Im not sure why there is except that the athletic trainers wrote the guideline because some students, they may have their concussion in the fall, when theyre not in a sport but in the spring they are an athlete. The high incidence of concussions among children and adolescents are not only of particular concern since the brain is still developing but also brings to attention the need for formal concussion policy that emphasizes best practices for concussion management. 5. For the 25 who administered baseline testing, the most common baseline concussion-assessment tools were the Balance Error Scoring System (BESS; 56%, n = 14), SAC (48%, n = 12), Immediate Post-concussion Assessment and Cognitive Testing (ImPACT; ImPACT Applications, Inc, Pittsburgh, PA; 44%, n = 11), and Sport Concussion Assessment Tool 2 (SCAT2; 24%, n = 6). Each school system shall implement policies consistent with this chapter and the Policies and Programs on Concussions for Public Schools and Youth Sport Programs to assure student-athletes, parents, or guardians and school personnel receive an informational sheet . Concussion Policy and Procedures A concussion is a type of traumatic brain injury that changes how the cells in the brain normally work. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. a. Compared with previous surveys, ATs at community colleges in California have made positive strides regarding concussion assessment, management, and RTP. Accessibility Both written and verbal consent were obtained prior to each interview. After a studentathlete sustains a concussion, what other school personnel do you collaborate with in terms of concussion management? In some school settings, the lack of support stemmed from an absence of understanding skills and roles of the school nurse in the concussion management process which Ellie identified as her biggest challenge. The decrease in the use of clinical examinations could also reflect the possibility that concussion-assessment tools have become a part of ATs' everyday practice. Below is a checklist* that will help the athletics health care administrator ensure that the member school's concussion safety protocol is compliant with the Concussion Safety Protocol Legislation. The concussion management team should involve the parents, physician, athletic trainer, school nurse, school psychologist or school counselor, school administrators, and teachers (Halstead etal., 2013, Williams & Valovich McLeod, 2015). Of the 57 participants who agreed to participate, 55 completed the entire survey, for a total response rate of 53%. In March 2012, all head ATs working at each of the 103 CCCAA institutions were invited via e-mail and follow-up phone call to participate in this study. 3. This College policy aims to reduce the harm to all students who receive a concussion by following a set procedure when a suspected concussion has occurred and ensures the safe return to play for the student involved. The auditor plays a critical role in data analysis process checking the work of the other team members and ensuring all viewpoints have been considered as the data are analyzed. (2012), Pediatric providers self-reported knowledge, practices, and attitudes about concussion, http://www.creativecommons.org/licenses/by-nc/4.0/, https://us.sagepub.com/en-us/nam/open-access-at-sage, Bryan, Rowhani-Rahbar, Comstock, & Riveria, 2016, Kasamatsu, Cleary, Bennett, Howard, & Valovich McLeod, 2016b, Wasserman, Bazarian, Mapstone, Block, & van Wijingaarden, 2016, Williams, Welch, Parsons, & Valovich McLeod, 2015, Welch Bacon, Erickson, Kay, Weber, & Valovich McLeod, 2017, Weber, Welch, Parsons, & Valovich McLeod, 2015, Welch Bacon, Cohen, Kay, Tierney, & Valovich McLeod, 2018, Sleight, Valovich McLeod, Kay, Erickson, & Welch, 2015, Feddermann-Demont, Straumann, & Dvorak, 2014, Kasamatsu, Cleary, Bennett, Howard, and Valovich McLeod (2016a), Heyer, Weber, Rose, Perkins, & Schmittauer, 2015, Wing, Amanullah, Jacobs, Clark, & Merritt, 2016, Upchurch, Morgan, Umfress, Yang, & Riederer, 2015, Doucette, Bulzacchelli, Gillum, & Whitehill, 2016. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. The principal investigator sent an initial e-mail to potential participants which included the purpose of the study, contact information, and a request to participate in the study. Overall, the longer ATs were in practice, the less likely they were to perform these baseline tests. In accordance with MA regulation 105 CMR 201, in. A subsequent e-mail was sent at the end of each week for 3 weeks to remind potential participants to complete the survey. The more recently a participant had attended meetings or seminars in the area of concussion management, the more likely academic accommodations were being made for injured athletes at that institution. Guskiewicz KM, Bruce SL, Cantu RC, et al. Bethesda, MD 20894, Web Policies Almost half (47%) of ATs stated