MIAMI UNIVERSITY SPORTS MEDICINE STAFF MANUAL OF POLICIES AND PROCEDURES MIAMI UNIVERSITY SPORTS MEDICINE STAFF MANUAL OF POLICIES AND PROCEDURES

TABLE OF CONTENTS 1. Mission Statement 2. Introduction 3. Pre-Participation Physical Examination 4. Student-Athlete Referral Protocol 5. Pre-Certification Information 6. Medication a. Athletically Related Injury or Illness b. Non-Athletically Related Injury or Illness c. Non-Prescription Medication (OTC) 7. Rehabilitation 8. MUSM Intranet System 9. Medical Records 10. Insurance Policy a. Non-Athletically Related Injuries b. Optical Care c. Dental Care 11. Concussion Policy a. MU Student Athlete Concussion Acknowledgement Form 12. Sickle Cell Trait Policy a. Sickle Cell Trait Student Athlete Waiver 13. Weather Policies a. Hot Weather and Heat Illness b. Lightening and Severe Weather c. Cold Weather 14. Eating Disorders and Concerns Policy 15. Body Composition/Weight Control Policy 16. Infectious Disease Policy\ 17. High School Senior Sports Specific Evaluation Policy 18. Emergency Action Plans 19. MU Institutional Substance Abuse Policy a. Protocol for Drug Testing 19. ADHD Documentation – Drug Testing Medical Exemption 20. Vacation Policy 21. Ordering and Receiving Supplies 22. Specific Administrative Duties 23. Sport Coverage Assignments

MISSION STATEMENT

The Miami University Sports Medicine Staff is committed to providing efficient, optimal healthcare to every student athlete, maximizing their intercollegiate experience in accordance with standards of practice set forth by state and federal guidelines. We strive to create a culture encouraging personal and professional development while maintaining positive professional relationships within Miami University and the Oxford Community.

INTRODUCTION

The Miami University Sports Medicine Department provides for the prevention, treatment and rehabilitation of athletic injuries under the direction of our team physicians and in particular the Director of Sports Medicine. The Yager Stadium athletic training room serves field hockey, softball, women's soccer, men's and women's track and field, men's and women's cross country and football. The Withrow athletic training room serves baseball, women's tennis, men’s golf, and also serves as the main rehabilitation center and is the location where morning treatments are held, unless other arrangements are made. The Millett Hall athletic training room serves men's and women's basketball, volleyball, dance and cheerleading teams. The Goggin Ice Arena athletic training room serves ice hockey and synchronized skating. The Recreational Sports Center serves as the treatments site for men’s and women’s swimming and diving during competitions. Specific hours for each facility are posted at the entrance doors. Although each athletic training room serves specific sports it should be noted that any athlete is welcome in any of the athletic training facilities.

PRE-PARTICIPATION PHYSICAL EXAMINATION

A. All student athletes, new and returning, will receive a pre-participation physical examination by our staff and team physicians prior to participation. The physicals include height/weight, blood pressure/pulse, a functional movement screen, comprised of 7 different tests, heart and lung screening, and an orthopedic examination. All athletes must be cleared for participation by one of our team physicians in order to participate. Fall sports will have physicals prior to their pre-season practices, with all other sports coming to Mass Physicals done during the first week of classes.

B. New student athletes: In addition to getting a pre-participation physical examination, all forms required by the Sports Medicine Office; including the health appraisal, medical history, family history, all 4 waiver forms and the insurance questionnaire must be completed and on file prior to their pre-participation physical examination. Also, Sickle Cell Trait Education/Testing and Baseline Concussion Testing (Football/Men’s and Women’s Basketball/Ice Hockey/Soccer/Men’s and Women’s Diving/Softball/Baseball/Field Hockey/Men’s and Women’s Pole Vaulters are conducted during this time. When there is past history of orthopedic injury and/or general medical condition all pertinent medical information (physician notes, diagnostic testing results, rehabilitation notes, lab work results, etc.) MUST be submitted to Miami University Sports Medicine prior to pre-participation physical examination or PPE will not be administered. C. Returning student athletes: All returning student athletes shall have on file the current health appraisal, all 4 waiver forms and insurance forms required by the Sports Medicine Office prior to their pre-participation physical examination. Any and all orthopedic injuries and/or general medical conditions that occur during times that student-athletes are not on campus must be reported to the Miami Sports Medicine Staff prior to PPE. When an orthopedic injury and/or general medical condition occurs during summer break times all pertinent medical information (physician notes, diagnostic testing results, rehabilitation notes, lab work results, etc.) all information MUST be submitted to Miami University Sports Medicine prior to pre-participation physical examination or PPE will not be administered.

D. Tryouts: All student athletes participating in an open try-out must complete all requirements under category B (new student athletes), sickle cell trait education/testing, baseline concussion testing (upon decision of acceptance into program) and including a pre-participation physical examination by a team physician/approved outside physician before they are allowed to try-out. Cheerleading/Dance Team (High school seniors/Miami Students) Try-Out participants must sign a MU Tryout Waiver, Health History Form and submit proof (documentation signed by a physician) of a Pre-Participation Physical Examination within one year of try-out date.

E. Exit Physical Examination: All student-athletes will be administered an Exit Physical Examination upon the end of their eligibility or participation (cut from team/quits team, etc.) with an athletic program by a Miami University Sports Medicine Team Physician. Also, each year MU student-athletes will be informed about the importance of Exit Physical Examinations via an acknowledgement form – Declaration of Medical Conditions (see below). At the time of the Exit PPE a plan of action will be determined by Team Physician and Student-Athlete to resolve any reported medical conditions (orthopedic or general medical conditions). A reporting form and waiver will be completed and signed by the student-athlete and Miami University Sports Medicine Staff to acknowledge the current medical conditions/injuries and plan of action to resolve such conditions/injuries. If a student-athlete is absent from the scheduled exit physical examination, contact will be made by a MUSM Staff member via email and/or mail of the below letter to reschedule the appointment. In case a student-athlete does not reschedule the exit physical exam the letter clearly states that Miami University Sports Medicine and Miami University is not financially responsible for future medical bills that maybe accrued. See exit physical waiver/form, Declaration of Medical Condition and student-athlete absence exit PPE letter are below.

Miami University Intercollegiate Athletics Exit Questionnaire

Name: ______Home Address:______

Sport: ______Academic Year: ______Phone: (_____) ______

I am completing my Intercollegiate Athletic participation at Miami University with no known or suspected medical conditions or injuries which occurred as a result of my participation in Intercollegiate Athletics at Miami University. I do not wish to follow up with a physician regarding any physical ailments.

I am completing my Intercollegiate Athletic participation at Miami University, and I wish to declare the following medical conditions and injuries which occurred as a direct result of my participation in Intercollegiate Athletics at Miami University. I will continue with my rehabilitation/treatment protocol as outlined by my medical professional.

1.______

2.______

I am completing my Intercollegiate Athletic participation at Miami University, and I wish to declare the following medical conditions and injuries which occurred as a direct result of my participation in Intercollegiate Athletics at Miami University. My medical condition or injury has not been evaluated by a medical professional. I understand that I am entitled to have these injuries/conditions reviewed for evaluation and diagnosis by a medical professional at Miami University until the end of the academic year in which I have exhausted my athletic eligibility. It is up to me to contact the Director of Sports Medicine to make arrangements for the medical evaluation.

1.______

2.______

I understand that if I fail to seek medical treatment before the end of the academic year and/or athletic competitive season (whichever is later) in which I have exhausted my athletic eligibility that I release Miami University from any and all responsibility or liability for all known and suspected injuries/medical conditions which occurred as a result of my participation in Intercollegiate Athletics at Miami University.

IN SIGNING THIS DOCUMENT, I CERTIFY THAT THE ANSWERS TO THE ABOVE QUESTIONS ARE CORRECT AND TRUE. I HAVE LISTED ALL MEDICAL CONDITIONS AND INJURIES TO THE BEST OF MY KNOWLEDGE.

Student Athlete Signature:______Date:______

Exit Physical

Name: Date:

General Conditions:

Orthopedic Conditions:

Athlete: Date:

Physician: Date:

Miami University Sports Medicine Student-Athlete Exit PPE Letter Template

TO: Name Student Athletes Name

FROM: Name of Certified Athletic Trainer

RE: Exit Pre-Participation Examination

DATE: Date of Letter

This letter is being sent (ground mail and email) to acknowledge [NAME of STUDENT ATHLETE] missed a scheduled Exit Pre-Participation Examination with the Miami University Sports Medicine Department on

[DATE] at the [NAME OF FACILITY]. Please understand that it is important for Miami to be aware of all medical conditions and injuries that you suffered as a direct result of your participation in Intercollegiate

Athletics at Miami. It is up to you to disclose these injuries and to seek appropriate medical treatment.

Therefore, you must contact Miami Sports Medicine Department to reschedule no later than 14 Days from

[DATE of Letter]. If you fail to make the appointment and disclose the medical conditions and injuries that you sustained as a direct result of your participation in Intercollegiate Athletics at Miami then you agree to release

Miami University from any and all responsibility and liability for those medical conditions and injuries. To reschedule your appointment, please contact your assigned [CERTIFIED ATHLETIC TRAINER’s NAME] at

[PHONE NUMBER of ATC] by [14 DAYS FROM DATE OF LETTER]

Miami University Sports Medicine

Student-Athlete Declaration of Medical Condition Acknowledgement

I, [NAME OF STUDENT ATHLETE], am aware that participation as a student-athlete in [SPORT] puts me at risk for serious injuries and/or medical conditions. I understand that sharing information with Miami University’s medical staff is important to helping maintain my safety, and I agree to the following instructions:

 Before I start practice, I will inform the Miami University Sports Medicine Department about any injury, orthopedic issue, and/or general medical condition in order to receive appropriate medical attention.

 In the event that I develop any injury, orthopedic issue and/or general medical condition during my sports season, I will immediately inform the Miami University Sports Medicine Department in order to receive appropriate medical attention.

 I will be responsible for disclosing any injury, orthopedic issue and/or general medical condition during my Exit Physical Examination which I must schedule with Miami University Sports Medicine before the end of the academic year and/or athletic competitive season (whichever is later) in which I have exhausted my athletic eligibility or opted to discontinue participation in intervarsity athletics (whichever is sooner).

I understand that if I fail to disclose any known or suspected injury, orthopedic issue and/or general medical condition to the Miami University Sports Medicine Department and seek medical treatment then I release Miami University from any and all responsibility and liability for such injuries/medical condition(s).

Signature of Student-Athlete: ______Date:______

Signature of Parent or Guardian:______Date: ______

(If Student-Athlete is 18 years of age or younger both the Student and the Parent/Guardian must sign)

IF YOU HAVE QUESTIONS, PLEASE CONTACT

MIAMI UNIVERSITY SPORTS MEDICINE DEPARTMENT AT:

Miami University Sports Medicine Department 144 Yager Stadium Oxford, OH 45056 513-529-3113 513-529-6218

STUDENT-ATHLETE REFERRAL PROTCOL

When an athletic injury or general medical condition has occurred the student-athlete should contact the Certified Athletic Trainer (ATC) assigned to his or her sport. The ATC will then assess the injury/illness and decide the next step in the process. The ATC may decide to treat the injury/illness his/her self or refer to the appropriate team physician or to the Miami University Student Health Center. If an athlete is to be referred, the ATC will place the athlete on the physicians clinic list and provide all appropriate medical information (injury report, MRI, x-rays, etc) to the physician. A physician schedule list will be kept on the G drive so everyone has equal access to add athletes who need to be seen by a doctor. The physician or their designee can make the appropriate notation on the injury evaluation sheet which will be added to the athlete's file, along with inputting it into the intranet system under that athlete. Those athletes that fail to report for the doctor's clinic will be reported to their respective coaches. Any referral of a student athlete to a physician outside of our team physicians will be made by the referring physician who will fill out a referral form and a Certified Athletic Trainer will make the appointment.

Dr. Stephen Dailey (Head Team Physician, Director of Sports medicine) Illnesses, general medical conditions, Any Orthopaedic injuries

Dr. Doug Ross (Team Physician) Illnesses, general medical conditions, Low back injuries and minor sports medicine issues

Dr. Ronald Hess (Team Physician, Orthopeadic Surgeon) Illnesses, general medical conditions, Any Orthopaedic injuries (specializes in knees and shoulders)

The Team Physician will then decide the next step in the care of the injured/ill athlete. They may request further diagnostic testing be performed (ie. X-ray, MRI, CT, Bone Scan, EKG, ECG, Lab work), refer the athlete to physical therapy with the ATC assigned to the athlete, refer the athlete to physical therapy at McCullough-Hyde PT or Oxford PT, or refer to any of the specialist listed below. If the athlete is referred to a specialist below or other specialist of the team physicians chose, the athlete will then be in the care of that physician. (MRI and X-ray facilities are listed below). The ATC is responsible for continued communication of progression of athlete’s care to the team physician.

Cardiologist Gastroenterology Dr. Suna (513) 751-4222 Dr. Bernie (513) 524-5100 Chiropractics Dr. Cucinotta (513) 867-2834 Dr. Elwert (513) 741-4700 General Medical Conditions Dr. Zipco (513) 523-7118 Dr. Bucher (513) 523-7511 Dr. Hoke (513) 523-2340

Counseling Dentist Dr. Slager (student hc) (513) 529-3000 Dr. Thomas (513) 523-6351 Dr. Callan (513) 523-0677 Dr. Jackson (513) 523-6267 Dr. Fortney-Harlan (513) 523-1706 General Surgery Urology Dr. Brunkhorst (513) 523-1844 Dr. Campbell (513) 867-1100 Dr. Crafton (513)723-9000 Dr. Hingsbergen (513) 844-1000 Pulmonology Dr. Sternberg (513) 863-0845 Oxford OB/GYN (513) 523-2158 Opthamology Dr. Harlan Dr. Love (513) 523-2123 Dr. Hawkins (female) Dr. Stein Optometry Dr. Collins (513) 523-6339 Dr. Moravic (513) 772-2442 Wellington Ortho (513) 245-2500 Dr. Rhoad (elbow/wrist) Dr. Leonard (elbow/hand/wrist) Dr. Eisele (foot/ankle) Dr. Linz (foot/ankle) Dr. Raines (foot/ankle) Dr. Hess (knee/shoulder) Dr. Plettner (hand/wrist) Dr. Rottinghaus (knee/shoulder)

MRI Facilities McCullough-Hyde Hospital Oxford (513) 524-5555-scheduling McCullough-Hyde Hospital Ross (513) 856-5940 Proscan Imaging - Tylersville Rd. (513) 759-7350 Tri County (513) 671-7801 Mid Town (513) 281-4000 ext.140 Paul Brown Stadium (513) 455-4999 Mason (513) 459-2525 X-ray facilities Wellington Orthopaedics Oxford (M/W) (513) 524-1018 McCullough-Hyde Hospital Oxford (513) 524-5555 Miami University Student Health Center (513) 529-3010

Pharmacies MU student Health Center (513) 529-3016 Kroger (513) 523-7323 CVS (513) 524-6419 Walgreens (513) 523-4683 Wal-mart (513) 524-3744

Physical Therapy Facilities McCullough-Hyde PT (513) 664-3800 Oxford PT (513) 523-9391

Notification of Academic Absences due to Medical reasons (ie, surgery, doctors appointments) If a student-athlete is going to be missing more than one day of classes for medical purposes, the Student Health Center needs to me notified. This can be done by emailing Karen Kammer directly at [email protected] or (513) 529-8119. She will send letters to the professors of the student-athlete.( Karen Kammer will need the following information: student name, banner ID, dates student will be out. If the student is out for only one day we do not do notifications unless they are unable to communicate themselves.

PRE-CERTIFICATION INFORMATION

ATC's are required to pre-cert diagnostic testing (MRI, bone scan, CT scans, orthotics, etc.) depending upon the specified criterion of an individual student-athletes insurance plan. The information needed for such action is as follows:

ANTHEM UNITED HEALTHCARE

Pre- cert # 1-888-730-2817 Pre-cert # 1-866-889-8054

Wellington Ortho Mid West Pain Management (Ross) 10 Locust St 5151 Morning Sun Rd. Oxford, OH 45056 Oxford, OH 45056 (513) 524-1018 (513) 524-5330 Fax (513) 245-5424

Tax ID # 310 741 747 Tax ID # 113 748 326

Proscan Imaging- Tylersville Proscan Imaging -Mason 7306 Tylers Corner Dr. 4900 Parkway Dr. West Chester, OH 45069 Mason, OH 45040 (513) 759-7350 (513) 459-2525 Fax (513) 759-7351 Fax (513) 459-7555

Tax ID # 311 706 158 Tax ID # (same as Tylersville))

McCullough-Hyde Hospital 110 N Poplar St. Oxford, OH 45056

(513) 523-2111 Fax (513) 524-5541 Tax ID # 310 650 283

MEDICATION

Athletically Related Injury or Illness

The Athletic Department will be responsible for therapeutic drugs required as a direct result of athletic injury or illness related to athletic activity and approved by one of our team physicians. The team physician will write the medication prescription and the attending staff athletic trainer will fill out and initial the red permission card for charging this medication to the Athletic Department at the Student Health Service. In the event that the Student Health Service is closed the athlete can be either taken or sent to the Kroger or CVS Pharmacy and receive their medication using an Athletic Department charge card.

Any prescription medications that the team physicians wish to have present in the training room will be stored in a locked cabinet, drawer or other secure receptacle, and will be used as a starter dosage in compliance with Ohio law.

Non Athletically Related Injury or Illness

The Athletic Department will not be responsible for medication expenses for non athletic related injury or illness. The athletes will still be seen by one of our team physicians who may write a prescription for medication, but responsibility for payment lies with the athlete.

Non Prescription Medications (Over the Counter)

Non prescription medications that are kept in the athletic training rooms, including but not limited to aspirin, non-aspirin pain relievers, ibuprofen, anti-diarrheal, and decongestants, shall be securely kept in the doctor’s office of each athletic training room. The sports medicine staff will track and regulate the amount and frequency of a particular medication that a student athlete is receiving.

REHABILITATION

As mentioned above, the Withrow athletic training room is used as the primary morning treatment/rehabilitation facility for all student athletes. If an athlete requires more care than we can provide in our facility, they will receive a written prescription by a team physician for a local health care provider or a facility in the athlete’s hometown if done over a school break (i.e. Christmas or summer). As long as the injury was athletically related, then physical therapy visits will be covered by our insurance. Athletes are NOT billed for treatment/rehabilitation done in any of the athletic training rooms.

