Sports Medicine Handbook - NCAA

More documents

Recommendations

Info

persons to whom the studentathlete authorizes the information to be released. The consent form also should specify which information may be released and to whom. Note: Records maintained in the athletic training facility are medical records, and therefore subject to state and federal laws with regard to confidentiality and content. Each institution should obtain from appropriate legal counsel an opinion regarding the confidentiality and content of such records in its state. Medical records and the information they contain should be created, maintained and released in accordance with clear written guidelines based on this opinion. All personnel who have access to a student-athlete’s medical records should be familiar with such guidelines and informed of their role in maintaining the student-athlete’s right to privacy. Institutions should consider state statutes for medical records retention (e.g., 7 years, 10 years); institutional policy (e.g., insurance long term retention policy); and professional liability statute of limitations. Follow-up examinations. Those who have sustained a significant injury or illness during the sport season should be given a follow-up examination to re-establish medical clearance before resuming participation in a particular sport. This policy also should apply to pregnant student-athletes after delivery or pregnancy termination. These examinations are especially relevant if the event oc curred before the student-athlete left the institution for summer break. Clearance for individuals to return to activity is Medical Evaluations, Immunizations and Records solely the responsibility of the team physician or that physician’s designated representative. Medical Hardship Waivers. Documentation standards should assist conferences and institutions in designing a medical treatment protocol that satisfies all questions of incapacitation and reflects such in the records. To clarify: • hardship waiver: A hardship waiver deals with a student-athlete’s seasons of competition and may only be granted if a student-athlete has competed and used one of the four seasons of competition. • extension waiver: An extension waiver deals with time on a student-athlete’s eligibility clock and may be granted if, within a student-athlete’s period of eligibility (five years or 10 semesters), he or she has been denied more than one participation opportunity for reasons beyond the student-athlete’s and the institution’s control. In order to demonstrate that an injury or illness prevented competition and resulted in incapacitation for the remainder of the playing season, an institution needs to provide objective documentation to substantiate the incapacitation. Three key components need to be included in this documentation: 1. Contemporaneous diagnosis of injury/illness; 2. Acknowledgement that the injury/illness is incapacitating; and 3. Length of incapacitation. For more information about medical hardship waivers, read the complete article at NCAA.org/ health-safety or contact the NCAA’s student-athlete reinstatement staff. 9
10 Medical Evaluations, Immunizations and Records Medical Documentation Standards Guidelines (from the NCAA) Contemporaneous Diagnosis of Injury ____ Contemporaneous medical documentation that validates timing of injury or illness (Required) ____ Contemporaneous medical documentation that verifies initial severity of injury or illness (demonstrates incapacitation likely results for remainder of season) (Recommended) ____ Operation report(s) or surgery report(s) or emergency room document(s) (Recommended) Acknowledgement that the Injury is Incapacitating ____ Contemporaneous letter or diagnosis from treating physician identifying injury or illness as “incapacitating” OR ____ Non-contemporaneous letter or diagnosis from treating physician identifying injury or illness as “incapacitating” AND ____ Treatment logs or athletic trainer’s notes (indicating continuing rehabilitation efforts) Length of Incapacitaion (verifying opportunity for injured student-athlete to resume playing within championship season in question is medically precluded) ____ Estimated length of incapacitation or recovery time range contained within original contemporaneous medical documentation AND ____ Contemporaneous documentation of follow-up doctors visits (within the estimated time range) in which student-athlete is not cleared to resume playing OR ____ Treatment logs or athletic trainer’s notes (indicating continuing rehabilitation efforts) References 1. Cook LG, Collins M, Williams WW, et. al.: Prematriculation Immu ni za tion Requirements of American Col leges and Universities. Journal of Ameri can College Health 42:91-98, 1993. 