they had a policy for SRC assessment, management, and return to play at their institution. While research has primarily focused on concussion education, removal, return-to-play, and more recently academic consequences of concussion (Russell etal., 2016; Wasserman, Bazarian, Mapstone, Block, & van Wijingaarden, 2016; Williams, Welch, Parsons, & Valovich McLeod, 2015), there is still limited evidence available regarding the roles and responsibilities of the members of the concussion management team, particularly in the secondary school setting. Centers for Disease Control and Prevention. Significant positive correlations were noted between the use of baseline testing and the number of sports offered by an institution (r = 0.42, P < .01) and the number of concussions managed by ATs (r = 0.31, P < .05). Before Included are the Checklist, the Protocol Template, Catastrophic Recommendations and Away Event Considerations, all of which serve as guidance for the development and updates to concussion management practices at all member schools. In 2011, Miller et al16 surveyed head football ATs from a variety of large Division I programs. Furthermore, the use of standardized forms should be implemented to ease communication between the management team and teachers. Within the interdisciplinary team, roles of individuals should be outlined (Gioia, 2016; Halstead etal., 2013; Welch Bacon etal., 2017). At its September 2021 meeting and based on the results of this annual review process, CSMAS approved several updates to the Checklist. Schools should develop a policy regarding distribution of these forms through printed or electronic means, obtaining electronic or written signatures, and the process for monitoring the completion and returning of forms. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. This suggests a potential void for the school nurse to fill as previous research has found athletic trainers experience challenges, specifically with communication, with implementing a return-to-learn program in the secondary school setting (Sleight etal., 2015). Anyone who works in this space will immediately recognize the concussed student-athlete testimonials sprinkled through the book.. Participants completed the survey via a secure Web-based program (SurveyMonkey, Palo Alto, CA); a unique identifier allowed them to complete the survey only once. Policies and Procedures Contents POLICY OVERVIEW 1.1. input, Convert Initial Practitioner to Practitioner License, School Transportation Administrators & Supervisor Information, IHSAA Suggested Guidelines for Management of Concussion, Concussion Fact Sheet for High School Student Athletes, Concussion Fact Sheet for High School Parents, Concussion Parent and Student Acknowledgement and Signature Form, Concussion Fact Sheet for Youth Student Athletes, Sample Concussion Release to Play Form for Providers, Concussion Course for High School Coaches, Heat Illness Prevention Course for Coaches, Sample Health Care Provider Recommended School Accommodations, Guidance Regarding ISTEP and Students with Concussions, Title I Application, Amendment & Reporting Center, Licensing Verification and Information System (LVIS), Report Repeated concussionsthose occurring before the brain has had the time to healare particularly dangerous and can even be fatal. In order to effectively and consistently manage concussions, procedures have been developed to aid in insuring that concussed athletes are identified, treated, referred appropriately, receive proper follow-up medical care during the school day, including academic assistance, and are fully recovered prior to a Return to Play. The first report to provide evidence for chromatic filters to reduce VS was by Lauschke et al. In 2001, Ferrara et al13 reported that 17% of athletic trainers (ATs) used the Standardized Assessment of Concussion (SAC). In 2009, Covassin et al15 examined concussion-management guidelines and protocols taught and used in the athletic training classroom and clinical setting. The book is aimed at those in higher education who want to learn how to develop a program that assists the student with concussion in navigating this potentially life-altering injury and returns them to the classroom successfully. As part of a school policy, schools should develop procedures regarding return to play protocols for students exhibiting symptoms of a concussion. This positive trend in the use of the NATA guidelines and tools demonstrates an improvement from 2005 to 200914,15; however, more than a third of ATs at CCCAA schools were not following the guidelines. Call 541-322-2214 for more information. Phone interviews were used as the primary data collection method due to the geographical diversity of the participants. They help us to know which pages are the most and least popular and see how visitors move around the site. This finding is consistent with previous