MIAMI UNIVERSITY SPORTS MEDICINE INTRANET SYSTEM

The Miami University Sports Medicine (MUSM) Intranet was designed and installed in 1998 by Michael Duff of Melampus Enterprises, Inc., a healthcare intranet consulting firm. Mr. Duff periodically provides MUSM with system updates and support.

The Sports Medicine staff uses this intranet system to keep electronic files of all student athletes. It allows the staff to keep track of all injuries, treatments, rehabilitation programs, doctor’s notes, and any other pertinent medical information.

The URL (i.e. web address) of the main login page for the intranet is:

https://musm.ica.muohio.edu/

The address is like most others you've probably seen before except for the first part, which is the protocol type. For the Miami Intranet, we are using a secure web protocol. So instead of http, you must use https.

When you load the address into the web browser, the login page will be displayed. This "welcome" page is the only way into the Intranet. On this page, you will be prompted for your login name and password. Enter both of those (remembering that passwords are case sensitive), then click on the Login button.

When you login, you will see the Navigation frame on the left-hand side of the window and your intranet homepage on the right-hand side. The Navigation frame will always be there to allow you to jump to various pages on the Intranet. Across the top of the browser window, you will see the MUSM Intranet graphical header as well as the "Home" and "Logout" buttons. The "Home" button will return you to your intranet homepage when you click on it. The "Logout" button will display the Logout confirmation page, which allows you to logout of the system.

It is extremely important to log out. Otherwise, someone else can use your account and view athlete records until the session key expires. When you log out, your session key is deactivated. MEDICAL RECORDS

1. Each staff athletic trainer is responsible for generating and maintaining current files on each of the student athletes participating in programs under their care. Completed medical files would include the following documentation and all forms will be housed in a hard file and on the MUSM Intranet: a. a complete medical history of the student athlete b. a family health history c. an insurance information sheet d. a health appraisal e. 5 waiver forms, signed (Acknowledgement and Waiver, Athlete Release, FERPA Release, Health Information Release, Sickle Cell Trait Waiver) f. Concussion Education Form, Declaration of Medical Conditions g. completed functional movement screen (done at pre-participation physicals) and results will be put into G drive FMS spreadsheet h. female athletes only will complete a nutritional/menstrual history form i. a physical form signed by the Director of Sports Medicine/Team Physicians will be kept in hard file and entered in MUSM Intranet j. all pre-existing injuries that are reported within medical forms; all pertinent medical information (physician notes, diagnostic testing results – xrays, mri’s, CTscans, labwork, etc. should be acquired prior to pre-participation physical examination for review by team physicians during examination

Each summer a mailing will be sent to the parents of each athlete, explaining the policies and procedures of the sports medicine staff, our insurance policy, the nutritional/menstrual history form (females only) and information on how to fill out the medical forms on-line. Those athletes who are coming to Miami for the first time will need to fill out forms A - F and H (females only). Those athletes who are returning to Miami will need to fill out forms C –F and H (females only). All forms must be printed, signed and mailed into the Sports Medicine Office prior to the athlete's arrival on campus.

2. Any injury/illness incurred while at Miami will be documented electronically on an injury evaluation form found on the MUSM Intranet System - form will be completed in full with logical flow and sequence.

3. Each treatment and/or rehabilitation (preventative, maintenance or current injury) given will be documented electronically on the MUSM Intranet System under either the recommended treatment or treatment record section with its associated injury. This way, any ATC can access the information and provide treatment in the absence of the athlete’s own ATC.

4. Each physician appointment and dictation will be documented in the MUSM Intranet (within the associated injury) and in hard file.

5. Any referrals to physicians outside of our team physician will be documented in the MUSM Intranet (within the associated injury) and in hard file. 6. All Coaches reports will be completed in the MUSM Intranet for each student-athlete (all associated injuries) who incurs an injury. The reports will include all pertinent information, status of injury, limitations in practices/competitions/weight room/ etc., physician appointments/information, etc..

7. When an athlete has recovered and does not require any more treatment for an injury the injury will be ―closed‖.

8. End of season analysis (injury rates/patterns, etc.) and statistical reports will be completed on annual basis.

All of the medical information documents, injury evaluations, treatment/rehabilitation information, doctor’s notes, etc… will be document on-line (in the MUSM Intranet and kept strictly confidential. Any x-ray, MRI, doctor reports or any hard copy information will be placed in each athlete’s file in chronological order.

Athlete Medical File Organization

Left side Right Side

Chart Log Sheet Insurance Questionnaire

Medical Documentation Health History Form (1st year)

- all in chronological order, most recent on top Family History Form (1st year)

Sickle Cell Results Health Appraisal Form

CBC Results for female athletes ADD/ADHD Form

Physical & FMS Forms Nutritional and Menstrual History Form (females)

- Placed in at the beginning of each year to signify new academic year Waiver/Release Forms

Acknowledgement & Waiver

Student Athlete Release

Health Information Release

FERPA Release

Declaration of Injury Release

Sickle Cell Consent/Waiver (1st year)

INSURANCE COVERAGE AND PROCEDURES

A. The NCAA does not permit Miami University or any college or university to provide coverage or pay the bills incurred for injury, illness or conditions which are not a direct result of participation in our intercollegiate sport program.

B. Miami University requires every student to be covered by a primary insurance carrier whether this is a personal policy, coverage under a parent's policy, coverage under the Miami University Student Health Insurance policy or a combination of these policies.

C. Information on how to fill out an insurance questionnaire will be sent to student athlete’s during the summer along with an explanation of our athletic insurance coverage. Those athletes who fail to return this information will not be allowed to receive a pre-participation physical examination and/or participate until this information is on file in the Sports Medicine Office.

D. The MUSM Department provides an Athletic Insurance Policy for student athletes injured while participating in the play or practice of an intercollegiate sport.

E. The Athletic Insurance Policy provides secondary coverage only. If at the time of injury the student athlete is not covered by a primary insurance policy they will be held responsible for the deductible on the Athletic Insurance Policy which is currently $3,000.00.

F. The Athletic Insurance Policy cannot provide benefits for pre-existing conditions. The decision on whether a condition was pre-existing will be made by the Director of Sports Medicine/Head Team Physician.

G. Claims will be handled by the Insurance Coordinator, Assistant Director of Sports Medicine and Director of Sports Medicine.

H. Proper documentation in the form of itemized bills and EOBs (explanation of benefits) is required before Miami University will pay any part of a medical bill. The student athlete is responsible for providing this documentation.

Non-Athletic Related Injury

Any student athlete who is injured outside of intercollegiate athletics may still be seen by the Sports Medicine Staff and Team Physicians. However, any expenses which are generated are the responsibility of the student athlete.

Optical Care

1. The Athletic Department will purchase contact lenses or glasses for any athlete who requires them for safe/productive participation in intercollegiate athletes.

2. Athletes who are in need of glasses or contacts will be referred to an eye specialist by one of the staff athletic trainers, who will also give the athlete a yellow card so the physician is aware that Miami will be the secondary coverage of contacts/glasses. The doctor will do the initial examination and fitting of the glasses or contacts.

3. Purchase of lenses and glasses shall be limited to the basic requirement for safe participation as judged by the doctor. Any additional costs for special frames or lenses will be the responsibility of the athlete.

4. The Athletic Department will purchase replacement contacts or glasses when lost or damaged as a direct result of athletic participation.

5. Bills for the eye examination and lenses or glasses will go first to the athlete’s primary insurance and the balance to be paid by the Athletic Department. Once a student-athlete is no longer participating or eligible to participate with Miami University athletic programs they assume financial responsibility for annual eye examinations and/or contacts/glasses.

Dental Care

1. The athletic department will only be responsible for dental injury that is a direct result of an accident that occurs during a regularly scheduled practice or contest.

2. If the NCAA requires the sport to wear an intra oral device covering, at least, all upper teeth (mouth piece) and the athlete is not wearing it at the time of injury, the athletic department will NOT cover the expenses. Miami University will provide all athletes with a mouthpiece prior to the first practice and it is up to the athlete to wear them.

3. The athletic department will only be responsible for dental injury to sound and natural teeth.

4. Athletes who receive a dental injury will be referred to a dentist by one of the staff athletic trainers. The dentist will do the initial examination, treatment and arrange for follow up as needed or referral to another specialist.

5. A dental injury occurring to a student athlete that does not fall into categories 1, 2, or 3 will still be handled as indicated in #4, but the student athlete will be responsible for all bills associated with this injury.

MIAMI UNIVERSITY SPORTS MEDICINE CONCUSSION POLICY

Miami University Sports Medicine recognizes that concussions are potentially very serious injuries that require a comprehensive and carefully measured approach to management. The following policy was created with the understanding that each concussion, as well as each student athlete, is unique.

Individualizing concussion management, considering each student athlete’s complete medical history, and close medical personnel involvement, are the hallmarks of this concussion policy, and are essential for the safety of our student athletes. To that end, the following procedures shall be utilized by Miami

University’s Intercollegiate Athletics Department (―ICA‖):

1. Status of Policy.

The policy shall be developed and updated under the supervision of ICA physician(s) and

medical personnel in collaboration with ICA administration. The policy shall be reviewed and

updated as appropriate, given any future advances in concussion science or medical practice.

2. In-Game/Practice Determinations. Any student athlete that (a) self-identifies a concussion, or

(b) is observed by the coaching staff or medical personnel (e.g., physicians, athletic trainers,

etc.) to exhibit signs or symptoms of a concussion will be removed from participation for

evaluation by an athletics healthcare provider with experience in the evaluation and management

of concussion. Sideline evaluation will consist of recommendations by the American Academy

of Neurology.

Statement by American Academy of Neurology Concussion is a trauma-induced alteration in mental status that may or may not involve loss of consciousness. Confusion and amnesia are the hallmarks of concussion. The confusional episode (9) (10) and amnesia may occur immediately after the blow to the head or several minutes later. Close observation and assessment of the athlete over some period of time is necessary to determine whether evolving neuropathologic change associated with concussion will lead to a confusional state or to the development of memory dysfunction. A history of re-cent head trauma outside the sports setting, such as a motor vehicle accident, should be considered in the evaluation of an athlete with concussion. Frequently observed features of concussion are listed in table 1.

Table 1: Features of concussion frequently observed − Vacant stare (befuddled facial expression) − Delayed verbal and motor responses (slow to answer questions or follow instructions) − Confusion and inability to focus attention (easily distracted and unable to follow through with normal activities) − Disorientation (walking in the wrong direction, unaware of time, date. and place) − Slurred or incoherent speech (making disjointed or incomprehensible statements) − Gross observable incoordination (stumbling, inability to walk tandem/straight line) − Emotions out of proportion to circumstances (distraught, crying for no apparent reason) − Memory deficits (exhibited by the athlete repeatedly asking the same question that has already been answered, or inability to memorize and recall 3 of 3 words or 3 of 3 objects in 5 minutes) − Any period of loss of consciousness (paralytic coma, unresponsiveness to arousal)

Symptoms that the athlete may experience can be divided into "early" and "late" categories, although times may vary case by case. Symptoms are listed in table 2.

Table 2: Symptoms of concussion Early (minutes and hours) − Headache − Dizziness or vertigo − Lack of awareness of surroundings − Nausea or vomiting Late (days to weeks): − Persistent low grade headache − Light-headedness − Poor attention and concentration − Memory dysfunction − Easy fatigability − Irritability and low frustration tolerance − Intolerance of bright lights or difficulty focusing vision − Intolerance of loud noises, sometimes ringing in the ears − Anxiety and/or depressed mood − Sleep disturbance

The usefulness of a grading scale has been well established in sports medicine to determine the (11) severity of a concussion. This practice parameter presents the following grading scale arrived at by a consensus of experts who reviewed all existing scales, including the recommendations in the (2) Colorado Medical Society Guidelines.

Grade 1 1. Transient confusion 2. No loss of consciousness 3. Concussion symptoms or mental status abnormalities on examination resolve in less than 15 minutes.

Grade 1 concussion is the most common yet the most difficult form to recognize. The athlete is not rendered unconscious and suffers only momentary confusion (e.g., inattention, poor concentration, inability to process information or sequence tasks) or mental status alterations. Players commonly refer to this state as having been "dinged" or having their "bell rung."

Grade 2 1. Transient confusion 2. No loss of consciousness 3. Concussion symptoms or mental status abnormalities on examination last more than 15 minutes

With Grade 2 concussion, the athlete is not rendered unconscious but experiences symptoms or exhibits signs of concussion or mental status abnormalities on examination that last longer than 15 minutes (e.g., poor concentration or post-traumatic amnesia). Any persistent Grade 2 symptoms (greater than 1 hour) warrant medical observation.

Grade 3 1. Any loss of consciousness, either brief (seconds) or prolonged (minutes)

Grade 3 concussion is usually easy to recognize—the athlete is unconscious for any period of time. Refer to table 1 for details about behavioral features of concussion. A sideline evaluation to assess the status of the athlete suspected of having a concussion appears in table 3. This evaluation should be performed by individuals properly trained in the administration of the examination. Timing of initial management and return to play are outlined in tables 4 and 5.

Table 3: Sideline Evaluation Mental status testing Orientation Time, place, person, and situation (circumstances of injury) Concentration Digits backward (e.g., 3-1-7, 4-6-8-2, 5-3- 0-7-4); Months of the year in reverse order Memory Names of teams in prior contest; Recall of 3 words and 3 objects at 0 and 5 minutes; Recent newsworthy events; Details of the contest (plays, moves, strategies, etc.) External provocative tests 40-yard sprint; 5 push ups; 5 sit ups; 5 knee bends; (any appearance of associated symptoms is abnormal, e.g. headaches, dizziness, nausea, unsteadiness, photophobia, blurred or double vision, emotional liability, or mental status changes) Neurologic tests Pupils Symmetry and reaction Coordination Finger-nose-finger, tandem gait Sensation Finger-nose (eyes closed) and Rhomberg

3. Results of Determination. Any student athlete not assessed to have with a concussion in-

game/practice shall be permitted to return to play/practice. Any student assessed to have a

concussion, regardless of grade, will not return to participation for the remainder of that day and

will have follow-up evaluation and testing as described below before being permitted to return

to play/practice. The determination regarding return to play shall be made by athletics

healthcare provider with experience in the evaluation and management of concussion.

4. Determinations Regarding Return to Participation Any athlete that sustains a concussion or complains of

concussion like symptoms will be referred to the Concussion Management Program at Miami University for post-

concussion neuropsychological testing. Post-concussion assessment will be completed within 24 to 48 hours of

notification. The following criterion listed below will assist in determining return to play decision along with thefollowing on the field assessment results which are outlined in the tables (Table 4 and 5) below. All factors will be taken into account with decision of return to play. a) A score on any section of the neuropsychological test battery that is not within 1 SD of their (or the national average if baseline was not obtained) will result in the recommendation for continued rest from physical activity and reassessment in 2-3 days. b) If the athlete reports any symptoms that are consistent with mild sports concussion the recommendation that the athlete continue to refrain from physician activity with reassessment in 2-3 days will be made. c) If the athlete reports no symptoms that are consistent with sports concussion and if neuropsychological test results are consistent with baseline measures it will be recommended that the athlete gradually increase level of activity with close monitoring by the athletic trainer. d) Each athlete will be assessed on an individual basis. If there is question that further assessment be warranted prior to return to play, that recommendation will be made.

Table 5: When to return to play after removal from Minimum Time until return to play* contest Grade of concussion Grade 1 concussion 24 hours Multiple Grade 1 concussion 1 week Grade 2 concussion 1 week Multiple Grade 2 concussions 2 weeks Grade 3—brief loss of consciousness (seconds) 1 week Grade 3—prolonged loss of consciousness (minutes) 2 weeks Multiple Grade 3 concussions 1 month or longer, based on clinical decision of evaluating physician *Only after being asymptomatic with normal neurologic assessment at rest and with exercise.

5.Student Athlete Education and Acknowledgement. All student athletes will receive education on concussion. Each student athlete will then sign a statement acknowledging receipt of this education as well as acknowledging their responsibility to provide accurate and timely descriptions of any symptoms or deficits that they experience.

6.Coach Education. All coaches will receive education on concussion management and procedures no less than annually Miami University Student-Athlete Concussion

Acknowledgement Form

I, ______, acknowledge that I have a responsibility to be an active participant in my own healthcare. As such, I have the direct responsibility to report all of my injuries and illnesses to the Miami University Sports Medicine Staff (certified athletic trainer or team physician) of Miami University. 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 institution.

I further understand that there is a possibility that participation in my sport may result in injury including head injuries and/or concussions. I have been provided with education on head injuries/concussions 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 the above and agree that the statements are accurate.

______

Signature of student-athlete Date

______

Printed Name of student-athlete

______

Name of person obtaining acknowledgement Signature of person acknowledging Revised July 2012

Miami University ADHD Medical Exceptions Form

STUDENT-ATHLETE: SPORT:

Effective August, 2009, the NCAA Committee on Competitive Safeguards and Medical Aspects of Sports (CSMAS), which reviews requests for a medical exception to a positive drug test, has established a set of guidelines regarding medical documentation for NCAA student-athletes with ADHD. These guidelines can be found online at www.ncaa.org/health-safety. I attest that:

I AM presently taking and/or have taken within the last 12 months Initial: banned stimulant medications (e.g. Ritalin, Stattera, Adderall, Concerta, etc.) that are used to treat Attention Deficit Hyperactivity Disorder (ADHD), Attention Deficit Disorder (ADD), or like condition.

List All Medications:_

I AM NOT presently taking and/or have not taken within the last 12 months banned stimulant medications (e.g. Ritalin, Stattera, Adderall, Concerta, etc.) that are used to treat Attention Deficit Initial: Hyperactivity Disorder (ADHD), Attention Deficit Disorder (ADD), or like condition.

______If you are taking medi_ c ati o n banned by the NCAA , you m ust p r o v ide the f o llowing documentation from your prescribing physician to the Miami University Sports Medicine Department: 1. Description of the evaluation process which identifies the assessment tools and procedures 2. Statement of diagnosis, including when it was confirmed 3. History of ADHD treatment (previous/ongoing) 4. Statement that a non-banned ADHD alternative has been considered if a stimulant is currently prescribed 5. Statement regarding follow-up and monitoring visits 6. Copy of the most recent prescription (as documented by the prescribing physician) 7. Physicians name, office address, contact information, specialty, and signature/date should be included

All medical documentation should be sent to:

Dr. Stephen Dailey, Director of Miami University Sports Medicine Intercollegiate Athletics Sports Medicine Department 144 Yeager Stadium Miami University Oxford, Ohio 45056

-OVER- Revised July 2012

Miami University’s Rinella Learning Center

If you are taking banned medication and are not receiving services from the Rinella Learning Center, we want to make you aware of the academic support services available through Miami University’s Rinella Learning Center. The Rinella learning Center provides a wide range of services to students with ADD/ADHD or other like conditions or learning disabilities with a wide range of services including:

Academic Coaching Academic Counseling & Advice Disability Assessment Intervention Learning Specialist Support Learning Disability Services & Support Learning Assessment or Referrals Study Skill Workshops (motivation, stress, test-taking, note-taking, anxiety etc.) Supplemental Instruction Tutoring

[ ] I wish to speak with someone from Rinella Learning Center to discuss services at this time.

