University of Nebraska - Kearney Athletics

   



Table of Contents:                                                                        Pgs.
 
          Mission Statement                                                                      1
 
          UNK Sports Medicine Team
                      Members/Job Descriptions
                        Sports Medicine Personnel
                        Organizational Chart
                        NATA Job Description Standards
                        ATC Standing Orders
 
            Administration
                   Medical Records
                        Confidentiality
                        Notification of Serious Injury/Athlete Death
                        Pre-Season Screenings/Physicals
                        Clearance to Participate in Varsity Athletics
                        Insurance Requirements/Coverage
                        Medical Fee
                        UNK Substance Abuse Program
                        Athletic Training Room Rules
 
            Medical Coverage Guidelines for UNK Varsity/Special Events
         
 
          Emergency Action Plans/Emergency Management
 
          Non-Emergency Injury Management Guidelines
 
          Special Medical Conditions/Considerations
 
          Appendix
 
 
   
The University of Nebraska at Kearney Sports Medicine department exists to deliver traditional Athletic Training and Sports Medicine services to the student-athletes participating in 18 varsity sports at UNK. These services are supervised by Medical Director Bradley D. Rodgers, and functions through the Department of Intercollegiate Athletics.
 
Primary services provided include:

1. Prevention
2. Injury Recognition, Assessment, and Evaluation
3. Immediate Injury Care & Management (Emergency/Non-Emergency)
4. Injury Rehabilitation
5. Direction/Supervision of additional medical services not specifically provided by the University.

 
MISSION STATEMENT: It is the mission of the UNK Sports Medicine team to provide the highest quality medical care for the student athletes of UNK. We are committed to treating each athlete individually with integrity and sound judgment in order that they may achieve the highest levels of success personally, academically, and athletically.
 
Whenever possible, the UNK Sports Medicine staff will strive to integrate education regarding athletic injuries for the Student-Athlete, so they can be empowered to lead healthier, injury-free lifestyles. In addition, the Sports Medicine department will provide and coordinate educational and counseling programs, for coaches and student-athletes, which reflect a holistic approach to current medical and athletic trends.
 
PROGRAM PURPOSE:
The purpose of the UNK Sports Medicine program is three fold:

1. To substantially reduce the risk of athletic related injuries sustained by the Student-Athletes at UNK.
2. To enable injured athletes to return to their sport as quickly and safely as possible.
3. To encourage and develop a safe and professional environment based on relationships and individualized care, which focuses on the needs of the Student-Athlete as a person and as a competitive athlete.

 
PROGRAM PHILOSOPHY:  
The UNK Sports Medicine program is wholly committed to the needs of the Student-Athlete. We are focused on developing and maintaining professional relationships with the UNK Student-Athletes in order to best understand them as people and to most efficiently meet their needs. We are committed to meet any and all needs of the Student-Athlete in a timely manner in order to establish proper delivery of individualized care for each Student-Athlete.
 
We expect that the Athletic Trainer(s) who will be providing these services will ALWAYS maintain the highest standards of personal and professional ethics. We are committed to providing care which is consistent with the National Athletic Trainer’s Association (NATA) Code of Professional Practice and the Licensing Statutes of the State of Nebraska.
 

 
We are committed to ongoing evaluation of our Sports Medicine program so that the UNK coaches and student-athletes can be assured of the highest quality sports medicine care. Furthermore, we are committed to using whatever technology is available and affordable in the delivery of the primary services. We will remain committed to continuously upgrading of equipment and professional expertise in order to provide the highest quality care in the region.
 
The University of Nebraska at Kearney Sports Medicine Program aspires to be a program of recognized excellence. It is our intention to support the program with human and financial resources necessary to accomplish the stated goals of the program. It is our desire to establish the University of Nebraska at Kearney Sports Medicine Program as the primary and most outstanding program for the delivery of sports medicine services amongst NCAA Division II institutions, and within the Mid-America Intercollegiate Athletics Association (MIAA).
 
 

  UNK SPORTS MEDICINE BRANCH
To better serve the student athlete at the University of Nebraska at Kearney, the Sports Medicine staff is a part of the UNK Sports Medicine Team. The UNK Sports Medicine team is wholly committed to the needs of the Student-Athlete. We are focused on developing and maintaining professional relationships with the UNK Student-Athletes in order to best understand them as people and to most efficiently meet their needs. We are committed to meet any and all needs of the Student-Athlete in a timely manner in order to establish proper delivery of individualized care for each Student-Athlete.
The team physician is the Medical Director of this organization and the Certified Athletic Trainers serve to coordinate the group.
 
 
MEMBERS
 
1. MEDICAL DIRECTOR/ TEAM PHYSICIAN: Bradley D. Rodgers, M.D.
Qualifications include:
            * Licensed general family practitioner by the State of Nebraska.
            * Interested in Athletic Training, Sports Medicine & UNK athletics.
            * Fellowship trained in Sports Medicine
 
Responsibilities include:

• Act as medical advisor to the athletic training staff regarding the prevention, care and rehabilitation of athletic injuries; specializing in general illness and general medical concerns
• Aid in the coordination and participate in team health appraisals/physical examinations with the assistance of the athletic training staff.
• Make recommendations regarding the physical fitness and health of athlete(s) who wish to participate in University Of Nebraska at Kearney’s athletic program
  • ** The team physician has the final authority to declare limitations and disqualifications following review of the athlete’s med history/ physical exam.
• Examine referred injured/ ill athletes, assess the severity of the injury and prescribe treatment/ management which will be supervised by the athletic training staff.
• As necessary, refer athletes to appropriate medical specialists.
• Advise athletic training staff as to the status of an injured athlete and whether that athlete may return to practice or re-enter competition.
• Personal attendance may be requested to home athletic events in which the injury hazard is high or requested by the MIAA or NCAA.
• Required to be in attendance (sideline) at all home Football games, or designate a substitute.
• Arrange for and maintain an emergency referral system to assure twenty-four (24) hour availability of comprehensive health care for athletes.
• Work closely with the school administrators, the athletic training staff, and the coaches to promote and maintain consistently high standards of care for those participating in athletics.
• Respond to questions from coaches, athletic trainers, athletes or parents regarding conditioning, exercise, nutrition, protective equipment and other related matters.
• Provide supervision, direction and instruction for the University of Nebraska at Kearney undergraduate athletic training education program and the students enrolled.

 
 
2. ORTHOPEDIC TEAM PHYSICIAN: Nolan May, M.D.
Qualifications include:
            Board Certified Orthopedic Surgeon

• University of Nebraska Medical Center
  Omaha, Nebraska
• Nebraska Health Foundation General Surgery Residency
  Omaha, Nebraska
• Nebraska Health Foundation Orthopedic Surgery and Rehabilitation Residency
  Omaha, Nebraska
• Southern California Orthopedic Institute
  Van Nuys, California
• Team Physician, University of Nebraska at Kearney, Tri-City Storm Professional Hockey Club
  Fifty Regional High Schools

American Orthopedic Society for Sports Medicine (AOSSM)
Arthroscopy Association of North America (AANA)
American Academy of Orthopedic Surgeons (AAOS) - Resident/Fellow Member
 
Responsibilities include:

• Act as medical advisor to the athletic training staff regarding the prevention, care and rehabilitation of orthopedic athletic injuries; specializing in orthopedic injuries.
• Assist with team pre-participation health screens and orthopedic examinations.
• Make recommendations regarding the physical fitness and health of athlete(s) who wish to participate in University of Nebraska at Kearney’s athletic program.

** The team physician has the final authority to declare limitations and disqualifications following review of the athlete’s med history/ physical exam.

• Examine referred injured athletes, assess the severity of the injury and prescribe treatment/ management which will be supervised by the athletic training staff.
• Advise athletic training staff as to the status of an injured athlete and whether that athlete may return to practice or re-enter competition.
• Personal attendance may be requested to home athletic events in which the injury hazard is high or requested by the MIAA or NCAA.
• Required to be in attendance (sideline) at all home Football games, or designate a substitute.
• Arrange for and maintain an emergency referral system to assure twenty-four (24) hour availability of comprehensive health care for athletes.
• Work closely with the school administrators, the athletic training staff, and the coaches to promote and maintain consistently high standards of care for those participating in athletics.
• Respond to questions from coaches, athletic trainers, athletes or parents regarding conditioning, exercise, nutrition, protective equipment and other related matters.
• Provide supervision, direction and instruction for the University of Nebraska at Kearney undergraduate athletic training education program and the students enrolled.

 
3. MEDICAL and ALLIED HEALTH PERSONNEL
The UNK Sports Medicine Program incorporates a number of medical specialists within its athletic health care team. These individuals have specialties in the areas of physical medicine, orthopedics, neurology, cardiology, pediatrics, family practice, internal medicine, EENT specialists, optometry/ ophthalmology, dentistry/ orthodontics, physical therapy, occupational therapy and emergency medical personnel. These individuals are not only available in the instance of athletic injury, but also offer their time, expertise and support to the Athletic Training Education Program (ATEP) as clinical instructors and guest lecturers.
            Heber Crockett, MD: Orthopedic Surgeon, New West Sports Medicine
            James Mahalek, MD: Spinal Specialist, New West Sports Medicine
            Dave Huebner, MD: Trauma/Fracture Specialist, New West Sports Medicine
            John Klinginsmith, DC: Chiropractic Medicine
            Steve Bush, DDS: Dentist
 
The UNK Sports Medicine Program reaches out to several allied health facilities for assistance and support. Examples of such places include Kearney Clinic, New West Sports Medicine and Orthopedic Surgery, and Good Samaritan Hospital.
 
