2017-2018
Championship Handbook Updated November 2017
NAIA Championship Handbook Table of Contents Championship General Medical Check List & Responsibilities ....................................................................... 2 Baseball: Medical Check List......................................................................................................................... 4 Basketball: Medical Check List...................................................................................................................... 6 Cheer/Dance: Medical Check List ................................................................................................................. 8 Cross-Country: Medical Check List ............................................................................................................. 10 Football: Medical Check List ....................................................................................................................... 12 Golf: Medical Check List ............................................................................................................................. 14 Lacrosse: Medical Check List ...................................................................................................................... 16 Marathon: Medical Check List..................................................................................................................... 18 Soccer: Medical Check List ......................................................................................................................... 20 Softball: Medical Check List ........................................................................................................................ 22 Swimming & Diving: Medical Check List..................................................................................................... 24 Tennis: Medical Check List ......................................................................................................................... 26 Track & Field: Medical Check List ............................................................................................................... 28 Volleyball: Medical Check List..................................................................................................................... 30 Wrestling: Medical Check List ..................................................................................................................... 32 APPENDIX A................................................................................................................................................. 34 Championship Event Emergency Action Plan .............................................................................................. 36 Handling of Potentially Infectious Materials ................................................................................................ 37 APPENDIX B ................................................................................................................................................. 38 NAIA National Championship Medical Information Sheet ........................................................................... 38 APPENDIX C................................................................................................................................................. 39 NAIA-ATA Injury Report .............................................................................................................................. 39 APPENDIX D ................................................................................................................................................ 40 Directions for Completing the NAIA-ATA Injury Report .............................................................................. 40 APPENDIX E ................................................................................................................................................. 41 NAIA National Championship Athletic Training Evaluation Form ................................................................ 41 APPENDIX F.................................................................................................................................................. 42 NAIA Transgender Student-Athlete Participation at National Championships............................................. 42 APPENDIX G ................................................................................................................................................. 43 NAIA Official Medical Exemption Form ........................................................................................................... 44 APPENDIX H ................................................................................................................................................ 45 NAIA Championship Concussion Policy ....................................................................................................... 00 Concussion Home Instruction Sheet ........................................................................................................... 00 APPENDIX I ................................................................................................................................................. 50 Championship Medical Handbook and On-site Concussion Policy Acknowledgement Receipt.................... 50
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 1
**All action is required unless specified as recommended.
Championship General Medical Check List & Responsibilities The following General and Sport-Specific Medical Checklists developed for each sport in which the NAIA sponsors a National Championship Event. Host Medical Coordinators and Host Site Administrators should refer to these checklists in their preparations for NAIA Championship Events. HOST MEDICAL COORDINATOR/CERTIFIED ATHLETIC TRAINER: REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Have radios for communication from field to field and field to medical tent at event (cell phones, radios, etc.) Have an on-site land-line phone or cell phone for emergencies at practices and events Have an emergency action plan in place for site(s) and event Have NAIA championship concussion protocol in place
Meet with Games Committee for ease of identification and contact
Coordinate a pre-event meeting for all certified athletic trainers & support staff to go over procedures
Secure necessary tournament information from the Host Administrator and/or NAIA Administrator: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) Recommended Tournament bracket with names of tournament teams, head coach, athletic trainer, phone numbers Recommended Necessary medical credentials for all athletic training/medical staff
Develop a Medical Packet to be sent to each teams’ AT and/or coach that includes: Phone List (include phone numbers (work & home), pager, and cellular phone numbers) : Host Medical Coordinator/Athletic Trainer and support staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament Site EMS – if site is not set up for 911 Directions and/or maps to specified locations : Hospital or Urgent Care Center: Physician and/or Medical Provider : Some modalities may be available only in the athletic training room/facility of the host institution when venues are being held off-site. As specified in each medical checklist
Provide access to the following items for each team’s practice, treatment, and game preparation: As specified in each medical checklist ___Treatment Tables ___Splint bag/crutches Stretcher ___Hydrocollator ___First-Aid supplies
___Biohazard container(s) ___Ultrasound machine
___Gloves & gauze ___CPR masks
___Ice/Ice bags ___Scoop
___Whirlpool ___Elec. muscle stimulator
___Taping Supplies ___ AED
___Bench Towels
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 2
Provide one BOC Certified Athletic Trainer per field with a medical kit
Work with the Host Site Administrator/Tournament Director to coordinate administration of the following sideline/bench/dugout supplies: As specified in each medical checklist Biohazard bag, disinfectant solution & clean-up kit Ice containers, ice bags, ice & water Garbage bags/cans
(Note – Sport-specific minimum recommendations for staffing: Basketball – one AT per court; Baseball/Softball – one AT per venue; Football – 2-3 ATs w/support staff; Soccer – one AT per field; Tennis – one AT per venue; Track & Field – Multiple ATs; Marathon-Multiple ATs, Volleyball – one AT per gymnasium)
NAIA SPORT MANAGER REQUIREMENTS RESPONSIBILITIES
Provide names of participating schools to Host Athletic Trainer as soon as available
Ensure the completed Visiting Team Medical Questionnaires are received by Host Medical Coordinator from visiting team’s AT prior to arrival
Assist in the completion and forwarding of all athletic training documentation/forms between host medical coordinators and participating institutions (and their athletic trainers)
Provide needed tournament information and coordinate communication between Host Medical Coordinator, Tournament Director, Games Committee, Athletic Trainers, Participating Teams and Officials
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 3
Baseball: Medical Check List HOST MEDICAL COORDINATOR: REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Have radios for communication from field to field and field to medical tent at event (cell phones, radios, etc.): Have an on-site phone for emergencies at practices and event : Have ambulance on-call : Establish an Emergency Action Plan for the site(s) and event : Establish an Inclement Weather Plan & Lightning Safety Plan : Establish a Heat Related Illness Plan Have NAIA championship concussion protocol in place :
Meet with Games Committee for ease of identification and contact : Secure necessary tournament information from the Host Site and/or NAIA National Office: : Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.): Tournament bracket with names of tournament teams, head coach, athletic trainer, phone number : Necessary athletic training/medical staff credentials :
