Athletic Training Handbook May 2020

Athletic Training Handbook

May 2020

Table of Contents

Section 1: Mission

1.1 Cedarville University Mission Statement

1.2 Athletic Department Mission Statement

1.3 Athletic Department Core Values

1.4 Athletic Department Vision Statement

Section 2: Athletic Training Room

2.1 Athletic Training Room Hours

2.2 Athletic Training Room Rules

2.3 In-Season Appropriate Medical Coverage

2.4 Off-season Appropriate Medical Coverage

2.5 JV Athletics Appropriate Medical Coverage

2.6 School Closing Appropriate Medical Coverage

2.7 Athletic Camp Appropriate Medical Coverage

2.8 Dispensing of Prescription Medication

2.9 Dispensing of OTC Medication

2.10 Athletic Pre-participation Physical Examination

2.11 Pre-existing Injuries

2.12 Return to Participation Following Illness

2.13 Return to Participation Following Injury

2.14 Transportation of the Ill of Injured Athletes

2.15 Physician Referral

2.16 Directions to Area Hospitals

2.17 Athletic Training Room Electronic Medical Records Keeping System

2.18 Reconditioning Programs

2.19 Treatment Protocols

2.20 Routine Care Procedures

2.21 Vehicle Regulations

2.22 Game Management

2.23 Bloodborne Pathogens Waste Control Policy

2.24 Concussion Policy

2.25 Drug Testing Policy

Section 3: Emergencies

3.1 Introduction

3.2 ABCs + D

3.3 Conducting a Primary and Secondary Survey

3.4 Program Policy

3.5 General Emergency Responsibilities

3.6 Emergency Action Plan for Cedarville University Athletics

3.7 Emergency Action Plan when Injury Occurs

3.8 Yellow Jacket Baseball Complex EAP

3.9 Yellow Jacket Softball Complex EAP

3.10 Yellow Jacket Soccer Complex EAP

3.11 Yellow Jacket T&F Complex EAP

3.12 Johnson-Murdoch Tennis Complex EAP

3.13 Callan Athletic Center EAP

3.14 Doden Field House EAP

3.15 Elvin R. King Cross Country Course EAP

3.16 Lightning/Thunder Policy

3.17 Tornado Policy

3,18 Heat Policy

3.19 Cold Weather Policy

Section 4: Special Needs

4.1 Introduction and Philosophy

4.2 Goals

4.3 Prevention of Eating Disorders

4.4 Treatment and Intervention

4.5 Definitions of Eating Disorders

4.6 Approaching a Student-Athlete about Eating Disorders

Section 5: Appendix

5.1 OSHA Standards

5.2 OTC Patient Care Protocol Chart

5.2 NATA Code of Ethics

5.3 Technique for Measuring Heat Index

5.4 Standing Orders for Procedures and Treatments

5.5 Communicable Disease Policy

5.6 ATS (Student) Remuneration Policy

Section 1: Mission

1.1 Cedarville University Mission Statement

Cedarville University transforms lives through excellent education and intentional

discipleship in submission to biblical authority.

1.2 Athletic Department Mission Statement

Foster a distinctive culture in competitive athletics that commissions student-athletes to

impact the world for Christ.

1.3 Athletic Department Core Values

Love for God

Love for Others

Integrity in Conduct

Excellence in Effort

1.4 Athletic Department Vision Statement

Competing for Christ. Contending for Championships. Changing sport culture.

Section 2: Athletic Training Facility

2.1 Athletic Training Room Hours

The walk-in hours of operation for the athletic training facility (ATF) will be as follows:

Monday: 2-6:00pm

Tuesday: 2-6:00pm

Wednesday: 2-5:30pm

Thursday: 2-6:00pm

Friday: 2-5:00pm

Athletes who wish to be seen outside of these hours must make an appointment with their team athletic

trainer. The ATF will also be open during scheduled games and in season practice times. These times

must be scheduled one week in advance.

2.2 Athletic Training Room Rules

1. This facility belongs to the Sovereign of the universe; therefore, “Whatever you do, do your work

heartily as for the Lord rather than for men; knowing that from the Lord you will receive the

reward of the inheritance. It is the Lord Christ whom you serve” Colossians 3:23-24.

2. Be committed to excellence. If it is The LORD whom you serve, how could you give any less?

Take pride in our room and your work and honor the Lord with what you do and how you do it.

3. The athletic training room is a health care facility and should be treated as such. Cleanliness of

the facility is mandatory. Everyone is responsible for seeing that the facility is always neat and

orderly.

4. Athletes are not to be in the athletic training room without supervision from the athletic training

staff. If you have a key, never loan it out to anyone.

5. The in-season sports have priority in utilizing all services of the athletic training room and staff;

however, if physically and practically possible, we want to make sure that all athletes receive the

care needed regardless of the athlete’s sport.

6. The athletic training room is not a self-help clinic. Treatments will be initiated and administered

only by certified athletic trainers (ATC) or athletic training students under the direct visual

supervision of an approved clinical preceptor.

7. The athletes are not the help themselves to any of our supplies.

8. All treatments beyond basic ice and moist heat can only be initiated with the approval of an ATC

of the team physician.

9. Extensive treatment or reconditioning programs must be scheduled during the available rehab

hours. Athletes who need extensive reconditioning must make an appointment with their athletic

trainer.

10. Medications dispensed must be done so according to protocol and recorded in the log. Athletes

should never be allowed to help themselves to any medication.

11. Do not store any personal belongings in ATF. You may store your personal belongings either in

the cubby holes in the reception area or in a locker obtained from the athletic department.

12. Music played either on the CD or tape deck must be proper and God-honoring. The level must be

kept moderate. Music that is labeled “Christian” and yet is “hard rock” in nature is unacceptable

even if the head athletic trainer is not present. If you have some doubt about whether or not the

music you want to play is acceptable or not, then do not play it in the ATF. The final decision on

all music played in the athletic training room rests solely with the Head Athletic Trainer.

13. The TV is for viewing athletic events only. Permission must be given by the Head Athletic

Trainer for the TV to be turned on or for any other programming to be viewed.

The following rules apply to all the athletes, including visiting teams that use the athletic training room:

1. Athletes are expected to treat the athletic training room staff with courtesy and respect.

2. Foul language or horseplay is unacceptable.

3. Athletes are expected to dress modestly at all times. The wearing of sports bras alone by female

athletes is unacceptable dress. Shirts for males must be worn at all times unless it is indicated for

treatment purposes.

4. Use of the athletic training room is not an excuse for being late to practice. It is the athlete’s

responsibility to make sure they are on time for practice.

5. Cleats or spiked shoes are not to be worn in the athletic training room.

6. Eating or drinking in the athletic training room facility is not allowed unless ATC gives

permission.

7. All athletes are to shower prior to receiving treatment.

8. Athletic equipment, bags, and uniforms are not to be brought into the facility. These items must

be kept outside or in the locker room.

9. Towels are not to leave the facility or be used for showers.

10. The ATF always must be accessed through the glass front door. The wooden door is for athletic

training personnel to use.

11. Access to the ATF is limited to athletic training faculty and staff, and athletic training students.

No other students should be allowed access to the ATF without proper supervision.

12. Athletes are not permitted to use their cell phones while in the ATF (unless using recovery

equipment)

2.3 In-season Appropriate Medical Coverage

Policy:

The established standard is to have an ATC at all games and practices within the boundaries of our

campus during the official “in season” training window. In the rare instance that an ATC is unable to be

present during a practice, they should always be within a four minute response time. Please see

emergency action plan listed in Section 5 for complete protocols regarding coverage and emergency

procedures.

Procedures:

The athletic training staff commits to providing appropriate medical coverage for all Cedarville

University collegiate athletic teams. As such, this policy excludes any other athletic activity held on-

campus including but not limited to intramurals, Yellow Jacket Sports Camps, Shoot-outs, or tournaments

put on by a CU varsity athletic team which involve any other participants (high school, college, or non-

attached) who are not a part of the official game/scrimmage schedule.

Emergency action plans are available for all venues on-campus. It is the responsibility of each head and

assistant coach to be appropriately informed of the plan for their venue as they are responsible for the plan

being implemented correctly in the absence of an ATC. Emergency action plans are available at the end

of this document.

2.4 Off-season Appropriate Medical Coverage

Policy:

For varsity athletic activities conducted out of season, the athletic training staff will do its best to provide

an ATC at the venue for competitions (scrimmages, games, etc.). However, an athletic trainer will not be

present for any off season practice that does not take place during normal athletic training room hours or

during a scheduled in-season varsity practice.

Procedure:

Neither ATCs nor athletic training students are obligated to be in attendance for any team activity that is

not properly scheduled and properly supervised regardless of the nature. The coach is ultimately

responsible for all aspects of his/her team’s care. In light of this, all coaches employed by Cedarville

University should be current in CPR. When dealing with a life threatening injury, the first call should be

to activate EMS by calling 911. Once EMS is on the way/arrived, a second call should be made to the

athletic trainer assigned to their team. A head coach should make arrangements to ensure that the student

athlete is accompanied to the hospital and has a ride home when released.

2.5 JV Athletics Appropriate Medical Coverage

Policy:

It is the responsibility of the junior varsity coach to schedule practices during normal operation time of

the athletic training room or during scheduled on-campus varsity practices. No practices will be

permitted to take place without an athletic trainer being within a four-minute response time. An athletic

trainer will be present during all home junior varsity competitions, but will not travel to any

away competitions.

Procedure:

Any injury sustained by a junior varsity student athlete during their scheduled competitive season will be

treated in the athletic training room by the athletic trainer assigned to their team. At the completion of the

junior varsity season, immediately following their last contest, junior varsity student athletes will no

longer be under the care of Cedarville University Athletic Training and will follow up with University

Medical Services or the local hospital for care as all other Cedarville University students. Athletes

receiving care for an injury sustained during the season will continue to receive care until cleared to full

activity. Junior Varsity Athletes must instigate care for ongoing injuries prior to the conclusion of their

season. Any injuries sustained out of season or ongoing chronic injuries will not be treated by a member

of the Cedarville University Athletic Training staff.

2.6 School Closing Appropriate Medical Coverage

Policy:

No athletic training services will be provided when the campus is closed or if travel is officially restricted

by the authorities due to inclement weather. Any athletic activity that occurs at the time of closing should

be suspended immediately as the athletic training staff will not continue to provide services under these

conditions. Coaches who choose to conduct a practice under these circumstances due so with the

understanding that they are ultimately responsible for all aspects of their team’s care.

Procedure:

Any athletic activity that occurs at the time of closing should be suspended immediately as the athletic

training staff will not continue to provide services under these conditions. Coaches who choose to conduct

a practice under these circumstances due so with the understanding that they are ultimately responsible

for all aspects of their team’s care.

2.7 Athletic Camp Appropriate Medical Coverage

Policy:

Coaches must hire athletic trainers for all camps (except day camps and winter camps) to manage medical

care. Any camp that participates at multiple venues (local high school, Athletes in Action, local college)

will require multiple athletic trainers to provide appropriate coverage. Discretion will be used by the

Head Athletic Trainer to determine if/when a camp requires multiple athletic trainers.

Procedure:

Athletic trainers will provide general wrapping/taping for campers, provided that they bring their own

Supplies. Please be aware of the danger signs of dehydration, excessive fatigue and/or

concussion. Consult an athletic trainer if a camper is exhibiting signs of these or complains of a headache

or vomiting. Do not “make the call” yourself. If an injury occurs, the ATC will write up an injury report,

notify the coach, parent and the athletic office. Please give a copy of the report to the athletic office.

2.8 Dispensing of Prescription Medications

Policy:

All prescription medication designated for athletic illness or injury treatment and stored on-campus will

be the direct responsibility of the team physician and University Medical Services.

Procedure:

The athletic training staff will not carry prescription medicine in their training kits unless directed per

standing orders of the team physician. The dispensing prescription medication is the sole responsibility of

the team physician. It is expressly forbidden for athletic training students to dispense any medications

without the knowledge and approval of an ACI.

2.9 Dispensing of OTC Medications

Policy:

All OTC medications given by the ATF on a patient instruction sheet. Document the following in the

OTC log located in the OTC medicine cabinet:

1. Patient’s FULL NAME and I.D. #

2. Date

3. Name of the Medication

4. Dose in terms of NUMBER of tablets and NUMBER of milligrams

5. Reason for administration

6. Initials of the ATC or SAT who administers the O.T.C. Medication.

Procedure:

1. All prepackaged medications should be given as directed on package unless otherwise indicated in

standing orders.

2. May have generic form of medication.

3. May substitute other comparable OTC product suitable for the presenting problem.

4. Advise to take anti-inflammatory medications with food.

5. Ask patient if they have any known allergies to medications.

6. Ask if taking any other medication (over-the-counter or prescription).

7. Ask if experiencing any other medical condition that may produce the same symptoms.

8. Prescription medications shall not be stored in the ATF at any time. Iontophoresis and

phonophoresis shall be performed only by MD prescription and only according to standard protocols.

9. Must refer pregnant women to physician prior to administering any medication or vaccine.

10. Follow patient care protocol chart as directed (Appendix 5.2)

2.10 Athletic Pre-Participation Physical Examinations (PPE)

Policy:

Before an athlete participates in any formal athletic activity, they are required to have a physical

examination which will be scheduled through the Head Athletic Trainer. Formal activity is defined as any

athletic activity that is directed and/or supervised by a coach and is in conjunction with an intercollegiate

sport.

Procedure:

All student athletes are required to go through a complete exam including measurement of height, weight,

vision, blood pressure, orthopedic screening, and clearance by a physician. Student athletes who are

unable to attend the pre-participation physical examination set up by Cedarville University will be

responsible for scheduling and completing a physical prior to being cleared to participate in any formal

athletic activity. All junior varsity and walk-on student athletes are responsible for obtaining their own

physical exam prior to participating in any athletic activity. All ATC’s will participate in the coordination

of all PPE activities and will primarily be responsible for orthopedic screening.

Prior to arriving on campus, each student athlete is responsible for creating/maintaining an accurate

account on Cedarville Universities Electronic Medical Records system, Sportsware. Please do the

following:

A. Step 1: Create an account

1. Go to swol123.net

2. Click "Athlete/parent: Want to join sportsware?"

3. Type in the school ID 'yellow jackets' (all lower case WITH a space)

4. Create a login using their Cedarville email

B. Step 2: Login

1. Go to swol123.net

2. Use new login/previous login

C. Step 3: Information Fill Out/Update

1. General: First name, last name, id, class, gender, birthday

2. Address

3. Emergency

4. Insurance: Primary Insurance. The secondary is the one provided by CU so don't

worry about filling any of that out. If you can upload a picture of the front and

back of your insurance card that would be great.