4. HEAD ATHLETIC TRAINER: Bill Murphy, MS, ATC, LAT
Qualifications include:
            *Employee of the University of Nebraska at Kearney/ Member of teaching faculty
            *Current certification by the National Athletic Trainers Association (NATA)
            *Licensed by the State of Nebraska
 
Responsibilities include:

• Work with and under the direction of the Team Physician(s) and UNK Athletic Director.
• Serve as a liaison with the medical community.
• Direct and supervise the daily operation of the UNK athletic training facility.
• Coordinate certified and student athletic training coverage for all team practices.

** In cooperation with the Director of the UNK ATEP

• Coordinate certified and student athletic training coverage for home and away team events.

** In cooperation with the Director of the UNK ATEP

• Take a proactive role in the prevention of injuries.
• Evaluate and administer first aid to the injured athletes.
• Coordinate referrals to medical services and maintain communication with medical staff as necessary.
• Administer therapeutic modalities under the policies approved by the UNK Sports Medicine Branch
• Administer and supervise the rehabilitation programs for the athletes.
• Assist with the documentation and administration of athlete’s records and ensure staff compliance of such.
• Assist athletic administrative staff (insurance and compliance) with the maintenance of required records and medical documents.
• Maintain inventory of athletic training equipment/ supplies and be responsible for athletic training budget, bids, and ordering.
• Provide maintenance and repair for athletic training equipment and provide appropriate documentation.
• Annual evaluation of athletic training program and coordination of Sports Medicine Branch Meeting.
• Coordinate adult CPR certification and blood-borne pathogen education for coaches and athletic department staff.
• Supervise graduate and undergraduate student athletic trainers.

** Assist with student athletic trainer clinical and field evaluation.

• Instruct courses within the HPERLS Department as assigned by the HPERLS Chair.

 
5. ASSISTANT ATHLETIC TRAINER/R EHABILITATION COORDINATOR:
 Roy Stutz, M.S., ATC, LAT, PES, CES
 
Qualifications include:
            *Employee of New West Sports Medicine and Orthopedic Surgery assigned to UNK
            *Current certification by the National Athletic Trainers Association (NATA)
            *Licensed by the State of Nebraska
Responsibilities include:

• Work with and under the direction of the UNK Team Physician(s) and Head Athletic Trainer.
• Serve as a liaison with the medical community.
• Assist with the supervision of the daily operation of the UNK athletic training facility.
• Direct, Coordinate, Supervise all Student-Athlete rehabilitation programs
• Serve as liaison between UNK Sports Medicine and New West Physical Therapy
• Assume Head Athletic Trainer responsibilities in his absence.
• Take a proactive role in the prevention of injuries.

** Specifically assigned to the UNK Football and Wrestling teams

• Evaluate and administer first aid to the injured athletes.
• Coordinate referrals to medical services and maintain communication with medical staff.
• Administer therapeutic modalities under the policies approved by the UNK SMB.
• Administer and supervise the rehabilitation programs for the athletes.
• Assist with the documentation and administration of athlete’s records.
• Assist with maintenance of athletic training equipment/ supplies, inventory and assist with bids, and ordering.
• Direct and administer the UNK Substance Abuse Policy and coordinate substance testing.
• Develop and coordinate wellness education programs for the student-athletes to be held at

least once each semester.

• Supervise graduate and undergraduate student athletic trainers.

** Assist with student athletic trainer clinical and field evaluation.

• Provide clinical education instruction to undergraduate student athletic trainers as

assigned by the HPERLS Department.
 
6. ASSISTANT ATHLETIC TRAINER: Whitney Ryan, M.S., ATC, LAT
 
Qualifications include:
            *Employee of the University of Nebraska at Kearney
            *Current certification by the National Athletic Trainers Association (NATA)
            *Licensed by the State of Nebraska
Responsibilities include:

• Work with and under the direction of the UNK Team Physician(s) and Head Athletic Trainer.
• Serve as a liaison with the medical community.
• Assist with the supervision of the daily operation of the UNK athletic training facility.
• Assume Head Athletic Trainer responsibilities in his absence.
• Take a proactive role in the prevention of injuries.

** Specifically assigned to the UNK Women’s Soccer and Basketball teams.

• Evaluate and administer first aid to the injured athletes.
• Coordinate referrals to medical services and maintain communication with medical staff.
• Administer therapeutic modalities under the policies approved by the UNK SMB.
• Administer and supervise the rehabilitation programs for the athletes.
• Assist with the documentation and administration of athlete’s records.
• Assist with maintenance of athletic training equipment/ supplies, inventory and assist with bids, and ordering.
• Maintain inventory of expendable supplies
• Supervise graduate and undergraduate student athletic trainers.

** Assist with student athletic trainer clinical and field evaluation.

• Provide clinical education instruction to undergraduate student athletic trainers as

assigned by the HPERLS Department.
 
7.  OUTREACH ATHLETIC TRAINER: Doug Cooper, ATC, LAT
 
Qualifications include:
*Current certification by the National Athletic Trainers Association (NATA)
            *Licensed by the State of Nebraska
            *Employed by New West Physical Therapy
Responsibilities include:

• Assist in ATR coverage multiple afternoons per week after fulfilling outreach responsibilities
• Serve as Clinical Preceptor within the UNK ATEP
• Assist Graduate Assistant with XC and M/W Track and Field coverage throughout the entire academic season
• Serve as primary Athletic Trainer for UNK M/W Tennis team, to include post season travel, travel to local events hosted in Grand Island, NE, as well as cover local practices held at the Harmon Park courts or at the Grand Island indoor facility.
• Assist in maintaining all treatment and injury records within the UNK Sportware system for all UNK athletes.
• Assist in Non-Championship season event coverage for Baseball and Softball.
• Assist in travel with Men’s and/or Women’s Basketball during winter pre-season events
• Report directly to UNK Sports Medicine staff and team physicians for all matters relating to UNK athlete injuries and concerns.
• Any and all additional duties as assigned by the UNK Head ATC or UNK staff member

 
8. ATEP DIRECTOR/ ATHLETIC TRAINER: Scott Unruh, Ph.D., ATC, LAT
 
Qualifications include:
            *Employee of the University of Nebraska at Kearney/ Member of graduate faculty
            *Current certification by the National Athletic Trainers Association (NATA)
            *Licensed by the State of Nebraska
Responsibilities include:

• Administrate and oversee the entire UNK Athletic Training Education Program (ATEP).
• Serve as Chair of the UNK-ATEP Committee.

** Present for approval all aspects of the program to the UNK-ATEP Committee

• Represent the UNK-ATEP to the HPERLS Dept. Chair.
• Manage and maintain CAATE accreditation through the NATA JRC-AT.
• Ensure that academic excellence is pursued in all aspects of the UNK-ATEP.
• Establish and maintain official agreements with all off-campus clinical sites.
• Review all didactic and clinical education competencies associated with the ATEP.
• Provide for Certificates of Added Qualification (CAQ) for each clinical educator within the UNK-ATEP.
• Provide instruction of didactic and clinical education components as determined by the HPERLS Chair.

** Instruct nine (9) credit hours per semester as graduate faculty

• Academic advising of UNK-ATEP students.
• Conduct professional research in the athletic training domain.
• Serve on various HPERLS Dept. and University committees.
• Assist with athletic training services within the Dept. of UNK Intercollegiate Athletics

 
 
 
 
9. CLINICAL COORDINATOR: Kathy English, MS, ATC, LAT
 
Qualifications include:
            * Employee of the University of Nebraska at Kearney/ Member of teaching
               faculty
            * Current certification by the National Athletic Trainers Association (NATA)
            * Licensed by the State of Nebraska
Responsibilities include:

• Coordinate the clinical education and field experiences of student athletic trainers with the assistance of the Head Athletic Trainer.
• Instruct athletic training curriculum as assigned within the Department of HPERLS.
• Advise HPERLS/ athletic training students.
• Assist with instruction, supervision and evaluation of clinical education experiences of undergraduate student athletic trainers.

• Assist the UNK AT Program Director with the development, administration and application of the CAATE ATEP accreditation effort.

• Coordinate the documentation of undergraduate student athletic trainer progress and competencies to include but not limited to:

** Portfolio development
** Computer tracking of successful course completion and GPA; communicate with       academic advisors
** Sport field experience assignments
** Student athletic trainer time log
** Student athletic trainer evaluations 

• Responsible for adult CPR and blood-borne pathogen education of student athletic trainers, coaches, HPERLS and athletic department staffs.

 
10. ATEP FACULTY MEMBER: Kazuma Akehi, Ph.D., ATC, LAT
ASSISTANT PROFESSOR – ATHLETIC TRAINING EDUCATION PROGRAM
Program of Excellence funded position
 
Qualifications include:
            * Terminal Degree in Athletic Training or Related Field.
* Certification through the Board Of Certification.
* License to practice athletic training within the state of Nebraska.
* Record of Teaching, Research and Service within the academic setting.
 