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) : Host Medical Coordinator and other staff : College: security, athletic department, athletic training room : Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) : NAIA Tournament Coordinator, Headquarters and Tournament Site : Hotels : EMS – if site is not set up for 911: Directions to specified locations : Hospital or Urgent Care Center : Physician and/or Medical Provider : NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan :
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room :
Have available the following items for each teams treatment and game preparation:
Treatment tables Recommended Gloves and gauze : Splint bag/CPR masks/Crutches : Scoop Stretcher : First Aid Supplies : Weather radio or weather app on cell phone
Taping Supplies Biohazard container: Ice and ice bags: Electrical muscle stimulation: Lightning/Storm Detector:
Ultrasound Recommended Hydrocollator : Whirlpool Recommended AED : Sling Psychrometer : Bench Towels Recommended
One Host Certified Athletic Trainer per field with a medical kit (adequate response time should be ensured)
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 4
NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available :
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival :
Provide needed tournament information:
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator :
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff:
Work with Host Medical Coordinator to: Have radios for communication from field to field and field to medical tent at event (cell phones, radios, etc.): Have an on-site phone/cell phone for emergencies at practices and event : Establish an Emergency Action Plan for site(s) and event :
Provide Sideline Supplies (per bench): One 10 gallon water cooler with ice and water (should be checked between games) One sleeve of cups : One ice chest with ice and ice bags One biohazard bag, disinfectant solution , clean-up kit One trash bag/can
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after game Recommended
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 5
Basketball: Medical Check List HOST MEDICAL COORDINATOR: REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Have an ambulance on-site Have radios for communication between gyms (if applicable), from gym to ambulance, and from Athletic Training Room to gym and ambulance (cell phone, radios, walkie-talkies, etc.) Have an on-site phone/cell phone for emergencies at practices and event
Establish an Emergency Action Plan for site(s) and event Establish an Inclement Weather Plan Have NAIA championship concussion protocol in place
Meet with Games Committee for ease of identification and contact
Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) Recommended Tournament bracket with names of tournament teams, head coach, athletic trainer, phone number Recommended Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament site Hotels EMS –if site is not set up for 911 Directions to specified locations : Hospital/Urgent Care Center Physician and/or Medical Provider NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room Recommended
Have available the following items for each team’s treatment and game preparation:
Treatment tables Gloves and gauze Splint bag/CPR masks/Crutches Scoop Stretcher First-Aid Supplies
One Host Certified Athletic Trainer per gymnasium (if applicable) with a medical kit
Taping Supplies Bench Towels Biohazard container Ice and ice bags Electrical muscle stimulation
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
Ultrasound Hydrocollator Whirlpool Recommended AED
ATA CHAMPIONSHIPS HANDBOOK 6
NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
Provide needed tournament information
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff
Work with Host Medical Coordinator to: Have radios for communication between gyms (if applicable), from gym to ambulance, and from Athletic Training Room to gym and ambulance)-(cell phone, walkie-talkie, radios, etc.) Have an on-site phone for emergencies at practices and event Establish an Emergency Action Plan for site(s) and event Have an on-site ambulance
Provide Sideline Supplies (per bench): One 10 gallon water cooler with ice and water (should be checked at half time and between games) One sleeve of cups One ice chest with ice and ice bags One biohazard bag, disinfectant solution, clean-up kit One trash bag/can
Provide Locker Room Supplies (per locker room): One 5 or 10 gallon water cooler with ice and water (should be checked between games) Recommended One sleeve of cups Recommended
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after event Recommended
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 7
Cheer & Dance: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Secure an on-site ambulance for the event Secure an on-site orthopedist/physician for the event Have communication plan from competition mat to practice mat area (cell phones, walkie-talkie, radios, etc.) Have an on-site phone/cell phone for emergencies at event Establish an Emergency Action Plan for site(s) and event Have NAIA championship concussion protocol in place Establish an Inclement Weather Plan
Meet with Games Committee for ease of identification and contact
Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) Recommended List of team names with head coach and athletic trainer phone numbers Recommended Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament site Hotels EMS – if site is not set up for 911 Directions to specified locations Hospital/Urgent Care Center Physician and/or Medical Provider NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room
Have available the following items for each teams practice, treatment, and event preparation:
Treatment tables Recommended Gloves and gauze Splint bag/CPR masks/Crutches Spine board Scoop Stretcher First Aid Supplies Weather radio or weather app on cell phone
Taping Supplies Ultrasound Bench Towels Recommended Recommended Biohazard container Hydrocollator Ice and ice bags Recommended Electrical muscle stimulation Whirlpool Recommended Recommended AED
Two Host Certified Athletic Trainer on site with a medical kit (adequate response time should be ensured)
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 8
NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
Provide needed tournament information
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff
Work with Host Medical Coordinator to: Have an on-site cell phone for emergencies at event Establish an Emergency Action Plan for site(s) and event
Provide Supplies at appropriate locations: Several 10-gallon water coolers with ice and water. At minimum one at competition mat and one at practice mat.
Several sleeves of cups
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 9
Cross-Country: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Secure an on-site ambulance for the event Have radios for communication throughout event course and to medical tent at event (cell phones, radios, etc.) Have an on-site phone for emergencies at event Establish an Emergency Action Plan for site(s) and event Establish an Impaired Runner Policy Establish a Downed Runner Policy Establish an Inclement Weather Plan & Lightning Safety Plan Establish a Heat Related Illness Plan Initiate a race strategy adjusting for weather conditions to reduce illness or injury Have NAIA championship concussion protocol in place
Meet with Meet Race Director and course officials for ease of identification and contact
Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) List of qualifying teams with, head coach & athletic trainer phone numbers Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament site Hotels EMS – if site is not set up for 911 Directions to specified locations Hospital/Urgent Care Center Physician and/or Medical Provider NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room Have available the following items for each teams treatment and event preparation:
Treatment tables Gloves and gauze Splint bag/CPR masks/Crutches Scoop Stretcher First Aid Supplies Finish Line Tent Weather radio or weather app on cell phone
Taping Supplies Race Towels Recommended Biohazard container Ice and ice bags Electrical muscle stimulation Recommended Sling Psychrometer
Ultrasound Recommended Hydrocollator Recommended Whirlpool Recommended AED Lightning/Storm Detector
One Host Certified Athletic Trainer at the course with a medical kit (adequate response time should be ensured)
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 10
NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
Provide needed tournament information
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff
Work with Host Medical Coordinator to: Have walkie-talkies for communication throughout event course and to medical tent at event (cell phones, radios, etc.) Have an on-site cell phone for emergencies at event Establish an Emergency Action Plan for site(s) and event
Provide Start/Finish Line Supplies: Several 10 gallon water coolers with ice and water (enough for 650 + runners) Several sleeves of cups(enough for 650 + runners) Several ice chests with ice and ice bags Several biohazard bags, bleach/water solution, clean-up kits Several trash bags/cans Medical tent
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after event Recommended
Provide some type of transportation (gator/cart) to reach and move injured participants from course to medical site or hospital.
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 11
Football: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Secure an on-site ambulance for the event Secure an on-site orthopedist/physician for the event Have radios for communication from field to ambulance, between sidelines, and between locker rooms (cell phones, walkie-talkie, radios, etc.) Have an on-site phone for emergencies at practices and event Establish an Emergency Action Plan for site(s) and event Establish an Inclement Weather Plan & Lightning Safety Plan Establish a Heat Related Illness Plan Have NAIA championship concussion protocol in place
Meet with Games Committee for ease of identification and contact
Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) Provide team names with head coach and, athletic trainer phone numbers Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament site Hotels EMS – if site is not set up for 911 Directions to specified locations Hospital/Urgent Care Center Physician and/or Medical Provider NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room