Initial: ______date:______

[ ] I do not wish to receive any services at this time.

Initial: ______date:______

I, the undersigned, do hereby affirm that I understand that I am to immediately notify an Athletic Training certified staff or Team Physician of Miami University should I ever be prescribed the aforementioned stimulant medications.

Signature of Student-Athlete Date of Signature

Signature of Parent/Legal Guardian Date of Signature (If student athlete is under 18 years of age)

Revised July 2012

NCAA Medical Exception Documentation Reporting Form to Support the Diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) and Treatment with Banned Stimulant Medication

• Complete and maintain (on file in the athletics department) this form and required documentation supporting the medical need for a student-athlete to be treated for ADHD with stimulant medication. • Submit this form and required documentation to Drug Free Sport in the event the student-athlete tests positive for the banned stimulant (see Drug Testing Exceptions Procedures at www.ncaa.org/drugtesting).

To be completed by the Institution:

Institution Name:______

Institutional Representative Submitting Form: Name______Title______Email______Phone______

Student-Athlete Name______Student-Athlete Date of Birth______

To be completed by the Student-Athlete’s Physician:

Treating Physician (print name):______Specialty:______Office address______Physician signature:______Date______

Physician documentation (letter, medical notes) to include the following information: • Diagnosis. • Medication(s) and dosage. • Blood pressure and pulse readings and comments. • Note that alternative non-banned medications have been considered, and comments. • Follow-up orders. • Date of clinical evaluation: ______• Attach written report summary of comprehensive clinical evaluation: o The evaluation should include individual and family history, address any indication of mood disorders, substance abuse, and previous history of ADHD treatment, and incorporate the DSM criteria to diagnose ADHD. Attach supporting documentation, such as completed ADHD Rating Scale(s) (e.g., Connors, ASRS, CAARS) scores. o The evaluation can and should be completed by a clinician capable of meeting the requirements detailed above.

DISCLAIMER: The National Collegiate Athletic Association shall not be liable or responsible, in any way, for any diagnosis or other evaluation made, or exam performed, in connection herewith, or for any subsequent action taken, in whole or in part, in reliance upon the accuracy or veracity of the information provided hereunder. http://documentcenter.ncaa.org/msaa/saa/HealthandSafety/FormsTemplates/01052012ADHDreportingform.docx/RHB Revised July 2012

MIAMI UNIVERSITY STUDENT-ATHLETE SICKLE CELL TRAIT POLICY Sickle cell trait is a hereditary condition in which an individual has one normal gene for hemoglobin (A) and one abnormal gene for hemoglobin (S), giving the genetic type (AS). Sickle cell trait is not the same as sickle cell anemia disease in which two abnormal genes are present (SS). Approximately 8 to 10 percent (8 to 10 out of 100) of the African American population in the United States has sickle cell trait, while approximately 1 out of 10,000 Caucasians have the trait. The trait is present in athletes of all levels of competition, and in no way is the trait a barrier to outstanding athletic performance. Effective 2010-2011 academic year, the NCAA has mandated that all incoming student-athletes, including transfers must be tested for sickle cell trait, show proof of a prior test, or sign a waiver releasing Miami University from liability if they decline to be tested. The legislation applies to student athletes who are beginning their initial season of eligibility and students who are trying out for the team. This waiver and/or testing is valid for all years of athletic eligibility at Miami University.

The Miami University Sports Medicine Department under the recommendations of the NCAA Committee on Competitive Safeguards and Medical Aspects of Sports and under the direction of Team Physicians out line the following policy:

1. The Miami University Sports Medicine Staff (Team Physicians and Certified Athletic Trainers) will maintain a familiarization with the most recent medical literature concerning sickle cell trait 2. MU Sports Medicine Department requires that all incoming freshmen/transfer student-athletes submit proof of testing and results for the Sickle Cell Trait. In case a student-athlete cannot show proof of testing and desires to be tested, the Miami University Sports Medicine Department will offer voluntary sickle cell screening and education on the Sickle Cell Trait in conjunction with the yearly pre- participation physical examination. 3. All students will be presented at the PPE with an educational component and a waiver which they will sign to: a. Acknowledge that they have been provided with education on the sickle cell trait, risks of sickle cell, signs/symptoms of sickle cell and the lab test b. Waive the sickle cell testing and acknowledge that they have been made aware of the risk and have chosen not to be tested c. Accept the sickle cell testing 4. If a positive sickle cell trait test occurs the student-athlete will meet with a Miami University Team Physician for consultation to educate the student-athlete on the genetic affects concerns such as family planning, and an explanation on a possibly remote and unclear risk involved with physical exertion and altitude. 5. Also all student-athletes with a positive test will be counseled on: a. how to avoid dehydration and how to properly acclimatize gradually to heat and humidity b. how to condition carefully and gradually condition over several weeks before engaging in exhaustive exercise regimens c. how to acclimate to altitude over an appropriate amount of time d. to communicate with MUSM Staff and/or assigned ATC during acute illness especially when a fever occurs

Revised July 2012

Miami University- Department of Intercollegiate Athletics Sickle Cell Trait Testing Information and Waiver Form

Student Athlete Name: ______Last First MI Banner ID #:______Date of birth: _____/_____/_____

Sickle Cell Trait Testing:

Sickle Cell trait testing involves a simple blood test. People at higher risk for having the sickle cell trait are those of African, South or Central American, Caribbean, Mediterranean, Indian or Saudi Arabian descent. About 8% of the African-American population has the sickle cell trait. Sickle cell trait does not mean you have sickle cell anemia and does not prohibit participation in athletics or affect athletic performance. It does, however, place the student-athlete at higher risk for gross hematuria (blood in the urine), splenic infarction (chest pain with nausea and vomiting) and exertional rhabdomyolysis (which can be fatal and is exacerbated by dehydration). Exertional rhabdomyolysis has been linked to sudden death during basic training for the U.S. Armed Forces and the sudden death of student-athletes.

The NCAA requires that all student-athletes provide proof of testing for the trait, be tested for the trait during the mandatory medical examination or sign a written release. The NCAA provides educational information regarding sickle cell trait testing which can be found at NCAA. org(insert link). Miami University encourages testing and encourages student athletes to consult with family members, including parents and guardians, before making this decision.

Informed Consent for Sickle Cell Trait Testing

I consent to have my blood drawn by the Miami University Student Health Center for the purpose of sickle cell trait testing. I understand that the results of the test will be shared with the Department of Intercollegiate Athletics, including the Miami University Sports Medicine, Strength and Conditioning, and coaching staff.

Signature Date

Print Name

Signature of Parent if under age 18 Date

Prior Testing Within Six Months

I have been tested for the sickle cell trait (had a sickle cell solubility test) within the previous six months and have attached the documentation of the results of the prior test. I understand that the results of the test will be shared with the Department of Intercollegiate Athletics, including the Miami University Sports Medicine, Strength and Conditioning, and coaching staff.

______Signature Date

Print Name

Revised July 2012

Decline Testing- Waiver of Liability: I have received and read the information pertaining to sickle cell trait testing. I acknowledge and understand the risks involved including the risk of sudden death. I decline to receive the sickle cell trait testing.

On behalf of myself and my heirs and assigns, I knowingly and voluntarily assume all risks associated with the decision not to be tested and release the University, its trustees, officers, employees and agents from any and all responsibility or liability for personal injury, trauma or death sustained by me during or because of my decision not to be tested or because I have the sickle cell trait. I UNDERSTAND AND AGREE THAT BY SIGNING THIS FORM, I WAIVE AND FOREVER RELINQUISH ANY AND ALL CLAIMS THAT I MAY HAVE IN THE FUTURE, WHETHER KNOWN OR UNKNOWN, AND WHETHER ANTICIPATED OR UNANTICIPATED, ARISING OUT OF MY PARTICIPATION IN THE Intercollegiate Athletic Program as a result of my decision not to be tested or because I have the sickle cell trait.

I understand and agree that if I am signing this form on behalf of my minor child, that I will be giving up the same rights for the minor (if student athlete is under 18 years of age) as I would be giving up if I signed this document on my own behalf.

Signature: ______Date: ______

Name (Printed): ______

Parental Co-Signature (if under 18):______

Revised July 2012

HOT WEATHER AND HEAT ILLNESS POLICY

Modification of Athletic Activities

Chain of Command: The decision to modify and/or terminate a Miami University intercollegiate athletic activity in the event of excessive heat and/or poor air quality should be made by a member of the Miami University Sports Medicine staff in consultation with the Team Physician, and the head coach or his/her designee.

Criteria For Modification and/or Termination: The policy of the Miami University Department of Intercollegiate Athletics with regards to the modification and/or termination of an athletics practice due to excessive heat will be as follows: a) A member of the Miami University Sports Medicine Staff will monitor the Heat Index as measured on the practice field through the use of a sling psychrometer or through calculation of the Heat Index with data obtained from the Miami University WeatherSentry® Website (www.weather.dtn.com/dtnweather). See calculations below.

b) A member of the Miami University Sports Medicine Staff will continually communicate with the Head Coach and/or his/her designee regarding the Heat Index.

c) When the Heat Index is greater than 80, a member of the Miami University Sports Medicine staff will communicate with the Head Coach and/or his/her designee and make recommendations for activity modification and/or termination, if applicable, as designated by chart below. Heat Index The Heat Index (HI) reading is an accurate method of determining environmental conditions, which would predispose athletes to heat illnesses. Heat Index can be measured using a sling psychrometer. Operation of the sling psychrometer depends upon the comparative readings of two similar thermometers, with the bulb of one being kept wet so that it is cooled as a result of evaporation. The wet bulb always shows a temperature equal to or less than that of the dry bulb. The difference between the thermometer readings constitutes a measure of the dryness or wetness of the surrounding air. One should follow these guidelines when calculating the Heat Index:  measure the HI at the specific playing site, not just outside of the athletic training room;  measure the HI before practice; in the middle of the practice field, not next to a building or shaded area  measure / record the HI every 45-60 minutes during practice (every 20-25 minutes if the reading is greater than 85)

Technique for measuring the Heat Index: 1. wet the wick on the wet bulb portion of the sling psychrometer 2. stand in the middle of the practice field and sling the psychrometer for five (5) minutes; After five (5) minutes, take both a wet bulb and dry bulb reading; 3. sling the psychrometer again for 1-2 minute intervals until you get the same readings two (2) times in a row; 4. use the sliding chart on the sling psychrometer to determine the relative humidity; Revised July 2012

5. from the readings obtained, use the large chart below to determine the Apparent Temperature; 6. Multiply the dry bulb reading by 0.1; the wet bulb reading by 0.7; and the apparent temperature reading by 0.2 ; add the three readings together to determine the Heat Index. Example of Heat Index- Dry bulb reading = 90 degrees F x .1 = 9.0 Wet bulb reading = 80 degrees F x .7 = 56.0 Apparent temperature reading = 113 degrees F x .2 = 22.6 HEAT INDEX = 87.6 7. Use the Heat Index and published guidelines for practice recommendations.

Additional Method for Calculating Heat Index (if sling psychrometer is not available): 1. Obtain air temperature and relative humidity, or dewpoint from the Miami University WeatherSentry® Website (www.weather.dtn.com/dtnweather). 2. Using the calculator on the National Oceanic and Atmospheric Association website. Enter the necessary data to determine the Heat Index.(http://www.crh.noaa.gov/jkl/?n=heat_index_calculator). 3. Follow Guidelines using the chart above for modification/termination of activity.

AIR TEMPERATURE (degrees Fahrenheit)

70 75 80 85 90 95 100 105 110 115

APPARENT TEMPERATURE 0% 64 69 73 78 83 87 91 95 100 103 R

E 10% 65 70 75 80 85 90 95 100 105 111 L

A 20% 66 72 77 82 87 93 99 105 112 120 T

I 30% 67 73 78 84 90 96 104 113 123 135 V

E 40% 68 74 79 86 93 101 110 123 137 151

Revised July 2012

50% 69 75 81 88 96 107 120 135 150

H 60% 70 76 82 90 100 114 132 149 U

M 70% 70 77 85 93 106 124 144 I

D 80% 71 78 86 97 113 136 I

T 90% 71 79 88 102 122 Y

100% 72 80 91 108

Category Heat Index Recommendations Extreme 130°F or Danger higher Reschedule practice.

Must modify full uniform. Add additional breaks and shorten Danger 105 - 129°F practice time.

Watch all athletes closely. Consider rescheduling practice.

Extreme Risk of heat illness is great enhanced. Must modify full uniform. Caution 90 - 105°F Add addt’l

breaks. Watch all athletes closely. Consider shortening practice time.

Risk of heat illness is enhanced. Add additional water breaks to Caution 85 - 90°F practice plan.

Monitor athletes prone to excessive water weight loss closely. Consider

modifying wearing full equipment.

Risk of heat illness is minimal. Continue normal practice plan; Precautionary 80 - 85°F add breaks.

Revised July 2012

Susceptibility of Athletes to Heat Illness

 Athletes with a prior history of cramping and/or heat illnesses (e.g. ―crampers‖)  Athletes with certain medical conditions (e.g. Sickle Cell)  Poorly conditioned and/or un-acclimatized athletes  Overweight athletes / athletes with a high body-mass index (BMI)  Athletes who constantly compete at a high capacity / intensity  Athletes with very low body-mass index / low body-fat (e.g. lean & fit)  Athletes with a lower ―heat tolerance‖  Athletes who are ill (e.g. infection, fever, diarrhea, vomiting, etc.)  Athletes who are taking certain medications (e.g. diuretics)  Athletes who are taking certain supplements and/or ergogenic aids (e.g. creatine, steroids, etc.)  Athletes with poor dietary / nutrition habits (e.g. caffeine, high-fat foods)  Athletes with high core temperatures  Athletes who have greater than 3% body weight loss  Athletes who are on restricted and/or low-salt diets  Athletes who are heavy sweaters (e.g. ―Salty Sweaters‖)

Prevention Strategies & Recommendations Pre-Season

 Thorough & complete medical history and pre-participation physical examination o Supplement Notification Form o Medical Alert List (heat illness ―watch‖ / ―crampers‖, Sickle Cell, etc.) o Type & duration of training activities within the past 1-2 months o Extent of training done in heat o Medical examination  Strength & conditioning / Acclimatization program  Education initiatives with coaching staff o Physical examination review / Medical Alert List o Heat Index (practice modification guidelines) o Fluid replacement o Heat Illness recognition  Education initiatives with student-athletes (Team Meeting) o Open lines of communication o Diet / Nutrition (low-fat; no caffeine or alcohol; fruits & vegetables; no fast food, etc.) o Hydration / Fluid replacement o Proper clothing o Supplements (STOP taking) / Supplement Notification Form o Rest o Weight Charts  Education / Training of Sports Medicine Staff & Athletic Training Students o Recognition & management of heat illnesses o Heat Index o Emergency planning o CPR / AED certification / re-certification o Communication Revised July 2012

 Preparation of Sports Medicine Facilities & Practice Facilities o Ice / water / Gatorade o Ice towels o Coolers / water bottles o Gatorlytes o IVs supplies o Ice tubs / cold whirlpools o Heat Index / Temperature Sensor o John Deere Gators / Athletic Training Room Vans o Review / Revision of Emergency Plans o Lower air conditioning in buildings (70°)

Pre-Practice

 Monitor weather radar & Heat Index (re-take every 20-25 minutes if initial reading is greater than 85)  Communicate with coaches (adjust practice times, uniforms, breaks, intensity, etc. as needed)  Weight charts o Student athletic trainer monitor (if available) o 3% weight loss chart o highlight (yellow = did not weigh in; pink / orange = > 3% weight loss)  How Much Water To Drink Chart (posted in locker rooms & on back of stall doors)  Availability Gatorade/Gatorlytes.  Field preparation o Ice / water / ice towels o Dry towels o ―Cool Area‖ / Shaded area o ice tubs (field, locker room, & athletic training room) o Emergency equipment (AED, oxygen, thermometer, van / gator, etc)

During Practice

 Sports Medicine Staff availability at each drill / with each segment  Monitor Heat Index every 20-25 minutes as needed  Communication with coaching staff o Heat Index o Practice modification (extra breaks, equipment, time, intensity, etc.) o Heat Illness recognition  Communication with student-athletes o Heat illness recognition o Drink 8-12oz cold water every 10-15 minutes throughout practice o ―sips‖ not ―gulps‖ o Take helmets off (as applicable) o Use of ice towels o Dry off as much as possible  Ice / water / ice towel availability  Gatorade/Gatorlyte availability  Cold tubs (field, locker room, & athletic training room)  Sports Medicine Staff field communication as necessary Revised July 2012

Post-Practice

 Communicate with coaches (injury report; weather forecast, etc.)  Weight charts o Student athletic trainer monitor (if available) o 3% weight loss chart o highlight (yellow = did not weigh in; pink / orange = > 3% weight loss)  Availability of water / Gatorade / Gatorlytes  Availability of cold tubs (field, locker room, athletic training room)

Meals & Meetings

 Drink enough to quince thirst post-practice --> eat a good, nutritious meal & drink with your meal --> continue to DRINK  Low-fat foods  Fruits & vegetables  Water, Gatorade (no carbonated beverages, fruit juices / punch)  No caffeine and/or alcoholic drinks  Lightly salt foods to taste  No fast food  No supplements  Water bottles (have a water bottle with you at all times!)  Cool clothing

Recognition & Management of Heat Illnesses Heat Cramps:

 signs & symptoms o severe cramps, frequently in the calf and/or abdomen o pale and wet skin  treatment o place the athlete in a cool, shaded environment o stretch the affected muscle(s) / contract the antagonist muscle o remove equipment and/or constrictive clothing, etc. o push fluids (water, Gatorade, GatorLytes) o place ice bags, ice towels, cold water on athlete’s neck, wrists, ankles, groin, back of knees o evaluate for IV fluids and/or prescription medication o give athlete a Heat Illness Warning sheet (if applicable)