5. Medical: Alerts section if you have any allergies or medical conditions, I need to

know of

6. Attachments: Sign and submit the 4 forms in there

a. Emergency Contact Form

b. HIPPA Form

c. Sickle Cell Trait Form

d. Medication and Supplement Disclosure Form

2.11 Pre-Existing Injuries

Policy:

Freshmen or transfer students with pre-existing injuries or recent surgeries are not under the liability of

Cedarville University. Cedarville’s insurance will not cover these injuries or treatments.

Procedure:

The Head Athletic Trainer will consult with the Team Physicians to determine the existence of a pre-

existing injury or condition.

2.12 Return to Participation Following Illness

Policy:

Return to participation following illness that may have been managed either by the UMS staff or any

other provider shall be based on written release from the attending provider.

Procedure:

The release shall include such information as:

1. Date of onset of the illness

2. Date of report of illness

3. Nature of illness (diagnosis)

4. Treatment procedures

5. Present state of progress (contagiousness, resolution, etc.)

6. Recommendations and restrictions

7. Date of release

8. Signature of attending provider

It shall be the policy of the athletic training services that no athlete shall be given clearance for

unrestricted participation when they have a fever with a temperature elevated to 101 degrees Fahrenheit

or above.

2.13 Return to Participation Following Injury

Policy:

All return to participation criteria will be established by consultation with the team physician, Dr Roberto

or when necessary an orthopedic surgeon at Ohio Valley Medical Center.

Procedure:

Limited Participation

Return to limited participation shall be permitted based upon criteria established according to conditions

related to the individual case. These conditions may include, but are not limited to any or all of the

following:

1. The sport involved

2. The position played by the athlete

3. The body part injured

4. The relative progress in healing based on established criteria

5. Relative risk of re-injury or potential complications

Unlimited Participation

Return to unlimited participation in athletic activity following injury shall be based upon the following

criteria.

1. Normal extremity mechanics in unrestricted motion

2. Full, pain free range of motion

3. Absence of effusion, swelling or hematoma

4. Absence of fever in the part

5. At least 90% strength relative to the uninvolved part on manual muscle test (or other

appropriate strength assessment technique)

6. Absence of observable functional limitation on sub-maximal to maximal testing in the

skills specific to the athlete’s sport

The final return to play decision will be made by the team physician, Dr. Robert or necessary orthopedic

surgeon at Ohio Valley Medical Center.

2.14 Transportation of the Ill or Injured Athletes

Non-critical Emergency Room Referral

Policy:

If the athlete obviously needs medical care (such as stitches), but is not in immediate medical distress,

they should be transported to the emergency room at Miami Valley Hospital in Jamestown,Greene

Memorial Hospital in Xenia, or Mercy Hospital in Springfield. Every effort must be made to send the

person with someone who can drive unless the injury is minor that the injured person can drive

themselves. Maps to these facilities are kept in the athletic training room office.

Procedure:

When an injured athlete is sent to an emergency room with non-EMS personnel, the athletic trainer

should call ahead to tell the emergency room staff what to expect. When an athlete has been referred to

the hospital, an e-mail message should be sent to the head ATC and the ATC assigned to that particular

athlete’s team so they may follow up on the case the next day. Always chart the incident in the athlete’s

file.

The telephone numbers for the two listed hospitals are:

Miami Valley Hospital in Jamestown: (937) 208-8000

Greene Memorial Hospital: (937) 376-6889

Mercy Hospital: (937) 390-5068 or 5069

On-Campus

Policy:

With very few exceptions athletic trainers are not required to transport athletes between the athletic

training room and any location on-campus.

Procedure:

Student athletes occasionally may be transported by athletic trainers but only when:

1. No other option is open

2. It does not involve a true emergency, or

3. The student or certified athletic trainer does not have to leave his/her responsibilities

in the athletic training room or at a contest or practice site.

When an athlete is injured or ill to the extent that they cannot walk, drive, or be driven to the athletic

training room, they should be referred to the emergency room through the EMS services. It is not the

athletic trainer’s responsibility to provide such services. To do so will certainly produce an additional

burden on athletic training room personnel. A possible solution to an on-campus transportation problem is

to call Campus Security for assistance. Please call 911 in emergency situations.

Emergency Room Transportation

Policy:

If an athlete requires transportation to the emergency room in the case of an emergency, EMS must be

activated. The athletic training staff will not transport the individual by car. This means the injury is

severe enough to warrant proper immobilization of a suspected fracture or dislocation to the spine or

extremities, a head/neck injury, a severely bleeding wound, or an illness/condition that needs immediate

treatment in an emergency room. These situations demand not only expeditious transportation but also

constant monitoring during transport.

Procedure:

Immediate emergency room referral is required if there is:

1. Any breathing problem, chest pain or dizziness

2. Bleeding which cannot be controlled by standard first aid measures

3. Any head or neck injury including closed head injury with headache, nausea,

confusion, dizziness, nausea or reduced level of consciousness with associated neck

pain

4. Any complaint of spine pain at any level

5. Any history of blunt trauma to the trunk, either chest or abdomen

6. Any injuries to the eyes, ears, nose, mouth or throat

7. Evidence of joint dislocation or bone fracture

Sprains, strains, simple fractures/dislocations or other non-critical conditions may not warrant full EMS

services but require definitive diagnosis in a reasonably short time. Such cases may be referred via

automobile transportation. Except in cases described below, transportation may be conducted by:

1. The athlete him/herself

2. Another student or a Resident Assistant

3. A parent or family member

If you are not absolutely certain as to whether or not to refer someone to the emergency room, refer them

immediately. If they refuse to go, record that fact and attempt to get them to sign a statement stating that

they refused to go. If they will not sign it, have a witness sign it and place it in a file. If there is no

witness, document all that you have done, sign it and file it. Be sure to strongly admonish the injured

person to go to UMS at the earliest possible time for evaluation.

If you are absolutely certain that they do not need to go to the emergency room, refer them anyway with

the admonition that if they do not go they should go to the emergency room immediately if there is any

increase in or addition of symptoms or UMS at the earliest possible time.

Athletic training students or certified athletic trainers will occasionally be called upon to transport injured

athletes to either an emergency facility or to a specialist’s office. Such assignments will be made when:

1. It is beneficial to the learning process for the athletic training student (i.e., the student

may be able to observe ER procedure, MD evaluation, or to confer with medical

personnel about the case, etc.)

2. There is absolutely no other means by which to have the athlete properly evaluated

and cared for

Injury or Illness Off-Campus

Policy:

If an athlete requires transportation to an ER facility during an away contest, there must be

someone to transport that athlete back to campus. Head coaches must pre-arrange and make

plans for transportation for injured athletes prior to the trip.

Procedure:

This task will vary according to the team and distance of travel, but in most cases, the team must

wait for the injured athlete to be discharged from the hospital before returning to campus. In

some cases, parents or official Cedarville University individuals who drove separately may be

allowed to volunteer to bring back the injured athlete when he/she is discharged. This situation

must be discussed and outlined by each team individually in the pre-season.

2.15 Physician Referral

Policy:

In non-emergency situations, it is the responsibility of one of the ATCs to decide whether or not to refer

an athlete to the team physician or another specialist. The athlete’s injury care begins with the athletic

trainer; if the athlete bypasses the athletic trainer, it is very difficult to effectively treat and follow-up

injury or illness. The team physician is responsible for referring athletes to outside medical specialists.

Without the team physician’s referral, the athlete will be held responsible for all expenses.

Procedure:

If the coach refers an athlete to outside medical care without the ATCs consent, the athlete will again be

responsible for his/her own medical expenses. If an athlete is under the care of any physician for an injury

or illness, they must have clearance by the team physician to return to participation. There will be a

monthly injury clinic held in the athletic training room. Athletes with non-emergency injuries should be

scheduled for evaluation by our physician. This is an opportunity to serve the athlete’s needs and provide

clinical experience for athletic training students. Students and athlete may ask questions of the physician

if there are things which are not understood.

An additional orthopedic injury clinic is held M-F all year and Sat (Aug-Nov) at Ohio Valley Medical

Center. Non-emergency situation may be referred OVMC for follow-up care and imaging when

necessary. Athletic training students may attend these referrals with the athlete’s permission for clinical

experience.

Orthopedists

Unless the athlete specifically requests another orthopedist, all orthopedic referrals should be made

through the office of Ohio Valley Medical Center. The office is located at 100 W Main Street in

Springfield, OH 45502, and the phone number is (937)521-3900. Maps to the office from Cedarville are

located in the athletic training room office.

Dentistry

Unless the athlete specifically requests another dentist emergency referrals for dental injuries will be to

either Dr. Frasure (937-766-5207) at the Kyle Clinic across Route 72 opposite the Lawler Dormitory or to

Dr. Ski Schaner (937-390-8740) in Springfield, Ohio.

Oral Surgery

Oral Surgery involves treatment of injuries to the maxillofacial area including the teeth and gums but also

injuries and conditions of structures of the face between the ears and from the mandible to the forehead.

Referrals for oral surgical procedures may be made at the athlete’s request or, in an emergency, maybe

handled in a hospital emergency room. A possible referral may be made with Dr. James Kerchner who

has offices at

 2290 Lakeview Drive, Beavercreek (937-829-2927) or

 1142 North Monroe Drive, Xenia, Ohio (937 372-9992)

2.16 Directions to Area Hospitals

Mercy Health-Springfield Regional Medical Center

100 Medical Center Dr., Springfield, OH 45504

Phone: (937)523-1000

Directions: Start out going north on N Main St/OH-72 toward Center St. Continue to follow OH-72. In

12.5 miles turn left on Main St. In .5 miles turn right onto N Lowry Ave. In .2 miles Mercy Health-

Springfield Regional Medical Center.

Greene Memorial Hospital

1141 N. Monroe Dr., Xenia, OH 45385

Phone: (937)372-8011

Directions: 72 S., right on Rt. 42 into Xenia to first stop light, bear right, go about a half block to the first

stop sign, turn right on Monroe Dr. and follow through a residential area, go about 1 mile, hospital is on

the right.

Miami Valley Hospital Jamestown Medical Center

4940 Cottonville Rd. Jamestown, OH 45335

Phone: (937)374-5280

Directions: Start out going south on N Main St/OH-72 toward Founders Dr. Continue to follow OH-72.

After 7 miles turn right onto W Washington St. After .3 miles turn left onto OH-134. After .36 miles turn

right onto Cottonville Rd. Miami Valley Hospital Jamestown Medical Center will be on the right in .4

miles.

2.17 Athletic Training Room Medical Record Keeping System

Policy:

It is critical that athletic trainers keep accurate records. The system of recording the activities of care

begins from the sign-in process. It is each student athlete’s responsibility to sign in each time they get an

evaluation or treatment.

Procedure:

Every person (athlete or non-athlete, intramural person, student, faculty, or staff) must sign in on the daily

log form no matter what the service may be. This procedure is the foundation of our record keeping

system and must be meticulously followed and monitored. The rule is, “all patients, at all times, no matter

what.” All patients must register into Sports Ware using the computer located on the reception desk.

2.18 Reconditioning Programs

Policy:

An ATC initiates the appropriate treatment, follow-up care and reconditioning program of an injury

according to pre-established protocols. Basic injury care protocol and procedures are outlined by the team

physician in coordination with an ATC.

Procedures:

1. After an athlete has been referred to the team physician or specialist, the athletic

trainer must carry out their prescribed treatment.

2. When an athlete is under the care of a non-affiliated physician, the team physician or

head athletic trainer or one of the other ATCs will consult with that physician on

appropriate injury care.

3. Any treatment regime beyond the application if ice must be approved by one of the

ATCs.

4. The application of any electromagnetic or acoustic modality must be initiated by one

of the ATCs in consultation with the team physician. These modalities and

therapeutic exercise techniques are applied only by the ATCs or athletic training

students who have passed appropriate proficiency tests. These proficiency tests are

administered by the Head Athletic Trainer.

5. Changes in treatment regime must be approved by the treating ATC.

6. Reconditioning programs should be designed in collaboration with the Strength and

Conditioning Coach and the Head Coach of that respective team.

2.19 Treatment Protocols

Policy:

The athletic training staff is responsible for the knowledge and understanding of physiological effects,

indication, contraindications, and the safe operation of each modality. It is the responsibility of all the

athletic training staff to ensure safe use of all modalities.

Procedures:

The application of any electromagnetic or acoustic modalities must be initiated by one of the ATCs in

consultation with the team physician. These modalities and therapeutic exercise techniques are applied

only by the ATCs or athletic training students who have passed appropriate proficiency tests. The athletic

training staff has the following therapeutic modalities available for the treatment of injuries sustained by

our student athletes.

I. Infrared Agents

A. Cold (Cryotherapy) – Ice packs, Ice massage, Ice bath, Vapocollant sprays

(Florimethane, Ethyl Chloride)

1. Indications

a. Acute trauma

b. Musculoskeletal trauma: sprain, strain, contusion, fracture, dislocation,

tendinitis, bursitis, tenosynovitis

c. Pain

d. Joint stiffness/arthritis

2. Contraindications

a. Circulatory impairment

b. Areas prone to increased bleeding

c. Malignancy

d. Impaired sensation

e. Over athletic tape or analgesic packs

3. Precautions

a. Very young

b. Very old

c. Open wounds

B. Whirlpool - Hot whirlpool, Cold whirlpool, Contrast bath

1. Indications

a. Muscle spasm

b. Musculoskeletal conditions

c. Pain

d. Facilitate ROM

e. Reduction of inflammation (contrast bath)

2. Contraindications

a. Cold sensitivity symptoms

b. Circulatory compromised areas

c Some rheumatoid conditions

3. Precautions

a. Hypertensive patients

b. Cover face, eyes and avoid inhalation of vapors when using vapocollant

spray

c. Check circulation to extremities

d. Repeat application only after 1-1.5 hours of rewarming

4. Treatment protocols

a. Ice packs: 20-25 minutes

b. Ice massage: 10-15 minutes

c. Ice bath: 10-15 minutes; 50-55 degrees F

d. Vapocollant sprays: ONLY USED BY AN ATC

C. Heat (Thermotherapy) – Hydrocollator pack, Paraffin bath

1. Indications

a. Muscle spasm

b. Post-acute musculoskeletal trauma: sprain, strain, contusion, fracture,

dislocation, tendinitis, bursitis, tenosynovitis

c. Pain

2. Contraindications

a. Circulatory impairment

b. Areas prone to increased bleeding

c. Malignancy

d. Impaired sensation

3. Precautions

a. Very young

b. Very old

c. Open wounds

d. Full body immersions

4. Treatment protocols

a. Hot whirlpool: 98-105 Degrees F; 15-30 minutes

b. Cold whirlpool: 50-55 Degrees F; 15-30 minutes

c. Contrast bath: 4 minutes Hot, 2 minutes Cold; repeated 5 times(30

minutes)