Have available the following items for each teams practice, treatment, and game preparation: Treatment tables Recommended Gloves and gauze Splint bag/CPR masks/Crutches Scoop Stretcher First Aid Supplies Lightning/Storm Detector
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
Taping Supplies Bench Towels Recommended Biohazard container Ice and ice bags Electrical muscle stimulation Weather radio or weather app on cell phone
Ultrasound Recommended Hydrocollator Whirlpool Recommended AED Sling Psychrometer
ATA CHAMPIONSHIPS HANDBOOK 12
NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
Provide needed tournament information
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff
Work with Host Medical Coordinator to: Secure an on-site ambulance for the event Secure an on-site orthopedist/physician for the event Have radios for communication from field to ambulance, between sidelines, and between locker-rooms Have an on-site phone for emergencies at practices and event Establish an Emergency Action Plan for site(s) and event
Provide Sideline Supplies (per bench): Three 10 gallon water coolers with ice and water (should be checked at half time and between games) Sufficient cups for games/practice One ice chest with ice and ice bags One biohazard bag, bleach/water solution, clean-up kit One trash bag/can
Provide Locker Room Supplies (per locker room): One 10 gallon water cooler with ice and water (should be checked between games Three sleeves of cups One ice chest with ice and ice bags
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after game Recommended
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 13
Golf: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist, one internal medicine/family practitioner and chiropractor Recommended
Work with Host Site to: Have radios for communication throughout event course and to medical tent at event (cell phones, radios, etc.) Have an on-site phone/cell phone for emergencies at event Establish an Emergency Action Plan for site(s) and event Establish an Inclement Weather Plan & Lightning Safety Plan Establish a Heat Related Illness Plan Have NAIA championship concussion protocol in place
Meet with Games Committee for ease of identification and contact
Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) Recommended Tournament information with names of teams, head coach, athletic trainer, phone number Recommended Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament Site Hotels EMS – if site is not set up for 911 Directions to specified locations Hospital/Urgent Care Center Physician and/or Medical Provider NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room
Have available the following items for each teams treatment and event preparation:
Treatment tables Recommended Gloves and gauze Splint bag/CPR masks/Crutches Scoop Stretcher Band-Aids Weather radio or weather app on cell phone
Taping Supplies Towels Recommended Biohazard container Ice and ice bags Electrical muscle stimulation
Ultrasound Recommended Hydrocollator Recommended Whirlpool Recommended AED Lightning/Storm Detector
One Host Certified Athletic Trainer at the course with a medical kit (adequate response time should be ensured)
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 14
NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
Provide needed tournament information
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff
Work with Host Medical Coordinator to: Have radios for communication throughout event course and to medical tent at event (cell phone, walkie-talkie, radios, etc. Have an on-site cell phone for emergencies at event Establish an Emergency Action Plan for site(s) and event
Provide Supplies at appropriate locations: Several 10 gallon water coolers with ice and water Several sleeves of cups Ice chest with ice and ice bags One trash bag/can
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after event Recommended
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 15
Lacrosse: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Secure an on-site ambulance for the event Secure an on-site orthopedist/physician for the event Recommended Have radios for communication from court to ambulance, between sidelines, and between locker rooms (cell phones, walkie-talkie, radios, etc.) Recommended Have an on-site phone/cell phone for emergencies at event Establish an Emergency Action Plan for site(s) and event Establish an Inclement Weather Plan & Lightning Safety Plan Establish a Heat Related Illness Plan Have a NAIA championship concussion protocol in place
Meet with Games Committee for ease of identification and contact
Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) List of team names with head coach and athletic trainer phone numbers Recommended Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament site Hotels EMS – if site is not set up for 911 Directions to specified locations Hospital/Urgent Care Center Physician and/or Medical Provider NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room
Have available the following items for each teams practice, treatment, and event preparation:
Treatment tables Recommended Gloves and gauze Biohazard container Splint bag/CPR masks/Crutches AED Spine board First Aid Supplies
Taping Supplies Bench Towels Recommended Ice and ice bags Electrical muscle stimulation Recommended Ultrasound Recommended Hydrocollator Recommended Whirlpool Recommended
Lightning/Storm Detector Weather radio or weather app on cell phone
One Host Certified Athletic Trainer on site with a medical kit (adequate response time should be ensured)
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 16
NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
Provide needed tournament information
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff
Work with Host Medical Coordinator to: Secure an on-site ambulance for the event Secure an on-site orthopedist/physician for the event Recommended Have radios for communication from court to ambulance, between sidelines, and between locker rooms (cell phones, walkie-talkie, radios, etc.) Recommended Have an on-site phone/cell phone for emergencies at event Establish an Emergency Action Plan for site(s) and event Establish an Inclement Weather Plan & Lightning Safety Plan Establish a Heat Related Illness Plan Have a NAIA championship concussion protocol in place
Provide Sideline Supplies (per bench): Two 10 gallon water coolers with ice and water (should be checked at half time and between games) Sufficient cups for games/practice One ice chest with ice and ice bags One biohazard bag, bleach/water solution, clean-up kit One trash bag/can
Provide Locker Room Supplies (per locker room): One 10 gallon water cooler with ice and water (should be checked between games) Three sleeves of cups One ice chest with ice and ice bags
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after game Recommended
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ATA CHAMPIONSHIPS HANDBOOK 17
Marathon: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location
Work with Host Site and Race Director to:
Designate a Medical Director (physician) Contact and secure an interdisciplinary volunteer medical staff including but not limited to: a team of physicians, nurses, paramedics, physician assistants, EMT personnel, athletic trainers, and physical therapists Secure CPR trained volunteers on the course at one mile increments with access to call medical personnel Secure materials for IV fluids use by medical personnel at medical tent Have radios for communication throughout event course and to medical tent at event (cell phones, radios, etc.) Have an on-site phone for emergencies at event Secure two (2) tents: one as a medical and one as a family waiting tent Establish an Emergency Action Plan for site(s) and event Establish an Inclement Weather Plan & Lighting Safety Plan Establish a Heat Related Illness Plan Initiate a race strategy adjusting for weather conditions to reduce illness or injury Establish an Impaired Runner Policy Establish a Downed Runner Policy Have NAIA championship concussion protocol in place
Meet with Meet Race Director and course officials for ease of identification and contact Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) List of qualifying teams with, head coach & athletic trainer phone numbers Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament site Hotels EMS – if site is not set up for 911 Directions to specified locations Hospital/Urgent Care Center Physician and/or Medical Provider NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room Have available the following items for each teams treatment and event preparation:
Treatment tables Gloves and gauze Splint bag/CPR masks/Crutches Scoop Stretcher First Aid Supplies Finish Line Tent Weather radio or weather app on cell phone
Taping Supplies Finish Line Towels Recommended Biohazard container Ice and ice bags Electrical muscle stimulation Recommended Sling Psychrometer
Ultrasound Recommended Hydrocollator Recommended Whirlpool Recommended AED Lightning/Storm Detector
One Host Certified Athletic Trainer at the course with a medical kit (adequate response time should be ensured)
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NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
Provide needed tournament information
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff
Work with Host Medical Coordinator to: Have walkie-talkies for communication throughout event course and to medical tent at event (cell phones, radios, etc.) Have an on-site cell phone for emergencies at event Establish an Emergency Action Plan for site(s) and event
Provide Start/Finish Line Supplies: Several 10 gallon water coolers with ice and water at medical tent, finish line, and along the course Several sleeves of cups at medical tent, finish line, and along the course Several ice chests with ice and ice bags Several biohazard bags, bleach/water solution, clean-up kits Several trash bags/cans Medical tent Family Waiting tent
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after event Recommended
Provide some type of transportation (gator/cart) to reach and move injured participants from course to medical site or hospital.