Heat Exhaustion:

 signs & symptoms o body temperature may be normal or elevated to 102-104 degrees F (39-40 degrees C); o normal blood pressure o tachycardia (rapid heart rate) o apprehensiveness o cold, damp, & ashen skin Revised July 2012

o nausea and/or vomiting o headache, dizziness, and/or faintness o profuse sweating o rapid & shallow breathing o weak pulse o muscle spasms/cramps o thirst o decreasing consciousness  treatment o transport athlete into the athletic training room / remove from the environment o remove equipment and/or constrictive clothing, etc. o monitor vital signs (blood pressure, pulse, respirations, body temperature, etc.) o push fluids (water, Gatorade, GatorLytes) o ice tub / cold whirlpool o place ice bags, ice towels, cold water on athlete’s neck, wrists, ankles, groin, back of knees o evaluate for IV fluids and/or prescription medication o give athlete a Heat Illness Warning sheet (if applicable)

Exertional Heat Stroke:

 a SERIOUS, LIFE-THREATENING condition requiring IMMEDIATE medical attention  signs & symptoms o sudden onset o high body temperature (104 degrees F or higher) o pulse rate of 160 BPM or greater o rapid respirations (20-30 respirations per minute) o red, hot, dry, & flushed skin (may not be hot & dry in a well-trained athlete) o nausea and/or vomiting o lack of perspiration o dry mouth and/or intense thirst o headache, dizziness, confusion, and/or lethargy o staggering body control, poor judgment, and/or bizarre behavior o convulsions / muscle twitching o decreasing consciousness  treatment o activate EMS immediately o transport into the athletic training room / remove from the environment o remove equipment and/or constrictive clothing, etc. o maintain ABCs o monitor vital signs (blood pressure, pulse, respirations, body temperature, etc.) o cool the athlete rapidly o push fluids (if conscious); water, Gatorade, GatorLytes o ice tub / cold whirlpool o place ice bags, ice towels, cold water on athlete’s neck, wrists, ankles, groin, back of knees

Revised July 2012

Sickle Cell Trait / Sickle Cell Anemia:

 Can sickle during exertion in heat --> MIMICS CRAMPING  Sickling triggered by heat stress, dehydration, and/or lactic acidosis  Common sickling settings = sprints, timed miles, uphill repeats, ramp running, stadium stairs, mat drills, weight training  Cramping type pain in Sickle Cell Athletes is actually ischemic pain o Sickler = COLLAPSE EARLY IN EXERCISE; hyperventilating; die of arrhythmia from hyperkalemia in < 1 hour o Cramper = cramp late in exercise or after  Treatment o Remove from the environment / transport into the athletic training room o Remove equipment and/or constrictive clothing o Oxygen o Maintain ABCs o Monitor vital signs (pulse, blood pressure, respirations, body temperature, etc.) o Push fluids o Evaluation by Team Physician o Activate EMS if needed  Recommendations o Medical history screen --> blood test screen o No Day 1 fitness run, timed miles, etc. o HYDRATE / FLUIDS o STOP at first cramp o Education of the student-athlete, coaching staff, sports medicine staff, etc.

Revised July 2012

LIGHTENING AND SEVERE WEATHER POLICY

Chain of Command The decision to terminate a Miami University intercollegiate athletic activity in the event of lightening, severe weather, and/or storms will be made by a member of the Miami University Sports Medicine staff present at a practice or the Miami University Game Administrator present at a game in consultation with Miami University Sports Medicine personnel, Miami University Game Operations staff, and/or game official(s)/umpire(s).

Criteria For Evacuation of the Practice / Game Area The policy of the Miami University Sports Medicine will be as follows: d) A member of the Miami University Sports Medicine staff and/or a member of the Miami University Game Operations staff will monitor one or more of the following for lightning, severe weather, and/or storms:  The Miami University WeatherSentry® cell phone alerts and website;  National Weather Service and National Oceanic & Atmospheric Administration (NOAA) local weather radar (www.noaa.gov) and/or;  ―Flash to Bang‖ count. e) A member of the Miami University Sports Medicine staff will inform the visiting team’s athletic trainer and/or coach, and game official(s) / umpire(s) of the Miami University policy with regards to lightning, severe weather, and/or storms during pre-game warm-ups. f) When an appropriate WeatherSentry warning is received (within 15 miles), the “flash to bang‖ count reaches 75 seconds or less, and/or a severe weather watch has been issued for the immediate Oxford, OH area, a member of the Miami University Sports Medicine staff and/or a member of the Miami University Game Operations staff will notify the following persons that ALL outdoor practices / competitions are to cease IMMEDIATELY:  The Miami University game administrator (if applicable).  The Miami University head coach and/or his/her designee;  The game official / umpire (at a break in the action);  The visiting team’s athletic trainer and/or coach (if applicable) g) All student-athletes, staff, and spectators are to evacuate to a safe structure or designated location (as shown later in this document. Additionally, all activities taking place in whirlpools and/or in-ground hydrotherapy pools should cease.

The head coach and/or their designee is not permitted to override the decision to stop an outdoor practice / competition in the event of lightning and/or severe weather. If a coach and/or game official(s) / umpire(s) make the decision to continue to practice and/or a competition or other activity despite a National Weather Service Severe Weather Warning, the cancellation of classes, and/or the verbal instruction by a member of the Miami University Sports Medicine staff, Miami University Game Administrator, and/or a member of the Miami University Game Operations staff, they will be doing so against the recommendations of the Miami University Department of Intercollegiate Athletics.

Revised July 2012

Criteria For Safe Return to the Practice/Game Area The decision to return to a Miami University intercollegiate athletic activity after a period of evacuation will be made by a member of the Miami University Sports Medicine staff present at a practice or the Miami University Game Administrator present at a game in consultation with a member of the Miami University Sports Medicine staff, a member of the Miami University Game Operations staff, and/ or game official(s) / umpire(s). Personnel should not return to the practice/competition area until:

 WeatherSentry has determined that the immediate threat has passed and the lightning / severe weather is greater than fifteen (15) miles away;  Thirty (30) minutes have passed since the ―flash to bang‖ count was 75 seconds; and/or o Each time the “flash/bang” count goes below 75 seconds, lightning is observed and/or thunder is heard, the “30-minute clock” is to be reset.  The last lightning flash or the last sound of thunder.

Miami University Venue Specific Safe Structures

Primary Safe Secondary Safe Unacceptable Miami University Location(s) Venue Location(s) Location(s)

McVicker Field at Yager Stadium Personal vehicles Convertible / ―soft- Yager Stadium Locker Rooms and w/metal roof and/or top‖ vehicles, golf (Football) Corridors team bus carts, storage sheds, canopy, awning, and/or tents

Field Hockey Turf Yager Stadium Personal vehicles Convertible / ―soft- Locker Rooms and w/metal roof and/or top‖ vehicles, golf Corridors team bus carts, storage sheds, canopy, awning, and/or tents

Miami University Athletes: hitting Personal vehicles Dugouts, convertible / Softball Stadium facility or Millett w/metal roof and/or ―soft-top‖ vehicles, Hall; Spectators: team bus golf carts, storage Millett Hall sheds, canopy, awning, and/or tents

Soccer Fields Yager Stadium Personal vehicles Convertible / ―soft- Locker Rooms and w/metal roof and/or top‖ vehicles, golf Corridors team bus carts, storage sheds, canopy, awning,

Revised July 2012

and/or tents

Tennis Courts Withrow Court Personal vehicles Convertible / ―soft- w/metal roof and/or top‖ vehicles, golf team bus carts, storage sheds, canopy, awning, and/or tents

McKie Field at Athletes: hitting Personal vehicles Dugouts, convertible / Hayden Park facility or Withrow w/metal roof and/or ―soft-top‖ vehicles, (Baseball) Court; Spectators: team bus golf carts, storage Withrow Ct. sheds, canopy, awning, and/or tents

Rider Track and Yager Stadium Personal vehicles Convertible / ―soft- Field Complex Locker Rooms and w/metal roof and/or top‖ vehicles, golf Corridors team bus carts, storage sheds, canopy, awning, and/or tents

The ―Flash to Bang‖ Method This is a simple method used to estimate how far away a lightning flash is. a) Begin timing (in seconds) as soon as a lightning flash is seen; b) Stop timing as soon as a thunder sound is heard after the lightning flash. This number is the ―flash to bang‖ count. c) Divide the ―flash to bang‖ count by five (5). d) The resulting number is the distance, in miles, from the practice/game area to the lightning flash. e) Prehospital Care of Victims of a Lightning Strike a) Because lightning-strike victims do not remain connected to a power source, they do not carry an electric charge. Therefore, it is safe to touch the victim to move him/her to a safe location and to render medical treatment. b) During an ongoing thunderstorm, lightning activity in the local area still poses a deadly hazard for personnel responding to the victim. Personnel should consider his/her own personal safety before venturing into a dangerous situation to render care. c) The first priority of personnel is to move the lightning strike victim to a safe location. d) Prompt, aggressive CPR has been highly effective for the survival of victims of lightning strikes. Therefore, it is critical that CPR and AED use is initiated as soon as safely possible. e) The basic triage principle of ―treat the living first‖ should be reversed in cases involving casualties from a lightning strike. It is imperative to treat those persons who are ―apparently dead‖ first. f) Lightning strike victims should be evaluated and treated for hypothermia, shock, fractures, and burns as well. Revised July 2012

Lightning Safety Guidelines a) A safe structure or location is defined as- “any sturdy, fully enclosed, substantial, and frequently inhabited building that has plumbing and/or electrical wiring that acts to electrically ground the structure”. Examples of locations that routinely DO NOT meet the criteria include:  Baseball / softball dugouts;  Baseball / softball ―covered‖ batting cages;  Convertible / ―soft-top‖ vehicles;  Golf carts / John Deere Gator vehicles;  Outside storage sheds; and/or  Canopy / awning / tent. b) In the absence of a sturdy, fully enclosed, substantial, and frequently inhabited location as described above, a secondary structure such as a fully enclosed vehicle with a hard metal roof, rubber tires, and completely closed windows can provide a measure of safety. Persons should not touch the sides of the vehicle! Convertible and ―soft-top‖ vehicles, and golf carts do no provide a high level of protection and cannot be considered safe from lightning. c) Persons should avoid taking showers and using plumbing facilities (including indoor and outdoor pools, whirlpools, Jacuzzis, and hot tubs) and land-line telephones during a thunderstorm. d) If no safe structure or location is within a reasonable distance, personnel should find a thick grove of small trees surrounded by taller trees or a dry ditch. Everyone should assume the ―lightning-safe‖ position- a crouched position on the ground with the 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. e) If unable to reach safe shelter, persons should stay away from the tallest trees or objects (i.e. light poles, flag poles, etc.), metal objects (i.e. fences, bleachers, etc.), individual trees, standing pools of water, and open fields. Persons should avoid being the highest object in an open field. f) 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 as described above. g) A cellular and/or portable remote phone is a safe alternative to land-line phones, if the person and the antenna are located within a safe structure or location, and if all other precautions are followed. h) If the Miami University administration has cancelled classes at the university due to severe weather, the Miami University Sports Medicine staff strongly recommends the cancellation of all games, practices, and other activities. All individuals should have the right to leave a site or activity, without fear of repercussion or penalty, in order to seek a safe structure or location if they feel that they are in danger from impending lightning activity or other severe weather.

MIAMI UNIVERSITY DEPARTMENT OF INTERCOLLEGIATE ATHLETICS Lightning / Severe Weather Statement To Be Read at Outside Events In the event of lightning, thunder, or other severe weather, it is the policy of the Miami University Department of Intercollegiate Athletics that all spectators immediately evacuate the grandstand and/or bleacher areas. It is advised that spectators evacuate to (insert designated safe structure) or a hard-topped vehicle until it has been determined that it is safe to return to the grandstand and bleacher areas.

Revised July 2012

COLD WEATHER POLICY FOR PRACTICE AND HOME EVENTS

The following temperature guidelines have been established for intercollegiate athletics at Miami University during cold weather. Cold weather will be defined as a temperature that can have a negative impact on the athlete’s regulatory system. These may not be freezing temperatures. 1. When outside air temperature or wind chill reaches 30 degrees F recommended appropriate clothing including mandated pants, headgear, and gloves. Recommended sideline heaters. Recommended 15 min indoor break every 40-50 minutes of activity. 2. Outside participation will be limited to 45 minutes when temperature or wind chill reaches 25degrees F. At these temperatures frostbite can occur within 30 minutes. The chart below indicates wind chill temperatures based on outdoor air temperature and wind speed. 3. Termination of outside participation will occur when the temperature or wind chill reach 15degrees F.

Prevention

 Strategies for prevention of cold injuries will include encouraging and enforcing use of weather appropriate clothing, proper energy and hydration, and ensuring proper warm-up.  Dressing in layers that will allow for removal of layers that will aid in the athletes ability to try and remain dry. Because up to 50% of heat loss can be from the head and neck make sure athletes are encouraged to wear cover in these areas. Wearing of wicking material covered by layers of wool or lightweight pile will act as a wind block and help maintain body temperature.  Fluids and sports drink will be made readily available to all athletes to ensure proper hydration. Dehydration can affect the body’s ability to regulate temperature and increase the risk of frostbite.  Warm up should be done to help prevent a drop in temperature and should be timed to lead right into practice or competition. The athletes should also try and maintain body temperature by adding layers immediately after practice or competition to avoid rapid cooling.

Revised July 2012

Procedures for Cold Injury/Illness Exposure to cold weather can impair performance, cause season ending injury, and can even lead to life threatening conditions. Conditions that can be created to exposure to cold weather include frostnip, frostbite, and hypothermia. Student athletes should be instructed on the sign and symptoms of conditions related to cold exposure. Some easily recognizable signs are fatigue, confusion, slurred speech, red painful extremities, blurred vision, headache, dizziness, numbness and tingling of skin and extremities, and uncontrollable shivering. Following is an explanation of these cold injuries.

Frostnip Cause

 Repeated exposure of bare skin for prolonged periods from 20°- 60°F with high humidity (for those not acclimated to cold weather) Symptoms

 Swollen, red skin (or darkening of the skin in dark- skinned soldiers)  Tender, hot skin, usually accompanied by itching First-Aid First-Aid

 Warm affected area with direct body heat  Do not massage or rub affected areas  Do not wet the area or rub it with snow or ice  Do not expose affected area to open fire, stove, or any other intense heat source Frostbite Cause

 Freezing of tissue, e.g.: Fingers, toes, ears, and other facial parts  Exposure to bare skin on metal, wind chill, and tight clothing , particularly tight shoes can make the problem worse Symptoms

 Numbness in affected area  Tingling, blistered, swollen, or tender areas.  Pale, yellowish, waxy-looking skin (grayish in darker skinned athletes)  Frozen tissue that feels wooden to the touch First-Aid

 Frostbite can lead to amputation. Evacuate immediately!  Start first-aid immediately. Warm affected area with direct body heat  Do not thaw frozen areas if treatment will be delayed.  Do not massage or rub affected areas  Do not wet the area or rub it with snow or ice  Do not expose affected area to open fire, stove, or any other intense heat source Hypothermia Cause

 Prolonged cold exposure and body-heat loss. May occur at temperatures above freezing, especially when a person is wet and there is high wind.

Revised July 2012

Symptoms

 Shivering may or may not be present  Drowsiness, mental slowness, lack of coordination. Can progress to unconsciousness, irregular heartbeat, and death First-Aid

 This is the most serious cold exposure medical emergency and can lead to death! Get the athlete to a medical facility as soon as possible!  Strip off wet clothing and wrap victim in blankets or dry towels.

EATING DISORDER AND CONCERNS POLICY

Miami University Athletic and Sports Medicine Departments are concerned not only about the physical but the emotional/psychological well being of the student athlete. The Sports Medicine Department coordinates services for student athletes that have concerns related to Eating Disorders (Anorexia Nervosa and Bulimia Nervosa) such as preoccupation with food, weight, body image, and/or excessive exercise. The department works as a referral network for student athletes that are troubled with such a disorder. The referral network consists of a team of professionals-medical physicians, psychologists, counselors, nutritionists, and certified athletic trainers.

The Sports Medicine Department will coordinate services for those student athletes that self report and investigate those EATING DISORDERS REFERRALS AND RESOURCES of concern. Each MIAMI UNIVERSITY, OXFORD, AND REGION case will be handled on a confidential and individual basis.

The following procedures may be applicable:

1. Consultation with certified athletic trainer/Head team physician/Director of Sports Medicine. 2. Full physical examination. 3. Written contract between Sports Medicine Department and student athlete. 4. Referral to various services: a. Student Health Services b. Student Counseling Services c. Psychological Services d. Community Psychological Services e. Nutritional Consultants f. Out-Patient Hospital Programs g. In-Patient Hospital Programs 5. The above services are recognized by the NCAA as Permissible Medical Expenses (NCAA Manual- Medical Expenses 16.4.1-Counseling expenses related to the treatment of eating disorders) 6. If the above referral services are not utilized appropriately by the student athlete a reevaluation of the student athlete’s health eligibility status will be performed by the Head Team Physician.

Revised July 2012

List updated by Jennifer Browne, Ph.D. 8/15/08 NOTE: Depending on the severity and chronicity of an individual’s problems with ED, the following professionals may or may not be able to offer treatment services. Some individuals will be referred for more intensive forms of treatment.