II. Acoustic Spectra

A. Ultrasound

1. Indications

a. Muscle spasm

b. Musculoskeletal conditions

c. Pain

d. Joint stiffness/arthritis

2. Contraindications

a. Circulatory impairment

b. Areas prone to increased bleeding

c. Malignancy

d. Impaired sensation

e. Over heart

f. Over CNS

g. Face

h. Reproductive organs/Pregnancy

i. Epiphyses

3. Precautions

a. Very young

b. Very old

c. Open wounds

4. Treatment Protocols

a. (As per standing orders)

III. Electromagnetic Spectra

A. Electric Muscle Stimulation

1. Indications

a. Muscle spasm

b. Musculoskeletal conditions

c. Pain

d. Edema

e. Atrophy/muscle re-education

2. Contraindications

a. Patients with pacemaker

b. Malignancy

c. Impaired sensation

d. Over carotid sinus

e. Over CNS

f. Trancerebrally

g. Reproductive organs

h. Pregnancy

i. Epiphyses

j. Acute local infection

k. Danger of hemorrhage

3. Precautions

a. Open wounds

b. Acute trauma

4. Treatment Protocols

B. (As per standing orders) T.E.N.S.

1. Indications

a. Pain

b. Chronic

c. Acute

d. Surgical

2. Contraindications

a. Patients with pacemaker

b. Over carotid sinus

c. Pregnancy

3. Precautions

a. Skin irritations

4. Treatment Protocols

a. (As per standing orders)

IV. Intermittent/Sequential Compression

A. JOBST/Sequential Compression Units

1. Indications

a. Joint swelling

b. Sprain

c. Contusion

d. Residual swelling

e. Muscle spasm

2. Contraindications

a. Deep vein thrombosis

b. Congestive heart failure

c. Thrombophlebitis

3. Precautions

a. Open wounds

b. Pain

4. Treatment Protocols

a. 20-30 minutes; with elevation if possible

V. Blood Flow Restriction

A. Owens Recovery Science

1. Indications

a. Muscle Atrophy

b. Chronic Joint Pain

c. Stress Fractures

d. De-conditioning

2. Contraindications

a. Sickle Cell Anemia

b. Extremity Infection

c. Over soft-tissue injuries

d. Open Fracture

e. Elbow Surgery

f. Cancer

3. Precautions

a. Poor Circulation

b. Obesity

c. Diabetes

d. Hypertension

e. Tumor

4. Treatment Protocols

a. 4-6 exercises

b. 30/15/15/15 Set

c. 30 sec rest in-between sets

d. Deflate for 1 minute following each exercise

Therapeutic Modality Safety and Maintenance Policy

All therapeutic modalities and other forms of therapeutic equipment must meet the manufacturer's safety

guidelines before use. Equipment must be calibrated by an approved provider on an annual basis and

maintained for safety. Any equipment that does not meet these standards (electrical safety, calibration,

and maintenance) shall be removed from the facility and stored away from patients. This policy must be

followed by all approved clinical sites.

The Clinical Education Coordinator will verify compliance with this policy by checking off the

appropriate fields on the clinical site visit form during regular visits to all clinical sites. Clinical sites are

also expected to demonstrate compliance with this policy by providing evidence of annual inspection.

Proof may include calibration/safety stickers on modality units, and/or tables completed by technicians

showing approval of the maintenance, calibration, and safety inspection of modalities.

2.20 Routine Care Procedures

Policy:

Splints, slings, wraps, braces, etc., are available for temporary use by athletes. Athletes must sign out any

equipment loaned to them by the Athletic Training Department.

Procedures:

1. When it is appropriate, immobilizers may be applied as part of initial or ongoing

management of injuries.

2. If an athlete desires to keep an ankle brace or get one that is not part of the

inventory, the athletic training staff can order it, and it will be paid for by the

athlete or their insurance.

3. Generally, a closed circumferential brace or splint should not be used on a new

joint injury. Ankle and knee immobilizers are designed to permit expansion if

swelling occurs. They must be properly fitted to be effective and avoid further

injury.

Crutches/Canes Policy:

Unless an athlete is able to walk without a limp following an injury to the lower extremity, they should be

encouraged to use crutches for ambulation. They may refuse these aides but should be fully informed as

to why they are recommended and the possible results of both using and not using them.

Durable Medical Equipment/Bracing Policy:

Routine or preventative bracing costs for entire teams are typically the responsibility of each individual

team. Also any bracing for individual athletes would also fall either on the individual or their team.

Orthotics would also be the responsibility of the individual or team.

2.21 Vehicle Regulations

Van Use

The van is typically used for the transportation of injured or ill athletes to the physician’s office. In order

to be qualified to use the athletic training van, a student must meet the following qualifications:

1. The student must obtain a university drivers license through campus safety.

2. All students must show the Head Athletic Trainer their university drivers license

for approval.

3. All uses for the van must be cleared by the Head Athletic Trainer.

4. The keys to the van are located on hooks behind the storage room door and must

be put back after using the van.

5. The van is always to be parked behind the Athletic Center in one of the parking

spaces provided.

6. Any dents, scratches or other damage to the van must be reported to the Head

Athletic Trainer as soon as damage has occurred or been noticed.

7. Drivers of the van must follow all state and local traffic regulations (speed limit,

traffic lights, etc.)

Utility Vehicle Use

The utility vehicles are primarily to be used to set up and take down athletic games and practices. The

vehicles are located in the garage behind the athletic center.

The following are regulations for using the vehicles:

1. Utility vehicles are to be used primarily for the transportation of water, ice, and

other items necessary for the set up of practices and games.

2. The cart has a maximum weight of 750 pounds and must not be exceeded.

3. The vehicle keys are located behind the door of the storage room and must be

returned.

4. The vehicles are to be parked in the garage behind the athletic center after use.

5. The athletic training student has the responsibility of making sure that the cart is

parked in the correct spot and that it is locked up properly for the night.

6. An ATC is to be notified immediately if any problems occur with the

maintenance of the cart.

2.22 Game Management

Cedarville University

Game Management

Soccer Game Set-up

Check-off Sheet

* Field Set-up MUST BE Completed 45 MINUTES Before Kick-off

Home Bench Area Visitors Bench Area

____ 2 10-gallon coolers of ice water ____ 2 large coolers for water

____ 2 sleeves of cups (200) ____ 2 sleeve of cups (200)

____ Team water bottles (filled & ready) ____ 1 large ice chest with 5 empty ice

bags

____ 1 large ice chest with 5 empty ice bags ____ 1 ready to use biohazard bag

____ 1 ready to use biohazard bag ____ 1 cooler with ice towels (weather

dependent)

____ 1 cooler with ice towels (weather dependent) ____ 1 examination table

____ 1 trash can w/liner ____ 1 trash can w/liner

____ 1 3-gallon cooler of Gatorade

Athletic Trainers Area

____ ATC’s Kit

____ 1 Blood Towel

____ Gloves & gauze (on your person)

____ Splints/crutches

____ Access to weather monitoring (weather gear)

____ AED

____ 1 examination table

____ Non-emergency transportation

Cedarville University

Game Management

Volleyball Game Set-up

Check-off Sheet

* Set-up MUST BE Completed 90 minutes Before Start of Match!

Home Bench Visitors Area

____ 1 set-up cart ____ 1 set-up cart

____ Cart cleaned/wiped down ____ Cart cleaned/wiped down

____ Towel on top shelf ____ Towel on top shelf

____ Garbage can in place ____ Garbage can in place

____ OSHA kit in place ____ OSHA kit in place

____ 1 10-gallon cooler of ice water ____ 1 10-gallon cooler of ice water

____ 1 sleeve of cups (100) ____ 1 sleeve of cups (100)

____ 1 ice chest with 5 empty bags ____ 1 ice chest with 5 empty bags

____ 5 towels on bench (white towels) ____ 1 Examination Table

____ 1 Biohazard Bag

Athletic Trainers Area In the Visitors Locker Room

____ ATC’s kit ____ 1 5-gallon cooler of water

____ 1 blood towel ____ 1 sleeve of cups (100)

____ 1 ready to use biohazard bag

____ Gloves & gauze (on your person)

____ 3 chairs

____ AED

____ splints, crutches, etc. accessible

____ Non-emergency transportation as needed

Cedarville University

Game Management

Basketball Game Set-up

Check-off Sheet

* Set-up must be completed at least 1 hour before the start of the game.

Home Bench Away Bench

____ 1 cart (Cleaned/wiped down) ____ 1 cart (Cleaned/wiped down)

____ Towel on top cart ____ Towel on top cart

____ Drip Tray ____ Drip Tray

____ OSHA kit in place ____ OSHA kit in place

____ Cup holder ____ Cup holder

____ 1 10-gallon cooler of ____ 1 10-gallon cooler of

water (on cart) water (on cart)

____ Cup holders filled (100 cups) ____ Cup holders filled (100 cups)

____ 1 small ice chest w/ 5 bags ____ 1 small ice chest w/ 5 bags

Athletic Trainers Area Visitors Locker Room

____ ATC’s kit ____ 5- gallon cooler of water

____ 1 ready to use biohazard bag ____ 1 sleeve of cups (100)

____ 1 blood towel & Blood Buster

____ Non-emergency transportation as needed

Home Locker Room

____ 5 gal. cooler of water

____ 1 sleeve of cups (100)

Cedarville University

Game Management

Baseball/Softball Game Set-up

Check-off Sheet

*Set-up must be completed at least 3 hours before the start of the game.

Home Bench Away Bench

____ 2 10-gallon coolers of water ____ 2 10-gallon cooler of water

____ 1 sleeve of cups (100)/game ____ 1 sleeve of cups (100)/game

____ 2 towels ____ 1 large ice chest with 5 bags

____ 1 large ice chest with 5 bags ____ 1 Biohazard bag

____ 3 towels

____ 1 examination table

Athletic Trainers’ Area

____ ATC’s kit

____ 1 Blood towel

____ 1 ready to use Biohazard bag

____ Gloves & gauze (on your person)

____ AED

____ Backboards, splints, crutches, etc. accessible

____ Non-emergency transportation

Cedarville University

Game Management

Cross Country Meet Set-up

Check-off Sheet

On Friday:

____ Order subs for ATS, ATC, and others ____ Purchase breakfast supplies

____ Check kit is stocked and ready to go ____ Check radio batteries

____ Check set-up site ____ Fill Toro with gas

____ Contact all students; remind them of arrival time ____ Check tent and move to course

On Saturday:

____ Arrive in ATF 2 hours before event ____ Distribute Cell phones and

radios

____ Assign student to pick-up subs

____ Have everything set-up prior to event

AT Area Supplies:

____ 10 large coolers with water ____ 1 box of large gloves

____ 6 coolers of ice ____ 1 box of medium gloves

____ 1 case of cups ____ 1 biohazard bag/container

____ 3 dozen towels ____ Splints/crutches/backboards

____ Ice bags and wrap (rolled up) ____ Tent

____ 3 packages of Gatorade ____ Radios

____ Student ice chest ____ Examination Tables

____ ATC’s kit ____ AED on site

____ Non-emergency transportation

____ 5 gal. bucket with ice towels

Cedarville University

Game Management

Indoor Track Meet Set-up

Check-off Sheet

Track set-up MUST be completed 1 ½ hours before meet begins!

Athletic Trainer’s Station is in the infield (inside the netting) by the high jump pit at the

south entrance to the field house.

_____ 2 Waters in the infield by the finish line

_____ 2 Waters in the infield by the athletic trainer’s station

_____ 2 Waters at the throwers venue in the infield

_____ 2 Blue tables from the ATF to the athletic trainer’s station

_____ 3 Rolling Stools from the ATF

_____ 2 Ice coolers, with scoops, at the athletic trainer’s station

_____ 1 Roll Ice bag

_____ 1 Blood Kit (blood buster, junk towels, biohazard bags)

_____ 1 Citrus II cleanser from the ATF for table cleaning

_____ 20 ATF towels

_____ 1 ATC medical bag

Cedarville University

Game Management

Outdoor Track Meet Set-up

Check-off Sheet

Track set-up MUST be completed 1 ½ hours before meet begins!

Make sure Hydrocollator and E-stim/US units are there with all attachments!

Athletic Trainer’s Station is in the Blue Barn on the North Hill

_____ 2 Waters in the holding area at the starting line

_____ 2 Waters by the press box

_____ 2 Waters at the Athletic Trainers Station

_____ 2 Ice coolers, with scoops, at the athletic trainer’s station

_____ 1 Roll Ice bags

_____ 1 Blood Kit (blood buster, junk towels, biohazard bags)

_____ 1 Citrus II cleanser from the ATF for table cleaning

_____ 20 ATF towels

_____ 1 ATC medical bag

_____ 1 Athletic Training Tent set up in front of the door to the blue barn

_____ 6 Radios charged and ready

Cedarville University

Game Management

M/W Tennis

Check-off Sheet

*Courts must be set-up at least 1 ½ hours before match begins!*

____ 1 10-gallon cooler on every set of bleachers (every two courts)

____ ½ sleeve of cups per station

____ 1 large ice chest with 10 bags

____ 1 biohazard bag

____ 1 examination table

Cedarville University

Game Management

Team Travel Packing List

Check-off Sheet

Tape and Supplies

____ J&J 1 ½”

____ J&J 3”

____ Lightplast 2”

____ Lightplast 3”

____ Mole Skin

____ Pre-wrap

____ Band Aids

____ Elasticon

____ Heel and Lace Pads

____ Tuf Skin

Pharmaceuticals

____ Aspirin

____ Bacitration

____ Tylenol

____ Sore Throat Lozenges

____ Visine

____ Ibuprofen

____ Pepto Bismol

Hardware and Misc

____ Scissors

____ 4” Elastic Wrap

____ 6” Elastic Wrap

____ Steri-Strips

____ Icebags

____ Tampons

____ Sharks

____ Gauze Pads

____ Foam Pads

____ Cotton Tipped Applications

____ Extra Shark Blades

____ Finger Nail Clippers

____ Biohazard Bags

____ 2

Skin

____ Tongue Depressors

____ Felt Padding

Insurance and Medical History Information

____ Appropriate forms for each member of the travelling team

2.23 Bloodborne Pathogens Waste Control Policy

Exposure control plan

Introduction

This plan is designed to eliminate or minimize exposure to blood borne pathogens as well as define

reporting and follow-up procedures in case of an exposure incident. This plan refers to OSHA

(Occupational Safety and Health Administrations) blood borne pathogens standards.

Definitions

 Blood borne pathogens: Infectious materials in blood that can cause disease in humans. This

includes hepatitis B (HBV) and C and human immunodeficiency virus (HIV).

 Exposure: The most obvious exposure incident is a needle stick, however any specific eye,

mouth, other mucous membrane, non-intact skin, or contact with blood or other potentially

infectious material is considered and exposure incident.