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Soccer: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Secure an on-site ambulance for the event Secure an on-site orthopedist/physician for the event Have radios for communication between fields (if applicable), from field to medical tent, and between field, medical tent, and ambulance (cell phones, walkie-talkie, radios, etc.) Have an on-site phone/cell phone for emergencies at practices and event Establish an Emergency Action Plan for site(s) and event Establish an Inclement Weather Plan & Lighting Safety Plan Establish a Heat Related Illness Plan Have NAIA championship concussion protocol in place
Meet with Games Committee for ease of identification and contact
Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) Recommended Tournament bracket with names of tournament teams, head coach, athletic trainer, phone number Recommended Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament Site Hotels EMS – if site is not set up for 911 Directions to specified locations Hospital/Urgent Care Center Physician and/or Medical Provider NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room Have available the following items for each teams practice, treatment, and game preparation:
Treatment tables Recommended Gloves and gauze Splint bag/CPR masks/Crutches Scoop Stretcher First Aid Supplies Weather radio or weather app on cell phone
Taping Supplies Towels Recommended Biohazard container Ice and ice bags Electrical muscle stimulation Lightning/Storm Detector
Ultrasound Recommended Hydrocollator Recommended Whirlpool Recommended AED Sling Psychrometer
One Host Certified Athletic Trainer per field with a medical kit (adequate response time should be ensured)
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
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NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
Provide needed tournament information
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff
Work with Host Medical Coordinator to: Secure an on-site ambulance for the event Have radios for communication between fields (if applicable), from field to medical tent, and between field, medical tent, and ambulance Have an on-site phone for emergencies at practices and event Establish an Emergency Action Plan for site(s) and event
Provide Sideline Supplies (per bench): One 10 gallon water cooler with ice and water (should be checked at half time and between games) One sleeve of cups One ice chest with ice and ice bags One biohazard bag, disinfectant solution, clean-up kit One trash bag/can
Provide Locker Room Supplies (per locker room): One 10 gallon water cooler with ice and water (should be checked between games One sleeve of cups One ice chest with ice and ice bags
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after event Recommended
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Softball: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Have radios for communication from field to field and field to medical tent at event (cell phones, walkie-talkie, radios, etc.) Have an on-site phone/cell phone for emergencies at practices and event Establish an Emergency Action Plan for site(s) and event Establish an Inclement Weather Plan & Lighting Safety Plan Establish a Heat Related Illness Plan Have NAIA championship concussion protocol in place
Meet with Games Committee for ease of identification and contact
Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) Recommended Tournament bracket with names of tournament teams, head coach, athletic trainer, phone number Recommended Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament site Hotels EMS – if site is not set up for 911 Directions to specified locations Hospital/Urgent Care Center Physician and/or Medical Provider NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room
Have available the following items for each teams practice, treatment, and game preparation:
Treatment tables Recommended Gloves and gauze Splint bag/CPR masks/Crutches Scoop Stretcher First Aid Supplies Weather radio or weather app on cell phone
Taping Supplies Biohazard container Ice and ice bags Electrical muscle stimulation Lightning/Storm Detector Bench Towels Recommended
Ultrasound Recommended Hydrocollator Recommended Whirlpool Recommended AED Sling Psychrometer
One Host Certified Athletic Trainer per field with a medical kit (adequate response time should be ensured)
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NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
Provide needed tournament information
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff
Work with Host Medical Coordinator to: Have radios for communication from field to field and field to medical tent at event (cell phones, radios, etc.) Have an on-site cell phone for emergencies at practices and event Establish an Emergency Action Plan for site(s) and event
Provide Sideline Supplies (per bench): One 10 gallon water cooler with ice and water (should be checked between games) One sleeve of cups One ice chest with ice and ice bags One biohazard bag, disinfectant solution, clean-up kit One trash bag/can
Provide Locker Room Supplies (per locker room): One 10 gallon water cooler with ice and water (should be checked between games) Recommended One sleeve of cups Recommended One ice chest with ice and ice bags Recommended
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after event Recommended
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Swimming & Diving: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Have an on-site phone/cell phone for emergencies at event Establish an Emergency Action Plan for site(s) and event Have NAIA championship concussion protocol in place Establish an Inclement Weather Plan & Lighting Safety Plan Work closely with facility Lifeguards to ensure roles are delineated prior to start of competition.
Meet with Games Committee for ease of identification and contact
Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) Recommended List of team names with head coach and athletic trainer phone numbers Recommended Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament site Hotels EMS – if site is not set up for 911 Directions to specified locations Hospital/Urgent Care Center Physician and/or Medical Provider NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room
Have available the following items for each teams practice, treatment, and event preparation:
Treatment tables Recommended Gloves and gauze Splint bag/CPR masks/Crutches Spine board Scoop Stretcher First Aid Supplies Weather radio or weather app on cell phone
Taping Supplies Bench Towels Recommended Biohazard container Ice and ice bags Electrical muscle stimulation Recommended
Ultrasound Recommended Hydrocollator Recommended Whirlpool Recommended AED
One Host Certified Athletic Trainer on site with a medical kit (adequate response time should be ensured)
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NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
Provide needed tournament information
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff
Work with Host Medical Coordinator to: Have an on-site cell phone for emergencies at event Establish an Emergency Action Plan for site(s) and event
Provide Supplies at appropriate locations: Several 10 gallon water coolers with ice and water Several sleeves of cups Ice chest with ice and ice bags Several trash bags/cans
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after event Recommended
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Tennis: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Have radios for communication from court to court, as necessary when courts are at different sites (cell phones, radios, walkie-talkie, etc.) Have an on-site phone/cell phone for emergencies at practices and event Establish an Emergency Action Plan for site(s) and event Have NAIA championship concussion protocol in place Establish an Inclement Weather Plan & Lighting Safety Plan Establish a Heat Related Illness Plan
Meet with Games Committee for ease of identification and contact
Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) Recommended Tournament bracket with names of tournament teams, head coach, athletic trainer, phone number Recommended Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament site Hotels EMS – if site is not set up for 911 Directions to specified locations: Hospital/Urgent Care Center Physician and/or Medical Provider NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room
Have available the following items for each teams practice, treatment, and game preparation:
Treatment tables Recommended Gloves and gauze Splint bag/CPR masks/Crutches Scoop Stretcher First Aid Supplies Weather radio or weather app on cell phone
Taping Supplies Bench Towels Recommended Biohazard container Ice and ice bags Electrical muscle stimulation Recommended Lightning/Storm Detector
Ultrasound Recommended Hydrocollator Recommended Whirlpool Recommended AED Sling Psychrometer
One Host Certified Athletic Trainer per court with a medical kit (where courts are at different sites). Adequate response time should be ensured.
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NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
Provide needed tournament information
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff
Work with Host Medical Coordinator to: Have communication from court to court, where courts are at different sites (cell phones, radios, etc.) Have an on-site cell phone for emergencies at practices and event Establish an Emergency Action Plan for site(s) and event
Provide Sideline Supplies (per bench): One 5 gallon water cooler with ice and water (should be checked periodically) One sleeve of cups One ice chest with ice and ice bags (can have 1 or 2 at a central location) One biohazard bag, disinfectant solution, clean-up kit One trash bag/can
Provide Locker Room Supplies (per locker room if used): One 10 gallon water cooler with ice and water (should be checked periodically) Recommended One sleeve of cups Recommended One ice chest with ice and ice bags Recommended
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after event Recommended
NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
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Track & Field: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Have radios for communication throughout event site and to the medical tent (cell phones, radios, walkie-talkie, etc.) Have an on-site phone/cell phone for emergencies at practice and event Secure an on-site ambulance for Pole Vault and Steeple Chase Establish an Emergency Action Plan for site(s) and event Establish an Inclement Weather Plan & Lighting Safety Plan Establish a Heat Related Illness Plan Have NAIA championship concussion protocol in place
Meet with Games Committee for ease of identification and contact
Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) Recommended List of participating schools with head coach and athletic trainer phone numbers Recommended Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament site Hotels EMS – if site is not set up for 911 Directions to specified locations Hospital/Urgent Care Center Physician and/or Medical Provider NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room Have available the following items for each teams practice, treatment, and event preparation:
Treatment tables Gloves and gauze Splint bag/CPR masks/Crutches Scoop Stretcher First Aid Supplies Weather radio or weather app on cell phone