ASSESSMENT AND COUNSELING SERVICES: Student Counseling Service (529-4634) SCS offers eating disorder evaluations (i.e. initial evaluations), individual psychotherapy, consultation to friends/family/faculty/coaches, specialized eating/body image outreaches, and the Images Eating/Body Image psychotherapy group

Oxford-area therapists in private practice who work with students with ED:

*Susan Callan, MSW, LISW (513)523-0677 103 West Walnut St., Suite B (sees all types of ED except AN) Oxford, OH 45056

*Barbara Chenault, MSW, LISW (513)523-5897 10 North Locust St., Suite B3 Oxford, OH 45056

*Jan Elzey, MS, LPC (513)523-7612 25 Hidden Creek Oxford, OH 45056

*Roger Knudson, Ph.D. (859)866-3962 115 West Walnut St. Oxford, OH 45056

*Debra Freehauf McFadden, (513) 794-1667 x2 or LPCC, LICDC, CEAP (sees all types of ED except AN) (888) 257-8109 [in Oxford on Thursdays, in Blue Ash (Cincy) the other days of the week, inc. Sat.] 10 North Locust St., Suite B Oxford, OH 45056 Revised July 2012

*Susan Vallade, MSW, LISW (513)523-4929

33 West Walnut St.

Oxford, OH 45056

*Carol Wochenko, Psy.D. (513)523-1966 33 West Walnut St. Oxford, OH 45056

Cincinnati-area therapists in private practice who work with students with ED: Lynn Haley, Psy.D. (sees all types ED except AN) (513) 984-2200 Ann Kearney-Cooke, Ph.D. (513) 588-9431 Christine Kidwell, Ph.D. (513) 793-7974 Teri Role-Warren, Ph.D. (513) 588-9432 Debjani Sinha, Ph.D. (513) 793-7974

Miami University Psychology Clinic – 39 Psychology Building (529-2423) Fee-for-service counseling services available for students and community residents; therapists are students in the doctoral program in clinical psychology

MEDICAL MONITORING/PHYSICAL HEALTH:

Deb Richardson, M.D. – Student Health Services (529-3000) Physician who does eating disorder assessments/physical exams Tammy Gustin, C.N.P. – Student Health Services (529-3000) Acting Director of Clinical Services, Nurse Practitioner who does eating disorder assessments/physical exams

NUTRITIONAL COUNSELING: Lisa Swanson, M.Ed., R.D., L.D. - McCullough-Hyde Hospital (524-5692) Clinical dietician who provides individualized assessments and advice re: nutrition/dietetics Address: 110 North Poplar Street, Oxford, OH 45056-1292 E-mail address: [email protected] Available MWF 9 am – 5 pm by appointment First appointment is 1 hour, follow-ups 30 min. Revised July 2012

REFERRAL AND PROGRAMMING INFORMATION:

Leslie Haxby McNeill – Office of Health Education (529-5047) Coordinator of HAWKS, peer health education programming HAWKS offer peer programming with content on nutrition and eating disorders Jennifer Browne, Ph.D. – Student Counseling Service (529-4634) Clinical Psychologist who coordinates eating disorder training, programming, and group therapy Rhonda Jackson – Women’s Center (529-1510) Administrative Assistant who provides referrals to resources relevant to women’s issues

INTENSIVE OUTPATIENT AND DAY TREATMENT OPTIONS IN OHIO: Body Truth Center for Wellness, 9403 Kenwood Road, Suite A120, Cincinnati, OH 45242 o Website is www.bodytruthcenter.com o Located in Blue Ash, OH (northern suburb of Cincinnati) . Intersection of Ronald Reagan Highway and Kenwood Road o Intensive Outpatient Program (IOP) for adults with eating disorders . Only such program in Cincinnati/Dayton/Oxford region o Coordinators of IOP are Jennie Wade, MEd, RD, LD and Amy Bellamah-Daniel, RN, RD, LD o Contact information: Erin Hooper ([email protected] or 513-794-0019) or 513-794-0019 o IOP meets 9 hours per week of structured treatment in the evenings for 10-week long program o Group therapy, family/couples therapy, nutrition education and counseling, experiential groups and movement therapy groups o Multidisciplinary treatment team includes dietitians, clinical psychologist, social worker, family therapist, personal trainer

Cleveland Center for Eating Disorders, 23240 Chagrin Blvd., Suite 270, Beachwood, OH 44122 o Website is www.edcleveland.com o Located in suburb of Cleveland, OH (northeast OH) o Day Treatment Program (DTP) for adults with eating disorders o Directors of DTP are Lucene Wisniewski, Ph.D. and Mark Warren, M.D. o Intake Coordinator is Melissa Daniele ([email protected] or 216-765-0500) o DTP meets up to 30 hours a week: 5 days a week, 6 hours a day o Cognitive-behavioral and Dialectical Behavior Therapy treatment model o Multidisciplinary treatment team offers assessment, psychotherapy (individual, group), structured eating, nutritional counseling, medical management, and psychiatric services

The Center for Balanced Living, 445 East Granville Rd., Building N, Worthington, OH 43085 o Website is www.TheCenterForBalancedLiving.org o Located in suburb of Columbus, Ohio (central OH) o Intensive Outpatient Program (IOP) for eating disorders o Director of IOP is Amy Honsberger, LISW (614-293-9550 for intake screening) o IOP meets 9 hours a week: M and W 5:30 – 8:00 pm and Sat 9:45 am – 1 pm o Multidisciplinary treatment team offers assessment, psychotherapy (individual, group, family), structured eating, nutritional counseling, and psychiatric services Revised July 2012

o Formerly called The Center for Eating Disorders and Psychotherapy

Laurelwood Hospital Eating Disorder Services, 35900 Euclid Ave., Willoughby, OH 44094 o Website is www.laurelwoodhospital.com o Located northeast of Cleveland, Ohio (northeast OH) o Intensive Outpatient Program (IOP) for adults (18+) with eating disorders o Program Manager of IOP is Gail Kopelowitz, LISW (440-602-8176) o IOP meets 9 hours a week: M, W, Thur 5:30 – 8:30 pm o Cognitive-behavioral and Dialectical Behavior Therapy treatment model o Multidisciplinary treatment team offers assessment, psychotherapy (individual, group, family), nutritional counseling, medical management, and psychiatric services

River Centre Clinic, 5465 Main Street, Sylvania, OH 43560 (419-885-8800) o Website is www.river-centre.org o Located in suburb of Toledo, Ohio (northwest OH) o Partial Hospitalization Program (PHP) for adults (18+) with eating disorders o Director of PHP is Julie Desai, M.A., L.L.P. ([email protected]) o PHP meets 35 hours a week: 5 days a week (M – F), 7 hours a day (11:30 am – 6:30 pm) o Cognitive-behavioral treatment model integrates interpersonal and family therapy o Housing (independent living area) available for women in PHP; professional is on call o Multidisciplinary treatment team offers assessment, psychotherapy (individual, group, family), structured eating, nutritional counseling, medical management, and psychiatric services

INPATIENT TREATMENT IN THE REGION: Lindner Center of Hope, 4075 Old Western Row Road, Mason, OH 45040 o Website is www.lindercenterofhope.org (click on Eating Disorders link) o Located in Mason, OH (northeastern suburb of Cincinnati ~45 minute drive from Miami University) o New facility opening 8/18/08 o Inpatient Program for women and men with eating disorders; include co-morbid conditions o Adolescent Inpatient unit treats people ages 13 to 18; 16 bed unit o Adult Inpatient unit treats people ages 18 to 64; 16 bed unit . Dialectical Behavior Therapy treatment model o Intake/referral line: 513-536-0536 o Weekly psychotherapy is available but partial hospitalization/day treatment is not currently o Multidisciplinary treatment team offers full range of services

Western Psychiatric Institute and Clinic, Center for Overcoming Problem Eating (COPE), 3811 O’Hara Street, Pittsburgh, PA 15213-2593 o Website is wpic.upmc.com/EatingDisorderSvcs.htm o Located in Pittsburgh, PA (~300 miles, 5 hours away from Miami University) o Inpatient Program for adults with eating disorders; 20-bed unit o Length of stay is individualized o Contact COPE at 412-647-9329 o Cognitive-behavioral, interpersonal, and Dialectical Behavior Therapy treatment model Revised July 2012

o Full spectrum of services includes Partial Hospitalization Program (PHP; 32 hours per week of treatment) and Intensive Outpatient Program (IOP; 9 hours per week of treatment) o Multidisciplinary treatment team offers assessment, psychotherapy (individual, group, family), structured eating, nutritional counseling, medical management, and psychiatric services

Renfrew Center of Philadelphia, 475 Spring Lane, Philadelphia, PA 19128 (1-800-RENFREW) o Website is www.renfrewcenter.com o Located in Philadelphia, PA o Residential Program for adults with eating disorders; also available in Coconut Creek, Florida o Spectrum of services includes Intensive Outpatient Program (IOP) o Multidisciplinary treatment team offers full range of services and Creative Arts therapies

EATING/BODY IMAGE/WEIGHT-RELATED PSYCHOLOGICAL SERVICES FOR STUDENTS Miami University Student Counseling Service Jennifer Browne, Ph.D., Updated 8/1/08 Initial Evaluations o Initial evaluation appointments can be scheduled by calling 529-4634 o All SCS staff conduct these evaluations o Student must call him/herself; family member or friend cannot make appointment o Friend, ORL staff, or family member may come with student to appointment o Treatment recommendations and referrals are discussed at end of 50-min. session o Short-term individual counseling may be offered at SCS o Students requiring longer-term counseling are typically referred to community therapists o At peak times of the academic year ongoing counseling may not be available due to intense demand for services; students may be referred out or placed on waitlist o Referrals are routinely made for: . Medical monitoring – Miami’s Student Health Service at 529-3000 . Nutritional counseling - Lisa Swanson, McCullough-Hyde Hospital at 524-5692 o SCS does not offer mandated/required counseling; clients must be voluntarily seeking services for themselves o SCS does offer mandated/required eating/weight/body image evaluations on an occasional case- by-case basis; contact Dr. Jennifer Browne at 529-4634 o Eating disorder screening is available online at www.units.muohio.edu/saf/scs (click Mental Health Issues then Eating Disorders)

Individual Psychotherapy o Short-term individual counseling is available with various SCS counselors o Student must first complete initial evaluation appointment and be referred for this o First five sessions are free; thereafter sessions are $20 billed to Bursar account o Fee waivers and reductions are available as needed in case of financial hardship

Consultation to Friends/Family/Faculty/Coaches o SCS offers consultation services to those who are concerned about another student’s eating/weight/body image problems o MU students who are concerned about someone can call for phone consultation, discuss this with Revised July 2012

a counselor at SCS, or utilize drop-in Resource Hours: . Dr. Jennifer Browne offers drop-in hours Mondays or Thursdays 4 – 5 pm o SCS offers guidelines on how to talk with someone about their eating problems through pamphlets or on-line resources (www.units.muohio.edu/saf/scs; click Mental Health Issues then Eating Disorders)

OUTREACH SERVICES General Information o Presentations can be requested at any time through Student Counseling Service . Contact Dr. Pam Wilkins or Dr. Jennifer Browne at 529-4634 o Free; please allow at least 2 weeks for planning/scheduling o Specifically tailored to meet the needs of particular groups . Could contain psycho-educational content about eating/weight/body image . Can be adapted to requested length of program and number of attendees o HAWKS peer educators also offer relevant programs . Contact Leslie Haxby-McNeill at 529-5047 Body Image Improvement Outreach o Interactive discussion-oriented group outreach activity o Recommended for relatively small groups (10 – 50) of women o Research has demonstrated its usefulness in improving participants’ body image and in preventing the future development of eating-related problems o Covers topics related to body image, weight issues, and the desire to be thin: . Defining the thin-ideal (i.e. the over-valuing of thinness as an ideal for women to pursue) . Exploring the origins of the thin-ideal . Examining the costs associated with the thin-ideal . Exploring ways in which women can resist pressure to be thin . Discussing how to challenge our personal body-related concerns . Talking about how women can best respond to future pressures to be thin

GROUP THERAPY SERVICES Images Eating/Body Image Psychotherapy Group o Offered at the beginning of every fall and spring semester o Free to full-time MU female-only students o Group includes 5 – 9 members and closes to new members after a few weeks o Group screening interview is required; contact Dr. Jennifer Browne at 529-4634 o Eating disorder or body image concerns prominent source of distress/impairment o Students may also be referred to other relevant SCS groups (e.g. Women’s Group)

Description for use with students: IMAGES: A Women’s Group to discuss Eating and Body Image is open to anyone with concerns about their eating, weight, or body image. The group is interactive and focuses on the following topics: how to spend less time thinking about food, how to avoid feeling hungry all the time, how eating is related to emotions and interpersonal relationships, how to regulate feelings of hunger and fullness, and how to identify problems with eating, weight, or exercise. Revised July 2012

Description for health professionals: Images is a cognitive-behavioral and interpersonally oriented group which provides psycho-education and processing of dynamics related to eating disorder symptoms. The group includes discussion of various topics related to eating disorders, including: Set point theory and metabolism’s role in weight regulation CBT strategies to decrease food focus (e.g. eating regular meals/snacks, avoiding hunger) Identification of problem eating patterns and common exercise problems Costs and benefits of symptoms Identification of binge eating triggers and compensatory behaviors Ineffectiveness of vomiting and laxatives Permissive eating and incorporating forbidden foods Recommendations for reducing ED symptoms (i.e. restricting, overeating and purging) Alterative coping strategies (e.g. pleasant events) Understanding the psychology of eating (e.g. deprivation effect) Identifying and labeling emotional experiences Challenging cognitive distortions Mindfulness topics (emotion, numb, and wise mind) Implications of ED for interpersonal relationships and intimate relating Ways of managing conflict (i.e. passivity, assertiveness, aggressiveness) History of development of body image Exposure exercises to decrease anxiety associated with body image dissatisfaction How to communicate with friends/family members about needing support/ED symptoms Medical/physical consequences of ED

BODY COMPOSITION/WEIGHT CONTROL POLICY

The goal of the Sports Medicine Staff/Intercollegiate Athletic coaching staff is to encourage a healthful weight control while adhering to NCAA regulations/policies. If body composition/weight control is an issue for a student athlete, the following guidelines will be followed:

A. The Head Team Physician will meet with the athlete to review his/her history of weight control and determine if the athlete’s goal weight is reasonable. A review/prescription of any necessary lab work, dietary calcium intake, menstrual history (females) and inquiry about any history of disordered eating will be done as well.

B. If weight loss/weight gain is desired, the student-athlete should be referred to the Sports Medicine Staff for referral to a registered dietician and/or licensed nutritionist, referral to the Exercise Physiology Department for any additional testing (VO2max, Underwater Weighing, Skin Fold Testing, etc.), and/or referral to a licensed counselor, psychologist, or psychiatrist.

C. Each case will be handled on an individual basis and kept confidential.

Revised July 2012

―Weigh-Ins‖ are only authorized to be done by the Sports Medicine or Strength and Conditioning Staffs and will not be directed by coaching staffs. Coaches will be given heights/weights at the beginning of each year after the annual physicals.

The Head Team Physician and/or Sports Medicine Staff must approve all physiologic testing of body composition for student-athletes. Physiologic test results will be reported directly to the Sports Medicine Staff and results kept in the student-athlete’s medical file.

INFECTIOUS DISEASE POLICY

A. Definition of MRSA 1. Methicillin-Resistant Staphylococcus Aureus (MRSA) a. A staph infection in which the bacteria have developed a resistance to standard antibiotics. b. Untreated: leads to necrotizing fasciitis (flesh eating bacteria), bloodstream infections, pneumonia, organ damage, or in extreme cases even death.

B. Identification 1. Often begins as a skin lesion containing a pustule, commonly mistaken for a pimple, in- grown hair, or spider bite. 2. As it develops (which can be very rapidly), it expands and can present with painful discoloration and swelling, running sores, boils, and sometimes serious tissue damage. 3. Look for swelling and redness around wound as well as streaking away, elevation and hardness of skin around wound, extreme pain, and warm to the touch around wound site. 4. Look for above wounds to progress rapidly to a painful, inflamed, indurated area that is much larger than the original lesion. 5. When suspicious of Staph/MRSA refer athlete to physician immediately. If athlete is seen at the Student Health Center or any physician other than MUSM, they must see a Team Physician within 48 hours of diagnosis of Staph/MRSA. (48 hour exception if at home over summer or winter break) 6. In addition, all athletes with a history of skin susceptible conditions will be evaluated by team physicians/Director of Sports Medicine on a yearly basis (prior to the season’s start) and placed on medicine prophylacticly if deemed appropriate. 7. Any student athlete who reports a skin condition must be evaluated by a physician prior to practice. The supervising athletic trainer in conjunction with a team physician will make a determination as to the practice status of the athlete.

Revised July 2012

C. Contraction 1. Infection occurs when bacteria come into contact with a cut, scrape, or other open wound from body to body contact. 2. Also through sharing of sports equipment, towels, razors, or even bars of soap.

D. Treatment & Management

1. Always use latex or vinyl gloves when working with exposed wounds. 2. Debridement and cleaning of the infection site. 3. Recommend evaluation by a physician for appropriate care and management. 4. Be sure proper medication has been prescribed. Medications should consist of, trimethoprim with sulfamethoxazole (TMP-SMZ), and/or Tretracyline Hydrochloride (Bactrim/ Doxycycline). Stay away from cephalosporins (Keflex). 5. Keep wounds covered at all times to reduce exposure incidents, especially when participating in athletics. 6. Use antibacterial hand and body soaps often and immediately post participation. 7. Using antibacterial sanitizer, clean all equipment and locker area of affected student athlete as well as the equipment and locker area of any adjacent student athletes. 8. A list of athletes with a history of skin infections will be given to the Strength and Conditioning Staff and updated as necessary so that special cleaning of the weight room equipment can take place following those athlete’s workouts.

E. Prevention

1. All athletes must shower before getting treatment/rehab after practice/lifting/conditioning/competition sessions. 2. Always use latex or vinyl gloves when working with exposed wounds. 3. Keeping wounds covered at all times to reduce exposure incidents, especially when participating in athletics 4. Using antibacterial hand and body soaps often and immediately post participation 5. Cleaning and disinfecting all treatment tables, taping decks, exercise and rehabilitation equipment after each individual use with a 1-10 diluted household bleach solution such as Dispatch, Precise or other EPA-approved disinfectant solution. 6. Athletes should not be in permanent whirlpools without having showered beforehand. Staph- MRSA infected athletes should be denied access to permanent whirlpools. 7. Portable whirlpools should be cleaned every day. If staph-MRSA infected athlete is treated in portable whirlpool, whirlpool must be drained and cleaned before any other individual is treated in that whirlpool. 8. No sharing of equipment (ex: jerseys, helmets, gloves, clothes, towels, etc). 9. Clean and disinfect all sports equipment frequently (ex: balls, mats, helmets, bats, etc). 10. Allow equipment to dry out after participation. 11. Ice bags will not be re-used. 12. Hot pack covers will be laundered after use. 13. Modality pads will be cleaned prior to use by another athlete.