Prevention of Exposure Incident

The following recommendations are designed to further minimize risk of blood borne pathogen

transmission in the context of athletic events and to provide treatment guidelines for caregivers. These are

sometimes referred to as “universal precautions” but some additions and modifications have been made as

relevant to the athletics arena.

1. Pre-event preparation includes proper care for wounds, abrasions, cuts or weeping

wounds that may serve as a source of bleeding or as a port of entry for blood borne

pathogens. These wounds should be covered with an occlusive dressing that will

withstand the demands of competition and adequately cover to prevent transmission to or

from a participant. Student-athletes may be advised to wear protective equipment on

high-risk areas such as elbows and hands.

2. The necessary equipment and supplies important for compliance with universal

precautions should be available to caregivers. These supplies include appropriate gloves,

disinfectant bleach, antiseptics, designated receptacles for soiled equipment and

uniforms, bandages and dressings, and a container for appropriate disposal of needles,

syringes, scalpels, and other sharps materials.

3. Preventative practice includes use of gloves and other protective equipment such as one-

way valve masks

4. Appropriate procedures for hand washing, sharps disposal, glove and biohazard disposal,

contaminated laundry handling, and material cleaning should also be practiced to reduce

the likelihood of exposure

5. When a student-athlete is bleeding, the bleeding must be stopped and the open wound

covered with a dressing sturdy enough to withstand the demands of activity before the

student-athlete may continue participation in practice or competition. Current NCAA

policy mandates the immediate, aggressive treatment of open wounds or be removed

from the event as soon as possible. Return to play is determined by appropriate medical

staff personnel. Any participant whose uniform is saturated with blood, regardless of the

source, must have that uniform evaluated by appropriate medical personnel for potential

infectivity and change if necessary before return to participation.

6. During an event, early recognition of uncontrolled bleeding is the responsibility of

officials, student athletes, coaches, and medical personnel.

7. Personnel managing an acute blood exposure must follow the guidelines for universal

precautions. Sterile latex gloves should be worn for direct contact with blood or body

fluids containing blood. Gloves should be changed after treating each individual

participant and hands should be washed after glove removal.

8. Any surface contaminated with spilled blood should be cleaned in accordance with the

following procedures: With gloves on, the spill should be contained in as small an area as

possible. After the blood is removed, the surface should be cleaned with an appropriate

decontaminant.

9. Proper disposal procedures must be practiced to prevent injuries caused by needles,

scalpels, and other sharp instruments or devices.

10. After each practice or game, any equipment or uniforms soiled with blood should be

handled and laundered in accordance with hygienic methods normally used for treatment

of any soiled equipment or clothing before use. This includes provisions for bagging the

soiled items in a manner to prevent secondary contamination of other items or

personnel.

11. All personnel involved with sports should be trained in basic first aid and infection

control.

12. OSHA protocol and standards shall be reviewed yearly with athletic training students.

Reporting an Exposure Incident

Employees of the University

In the event of an exposure incident, please inform the Head Athletic Trainer. Follow appropriate workers

compensation guidelines including:

1. Complete the employee injury report immediately with campus safety.

2. If medical treatment is required seek medical care with University Medical

Services. Treatment not authorized will be at your own expense. All exposure incidents

should be medically treated.

3. Complete the authorization to Release Medical Records Form granting access to medical

records. These records must be received before payment of medical charges may be

considered.

4. Fill out Employee Injury Report-workers Compensation From.

Return all forms to your employer promptly. Failure to complete these forms may delay consideration of

workers’ compensation benefits. Questions or concerns may be directed to campus safety extension

7993.

Athletic Training Students

In the event of an exposure incident, students should report the incident to the supervising ATC

immediately.

1. Student will be sent immediately to University Medical Services, ext. #7862 for

evaluation and testing. Treatment will be based on recommendations of medical

personnel.

2. Any questions or concerns may be addressed to Wes Stephens, Head Athletic Trainer.

3. Written documentation of the incident with campus safety as soon as possible following

the exposure.

4. Students: An exposure incident report should be used and properly filled out and

returned to your supervising ATC.

The Infected Athletic Trainer

An athletic trainer infected with a blood borne pathogen should practice the profession of athletic training

taking into account all professionally, medically, and legally relevant issues raised by the infection.

Depending on individual circumstances, the infected athletic trainer will:

1. Seek medical care and on-going evaluation.

2. Take reasonable steps to avoid potential and identifiable risks to his or her own health

and the health of his or her patients.

3. Inform relevant patients, administrators, or medical personnel.

Post-Exposure Follow Up

Follow up care will be based upon recommendation by medical personnel treating exposure including:

1. Laboratory tests, confidential medical evaluation, identifying and testing the source of the

individual (if feasible), testing the exposed employee’s blood, performing post-exposure

prophylaxis, future screenings, preventative medicines, offering counseling, and

evaluating reported illnesses

2. All diagnosis and medical records shall remain confidential

Removal and Disposal of Contaminated Waste Material

Material that has been contaminated should be disposed in properly marked biohazard containers as soon

as possible after use. Sharps materials, i.e. needles, scalpels, lancets, etc., should be disposed of in a

container explicitly designed for that purpose. A designated person will supervise marked biohazard and

sharps containers. When full, the biohazard bag will need to be properly closed and sharps containers

properly sealed, and then taken to University Medical Services for disposal.

As part of OSHA’s blood borne pathogens regulations, CU employees are eligible to receive the

Hepatitis B vaccine and vaccination series.

OSHA regulations however do not cover students who are not employees of the University. This

includes students who are accepted into or who are applying to the ATP. HBV Vaccinations are strongly

recommended and encouraged for all individuals who risk exposure to blood borne pathogens. Please

note that the cost of this inoculation is not covered by the Department of Intercollegiate Athletics or the

ATP. Cedarville University Medical Services is available to administer this vaccination series, or it may

be obtained from your family physician. If the athletic training student does not obtain this vaccination, a

declination form must be signed.

CONTACT NUMBERS

Wes Stephens

Head Athletic Trainer

937-766-7622

Doug Chisholm

Director of Campus Safety

937-766-7993

University Medical Services

937-766-7862

Erin Ackerson

Assistant Athletic Trainer

937-766-3063

Kurt Gruenberg

Assistant Athletic Trainer

937-766-4105

Ken Blood

Clinical Coordinator

937-766-7757

Amanda Merrell

Assistant Athletic Trainer

Athletic Training Student Exposure Incident Report

This form should be filled out as soon as possible after incident. In case of exposure incident the Athletic

Training Student should inform their supervising Certified athletic Trainer, and proper action should be

taken, including being sent to Student Wellness for medical attention.

Please print clearly.

Athletic Training Student Name:

__________________________________________________________

1. Date of Exposure: __________________

2. Time of Exposure: __________________

3. Describe clearly and in detail how the incident occurred:

4. Certified Athletic Trainer incident was reported to:

5. Were there any witnesses to incident, if so, list names:

6. Did you seek medical attention at University Medical Services?

7. In your opinion, how might the injury be prevented or avoided in the future?

________________________________________________ _______________

Athletic Training Student Date

________________________________________________ _______________

Certified Athletic Trainer Date

2.24 Concussion Policy

CEDARVILLE UNIVERSITY

CONCUSSION MANAGEMENT GUIDELINES

August 2020

1. Cedarville University will require all student-athletes to sign a statement in which student-

athletes accept the responsibility for reporting their injuries and illnesses to the athletic training

department; this includes signs and symptoms of concussions. Student-athletes will be provided

educational material on concussions.

2. Cedarville University will have on file and annually update an emergency action plan for each

athletic venue to respond to student-athlete catastrophic injuries and illnesses, including but not

limited to concussions, heat illness, spine injury, cardiac arrest, and respiratory distress. All

athletics healthcare providers and coaches shall review the plan annually.

3. Cedarville University athletic training staff members shall hold all return-to-play decisions and

management of any ill or injured student athletes, as they deem appropriate. Return-to-learn

decisions will be made utilizing a multi-disciplinary team as identified in the return-to-learn

protocol.

4. Cedarville University will have on file a written team-physician directed concussion management

plan that specifically outlines the roles of the athletic healthcare staff. In addition, the following

components have been specifically identified for the collegiate environment:

a. Cedarville University coaches will receive a copy of the concussion management plan, a

fact sheet on concussions in sport, and view a video on concussions annually.

b. Cedarville University will record a neuropsychological baseline assessment for each

student athlete in the sports of baseball, basketball, pole vaulting, soccer, softball and

volleyball at a minimum. These tests and the post-injury tests will be reviewed by the

Team Physician prior to any return to play decision. However, neuropsychological

testing should not be used as a standalone measure to diagnose the presence or absence of

a concussion. Cedarville University will use a balance assessment as well as symptom

checklist as a comprehensive assessment by its athletic training staff.

c. When a student athlete shows any signs, symptoms or behaviors consistent with a

concussion, the student athlete will be removed from practice or competition, by either a

member of the coaching staff or athletic training staff. If removed by a coaching staff

member, the coach will refer the student athlete for evaluation by a member of the

athletic training staff. Visiting sport team members evaluated by a Cedarville University

athletic training staff member will be managed in the same manner as Cedarville

University student athletes.

d. A student athlete diagnosed with a concussion will be withheld from the competition or

practice and not return to activity until asymptomatic and having completed the return to

play protocol. Student’s will be held from academic responsibilities for at least 24 hours

and will return based on graduated return to learn guidelines. Student athletes that

sustain a concussion outside of their sport will be managed in the same manner as those

sustained during sport activity.

e. The student athlete will receive serial monitoring for deterioration. Athletes will be

provided with written home instructions upon discharge; preferably with a roommate or

guardian.

f. The student athlete will be evaluated by the team physician as outlined in the concussion

management plan. Once asymptomatic and post-exertion assessments are within normal

baseline limits, return to play shall follow a medically supervised stepwise process.

g. The student athlete must be symptoms free, off of all pain medications, and cleared for

academic participation, prior to beginning exertional testing protocol.

h. Final authority for return-to-play and return-to learn shall reside with the team physician

or the physician’s designee.

5. Athletics staff, student athletes and officials will continue to emphasize that purposeful or flagrant

head or neck contact in any sport is not permitted.

Approved by:__________________________ Team Physician

Date:_________________

Approved by:__________________________ Head Athletic Trainer

Date__________________

Approved by:__________________________ Athletic Director

Date:_________________

Concussion Management Plan

Obtain Baseline Testing: Impact symptom score and neuropsychological testing obtained for

athletes in high-risk sports for concussions (baseball, basketball, pole vaulting, soccer, softball and

volleyball) or with pertinent medical history of concussion.

Concussion Identified and Assessed: Physical examination and assessment of concussion symptoms

by medical staff (athletic trainer or physician); athlete held from all physical activity; given

concussion information home instruction sheet; and instructed to begin cognitive rest for at least 24

hours, Athlete repeats baseline testing of symptoms and IMPACT (Within 24-48 hours); performance

of Romberg test

Concussion Management: Athlete held from all physical activity and provided with mandatory

24hrs of cognitive rest, re-assessed athlete daily by medical staff; continue to monitor concussion

symptoms; notify Cedarville University academic enrichment center (consideration of academic

modification/restrictions)

Athlete Asymptomatic: Athlete repeat baseline testing with IMPACT (unless directed otherwise by

physician); Repeat Romberg test; athlete symptom free and off of all pain medications

Test Results Return to Baseline:

Perform exertional testing as per protocol;

re-evaluation by physician for return to

play decision.

Test Results NOT Return to Baseline:

When not medically cleared by physician

repeat test battery; consider

neuropsychological consult with more

detailed battery. When medically cleared

by physician repeat exertional testing; re-

evaluation by physician for return to play

decision

Romberg Test Application

Upon removing an athlete from practice or competition based on suspicion of a concussion the Cedarville

University athletic training staff will perform a Romberg test.

This test should be performed within the first 15 minutes post injury and repeated at regular intervals

during the day of injury and on subsequent days. All results should be noted and are based on the

athletes’ ability to complete both eyes open (EO) and eyes closed (EC) exams. If unable to complete

either or both tests the athlete is considered to be symptomatic for a closed head injury. This test is only

one portion of a clinical examination for a concussion. All components of the head injury evaluation tool

should be noted and referred to an appropriate medical professional as the Certified Athletic Trainer

deems necessary.

Testing Procedure:

The athlete should be upright with feet together, arms at the side, head erect and eyes open. The patient

will remain in this position for at least 30 seconds. The examiner will observe this position noting any

visible sway or inability to complete the 30 second test. A normal (EO) Romberg denotes that cerebellar

function is intact. Next the athlete will remain in this position with the eyes closed (EC) for 30 seconds.

Again, the examiner will note any visible sway or inability to maintain an upright position. If the athlete

can maintain the (EC) position then the affected athlete has a negative Romberg test, therefore

determining that position (proprioception) sense is intact.

(Test Modification) Test may be performed with arms extended to the side or placed in full extension in

front of the body with the palms facing upward (pronator drift) to determine mild hemiparesis.

Interpretation:

Positive Test: The Athlete can complete the (EO) portion but cannot complete the (EC) portion is

determined to have a positive Romberg test.

Negative Test: The athlete can complete both the (EO) and the (EC) exams with minimal sway.

CEDARVILLE UNIVERSITY

Exertional Testing Protocol Following Concussion

Balance Testing and IMPACT testing WNL

Exertional Testing Protocol

1. 10 min on stationary bike; exercise intensity <70% maximum predicted HR

2. 10 min continuous jogging on treadmill; exercise intensity <70% maximum predicted HR

3. Sport specific exercise: (i.e., running in soccer basketball; no head impact activities)

4. Advanced cardiovascular training: sprint activities

5. Sport Specific training drills (no contact), may start progressive resistance training

If no c If no change in symptoms, move to next step, student-athlete will matriculate through

progression minimally over a 48 hour period. If SA experiences any symptoms, they must

remain at current step for 24 hours. SA may resume protocol once symptom-free.

Non-contact practice following completion of exertional protocol

If no change in symptoms for a 24 hour period, move to next step

Limited to full contact practice

If no I If no change or increase in symptoms for 24 hour period, final return to play decision made by

medical staff

Cedarville University Concussion Policy

Return-to-Learn Policies and Procedures

Return-to-Learn:

Return-to-learn management plan specifies:

A. Identification of a point person within athletics who will navigate return-to-learn

with the student-athlete.

1. Dr. Mark Roberto is the supervising team physician and is specifically trained in

concussion evaluation and management.

2. Team assigned athletic trainer at Cedarville University.

B. Identification of a multi-disciplinary team that will navigate more complex cases of

prolonged return-to-learn.