Taping Supplies Race Towels Recommended Biohazard container Ice and ice bags Electrical muscle stimulation Recommended Lightning/Storm Detector
Ultrasound Recommended Hydrocollator Recommended Whirlpool Recommended AED Sling Psychrometer
Multiple Host Certified Athletic Trainers on site with a medical kit (adequate response time should be ensured)
Athletic Trainers need to provide coverage at tent, finish line and events if possible
Athletic Trainers need to have ambulance on site at Pole Vault and Steeple Chase
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NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
Provide needed tournament information
HOST SITE (COLLEGE OR CITY) D & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary athletic training and medical staff credentials
Work with Host Medical Coordinator to: Have radios for communication throughout event site and to medical tent (cell phones, radios, etc.) Have an on-site cell phone for emergencies at event Establish an Emergency Action Plan for site(s) and event
Provide Supplies at appropriate locations: Several 10 gallon water coolers with ice and water Several sleeves of cups Several Ice chests with ice and ice bags Biohazard bags, disinfectant solution , clean up kit, gauze and gloves Several trash bags/cans Medical tent for shade
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after event Recommended
Provide some type of transportation (gator/cart) to transport injured participants from competition area to medical tent
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Volleyball: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Have radios for communication from gym to gym (if applicable), (cell phone, radios, walkie-talkie, etc.) Have an on-site phone/cell phone for emergencies at practices and event Establish an Emergency Action Plan for site(s) and event Have NAIA championship concussion protocol in place
Meet with Games Committee for ease of identification and contact
Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) Recommended Tournament bracket with names of tournament teams, head coach, athletic trainer, phone number Recommended Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament site Hotels EMS – if site is not set up for 911 Directions to specified locations Hospital/Urgent Care Center Physician and/or Medical Provider NAIA-ATA Injury Report and Blood borne Pathogen/Infection Materials Plan
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room
Have available the following items for each teams practice, treatment, and game preparation:
Treatment tables Gloves and gauze Splint bag/CPR masks/Crutches Scoop Stretcher First Aid Supplies
Taping Supplies Bench Towels Biohazard container Ice and ice bags Electrical muscle stimulation
Ultrasound Hydrocollator Whirlpool Recommended AED
One Host Certified Athletic Trainer per gymnasium with a medical kit if applicable (adequate response time should be ensured)
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NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff
Work with Host Medical Coordinator to: Have radios for communication from gym to gym (if applicable), (cell phones, radios, etc.) Have an on-site cell phone for emergencies at practices and event Establish an Emergency Action Plan for site(s) and event
Provide Sideline Supplies (per bench): One 5 or 10 gallon water cooler with ice and water (should be checked between matches) One sleeve of cups One ice chest with ice and ice bags One biohazard bag, disinfectant solution, clean-up kit One trash bag/can
Provide Locker Room Supplies (per locker room): One 5 or 10 gallon water cooler with ice and water (should be checked between matches) One sleeve of cups
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after last game Recommended
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Wrestling: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS
Contact local physicians and hospital to notify of event, time, dates, location; should contact at least one orthopedist and one internal medicine/family practitioner Recommended
Work with Host Site to: Have communication throughout event site and to the medical area (cell phones, radios, walkie-talkie, etc.) Have an on-site phone/cell phone for emergencies at practice and event Secure an on-site orthopedist/physician for the event Establish an Emergency Action Plan for site(s) and event Have NAIA championship concussion protocol in place Establish an Inclement Weather Plan & Lighting Safety Plan
Meet with Games Committee for ease of identification and contact
Secure necessary tournament information from the Host Site and/or NAIA National Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) Recommended Tournament bracket with names of tournament teams, head coach, athletic trainer, phone number Recommended Necessary athletic training and medical staff credentials
Develop a Medical Packet to be sent to each teams’ Certified Athletic Trainer, that includes: Visiting Team Medical Questionnaire (to be returned to the designated host medical coordinator and NAIA sport manager) Phone List (include phone #, pager #, and cellular phone #) Host Medical Coordinator and other staff College: security, athletic department, athletic training room Medical Facilities (hospital, orthopedic surgeon, Urgent Treatment Center) NAIA Tournament Coordinator, Headquarters and Tournament site Hotels EMS – if site is not set up for 911 Directions to specified locations: Hospital/Urgent Care Center Physician and/or Medical Practitioner NAIA-ATA Injury Report and Blood borne Pathogen/Infection Materials Plan
Availability (1-2 hours pre and 1/2 hr. post), location, and supplies of athletic training room Have available the following items for each teams practice, treatment, and event preparation:
Treatment tables Gloves and gauze Splint bag/CPR masks/Crutches Spine board &Scoop Stretcher First Aid Supplies
Taping Supplies Bench Towels Biohazard container Ice and ice bags Electrical muscle stimulation Recommended
Ultrasound Recommended Hydrocollator Recommended Whirlpool Recommended AED
Multiple Host Certified Athletic Trainers on site with a medical kit (adequate response time should be ensured)
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NAIA REQUIREMENTS
Provide names of participating schools to Host Medical Coordinator as soon as available
Ensure the completed Visiting Team Medical Questionnaires is received by Host Medical Coordinator from visiting team’s AT prior to arrival
Provide needed tournament information
HOST SITE (COLLEGE OR CITY) REQUIREMENTS & RECOMMENDATIONS
Designate a Certified Athletic Trainer in the area to act as the Host Medical Coordinator
Work with the NAIA and Host Medical Coordinator to secure necessary medical passes for medical staff
Work with Host Medical Coordinator to: Have for communication throughout event site and to medical area (cell phones, radios, etc.) Have an on-site cell phone for emergencies at event Establish an Emergency Action Plan for site(s) and event
Provide Supplies at appropriate locations: Several 10 gallon water coolers with ice and water Several sleeves of cups Ice chest with ice and ice bags Biohazard bag, disinfectant solution, clean up kit, gauze, and gloves Trash bag/can
Establish a First Aid Station for spectators; should be staffed 1 hour prior, during, and 30 minutes after last match Recommended
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APPENDIX A Championship Event Emergency Action Plan March 2016
NAIA Championship Venue: EMERGENCY PERSONNEL List all Emergency Personnel/Facilities Title Name
Contact #
Host Certified Athletic Trainer (ATC) Certified Athletic Trainer (ATC) Certified Athletic Trainer (ATC) Certified Athletic Trainer (ATC) Certified Athletic Trainer (ATC) Physician Physician Physician Physician
Physician Consultants Orthopedist Orthopedist Internist Dentist Optometrist/Ophthalmologist Campus Security Emergency Room or Urgent Care Ambulance Service
EMERGENCY EQUIPMENT List all Emergency Equipment & Supplies
Location
Splints AED Crutches Scoop Stretcher & Immobilization Supplies Stretcher First Aid Supplies (gloves, pocket-mask, etc.) Biohazard Supplies Lightning/Storm Detector (if applicable) Weather Radio (if applicable)
ROLES OF FIRST RESPONDERS 1. Immediate care of the injured or ill student-athlete – Host ATC or Team ATC 2. Emergency equipment retrieval – Assigned Host Medical Personnel 3. Activation of emergency medical system (EMS) – Assigned Host Medical Personnel a) Name b) address c) telephone number d) number of individuals injured e) condition of injured f) first aid treatment g) specific directions h) other information as requested 4. Direction of EMS to scene – Assigned Host Medical Personnel or Campus Security 5. Designate individual to "flag down" EMS and direct to scene
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6. Scene Control- Assigned Host Medical Personnel or Campus Security- maintained by assisting athletic
trainers
Have the following plans prepared and discussed with campus security or other appropriate personnel should the championship venue be held on campus or off campus. Concussion Plan Evacuation Plan Inclement Weather Plan (Severe Weather/Tornado/Lightning) Heat Related Illness Plan Bomb or Security Threats Map of Facilities
SPORT-SPECIFIC REQUIREMENTS FOR NATIONAL CHAMPIONSHIP EVENT EMERGENCY ACTION PLANS
Baseball- Ambulance on-call. Ensure appropriate coverage for number of fields used (i.e. appropriate response time is possible to each field). Basketball- Ambulance on-site. Provide radios for direct communication between Athletic Training Room, court, and Ambulance crew. Cross Country-Ambulance on-site. Ensure appropriate ATC coverage throughout course in addition to Finish Line. Football- Ambulance on-site. Provide radios for direct communication between Home and Visiting Medical Staff, field, and Ambulance crew. Physician on site. Golf- Ensure appropriate ATC coverage throughout course in addition to Clubhouse. Soccer- Ambulance on-site. Provide radios for direct communication between Host Medical Staff, field, and Ambulance crew. Physician on site Softball Ambulance on-call. - Ensure appropriate coverage for number of fields used (i.e. appropriate medical supervision of each field and appropriate response time is possible to each field). Swimming & Diving- Ambulance on-call .Roles of First Responders: Work closely with facility Lifeguards to ensure roles are delineated prior to start of competition. Tennis- Ensure appropriate coverage for number of courts used (i.e. appropriate medical supervision of each court and appropriate response time is possible to each court). Track & Field- Ensure appropriate coverage for entire site (including all venues as well as different locations on the track), including on-site ATC and ambulance coverage for Pole Vault, Steeplechase, and Finish Line (ATC) with roles delineated prior to start of competition. Volleyball- Ensure appropriate coverage for number of courts used (i.e. appropriate medical supervision of each court and appropriate response time is possible to each court). Wrestling-Ambulance on-call Ensure appropriate coverage for number of mats used (i.e. appropriate medical supervision of each mat and appropriate response time is possible to each mat). Physician on site. Marathon- Ensure appropriate ATC coverage throughout course in addition to Finish Line. Contact and secure an interdisciplinary volunteer medical staff including but not limited to: a team of physicians, nurses, paramedics, physician assistants, EMT personnel, athletic trainers, and physical therapists.