2. Recommendations and Considerations Related to Pre-Participation Screening for Cardiovascular Abnormalities in Competitive Athletics: 2007 Update: Circulation. Mar 2007; 115:1643-1655. 3. Gardner P, Schaffner W: Immu nizations of Adults. The New England Journal of Medicine 328(17):1252-1258, 1993. 4. Hepatitis B Virus: a comprehensive strategy for eliminating transmission in the United States through universal childhood vaccination: recommendations of the Immunization Prac tices Advisory Committee. Mor bidity and Mortality Weekly Report 40 (RR-13), 1991. 5. Preparticipation Physical Evalua tion. 4th Ed. American Academy of Family Physicians, American Academy of Pediatrics, American Medical Society of Sports Medicine, American Ortho paedic Society of Sports Medicine. Published by the American Academy of Pediatrics, 2010. Available at ppesportsevaluation. org. 6. Eligibility Recommendations for Competitive Athletes with Cardiovascular Abnormalities. 36th Bethesda Conference. Journal of American College of Cardiology, 45(8), 2005. 7. Harmon KG, Asif IM, Klossner D, Drezner JA. Incidence of Sudden Cardiac Death in NCAA Athletes. Circulation. Apr 2011.
Page 1 and 2: 2011-12 NCAA® Sports Medicine Hand
Page 3 and 4: 2 PREFACE The health and safety pri
Page 5 and 6: 4 FOREWORD Shared Responsibility fo
Page 7 and 8: 6 Sports Medicine Administration Oc
Page 9: 8 Medical Evaluations, Immunization
Page 13 and 14: 12 Emergency Care and Coverage Guid
Page 15 and 16: 14 Lightning Safety Dangerous Locat
Page 17 and 18: 16 Catastrophic Incident in Athleti
Page 19 and 20: 18 Dispensing Prescription Medicati
Page 21 and 22: 20 Nontherapeutic Drugs July 1981
Page 23 and 24: 22 NCAA Alcohol, Tobacco and Other
Page 25 and 26: 24 Preseason Preparation directly d
Page 27 and 28: 26 Preseason Preparation NCAA Footb
Page 29 and 30: 28 Medical Disqualification of the
Page 31 and 32: 30 Cold Stress and Cold Exposure to
Page 33 and 34: 32 Cold Stress and Cold Exposure Re
Page 35 and 36: 34 Prevention of Heat Illness The A
Page 37 and 38: 36 Prevention of Heat Illness Refer
Page 39 and 40: 38 Assessment of Body Composition J
Page 41 and 42: 40 Assessment of Body Composition i
Page 43 and 44: 42 Assessment of Body Composition p
Page 45 and 46: 44 Nutrition and Athletic Performan
Page 47 and 48: 46 Nutrition and Athletic Performan
Page 49 and 50: 48 Dietary Supplements or muscle ma
Page 51 and 52: 50 “Burners” (Brachial Plexus I
Page 53 and 54: 52 “Burners” (Brachial Plexus I
Page 55 and 56: 54 Concussion or Mild Traumatic Bra
Page 61 and 62:
60 Skin Infections in Athletics In
Page 63 and 64:
62 Skin Infections in Athletics Ski
Page 65 and 66:
64 Skin Infections in Athletics Ref
Page 67 and 68:
66 Menstrual-Cycle Dysfunction Janu
Page 69 and 70:
68 Blood-Borne Pathogens and Interc
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
74 The use of local injectable anes
Page 77 and 78:
76 The Use of Injectable Corticoste
Page 79 and 80:
78 Depression: Intervention for Int
Page 81 and 82:
80 Depression: Intervention for Int
Page 83 and 84:
82 Participation by the Student-Ath
Page 85 and 86:
84 Pregnancy in the Student-Athlete
Page 87 and 88:
86 The Student-Athlete with Sickle
Page 89 and 90:
88 should provide an environment in
Page 91 and 92:
90 Protective Equipment June 1983
Page 93 and 94:
92 Protective Equipment Sport 5. Fo
Page 95 and 96:
94 Protective Equipment Mandatory P
Page 97 and 98:
96 Eye Safety in Sports January 197
Page 99 and 100:
98 Mouthguards January 1986 • Rev
Page 101 and 102:
100 Head and neck injuries causing
Page 103 and 104:
102 Guidelines for Helmet Fitting a
Page 105 and 106:
104 Use of Trampoline and Minitramp
Page 108 and 109:
Appendixes Also found on the NCAA w
Page 110 and 111:
NCAA Legislation Involving Health a
Page 112 and 113:
Tobacco Use Medical Expenses Medica
Page 114 and 115:
Student-Athlete Welfare and Safety
Page 116 and 117:
NCAA Injury Surveillance Program Su
Page 118 and 119:
Figure 1 Competition and Practice I
Page 120 and 121:
Acknowledgements John R. Adams West
Page 122:
The NCAA salutes the more than 400,
show all

Sports Medicine Handbook - NCAA

Create successful ePaper yourself

Delete template?

Save as template?