Revised July 2012

HIGH SCHOOL SENIOR SPORTS SPECIFIC EVALUATION POLICY Per NCAA 13.11.2.1 On Campus Evaluation bylaw, a prospective student-athlete may participate in an evaluation at Miami University or on or at a site at which Miami normally conducts practice or competition. Before the prospective student-athlete is permitted to participate the following information must be submitted to Miami University Sports Medicine Staff: a) Before participating in an on-campus evaluation, a prospective student-athlete is required to undergo a medical examination or evaluation administered or supervised by a physician (e.g., family physician, team physician). b) The examination or evaluation shall include a sickle cell solubility test unless documented results of a prior test are provided to the institution or the prospective student-athlete declines the test and signs a written release. c) The examination or evaluation must be administered either within six months before participation in the on-campus evaluation and must be submitted on physical examination form. d) Also, a Miami University Assumption of Risk and Release of Liability Form must be signed by participate and/or parent/legal guardian if under the age of 18. The form is available at www.MURedhawks.com. e) All medical documentation and the Miami University Assumption of Risk and Release of Liability Form should be submitted to Miami University Sports Medicine Staff at least 72 hours prior to the on campus evaluation. 13.11.2.1 On-Campus Evaluations—Men’s Basketball. In men’s basketball, an institution may conduct an evaluation of a prospective student-athlete on its campus or at a site at which it normally conducts practice or competition, under the following conditions: (Adopted: 1/14/12) f) For a high school or preparatory school senior, the evaluation may be conducted only after the conclusion of the prospective student-athlete’s season and after he has exhausted high school or preparatory school eligibility in basketball; g) For a two-year college prospective student-athlete, the evaluation may be conducted only after the conclusion of the prospective student-athlete’s season and he has exhausted his two-year college eligibility in basketball; h) For a four-year college prospective student-athlete, the evaluation may be conducted only after the conclusion of the prospective student-athlete’s season. (See Bylaw 13.1.1.3); i) The on-campus evaluation may be conducted only during the prospective student-athlete’s official or unofficial visit; j) The on-campus evaluation shall be conducted not later than the opening day of classes of the institution’s fall term; k) Not more than one on-campus evaluation per prospective student-athlete per institution shall be permitted (applied separately to the time period in which a prospective student-athlete completes high school or preparatory school eligibility and to the time period after the prospective student-athlete enrolls full time in a collegiate institution); l) Before participating in an on-campus evaluation, a prospective student-athlete is required to undergo a medical examination or evaluation administered or supervised by a physician (e.g., family physician, team physician). The examination or evaluation shall include a sickle cell solubility test unless documented results of a prior test are provided to the institution or the prospective student-athlete declines the test and signs a written release. The examination or evaluation must be administered either within six months before participation in the on-campus evaluation or within six months before the prospective student-athlete’s initial participation in practice, competition or out-of-season conditioning activities during his immediately completed season. In addition, the medical examination or evaluation may be conducted by an institution’s regular team physician or other designated physician as a part of the on-campus evaluation; m) The institution’s men’s basketball student-athletes may participate in an on-campus evaluation, provided such participation is counted toward the applicable hourly and weekly limitations on countable athletically related activities (e.g., four hours per day and 20 hours per week during the playing season, two hours of skill instruction and eight hours per week outside the playing season). [See Bylaws 17.1.6.2-(a) and 17.1.6.2.2]; n) The duration of the on-campus evaluation activities (other than the medical examination or evaluation) shall be limited to two hours; and o) The institution may provide equipment and clothing to a prospective student-athlete on an issuance-and retrieval basis

Revised July 2012

MIAMI UNIVERSITY ASSUMPTION OF RISK AND RELEASE OF LIABILITY FORM I understand that Miami University (―Miami‖) is permitting me to be evaluated per NCAA13.11.2.1 On-Campus Evaluations By Law for potential future participation with Miami University (Sport/Activity) ______(for this form, the term ―Activity‖ shall also include all travel to and from the Activity). In consideration for being allowed to participate in the Activity, I knowingly and voluntarily:  acknowledge and understand that my participation in the Activity is entirely voluntary;

 acknowledge that the Activity involves significant physical activity and that there are risks and hazards which may arise from participation in this Activity

 acknowledge that my participation in the Activity may result in injury (serious and minor), loss of life, and/or loss of property;

 represent that I have had the opportunity to ask any questions that I have about the Activity;

 represent that I am physically and psychologically healthy enough to participate in the Activity;

 acknowledge that any Miami personnel or agents attending the Activity are not necessarily medically trained to care for any physical or medical problems of individuals participating in the Activity;

 represent that I am financially responsible for any injuries that I may receive as a result of my participation in the Activity, and that I have adequate health and hospitalization insurance to cover such financial responsibility; and

 agree to follow all the safety rules, procedures and instructions of Miami and the Activity leaders (e.g., appropriate dress, proper use of safety equipment, etc.) and to avoid unnecessary hazardous situations, whether or not those situations have been specified.

On behalf of myself and my heirs and assigns, I knowingly and voluntarily assume all risks associated with the Activity and release Miami, its trustees, officers, employees and agents (collectively ―Miami Parties‖) from any and all responsibility or liability for personal injury, emotional injury, death or property damage sustained by me during or because of my participation in the Activity. I agree, for myself, my administrators, personal representatives, executors, predecessors, successors, agents, heirs and assigns to release and hold harmless the Miami Parties from any present or future claim for personal injury, emotional injury, death or property damage arising directly or indirectly from my participation in the Activity, to the fullest extent permitted under law, including allegations or claims of negligence on the part of the Miami Parties, provided, however, this form does not apply to acts of gross negligence, willful or wanton conduct, or intentional conduct. I UNDERSTAND AND AGREE THAT BY SIGNING THIS FORM I WILL WAIVE AND FOREVER RELINQUISH ANY AND ALL CLAIMS THAT I MAY HAVE, WHETHER KNOWN OR UNKNOWN, AND WHETHER ANTICIPATED OR UNANTICIPATED, AGAINST THE MAIMI PARTIES ARISING OUT OF MY PARTICIPATION IN THE ACTIVITY. Signature: Date: ______Name Telephone:______(Printed):______

PARTICIPANTS UNDER THE AGE OF 18 MUST HAVE A PARENTAL OR GUARDIAN COUNTERSIGNATURE I understand and agree that if I am signing this form on behalf of my minor child, that: (i) I will be giving up the same rights for the minor as I would be giving up if I signed this document on my own behalf, and (ii) I personally represent and warrant that I am authorized to sign the form on behalf of the minor. ______Parental/Guardian Signature Parental/Guardian Name- Printed

Revised July 2012

EMERGENCY PLAN

The Sports Medicine staff at Miami University is committed to quality care in the treatment of athletic injuries and emergency situations. The following guidelines will be followed in emergency situations.

Conditions that may warrant emergency care.

1. Heat illness 2. Head injury 3. Neck or spine injury 4. Respiratory difficulties 5. Fractures, dislocations 6. Severe bleeding 7. Shock

Individuals making the decision

1. Team Physician 2. Certified Athletic Trainer 3. Student Athletic Trainer 4. Coaches (when none of the above are present)

Activation of EMS

1. Situation identified as an emergency situation.

2. Medical person in charge stays with the athlete to administer first-aid and sends someone else to call 780- 5000 (Miami University Police).

3. What to say when calling University Police.

Dispatcher: Miami 911 What is your emergency? Caller: We have an emergency situation at ______(exact place) and the emergency is ______(be specific). Dispatcher: Please hang on the line while I dispatch officers.

The dispatcher at this time will request more information about the emergency situation and ask if the life squad should also be dispatched. (They may automatically dispatch the life squad at the same time they dispatch the officers depending on the emergency.

4. The person making the call should wait for the Miami University Police at the designated entrance and direct or take them to the emergency situation area, then return to meet the life squad (if they have been dispatched) and take them to the emergency situation area.

5. The medical person in charge will make the decision as to who goes with the athlete to the hospital.

Revised July 2012

Athletic Injury/Illness Emergency Protocol

The following procedures are to be carried out by an appropriately trained student athletic trainer or certified athletic trainer. In the event that no student or certified athletic trainer is available on-site at a specific practice or event, the head coach and/or designee shall perform the duties listed below.

A. Contests and practices hosted at Miami University or ―home‖ sites: 1. MEDICAL EMERGENCIES (breathing cessation, severe bleeding, concussion with loss of consciousness, suspected neck or spinal injury, fracture, dislocation, eye or face injury, heat related illness, any other injury or illness resulting in poor vital signs such as decreased blood pressure, weak pulse, or signs of shock). a. Follow the Emergency Action Principles (first aid principles) and provide appropriate care. b. Call 911 for EMS and notify Campus Safety of the emergency. c. Monitor vital signs. d. Calm and reassure the athlete. e. Notify the certified athletic trainer as soon as possible. f. Complete an Injury/Illness Report, Medical Referral Form if needed. g. Provide follow-up care as necessary. 2. NON-EMERGENCIES: (sprains, strains, concussion [with no loss of consciousness], illness, abrasions, minor cuts, contusions, etc.). a. Provide appropriate first aid care. b. Notify certified athletic trainer. c. Send the athlete to the appropriate medical care facility (if unable to contact a certified athletic trainer and/or unsure of the severity of the injury). d. Complete an Injury/Illness Report, Medical Referral Form if needed. e. Provide follow-up care as necessary. 3. NOTE: When a team/program practices or hosts contests AT ―HOME‖ SITES which are LOCATED OFF-CAMPUS (e.g. golf, tennis) the same guidelines as outlined above should be followed. It is imperative that the student athletic trainer and the head coach locate the nearest accessible telephone on- site prior to beginning the practice or contest. In the event of a medical emergency, dial 911 to activate EMS personnel. If injury appears to be non-emergent, make arrangements to have the athlete transported back to the athletic training room for further assessment and treatment as soon as possible but provide necessary first aid immediately on-site.

The following pages include an EAP for each athletic venue at Miami University: Revised July 2012

McKie Field at Hayden Park Emergency Action Plan Baseball Venue

Emergency Personnel: A Certified Athletic Trainer (ATC) is on-site for practices and competitive events.

Athletic Training Student(s) may act ONLY as first responders when not directly supervised by an ATC.

Emergency Communication: Emergency Personnel cell phone (if available) & stationary telephones in both dugouts

and press box.

Emergency Equipment: First aid supplies (Athletic Trainers' kit and body substance isolation (BSI) bag on-site.

vacuum splints, spine board, and crutches available in the Withrow Court ATR).

Roles of Emergency Care Team Members

1. Immediate care of the injured/ill student-athlete: Follow appropriate first aid principles (See Injury/Illness Emergency Protocol sheet included with this Emergency Action Plan). 2. Emergency equipment retrieval: Appropriate to the emergency 3. Activation of emergency medical system (EMS) by calling University Police dispatch at 911 from a campus phone. Provide them with the following information: a. Identify yourself and your role in the emergency b. Specify your location (Behind Withrow Court off of Talawanda) and telephone number (if calling by phone) c. Give name(s) of injured/ill individual(s) d. Condition of victim(s) e. Time of the incident f. Care being provided g. Give specific directions to the scene of the emergency h. Assist University Police with directing EMS to scene i. Open appropriate gates j. Designate individual to "flag down" EMS and direct to scene k. Scene control: keep non-emergency medical team members away from the scene

Venue Directions: Baseball practices and games are conducted at McKie Field (immediately behind Withrow Court on Talawanda). From E High Street turn on to Talawanda and then turn right just past Withrow court, follow the access road to the front of the baseball stadium. A member of the emergency personnel will meet you at the entrance to the stadium.

Revised July 2012

Field Hockey Turf Emergency Action Plan Field Hockey Venue

Emergency Personnel: A Certified Athletic Trainer (ATC) is on-site for practices and competitive events. Athletic

Training Student(s) may act ONLY as first responders when not directly supervised by an ATC.

Emergency Communication: Emergency Personnel cell phone (if available) & stationary telephone in the Press Box and

in the Yager Stadium Athletic Training Room (ATR).

Emergency Equipment: First aid supplies (Athletic Trainers' kit and body substance isolation (BSI) bag on-site. Vacuum

splints, spine board, and crutches available in the Yager Stadium ATR or on sideline on game

days). AED located in Yager Stadium ATR office or on football turf.

Roles of Emergency Care Team Members

1. Immediate care of the injured/ill student-athlete: Follow appropriate first aid principles (See Injury/Illness Emergency Protocol sheet included with this Emergency Action Plan). 2. Emergency equipment retrieval: Appropriate to the emergency 3. Activation of emergency medical system (EMS) by calling University Police dispatch at 911 from a campus phone. Provide them with the following information: a. Identify yourself and your role in the emergency b. Specify your location (MU Field Hockey Turf) and telephone number (529-0287 press box)(529-6218 ATR) c. Give name(s) of injured/ill individual(s) d. Condition of victim(s) e. Time of the incident f. Care being provided g. Give specific directions to the scene of the emergency h. Assist University Police with directing EMS to scene i. Open appropriate gates j. Designate individual to "flag down" EMS and direct to scene k. Scene control: keep non-emergency medical team members away from the scene

Venue Directions: Women’s Field Hockey practices and competitive events are conducted on the Miami University Field Hockey Turf, across from the Yager Stadium Complex. Approach campus via Spring Street, turn left on Main St., Main St. becomes Morning Sun once you cross Sycamore St., right on Weeb Ewbank Dr., continue to the right passing between both football practice fields, Miami University Field Hockey Turf is on your right. Enter Turf via northeast gate.

Revised July 2012

Yager Stadium Emergency Action Plan Football Venue

Emergency Personnel: A Certified Athletic Trainer (ATC) is on-site for practices and competitive events. Athletic

Training Student(s) may act ONLY as first responders when not directly supervised by an ATC.

Emergency Communication: Emergency Personnel cell phone (if available) & stationary telephone in Yager Stadium

Athletic Training Room (ATR).

Emergency Equipment: First aid supplies (Athletic Trainers' kit and body substance isolation (BSI) bag on-site. Vacuum

splints, spine board, and crutches available on the home sideline). AED located on the home

sideline.

Roles of Emergency Care Team Members

1. Immediate care of the injured/ill student-athlete: Follow appropriate first aid principles (See Injury/Illness Emergency Protocol sheet included with this Emergency Action Plan). 2. Emergency equipment retrieval: Appropriate to the emergency 3. Activation of emergency medical system (EMS) by calling University Police dispatch at 911 from a campus phone. Provide them with the following information: a. Identify yourself and your role in the emergency b. Specify your location (144 Yager Stadium/ 529-6218) and telephone number (if calling by phone) c. Give name(s) of injured/ill individual(s) d. Condition of victim(s) e. Time of the incident f. Care being provided g. Give specific directions to the scene of the emergency h. Assist University Police with directing EMS to scene i. Open appropriate gates j. Designate individual to "flag down" EMS and direct to scene k. Scene control: keep non-emergency medical team members away from the scene

Venue Directions: Football practices and competitive events are conducted in Yager Stadium (144 Yager Stadium). Approach campus via Spring Street, left on Main Street, go past the Best Western Hotel. Yager Stadium is on the right on Weeb Ewbank Drive. Turn left just in front on the stadium passing between the stadium and the George Rider Track. Turn right into the gate entrance just off of the north end-zone. A member of the Emergency Personnel will meet you there. Turn left inside the gate and enter the field in the Northeast corner of the game field. The Athletic Training Room is underneath the West stands (Press box side) Room 144 nearest the north end-zone.

Revised July 2012

Millett Hall Emergency Action Plan Men’s/Women’s Basketball, and Volleyball

Emergency Personnel: A Certified Athletic Trainer (ATC) is on-site for practices and competitive events. Athletic

Training Student(s) may act ONLY as first responders when not directly supervised by an ATC.

Emergency Communication: Emergency Personnel cell phone (if available) & stationary telephone in the Millett Hall

Athletic Training Room (ATR) (529-3101). A stationary phone is also located in the

sub gym. (529-2122).

Emergency Equipment: First aid supplies (Athletic Trainers' kit and body substance isolation (BSI) bag on-site. Vacuum

splints, spine board, and crutches available in the Millett ATR Rm 1). AED is sometimes located

at the Millett hall athletic training room. AED located in the main concourse of Millett Hall

adjacent to staircase L, in the West entrance lobby (near First Aid Room).

Roles of Emergency Care Team Members

1. Immediate care of the injured/ill student-athlete: Follow appropriate first aid principles (See Injury/Illness Emergency Protocol sheet included with this Emergency Action Plan). 2. Emergency equipment retrieval: Appropriate to the emergency 3. Activation of emergency medical system (EMS) by calling University Police dispatch at 911 from a campus phone. Provide them with the following information: a. Identify yourself and your role in the emergency b. Specify your location (230 Millett hall) and telephone number (529-3101 ATR) (529-2122 sub gym) c. Give name(s) of injured/ill individual(s) d. Condition of victim(s) e. Time of the incident f. Care being provided g. Give specific directions to the scene of the emergency h. Assist University Police with directing EMS to scene i. Open appropriate gates (no gates to open at Millett) j. Designate individual to "flag down" EMS and direct to scene k. Scene control: keep non-emergency medical team members away from the scene

Venue Directions: Men’s basketball, women’s basketball, and volleyball practices and competes in Millett hall. Numerous other athletic programs hold conditioning workouts and practices in Millett hall main floor and sub-gym of the facility. Approach Millett hall from Sycamore street, turn left onto Bonham, turn left into Gate 5 entrance, follow past Gross center, enter at the first set of doors (north side of Millett). A member of the emergency personnel will meet you at the north doors of Millett hall.

Revised July 2012

Softball Stadium Emergency Action Plan

Emergency Personnel: A Certified Athletic Trainer (ATC) is on-site for practices and competitive events. Athletic

Training Student(s) may act ONLY as first responders when not directly supervised by an ATC.

Emergency Communication: Emergency Personnel cell phone (if available) & stationary telephone in both 1st base and

3rd base dugouts.

Emergency Equipment: First aid supplies (Athletic Trainers' kit and body substance isolation (BSI) bag on-site. Vacuum

splints, spine board, and crutches available in the Millett Hall ATR, or in the Home (1st Base) dugout on game days).

AED located at the Millett or Yager ATR.

Roles of Emergency Care Team Members

1. Immediate care of the injured/ill student-athlete: Follow appropriate first aid principles (See Injury/Illness Emergency Protocol sheet included with this Emergency Action Plan). 2. Emergency equipment retrieval: Appropriate to the emergency 3. Activation of emergency medical system (EMS) by calling University Police dispatch at 911 from a campus phone. Provide them with the following information: a. Identify yourself and your role in the emergency b. Specify your location (directly behind Millett Hall, E. Sycamore St.) and telephone number c. Give name(s) of injured/ill individual(s) d. Condition of victim(s) e. Time of the incident f. Care being provided g. Give specific directions to the scene of the emergency h. Assist University Police with directing EMS to scene i. Open appropriate gates j. Designate individual to "flag down" EMS and direct to scene k. Scene control: keep non-emergency medical team members away from the scene

Venue Directions: Women’s Softball practices and competitive events are conducted in the Miami University Softball Stadium (behind Millett Hall). Approach campus via Spring St., turn left on Main., turn right on Sycamore St., and left on Weeb Ewbank Dr. The Softball Stadium in on your right hand side after you pass Millett Hall. Enter through the gate on the southwest side of the stadium (just past the main entrance to the field). A member of the emergency Personnel will meet you there.

Revised July 2012

Soccer Field Emergency Action Plan Soccer Game and Practice Facility

Emergency Personnel: A Certified Athletic Trainer (ATC) is on-site for practices and competitive events. Athletic

Training Student(s) may act ONLY as first responders when not directly supervised by an ATC.

