Student Athlete Sports Medicine Handbook
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GEORGETOWN COLLEGE SPORTS MEDICINE STUDENT ATHLETE HANDBOOK TABLE OF CONTENTS Introduction………………………………………………………………………………………………... 4 Mission Statement………………………………………………………………………………………..... 4 General Information……………………………………………………………………………………….. 4 Sports Medicine Personnel……………………………………………………………………….. 4 UK HealthCare Team Physicians………………………………………………………………… 4 UK HealthCare Athletic Trainers………………………………………………………………… 5 Roles & Responsibilities………………………………………………………………………….. 5 Other Members of the Sports Medicine Team……………………………………………………. 7 Coaches…………………………………………………………………………………………… 7 Facilities…………………………………………………………………………………………... 8 Athletic Training Coverage……………………………………………………………………….. 8 Medical Care…………………………………………………………………………………………….… 9 Reporting & Evaluating an Injury………………………………………………………………… 9 Treatment…………………………………………………………………………………………. 9 Rehabilitation…………………………………………………………………………………..... 10 Referrals…………………………………………………………………………………………. 10 Equipment……………………………………………………………………………………….. 11 Transportation of an Athlete…………………………………………………………………….. 12 Illnesses………………………………………………………………………………………….. 12 Non-Athletic Injuries……………………………………………………………………………. 13 Recruits………………………………………………………………………………………….. 13 Try-outs………………………………………………………………………………………….. 13 Documentation…………………………………………………………………………………………… 13 Vivature………………………………………………………………………………………….. 13 Medical Records………………………………………………………………………………… 13 Pre-Participation Exams………………………………………………………………………………….. 14 Exit Physicals……………………………………………………………………………………. 14 Insurance…………………………………………………………………………………………………. 14 Primary Insurance……………………………………………………………………………….. 15 1 International Insurance Policy………………………………………………………………...… 15 Secondary Athletic Insurance…………………………………………………………………… 15 Filing a Claim…………………………………………………………………………... 16 Benefit Period…………………………………………………………………………... 16 Pre-Existing Conditions………………………………………………………………… 16 Medication……………………………………………………………………………………………….. 17 Over-the-Counter Medications………………………………………………………………….. 17 Prescription Medication…………………………………………………………………………. 17 Epi-pens…………………………………………………………………………………………. 18 Indications/Contraindications…………………………………………………………... 18 Emergency Care for Anaphylaxis………………………………………………………. 18 Asthma & Meter Dose Inhalers (MDIs)………………………………………………………… 19 Basic Life Support Treatment for Severe Asthma……………………………………… 19 Concussion……………………………………………………………………………………………….. 19 Personnel Roles & Responsibilities……………………………………………………………... 20 Education & Pre-Participation Assessment……………………………………………………... 20 Concussion Management Plan…………………………………………………………………... 21 Reducing Exposure to Head Trauma……………………………………………………………. 22 AED Use…………………………………………………………………………………………………. 22 Catastrophic Incident Management Plan………………………………………………………………… 23 Catastrophic Incident Management Team………………………………………………………. 25 Inclement Weather Plan………………………………………………………………………………….. 28 Lightning Procedure……………………………………………………………………………... 29 Tornado Procedure………………………………………………………………………………. 29 Heat Procedure…………………………………………………………………………………... 30 Cold Procedure…………………………………………………………………………………... 32 Mental Health Management Plan………………………………………………………………………… 34 Multidisciplinary Mental Health Care Team……………………………………………………. 34 Clinical Licensure Practitioners Providing Mental Health Care………………………………… 34 Emergent Mental Health Action & Management Plan………………………………………….. 35 Non-Emergent Mental Health Action & Management Plan…………………………………….. 36 2 Pre-Participation Mental Health Screening……………………………………………………… 37 Health Promoting Environments That Support Mental Well-Being & Resilience……………… 38 Pregnancy………………………………………………………………………………………………… 38 Transgender………………………………………………………………………………………………. 40 Student-Athletes Undergoing Hormone Treatment……………………………………………... 40 Student-Athletes Not Undergoing Hormone Treatment………………………………………… 40 Drug Screening & Counseling…………………………………………………………………………… 41 Screening Protocol………………………………………………………………………………. 41 Supplement Policy……………………………………………………………………………………….. 43 Optimal Nutrition & Performance Plan………………………………………………………………….. 43 Multidisciplinary Nutrition Care Team…………………………………………………………. 44 Relative Energy Deficiency in Sport (RED-S) Spectrum……………………………………….. 47 Pre-Participation Assessment…………………………………………………………… 47 Disordered Eating & RED-S Management Plan………………………………………………… 48 Diabetes Management Plan………………………………………………………………………………. 50 Pre-Participation Physical Examination………………………………………………………… 51 Diabetic Plan of Care……………………………………………………………………………. 51 Diabetic Supplies………………………………………………………………………………... 51 Athletic Injury & Glycemic Control…………………………………………………………….. 51 Sickle Cell Disease & Sickle Cell Trait………………………………………………………………….. 52 Sickle Cell Testing………………………………………………………………………………. 