1. Dr. Mark Roberto (Team Physician)

2. Wes Stephens (Head Athletic Trainer)

3. Team assigned athletic trainers

4. Mindy May (Cedarville University Counseling Services)

5. Teresa Clark (Faculty Athletic Representative)

6. Macy Van Meter - The Cove/Disability Services

7. Student-athlete’s course instructor(s)

8. University administrators

9. Coaches of student-athlete

C. No classroom activity for at least 24hrs

1. Student-athlete will be excused from academic responsibilities for at least 24

hours following diagnosis of concussion. This may be extended according to

return to learn guidelines.

D. Individualized initial plan that includes:

Each case is unique and should be handled as appropriate based on prevailing consensus

regarding cognitive activity and return of symptoms. This includes:

1. Remaining at home/dorm if student-athlete cannot tolerate light cognitive

activity.

a. The student athlete will not return to the classroom if he/she cannot

tolerate 30 minutes of light cognitive activity

b. Consideration should also be given for a high Grades Symptom Scale

core (i.e. score: > 25-30)

2. Referral to The Cove if it seems likely that there may be a need for academic

adjustments.

a. Referral to The Cove will be done by athletic training staff using a

referral form developed specifically for dealing with student-athletes

diagnosed with a concussion.

3. Gradual return to classroom/studying as tolerated.

a. Once the student-athlete can tolerate 30-45 minutes of cognitive activity

without return of symptoms, he/she can return to the classroom in a step-

wise manner.

1) First day cleared for academic participation:

 Return should include no more than 30-45 minutes of cognitive activity

at one time, followed by at least 15 minutes of rest.

2) Progression:

 Levels of progression will be determined by a multi-disciplinary team on

a case-by-case basis.

3) Return to full academic participation:

 Return to full academic participation once Graded Symptom Scale Score

< 10 and he/she is able to tolerate mental exertion lasting beyond 90

minutes.

4. Re-evaluation by team physician if concussion symptoms worsen with a

cademic challenges.

a. Dr. Mark Roberto is available to see student-athletes at a concussion

clinic Wednesdays at 3:00 p.m. or by appointment.

E. Modification of schedule/academic accommodations for up to two weeks, as

indicated, with help from the identified point-person.

1. Athletic training staff will refer to The Cove as stated above, and the point-

person at The Cove will assume responsibility for academic adjustments over the

first two weeks.

F. Re-evaluation by team physician and members of the multi-disciplinary team, as

appropriate, for student-athlete with symptoms > two weeks.

1. Cedarville’s athletic training staff will follow-up with student-athlete on a regular

basis (often daily), and if symptoms remain for > 2 weeks will refer to physician

or re-evaluation.

2. An Individualized Academic Accommodation Plan (IAAP) should be developed,

through The Cove if symptoms affecting cognition persist for > 2 weeks.

Concussion Information: Home Instruction Sheet

Name Date

It is OK to:

There is no need to:

DO NOT:

Use Tylenol (acetaminophen)

Use an ice pack on head/neck for

comfort

Eat a light meal

Go to sleep

Check eyes with a

light

Wake up every hour

Stay in bed

Drink alcohol

Eat spicy foods

Drive a car

Use aspirin, Aleve, Advil, Ibuprofen, or other

NSAIDs

Special Recommendations

WATCH FOR ANY OF THE FOLLOWING PROBLEMS:

Worsening headache

Stumbling/loss of balance

Vomiting

Weakness in one arm/let

Decreased level of Consciousness

Blurred vision or dilated pupils

Increased irritability

Increased confusion

If any of these problems develop, call your athletic trainer or physician immediately.

Athletic Trainer Phone

Physician Phone

You need to be seen for a follow-up examination at AM/PM at:

Day of Testing: Baseline __________

SRS: Day 1 2 3 4 5 6 7 ____

Name______________________________ Date ________ SRA: Day 1 2 3 4 5 6 7 ____

Symptom Checklist: Circle “YES” if you have experienced the symptom within the last 24 hours or “NO” if you

have not experienced the symptom over the last 24 hours.

1. Have you had a headache in the last 24 hours? YES / NO

2. Have you experience nausea in the last 24 hours? YES / NO

3. Have you had any difficulty balancing in the last 24 hours? YES / NO

4. Have you experienced fatigue in the last 24 hours? YES / NO

5. Have you experienced drowsiness in the last 24 hours? YES / NO

6. Have you experienced sleep disturbances in the last 24 hours? YES / NO

7. Have you had difficulty concentrating in the last 24 hours? YES / NO

8. In the last 24 hours have you felt like you are “in a fog”? YES / NO

9. In the last 24 hours have you felt “slowed down”? YES / NO

10. Have your eyes been sensitive to light in the last 24 hours? YES / NO

11. Have you felt sadness in the last 24 hours? YES / NO

12. Have you experienced vomiting in the last 24 hours? YES / NO

13. Have your ears been sensitive to noise in the last 24 hours? YES / NO

14. Have you experienced nervousness in the last 24 hours? YES / NO

15. Have you had difficulty remembering things in the last 24 hours? YES / NO

16. Have you experienced numbness in the last 24 hours? YES / NO

17. Have you experienced any tingling sensations in the last 24 hours? YES / NO

18. Have you experienced dizziness in the last 24 hours? YES / NO

19. Have you experienced any neck pain in the last 24 hours? YES / NO

20. Have you been irritable in the last 24 hours? YES / NO

21. Have you experienced feelings of depression in the last 24 hours? YES / NO

22. Have you experienced blurred vision in the last 24 hours? YES / NO

Duration Severity

1-Barely 2-Sometimes 3-Always 4-Not Severe 5-Severe 6-As Severe as Possible

1) Headache

2) Nausea

3) Difficulty balancing

4) Fatigue

5) Drowsiness

6) Sleep Disturbances

7) Difficulty Concentrating

8) Feeling ―in a fog‖

9) Feeling ―slowed down‖

10) Sensitive to Light

11) Sadness

12) Vomiting

13) Sensitive to Noise

14) Nervousness

15) Difficulty Remembering

16) Numbness

17) Tingling

18) Dizziness

19) Neck Pain

20) Irritable

21) Depression

22) Blurred Vision

Cedarville University Athletic Training

Student-Athlete Concussion Statement

 I understand that it is my responsibility to report all injuries and illnesses to my athletic trainer

and/or team physician

 I have read and understand the NCAA Concussion Fact Sheet.

After reading the NCAA Concussion Fact Sheet, I am aware of the following information:

_____ A concussion is a brain injury, which I am responsible for reporting to my team physician or athletic

trainer.

Initial

_____ A concussion can affect my ability to perform everyday activities, and affect reaction time, balance,

sleep, and classroom performance.

Initial

_____ You cannot see a concussion, but you might notice some of the symptoms right away. Other

symptoms can show up hours or days after the injury.

Initial

_____ If I suspect a teammate has a concussion, I am responsible for reporting the injury to my team

physician or athletic trainer.

Initial

_____ I will not return to play in a game or practice if I have received a blow to the head or body that results

in concussion-related symptoms.

Initial

_____ Following a concussion, the brain needs time to heal. You are much more likely to have a repeat

concussion if you return to play before your symptoms resolve.

Initial

_____In rare cases, repeat concussions can cause permanent brain damage, and even death.

Initial

______________________________________________ _____________________

Signature of Student-Athlete Date

______________________________________________

Printed name of Student-Athlete

2.25 Drug Testing Policy

Cedarville University Athletic Department

Drug and Alcohol Testing Policy 2012-2013

Cedarville University values stewardship of our bodies and believes that the Christian lifestyle

includes healthy and responsible choices. Cedarville prohibits the use or possession of alcohol,

tobacco products, all illegal drugs, and the misuse of controlled substances and medications.

Cedarville University Athletic Department believes that illegal or controlled substances and

performance enhancing drugs and alcohol threaten the integrity of intercollegiate athletics and

represent a danger to the health, safety, and well-being of the student-athlete. This written policy

and consent form affirm student-athlete agreement to terms and conditions of the drug testing

policy. Cedarville University’s drug and alcohol testing policies and procedures are separate and

distinct from NCAA’s drug testing policy.

This policy is not to be construed as a contract between the university and the student-athletes at

Cedarville University. However, signed consent and notification forms shall be considered

affirmance of the student-athlete’s agreement to the terms and conditions contained in the policy

and shall be a legal contractual obligation of the student-athlete.

It should be noted that according to the Cedarville University Student Handbook: “Students are

not allowed to use, purchase, or possess alcoholic beverages, tobacco products, or any illegal

drug on or off campus. Students are also prohibited from misusing legally prescribed

medications. Violation of these prohibitions may result in probation, suspension, or dismissal.”

Purpose

The drug and alcohol testing program serves to promote fair competition while discouraging the

use of illegal drugs and dangerous substances, including alcohol and tobacco. Cedarville

University wants to protect student-athletes from the effects of drug and alcohol use and promote

the positive role of student-athletes as representatives of the university. The program should

identify individuals with substance abuse problems and provide intervention and access to

treatment for them. The policy will participate in the following steps of prevention:

 Education—the Athletic Department will provide student athletes and the Athletic

Department staff with accurate information regarding the issues associated with

substance abuse in sport, while promoting health and safety in sports. In conjunction

with the Athletic Training Department, the Athletic Department will sponsor a yearly

Drug and Alcohol Education Seminar that each student athlete must attend at the

beginning of each school year.

 Testing—analyzing biological specimens to detect prohibited substances student

athletes may introduce into their bodies and punitive consequences resulting for their

use.

 Professional Referral—facilitating appropriate treatment and rehabilitation of student

athletes.

Eligibility

Institutional Drug Testing Consent Form

As a condition for team membership, the student-athlete must agree to participate in the drug and

alcohol testing program. All current student-athletes including red-shirts, medical red-shirts and

student athletes who are academically ineligible will be subject to drug and alcohol testing. The

student-athlete must sign the Drug Testing Consent Form at the beginning of every academic

year.

Medication and Supplements Disclosure Form

All student-athletes must disclose all medications and supplements they are taking to the athletic

training staff on the Medication and Supplements Disclosure Form at the beginning of every

academic year and update it as necessary. All medications not prescribed by the Team Physician

must have a copy of the prescription on file.

Types of Drug Testing

Random Testing

Periodic testing of a 10% of the total student-athlete population will occur at regular intervals.

The list will be randomly generated by computer from official rosters. All athletes are eligible for

every test.

Reasonable Suspicion Testing

When there is reasonable suspicion to believe that a student-athlete is using or has used a

prohibited substance through demonstration of symptoms or behaviors that are indicative of

substance abuse, they are subject to reasonable suspicion testing. This shall be based on objective

information as determined by the Athletic Director, the Head Coach, an Athletic Trainer or Team

Physician. No notice of testing is required. Reasonable suspicion may include, but is not limited

to 1) observed possession or use of substances appearing to be prohibited drugs, 2) arrest or

conviction for a criminal offense related to the possession or transfer of prohibited drugs or

substances, or 3) observed abnormal appearance, conduct or behavior reasonably interpretable as

being caused by the use of prohibited drugs or substances. Such behaviors could be: decrease in

class attendance, significant GPA changes, decrease in athletic practice attendance, increase

injury rate of illness, physical appearance changes, and legal involvement.

Re-entry Testing

After a positive, the student-athlete must have a negative test before being cleared for

participation. The re-entry testing will be performed at the student-athlete’s expense.

Reasonable Cause/Follow-up Testing

Student-athletes who have previous violations of the drug policy will be tested individually or as

part of a regularly scheduled test. This will be part of the management plan.

Post-season or Championship Testing

Student-athletes who are competing in post-season play or in championships are also eligible for

drug-testing.

Failure to appear for a scheduled drug test, or refusal to give a urine specimen, will be

considered a positive test. A management plan will be determined by the Athletic Director,

the Head Coach, and the Head Athletic Trainer.

Testing Procedures

Notification Process

Student-athletes will have an assigned number and a computerized random selection will

determine those tested for each session. The student-athlete will be contacted by the Drug

Testing Coordinator and made aware of their selection no earlier than the afternoon before the

morning drug test. The Drug Testing Coordinator will contact the student-athlete and record if

they spoke in person, on the phone, or left a message.

Collection

Drug testing will typically take place in the Men’s and Women’s Locker Rooms in the Callan

Athletic Center. The student-athletes will be given a time to report to drug testing. The student-

athletes will check in with the Drug Testing Coordinator and will need to show a picture ID and

will be directly observed. The procedures for collection will be determined by the Center for

Drug Free Sport. Student-athletes must stay in the testing area until they are able to produce a

useable sample. The names of student-athletes not reporting to the scheduled test, or who refuse

or fail to give a specimen, will be given to the Athletic Director and they will be considered as a

positive test.

If a student-athlete is found to have adulterated, manipulated or diluted their sample, he/she will

be placed under the sanctions of a positive drug test.

Banned Substances

The NCAA and Cedarville University bans the use or possession of the following classes of drugs:

a. Stimulants

b. Anabolic agents

c. Alcohol and beta blockers (banned for rifle

only)

d. Diuretics and masking agents

e. Narcotics

f. Cannabinoids

g. Peptide hormones, growth factors, related substances and

mimetics

h. Hormone and metabolic modulators (anti-

estrogens)

i. Beta-2 agonists

Note: Any substance chemically/pharmacologically related to all classes listed above and with no current

approval by any governmental regulatory health authority for human therapeutic use (e.g., drugs under

pre-clinical or clinical development or discontinued, designer drugs, substances approved only for

veterinary use) is also banned. The institution and the student-athlete shall be held accountable for all

drugs within the banned-drug class regardless of whether they have been specifically identified.

Examples of substances under each class can be found at www.ncaa.org/drugtesting. There is no

complete list of banned substances.

Substances and Methods Subject to

Restrictions:

• Blood and gene doping.

• Local anesthetics (permitted under some

conditions).

• Manipulation of urine samples.

• Beta-2 agonists (permitted only by inhalation with

prescription).

• Tampering of urine samples.

NCAA Nutritional/Dietary

Supplements:

Warning: Before consuming any nutritional/dietary supplement product, review the product and its

label with your athletics department staff!

• Nutritional/Dietary supplements, including vitamins and minerals, are not well regulated and may cause

a positive drug test.

• Student-athletes have tested positive and lost their eligibility using nutritional/dietary

supplements.

• Many nutritional/dietary supplements are contaminated with banned substances not listed on the

label.

• Any product containing a nutritional/dietary supplement ingredient is taken at your own

risk.

Post-Test Procedure

Results Notification

The Athletic Director will receive results for positive tests and will then notify the Head Athletic

Trainer, Head Coach and necessary involved personnel. Student-athletes who test positive will

be notified by the Athletic Director. Results will be kept confidential and only disclosed to those

deemed appropriate by the Athletic Director.