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Handling of Potentially Infectious Materials March 2016 The following is produced to give basic guidelines to the medical personnel working NAIA national championship events. Additional requirements and measures may be in many different sports. Please contact your local OSHA office for up-to-date policies that may affect your championship.
STATEMENT OF PHILOSOPHY HIV and hepatitis are deadly viruses and must be dealt with seriously. There is no documented case of an athlete contacting the HIV virus through sport. Our basic concern is for the athlete's rights and for the general welfare of all participants. The following are items that medical personnel working a NAIA national championship event should be familiar with and conform to:
BEFORE EVALUATION OR TREATMENT 1. 2.
Ensure that all appliances are disinfected with the appropriate agent. Place a disposable cover on the surface of the appliance to prevent contamination, if necessary.
DURING EVALUATION OR TREATMENT 1. 2. 3.
4.
Treat all athletes as potential sources of infection. Use protective attire (i.e. gloves, etc.) and the barrier technique based on the task categorization. Protect your hands. •Wash your hands before putting on gloves and after removing gloves. •Change gloves each time a different athlete is treated. •Discard gloves that are torn, cut or punctured. •Avoid hand injury. Avoid injury with sharp instruments and needles. •Handle sharp instruments carefully. •Place sharp instruments in the appropriate containers.
AFTER EVALUATION OR TREATMENT 1. 2. 3. 4. 5. 6. 7. 8.
9.
Wear rubber gloves. Clean instruments thoroughly. Sterilize instruments and other equipment that comes in contact with the athletes' mucous membranes. Continue to handle sharp instruments with caution. Place scalpels and other sharp instruments into specific puncture-resistant containers. Decontaminate environmental surfaces. Wipe work surfaces with absorbent towels and place the towels in an appropriate container for laundry. Disinfect with suitable chemical disinfectants. Communicate the infection control program to other personnel. Remove contaminated waste appropriately. •Place soiled waste that is contaminated with blood or other potentially hazardous body fluids in sealed sturdy impervious bags. •Dispose of hazardous waste according to local government regulations. Remove gloves and wash hands.
PROTECTIVE EQUIPMENT
When performing their duties, athletic trainers should wear appropriate protective equipment. This includes wearing protective gloves.
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Initial cleanup of blood or other potentially infectious materials shall be followed with the use of an approved hospital disinfectant chemical germicide that is tuberculocidal or a solution of 5.25 percent sodium hypochlorite (household bleach) diluted between 1:10 and 1:100 with water.
LAUNDRY PRACTICES
Laundry workers shall wear protective gloves and other appropriate personal protective equipment to prevent exposure to blood or other potentially infectious materials during handling and sorting of linen. Laundry that is contaminated with blood or other potentially infectious materials, or that may contain contaminated needles or sharps shall be treated as if it were HBV/HIV infections and handled as little as possible with a minimum of agitation. Contaminated laundry shall be bagged at the locations where it was used and shall not be sorted or rinsed in areas frequented by athletes. Contaminated laundry shall be placed and sorted in bags that are labeled or color-coded and that prevent liquid seepage if such a potential exists. Contaminated laundry can be cleaned at the office location without undue HIV risk upon reuse if: It is washed at 180o Fahrenheit It is dried at 212o Fahrenheit Note: Contaminated laundry has been defined as laundry, which has been soiled with blood or other potentially infectious materials or may contain sharps.
REFERENCES 1. 2.
The American College Health Association - Compliance Assistance Guidelines. National Athletic Trainers Association - "Aids and Athletic Trainers: Recommendations for Athletic Training Programs," Deloss Brubaker, EdD, ATC, JNATA, Winter 1991.
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APPENDIX B NAIA National Championship Medical Information Sheet Coaches: Please forward this form to your head athletic trainer. Please bring this form to the coaches meeting at the National Championship and forward to the Sport Manager at the NAIA before you leave for the Championship. In addition to basic athletic training supplies, the athletic training room will be equipped with ultrasound, electric stimulation, hydrocollator and hot and cold whirlpools. TEAM:
_______________________________
HEAD COACH:
____________________________________
Do you have a team physician with you? Physician's name:
NO
YES
NO
YES
NO
YES
NO
YES
NO
______________________________
Do you have a certified athletic trainer with you? Athletic trainer's name:
_________________________
Do you have a student trainer with you? Student trainer's name:
YES
_________________________
Do you have any athletes with a medical condition we need to be aware of before the tournament starts? If yes, please state athlete(s) and condition(s):
Do you have any athletes on regular medication that we need to be aware of before the tournament starts? If yes, please state athlete(s) and medication(s):
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APPENDIX C NAIA-ATA Injury Report Event: ___________________________________________ Host Institution:___________ __________________
________
___________
Location:________
Name:_________________ DOI:_______ Time of Injury:_
DOB:______
School:______________________________________Sport:_________________ Address:_________________________ Phone:_________________ Male Female Location of Injury: Field/Gym Other:___________
Off Site
Injured During:
Game
Body Part:_________________________________________
R
Practice L
B
Injury:____________________________________________ SOAP:_________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ____________________________________________________________________ Action Taken __Called EMS __Parent/Coach taken to __Transferred to Hospital Hospital __Returned to Sport Other:
__Withheld from Sport
Evaluator (Print):_______________________________
Time:___________
Evaluator (Sign):________________________Credentials:_______ Date__________ Phone: ________ For postseason injuries, send copy to athletic trainer of injured athlete and to: ATA Liaison 1200 Grand Blvd., Kansas City, MO 64106 Fax: 816-595-8200 ATALiaison@naia.org
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APPENDIX D Directions for Completing the NAIA-ATA Injury Report HOST INSTITUTION INFORMATION Write in the name of the host institution, host physician, sport and the tournament event (national basketball, national football tournament, etc.).
ATHLETE INFORMATION Write in the name of the injured athlete, including home school and age. Check their gender and student classification according to the athlete.
INJURY INFORMATION Write in the date of the injury. Check the best response for the nature of injury and injured side. Check the injured region that applies, then write in the specific region (i.e., ACL, supraspinatus, anterior talofibular ligament, etc.) Then check the injury from the list given. There is a space for you to list an injury that is not included in the list under "Comments". If you must write in the injury, please check the "Other" listing. There is also a space for you to write any comments you may wish to make. However, do not include treatments or injury management in this space.
INJURY MANAGEMENT Check the course of action you took for this particular injury. If the attending athletic trainer managed the entire injury, then circle "Athletic Trainer".
ATHLETE STATUS Check the amount of time that best describes time the athlete missed as a result of the described injury. If the injury caused the athlete to miss the game you are responsible for, but he may continue in the tournament next week or at a later time, then check "Out of game", because this is the only game, so far, that you know the athlete has missed.
ATTENDING ATHLETIC TRAINER Write and sign your name in the space provided. Then, indicate your place of employment in the space provided for "Institution", and enter the date you are completing the form. After the form is completed, return it to ATA Liaison, 1200 Grand Blvd., Kansas City, MO 64106 ATALiaison@naia.org FAX: (816) 595-8200. The NAIA national office recommends forwarding a copy of this report to the athletic trainer of the injured athlete. (Note – Although for postseason competition, this form can also be used during regular-season play to document athletic injuries. The NAIA does not require a copy of regular-season injury reports.)
