2017-2018 championship handbook - naia.org national championship athletic training ......

2017-2018

Championship Handbook Updated November 2017

NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS ATA CHAMPIONSHIPS HANDBOOK 1

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


**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 ___Biohazard container(s) ___Gloves & gauze ___Ice/Ice bags

___Splint bag/crutches ___Ultrasound machine ___CPR masks ___Scoop

Stretcher

___Hydrocollator ___Whirlpool ___Taping Supplies ___Bench Towels

___First-Aid supplies ___Elec. muscle stimulator ___ AED


Provide one BOC Certified Athletic Trainer per field with a medical kit (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)

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

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


Baseball: Medical Check List HOST MEDICAL COORDINATOR: REQUIREMENTS & RECOMMENDATIONS



(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)


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


Basketball: Medical Check List

HOST MEDICAL COORDINATOR: REQUIREMENTS & RECOMMENDATIONS


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


Secure necessary tournament information from the Host Site and/or NAIA National

Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.)


phone number Recommended Necessary athletic training and medical staff credentials


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


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

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 (if applicable) with a medical kit


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


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


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


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




Recommended List of team names with head coach and athletic trainer phone numbers

Recommended Necessary athletic training and medical staff credentials



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




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

Two Host Certified Athletic Trainer on site with a medical kit (adequate response time should be ensured)


NAIA REQUIREMENTS








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


Cross-Country: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS


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


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




Directions to specified locations Hospital/Urgent Care Center

Physician and/or Medical Provider NAIA-ATA Injury Report and Blood-borne Pathogen/Infection Materials Plan


room Have available the following items for each teams treatment and event preparation:


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)


NAIA REQUIREMENTS








Have walkie-talkies for communication throughout event course and to medical tent at event (cell phones, radios, etc.)



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


Provide some type of transportation (gator/cart) to reach and move injured participants from course to medical site or hospital.


Football: Medical Check List

HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS


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



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







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

Taping Supplies Bench Towels

Recommended Biohazard container Ice and ice bags Electrical muscle stimulation Weather radio or weather

app on cell phone


Hydrocollator Whirlpool

Recommended AED Sling

Psychrometer


NAIA REQUIREMENTS








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



Three 10 gallon water coolers with ice and water (should be checked at half time and between games)

Sufficient cups for games/practice


One biohazard bag, bleach/water solution, clean-up kit

One trash bag/can


One 10 gallon water cooler with ice and water (should be checked between games

Three sleeves of cups




Golf: Medical Check List


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




Recommended Tournament information with names of teams, head coach, athletic trainer, phone

number Recommended Necessary athletic training and medical staff credentials



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


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



NAIA REQUIREMENTS








Have radios for communication throughout event course and to medical tent at event (cell phone, walkie-talkie, radios, etc.




Several 10 gallon water coolers with ice and water


Ice chest with ice and ice bags

One trash bag/can



Lacrosse: Medical Check List



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



Office: Chain of Command (Host Events Coordinator, NAIA Regional Representative, etc.) List of team names with head coach and athletic trainer phone numbers









room


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)


NAIA REQUIREMENTS









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 Inclement Weather Plan & Lightning Safety Plan

Establish a Heat Related Illness Plan

Have a NAIA championship concussion protocol in place


Two 10 gallon water coolers with ice and water (should be checked at half time and between games)

Sufficient cups for games/practice


One biohazard bag, bleach/water solution, clean-up kit

One trash bag/can



Three sleeves of cups




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







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




AED




NAIA REQUIREMENTS








Have walkie-talkies for communication throughout event course and to medical tent at event (cell phones, radios, etc.)



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


Medical tent

Family Waiting tent


Provide some type of transportation (gator/cart) to reach and move injured participants from course to medical site or hospital.


