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department of athletics policies & procedures - UNC Wilmington ...

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individual or entity named as the written recipient. All information is<br />

considered private and confidential therefore, if you are in receipt <strong>of</strong> this<br />

transmission and are not the named recipient you are hereby notified that<br />

any disclosure, copying and/or distribution <strong>of</strong> this information is strictly<br />

prohibited. If you receive this information in error, please notify this<br />

<strong>of</strong>fice immediately by return email or by telephone. Thank you for your<br />

assistance.<br />

<br />

<br />

Personnel should not disclose their email password to anyone and/or display the<br />

password on or near their desk.<br />

Personnel should adhere to all privacy standards relating to the use <strong>of</strong> computer<br />

workstations.<br />

Medical Records/Folders:<br />

All medical records/folders are the property <strong>of</strong> the <strong>UNC</strong>W Athletic Training<br />

Department and should remain in a lockable file cabinet and/or desk at all times.<br />

Student-athlete medical records/folders should not be left out on desks and/or<br />

stored in mailboxes.<br />

Student-athlete medical records/folders ARE NOT permitted to leave the sports<br />

medicine facility at any time.<br />

Only authorized personnel are permitted to handle student-athlete medical<br />

records/folders.<br />

Release <strong>of</strong> Protected Health Information:<br />

All members <strong>of</strong> the <strong>UNC</strong>W Athletic Training Department will receive and verify<br />

appropriate Consent and Authorization before releasing PHI.<br />

All releases <strong>of</strong> PHI must be appropriately documented/logged in the studentathlete’s<br />

medical record.<br />

Medical Documentation Policy<br />

POLICY STATEMENT: Documentation is a critical component <strong>of</strong> quality care health<br />

programs. Thorough, objective and accurate documentation allows for a clear assessment<br />

<strong>of</strong> medical conditions, the ability to monitor progress, the potential to assess outcomes,<br />

and the ability to track and record trends and findings related to the level <strong>of</strong> care<br />

provided. Every clinician within the Department <strong>of</strong> Athletic Training is expected to<br />

follow <strong>department</strong>al guidelines for documentation, use appropriate medical terminology,<br />

and complete appropriate evaluation, progress, and rehabilitation information on standard<br />

202

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