Responsibilities include:

• Instruct athletic training curriculum as assigned within the KSS Dept.
• Advise athletic training students.
• Assist with instruction, supervision and evaluation of clinical education experiences of undergraduate athletic training students.
• Assist the UNK AT Program Director with the development, administration and application of the CAATE accreditation effort.
• Provide leadership linking didactic content with clinical practice within the clinical
• field setting.
• Assist in the documentation of undergraduate athletic training student progress and competencies to include but not limited to:

5. Field Setting assignments
5. ATS time log
5. ATS evaluations
5. Evaluations of on-campus preceptors

• Work with and under the supervision of the Medical Director and physicians and follow the policies set forth by the UNK Sports Medicine Branch.
• Work cooperatively with UNK staff certified athletic trainers in regards to athletic training facility and event/ activity health student assignments.

• Accurately complete the appropriate documentation, recording and filing of athlete health records.

• Assist with Blood-borne pathogen education for athletic training students.

• Assist with professional rescuer CPR and AED certification for students.

• Serve on various KSS Dept. and University committees.
• Active membership and participation in professional organizations.
• Provide mentorship with scholarly research (Graduate/ Undergraduate)
• Assist with providing innovative curriculum development/ design  (i.e. technology implementation, etc.)

 
11. GRADUATE ASSISTANT ATHLETIC TRAINERS:
Graduate Assistant athletic trainers will receive assignments according to the yearly needs of the athletic training program. GA’s are expected to play an active role as a member of the athletic training staff.
 
Qualifications include:
            * Certified by the National Athletic Trainers Association (or certification pending)
            * Actively pursuing completion of a Master’s Degree within the Department of HPERLS                at the University of Nebraska at Kearney.
Responsibilities include:

• Maintain a high degree of professionalism toward the University and athletic training.
• Assist in the daily operations of the athletic training facility as assigned by the certified athletic training staff.
• Assist with medical coverage, evaluation, treatment planning, rehabilitation, of UNK Student-Athlete under the direction and supervision of the full time ATC staff.
• Coordinate matters regarding the assigned sport responsibilities.
• Responsible for medical documentation and follow-up of the assigned sports.
• Assist with the supervision and evaluation of student athletic trainers.
• Assist with instructional assignments of the certified staff as directed.

 
12. UNDERGRADUATE ATHLETIC TRAINING STUDENTS:
Qualifications include:
            * Formal acceptance into the athletic training program.
            * CPR certified and current.
            * Further qualifications and responsibilities of the Athletic Training Students are detailed                              in the UNK ATEP Handbook.
 
Responsibilities include:

• Maintain a high degree of professionalism toward the University and athletic training.
• Assist in the daily operations of the athletic training facility as assigned by their Field Setting Supervisor.

• ATS are assigned to a Field Setting Supervisor and will be responsible for the daily coverage of practices, home and away events with ACI supervision. Through their clinical education and field experiences, Athletic Training Students are a valuable resource to the athletic training program as they function within their clinical limitations. These students have a good sports injury background, a genuine interest in sports and they care for the athletes. Through the athletic training education program, we attempt to ensure the competency of our ATS, but please keep in mind that they are students.
• Seek opportunities to enhance his/her athletic training knowledge and clinical skills. 

 
 
To better serve the student athlete at the University of Nebraska at Kearney, the Sports Medicine staff is a part of the UNK Sports Medicine Team. The UNK Sports Medicine team is wholly committed to the needs of the Student-Athlete. We are focused on developing and maintaining professional relationships with the UNK Student-Athletes in order to best understand them as people and to most efficiently meet their needs. We are committed to meet any and all needs of the Student-Athlete in a timely manner in order to establish proper delivery of individualized care for each Student-Athlete. The team physician is the Director of the organization and the Certified Athletic Trainers serve to coordinate this group.
 
MEMBERS:
Dr. Bradley D. Rodgers, M.D.                                                            Director, Team Physician
Dr. Nolan May, M.D.                                                                         Team Orthopedic Physician
Paul Plinski, PH.D                                                                              Director of Athletics
Bill Murphy, ATC                                                                              Head Athletic Trainer
Roy Stutz, ATC                                          Assistant Athletic Trainer/Rehabilitation Coordinator
Whitney Ryan, ATC                                                                           Assistant Athletic Trainer
Doug Cooper, ATC                                                                            Contract Athletic Trainer
Scott Unruh, ATC                                                                               ATEP Director
Kathy English, ATC                                                                           ATEP Clinical Coordinator
Kazuma Akehi                                                                                    ATEP Faculty Member
Phil Noah                                                                                            Equipment Manager
Graduate Assistant Athletic Trainers                                                  Associate Members
Athletic Training Students                                                                 Associate Members
 
MEDICAL CONSULTANTS:
Dr. Heber C. Crockett, M.D.                                                              Orthopedics
Dr. James Mahalek, M.D.                                                                   Orthopedics/Spine
Dr. James Huebner, M.D.                                                                   Orthopedics/Trauma
Dr. Nick Mansuetta, M.D.                                                                  Orthopedics/Wrist & Hand
Dr. Patrick Harrison M.D.                                                                  Orthopedics/Hip & Knee
Dr. Steven Bush, D.D.S,                                                                     Dental
Dr. John Klinginsmith, D.C.                                                              Chiropractic Medicine
Bill Weed, DPT                                                                                  Physical Therapy - New West
Terry Nitch, ATC, PT.A                                                                     Physical Therapy - New West
 
 
 
   
Please Type or Print
 
Athletic Trainers Name: ________________________________________
 
NE Licensure Number: __________________________________Date: __08/ 2007__________
 
ATHLETIC TRAINER Signature: _________________________________________________
 
“Under my supervision and based on the competencies identified by the National Athletic Trainers' Association Board of Certification, the above designated Athletic Trainer will have the authority to act in my behalf and provide the following athletic training services to the athletes under their care.”
 
YES NO           1. Perform evaluations, emergency care, and transportation.
 
YES NO           2. Perform the application of preventative and protective measures designed to prevent
                        injuries or protect existing injuries including taping, padding, bandaging, dressing
                        skin wounds, and splinting.
 
YES NO           3. Initiate standard treatment procedures of applying cold, compression, elevation, and
                        rest to injured body parts.
 
YES NO           4. Application to cryotherapy such as cold/ice packs, cold water immersion, ice
                        massage and spray coolants.
 
YES NO           5. Application of thermotherapy such as topical analgesics, moist hot packs, heating
                        pads, infrared red heat, paraffin bath.
 
YES NO           6. Application of hydrotherapy such as whirlpool and contrast bath.
 
YES NO           7. Application of additional clinical contemporary therapeutic modalities, including
                        patient preparation, set up, determination of dosage and treatment such as but not
                        limited to diathermy (shortwave, microwave), ultrasound and muscle stimulation.
 
YES NO           8. Application of therapeutic exercise common to athletic training such as stretching,
                        conditioning, strengthening, and muscle testing.
 
YES NO           9. Application of rehabilitation procedures for post-operative injuries and non-operative
                        injuries.
 
YES NO           10. Act as an advisor concerning diet, rest, hydration, hygiene, sanitation, injury/illness
                        prevention, and physical fitness development.
 
Supervising Physician: ____Bradley D. Rodgers, M.D.______ License No.: ________________
 
Title: _________SMB Director/ UNK Team Physician_________________________________
 
Address: ______Kearney Clinic; 211 W. 32nd St.; Kearney, NE 68848_____________________
 
PHYSICIAN Signature: ______________________________________Date: _________________

JOB DESCRIPTION AND STANDARDS
established by the
National Athletic Trainers Association (NATA)
 
The Certified Athletic Trainers’ of the University of Nebraska at Kearney, under the supervision of the University Team Physician and reporting to the Director of Athletics and Head of the Department of Physical Education, Recreation and Leisure Studies, are responsible for all aspects of health care in the athletic environment, to include, but not limited to, the five performance domains as outlined by the National Athletic Trainers Association.
 
(NOTE: A more detailed description of the domains of the athletic training profession and the Standards of Practice of Athletic Training can be found in the appendix.)
 