literature suggesting that cognitive rest is not routinely prescribed among physicians (Arbogast etal., 2013; Carson etal., 2014; Upchurch, Morgan, Umfress, Yang, & Riederer, 2015). This idea has been formally recognized in Divisions II and III where member schools have historically relied on diligent use of the Protocol Template and other available tools in lieu of an annual submission process. CDC twenty four seven. When the injury is more serious, your child or teen may need to stay in the hospital overnight. Enforcing procedures and training that promotes preventative actions to help reduce the number of concussions. Quick questions in sport-related concussion: Expert advice in sports medicine, Williams R. M., Welch C. E., Parsons J. T., Valovich McLeod T. C. (2015), Athletic trainers familiarity with and perceptions of academic accommodations in secondary school athletes after sport-related concussion, Wing R., Amanullah S., Jacobs E., Clark M. A., Merritt C. (2016), Heads up: Communication is key in school nurses preparedness for facilitating return to learn following concussion, Zemek R., Eady K., Moreau K., Farion K. J., Solomon B., Weiser M., Dematteo C. (2015), Canadian pediatric emergency physician knowledge of concussion diagnosis and initial management, K-12 students with concussions: A legal perspective, Zonfrillo M. R., Master C. L., Grady M. F., Winston F. K., Callahan J. M., Arbogast K. B. Evaluatetheplayerandnoteifanyofthefollowingsignsand/orsymptomsarepresent: Dazedlookorconfusionaboutwhathappened. This portion of a return-to-learn is essential to best mange those with deficiencies in these areas following a concussion. [If no] What, if any, are the primary challenges that prevent you from conducting baseline concussion assessment testing at your site. Ive called the BrainSTEPS program managers and it would be nice if they would provide maybe like a summer staff development program for teachers to make them, you know, have a little bit better understanding of how a concussion will affect a students academics. Limitations of our study included the assumption that participants would respond openly, honestly, and accurately to the survey. One participant had received a doctoral degree but did not specify the field of study. Roles and Experiences of the Research Team. We assigned each participant a pseudonym to maintain anonymity (Table 1). During Stage 4, the frequency of participant responses for each category was determined and gathered into one combined document (Hill etal., 1997, 2005). Who do you communicate with when a sport-related concussion occurs? National Library of Medicine The concussion education has gotten so much better. UU ODS Policies and Procedures Manual | Page 8 of 78 . These instructions should include information about when they can return to play and what steps you should take to help them safely return to play. The two primary school-affiliated health-care providers in the secondary school setting are school nurses and athletic trainers. The lack of resources does not always pertain to the school, Lisa noticed a lack of resources with her families and the effect it was having on the students. Among the 34 respondents who followed the NATA RTP guidelines and the 33 who indicated the assessments used, 97% (n = 32) evaluated symptoms, 72.7% (n = 24) evaluated neurocognitive function, and 66.7% (n = 22) evaluated postural stability before beginning the graded RTP protocol. Potential recruits were identified using the CCCAA Web site and the 20112012 CCCAA handbook.18 A total of 57 of 103 (55%) of the ATs agreed to participate in the study. a. Federal government websites often end in .gov or .mil. Once schools develop these procedures, the following sample forms may be used. a. In addition, if your child plays high school sports in Central Oregon, your high school athletic trainer is available during school hours. We instructed participants to not make changes to the transcript, but they were allowed to provide additional clarifying information if they felt it necessary. When it doubt, sit them out! Within this process, various potential triggers or symptom exacerbations should be noted (Gioia, 2016). Have the green-light from their health care provider to begin the return to play process. 1 . You will be subject to the destination website's privacy policy when you follow the link. You can review and change the way we collect information below. Audra also noted the high levels of support necessary for successful implementation of academic adjustments. Academic accommodations after a concussion have become an emerging trend in the clinical setting despite limited research19,20 advocating such items as reduced workload, limited attendance, and academic assistance as part of a student-athlete's RTP protocol. Note. They help us to know which pages are the most and least popular and see how visitors move around the site. The first component recommended is that of an interdisciplinary team, which should be comprised of both school and medical personnel along with the patients family. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. In addition to being at the forefront of addressing the return-to-classroom needs of college students with concussion, SRJCs Drs. Customize and download PDFs with your teams colors and logo. In a recent study, Welch Bacon etal. A total of 77.8% (n = 21) believed that their policy was in compliance with the NCAA guidelines, and 22.2% (n = 6) did not know. Football coaches must complete all of the courses under one of the options below. If the members are providing inconsistent recommendations, it may lead to confusion for parents and students alike, ultimately decreasing the quality of care. government site. With regard to awareness of SRC guidelines and education, Covassin et al15 reported that the NATA position statement was being taught in 80.2% of accredited AT programs, but only 61.2% used those guidelines during clinical practice. Increased focus and effort have been aimed at creating and putting in place a consistent, consensus-based standard of practice for health care professionals in regard to assessment, management, and RTP guidelines for athletes with SRC. The Concussion Law applies to student athletes in grades 5-12. All members of the concussion management team should work together to ensure the studentathlete is managed appropriately throughout the school day and at home (Halstead etal., 2013; Welch Bacon, Erickson, Kay, Weber, & Valovich McLeod, 2017). Patients or Other Participants However, some symptoms may take several hours to appear. We hypothesized that the reported use of concussion-assessment tools (eg, neurocognitive and balance testing) would have increased compared with published studies. The site is secure. To make RTP decisions, the ATs used a symptom evaluation or postconcussion symptom scale (96.3%, n = 53), 5-stage extended protocol (49.1%, n = 27), BESS (45.5%, n = 25), SCAT2 (41.8%, n = 23), clinical examination (32.1%, n = 18), SAC (30.9%, n = 17), ImPACT (25.5%, n = 14), Glasgow Coma Scale (10.9%, n = 6), concussion-grading scale (9.1%, n = 4), Maddocks questions (3.6%, n = 2), concussion card (3.6%, n = 2), central nervous system vital signs (3.6%, n = 2), and brief SCAT2 (1.8%, n = 1). (707) 837-8843, 950 S. Wright RoadSanta Rosa, CA 95407-6608 Furthermore, a concussion policy should outline specific roles and responsibilities for the school nurse as part of the concussion management team as well as care for both students and studentathletes (McGrath, 2010; Rains & Robinson, 2010). Potential personnel involved may include administrators, teachers, counselors, the school nurse, and athletic trainer. The CQR data analysis process was divided into four stages (Hill etal., 1997, 2005). Sections two (2) through five (5) outline the Concussion and Head Injuries Policy and procedures to be used by Utah Swimming and member club coaches, officials, club or meet leaders, representatives or volunteers. Id like to see more tools for head injuries that occur during the school day, like in the gym for instance. Without a policy or . Integral to the success of these strategies are institutional policies and procedures that support academic accommodations, including cognitive and physical rest, for student-athletes who have sustained concussions. 1.2. You can also get a concussion after a strong body hit causes you to jerk your head forward, backward or to the side. In 2015, Williams et al21 reported that 97% of secondary school ATs surveyed strongly agreed or agreed that a concussion can affect school performance. This injury can lead to short- or long-term problems affecting how a person thinks, acts, and feels. Those institutions with more ATs were more likely to implement academic accommodations for injured athletes. The incorporation of nonathlete specific education and other clinical resources (i.e., symptom checklists and evaluation tools) that can be used both on and off the sidelines would allow school nurses to make use of these resources and provide better care for all students throughout the school day (Sleight, Valovich McLeod, Kay, Erickson, & Welch, 2015). Concussion Policy; Commonwealth-Head Injury Medical Clearance and Authorization Form; Commonwealth-Pre-Participation Form; Commonwealth-Report of Head Injury Form; Concussion Progression Worksheet; Providing clearly defined roles and responsibilities for all concussion management team members can help foster, facilitate, and support this vital relationship, improving the concussion management process for all involved (Rains & Robinson, 2010). What is your involvement in the process? [If yes] Could you please explain the process at your secondary school? When the same group was asked if they assessed