Athletic Trainer Operating Procedures

  • Cherry Hill East of New Jersey will provide:

    • Full time sports coverage of sports and practices to ensure safety of all student-athletes.
    • A learning community that promotes diversity and views teaching as the school’s primary focus.
    • Leadership and service in the educational, cultural and economic development of the region.

    Hours of Operation

    The athletic training room will open up Monday thru Friday from 12:30 until the last practice or game has ended. The room will also be open on Saturdays one hour prior to any practice or event. The room will be closed when the athletic trainer is not present because they are at practices or are covering games.

    A sign will be posted on the door notifying athletes that the athletic trainer is away and will state how the athletic trainer may be reached.

    Rules of the Athletic Training Room

    1) Report all injuries and illnesses to the training room

    2) Do not operate any equipment in the athletic training room.

    3) Do not wear cleats or spikes or bring playing equipment in the athletic training room.

    4) Do not remove supplies from the athletic training room without permission.

    5) The athletic training room is not a lounge.

    6) The student-athlete should allow time prior to practice for treatments, rehabilitation, and taping. The athletic trainer will not be responsible for the student-athlete being tardy to practice due to treatment in the athletic training room.

    7) All student-athletes will provide a detailed medical history of the incurred injury

    8) All student-athletes must receive a physical examination before they are allowed to participate in sport. A record of this exam must be on file with the school nurse prior to participation in practices or games.

    9) Any changes in medical history or ability to participate should be reported to the athletic trainer and school nurse.

    10) The student-athlete's personal insurance is the primary provider for all injuries and illnesses. If the injury is directly related to the high school, Cherry Hill East is the secondary provider. The Cherry Hill East policy does not cover pre-existing injuries or non-athletic injuries.

    11) The team physician, school nurse, and athletic trainer have the final authority to restrict a student-athlete from participation for medical reasons.

    12) The athletic trainer is here to serve the student-athlete. We will treat the student-athlete in a professional manner and expect the same.

    Practice Coverage and Criteria

    All in-season sports will be issued a medical kit containing:

    • Assorted gauze pads
    • 1.5” tape
    • 2” tape
    • 1.5” stretch tape
    • Tuf- skin
    • Cinder suds
    • Prewrap
    • Instant cold pack
    • Gloves
    • Assortment of band aids
    • Arm Sling
    • Scissors

    Should any items be used in the medical kit, it is the responsibility of the head coach to inform the athletic trainer as to the supplies needed to ensure the kit is filled properly.

    All in-season sports will also be issued water bottles, a container for ice, and a cooler for ice water. It is the responsibility of the head coach to give the athletic trainer a schedule of practice times and game times so that the appropriate water and medical supplies can be set up for the event.

    In the event of an injury, the athletic trainer should be contacted by cell phone. The main number to reach the athletic trainer, Scott Hatch, is (973) 271-5163. If there is an emergency, dial 911, then call the athletic trainer.

    Emergency Response Plan

    This emergency response plan should be followed for any athlete that is

    • Unconscious
    • Bleeding severely
    • Suffering from a severe fracture or has an obvious deformity
    • Not Breathing
    • Experiencing a seizure
    • Suffering from a head or neck injury

    The athlete will report the injury to the athletic trainer. If the athletic trainer is not present, the injured athlete will notify the coach who will call 911 and proceed as trained. They will then call the athletic trainer who will notify the school administrator and complete the necessary reports.

    If the athletic trainer is present, they will evaluate the injury, provide treatment and call 911. Once the emergency is under control the athletic trainer will call the parents, notify the school administrator and complete the necessary reports.

    Home Event Coverage

    Water and ice shall be provided for the home teams participating in an event. The athletic trainer will provide coverage to the sport with the highest incidence of injury, mainly contact sports. If the athletic trainer is not present at an event and there is an injury, the athletic trainer should be contacted.

    Field set-up responsibilities will be discussed prior to games and will include the athletic trainer and head coach.

    Away Event Coverage

    The athletic trainer will not be at away games unless there are no practices or games at Cherry Hill East. During the football season, the athletic trainer will attend away games once the other home games and practices have concluded.

    There will be reciprocal coverage, an agreement to assist other teams not traveling with an athletic trainer, at all home Cherry Hill East games. This includes, but is not limited to, taping, triage, evaluations, and care and management of any injury incurred during the games.