Consequences for a Positive Alcohol Test

First Positive Test

 2 weeks suspension from all team activities, including practice, competition, strength

and conditioning sessions from date of positive test results

 Loss of 10% of season competition (if out of season, first 10% of following

season). If the 10% calculates as a fraction of a game, all fractions will be rounded

up to the next full game. For example, 33 games scheduled, 10% equals 3.3, the

suspension will be 4 games.

 Other punishment deemed appropriate by Head Coach, approved by the Athletic

Director

 Counseling through University Counseling Services

 Possible University sanctions

 Eligible for reasonable cause/follow up testing

 Parents will not be notified by the Athletic Director

Second Positive Test

 Dismissal from team

 Possible University sanctions

 Parents will be notified by the Athletic Director

Consequences for a Positive Drug Test

First Positive Test

 4 weeks suspension from all team activities, including practice, competition, and

strength and conditioning sessions from date of positive test results

 Loss of 25% of season competition (if out of season, first 25% of following season)

 Other punishment deemed appropriate by Head Coach, approved by the Athletic

Director

 Counseling through University Counseling Services

 Possible University sanctions

 Eligible for reason cause/follow up testing

 Parents will not be notified by the Athletic Director

Second Positive Test

 Dismissal from team

 Possible University sanctions

 Parents will be notified by the Athletic Director

Intervention

Appropriate intervention will take place should drugs, alcohol or illegal substances be

detected. A management team will be formed to work with the student-athlete, including the

Athletic Director and Athletic Trainer. The student-athlete will be required to receive counseling

through the University Counseling Services, and well as any other interventions deemed

necessary by the Team Physician and Athletic Trainer.

Medical Exceptions

The Cedarville University Athletic Department recognizes that some banned substances are used

for legitimate medical purposes. Medical exceptions are made if the student-athlete has a

documented medical history for continued use of the substance. Student athletes are required to

document any prescription medication with the athletic training staff. Student athletes must

provide a letter of medical necessity from the prescribing physician on any prescription that may

be deemed a banned substance. All substances that the student-athlete is taking should be on file

on the Medication and Supplements Disclosure Form. In the event of a positive test, the Head

Athletic Trainer will consult the Team Physician and, if necessary, the student-athlete’s

prescribing family physician in review of the medication history and determine whether a

medical exception should be granted.

Appeal Process

A student-athlete who tests positive in a Cedarville University sponsored drug test is entitled to

an appeal. The appeal must either based on evidence of procedural error or evidence which

refutes the finding. An appeal may also be against imposed sanctions. A request for an appeal

must be received in writing by the Athletic Director within 48 hours of notification of a positive

test finding. The appeals committee will consist of the Athletic Director, Head Athletic Trainer,

Faculty Athletic Representative, Senior Woman Administrator and a representative of the drug

testing laboratory for a contest of a positive result. The appeals committee should meet with the

student-athlete within two working days of the written request. The majority decision vote of the

committee will be final.

Safe Harbor Program

A Safe Harbor Program is a self-referral for student-athletes who admit, prior to being selected

for testing, to using a banned substance. They cannot enter the Program at any time after a

positive test. There will be no team or administrative sanctions imposed to a student-athlete

seeking help in this program. A treatment plan will be arranged by the Team Physician, Athletic

Trainer, and Counseling Services. If tested positive after completing a Safe Harbor program, it

will be considered a First Positive Test.

If a student athlete admits to violating this policy after being selected for testing, but prior to the

specimen collection, the consequences for violation will be reduced by 50%. For example, if a

student athlete admits to drug use while reporting to the collection area but prior to giving a

specimen, the student athlete’s penalty for a first time violation would be 2 weeks suspension

from team activities and a 12.5% suspension from season competition.

This program can only be utilized once during the period of time of athletic eligibility.

Student-Athlete Resources

Student athletes are encouraged utilize the NCAA website at www.ncaa.org/health-safety and the

Dietary Supplement Resources Exchange Center (REC) website at www.drugfreesport.com as

resources for more information regarding drug testing and supplement information.

Reviewed and revised August 2020

Cedarville University

Athletic Department

Drug and Alcohol Policy Consent Form

I ________________________________________, certify that I agree that I have read and

reviewed the Cedarville University Department of Athletics Drug and Alcohol Testing Policy

and I understand that I must abide by the requirements set forth therein. I understand that this

policy provides for education programs, screening, counseling, and disciplinary action related to

abuse of chemical substances.

I acknowledge that my questions about the program have been answered, that I fully

understand the provisions, and that I agree to voluntarily consent to participate in the program,

and abide by its provisions.

I hereby consent to have a sample of my urine collected and screened for the presence of

certain drugs or substances on random, unannounced bases, in accordance with the provisions of

the program; and at such other times as screening is required under the program.

I further consent to a confidential release of all information and records, disclosed to the

Athletic Director, the Head Athletic Trainer, Faculty Athletic Representative, Head Coach and

any necessary personnel.

I understand this serves as my notice to be tested at any time from here forward as long as I

am a student athlete at Cedarville University.

By signing below, I consent to allow my drug-testing sample to be used by Drug Free Sport

laboratories for research purposes to improve drug-testing detection.

This the _______________ day of ___________________, 20________.

__________________________ _______________________

Signature of Student Athlete Student ID #

CEDARVILLE UNIVERSITY ATHLETIC DEPARTMENT

DRUG TESTING REASONABLE SUSPICION

NOTIFICATION FORM

I, _________________________________, under the reasonable suspicion clause that is outlined

in the Cedarville University Department of Athletics University Drug and Alcohol Policy, report the

following objective sign(s), symptom(s) or behavior(s) that I reasonably believe warrant

___________________________ be referred to the Department of Athletics Drug and Alcohol

Committee Chair or his/her designate for possible drug testing. The following sign(s), symptom(s) or

behavior(s) were observed by me over the past ______ hours and/or ______ days.

Please check below all that apply:

The Student-Athlete has shown: The Student-Athlete has demonstrated the following:

_____ irritability _____ dilated pupils

_____ loss of temper _____ constricted pupils

_____ poor motivation _____ red eyes

_____ failure to follow directions _____ smell of alcohol on the breath

_____ verbal outburst (e.g. to faculty, staff, team) ______smell of marijuana

_____ physical outburst (e.g. throwing equipment) _____ excessive talking

_____ emotional outburst (e.g. crying) _____ slurred speech

_____ weight gain _____ staggering/difficulty walking

_____ weight loss _____ periods of memory loss

_____ sloppy hygiene and/or appearance _____ withdrawn and/or less communicative

_____ over stimulated or “hyper”

The Student-Athlete has been: _____

_____ recurrent bouts with a cold or the flu

_____ late for practice (give dates ________)

_____ late for class _____ recurrent motor vehicle accidents

_____ not attending class and/or violations (give dates)

_____ receiving poor grades _____ recurrent violations of Cedarville

_____ staying up too late University Student Code of Conduct

_____ missing appointments

_____ missing/skipping meals

Conduct

Other specific objective findings include:

_____________________________________________________________________________________

Signature of Athletic Dept. Staff Date Head Athletic Trainer/Drug Testing Coord. Date

College/University:

Urine Collection Guidelines for Clients

1. Only those persons authorized by the client representative and certified collector will be allowed in the

collection room. The certified collector and client representative will determine the release of a selected

student-athlete from the collection room prior to completing the specimen collection process.

2. Upon arrival, student-athlete will provide photo identification and/or a client representative will identify

the student-athlete. The student-athlete will then print his/her name and arrival time on the Roster Sign-In

Form.

3. The student-athlete will select a Custody & Control Form (CCF) from a supply of such and work with

collector and client representative to complete necessary information before proceeding with the

specimen collection process.

4. The student-athlete will select a specimen collection beaker from a supply of such and will be escorted by

a collector (same gender) to the restroom to provide a specimen. The student-athlete will place a unique

barcode onto the beaker. And then rinse his/her hands with water and then dry hands.

5. The collector will directly observe the furnishing of the urine specimen to assure the integrity of the

specimen.

6. The student-athlete will be responsible for keeping the collection beaker closed and controlled.

7. Fluids and food given to student-athletes who have difficulty voiding must be from sealed containers

(approved by the collector) that are opened and consumed in the station. These items must be free of any

other banned substances.

8. If the specimen is incomplete, the student-athlete must remain in the collection station until the sample is

completed. During this period, the student-athlete is responsible for keeping the collection beaker closed

and controlled.

9. If the specimen is incomplete and the student-athlete must leave the collection station for a reason

approved by the certified collector and client representative, specimen must be discarded.

10. Upon return to the collection room, the student-athlete will begin the collection procedure again.

11. Once an adequate volume specimen is provided; the collector will escort the student-student-athlete to

the specimen processing table.

12. The specimen collector will instruct the student-athlete to closely observe the specimen processing steps

and will then measure the specific gravity.

13. If the urine has a specific gravity below 1.005, no value will be recorded on the CCF and the specimen

will be discarded by the student-athlete with the collector observing. The student-athlete must remain in

the collection station until another specimen is provided. The student-athlete will provide another

specimen.

14. If the urine is concentrated (1.005 SG or higher), the specimen processor will record the specific gravity

value on the CCF and then measure the urine’s pH If in range (4.5-7.5 inclusive), the specimen processor

will record the pH value on the CCF in the appropriate area. If the student- athlete has a pH greater than

7.5 or less than 4.5, the specimen will be discarded by the student- athlete with the collector observing.

The student-athlete must remain in the collection station until another specimen is provided. The student-

athlete will provide another specimen.

15. Once the specimen processor has determined the specimen has a specific gravity above 1.005 and a pH

between 4.5 and 7.5 inclusive, the sample will be processed and sent to the laboratory.

16. If the laboratory determines that a student-athlete’s sample is inadequate for analysis, at the client’s

discretion, another sample may be collected.

17. If a student-athlete is suspected of manipulating specimens (e.g., via dilution, substitution), the collector

will collect another specimen from the student-athlete.

18. Once a specimen has been provided that meets the on-site specific gravity and pH parameters, the

student-athlete will select a sample collection kit from a supply of such.

19. The specimen processor will open the kit, demonstrate to the student-athlete the vials are securely sealed,

open the plastic, and open the A vial lid. The processor will pour the urine into the A and B vials and

close the lids. The specimen processor should pour urine into vials above the minimum volume level (35

mL in A vial; 15 mL in B vial) and pour as much urine as possible into vials using care not to exceed the

maximum levels (90 mL in A vial; 60 mL in B vial).

20. The specimen processor will securely close the lids on each vial and then seal each vial using the vial

seals attached to the CCF; assuring seals are tightly adhered to the vials with no tears or loose areas.

21. The specimen processor must then collect all necessary signatures (collector, donor, witness, and

collector/specimen processor) and dates/times where indicated on the CCF.

22. The specimen processor will place the laboratory copy of the CCF in the back pouch of the plastic bag

and the vials the front pouch of the same bag. The bag should then be sealed. The sealed bag with vials

will then be placed in the sample box. The box will then be sealed.

23. The student-athlete is then released by the collector.

24. All sealed samples will be secured in a shipping case. The collector will prepare the case for forwarding.

When two split samples are collected and packaged, care must be taken to assure one sample is placed in

the shipping container for shipment to the “drugs of abuse” laboratory and one sample is placed in the

shipping container for shipment to the “anabolic steroids” laboratory.

25. After the collection has been completed, the samples will be forwarded to the laboratory and copies of

any forms forwarded to the designated persons.

26. The samples become the property of the client.

27. If the student-athlete does not comply with the collection process, the collector will notify the client

representative and Drug Free Sport.

Section 3: Emergencies

3.1 Introduction

Medical emergencies in athletics are relatively rare. However, when they do occur, they often pose an

immediate threat to the injured athlete’s life. Therefore it is imperative that you understand our

emergency management protocol and are prepared to render effective emergency care if a life

threatening emergency should occur.

The most likely causes of immediate threat of loss of life are:

 Airway obstruction

 Respiratory arrest

 Cardiac arrest

 Hemorrhage

 Pneumothrax

 Shock

Special care and consideration must be given to those athletes that have suffered head and/or neck injury.

Any athlete that is unconscious must be assumed to have also suffered a severe neck injury. It is vital

that you never move an unconscious athlete until the full extent of their injuries is assessed.

3.2 ABCs + D

In the event of a life threatening emergency, basic life support must be given. The sequential steps used

for basic life support are the ABC’s + D:

1. A = Airway opened

2. B = Breathing restored

3. C = Circulation restored

4. D = Neurological Assessment (protect the neck!)

You must continue Basic Life Support (BLS) until one of the following occurs:

1. The athlete recovers, regains breathing, and pulse

2. BLS efforts have been transferred to another qualified person

3. A physician assumes responsibility

4. The athlete is transferred to trained personnel involved with the Emergency Medical System

(EMS)

5. You are exhausted and unable to continue BLS

3.3 Conducting a Primary and Secondary Survey

I. The Primary Survey

A Primary survey is used to discover and correct any immediate life threatening problems. It begins as

soon as the athletic trainer reaches the injured athlete. The following should be done in a Primary survey:

A. On your way out to the athlete, note in your mind how the injury occurred (from a fall,

collision, collapse, faint, etc.)

1. Note Consciousness Level (Conscious? Unconscious? Stupor?)

2. Evaluate the ABCs. Ask yourself these 2 questions:

3. Is there an immediate threat to life?

4. Do I need more help?

Make this decision early! It would be much better for you to activate the EMS

and not need it in a situation you believed was life threatening, than for you to

not activate the EMS and need it.

5. Remain calm – follow a definitive, step-by-step outline of action.

II. The Secondary Survey

Used to detect problems that do not pose an immediate threat to life but may become serious or even life

threatening.

A. First thing – review Primary survey – ABCs

Signs of Respiratory Distress

1. Flaring of the nostrils

2. “Tugging” of the trachea

3. Use of accessory muscle in the neck and abdomen to assist breathing

4. Anxiety

5. Noisy or labored breath sounds

B. Note general appearance:

1. Position of the athlete

2. Level of consciousness

3. Behavior – Degree of Distress (Restlessness = beware! This is usually a sign of

impending shock or impending respiratory difficulties).

4. Wounds or deformities

5. Skin color

C. Check vital signs

Vital Signs Normal Signs of Trouble

-Respirations 12-20/min Rate/Rhythm/Distress

-Pulse 60-80/min Rate/Rhythm/Distress

-Blood pressure 120-65 to 150-90 High/Low

-Temperature 98.6 deg. F. High/Low

D. Is there a possibility of a Spinal Cord Injury?

Protect the spine. Rule this out before moving.

3.4 Program Policy

Everyone working in the Athletic Training Facility must maintain current CPR certification. CPR

certification will be verified by either the Head Athletic Trainer or the Program Director on September 1

and January 1 of each year. Staff not having current CPR will not be assigned to an athletic team or to

athletic event coverage until proper certification is obtained.

3.5 General Emergency Responsibilities

In the event of a life-threatening emergency, it is important that everyone understand what to do. You

must know and carry out the following basic responsibilities.