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APPENDIX E NAIA National Championship Athletic Training Evaluation Form Event Evaluation
Please evaluate the following categories in regard to athletic training services for the championship event. Please include positive and negative aspects and suggestions for improvement. Sport:
____Evaluator (ATC):
_____Institution:
___________
For each performance category, check the number that indicated you rating of the Athletic Training coverage for the championship event. Use the following rating system, 5- excellent, 4- good, 3- average, 2- below average, 1- poor. Please fill in the explanation/comments box fully so that we know the details of the evaluation and ranking. Thanks so much. CATEGORY Pre-Event Meeting- Meeting for athletic trainers to explain venue set up, EAP, Emergency medical facilities, maps, contact information etc. Distribution of Medical Packet. Athletic Training “Room”- Treatment tables, Electrical muscle stimulation, ultrasound, hydrocollator, whirlpool, ice and bags, biohazard supplies, basic medical supplies, emergency
RATING 5 4 3 2 1
EXPLANATION/COMMENTS
5 4 3 2 1
equipment. Athletic Training “Room” Availability- Availability of the athletic training room before and after practices and games. Medical Staffing- Certified Athletic Trainer coverage of both the athletic training room as well as the court/field coverage. Access to Medical Specialists- On site or easy, quick access to Physicians (general medical and or orthopedic physicians), or other medical specialists. Field/Court Set-Up- Medical supplies set up for each field/court including: water, injury ice, biohazard supplies, emergency equipment, or any other venue specific supplies.
5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1
Return to ATA Liaison, fax 816-595-8200, ATAliaisons@naia.org
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APPENDIX F NAIA Transgender Student-Athlete Participation at National Championships POLICY LANGUAGE Council for Student-Athletes under the authority granted in Article IV. F. approved this policy to begin in 2017-18. A medical exemption form will be available for students at the beginning of the season for institutions to file on campus. A transgender student-athlete may participate in sex-separated NAIA approved postseason under the following conditions: 1. A male-to-female (MTF) transgender student-athlete who is taking medically prescribed hormone treatment related to gender transition may participate on a men’s team at any time, but must complete one year of hormone treatment related to gender transition before competing on a women’s team. 2. A female-to-male (FTM) transgender student athlete who is taking medically prescribed testosterone related to gender transition may not participate on a women’s team after beginning hormone treatment. A female-to-male (FTM) transgender student-athlete who is taking medically prescribed testosterone may compete on a men’s team only after the student receives a medical exemption from the NAIA National Drug Testing and Education Committee to allow the use of medically prescribed testosterone. 3. Any transgender student athlete who is not taking hormone treatment related to gender transition may participate in sex-separated sports activities or mixed team competition in accordance with his or her assigned birth gender.
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APPENDIX G NAIA Official Medical Exemption Form The NAIA recognizes that some banned substances are used for legitimate medical purposes. Accordingly, the NAIA allows exemptions to be made for those student-athletes with documented medical history demonstrating the need for regular use of such a drug. Exemptions may be granted for substances included in the following classes of banned drugs: stimulants, anabolic agents, beta-blockers, diuretics, peptide hormones, anti-estrogens, and beta-2 agonists.
1.
Case # (for national Office use Only) Name of Athlete:
Sport(s) :
Institution:
Conference:
Address:
2. 3.
List all doctor prescribed medications currently being taken by student. Include diagnosis and date medication was begun. Rx
Diagnosis
Date Rx Began
I hereby certify that the above information is complete and accurate:
Student-Athlete Signature
Name (please print)
Date
Parent Signature (if student-athlete is a minor)
4.
In the event that the student tests positive for a banned substance, the following information is required to be completed by the student-athlete’s physician: :
_______________________
_____________________
___________________
______________________
_____________________
___________________
Current Treating Physician
Physician Office Address and Phone
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Specialty
Physician Signature
Date of Clinical Evaluation
Today’s Date
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Required Materials: ______
Diagnosis
______
Medications(s) and dosage
______
Blood pressure and pulse readings and comments
______
Note that alternative non-banned medications have been considered, and comments
______
History of treatment (previous/ongoing)
______
Laboratory/testing results (if applicable)
______
ADHD rating scale (if applicable)
_______________________________________
_______________________________________
Athletic Director Signature
Athletic Trainer Signature
5.
Attach current transcript.
Send this form and transcript to: NAIA National Office, Attn: Legislative Services All 5 areas of this form must be completed before the request can be considered by the National Office, Legislative Services Dept.
FOR OFFICIAL USE ONLY — DO NOT WRITE IN THIS SPACE Granted Denied. The request does not meet criteria established by
NAIA Legislative Services Dept.
Date
membership.
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APPENDIX H NAIA Championship Concussion Policy Concussions can be serious and potentially life threatening injuries in sports. Research indicates that if concussion symptoms are appropriately managed, an individual is very unlikely to have a prolonged recovery or long-term issues. In an effort to manage these relatively common injuries, a concussion management protocol/policy has been developed by the NAIA championships committee for athletes participating in NAIA championship events.
Recognition of Head Injuries A concussion is a brain injury that is caused by a bump, blow, or jolt to the head, or by a blow to another body part with the force transmitting to the head. They can range from a mild traumatic brain injury (mTBI), which can disrupt the brain briefly (hours or days), whereas the severe traumatic brain injury (TBI) can result in more permanent disruption. A concussion may present itself differently for each student-athlete and occurrence. Coaches and fellow teammates can be helpful in identifying those who may potentially have a concussion, because a concussed athlete may not be aware of a concussion or potentially try to hide the injury to stay in the game, on the field or court and even stay in swimming/diving events. Signs and symptoms of concussion may show up right after an injury or can take hours or days to fully appear. Symptoms may include one or more of the following (reported by the athlete) Headaches Brief loss of consciousness (LOC) Fatigue/Vomiting/Nausea Poor recall for events prior to injury or after injury “Pressure in head” Difficulty with memory Sensitive to light or sound Feeling sluggish More emotional Difficulty concentrating/confusion/feeling “foggy” Change in sleep patterns Neck pain Balance problems or dizziness Irritability Repeating the same question/comment Balance problems or dizziness Blurred, double or fuzzy vision Report they “don’t feel right”.
* Not all symptoms have to be present for a concussion. Each concussion will present itself
differently for each individual. ** A student does not have to be withheld from competition when a headache is the only symptom reported. A student shall be withheld from competition in accordance with RTP protocol when (a) the student reports a headache, (b) there is a mechanism of injury and (c) one other symptom is present. Signs observed by teammates, parents, coaches Appears dazed/stunned/exhibits confusion Balance problems or moves clumsily Vacant facial expression Personality change Unsure of game, score, or opponent Memory changes Responds slowly to questions Slurred speech Loss of consciousness (LOC) Seizures or convulsions Can’t recall events prior to hit Can’t recall events after hit
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Same Day Return-to-Play (RTP)
A student-athlete playing in an NAIA championship event who exhibits any signs or symptoms of concussion or potential brain injury shall be withheld from the competition or practice and will not return to any activity for the remainder of that day. The athletic training staff immediately following the injury episode will evaluate the athlete. The on-site championship venue physician will make a determination of the student-athlete’s medical status. If an institution is traveling with an athletic trainer, the team’s athletic trainer will evaluate the injury episode per the institution’s concussion management policy and request a determination of the student-athlete’s medical status by the on-site championship venue physician. The student-athlete will be reassessed 24 hours after the injury event by the host athletic trainer, athletic training staff, or team’s athletic trainer to determine his or her medical status. The host athletic trainer, athletic training staff or team’s athletic trainer will document this postevent assessment. The host athletic trainer, athletic training staff or the team’s AT will implement recommendations made by the on-site championship venue physician for the athlete diagnosed with a concussion.