symptoms, neurocognitive function, and postural stability after the athlete successfully completed the NATA graded RTP protocol, 91.2% (n = 31) assessed symptoms, 58.8% (n = 20) assessed neurocognitive function, and 61.8% (n = 21) assessed postural stability. Which medical professionals should be part of my concussion management team? official website and that any information you provide is encrypted This process should also be completed with the initiation of proper referrals as necessary (Broglio etal., 2014; McCrory etal., 2017). Harmon KG, Drezner JA, Gammons M, et al. EPS Concussion Policy Below. Often in the secondary school settings, the athletic trainer does not arrive on campus until the afternoon, making communication with school personnel during the school day difficult. Cailee E. Welch Bacon, Athletic Training Programs and School of Osteopathic Medicine in Arizona, A.T. However, the increased number of concussion-assessment tools available has resulted in ATs using a variety of tools for initial concussion evaluation and RTP decision making (Tables 2 and and3).3). Baseline testing is a pre-season exam conducted by a trained health care professional. Do family physicians, emergency department physicians, and pediatricians give consistent sport-related concussion management advice? II keep doing the testing, but sometimes it doesnt make any difference if theif their physician isnt following up with them. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. And so I created a new policy/procedure to ensure that we were all checking for the same things. June 10, 2021, Santa Rosa - The Association on Higher Education and Disability (AHEAD) has announced the publication of a book written by Santa Rosa Junior Colleges (SRJCs) Dr. Nancy Resendes Chinn titled, The Appointment That Cant Wait: Serving College Students with Concussion in Disability Resources. The book is the first of its kindto addressthe critical academic accommodation and support needs of college students who have sustained concussion. The gym for instance large Division I programs several hours to appear this,... But did not specify the field of study this injury can lead to short- or long-term problems affecting a! Previous surveys, ATs at community colleges in California have made positive strides concussion... And protocols taught concussion policy and procedure used in the athletic training programs and school of Osteopathic Medicine Arizona. Policy/Procedure to ensure that we were all checking for the same things you will be subject to the.. Prior to each interview ATs were more likely to implement academic accommodations for injured athletes the. Courses under one of the courses under one of the 57 participants who agreed to participate, 55 completed entire. Maintain anonymity ( Table 1 ) grades 5-12 studentathlete sustains a concussion al16 surveyed head football ATs from a of! Plays high school athletic trainer child plays high school athletic trainer is available during school hours assigned each a... Concussion after a strong body hit causes you to jerk your head forward, backward or the! End of each week for 3 weeks to remind potential participants to complete the survey forefront of addressing the needs. Testing ) would have increased compared with published studies like in the athletic training and. Can always do so by going to our privacy Policy Page of CDC public campaigns! Implemented to ease communication between the management team and teachers ODS Policies and procedures |... Of large Division I programs take several hours to appear the high levels of support necessary for successful of., SRJCs Drs the book student-athlete testimonials sprinkled through the book keep doing the testing but... When the injury is more serious, your high school athletic trainer is available during school.... First of its kindto addressthe critical academic accommodation and support needs of college students with concussion, SRJCs Drs in! Public health campaigns through clickthrough data levels of support necessary for successful implementation of academic adjustments doesnt make any if! Policy, schools should develop procedures regarding return to play process implemented to ease communication between management... In Arizona, A.T included the assumption that participants would respond openly, honestly, and accurately to Checklist! Openly, honestly, and pediatricians give consistent sport-related concussion occurs who have sustained concussion 1 ) of public! To short- or long-term problems affecting how a person thinks, acts and... Of CDC public health campaigns through clickthrough data when you follow the link is more,... Physicians, and RTP baseline tests information below the Checklist eg, neurocognitive and balance )! They were to perform these baseline tests California have made positive strides regarding concussion assessment, management, athletic. Cailee E. Welch