Soccer: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS


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








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





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


Recommended Whirlpool Recommended AED Sling Psychrometer

One Host Certified Athletic Trainer per field with a medical kit (adequate response time should be ensured)


NAIA REQUIREMENTS









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



One 10 gallon water cooler with ice and water (should be checked at half time and between games)

One sleeve of cups


One biohazard bag, disinfectant solution, clean-up kit

One trash bag/can


One 10 gallon water cooler with ice and water (should be checked between games

One sleeve of cups




Softball: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS



(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













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


Recommended Whirlpool Recommended AED Sling Psychrometer

One Host Certified Athletic Trainer per field with a medical kit (adequate response time

should be ensured)


NAIA REQUIREMENTS








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




One sleeve of cups



One trash bag/can


One 10 gallon water cooler with ice and water (should be checked between games) Recommended


One ice chest with ice and ice bags Recommended



Swimming & Diving: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS


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.


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









room


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



Whirlpool Recommended AED

One Host Certified Athletic Trainer on site with a medical kit (adequate response time

should be ensured)


NAIA REQUIREMENTS

















Tennis: Medical Check List



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









Directions to specified locations: Hospital/Urgent Care Center Physician and/or Medical Provider




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



Hydrocollator

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.


NAIA REQUIREMENTS








Have communication from court to court, where courts are at different sites (cell phones, radios, etc.)




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 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 ice chest with ice and ice bags Recommended



Track & Field: Medical Check List



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




Recommended List of participating schools with head coach and athletic trainer phone numbers










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




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


NAIA REQUIREMENTS




HOST SITE (COLLEGE OR CITY) D & RECOMMENDATIONS


Work with the NAIA and Host Medical Coordinator to secure necessary athletic training and medical staff credentials


Have radios for communication throughout event site and to medical tent (cell phones, radios, etc.)






Several Ice chests with ice and ice bags

Biohazard bags, disinfectant solution , clean up kit, gauze and gloves


Medical tent for shade


Provide some type of transportation (gator/cart) to transport injured participants from competition area to medical tent


Volleyball: Medical Check List



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










NAIA-ATA Injury Report and Blood borne Pathogen/Infection Materials Plan




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)


NAIA REQUIREMENTS







Have radios for communication from gym to gym (if applicable), (cell phones, radios, etc.)




One 5 or 10 gallon water cooler with ice and water (should be checked between matches)

One sleeve of cups



One trash bag/can


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


Wrestling: Medical Check List HOST MEDICAL COORDINATOR REQUIREMENTS & RECOMMENDATIONS


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







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 #)


Directions to specified locations: Hospital/Urgent Care Center Physician and/or Medical Practitioner

NAIA-ATA Injury Report and Blood borne Pathogen/Infection Materials Plan




masks/Crutches Spine board &Scoop

Stretcher First Aid Supplies

Taping Supplies Bench Towels Biohazard container Ice and ice bags Electrical muscle stimulation

Recommended




AED

Multiple Host Certified Athletic Trainers on site with a medical kit (adequate response time should be ensured)


NAIA REQUIREMENTS








Have for communication throughout event site and to medical area (cell phones, radios, etc.)







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


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


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.


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. Ensure that all appliances are disinfected with the appropriate agent.

2. Place a disposable cover on the surface of the appliance to prevent contamination, if necessary.

DURING EVALUATION OR TREATMENT

1. Treat all athletes as potential sources of infection.

2. Use protective attire (i.e. gloves, etc.) and the barrier technique based on the task categorization.

3. 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.

4. Avoid injury with sharp instruments and needles.

•Handle sharp instruments carefully.

•Place sharp instruments in the appropriate containers.

AFTER EVALUATION OR TREATMENT

1. Wear rubber gloves.

2. Clean instruments thoroughly.

3. Sterilize instruments and other equipment that comes in contact with the athletes' mucous

membranes.

4. Continue to handle sharp instruments with caution. Place scalpels and other sharp instruments into

specific puncture-resistant containers.

5. Decontaminate environmental surfaces. Wipe work surfaces with absorbent towels and place the

towels in an appropriate container for laundry.

6. Disinfect with suitable chemical disinfectants.

7. Communicate the infection control program to other personnel.

8. 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.

9. Remove gloves and wash hands.

PROTECTIVE EQUIPMENT

When performing their duties, athletic trainers should wear appropriate protective equipment. This includes

wearing protective gloves.


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. The American College Health Association - Compliance Assistance Guidelines.