I. Prevention of Athletic Injuries
v Assist in the determination of an athlete’s physical readiness to participate through screening of medical history and physical information along with individual consultation and communication with the UNK Team Physician when deemed necessary.
v Perform necessary screening of strength, flexibility, joint stability tests and biomechanical demands as indicated.
v Assist with the fitting of appropriate specialized protective devices (i.e. knee braces, shoulder harnesses, neck rolls, etc.)
v Assist with the education of healthy and injured athletes. (i.e. alcohol and other drug abuse, performance anxiety, nutritional demands, etc.)
v Be familiar with the legal requirement and NCAA regulations of the medical aspects of sport.
II. Recognition, Evaluation, Immediate Care of Athletic Injuries
v Assist with the recognition of signs and symptoms of athletic injury and illness and identify underlying trauma.
v Assist with the recognition of psychological signs and symptoms of athletic injury and illness and arrange for auxiliary health care services.
v Administer immediate first aid care to the injured athlete and arrange for appropriate follow-up management.
v Planning, documentation and communication of injury management strategies with the necessary parties.
III. Rehabilitation and Reconditioning of Athletic Injuries
v Supervise ongoing evaluation of an athlete’s progress through various stages of rehabilitation.
v Recognize the musculoskeletal and cardiovascular demands placed on the injured athlete and adjust these appropriately to facilitate safe, rapid progression of healing.
v Planning, documentation and communication of appropriate rehabilitation strategies to the necessary parties.
v Recognize the psychological implications of injury.
IV. Health Care Administration
v Documentation of injury status and rehabilitation.
v Proper maintenance and documentation of records for the administration of health insurance for the injured athletes.
v Development of operational policies and procedures.
v Inventory, budgeting, bidding and stocking of items for general training room functioning.
v Scheduling of daily training room coverage by staff and student athletic trainers.
V. Professional Development and Responsibility
v Remains up-to-date with current athletic training and related skills, techniques, knowledge, research and trends.
v Development of interpersonal and communication skills.
v Knowledgeable of current standards of professional practice.
v Maintains on-going NATA certification by satisfying the requirements for obtaining Continuing Education Units (CEU’s).
v Maintains active license as administered by the State of Nebraska Department of Health.
 
VI. Graduate Assistant & Student Athletic Trainer Supervision
v Assures adequate supervision at the site of supervision by a certified athletic trainer who plans, directs, advises and evaluates the student’s athletic training experience.
v Ensures that the student athletic trainers perform their tasks in a manner consistent with the Standard of Practice of the Profession of Athletic Training.
 
 
   

1. Medical Information Administration:

1. Squad Lists

• It is the responsibility of the head coach to submit all current squad information to the Athletics Compliance office. This information must be maintained at all times by the head coach.
• The compliance office will communicate any and all changes to active and in-active athletes with the Sports Medicine department as the information becomes available.
• All information will be updated as required by the Office of Compliance.

 

2. Medical Information

• Accessing, maintaining, and securing medical records is the responsibility of the Sports Medicine staff.
• A hard copy of the medical history and physical form for each athlete will be on file in the sports medicine facility. Other medical records, such as injury records, treatment records, etc. will be maintained on a current computer program.
• Records will remain active as long as the student athlete is currently listed on an official squad list provided to the Office of Compliance.
• In-active records will be maintained for a period of two (2) years.
• Hard copy records that have remained in-active for two (2) years or longer will be destroyed by the University.
• Computer records will be kept for a period of seven (7) years.

 

3. Releasing Medical Information

• Based on current legal trends with HIPPA and FERPA legislation, no member of the UNK sports medicine staff will release medical information concerning any UNK athlete to any professional scouting agency, member of the media, or member of the general public
  • Prior to any information being release to any professional scouting agency, a release waiver must be signed by the athlete.
  • Prior communication and permission must be obtained by the athlete before any medical information can be shared with any professional agency or individual.

 

• In the event that an athlete has signed a medical release waiver, information may be provided by the team physician, or certified sports medicine staff member. Under no circumstance will an athletic training student be allowed to release ANY medical information, at any time.
  • A certified member of the sports medicine staff will properly document any release of medical information.

 

• PRESS RELEASES: Information regarding an athlete’s injury will be releases to the media ONLY through the office of Sports Information.
  • ONLY a certified member of the sports medicine staff will be allowed to discuss such injury information with the director of sports information, prior to any release to the media.
  • Any and all injury information released to the media must be brief and accurate.

 
 

4. Parental Notification of Injury

• A certified member of the UNK sports medicine staff will make notification of parents/guardians in the event of serious injury or illness. This notification will occur as soon after the immediate needs of the athlete have been managed, and a physician’s diagnosis has been made, so that accurate information can be communicated.
  • In the event of the absence of a certified member of the sports medicine staff, notification will be made by a member of the UNK Athletics Department staff (i.e. coach, athletics director, senior athletics staff member).

 

• No notification will be made for routine referrals for non-emergency situations. It is the responsibility of the student athlete to communicate any and all information with the parent/guardian.

 

5. Serious Injury/Athlete Death Notification

• In the event of catastrophic injury or accidental death, parental notification will be the responsibility of the UNK Director of Athletics and the attending physician.
  • In the absence of the Director of Athletics, a certified member of the sports medicine staff and the attending physician will be responsible for contacting parents/guardians.

 
II. Athlete Pre-Participation Requirements

1. Medical History Review and Consent Authorization Guidelines

• Forms requesting information pertaining to the student athlete’s medical history, emergency information, and waivers of consent must be filled out completely and return to the UNK sports medicine department prior to participation. This information is used to assist the sports medicine staff in understanding the health care needs of the athlete, and to better manage any and all medical needs of the individual athlete, and inform the athlete of any potential risks of sports participation.
  • These forms MUST be completed and signed by the athlete, (and parent if the athlete is under 19 years of age), prior to his/her participation in any athletic activity (i.e. team conditioning, weight training, practice, or competition).
  • Waivers of consent include: Acceptance of Risk, Permission for Medical Treatment, Release of Medical Information, NCAA & UNK Substance Testing Release, Sickle Cell Trait.
  • All forms can be obtained on the Sports Medicine page of the UNK web site (lopers.com) or through the Insurance Coordinator’s office in the UNK athletics department.

 

2. Pre-Participation Physical Guidelines

• MEDICAL EVALUATION: Following the NCAA Guidelines, a pre-participation medical evaluation is required upon initial entrance into the University of Nebraska at Kearney’s intercollegiate athletics program. The initial evaluation will include a comprehensive health history, immunization history, and a relevant physical exam, part of which should be an orthopedic evaluation conducted by a licensed physician. Subsequent to the initial medical evaluation, an updated medical history will be performed annually. Further pre-participation physical examination is not believed to be necessary, unless warranted by the updated medical history.
  • Any required follow-up general medical or orthopedic evaluation will be determined by a certified member of the UNK sports medicine staff.

 

• MEDICAL DISQUALIFICATION: In the event that a student athlete presents with a pathological or genetic condition that could potentially limit or disqualify them from participation in competitive athletics; the student athlete will be required to meet with a team physician and/or a certified member of the UNK sports medicine staff. The UNK sports medicine team reserves the right to limit or disqualify any student athlete from participation in athletics if there is concern for the long term health and well-being of the student athlete. If there is concern, the sports medicine team with confer with the athlete, coach, and parent/guardian regarding participation status. Confidentiality will ALWAYS remain a priority.
  • UNK recognizes the guidelines set forth by the NCAA regarding participation by special needs athletes. ** Refer to the current edition of the “NCAA Sports Medicine Handbook” for more information.

 

• WAIVERS: An athlete who presents with a known physical impairment, congenital anomaly and/or absence or non-function of one, of a set of paired organs, will be required by the sports medicine team to sign a waiver prior to being allowed to participate in any organized, varsity activity. This waiver is to increase awareness to the individual, his/her parent/guardian, and the UNK athletic department that the athlete is as risk if he/she participates in the intercollegiate athletics program. It is a statement that will be signed and dated by the athlete, his/her parent/guardian, team and/or attending physician, director of athletics, and the head athletic trainer. It will explain in detail that participation in intercollegiate athletics is a shared responsibility and bodily damage or death can occur. The use of any special equipment that would be required for participation and/or any physical limitations will be noted in detail as well.
  • FRESHMAN/TRANSFER/FIRST TIME UNK ATHLETE: Any athlete who presents with a previous history of significant orthopedic injury, MUST be cleared for participation by the UNK team physician through special examination. This examination is mandatory prior to participation and any and all charges (i.e. x-ray, MRI, etc) associated with this examination WILL BE the responsibility of the student athlete and their parent/guardian.
  • RETURNING UNK ATHLETE: Any returning UNK athlete will ONLY receive a general injury/illness screen at the discretion of the certified sports medicine staff. Any subsequent referral will also be at the discretion of the certified sports medicine staff.

 
III. INSURANCE COVERAGE

1. Policy

• Every athlete at UNK MUST show proof of current medical insurance coverage each year prior to participation in any varsity athletic activity. This information regarding an athlete’s personal insurance coverage must be on file with the UNK Athletics Insurance Coordinator and the UNK sports medicine department prior to being released to participation.
• The UNK athletic accident policy provides insurance coverage for varsity athletes who sustain injury ONLY while participating in UNK, sanctioned, varsity athletics activities. This coverage is “SECONDARY” to any other collectible group insurance benefits. This simply means that any claim for benefits MUST FIRST be filed with the personal, primary group insurance company. After the primary group insurance company has paid all available benefits, the UNK athletics department is then responsible for any remaining charges.

 
 
 

• NOTE: The UNK athletic department is NOT responsible for any charges incurred for expenses related to general illness or conditions that are not sustained as a direct result of participation in UNK intercollegiate athletics. In addition, all visits to medical personnel, with the exception of emergencies, MUST BE AUTHORIZED by a certified member of the sports medicine staff in order for a claim to be submitted and covered by the UNK athletic accident policy.