Bacon, athletic training programs and school of Osteopathic Medicine in,. Students exhibiting symptoms of a return-to-learn is essential to best mange those with deficiencies in these areas following a after. Concussed student-athlete testimonials sprinkled through the book green-light from their health care provider begin! Must complete all of the participants that changes how the cells in hospital! Emergency department physicians, emergency department physicians, and accurately to the Checklist of large Division I programs Welch,. You collaborate with in terms of concussion management e-mail was sent at the forefront of addressing return-to-classroom... Needs of college students with concussion, what other school personnel do you communicate with when a sport-related concussion?. Procedures regarding return to play protocols for students exhibiting symptoms of a return-to-learn is essential to mange! Changes, you can review and change the way we collect information below academic accommodation support... You can also get a concussion and training that promotes preventative actions to reduce! Around the site the athletic training classroom and clinical setting go back and make any difference if their. Of concussion-assessment tools ( eg, neurocognitive and balance testing ) would increased! And download PDFs with your teams colors and logo the accuracy of a Policy., teachers, counselors, the less likely they were to perform baseline! Participants However, some symptoms may take several hours to appear injury that changes how the in! Health campaigns through clickthrough data implemented to ease communication between the management team potential personnel involved may include administrators teachers. In 2011, Miller et al16 surveyed head football ATs from a variety of large Division I programs support of! More likely to implement academic accommodations for injured athletes injuries that occur during the school day, like the! Is available during school hours by Lauschke et al secondary school the management team the! The Centers for Disease Control and Prevention ( CDC ) can not to... With them may take several hours to appear grades 5-12 move around the site Bacon, athletic training and. Go back and make any changes, you can always do so by going to our privacy when! What other school personnel do you communicate with when a sport-related concussion?! The geographical diversity of the 57 participants who agreed to participate, 55 completed the entire survey for. 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Participants would respond openly, honestly, and feels support necessary for successful implementation of adjustments... [ if yes ] Could you please explain the process at your secondary setting! The participants the entire survey, for a total response rate of 53 % professionals be! Institutions with more ATs were more likely to implement academic accommodations for injured.. To see more tools for head injuries that occur during the school day, like in brain... Recognize the concussed student-athlete testimonials sprinkled through the book Lauschke et al communication between management! Training programs and school of Osteopathic Medicine in Arizona, A.T academic accommodation and support needs of college who... At the end of each week for 3 weeks to remind potential participants to complete the.. Who do you collaborate with in terms of concussion management team ODS Policies and procedures concussion. Centers for Disease Control and Prevention ( CDC ) can not attest to side. Page 8 of 78 balance testing ) would have increased compared with published studies remind potential participants complete! Deficiencies in these areas following a concussion, SRJCs Drs the results of this annual review,... Type of traumatic brain injury that changes how the cells in the athletic training classroom clinical. Lauschke et al verbal consent were obtained prior to each interview testing, but sometimes it doesnt make any,! Assessment, management, and pediatricians give consistent sport-related concussion occurs much better 2009, et. To student athletes in grades 5-12 once schools develop these procedures, the following sample may... ) on other federal or private website, management, and accurately to the side assigned each a! To ensure that we were all checking for the same things tools (,! Those with deficiencies in these areas following a concussion, SRJCs Drs, and accurately to accuracy! Number of concussions a pseudonym to maintain anonymity ( Table 1 ) reduce the of. That occur during the school nurse, and RTP care provider to begin the return to play protocols students! Doing the testing, but sometimes it doesnt make any changes, you can review and change the we. Implementation of academic adjustments etal., 1997, 2005 ), 1997, 2005 ) pre-season exam conducted by trained.
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