I. General Responsibilities

A. Know how to activate the emergency plan

B. Know how to describe the location of the incident, how to get there, and the location of all

exits

C. Know the location of all emergency equipment

1. Spine board

2. AED

3. Splint Bag

4. CPR Pocket Masks

5. B.V.M

6. Oxygen

7. Pulse Oximeter

8. Stethescope

D. Know your responsibilities and the responsibilities of the people assisting with the incident

E. Be able to provide first responder assistance

F. Know where the “Life Support Kit” is

G. Prepare an accurate account of the incident and what was done. History, blood pressure and

pulse, reparation rate, skin color, temperature, conciseness, and what management and/or

treatment that was done

II. Chain of Command

A. Pre EMS Arrival

1. Physician

2. Head Athletic Trainer

3. Certified Athletic Trainer

4. First Responder Professional Rescuer Certified

5. CPR/First Aide Certified

6. Coaches

B. Post EMS Arrival

1. Physician

2. Paramedic

3. EMT

4. Head Athletic Trainer

5. Certified Athletic Trainer

6. First Responder Professional Rescuer Certified

7. CPR/First Aide Certified

8. Coaches

III. Critical Telephone Numbers

A. Emergency EMS, Fire, Police 911

B. Athletic Training Room O: (937) 766-7767

C. Wes Stephens, Head Athletic Trainer O: (937) 766-7622 C: (937) 286-1565

D. Kurt Gruenberg, Associate Athletic Trainer O: (937) 766-4105 C: (937) 503-4253

E. Carly Mayfield, Assist. Athletic Trainer O: (937) 766-6156 C: (937) 408-0238

F. Erin Ackerson, Assist, Athletic Trainer O: (937) 766-3063 C: (937) 708-9104

G. Ohio Valley Sports Medicine O: (937) 398-1066

H. Dr. Jerry Frasure (Dentist) O: (937) 766-5207

I. Miami Valley Hospital Jamestown ED O: (937) 374-5280

3.6 Emergency Action Plan for Cedarville University Athletics

Pre- Plan; before an Emergency Happens

 Stop and think through what kind of specific medical emergencies could arise with your athletes

at the specific venue you are covering. You could be headed for some very serious problems if

you fail to think through the possibilities and just “wait for something to happen.”

 Make sure you are up to date in your Basic Life Support skills.

Have you had CPR and Basic first aid?

 Make sure you know your athletes’ medical conditions

Are there any asthmatics or diabetics? Anyone hyper-allergic to insect stings?

 Do any of your athletes need an inhaler, insulin, insect sting kit?

Do they have them with them at practice?

 Make sure you have communication abilities at your venue in case of an emergency?

Do you have a cell phone that works? Do you have access to a land line that works?

 Do you have on you the keys to unlock any gates or doors that might need to access in case of an

emergency?

 Is the playing environment safe?

 Are there areas in your venue that you feel are unsafe or dangerous? Have you notified the

appropriate person in writing?

 Are the athletes allowed frequent water breaks and unlimited access to water?

 Has consideration been given to the temperature and humidity during your practice times?

 Are the athletes wearing the proper protective equipment?

 Are there any improper or unsafe techniques to being taught or practiced?

 Make sure you are using common sense

3.7 Emergency Action Plan when Injury Occurs

I. If the athlete is unconscious

A. Primary Survey

1.A = Airway

2.B = Breathing

3.C = Circulation

4.D = Neurological Status: Protect the neck

Any athlete that is unconscious must be assumed to have also suffered a severe neck injury.

It is vital that you never move and unconscious athlete until the full extent of their injuries is known.

B. Activate EMS for ALL Unconscious Athletes: dial 911

C. Contact CU Athletic Training Staff at 766-7767

II. If the athlete is conscience

A. Primary Survey

1. Is there an immediate threat to life?

2. If so, activate EMS

3. Contact CU Athletic Training Staff at 766-7767

B. Secondary Survey

1. Watch for signs of Respiratory Distress

a. Flaring of the nostrils

b. “Tugging” of the trachea

c. Use of accessory muscles in the neck and abdomen to assist

breathing

d. Anxiety

e. Noisy or labored breath sounds

2. Note general appearance:

a. Position of the Athlete

b. Level of Consciousness

c. Behavior – Degree of Distress

d. Wounds of Deformities

e. Skin Color

3.8 Yellow Jacket Baseball Complex EAP

Yellow Jacket Baseball Complex

Baseball

Emergency Personnel:

Emergency personnel include Certified Athletic Trainer (ATC) within four to six minutes of

venue, athletic training student(s) on site for practice and competition, ATC present at

competition, and/or additional sports medicine staff accessible from athletic training facility.

Emergency Communication:

Cell phones are present during competition or practice in the event of an emergency. The ATC

will have one at all competitions. Athletic training students should have one at practice. The

fixed telephone line number into the athletic training room is 766-7767.

Emergency Equipment:

All supplies and medical equipment are brought to the site by the athletic training staff during the

in-season. Additional emergency equipment will be accessible from the athletic training facility.

Roles of First Responders:

1. Immediate care of the injured or ill student-athlete

2. Emergency equipment retrieval

3. Activation of emergency medical system (EMS), if appropriate:

a. Call 911

b. Provide name of caller

c. Address of venue

d. Telephone number calling from

e. Number of injured individuals

f. Conditions of injured individuals

g. First aid treatment currently being given by first responder

h. Specific directions as needed to locate the emergency scene

i. Other information as requested by dispatcher

j. Stay on the line until dispatchers tell you to hang up

k. Designate individual to “flag down” EMS and direct to scene

General Emergency Responsibilities

In the event of a life-threatening emergency, it is important that everyone understand what to do. You

must know and carry out the following basic responsibilities.

I. General Responsibilities

A. Know how to activate the emergency plan

B. Know how to describe the location of the incident, how to get there, and the location of all

exits

C. Know the location of all emergency equipment

1. Spine board

2. AED

3. Splint Bag

4. CPR Pocket Masks

5. B.V.M

6. Oxygen

7. Pulse Oximeter

8. Stethescope

D. Know your responsibilities and the responsibilities of the people assisting with the incident

E. Be able to provide first responder assistance

F. Know where the “Life Support Kit” is

G. Prepare an accurate account of the incident and what was done. History, blood pressure and

pulse, reparation rate, skin color, temperature, conciseness, and what management and/or

treatment that was done

II. Chain of Command

A. Pre EMS Arrival

1. Physician

2. Head Athletic Trainer

3. Certified Athletic Trainer

4. First Responder Professional Rescuer Certified

5. CPR/First Aide Certified

6. Coaches

B. Post EMS Arrival

1. Physician

2. Paramedic

3. EMT

4. Head Athletic Trainer

5. Certified Athletic Trainer

6. First Responder Professional Rescuer Certified

7. CPR/First Aide Certified

8. Coaches

III. Critical Telephone Numbers

A. Emergency EMS, Fire, Police 911

B. Athletic Training Room O: (937) 766-7767

C. Wes Stephens, Head Athletic Trainer O: (937) 766-7622 C: (937) 286-1565

D. Kurt Gruenberg, Associate Athletic Trainer O: (937) 766-4105 C: (937) 503-4253

E. Carly Mayfield, Assist. Athletic Trainer O: (937) 766-6156 C: (937) 408-0238

F. Erin Ackerson, Assist, Athletic Trainer O: (937) 766-3063 C: (937) 708-9104

G. Ohio Valley Sports Medicine O: (937) 398-1066

H. Dr. Jerry Frasure (Dentist) O: (937) 766-5207

I. Miami Valley Hospital Jamestown ED O: (937) 374-5280

Addresses:

Miami Valley Hospital Jamestown ED

4940 Cottonville Rd, Jamestown, OH 45335

Dr. Jerry Frasure, DDS

400 N Main St, Cedarville, OH 45314

Venue Directions:

The Baseball Complex is best accessed from Route 72 at the northern most access to campus on

the West side of Route 72 (Varsity Drive) just north of the cemetery. Emergency personnel will

enter via the gravel path that connects Varsity Dr. to the baseball field. Entrance to the field is

accessed through a double date located adjacent to the home dugout.

3.9 Yellow Jacket Softball Complex EAP

Yellow Jacket Softball Complex

Softball

Emergency Personnel:

Emergency personnel include Certified Athletic Trainer (ATC) within four to six minutes of

venue, athletic training student(s) on site for practice and competition, ATC present at

competition, and/or additional sports medicine staff accessible from athletic training facility.

Emergency Communication:

Cell phones are present during competition or practice in the event of an emergency. The ATC

will have one at all competitions. Athletic training students should have one at practice. The

fixed telephone line number into the athletic training room is 766-7767.

Emergency Equipment:

All supplies and medical equipment are brought to the site by the athletic training staff during the

in-season. Additional emergency equipment will be accessible from the athletic training facility.

Roles of First Responders:

4. Immediate care of the injured or ill student-athlete

5. Emergency equipment retrieval

6. Activation of emergency medical system (EMS), if appropriate:

a. Call 911

b. Provide name of caller

c. Address of venue

d. Telephone number calling from

e. Number of injured individuals

f. Conditions of injured individuals

g. First aid treatment currently being given by first responder

h. Specific directions as needed to locate the emergency scene

i. Other information as requested by dispatcher

j. Stay on the line until dispatchers tell you to hang up

k. Designate individual to “flag down” EMS and direct to scene

General Emergency Responsibilities

In the event of a life-threatening emergency, it is important that everyone understand what to do. You

must know and carry out the following basic responsibilities.

I. General Responsibilities

A. Know how to activate the emergency plan

B. Know how to describe the location of the incident, how to get there, and the location of all

exits

C. Know the location of all emergency equipment

1. Spine board

2. AED

3. Splint Bag

4. CPR Pocket Masks

5. B.V.M

6. Oxygen

7. Pulse Oximeter

8. Stethescope

D. Know your responsibilities and the responsibilities of the people assisting with the incident

E. Be able to provide first responder assistance

F. Know where the “Life Support Kit” is

G. Prepare an accurate account of the incident and what was done. History, blood pressure and

pulse, reparation rate, skin color, temperature, conciseness, and what management and/or

treatment that was done

II. Chain of Command

A. Pre EMS Arrival

1. Physician

2. Head Athletic Trainer

3. Certified Athletic Trainer

4. First Responder Professional Rescuer Certified

5. CPR/First Aide Certified

6. Coaches

B. Post EMS Arrival

1. Physician

2. Paramedic

3. EMT

4. Head Athletic Trainer

5. Certified Athletic Trainer

6. First Responder Professional Rescuer Certified

7. CPR/First Aide Certified

8. Coaches

III. Critical Telephone Numbers

A. Emergency EMS, Fire, Police 911

B. Athletic Training Room O: (937) 766-7767

C. Wes Stephens, Head Athletic Trainer O: (937) 766-7622 C: (937) 286-1565

D. Kurt Gruenberg, Associate Athletic Trainer O: (937) 766-4105 C: (937) 503-4253

E. Carly Mayfield, Assist. Athletic Trainer O: (937) 766-6156 C: (937) 408-0238

F. Erin Ackerson, Assist, Athletic Trainer O: (937) 766-3063 C: (937) 708-9104

G. Ohio Valley Sports Medicine O: (937) 398-1066

H. Dr. Jerry Frasure (Dentist) O: (937) 766-5207

I. Miami Valley Hospital Jamestown ED O: (937) 374-5280

Addresses:

Miami Valley Hospital Jamestown ED

4940 Cottonville Rd, Jamestown, OH 45335

Dr. Jerry Frasure, DDS

400 N Main St, Cedarville, OH 45314

Venue Directions:

The Softball Complex is best accessed from Route 72 at the northern most access to campus on

the West side of Route 72 (Varsity Drive) just north of the cemetery. Emergency personnel will

enter via the gravel path that connects Varsity Dr. past the baseball field to the softball field.

Entrance to the softball field is accessed through a double date located adjacent to the home

dugout.

3.10 Yellow Jacket Soccer Complex EAP

Yellow Jacket Soccer Complex

Men’s/Women’s Soccer

Emergency Personnel:

Emergency personnel include Certified Athletic Trainer (ATC) within four to six minutes of

venue, athletic training student(s) on site for practice and competition, ATC present at

competition, and/or additional sports medicine staff accessible from athletic training facility.

Emergency Communication:

Cell phones are present during competition or practice in the event of an emergency. The ATC

will have one at all competitions. Athletic training students should have one at practice. The

fixed telephone line number into the athletic training room is 766-7767.

Emergency Equipment:

All supplies and medical equipment are brought to the site by the athletic training staff during the

in-season. Additional emergency equipment will be accessible from the athletic training facility.

Roles of First Responders:

7. Immediate care of the injured or ill student-athlete

8. Emergency equipment retrieval

9. Activation of emergency medical system (EMS), if appropriate:

a. Call 911

b. Provide name of caller

c. Address of venue

d. Telephone number calling from

e. Number of injured individuals

f. Conditions of injured individuals

g. First aid treatment currently being given by first responder

h. Specific directions as needed to locate the emergency scene

i. Other information as requested by dispatcher

j. Stay on the line until dispatchers tell you to hang up

k. Designate individual to “flag down” EMS and direct to scene

General Emergency Responsibilities

In the event of a life-threatening emergency, it is important that everyone understand what to do. You

must know and carry out the following basic responsibilities.

I. General Responsibilities

A. Know how to activate the emergency plan

B. Know how to describe the location of the incident, how to get there, and the location of all

exits

C. Know the location of all emergency equipment

1. Spine board

2. AED

3. Splint Bag

4. CPR Pocket Masks

5. B.V.M

6. Oxygen

7. Pulse Oximeter

8. Stethescope

D. Know your responsibilities and the responsibilities of the people assisting with the incident

E. Be able to provide first responder assistance

F. Know where the “Life Support Kit” is

G. Prepare an accurate account of the incident and what was done. History, blood pressure and

pulse, reparation rate, skin color, temperature, conciseness, and what management and/or

treatment that was done

II. Chain of Command

A. Pre EMS Arrival

1. Physician

2. Head Athletic Trainer

3. Certified Athletic Trainer

4. First Responder Professional Rescuer Certified

5. CPR/First Aide Certified

6. Coaches

B. Post EMS Arrival

1. Physician

2. Paramedic

3. EMT

4. Head Athletic Trainer

5. Certified Athletic Trainer

6. First Responder Professional Rescuer Certified

7. CPR/First Aide Certified

8. Coaches

III. Critical Telephone Numbers

A. Emergency EMS, Fire, Police 911

B. Athletic Training Room O: (937) 766-7767

C. Wes Stephens, Head Athletic Trainer O: (937) 766-7622 C: (937) 286-1565

D. Kurt Gruenberg, Associate Athletic Trainer O: (937) 766-4105 C: (937) 503-4253

E. Carly Mayfield, Assist. Athletic Trainer O: (937) 766-6156 C: (937) 408-0238

F. Erin Ackerson, Assist, Athletic Trainer O: (937) 766-3063 C: (937) 708-9104

G. Ohio Valley Sports Medicine O: (937) 398-1066

H. Dr. Jerry Frasure (Dentist) O: (937) 766-5207

I. Miami Valley Hospital Jamestown ED O: (937) 374-5280

Addresses:

Miami Valley Hospital Jamestown ED

4940 Cottonville Rd, Jamestown, OH 45335

Dr. Jerry Frasure, DDS

400 N Main St, Cedarville, OH 45314

Venue Directions:

The Yellow Jacket Soccer Complex is best accessed from Route 72 at the northern most access

to campus on the West side of Route 72 (Varsity Drive) just north of the cemetery. Emergency

personnel will enter via the gravel path that connects Varsity Dr. to the Yellow Jacket Soccer

Complex. Entrance to the complex is located through a double-gated fence on the northern part

of the spectator bleachers.