 

2. Dental Care Policy

• Central cavities, extractions, and normal dental care, NOT directly related to an injury sustained while participating in UNK intercollegiate athletics, SHALL BE THE RESPONSIBILITY OF THE STUDENT ATHLETE. The UNK athletic department is responsible ONLY for injury incurred to sound, natural teeth while participating in a sanctioned, varsity athletics activity. Any athlete who is participating in any sport or team which requires the wearing of a mouth guard, per NCAA guideline or team guideline, must wear a mouth guard for any practice or competition.

 

3. Eyeglasses and Contact Lens Policy

• There are no provisions for athletic department responsibility for payment of contact lenses or glasses that are lost or broken during any sanctioned varsity activity. It is recommended that the student athlete insure the contact lenses prior to participation in intercollegiate athletics.

 

4. Spints, Braces, & Orthotics

• The UNK athletic department is responsible for payment of splints, bracing, and orthotics that result from any acute injury sustained while participating in varsity athletics. Chronic injury management and/or recommended bracing for previous injury IS NOT the athletics department’s financial responsibility.

 
IV. MEDICAL FEE

1. Policy

• A fee will be assessed to all UNK athletes who try out or participate in varsity athletics. This fee is utilized to cover the various expenses that are incurred by the UNK sports medicine department. This fee is refundable should an athlete quit or be cut from the squad, providing they have not utilized and of the sports medicine services. Any and all refund decisions are made at the discretion of the Head Athletic Trainer and the Director of Athletics.

 
V. ATHLETIC DEPARMENT SUBSTANCE ABUSE PROGRAM
            A. Education

• Each varsity athletics team shall meet as often as once per year with a qualified member of the University staff and/or guest speaker(s) to discuss the dangers of substance abuse. These sessions shall include information regarding the use of illegal substances, misuses of alcohol, and the dangers of using performance-enhancing substances such as anabolic steroids and amphetamines.
• The substance abuse program shall draw upon the unique and specialized skills of University personnel, members of the athletic department, the staff of the University Student Health Services department, and any other person or source pertaining to the topic of substance abuse.

 

2. Counseling

• The University has identified properly trained counselors to assist in the substance abuse program. The services of the UNK Counseling and Advising Center are available to any student athlete if further information or treatment is required.
• In addition to counseling, informal counseling shall be carried out by certified members of the sports medicine department under the direction of the team medical director. The student athlete may be referred to the team physician at the discretion of the head athletic trainer.
• To the extent permitted by law, all counseling shall be confidential. A system of referral to professionals within Student Health Services or the UNK Counseling and Advising Center will be utilized by the sports medicine staff.
• Consistent with Nebraska State law, individual counseling with licensed medical or psychological personnel would be privileged (under the patient/physician and/or patient/therapist privilege). It is recognized that some student athletes are minors, under Nebraska State law, and parent/guardian consent and/or knowledge may be required in some cases.

 

3. Testing

• The testing program shall be confidential and utilize methodology with appropriate sensitivity to minimize the likelihood of inaccuracy.
• The substances foe which testing protocols will be designed include, but are not limited to the following:
  • Anabolic steroids
  • Blocking agents
  • Cocaine
  • Marijuana
  • Amphetamines
  • Narcotics
  • Alcohol
• The Testing program shall contain these major requirements:
  • Student athlete notification
  • Student athlete consent
  • Testing protocols
  • Hearing, Appeals, and/or reinstatement

 

4.  Alcohol Policy

• The University of Nebraska at Kearney does not condone the illegal/irresponsible use of alcohol. The consumption of alcohol by student athletes or athletic training students is prohibited in connection with official team functions. An official team function, as defined for this policy, is any activity that is held at/under the direction or supervision of a member of a varsity team coaching staff or any other member of the athletics department.
• Any student athlete or athletic training student who legally consumes alcohol will be held accountable for any alcohol related incident in which he/she is involved. In such cases, the student athlete or athletic training student is subject to Athletic Department, Institution, and/or state or local disciplinary action depending on the incident.

   

• The University of Nebraska at Kearney Sports Medicine Facility is a health care facility.

 

• ALL ATHLETES ARE REQUIRED TO SHOWER prior to receiving treatment

 

• No one is to be in the Athletic Training facility without proper supervision.

 

• Shorts and shirts should be worn in the training room as it is a co-educational facility.

 

• The Athletic Training Room is NOT a self-help clinic. Treatments will be initiated and administered by the athletic training staff. Likewise, athletes are not to help themselves to supplies. Please ask first.

 

• All injuries should be reported immediately to the sports medicine staff.

 

• Once an injury is reported, that athlete MUST follow-up with treatment and/or rehabilitation until released by a member of the Athletic Training Staff.

 

• If the treatment protocol involves hydrotherapy (whirlpool), please DO NOT turn on the whirlpool jets yourself. Please let a member of the staff assist you.

 

• Time loss injuries and those requiring extensive treatment and/ or rehabilitation should be scheduled in the morning treatment hours whenever possible.

 

• Facility hours of operation are as follows:
  • Monday – Friday 8:30 AM – 11:00AM, 1:00PM – approx. 6:30PM
  • Saturday & Sunday by Appointment

 

• Equipment, sleeves, wraps and braces are checked out for an athlete’s use upon the discretion of the Certified Athletic Trainers. These materials are property of the University and MUST be returned promptly when they are no longer needed. Towels do not leave the training room.

 

• Horseplay, lounging, swearing or shouting will not be tolerated in the athletic training room.

 

• No cleats, spikes or other athletic equipment is allowed in the training room. Leave these items outside the door before entering.

 

• Shoes are not allowed on the treatment or taping tables. Remove them and place them under the table.

 

• Please shower prior to post practice treatments.

 

• No chewing tobacco allowed in the athletic training facility.

 

• Treat all members of the UNK Athletic Training Staff with courtesy and respect. The Certified Staff are professionally trained in the sports medicine field and will do their best to provide you with prompt and proper medical care. The student athletic trainers are here to learn how to become professional athletic trainers and to provide the athlete with sound care, not to cater to special requests and demands.

 

• REMEMBER: Treat others as you would expect to be treated

 
THANK YOU FOR YOUR COOPERATION
   

1. Varsity Practices and Events:

1. In-Season Athletics

• Member of the UNK sports medicine staff will provide PRIMARY COVERAGE of athletic practices and home/away events for IN-SEASON varsity programs. Members of the staff include certified staff members, graduate assistants, and athletic training students.
  • Football coverage requires an ATC on-site (home/away) during practices and competitions.
  • All other varsity team practices and competitions will be covered by members of the sports medicine staff as assigned by the Head Athletic Trainer. (PRIORITY TO IN-SEASON PROGRAMS).
  • Varsity teams that are traveling away from UNK will be covered by a certified staff member whenever possible. If a varsity team travels without a representative of the sports medicine staff, advanced notification will be sent to the host institution.
• The UNK team physicians, or other identified physicians will be on call during practices and present at necessary home event. Unless otherwise directed, only a certified member of the UNK sports medicine staff will contact team physicians.
• Per the CAATE guidelines, at no time will a UNK athletic training student be allowed to cover an event, home or away, without a certified member of the sports medicine staff being available to intervene on behalf of the athletic training student or the student athlete.

 

2. Non-Championship Season Practices & Events

• Non-championship and off season practices and workouts WILL NOT BE COVERED by the sports medicine staff.
  • All UNK athletes will be afforded the same access to care during regular business hours or by appointment regardless of season status.
  • Arrangements for water and first-aid supplies must be made ahead of time by a member of the coaching staff.
• In the event that a non-championship competition is schedule at a home UNK facility, it is the responsibility of the head coach to communicate dates and time of all events to the sports medicine staff in order to ensure that any and all arrangements will be made.
  • Depending on the availability of the certified sports medicine staff, coverage may or may not be provided for non-championship competitions.

 

3. Medical Coverage of Special Practices or Events

• In an attempt to provide competent and thorough medical care, time and staff are needed to prepare for practices and events. Arrangements should be made in well in advance of any practice or event in order to ensure availability of UNK staff and resources.
• The UNK sports medicine staff understands that occasionally practice and events times are subject to change without advanced notice. It is the responsibility of the head coach to ensure that any and all schedule changes are communicated clearly with the UNK sports medicine department.

 

2. Other Athletic Activities

1. Intramurals

• The UNK sports medicine department assumes NO RESPONSIBILITY for any student participating in the UNK Intramural program.

 

2. UNK Sponsored High School Events

• Every attempt will be made by the UNK sports medicine staff to secure coverage of these events based on availability of certified staff members. (i.e. NSAA State Cross Country Championship).

 

3. Other Athletic Events/Activities (not sponsored by the UNK athletics department)

• No medical coverage will be provided by the UNK sports medicine staff for any event/activity that is not officially sponsored by the UNK department of athletics.

