at 70% of max heart rate Re-take Impact test / Re-take SAC test Graded Symptom Checklist to be performed daily until the athlete reports no symptoms or their symptoms return to baseline.

Phase 2: 30 sec sprints / 30 sec recovery x 10 Bodyweight circuit: squats / push ups / sit ups 3 sets x 20 each 15 min of sports – specific non-contact drills Check all protective equipment: helmet / mouth guard / etc

Phase 3: Symptom free at rest and with all above test Limited participation in full – contact practice and monitoring of symptoms

Phase 4: All tests are at least 95% of baseline scores Athlete has remained asymptomatic for 1 additional day following these tests Clearance by team physician Then can do Full Participation in Practice

** If athlete does not show significant improvement within 7 days, follow up with team physician or neurosurgeon may be needed.