3.11 Yellow Jacket T&F Complex EAP

Yellow Jacket T&F Complex

Men’s/Women’s T&F

Emergency Personnel:

Emergency personnel include Certified Athletic Trainer (ATC) within four to six minutes of

venue, athletic training student(s) on site for practice and competition, ATC present at

competition, and/or additional sports medicine staff accessible from athletic training facility.

Emergency Communication:

Cell phones are present during competition or practice in the event of an emergency. The ATC

will have one at all competitions. Athletic training students should have one at practice. The

fixed telephone line number into the athletic training room is 766-7767.

Emergency Equipment:

All supplies and medical equipment are brought to the site by the athletic training staff during the

in-season. Additional emergency equipment will be accessible from the athletic training facility.

Roles of First Responders:

10. Immediate care of the injured or ill student-athlete

11. Emergency equipment retrieval

12. Activation of emergency medical system (EMS), if appropriate:

a. Call 911

b. Provide name of caller

c. Address of venue

d. Telephone number calling from

e. Number of injured individuals

f. Conditions of injured individuals

g. First aid treatment currently being given by first responder

h. Specific directions as needed to locate the emergency scene

i. Other information as requested by dispatcher

j. Stay on the line until dispatchers tell you to hang up

k. Designate individual to “flag down” EMS and direct to scene

General Emergency Responsibilities

In the event of a life-threatening emergency, it is important that everyone understand what to do. You

must know and carry out the following basic responsibilities.

I. General Responsibilities

A. Know how to activate the emergency plan

B. Know how to describe the location of the incident, how to get there, and the location of all

exits

C. Know the location of all emergency equipment

1. Spine board

2. AED

3. Splint Bag

4. CPR Pocket Masks

5. B.V.M

6. Oxygen

7. Pulse Oximeter

8. Stethescope

D. Know your responsibilities and the responsibilities of the people assisting with the incident

E. Be able to provide first responder assistance

F. Know where the “Life Support Kit” is

G. Prepare an accurate account of the incident and what was done. History, blood pressure and

pulse, reparation rate, skin color, temperature, conciseness, and what management and/or

treatment that was done

II. Chain of Command

A. Pre EMS Arrival

1. Physician

2. Head Athletic Trainer

3. Certified Athletic Trainer

4. First Responder Professional Rescuer Certified

5. CPR/First Aide Certified

6. Coaches

B. Post EMS Arrival

1. Physician

2. Paramedic

3. EMT

4. Head Athletic Trainer

5. Certified Athletic Trainer

6. First Responder Professional Rescuer Certified

7. CPR/First Aide Certified

8. Coaches

III. Critical Telephone Numbers

A. Emergency EMS, Fire, Police 911

B. Athletic Training Room O: (937) 766-7767

C. Wes Stephens, Head Athletic Trainer O: (937) 766-7622 C: (937) 286-1565

D. Kurt Gruenberg, Associate Athletic Trainer O: (937) 766-4105 C: (937) 503-4253

E. Carly Mayfield, Assist. Athletic Trainer O: (937) 766-6156 C: (937) 408-0238

F. Erin Ackerson, Assist, Athletic Trainer O: (937) 766-3063 C: (937) 708-9104

G. Ohio Valley Sports Medicine O: (937) 398-1066

H. Dr. Jerry Frasure (Dentist) O: (937) 766-5207

I. Miami Valley Hospital Jamestown ED O: (937) 374-5280

Addresses:

Miami Valley Hospital Jamestown ED

4940 Cottonville Rd, Jamestown, OH 45335

Dr. Jerry Frasure, DDS

400 N Main St, Cedarville, OH 45314

Venue Directions:

The Yellow Jacket Soccer Complex is best accessed from Route 72 at the northern most access

to campus on the West side of Route 72 (Varsity Drive) just north of the cemetery. Emergency

personnel will enter via the gravel path that connects Varsity Dr. to the Yellow Jacket T&F

Complex. Entrance to the complex is located through a double-gated fence on the northern part

of the spectator bleachers.

3.12 Johnson-Murdoch Tennis Complex EAP

Johnson-Murdoch Tennis Complex

Men’s/Women’s Tennis

Emergency Personnel:

Emergency personnel include Certified Athletic Trainer (ATC) within four to six minutes of

venue, athletic training student(s) on site for practice and competition, ATC present at

competition, and/or additional sports medicine staff accessible from athletic training facility.

Emergency Communication:

Cell phones are present during competition or practice in the event of an emergency. The ATC

will have one at all competitions. Athletic training students should have one at practice. The

fixed telephone line number into the athletic training room is 766-7767.

Emergency Equipment:

All supplies and medical equipment are brought to the site by the athletic training staff during the

in-season. Additional emergency equipment will be accessible from the athletic training facility.

Roles of First Responders:

13. Immediate care of the injured or ill student-athlete

14. Emergency equipment retrieval

15. Activation of emergency medical system (EMS), if appropriate:

a. Call 911

b. Provide name of caller

c. Address of venue

d. Telephone number calling from

e. Number of injured individuals

f. Conditions of injured individuals

g. First aid treatment currently being given by first responder

h. Specific directions as needed to locate the emergency scene

i. Other information as requested by dispatcher

j. Stay on the line until dispatchers tell you to hang up

k. Designate individual to “flag down” EMS and direct to scene

General Emergency Responsibilities

In the event of a life-threatening emergency, it is important that everyone understand what to do. You

must know and carry out the following basic responsibilities.

I. General Responsibilities

A. Know how to activate the emergency plan

B. Know how to describe the location of the incident, how to get there, and the location of all

exits

C. Know the location of all emergency equipment

1. Spine board

2. AED

3. Splint Bag

4. CPR Pocket Masks

5. B.V.M

6. Oxygen

7. Pulse Oximeter

8. Stethescope

D. Know your responsibilities and the responsibilities of the people assisting with the incident

E. Be able to provide first responder assistance

F. Know where the “Life Support Kit” is

G. Prepare an accurate account of the incident and what was done. History, blood pressure and

pulse, reparation rate, skin color, temperature, conciseness, and what management and/or

treatment that was done

II. Chain of Command

A. Pre EMS Arrival

1. Physician

2. Head Athletic Trainer

3. Certified Athletic Trainer

4. First Responder Professional Rescuer Certified

5. CPR/First Aide Certified

6. Coaches

B. Post EMS Arrival

1. Physician

2. Paramedic

3. EMT

4. Head Athletic Trainer

5. Certified Athletic Trainer

6. First Responder Professional Rescuer Certified

7. CPR/First Aide Certified

8. Coaches

III. Critical Telephone Numbers

A. Emergency EMS, Fire, Police 911

B. Athletic Training Room O: (937) 766-7767

C. Wes Stephens, Head Athletic Trainer O: (937) 766-7622 C: (937) 286-1565

D. Kurt Gruenberg, Associate Athletic Trainer O: (937) 766-4105 C: (937) 503-4253

E. Carly Mayfield, Assist. Athletic Trainer O: (937) 766-6156 C: (937) 408-0238

F. Erin Ackerson, Assist, Athletic Trainer O: (937) 766-3063 C: (937) 708-9104

G. Ohio Valley Sports Medicine O: (937) 398-1066

H. Dr. Jerry Frasure (Dentist) O: (937) 766-5207

I. Miami Valley Hospital Jamestown ED O: (937) 374-5280

Addresses:

Miami Valley Hospital Jamestown ED

4940 Cottonville Rd, Jamestown, OH 45335

Dr. Jerry Frasure, DDS

400 N Main St, Cedarville, OH 45314

Venue Directions:

The Johnson-Murdoch Tennis Complex is best accessed from Route 72 to the second most north

entrance (Alumni Dr.). Access to the Johnson-Murdoch Tennis Complex is via a gravel road that

can found across from the Cedarville water tower.

3.13 Callan Athletic Center EAP

Callan Athletic Center

Men’s/Women’s Basketball, Women’s Volleyball

Emergency Personnel:

Emergency personnel include Certified Athletic Trainer (ATC) within four to six minutes of

venue, athletic training student(s) on site for practice and competition, ATC present at

competition, and/or additional sports medicine staff accessible from athletic training facility.

Emergency Communication:

Cell phones are present during competition or practice in the event of an emergency. The ATC

will have one at all competitions. Athletic training students should have one at practice. The

fixed telephone line number into the athletic training room is 766-7767.

Emergency Equipment:

All supplies and medical equipment are brought to the site by the athletic training staff during the

in-season. Additional emergency equipment will be accessible from the athletic training facility.

Roles of First Responders:

16. Immediate care of the injured or ill student-athlete

17. Emergency equipment retrieval

18. Activation of emergency medical system (EMS), if appropriate:

a. Call 911

b. Provide name of caller

c. Address of venue

d. Telephone number calling from

e. Number of injured individuals

f. Conditions of injured individuals

g. First aid treatment currently being given by first responder

h. Specific directions as needed to locate the emergency scene

i. Other information as requested by dispatcher

j. Stay on the line until dispatchers tell you to hang up

k. Designate individual to “flag down” EMS and direct to scene

General Emergency Responsibilities

In the event of a life-threatening emergency, it is important that everyone understand what to do. You

must know and carry out the following basic responsibilities.

I. General Responsibilities

A. Know how to activate the emergency plan

B. Know how to describe the location of the incident, how to get there, and the location of all

exits

C. Know the location of all emergency equipment

1. Spine board

2. AED

3. Splint Bag

4. CPR Pocket Masks

5. B.V.M

6. Oxygen

7. Pulse Oximeter

8. Stethescope

D. Know your responsibilities and the responsibilities of the people assisting with the incident

E. Be able to provide first responder assistance

F. Know where the “Life Support Kit” is

G. Prepare an accurate account of the incident and what was done. History, blood pressure and

pulse, reparation rate, skin color, temperature, conciseness, and what management and/or

treatment that was done

II. Chain of Command

A. Pre EMS Arrival

1. Physician

2. Head Athletic Trainer

3. Certified Athletic Trainer

4. First Responder Professional Rescuer Certified

5. CPR/First Aide Certified

6. Coaches

B. Post EMS Arrival

1. Physician

2. Paramedic

3. EMT

4. Head Athletic Trainer

5. Certified Athletic Trainer

6. First Responder Professional Rescuer Certified

7. CPR/First Aide Certified

8. Coaches

III. Critical Telephone Numbers

A. Emergency EMS, Fire, Police 911

B. Athletic Training Room O: (937) 766-7767

C. Wes Stephens, Head Athletic Trainer O: (937) 766-7622 C: (937) 286-1565

D. Kurt Gruenberg, Associate Athletic Trainer O: (937) 766-4105 C: (937) 503-4253

E. Carly Mayfield, Assist. Athletic Trainer O: (937) 766-6156 C: (937) 408-0238

F. Erin Ackerson, Assist, Athletic Trainer O: (937) 766-3063 C: (937) 708-9104

G. Ohio Valley Sports Medicine O: (937) 398-1066

H. Dr. Jerry Frasure (Dentist) O: (937) 766-5207

I. Miami Valley Hospital Jamestown ED O: (937) 374-5280

Addresses:

Miami Valley Hospital Jamestown ED

4940 Cottonville Rd, Jamestown, OH 45335

Dr. Jerry Frasure, DDS

400 N Main St, Cedarville, OH 45314

Venue Directions:

The Callan Athletic Center is best accessed from Route 72 to the second most north entrance

(Alumni Dr.). Emergency access is located through an overhead sliding door on the northwest

side of the building.

3.14 Doden Field House EAP

Doden Field House

Men’s/Women’s Indoor T&F

Emergency Personnel:

Emergency personnel include Certified Athletic Trainer (ATC) within four to six minutes of

venue, athletic training student(s) on site for practice and competition, ATC present at

competition, and/or additional sports medicine staff accessible from athletic training facility.

Emergency Communication:

Cell phones are present during competition or practice in the event of an emergency. The ATC

will have one at all competitions. Athletic training students should have one at practice. The

fixed telephone line number into the athletic training room is 766-7767.

Emergency Equipment:

All supplies and medical equipment are brought to the site by the athletic training staff during the

in-season. Additional emergency equipment will be accessible from the athletic training facility.

Roles of First Responders:

19. Immediate care of the injured or ill student-athlete

20. Emergency equipment retrieval

21. Activation of emergency medical system (EMS), if appropriate:

a. Call 911

b. Provide name of caller

c. Address of venue

d. Telephone number calling from

e. Number of injured individuals

f. Conditions of injured individuals

g. First aid treatment currently being given by first responder

h. Specific directions as needed to locate the emergency scene

i. Other information as requested by dispatcher

j. Stay on the line until dispatchers tell you to hang up

k. Designate individual to “flag down” EMS and direct to scene

General Emergency Responsibilities

In the event of a life-threatening emergency, it is important that everyone understand what to do. You

must know and carry out the following basic responsibilities.

I. General Responsibilities

A. Know how to activate the emergency plan

B. Know how to describe the location of the incident, how to get there, and the location of all

exits

C. Know the location of all emergency equipment

1. Spine board

2. AED

3. Splint Bag

4. CPR Pocket Masks

5. B.V.M

6. Oxygen

7. Pulse Oximeter

8. Stethescope

D. Know your responsibilities and the responsibilities of the people assisting with the incident

E. Be able to provide first responder assistance

F. Know where the “Life Support Kit” is

G. Prepare an accurate account of the incident and what was done. History, blood pressure and

pulse, reparation rate, skin color, temperature, conciseness, and what management and/or

treatment that was done

II. Chain of Command

A. Pre EMS Arrival

1. Physician

2. Head Athletic Trainer

3. Certified Athletic Trainer

4. First Responder Professional Rescuer Certified

5. CPR/First Aide Certified

6. Coaches

B. Post EMS Arrival

1. