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Basketball Operations Manual - Basketball New Zealand

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<strong>Basketball</strong> <strong>New</strong> <strong>Zealand</strong> Injury Prevention Programme<br />

AWAY TEAM INJURY REPORT FORM<br />

Injury causes a player to stop playing and seek treatment. After treatment the player may return to the game, not<br />

return to the game, or be unlikely to participate in subsequent training or games.<br />

NOTE: complete and return form<br />

even when no injuries have occurred<br />

NO INJURIES<br />

PLEASE BOX<br />

COMPETITION<br />

DATE<br />

TEAM<br />

FLOOR CONDITION Please FLOOR SURFACE Please <br />

Dry Clean Sprung Wood<br />

Dry Dirty Rigid Wood<br />

Wet Clean Linoleum<br />

Wet Dirty Compound<br />

124 2007 NBL <strong>Operations</strong> and Rules <strong>Manual</strong><br />

INJURIES - please circle the appropriate number from each box (below) - complete a row for each recorded injury<br />

Prot. Equip.<br />

Worn<br />

Age Player Position Body Part Injury Injury Type Injury Severity Rating Time In Game Action<br />

1 2 3 4 5 6 1 2 3 4 5 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 1 2 3 1 2 3 4 5 1 2 3 4 1 2 3 4 5 6 7 8 1 2 3 4 5 6<br />

1 2 3 4 5 6 1 2 3 4 5 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 1 2 3 1 2 3 4 5 1 2 3 4 1 2 3 4 5 6 7 8 1 2 3 4 5 6<br />

1 2 3 4 5 6 1 2 3 4 5 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 1 2 3 1 2 3 4 5 1 2 3 4 1 2 3 4 5 6 7 8 1 2 3 4 5 6<br />

1 2 3 4 5 6 1 2 3 4 5 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 1 2 3 1 2 3 4 5 1 2 3 4 1 2 3 4 5 6 7 8 1 2 3 4 5 6<br />

1 2 3 4 5 6 1 2 3 4 5 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 1 2 3 1 2 3 4 5 1 2 3 4 1 2 3 4 5 6 7 8 1 2 3 4 5 6<br />

1 2 3 4 5 6 1 2 3 4 5 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 1 2 3 1 2 3 4 5 1 2 3 4 1 2 3 4 5 6 7 8 1 2 3 4 5 6<br />

EXAMPE: 23 year old Centre re-sprains ankle at end of 1 st half while shooting, does not play any more and is wearing no protective equipment.<br />

1 2 3 4 5 6 1 2 3 4 5 1 2 3 4 5 6 7 8 9 10 1112 1 2 3 4 5 6 7 1 2 3 1 2 3 4 5 1 2 3 4 1 2 3 4 5 6 7 8 1 2 3 4 5 6<br />

Circle the Number in the Space Above from the Options Below for Each Injury<br />

1. new injury 1. continues playing 1.first quarter 1. offensive screening 1. mouthguard<br />

1. strain<br />

(muscle)<br />

1. U15 1. point guard 1. ankle 7. hand<br />

2. defending screening 2. knee bracing<br />

2. second<br />

quarter<br />

2. previous injury 2. off for rest of game<br />

2. sprain<br />

(ligament)<br />

2. calf 8. shoulder<br />

2. shooting<br />

guard<br />

2. 16-20<br />

3. ankle<br />

strapping<br />

3. third quarter 3. offensive rebounding<br />

3. unlikely to play for<br />

the next week<br />

3. currently<br />

rehabilitating<br />

3. suspected<br />

fracture<br />

3. 21-25 3. small forward 3. knee 9. neck<br />

4. wrist<br />

strapping<br />

4. fourth quarter 4. defensive rebounding<br />

4. unlikely to play for 3<br />

weeks<br />

4. thigh 10. head 4. dental<br />

4. power<br />

forward<br />

4. 26-30<br />

5. fingers<br />

strapped<br />

5. offense<br />

5. unlikely to play for<br />

more than 3 weeks<br />

5. 31-35 5. centre 5. back 11. eye 5. laceration<br />

6. 35+ 6. arm 12. face 6. concussion 6. defense 6. none<br />

7.other-specify 7. foul play 8. shooting

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