 

4. Summer Camps

• It is the responsibility of the head coach/camp director to arrange medical coverage for any summer team or technique camp. The UNK sports medicine staff will not be required to arrange or provide coverage for any camp.
• The UNK athletic department and/or the UNK sports medicine department do not assume any responsibility for the delivery of medical needs to any camp participant.
  • The UNK sports medicine department does not assume any responsibility for the decisions/actions that are taken in the delivery of medical coverage to camp participants.
    • Any certified member of the UNK sports medicine staff who chooses to provide coverage for a UNK sponsored summer team/technique camp will be covered by the University Liability Insurance Policy.
    • It is the responsibility of the head coach/camp director to ensure that each camp has a liability policy that covers all workers, including medical staff.
  • At no time will any athletic training student be allowed to work a camp or special event without the direct supervision of a certified member of the sports medicine staff. A certified member of the sports medicine staff must be available to intervene on behalf of the athletic training student or the student athlete.
• Financial reimbursement for the coverage of these camps will be based on a set wage schedule that will be agreed upon by the UNK Head Athletic Trainer and the UNK Director of Athletics.
  • Senior members of the certified sports medicine staff will be compensated for time based on the amount of $20.00/ hour.
    • This reimbursement schedule will include 1 hour prior to the opening session of the day, and 1 hour post activity.
    • Daily camp schedules and the total numbers of hours for provided coverage will be based on communication between the staff member and the head coach/camp director.
  • Graduate Assistant members of the sports medicine staff will be compensated for time based on the amount of $15.00/hour.
    •  This reimbursement schedule will include 1 hour prior to the opening session of the day, and 1 hour post activity.
    • Daily camp schedules and the total numbers of hours for provided coverage will be based on communication between the staff member and the head coach/camp director.
  • Athletic training students will be compensated for time based on the amount of $10.00/hour.
    • The presence of athletic training students at a camp will be arranged by the certified member of the sports medicine staff and the head coach/camp director. The presence of these students will be based on total camp participants and the potential risk for injury within the sport.

 

3.  Athletic Training Kits and Supplies

1. Policy

• A medical supply kit, water, water bottle/cups, towels, and injury ice will be supplied for all sports and will be the responsibility of the certified staff member in charge of that sport to ensure that adequate supplies are provided for the needs of the athletes and the specific sport
  • In the event that no certified coverage will be provided for a practice or event, it is the responsibility of the head coach to ensure that the medical kit and all pertinent insurance/emergency information will be on site. In this case, the head coach will be responsible for ensuring that the medical kit and supplies are returned to the sports medicine facility in a timely manner.
  • In the event that a varsity team will be traveling without a certified member of the sports medicine staff, it will be the responsibility of the head coach to communicate with the certified staff regarding departure times and any required supplies.

 

4.  Sports Medicine Staff: General Responsibilities

1. Full-Time, Certified Staff Members

• A certified member of the sports medicine staff will be present at all IN-SEASON, home varsity competitions, and/or readily available. Personal attendance at home events will be a priority. Coverage priorities will be determined through communication between the Head Athletic Trainer and the UNK Director of Athletics.
• A certified member of the sports medicine staff will be readily accessible during IN-SEASON practices. Personal attendance is a priority. Practice coverage priorities will be determined through communication between the Head Athletic Trainer and the UNK Director of Athletics.
• Non-Championship season practices and events (including strength & conditioning workouts) WILL NOT have a certified member of the sports medicine staff in personal attendance. A certified member of the sports medicine staff will be readily available by phone in case of emergencies. 

 

2. Graduate Assistant Staff Members

• Graduate Assistant members of the certified sports medicine staff will be required to cover and coordinate coverage for a variety of home and away varsity events. They may be asked to provide coverage in the place of a Full-Time, Certified staff member.
• All duties and responsibilities will be assigned by the Head Athletic Trainer, and will vary according to need.

 

3. ATEP Athletic Training Students

• Student athletic trainers are assigned to a Field Setting Supervisor and will be responsible for the daily coverage of practices, home and away events with Clinical Preceptor supervision. Through their clinical education and field experiences, student athletic trainers are a valuable resource to the sports medicine program as they function within their clinical limitations.
• At NO TIME will a UNK ATEP Athletic Training student be expected to provide sports practice or event coverage without the direct supervision of a certified member of the sports medicine staff. A certified member of the sports medicine staff must be present in order to intervene on behalf of the student athlete or the athletic training student in a timely manner.
• At no time will a UNK ATEP student be expected to fill the place of a certified member of the sport medicine staff with regards to off-site practices/events or varsity team travel.

 
   

1. General Guidelines

1. In-Season Injury or Illness

• The student-athlete is responsible to report all athletic injuries or illness associated with athletic competition as soon as possible to a member of the certified sports medicine staff. The certified athletic trainers will make the necessary medical referrals to professional health care personnel. The athlete IS NOT permitted to seek medical attention for an athletic related need without prior authorization from the certified sports medicine staff, except in cases of emergency. Failure to follow this procedure will negate the University's responsibility for payment of any billing incurred.
• A coach should not attempt to evaluate or treat injuries. It is the common goal of the sports medicine staff and UNK coaching staff to ensure safe participation of each student athlete. ALL INJURIES will be evaluated by a member of the certified sports medicine staff, and a proper treatment plan will be developed to meet the individual needs of the student athlete.
• AT NOT TIME will any coach determine practice and/or competition status for a student athlete who has been receiving treatment from the UNK sport medicine staff, UNK team physician, or other medical or allied health provider. ALL return to practice/competition decisions will be made by the certified sports medicine staff in conjunction with recommendations from the team physician.
  • All decisions regarding a return to strength and conditioning activities will be made be a certified member of the UNK sports medicine staff. These decisions will be made in conjunction with the Strength & Conditioning staff and the Coordinator of Rehabilitation.
• Any and all participation decisions will rest on the recommendations of the UNK team physician.
• If a coach, student athlete, and/or parent is not satisfied with the service being provided by the sports medicine department, he/she should direct their concerns to the attending athletic trainer. If the problem is not resolved or if a situation occurs in which further action is warranted, discussion should be directed to the Supervising Certified Athletic Trainer, the Head Athletic Trainer, the Athletic Director and/or the Team Physician.

 

2. Out-of-Season Injury or Illness

• The athletic department will not be responsible for injuries or illness incurred if the student athlete was not actively engaged in a UNK sanctioned, varsity practice or intercollegiate competition.
• UNK IS NOT RESPONSIBLE for any charges associated with injury or illness that is not directly incurred as a result of a sanctioned, varsity practice or competition.
• The use of sports medicine supplies and resources will be provided at the discretion of the sports medicine staff.

 

3. Treatment & Rehabilitation

• Once an injury or other medical condition is reported to the sports medicine staff, it becomes the responsibility of the student-athlete to follow-up for appropriate management and care until dismissed by a member of the sports medicine staff or medical personnel.
• Daily treatment and rehabilitation of injuries related to varsity athletics will be provided predominately at the UNK sports medicine facility.
• Treatment and rehabilitation will be supervised for all athletes in need during normal training room hours or by appointment. Failure of an injured athlete to keep treatment appointments will be interpreted as non-compliance on the part of the student athlete. The coach will be informed of any athlete who fails to keep scheduled appointments.
  • All attempts will be made by the sports medicine staff to schedule treatment and rehabilitation appointment during morning business hours (8:30 – 11:00 AM).
• Post-injury, minor surgery rehabilitation programs will be written and/or supervised by the Rehabilitation Coordinator and the certified sports medicine staff.
  • Long-term/time intensive rehabilitation programs (i.e. ACL reconstruction, shoulder reconstruction, etc.) will be referred to the New West Sports Medicine and Rehabilitation staff and facility, at the discretion of the Rehabilitation Coordinator and the Head Athletic Trainer.
  • Charges incurred for post-surgical rehabilitation will be the responsibility of the UNK athletic accident policy, all terms and conditions will apply.
  • If any athlete wishes to be seen and/or receive treatment and/or rehabilitative services from a staff and facility other than UNK or New West permission must be granted by the UNK sports medicine staff and the UNK team orthopedic physician. If permission is granted, then the UNK athletic accident policy will provide coverage, all terms and conditions will apply.
  • If any athlete seeks treatment or rehabilitative services from any staff or facility WITHOUT the knowledge of the UNK sports medicine staff the UNK athletic accident policy WILL NOT provide coverage for any charges incurred.

 

2. Medical Referral Guidelines

1. General Injury Referral

• If referral for medical care is indicated, the Supervising Athletic Trainer will give the athlete authorization and contact the needed physician or facility. (Student staff members are not allowed to make referrals).
  • UNK WILL NOT be responsible for any charges incurred for a referral that was not made by a certified member of the sports medicine staff. ALL referrals MUST be arranged by the certified sports medicine staff or team physician.
  • Coaches are not to make referrals without first consulting a member of the certified sports medicine staff. Unauthorized medical expenses will be the responsibility of the athlete and will not be paid for by the University.
• If a student athlete is a minor, (under age 19), they will require parental consent prior to treatment at any affiliated medical facility (i.e. Kearney Clinic, New West Sports Medicine, Heartland Surgery Center, Good Samaritan Hospital).
• PROCEDURE: The athlete must present him/herself to the office of the designated physician at the specific time requested. The athlete must then indicate to the receptionist that he/she is a UNK student-athlete, and present a photo ID and primary insurance card.
  • If the athlete must report to the hospital for either outpatient care or admission, the athlete must inform the receptionist that he/she is a UNK athlete. Medical billing should still be sent to the athlete's home address for proper filing with insurance.

2. Emergency Referral

• If the athlete must seek medical attention in the case of an emergency, he/she is responsible to notify a certified member of the sports medicine staff as soon after the incident as possible. It may be possible to have hospital personnel notify the Head Athletic Trainer at the time of care. Insurance billing and payment will follow the set guidelines.
  • ONLY authorized referrals to the Emergency Department will be covered by the UNK athletic accident policy. NO SELF REFERRALS WILL BE COVERED.

 

3. Student Health Services Referral

• The out-of-season ill or non-athletically injured athlete may be referred to the U.N.K. Student Health Services clinic when needing to be seen by a physician.
  • Physicians and/or a Nurse Practitioner see students by appointment on campus each weekday between approximately 11:30 a.m. and 1:30 p.m.  
• Exceptions to this policy would include:
  • Orthopedic related injury in which follow-up would directly affect the individual as a UNK student-athlete.
  • Personal request of the student-athlete.

 

4. General Medical Referrals

• In-season ill or non-athletically injured athlete may bypass the U.N.K. Student Health Services clinic when needing to be seen by a physician. This referral MUST BE arranged by a certified member of the UNK sports medicine staff.
  • The UNK athletic accident insurance policy, WILL NOT provide coverage for general medical illness and conditions (i.e. common cold, flu, etc). Any and all charges incurred will be the responsibility of the student athlete.
• All student-athletes needing referrals for non-urgent health care (i.e. pap smears, eye refractions, contraception, prenatal care, allergy management, refills for long term prescription drug therapy, mental or emotional health problems, etc.) will be routed to Student Health Services. All charges and cost associated with any general illness or condition not specifically related to participation in UNK varsity athletics will be the responsibility of the student athlete.

 

3.  Procedure for non-emergency Injury Care

1. General/Non-Emergency Management Guidelines

• Injury Reported to Training Staff: An injured athlete should report his/her injury/illness immediately to a certified member of the sports medicine staff, preferably the attending certified athletic trainer for that team.
• Practice or Game Situation: The attending certified athletic trainer should be informed of injuries occurring at a practice or competition. The athletic trainer should attempt to gain control of the situation, perform an evaluation and determine the severity of the injury. A decision should be made regarding physician referral if necessary, the type of first aid care required and/or appropriate treatment, and if the athlete can safely return to play.

 

2. Chain of Command for Routine Injury Referrals

• Attending Certified Athletic Trainer
  • All injury evaluations and treatment plans are to be documented by the attending certified athletic trainer or evaluating certified athletic trainer. Injury and treatment documentation will be maintained on a current computer program within the sports medicine facility (i.e. Sportsware).
• Certified Member of the Sports Medicine Program
• Team Physician/Medical Specialist
  • Referral to any team physician will be made by a certified member of the sports medicine staff. Proper documentation of all referrals and subsequent treatment plans will be maintained on a current computer program in the sports medicine facility (i.e. Sportsware).

 

3. Second Opinions: If the athlete is not satisfied with his/her injury diagnosis or recovery progress, he/she should notify the attending athletic trainer or team physician and request the consultation service of another physician. A member of the Full-time, certified sports medicine staff will make the necessary arrangements. Terms and conditions of the UNK athletic accident policy will apply.

• UNK will not cover the expenses of other physicians, hospital bills, laboratory bills, x-ray bills, etc., if the athletic training department does not refer the athlete. This policy is necessary so that the athletic training staff can be cognizant at all times of the athlete's prognosis and treatment progress and for communication with the attending physician.
• The UNK team physician has the final authority on when an injured or sick athlete who has been referred for medical diagnosis may return to practice or intercollegiate competition.

 

4. Additional Medical Referrals: The UNK Sports Medicine Department will not support subsequent opinions unless the athlete/parent or coach can justify DUE CAUSE. A certified member of the sports medicine staff MUST BE informed of any desire to receive a second opinion.

• ANY UNAUTHORIZED second opinions and any associated charges will be the responsibility of the student athlete.

 

5. UNK Athletes Injured at Away Sites

• When an athlete is injured, he/she will immediately be evaluated by the attending representative of the UNK sports medicine department.
• A certified graduate student who is traveling with a varsity team should make contact with a Full-Time member of the sports medicine, preferably the Head Athletic Trainer, as soon as possible.
• The injury should be cared for and a decision should be made as to whether or not the athlete can safely travel back to Kearney, NE. Every effort should be made to return the athlete back to campus.
• If referral to medical care is necessary, the athletic trainer will follow the recommendations of the host staff in regards to physician, medical facility.
• If the injured athlete will not be able to travel back with the team, the attending athletic trainer or coach should notify a certified member of the athletic training staff as soon as possible. The following information should be available:
  • Nature of the injury
  • Physician who is providing treatment and phone number
  • Location of the athlete, predicted length of stay, phone number of location.
  • Type of care being given
  • Name of contact person and phone numbers at the away site.
• If an injured athlete is required to stay at an away site, the athletic trainer should return with the team to UNK. The attending certified athletic trainer may or may not stay depending on the availability of transportation home for both the student athlete and the athletic trainer.
• In the event that a lengthy hospital stay will be required, parents/guardians will be contacted immediately by either the attending certified athletic trainer, or the Head Athletic Trainer as soon as possible.

 
 

4.  Participation of the Injured or Ill Athlete

1. Practice or Game Participation

• Decisions regarding the availability of an athlete for practice or game competition following and injury or illness shall be the sole responsibility of the team physician and/or the Head Athletic Trainer, in cooperation with the attending certified athletic trainer. Failure to comply with these decisions shall relieve the medical staff of any further responsibility for the injured or ill athlete.
• The team physician and the Head Athletic Trainer have the final responsibility to determine when a student athlete is removed or withheld from participation due to an injury, an illness or pregnancy. In addition, clearance for that individual to return to activity is solely the responsibility of the team physician or that physician's designated representative in cooperation with the Head Athletic Trainer.

 

5. Treatment Guidelines

1. Modalities Protocol

• The use of modalities in the treatment of athletic injuries in the UNK sports medicine department will be selected according to the following guidelines with the knowledge and consent of the UNK Sports Medicine Branch and the UNK Team Physician. It is understood that minor adjustments in protocol may be necessary and can be used occasionally to get the most advantageous results. Only within the scope of good modality knowledge and judgment is this flexibility in treatment of athletic injuries employed.
• The UNK sports medicine staff is directly responsible for the proper treatment of athletic injuries to UNK athletes according to the guidelines set forth by this policy or as directed by the diagnosing physician.

 

2. Initial Injury Assessment

• The sports medicine staff will administer initial evaluation of athletic injuries. If the evaluation indicates the need for further diagnosis or treatment, the supervising member of the training staff shall refer the athlete to the team physician or medical doctor of choice. The athlete will then be treated as determined by the team orthopedic physician.
• If the injury is minor, and does not require physician diagnosis, the treatment plan will follow the recommendations as set forth in the treatment and/or rehabilitation plan.
• It is the responsibility of the athlete to be available to the sports medicine staff as directed until he/she is released in an asymptomatic and fully reconditioned manner by the sports medicine staff or team orthopedic physician. If the athlete does not follow this procedure, the athlete becomes responsible for the care of his/her own injury. The UNK sports medicine staff or team physicians will not assume any responsibility for any decisions or related charges.

 

6.  Administration of Medications

1. Guidelines for Over the Counter (OTC) Medications

• Certain over the counter medications are offered through the UNK sports medicine department.
• ONLY Certified members of the sports medicine staff will be responsible for any and all decisions regarding dispensing and dosages of OTC medications.
• All medications will be kept in a locked cabinet and will be inspected at regular intervals for quality.
• Athletic training kits may be stocked with appropriate OTC medications.
• Medications will be dispensed according to standing orders.

 

2. Guidelines for OTC dispensing during team travel

• All OTC packed in travel kits will be clearly identified by appropriate labeling practices.
• Administration of OTC will follow the approved standing orders.

 

3. Guidelines for Prescription Medication

• NO prescription medications will be kept on site within the UNK sports medicine facility.
• Per team orthopedic physician orders, some injectable anti-inflammatory medications (i.e. Depomedrol, Celestone) and injectable analgesics related to emergency (.25 Marcaine, .25 Lidocaine) sutures will be kept on site within the UNK sports medicine facilities.
  • These medications will be kept in a locked exam room within the 2 sports medicine facilities at UNK.
  • ONLY full-time, certified sports medicine staff will have access to these exam rooms.
  • Decisions for with regards to dispensing and usage of these injectable medications will be made ONLY by UNK team physician or approved medical provider (i.e. physician assistant).