    Injury Documentation Procedures

    Injury reports will be filled out by the athletic trainer and will include information such as the player’s name, age, address, and phone number. The report will also give a description of the accident, what activity was being played, the immediate action taken, if insurance is necessary, the first aid applied, and the instructions given to the athlete. A copy of this report will be given to the nurse, principal, and the director of health services.

    Prior to any treatment in the athletic training room, the athlete must sign in and write their name, the date and time, their injury, what side their injury is on, and the treatment they will be receiving.

    A daily report will be sent to the coaches either verbally or through written documentation as to which players are injured. They will also be notified as to who may participate in practices and games and who must rest due to an injury.

    Environmental Policy

    In the event of thunder or lightning, play will be suspended immediately. Athletes, coaches, and referees should find coverage inside a building until no thunder or lightning has struck for a minimum of thirty minutes. Each time thunder is heard or lightning is seen the thirty minute clock must be reset.

    Heat Index/ High Humidity

    During summer and early fall and late spring, high temperatures and high humidity are present. It is important that we make ourselves aware of the dangers of this situation to prevent heat exhaustion and/illness. Daily measurements via thermometer are taken before each practice during periods of extreme heat and humidity.

    1. If temperatures range from 80 degrees to 90 degrees, fatigue is possible with prolonged exposure.

    2. Between 90 and 105 degrees, sunstroke, heat cramps, and heat exhaustion are possible.

    3.When heat index climbs to 105 to 130 degrees sunstroke, heat cramps, and heat exhaustion are likely and heat stroke is possible with prolonged exposure.

    4. At 130 degrees or higher sunstroke or heatstroke are highly likely with continued exposure to sun.

    5. If heat index reaches 105 and 130 extreme caution must be taken and practice(s) may be postponed to a cooler part of day (6-10 AM, or 4-7 PM ).

    Heat Chart

    Concussion Guidelines

    A player who suffers a concussion should not return to play or practice on the same day if any of the following symptoms or signs is identified based on the initial medical evaluation of the player:

    • Loss of consciousness
    • Confusion as evidenced by disorientation to person, time or place; inability to respond appropriately to questions; or inability to remember assignments or plays
    • Amnesia as evidenced by a gap in memory for events occurring just prior to the injury; inability to learn and retain new information; or a gap in memory for events that occurred after the injury
    • Abnormal neurological examination, such as abnormal pupillary response, persistent dizziness or vertigo, or abnormal balance on sideline testing.
    • New and persistent headache, particularly if accompanied by photosensitivity, nausea, vomiting or dizziness
    • Any other persistent signs or symptoms of concussion

    The athlete should be transported to an emergency facility for ANY increase in intensity or frequency of the above listed conditions. The athlete’s condition should be checked every hour for four hours, then every two hours for the next eight hours.

    NO aspirin, ibuprofen (Advil) or any other anti-inflammatory medications should be taken until 48 hours after the injury. Only clear liquids should be consumed for four hours after the injury, and then the diet may be progressed as tolerated.

    For an athlete to return to play or practice, they must have a note from a doctor stating that they are concussion and symptom free.

    The following guidelines will be implemented once the athlete has been cleared by a doctor:

     

    Rehabilitation Stage Functional Exercise at Each Stage of Rehabilitation Objective of Each Stage
    1) No Activity Complete Physical and Cognitive Rest Recovery
    2) Light Aerobic Exercise Walking, Swimming, or Cycling
    • Keeping intensity to <70% of maximum predicted heart rate
    • No resistance training
    Increase Heart Rate
    3) Sport-Specific Exercise Running drills in Soccer, cutting drills in Football
    • No head-impact activities
    Add Movement
    4) Non-Contact Training Drills Progression to more complex training drills, ex:
    • Passing drills in football and ice hockey
    • May start progressive resistance training
    Exercise, Coordination, and Cognitive Load
    5) Full-Contact Practice Following medical clearance, participate in normal training activities Restore athlete's confidence
    Staff assesses functional skills
    6) Return to Play Normal game play  

     

    Recommendations as per NATA Position Statement: Management of Sport-Related Concussion, 2004 and Consensus Statement on Concussions in Sport: the 3rd International Conference on Concussion in Sport Held in Zurich, November 2008. Written by Scott Hatch