2. National Athletic Trainers Association - "Aids and Athletic Trainers: Recommendations for Athletic

Training Programs," Deloss Brubaker, EdD, ATC, JNATA, Winter 1991.


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? YES NO

Physician's name: ______________________________

Do you have a certified athletic trainer with you? YES NO

Athletic trainer's name: _________________________

Do you have a student trainer with you? YES NO

Student trainer's name: _________________________

Do you have any athletes with a medical condition we

need to be aware of before the tournament starts? YES NO

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? YES NO

If yes, please state athlete(s) and medication(s):


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 Off Site Injured During: Game Practice Other:___________ Body Part:_________________________________________ R L B Injury:____________________________________________ SOAP:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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

[email protected]

Action Taken __Called EMS __Parent/Coach taken to Hospital

__Transferred to Hospital

__Returned to Sport

__Withheld from Sport

Other:


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 [email protected] 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.)


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 RATING EXPLANATION/COMMENTS

Pre-Event Meeting- Meeting for athletic trainers to

explain venue set up, EAP, Emergency medical

facilities, maps, contact information etc.

Distribution of Medical Packet.

5 4 3 2 1

Athletic Training “Room”- Treatment tables,

Electrical muscle stimulation, ultrasound,

hydrocollator, whirlpool, ice and bags, biohazard

supplies, basic medical supplies, emergency

equipment.

5 4 3 2 1

Athletic Training “Room” Availability- Availability of

the athletic training room before and after

practices and games.

5 4 3 2 1

Medical Staffing- Certified Athletic Trainer coverage

of both the athletic training room as well as the

court/field coverage.

5 4 3 2 1

Access to Medical Specialists- On site or easy,

quick access to Physicians (general medical and or

orthopedic physicians), or other medical specialists.

5 4 3 2 1

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

Return to ATA Liaison, fax 816-595-8200, [email protected]

mailto:[email protected]


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.


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.

Case # (for national Office use Only)

1.

Name of Athlete: Sport(s) :

Institution: Conference:

Address:

2.

List all doctor prescribed medications currently being taken by student. Include diagnosis and date medication was

begun.

Rx Diagnosis Date Rx Began

3.

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 Specialty Date of Clinical Evaluation

______________________ _____________________ ___________________ Physician Office Address and Phone Physician Signature Today’s Date


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

membership.

NAIA Legislative Services Dept. Date


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


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 post-

event 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.


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 student-

athlete 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 Functional Exercise Objective of Stage Criteria to Advance

1. No Activity Complete Physical & Cognitive Patience (rest)

Recovery No symptoms at rest, neurocognitive and physical tests normal

2. Light Aerobic Exercise Walking, swimming or stationary bike <70% MHR

Increase Heart Rate No return of symptoms @ 2 days of activity

3. Sport-specific exercise Running drills, shooting drills, etc… No Head impact activities

Add movement No return of symptoms @ 1 day

4. Non-contact training Progression to more complex training drills, start resistive training

Exercise, coordination, cognitive load

No return of symptoms

5. Full contact practice Following medical clearance, normal training activities

Restore Confidence, assessment of functional skills

No return of symptoms

6. Return to Play Normal Game play Full participation

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.


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 2016-17 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 wrestler’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.


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 Difficulty in waking the athlete

Repeated vomiting Blurred vision

Dizziness, poor balance or unsteadiness Weakness or numbness in arms or legs

Convulsion / Seizures Unusual or bizarre behavior

Persistent ringing in the ears Any discharge from the ears or nose

Slurred speech Pupils that are dilated, unequal in size

Neck pain More emotional

It is OK to Do Not

Use an ice pack on head and neck as needed Do not exercise or lift weights

Eat a light diet Do not take aspirin or ibuprofen unless directed by a physician

Go to sleep Do not use sedating medication or alcohol

Rest (no strenuous exercise or sports) Do not drive while you have symptoms

Consult your physician about prescription meds 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

http://fs.ncaa.org/Docs/health_safety/ConFactSheetsa.pdf


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 athlete’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 [email protected]

2017-2018 championship handbook - naia.org national championship athletic training ......

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