Emergency Communication: Emergency Personnel cell phone (if available) & stationary telephone in the Yager Stadium

Athletic Training Room (ATR).

Emergency Equipment: First aid supplies (Athletic Trainers' kit, vacuum splints, spine board, and crutches available in

the Yager Stadium ATR or on sideline on game days). AED located in ATR office or on football turf.

Roles of Emergency Care Team Members

1. Immediate care of the injured/ill student-athlete: Follow appropriate first aid principles (See Injury/Illness Emergency Protocol sheet included with this Emergency Action Plan). 2. Emergency equipment retrieval: Appropriate to the emergency 3. Activation of emergency medical system (EMS) by calling University Police dispatch at 911 from a campus phone. Provide them with the following information: a. Identify yourself and your role in the emergency b. Specify your location (MU soccer game/practice field) and telephone number c. Give name(s) of injured/ill individual(s) d. Condition of victim(s) e. Time of the incident f. Care being provided g. Give specific directions to the scene of the emergency h. Assist University Police with directing EMS to scene i. Open appropriate gates j. Designate individual to "flag down" EMS and direct to scene k. Scene control: keep non-emergency medical team members away from the scene

Venue Directions: Women’s Soccer practices and competitive events are conducted on the Miami University soccer field, across from the east side of the Yager Stadium Complex. Approach the complex heading north off of 732, turn right into athletic complex (Gate 3), pass the George L. Rider track and field complex on your left. Turn left and go around the northeast side of the football stadium. You will see the gate right after the open field on the left hand side. Enter through the gate, the soccer game field is on your left, and practice field is on your right. A member of the emergency care team will meet you at the gate and direct to the scene.

Revised July 2012

Hepburn Tennis Courts Emergency Action Plan Tennis Venue

Emergency Personnel: A Certified Athletic Trainer (ATC) is on-site for practices and competitive events. Athletic

Training Student(s) may act ONLY as first responders when not directly supervised by an ATC.

Emergency Communication: Emergency Personnel cell phone (if available) & stationary telephone in the Withrow Court

Athletic Training Room

Emergency Equipment: First aid supplies (Athletic Trainers' kit and body substance isolation (BSI) bag on-site. Vacuum

splints, spine board, and crutches available in Withrow Court Athletic Training Room (ATR)).

Roles of Emergency Care Team Members

1. Immediate care of the injured/ill student-athlete: Follow appropriate first aid principles (See Injury/Illness Emergency Protocol sheet included with this Emergency Action Plan). 2. Emergency equipment retrieval: Appropriate to the emergency 3. Activation of emergency medical system (EMS) by calling University Police dispatch at 911 from a campus phone. Provide them with the following information: a. Identify yourself and your role in the emergency b. Specify your location (Directly behind Baseball field off of Talawanda) and telephone number (if calling by phone) c. Give name(s) of injured/ill individual(s) d. Condition of victim(s) e. Time of the incident f. Care being provided g. Give specific directions to the scene of the emergency h. Assist University Police with directing EMS to scene i. Open appropriate gates j. Designate individual to "flag down" EMS and direct to scene k. Scene control: keep non-emergency medical team members away from the scene

Venue Directions: Women’s tennis practices and competitive events are held at Hepburn Tennis Courts (weather permitting) located just behind the outfield of the baseball stadium. Take E High Street to Talawanda. Turn onto Talawanda and take a right just past Withrow Court. The access road will take you to the corner of the tennis courts. A member of the emergency Personnel will meet you at the corner of the tennis court and the left field corner of the baseball field.

Revised July 2012

George L. Rider Track and Field Emergency

Action Plan Women’s/Men’s Track and field

Emergency Personnel: A Certified Athletic Trainer (ATC) is on-site for practices and competitive events. Athletic

Training Student(s) may act ONLY as first responders when not directly supervised by an ATC.

Emergency Communication: Emergency Personnel cell phone (if available) & stationary telephone in the Yager Stadium

Athletic Training Room (ATR).

Emergency Equipment: First aid supplies (Athletic Trainers' kit and body substance isolation (BSI) bag on-site. Vacuum

splints, spine board, and crutches available in the Yager Stadium ATR). AED located in the

Yager Stadium ATR.

Roles of Emergency Care Team Members

1. Immediate care of the injured/ill student-athlete: Follow appropriate first aid principles (See Injury/Illness Emergency Protocol sheet included with this Emergency Action Plan). 2. Emergency equipment retrieval: Appropriate to the emergency 3. Activation of emergency medical system (EMS) by calling University Police dispatch at 911 from a campus phone. Provide them with the following information: a. Identify yourself and your role in the emergency b. Specify your location (144 Yager Stadium) and telephone number c. Give name(s) of injured/ill individual(s) d. Condition of victim(s) e. Time of the incident f. Care being provided g. Give specific directions to the scene of the emergency h. Assist University Police with directing EMS to scene i. Open appropriate gates (no gates to open at ice arena) j. Designate individual to "flag down" EMS and direct to scene k. Scene control: keep non-emergency medical team members away from the scene

Venue Directions: Men’s and Women’s Track and Field practice and compete at the George L. Rider Track and Field Complex. Numerous other athletic programs use the track for conditioning workouts throughout the year. The George L. Rider track and field complex is located just north of Yager Stadium (144 Yager Stadium). Access the complex heading north off of 732, turn right into athletic complex (Gate 3), the track will be directly in front of you. A member of the emergency personnel will meet you at the southwest gates of the George Rider track and field complex.

Revised July 2012

Goggin Ice Center Emergency Action Plan Ice Hockey / Synchronized Skating Venue

Emergency Personnel: A Certified Athletic Trainer (ATC) is on-site for practices and competitive events. Athletic

Training Student(s) may act ONLY as first responders when not directly supervised by an ATC.

Emergency Communication: Emergency Personnel cell phone (if available) & stationary telephone in the Ice Arena

Athletic Training Room (ATR) or Ice arena front desk.

Emergency Equipment: First aid supplies (Athletic Trainers' kit and body substance isolation (BSI) bag on-site. Vacuum

splints, spine board, and crutches available in the Ice Arena ATR). AED located at Ice Arena

Front desk

Roles of Emergency Care Team Members

1. Immediate care of the injured/ill student-athlete: Follow appropriate first aid principles (See Injury/Illness Emergency Protocol sheet included with this Emergency Action Plan). 2. Emergency equipment retrieval: Appropriate to the emergency 3. Activation of emergency medical system (EMS) by calling University Police dispatch at 911 from a campus phone. 4. Provide them with the following information: a. Identify yourself and your role in the emergency b. Specify your location (610 Oak Street Oxford, OH) and telephone number (529-9920 ATR) c. Give name(s) of injured/ill individual(s) d. Condition of victim(s) e. Time of the incident f. Care being provided g. Give specific directions to the scene of the emergency h. Assist University Police with directing EMS to scene i. Open appropriate gates (no gates to open at ice arena) j. Designate individual to "flag down" EMS and direct to scene k. Scene control: keep non-emergency medical team members away from the scene

Venue Directions: Men's Ice Hockey and Women’s Synchronized Skating practices and competitive events are conducted in the Goggin Ice Arena (610 Oak Street). Approach campus via Spring Street, Right on Oak Street, go past Phillips Hall. Goggin Ice Arena is the next building on your right. Turn right just past the building and follow the access ramp down to the event level. Come in any of the doors on this side of the building. Unless specified differently by individual calling EMS. A member of the emergency Personnel will meet you there.

Revised July 2012

Walter L. Gross Jr. Family Student-Athlete

Development Center Emergency Action Plan Miami RedHawks Student-Athlete Development Center

Emergency Personnel: A Certified Strength and Conditioning Specialist (CSCS) who is certified in CPR and First Aid is

on-site for all scheduled workouts.

Emergency Communication: A Emergency Personnel cell phone (if available) & stationary telephone in the Strength

and Conditioning Offices (529-8018). There is also a phone available in the hallway next to

the elevator .

Emergency Equipment: First aid supplies located in file cabinet under the counter outside the Strength and Conditioning

offices. AED is located on the wall to the Right of the elevator.

Roles of Emergency Care Team Members

1. Immediate care of the injured/ill student-athlete: Follow appropriate first aid principles (See Injury/Illness Emergency Protocol sheet included with this Emergency Action Plan). 2. Emergency equipment retrieval: Appropriate to the emergency 3. Activation of emergency medical system (EMS) by calling University Police dispatch at 911 from a campus phone. Provide them with the following information: a. Identify yourself and your role in the emergency b. Specify your location (Weight Room of the Gross Athlete Development Center) and telephone number (529-8018 office). c. Give name(s) of injured/ill individual(s) d. Condition of victim(s) e. Time of the incident f. Care being provided g. Give specific directions to the scene of the emergency h. Assist University Police with directing EMS to scene i. Open appropriate gates (no gates to open at Gross Center) j. Designate individual to "flag down" EMS and direct to scene k. Scene control: keep non-emergency medical team members away from the scene

Venue Directions: Approach Gross Athletic Development Center from Sycamore street, turn left onto Bonham, turn left into Gate 5 entrance, continue past the parking lot. The Gross Athletic Development Center will be on the Right (Building #134 on Map). Revised July 2012

MIAMI UNIVERSITY INSTITUTIONAL SUBSTANCE ABUSE POLICY & PROCEDURES

Policy Statement

Miami University is firmly committed to maintaining an intercollegiate athletic program that is free from all illegal drug use. Illegal drug use (use of illegal drugs or abuse of prescription medications) poses a significant risk of harm, injury, and death to the student-athlete. The Miami University Athletic Department also believes that illegal drug use by student-athletes has a detrimental effect on the entire athletic program including, teammates, coaches, and athletic trainers. As a result, the Miami University Athletic Department has adopted a comprehensive education and testing program. In addition to the Athletic Department program, student-athletes are also subject to random drug testing by the NCAA.

Athletic Department staff members must inform the athletic director when they have knowledge that a student- athlete is using a substance on the NCAA banned substance list (NCAA Bylaw 10.2). In addition, any Athletic Department staff member who encourages supplies, aids or abets a student-athlete in the procurement of or use of a substance on the NCAA banned substance list or any other performance enhancing substance (e.g. creotine) is subject to disciplinary action, up to and including termination.

All coaches must ensure that prospective student-athletes are aware of this program as participation in the program is a condition of participation in the intercollegiate athletic program at Miami University.

Medical Exception Miami University recognizes that some substances banned by the NCAA are used for legitimate medical purposes. The NCAA will allow medical exceptions with proper medical documentation. Student-athletes should notify their team’s Athletic Trainer of any medication being taken.

University Violation Student Athletes that receive a drug or alcohol related citation or violation through the university or community authorities will be treated will be required to participate in the Drug and Alcohol Education process. If the Student-Athlete is found to be innocent of the violation or citation, it will not count as a violation of this institutional drug testing policy. If the Student-Athlete is found guilty of the violation or citation, it will count as a violation of this institutional drug testing policy. Additional testing will not be performed until the judicial process has run its course.

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I. Drug and Alcohol Education A comprehensive drug and alcohol education program is an essential element of the Athletic Department’s program. Miami University is fortunate to have access to university resources in Health Services and the CHAMPS/Lifeskills program as well as the expertise of the staff. Annual programming will involve each of these areas and will proactively attempt to facilitate a meaningful understanding of the adverse affects of drug and alcohol use. Student-athletes must attend at least one CHAMPS/Lifeskills program and one team program each year.

II. Drug Testing Program All student-athletes who are on the NCAA squad list or team’s roster are subject to drug testing and, as a condition of participation in the intercollegiate athletic program, are required to sign the Consent for Drug Testing.

A. Prohibited Drugs Student-athletes will be tested for drugs that are banned by the NCAA. A list of Banned substances can be found on the NCAA website or from Miami University’s Director of Sports Medicine. (See Appendix A)

B. NCAA Year-Round Drug Testing Miami University will participate in the NCAA Year Round Drug Testing Program for Football and other Men’s/Women’s sports. (The NCAA will designate the other sport). Drugs that will be tested include: Anabolic Steroids, diuretics, ephedrine, peptide hormones and analogues, and urine manipulators. Any student-athlete who tests positive in the NCAA Drug Testing Program will be required to comply with NCAA and Miami University disciplinary actions.

C. Testing By signing the consent for Drug Testing, the student-athlete agrees to submit to any tests prescribed by Miami University to detect the use of any of the drugs listed above. Typically the test to be used for drug screening is a urinalysis. Copies of the Testing Protocol are available from the Director of Sports Medicine. (See Appendix B). However, other types of tests from time to time may be utilized to determine the presence of drugs. These alternative procedures include but are not limited to testing samples of saliva, blood or hair.

The University’s drug-testing program is composed of three components: 1. Unannounced Team Testing – All student-athletes on any team may be subject to periodic unannounced team testing. During the academic year a team (all the members on the NCAA squad list or team roster) may be selected to be tested. The Head Coach will be notified of the test and will call a team meeting to announce to the team that they have been selected for team drug testing.

2. Random Student-Athlete Testing – Under the random testing program, a random list of student- athletes’ names will be generated from current NCAA squad lists and team rosters. These student- athletes will be notified and will be required to be present at the drug-testing site at the prescribed time. All student-athletes are subject to periodic unannounced random testing. The selection of

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student-athletes will be made through a random selection of names from the team roster by the Athletic Director or his/her designee.

3. Individual Testing Based on Reasonable Suspicion – A student-athlete may be subject to testing at any time when, there is a reasonable suspicion the student-athlete has used any of the drugs prohibited by the NCAA or this program. A reasonable suspicion may be based on information from any source deemed reliable by the Athletic Director (or designee).

D. Consequences of Failure to Participate in or Cooperate with Testing

1. If a student-athlete declines to execute the required consent form, eligibility to participate in intercollegiate athletics will be canceled for the balance of the academic year.

2. If a student-athlete fails to report for a scheduled test, it will be treated as a positive test result.

3. If a student-athlete fails within a reasonable period of time to produce a required urine specimen, it will be considered a positive test result.

4. If a student-athlete attempts to tamper with, dilute, substitute, or adulterate a urine specimen it will be considered a positive test result.

E. Consequences of Positive Drug Test When prohibited drug use has been verified through positive test results, the following consequences will apply:

1. First Positive

a. Confidential Meeting – The student-athlete is required to meet with the Team Physician, Director of Sports Medicine, Head Coach (or designee), and Athletic Director (or designee) to discuss the nature, extent, and history of the drug use.

b. Notification of Parents – If the student-athlete is under age 21 or the University determines that a health or safety emergency exists, the Athletic Director (or designee) may elect to notify the parents/guardians of the student-athlete of the positive result, any known facts concerning the student-athlete’s drug use and of the sanctions imposed by Athletic Department.

c. Counseling and Rehabilitation – The nature and extent of counseling and medical intervention that may be required by the Athletic Director (or designee) as a condition of continued athletic eligibility will depend on the available information regarding the student- athlete’s drug use. At a minimum the student-athlete will be required to attend and pay for a mandated drug and alcohol counseling assessment.

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d. Follow-up Testing – The student-athlete may be required to submit to follow-up testing for as long as it is deemed appropriate by the Athletic Director (or designee).

e. Possible Suspension or Discontinuation of Athletic Eligibility – If the drug use is deemed by the Athletic Director (or designee) to be sufficiently serious, the student may be suspended from athletic participation for a period of time or may have his or her eligibility canceled by the institution. If eligibility is canceled, a student will not be eligible for renewal of any athletic scholarship, and any existing scholarship may be subject to cancellation.

f. Student-athlete Acknowlegement – Student Athlete will sign an Acknowledgement form stating he/she fully understands what is expected of him/her as well as future consequences for not meeting the expectations.

2. Second Positive

a. Notification of Parents – If the student-athlete is under age 21 or the University determines that a health or safety emergency exists, the Athletic Director (or designee) may elect to notify the parents/guardians of the student-athlete’s second positive result, any known facts concerning the student-athlete’s drug use and of the sanctions imposed by Athletic Department.

b. Counseling and Rehabilitation – Medical and Psychological monitoring and counseling may be required of the student-athlete, for the duration of any period of suspension, and reinstatement for as long as the Athletic Director (or designee) deems appropriate. The student-athlete will be required at minimum to attend and pay for a mandated counseling assessment.

c. Follow-up Testing – The student-athlete may be required to submit to follow-up testing for as long as it is deemed appropriate by the Athletic Director (or designee).

d. Minimum Suspension/Possible Discontinuation of Athletic Eligibility – The student-athlete will be suspended, at a minimum, from participation in intercollegiate athletic activities for ten percent of the team’s regular season contests. If deemed appropriate by the Athletic Director the student-athlete may have his or her eligibility canceled. If eligibility is canceled, a student will not be eligible for renewal of any athletic scholarship, and any existing scholarship may be subject to cancellation.

e. Student-athlete Acknowlegement – Student Athlete will sign an Acknowledgement form stating he/she fully understands what is expected of him/her as well as future consequences for not meeting the expectations.

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3. Third Positive

a. Notification of Parents – If the student-athlete is under age 21 or the University determines that a health or safety emergency exists the Athletic Director (or designee) may elect to notify the parents/guardians of the student-athlete of the third positive result, any known facts concerning the student-athlete’s drug use and of the sanctions imposed by Athletic Department.

b. Cancellation of Eligibility – The athletic eligibility of the student-athlete will be canceled permanently and the student’s athletic scholarship will be canceled.

F. Prescription Drug Positive Test Student-athletes must have a current/valid prescription from a licensed physician in order to take prescription medications. Student-athletes will be assessed a positive drug test positive under the following circumstances:

a. Student-athlete is taking another person’s prescription medication b. Student-athlete is taking prescription medication without a valid prescription c. Student-athlete is taking prescription medication without a current prescription

In the event that the student-athlete has medication remaining from an old prescription and takes the medication, without the knowledge of the Sports Medicine Department and without the active supervision of a medical doctor, the student-athlete will receive a substance abuse positive. Medication over three months old taken without Sports Medicine Department knowledge will result in a positive under the Miami University Substance Abuse Policy. Medication should not be taken unless you are under the care of the medical staff for an injury or illness, including rehab. Medication should not be taken without the clearance from a medical doctor or athletic trainer.

G. Confidentiality Student-athletes will be assigned a numeric code, which will appear on all lab forms, thus protecting their identities. Only the Director of Sports Medicine and Athletic Director will have this roster. It will be kept under lock and key. Only the Director of Sports Medicine, Head Coach, Team Physician(s) and counseling services will be notified of the identity of student-athletes who test positive. Other members of Miami University Intercollegiate Athletics (Athletic Trainer, Strength Coach, Academic Staff, etc.) will be notified on a need-to-know basis.