52 Sickle Cell Athlete Guidelines…………………………………………………………………... 52 Bloodborne Pathogens & Infectious Diseases…………………………………………………………… 53 Universal Precautions…………………………………………………………………………… 56 Communicable Disease Management…………………………………………………………… 56 Infectious Diseases/Illnesses…………………………………………………………………….. 57 Skin Diseases……………………………………………………………………………………. 57 Education & Prevention…………………………………………………………………………. 58 Appendix…………………………………………………………………………………………………. 60 3 INTRODUCTION The purpose of the sports medicine department is to provide available and affordable health care in an environment that places a high value on health and wellness to all student athletes. The sports medicine team strives to reduce instances of injury and return athletes in a safe and timely manner. The philosophy of the Sports Medicine Department is to provide a student-athlete centered approach of care. Members of the sports medicine staff will be expected to maintain the highest standards set by their credentialing agency and the credentialing statues of the State of Kentucky. MISSION STATEMENT The mission of the Georgetown College Sports Medicine Department is to provide the highest quality healthcare available to student-athletes in a professional and caring manner. Should an injury or illness occur, it is the sports medicine team’s mission to recognize and treat with the appropriate medical care, returning them to competition as quickly and safely as possible. GENERAL INFORMATION Sports Medicine Personnel Certified Athletic Trainers are health care professionals who specialize in preventing, recognizing, managing, and rehabilitating injuries that result from physical activity. As part of a complete health care team, certified athletic trainers operate under the direction of a licensed physician and standing orders and work in cooperation with other health care professionals, athletic administrators, coaches, and parents. Georgetown College has contracted with UK Healthcare to provide sports medicine services to Georgetown College. The Sports Medicine staff consists of the Medical Director, team physicians, and five athletic trainers. These physicians will conduct weekly clinic visits at Georgetown College as well as be in attendance at ALL football games and all HOME basketball games. Attendance at other events will be left to the discretion of the physician and their schedules. UK HealthCare Team Physicians Dr. Srikanth Nithyanandam, MBBS, CAQ Sports Medical Director/Team Primary Care Physician Medicine Team Orthopaedic Surgeon Dr. Scott Mair, MD Orthopaedic Fellow As assigned by UK HealthCare Primary Care- Sports Medicine Fellow As assigned by UK HealthCare UK HealthCare Athletic Trainers Senior Athletic Jake Ryan, MS, M Soccer, M/W Tennis, Softball East Campus Athletic Trainer LAT, ATC Training Room 4 Staff Athletic Stacee Gibson, W Soccer, XC/Track & Field, Main Campus Athletic Trainer LAT, ATC Baseball Training Room Staff Athletic Katie Helly, MS, Football, Golf, W Lacrosse East Campus Athletic Trainer LAT, ATC Training Room Staff Athletic Jacob Whitacre, W Volleyball, W Basketball, M Main Campus Athletic Trainer LAT, ATC Basketball, M Volleyball Training Room Athletic Training Abby Flynn, MS, Football, Cheer East Campus Athletic Fellow LAT, ATC Training Room Roles & Responsibilities Medical Director/Team Physician (including Fellows): • Oversees the athletic training staff in the development and implementation of all policies and procedures relevant to sports medicine • Guides and directs the sports medicine staff in evaluation, treatment, rehabilitation, and return to play guidelines • Assist in coordination of and attend pre-participation examinations • Coverage of ALL football games/scrimmages including the spring game • Coverage of ALL home basketball games • Communication on athlete care with appropriate sports medicine staff • Availability of office appointments and surgeries in a timely fashion • Has the final authority in determining whether an athlete is medically eligible to participate in Georgetown College athletics including releasing the athlete to return participation post- injury/illness Senior Athletic Trainer • Oversee adherence to department sports medicine policies and related NAIA sports medicine policies • Develop, maintain, and update sports medicine policies and procedures • Administrate the daily operation of the athletic training facility. This includes delegation of responsibilities regarding inventory and budgeting, filing of secondary insurance claims, work- study management, and care of student-athletes including event coverage • Coordinate physician and medical referrals via the sports medicine staff • Act as primary liaison between the coaching staff and team physician(s) • Serve primary liaison between the sports medicine staff and electronic medical record