 
 
   

1. SUMMARY of Emergency Care Procedure

1. Emergency Medical Evaluation and Transportation Procedures

• Situations may arise which require emergency medical attention. The cooperation of the sports medicine staff, coaching staff, and emergency medical services is essential.
• It shall be the U.N.K. Athletic Department’s responsibility to ensure that ALL athletic coaches be certified and current in C.P.R. and life support measures and basic First-Aid.
• If at any time an athlete becomes ill and/or severely injured, please adhere to the following guidelines:
  • Establish consciousness/responsiveness. If unconscious, DO NOT move the athlete at anytime unless that athlete is in danger due to other external circumstances. In addition, the helmet and shoulder pads or other protective devices should not be removed.
    • The facemask, however, should be removed prior to transportation, regardless of current respiratory status. The athletic helmet and chinstrap should only be removed in extenuating circumstances.
  • If the athlete is unconscious, send for help immediately. Activate EMS 911 and have a responsible person stabilize the head and check ABC’s (Airway/Breathing/Circulation) as soon as possible.
  • The athlete should not be moved unless absolutely essential to maintain airway, breathing and circulation.
  • Initiate rescue breathing and/or CPR if indicated. An athlete’s facemask should be removed for life support access. If an athlete needs to be moved to perform either of these activities, maintain head and neck immobilization and have two-three other responsible people to help roll the athlete as one unit and move to an appropriate position.
  • Continue RB or CPR until EMS arrives or until another certified individual takes over for you, or the athlete starts to breathe on his or her own.
• If the athlete begins to breath on their own prior to EMS arrival, continue to monitor the athlete’s vital signs and ABC’s and maintain head stabilization.
• Have the athlete’s medical release form available for EMS and for treatment release upon arrival to the health care institution.
• Contact the certified athletic trainers and/or athletic director ASAP.
• Notify parents ASAP
• Most importantly:
  • Establish responsiveness
  • Activate EMS
  • If unconscious, stabilize head and neck, check ABC’s and initiate RB or CPR as indicated
  • Stay with the athlete until EMS or physician takes over.
  • Never do more than you feel you can or are qualified to do. Do not make the situation more difficult or worse.

 

2. Guidelines for Sideline Personnel During Serious On-Field Injuries

• Only authorized personnel are allowed on the field as deemed necessary by the UNK Head Athletic Trainer
• Players and coaches must go to and remain in the bench area. Direct all players and coaches accordingly. Always ensure adequate lines of vision between the medical staff and all available emergency personnel.
• Attempt to keep players a significant distance away from the seriously injured player.
• Do not allow a player to roll an injured athlete over, pull an injured teammate or opponent from a pile-up or assist a teammate who is lying on the field. (i.e. Remove the helmet or chin strap or attempt to assist breathing by elevating the waist).
• Once the medical staff begins to work on an injured player, all members of the officiating crew should control the total playing field environment and team personnel, allowing the medical staff to perform services without interruption or interference.
• Players and coaches should be appropriately controlled to avoid dictating medical services to or taking the time of the certified athletic trainers or team physicians.

 

 
EMERGENCY CARE PLAN
University of Nebraska at Kearney
Sports Medicine Program
 
Introduction
Emergency situations may arise at any time during athletic events. Expedient action must be taken in order to provide the best possible care to the athletes of emergency and/or life threatening conditions. The development and implementation of an emergency plan will help ensure that the best care will be provided.
Athletic organizations have a duty to develop an emergency plan that may be implemented immediately when necessary and to provide appropriate standards of health care to all sports participants. As athletic injuries may occur at any time and during any activity, the sports medicine team must be prepared. This preparation involves formulation of an emergency plan, proper coverage of events, maintenance of appropriate emergency equipment and supplies, utilization of appropriate emergency medical personnel, and continuing education in the area of emergency medicine. Hopefully, through careful pre-participation physical screenings, adequate medical coverage, safe practice and training techniques and other safety avenues, some potential emergencies may be averted. However, accidents and injuries are inherent with sports participation, and proper preparation on the part of the sports medicine team will enable each emergency situation to be managed appropriately.
 
Components of the Emergency Plan
There are three basic components of this plan:
1. Emergency personnel
2. Emergency communication
3. Emergency equipment
 
Emergency Plan Personnel
With athletic association practice and competition, the first responder to an emergency situation is typically a member of the sports medicine staff, most commonly a certified athletic trainer. A team physician may not always be present at every organized practice or competition. The type and degree of sports medicine coverage for an athletic event may vary widely, based on such factors as the sport or activity, the setting, and the type of training or competition. The first responder in some instances may be a coach or other institutional personnel. Certification in cardiopulmonary resuscitation (CPR), first aid, prevention of disease transmission, and emergency plan review is required for all athletic personnel associated with practices, competitions, skills instruction, and strength conditioning.
The development of an emergency plan cannot be complete without the formation of an emergency team. The emergency team may consist of a number of healthcare providers including physicians, emergency medical technicians, certified athletic trainers; student athletic trainers; coaches; managers; and possibly bystanders. Roles of these individuals within the emergency team may vary depending on various factors such as the number of members of the team, the athletic venue itself, or the preference of the head athletic trainer. There are four basic roles within the emergency team. The first and most important role is immediate care of the athlete. Acute care in an emergency situation should be provided by the most qualified individual on the scene. Individuals with lower credentials should yield to those with more appropriate training. The second role, equipment retrieval, may be done by anyone on the emergency team who is familiar with the types and location of the specific equipment needed. Athletic Training students, managers, and coaches are good choices for this role. The third role, EMS activation, may be necessary in situations where emergency transportation is not already present at the sporting event. This should be done as soon as the situation is deemed an emergency or a life-threatening event.
 

 
            Time is the most critical factor under emergency conditions. Activating the EMS system may be done by anyone on the team. However, the person chosen for this duty should be someone who is calm under pressure and who communicates well over the telephone. This person should also be familiar with the location and address of the sporting event. After EMS has been activated, the fourth role in the emergency team should be performed, that of directing EMS to the scene. One member of the team should be responsible for meeting emergency medical personnel as they arrive at the site of the contest. Depending on ease of access, this person should have keys to any locked gates or doors that may slow the arrival of medical personnel. A student athletic trainer, manager or coach may be appropriate for this role.
 
Roles Within the Emergency Management Team
1. Immediate care of the athlete
2. Emergency equipment retrieval
3. Activation of the Emergency Medical System
4. Direction of EMS to scene
 
Activating the EMS System
Making the call:
• 911 (if available)
• telephone numbers for local police, fire department, and ambulance service
 
Providing Information:
• Name, address, telephone number of caller
• Number of athletes
• Condition of athlete(s)
• First aid treatment initiated by first responder
• Specific directions as needed to locate the emergency scene (“come to south entrance of coliseum”)
• Other information as requested by the dispatcher
 
When forming the emergency team, it is important to adapt the team to each situation or sport. It may also be advantageous to have more than one individual assigned to each role. This allows the emergency team to function even though certain members may not always be present.
Emergency Communication
Communication is the key to quick delivery of emergency care in athletic trauma situations. Athletic trainers and emergency personnel must work together to provide the best possible care to injured athletes. Communication prior to the event is a good way to establish boundaries and to build rapport between both groups of professionals. If emergency medical transportation is not available on site during a particular sporting event then direct communication with the emergency medical system at the time of injury or illness is necessary. Access to a working telephone or other telecommunications device, whether fixed or mobile, should be assured. The communications system should be checked prior to each practice or competition to ensure proper working order. A back-up communication plan should be in effect should there be a failure of the primary communication system. The most common method of communication is a public telephone. However, a cellular phone is preferred if available. At any athletic venue, whether
home or away, it is important to know the location of a workable telephone. Pre-arranged access to the phone should be established if it is not easily accessible.
 
Emergency Equipment
All necessary emergency equipment should be at the site and quickly accessible. Personnel should be familiar with the function and operation of each type of emergency equipment. Equipment should be in good operating condition, and personnel must be trained in advance to use it properly. Emergency equipment should be checked on a regular basis and use rehearsed by emergency personnel. The emergency equipment available should be appropriate for the level of training for the emergency medical providers.
It is important to know the proper way to care for and store the equipment as well. Equipment should be stored in a clean and environmentally controlled area. It should be readily available when emergency situations arise.
 
Transportation
Emphasis is placed at having an ambulance on site at high risk sporting events. EMS response time is additionally factored in when determining on site ambulance coverage. The athletic association coordinates on site ambulances for competition in football, soccer, gymnastics, and men’s and women’s basketball. Ambulances may be coordinated on site for other special events/sports, such as major tournaments or MIAA/NCAA regional or championship events. Consideration is given to the capabilities of transportation service available (i.e., Basic Life Support or Advanced Life Support) and the equipment and level of trained personnel on board the ambulance. In the event that an ambulance is on site, there should be a designated location with rapid access to the site and a cleared route for entering/exiting the venue. In the emergency evaluation, the primary survey assists the emergency care provider in identifying emergencies requiring critical intervention and in determining transport decisions. In an emergency situation, the athlete should be transported by ambulance, where the necessary staff and equipment is available to deliver appropriate care. Emergency care providers should refrain from transporting unstable athletes in inappropriate vehicles. Care must be taken to ensure that the activity areas are supervised should the emergency care provider leave the site in transporting the athlete.
 
Conclusion
The importance of being properly prepared when athletic emergencies arise cannot be stressed enough. An athlete’s survival may hinge on how well trained and prepared athletic healthcare providers are. It is prudent to invest athletic department “ownership” in the emergency plan by involving the athletic administration and sport coaches as well as sports medicine personnel. The emergency plan should be reviewed at least once a year with all athletic personnel, along with CPR and first aid refresher training. Through development and implementation of the emergency plan, the athletic association helps ensure that the athlete will have the best care provided when an emergency situation does arise.
 
 
 
 
Approved by _______________________________________________ Medical Director
Date:_____________________
Prepared by: Bill Murphy, UNK Head Athletic Trainer