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APPENDIX A

2012-13 NCAA Banned Drugs

The NCAA bans the following classes of drugs:

a. Stimulants b. Anabolic Agents c. Alcohol and Beta Blockers (banned for rifle only) d. Diuretics and Other Masking Agents e. Street Drugs f. Peptide Hormones and Analogues g. Anti-estrogens h. Beta-2 Agonists

Note: Any substance chemically related to these classes is also banned.

The institution and the student-athlete shall be held accountable for all drugs within the banned drug class regardless of whether they have been specifically identified.

Drugs and Procedures Subject to Restrictions:

a. Blood Doping. b. Local Anesthetics (under some conditions). c. Manipulation of Urine Samples. d. Beta-2 Agonists permitted only by prescription and inhalation. e. Caffeine if concentrations in urine exceed 15 micrograms/ml.

NCAA Nutritional/Dietary Supplements Warning:

Before consuming any nutritional/dietary supplement product, review the product with the appropriate or designated athletics department staff!

 Dietary supplements are not well regulated and may cause a positive drug test result.  Student-athletes have tested positive and lost their eligibility using dietary supplements.  Many dietary supplements are contaminated with banned drugs not listed on the label.  Any product containing a dietary supplement ingredient is taken at your own risk.

It is your responsibility to check with the appropriate or designated athletics staff member before using any substances

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Note to Student-Athletes: There is no complete list of banned substances. Do not rely on this list to rule out any supplement ingredient.

Check with your athletics department staff before you consume any medication or supplement.

Some Examples of NCAA Banned Substances in Each Drug Class

Stimulants: amphetamine (Adderall); caffeine (guarana); cocaine; ephedrine; fenfluramine (Fen); methamphetamine; methylphenidate (Ritalin); phentermine (Phen); synephrine (bitter orange); methylhexameamine, “ bath salts” (mephedrone) etc. exceptions: phenylephrine and pseudoephedrine are not banned.

Anabolic Agents – (sometimes listed as a chemical formula, such as 3,6,17-androstenetrione) boldenone; clenbuterol; DHEA; nandrolone; stanozolol; testosterone; methasterone; androstenedione; norandrostenedione; methandienone; etiocholanolone; trenbolone; etc.

Alcohol and Beta Blockers (banned for rifle only): alcohol; atenolol; metoprolol; nadolol; pindolol; propranolol; timolol; etc.

Diuretics (water pills) and Other Masking Agents: bumetanide; chlorothiazide; furosemide; hydrochlorothiazide; probenecid; spironolactone (canrenone); triameterene; trichlormethiazide; etc.

Street Drugs: heroin; marijuana; tetrahydrocannabinol (THC): synthetic cannabinoids (eg. Spice, K2, JWH-018, JWH-073)

Peptide Hormones and Analogues: growth hormone(hGH); human chorionic gonadotropin (hCG); erythropoietin (EPO); etc.

Anti-Estrogens : anastrozole; tamoxifen; formestane; 3,17-dioxo-etiochol-1,4,6-triene(ATD), etc.

Beta-2 Agonists: bambuterol; formoterol; salbutamol; salmeterol; etc.

Any substance that is chemically related to the class of banned drugs is also banned! (unless otherwise noted)

Information about ingredients in medications and nutritional/dietary supplements can be obtained by contacting the Resource Exchange Center, REC, 877-202-0769 or www.drugfreesport.com/rec password ncaa1, ncaa2 or ncaa3.

It is your responsibility to check with the appropriate or designated athletics staff member before using any substances The National Collegiate Athletic Association June 2012 MEW

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HOW DRUG USAGE MAY AFFECT ATHLETIC PERFORMANCE

Drug Effect Alcohol Reduces mental alertness for approximately 24 hours after a binge of about three beers or drinks Marijuana (THC) Slows Reflexes and Reaction Time Long-term weakens muscles and nerves and makes them injury prone Slow or non-reactive pupils (distort vision) Hearing impairment Cocaine Over stimulates reflexes

HOW MARIJUANA AND COCAINE CAN CAUSE ATHLETIC INJURIES

- depletes energy - impairs visual perception - alters normal reflexes - drives out chemicals at nerve-endings - decreases immune and inflammatory mechanisms necessary for healing (i.e. routine simple injuries don’t heal rapidly) - collects in fatty tissues around muscles, tendons, and ligaments (i.e. marijuana) - worsens normal simple injuries ANABOLIC STEROIDS

This class of drug is a derivative of the male hormone testosterone. Testosterone will increase protein synthesis, when coupled with training and proper diet, may create an increase in lean muscle mass. Being a hormone, the anabolic steroid will interfere with the normal hypothalamic-pituitary-gonadal thermostat and disturb the body’s delicate hormone balance. This interference can produce detrimental side effects. Anabolic Steroids are banned by the NCAA, USOC/IOC, all sports federations, and professional athletic organizations.

Miami University Intercollegiate Athletics Department will not condone or tolerate the use of Anabolic Steroids by the student-athlete.

The Risks of Steroid Use

All of the following have been linked to steroid use:

1. Aggressiveness leading to violence 12. Kidney disease 2. Mood swings Psychiatric disorders, psychotic 13. Liver damage episodes 14. Enlarged prostate 3. Acne 15. Prostatitus Breast enlargement (male) 4. Balding 5. Hypertension 6. High blood cholesterol 7. Cardiac arrhythmias 8. Diminished libido 9. Atrophy of the testicles 10. Impotence 11. Stunted growth 78 | P a g e

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ANABOLIC STEROIDS (con.)

The Risks of Steroid Use

( In Females)

1.Menstrual problems

2.Breast atrophy

3.Excessive hair growth

4.Enlarged clitoris

5.Deepening of voice

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APPENDIX B

Collection Methodology: DRUGCHECK® Drug of Abuse Tests will be used for collecting urine for analysis. The DRUGCHECK® Drug of Abuse Test Cup is a lateral flow chromatographic immunoassay which utilizes highly specific reactions between antibodies and antigens for the detection of multiple drugs and drug metabolites in human urine. It is a rapid urine screen test that utilizes monoclonal antibodies to selectively detect elevated levels of specific drugs in urine without the use of instruments. A. Protocol 1. The student-athletes will report to the screening with photo identification. 2. The student–athlete will check-in with authorized personnel upon arrival and be assigned a numerical code. 3. The student-athlete will declare any prescription and/or over the counter medication that he/she has taken in the past 2 weeks. 4. The student-athlete will pick a DRUGCHECK® Drug of Abuse Test Cup from the box and open it. 5. The serial number will then be recorded on the Results sheet. 6. The student-athlete will verify the serial number. 7. The student-athlete will be asked to wash and dry hands prior to providing a urine sample. 8. The student-athlete will then proceed to the secure collection area where authorized personnel will verify the student-athlete produced the sample. 9. Any effort by a student-athlete to alter or modify his/her specimen prior to or at the time of collection will result in an automatic “positive” test. This includes but is not limited to use of diuretics, manipulators or masking agents. 10. Verify that the specimen is above the minimum line. 11. The student-athlete will watch as the lid is placed on the cup and sealed. 12. Once sealed a tamper proof label will be placed across the cup. 13. The athlete will place his or her numerical code on the seal and the results sheet as well, noting the cup was sealed. The collection time will also be documented. 14. The Tear-Off label will immediately be removed from the outside panel of the cup. The pH level and Temperature will be recorded immediately followed by the Creatinine, Nitrite, and Specific gravity at 45 seconds. The alcohol test strip will be read at the 2 minute mark and the rest of the drug test strips will be read five minutes after the urine was collected, This should be done in the presence of the student-athlete.

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15. The results should then be recorded. 16. All negative screen tests will be properly discarded. 17. All positive screen tests will remain sealed so that the sample is not compromised. It will be sent to the laboratory for confirmation testing using gas chromatography/mass spectrometry (GC/MS) 18. Student-athletes who receive a positive confirmation test will be penalized according to the Miami University Substance Abuse Policy consequences for positive test. (see Section II-E)

DRUGCHECK® Drug of Abuse Tests Cut-off Levels

Test Cut-off

Amphetamine (AMP) 1,000 ng/ml

Cocaine (COC) 300 ng/ml

Methamphetamine (MET) 1,000 ng/ml

Opiates (OPI 300) 300 ng/ml

Oxycodone (OXY) 100 ng/ml

Marijuana (THC) 50 ng/ml

Alcohol (ALC) 0.04% BAC

Adulterations

-Nitrates > 15 mg/dl

-Creatinine <20 mg/dl pH normal Range 4.0-9.0

Specific Gravity Normal Range 1.003-1.030

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PROTOCOL FOR ADMINISTERING MIAMI UNIVERSITY STUDENT-ATHLETE DRUG TESTING

1. The student-athlete/athletes selected to be drug tested will arrive at the designated test site at the designated time. 2. The Certified Athletic Trainer of the student- athlete/athletes and a second witness will meet them at the test site. 3. The Certified Athletic Trainer will fill out the Test Result Sheet with the student- athlete’s name and possibly their player number. 4. The student- athlete will select a specimen cup and proceed to the collection area with the Certified Athletic Trainer and witness. 5. The student- athlete will produce a urine specimen while closely monitored by the Certified Athletic Trainer and witness. 6. The student- athlete will then tightly seal the cup and initial the top of it. 7. A paper seal will then be placed on the cup and the student- athlete will initial the seal. 8. The Certified Athletic Trainer will note the temperature of the specimen on the Test Result Sheet and if it is NOT between 90-100 degrees declare the test POSITIVE. a. Providing the temperature is in the normal range, after a period of 5 minutes after the collection time the label on the cup will be removed and the results will be viewed by the Certified Athletic Trainer, witness and the student- athlete if they so choose. 9. If all tests are NEGATIVE the Test Result Sheet will be completed and signed by the Certified Athletic Trainer, the witness and the student- athlete. Once signatures are completed the specimen can be discarded appropriately. The Test Result Sheet will be kept in a secured file in the Yager Stadium Training Room. 10. If the test is POSITIVE the results (each substance will be documented) will be filled in on the Test Result Sheet. a. A POSITIVE test results in the student-athlete being presented two options. i. The Student-Athlete is able to sign the form admitting the positive result. The Test Result Sheet and the form noting admission of guilt will be kept in a secured file in the Yager Stadium Training Room and the necessary people (according to the drug testing policy) will be notified. ii. If the student- athlete chooses NOT to sign the admission of guilt form the specimen will be taken to the hospital (MHMH LAB) for verification and the athlete will be billed for the verification which is currently $40-$50. 11. If the Student-Athlete has a POSITIVE Test, then that Student-Athlete will fall under the criterion outlined in the Miami University Department of Intercollegiate Athletics Drug and Alcohol Education and Drug Testing Program.

If the student- athlete attempts to tamper with, dilute, substitute or adulterate a specimen, it will be considered a positive test.

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ADHD Documentation – Drug Testing Medical Exemption Effective August, 2009, the NCAA Committee on Competitive Safeguards and Medical Aspects of Sports (CSMAS), which reviews requests for a medical exception to a positive drug test, has established a set of guidelines regarding medical documentation for NCAA student-athletes with ADHD. These stricter guidelines can be found online at www.ncaa.org/health-safety.

At a minimum, student-athletes taking banned medication must provide the following documentation from the prescribing physician to the Miami University Sports Medicine Department. 1. Description of the evaluation process which identifies the assessment tools and procedures 2. Statement of the diagnosis, including when it was confirmed 3. History of ADHD treatment (previous / ongoing) 4. Statement that a non-banned ADHD alternative has been considered if a stimulant is currently prescribed 5. Statement regarding follow-up and monitoring visits 6. Copy of the most recent prescription (as documented by the prescribing physician) 7. Completed NCAA Medical Exception Documentation Reporting Form to Support the Diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) and Treatment with Banned Stimulant Medication (see next page)

The aforementioned documentation must be on file with Miami University Sports Medicine Department in order for the student-athlete to participate in intercollegiate athletics at Miami University

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NCAA Medical Exception Documentation Reporting Form to Support the Diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) and Treatment with Banned Stimulant Medication

• Complete and maintain (on file in the athletics department) this form and required documentation supporting the medical need for a student-athlete to be treated for ADHD with stimulant medication. • Submit this form and required documentation to Drug Free Sport in the event the student-athlete tests positive for the banned stimulant (see Drug Testing Exceptions Procedures at www.ncaa.org/drugtesting).

To be completed by the Institution:

Institution Name:______

Institutional Representative Submitting Form: Name______Title______Email______Phone______

Student-Athlete Name______Student-Athlete Date of Birth______

To be completed by the Student-Athlete’s Physician:

Treating Physician (print name):______Specialty:______Office address______Physician signature:______Date______

Physician documentation (letter, medical notes) to include the following information: • Diagnosis. • Medication(s) and dosage. • Blood pressure and pulse readings and comments. • Note that alternative non-banned medications have been considered, and comments. • Follow-up orders. • Date of clinical evaluation: ______• Attach written report summary of comprehensive clinical evaluation: o The evaluation should include individual and family history, address any indication of mood disorders, substance abuse, and previous history of ADHD treatment, and incorporate the DSM criteria to diagnose ADHD. Attach supporting documentation, such as completed ADHD Rating Scale(s) (e.g., Connors, ASRS, CAARS) scores. o The evaluation can and should be completed by a clinician capable of meeting the requirements detailed above.

DISCLAIMER: The National Collegiate Athletic Association shall not be liable or responsible, in any way, for any diagnosis or other evaluation made, or exam performed, in connection herewith, or for any subsequent action taken, in whole or in part, in reliance upon the accuracy or veracity of the information provided hereunder. http://documentcenter.ncaa.org/msaa/saa/HealthandSafety/FormsTemplates/01052012ADHDreportingform.docx/RHB

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VACATION POLICY

Recognizing that athletes require year round attention to their medical needs and that administrative tasks must be accomplished in a timely fashion, the Sports Medicine department has established the following policy to assure that all staff has adequate time off while continuing to function on a 12 month calendar.

1. School year - Vacation time can be taken during the academic year if the staff athletic trainer's teams are not practicing and in the judgment of the Director of Sports Medicine quality care can be provided to all athletes in the staff member's absence.

2. Summer - The staff is encouraged to take vacation during this period. Requests will be reviewed and approved by the Director of Sports Medicine under the following guidelines.

a. Adequate staffing of the facilities for summer treatment must be maintained. b. Continued communication about any ongoing problems that they have regardless of their vacation status. This means that the staff athletic trainer on vacation must either communicate appropriately to staff on duty or communicate directly to the athlete and coach via phone in their absence.

3. In general, staff members are expected to be gone no more than two consecutive weeks. This will insure that the staff member has a chance to check the status of his or her athletes and to get caught up on administrative duties.

4. All staff members are required to submit vacation leave requests with the athletic department with a copy of this request to the Director of Sports Medicine.

5. Professional development time will not be counted against vacation time provided that the Director of Sports Medicine are satisfied that the activity will enhance the sports medicine program.

ORDERING AND RECEIVING OF SUPPLIES

1. Supplies will be ordered by the Director of Sports Medicine/Associate Athletic Trainer and assigned staff athletic trainer.

2. The supplies will be delivered to the Yager Stadium athletic training room, checked in by the Head Athletic Trainer and stored in the Yager Stadium storage room.

3. The supplies will then be distributed to the appropriate athletic training rooms as necessary.

4. During the year when supplies run low, staff athletic trainers can take needed supplies out of the Yager Stadium storage room to re-stock their given athletic training room. All supplies

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must be signed out, in order to help keep track of supplies used.

4. Each staff athletic trainer must constantly communicate to the Head Athletic Trainer on supplies they are running low on or appear out of.

SPECIFIC ADMINISTRATIVE DUTIES

1. External Operations - Establish and maintain effective communication and services from:

Team Physicians Orthopedic Consultants Outside Allied Health Professional Miami University Health Service Athletic Administration All other organizations or concerns outside the athletic training room which impact day to day operation of Sports Medicine

2. Undergraduate Recruitment: Clinical Coordinator

3. Staff Recruitment and Assignments: Head Team Physician/Director of Sports Medicine

4. Insurance: Associate Director of Sports Medicine/administrative assistant

5. Student Athletic Trainer Scholarships: Staff

6. Athletic Training Curriculum: Clinical Coordinator

7. Student Athletic Trainer Assignments: Staff

8. Student Athletic Trainer Scheduling: Staff

9. Inventory and Supplies: Director of Sports Medicine/Associate Athletic Trainer

A. Assess medical supply needs on a yearly basis B. Prioritized spending to stay within the line item budget for expendable supplies. C. Assure that the inventory is constantly monitored and adequate supplies are on hand.

10. Training Room Organization and Day to Day Operations:

Yager – David Donnelly Millett – Jennifer Beardslee Withrow – Jennifer Beardslee

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Goggin – Jason Eckerle

A. Staff and student schedule and necessary adjustments B. Supplies stocked and organized C. Daily maintenance of equipment D. Clean and sanitize E. Proper care of student athletes F. Medical records up to date

12. Hazardous Waste: Associate Athletic Trainer

13. Organization of Physicians Exam Room:

Yager - Assigned Staff Athletic Trainer Millett - Assigned Staff Athletic Trainer Withrow - Assigned Staff Athletic Trainer Goggin - Assigned Staff Athletic Trainer

A. Stock cabinets and maintain inventory to physicians' specifications. B. Assure suture kits, gloves, other emergency supplies are on hand. C. Organize and direct doctors' clinics. D. Maintain cleanliness

14. Coordinate summer camp: Associate Athletic Trainer

15. Advisor to MUSATA: Staff Athletic Trainer/Assistant Director of Sports Medicine

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SPORT COVERAGE 2012-13

JENNIFER BEARDSLEE DAVID DONNELLY JASON ECKERLE Women’s Basketball Football Ice Hockey Oversee Men’s Cross Country Golf and Track program and Oversee Synchronized Skating assigned Intern ATC programs and assigned Intern ATC

CHRIS ELMORE PAUL EVERSOLE ANNA GEARHART Men’s Basketball Football Soccer Oversee Women’s Cross Women’s Indoor Track Country and Track program and assigned Intern ATC

DREW RUCKELSHAUS JILLIAN RUBIN MISAO TANIOKA Men’s Basketball Women’s Swimming and Volleyball Women’s Cross Country Diving Men’s Swimming/Diving Women’s Track and Field

DOMINIC VINCENTINI INTERN ATC INTERN ATC Baseball Men’s & Women’s Cross Synchronized Skating Women’s Tennis Country and Track Cheerleading

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