On-the-Field/Court Immediate Referral Upon initial evaluation, activation of the appropriate Emergency Action Plan (EAP) and immediate transport/referral to an appropriate hospital is warranted with any of the following findings: Extended loss of consciousness (LOC) High index of suspicion of spinal or head injury Seizure activity Deterioration of vital signs
Off –the- Field/Court Immediate Referral Should the student-athlete present any of the findings in the athletic training room (ATR)/athletic training areas/bench or sideline, activation of the appropriate Emergency Action Plan (EAP) and immediate transport/referral to an appropriate hospital is warranted. Deterioration of neurological signs such as motor, sensory and cranial nerve deficits subsequent to initial on-field/court assessment. Extended loss of consciousness Persistent vomiting Post-concussion symptoms that worsen
Non-Immediate Referral
The on-site championship venue physician prior to return to unrestricted activity will evaluate all student-athletes who have been diagnosed with a concussion. Student-athletes may be referred to specialists if necessary and host athletic trainer or on-site championship venue physician may arrange this.
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Follow-Up Care
In the event of a concussion, follow-up care and proper education is critical. The student-athlete will be released under the care of the team’s athletic trainer, coach, and/or parents/guardians. The concussion take home instructions will be explained and given to the concussed studentathlete as well as the coach or parents/guardians. The host athletic trainer should communicate what happened and care given to the student-athlete and the student-athlete’s athletic trainer. (This may be electronically, verbally or written methods) The NAIA’s responsibility ends at the conclusion of the tournament.
Return to Play Guidelines Most NAIA championship venues have a limited time frame for practice and competition. A return to play guideline may not always be practical. It is important to note that a return to play timeline could last over a period of days, weeks, months and ultimately result in potential medical disqualification from participation in the championship venue. There are numerous yet similar return to play guidelines available. This policy cannot recommend one return to play guideline versus another. This will be left to the discretion of the on-site championship venue physician, host athletic trainer, athletic training staff, or the team’s athletic trainer. A sample return to play guideline is provided here as an example: Rehabilitation Stage 1. No Activity
Functional Exercise Complete Physical & Cognitive Patience (rest)
Objective of Stage Recovery
2. Light Aerobic Exercise
Walking, swimming or stationary bike <70% MHR Running drills, shooting drills, etc… No Head impact activities Progression to more complex training drills, start resistive training Following medical clearance, normal training activities Normal Game play
Increase Heart Rate
3. Sport-specific exercise 4. Non-contact training 5. Full contact practice 6. Return to Play
Criteria to Advance No symptoms at rest, neurocognitive and physical tests normal No return of symptoms @ 2 days of activity
Add movement
No return of symptoms @ 1 day
Exercise, coordination, cognitive load
No return of symptoms
Restore Confidence, assessment of functional skills Full participation
No return of symptoms
Any student-athlete diagnosed with a concussion may not return to full activity or competition until they are asymptomatic in limited, controlled, and full-contact activities and cleared by the on-site championship venue physician prior to returning to play. The on-site championship venue physician has the final say regarding whether a student-athlete may return to competition in a NAIA championship venue. In the event that the championship venue does not have an on-site physician, the athlete’s college/university team’s athletic trainer will determine athlete’s return to competition in a NAIA championship venue. However, the host medical coordinator (athletic training staff) may assist in stabilizing and treating the athlete if requested until appropriate care is secured. This may consist of calling an on-call physician for the championship or referral to a medical facility.
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Second Impact Syndrome Athletes with the signs and symptoms of a concussion should be removed from play immediately. Continuing to play with the signs and symptoms of a concussion leaves the student- athletes especially vulnerable to a greater injury. There is an increased risk for a period of time after a concussion occurs, particularly if the athlete suffers another concussion, before completely recovering from the first concussion. This can lead to prolonged recovery, or even to severe brain swelling (second impact syndrome) with devastating and even fatal consequences. It does not require a strong blow to the head to cause the effects of second impact syndrome. The student-athlete may receive a minor blow to the head, chest, or back that snaps the head (a minimal force causes irreversible damage). The second impact may often go undetected because it is not directly or under reported by the student-athlete.
Rule will permit an unlimited amount of time to examine wrestlers June 15, 2016 3:19pmGreg Johnson The NCAA Playing Rules Oversight Panel approved a rules change that allows medical personnel an unlimited and unimpeded amount of time for concussion evaluation of wrestlers, beginning in the 201617 season. Additionally, in cases of uncertainty, the medical staff will have the ability to remove participants from the wrestling area to perform a concussion evaluation. Panel members have asked that these medical evaluations be tracked in order to determine how often this rule is applied and the time it takes to perform an adequate evaluation. During the evaluation, the match will be suspended until the medical professional renders a decision. The referee, the coaches of both participants and the noninjured wrestler are required to remain on the mat during the evaluation. A concussion evaluation timeout will not count as an injury timeout or recovery timeout. Coaching of the wrestler being evaluated is not permitted. In a separate rules change, injured wrestlers will not be permitted to be coached during all other nonbleeding injury timeouts. In the case of a severe or traumatic situation, medical personnel may request that the wrestlerâ&#x20AC;&#x2122;s coach assist in calming the injured wrestler. However, coaches are required to remove themselves from the situation during any assessment period related to the injury or concussion evaluation.
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Concussion Home Instruction Sheet Athlete: __________________________________Date:________________________________ This athlete has sustained or is suspected to have sustained a head injury/concussion. Quite often signs of a head injury/concussion do not appear immediately after trauma. The purpose of this sheet is to alert you to the symptoms of significant head injuries/concussions that may occur several hours after the initial head injury. Please follow the instructions listed below: Keep careful watch over the athlete and observe overall physical and mental health. Contact the athlete’s primary care physician or take the athlete to the nearest hospital emergency department IMMEDIATELY if any of the following symptoms persist or worsen: Increasingly severe headaches Repeated vomiting Dizziness, poor balance or unsteadiness Convulsion / Seizures Persistent ringing in the ears Slurred speech Neck pain It is OK to Use an ice pack on head and neck as needed Eat a light diet Go to sleep Rest (no strenuous exercise or sports) Consult your physician about prescription meds
Difficulty in waking the athlete Blurred vision Weakness or numbness in arms or legs Unusual or bizarre behavior Any discharge from the ears or nose Pupils that are dilated, unequal in size More emotional Do Not Do not exercise or lift weights Do not take aspirin or ibuprofen unless directed by a physician Do not use sedating medication or alcohol Do not drive while you have symptoms Do not lie about or minimize your symptoms, be honest
Special Instructions: •
Follow up with the Athletic Trainer / Physician the next day or as soon as possible to discuss signs/symptoms and receive directions for post-concussion care and treatment.
•
Keep all medical paperwork about your concussion for your records and give instructions or medical clearance forms from your physician to the athletic trainer for guidelines for return to participation.
Recommendations provided to: ________________________ phone# __________________ Recommendations provided by: _____________________________ phone# ____________
Take Home Instructions This link from the CDC should be distributed to concussed student-athlete, coach, and/or parents/guardians. http://fs.ncaa.org/Docs/health_safety/ConFactSheetsa.pdf
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APPENDIX I Championship Medical Handbook and On-site Concussion Policy Acknowledgement Receipt I,
(first/last name), the Championship Host Athletic Trainer, hereby acknowledge that I have
received and read the NAIA championship medical handbook and concussion policy.
Yes, we have an on-site physician,
(first/last name). S/he has read the concussion policy.
No, we will not have an on-site physician and recognize the athleteâ&#x20AC;&#x2122;s college/university team athletic trainer will make the return-to-play determination. The host medical coordinator (athletic training staff) may assist in stabilizing and treating the athlete if requested until appropriate care is secured. Please note that all action in the championship medical handbook is unless specified as recommended. Return this completed form to the NAIA National Office prior to the National Championship.
NAIA C/o Athletic Trainer Liaison 1200 Grand Blvd Kansas City, MO 64016 ATALiaisons@naia.org
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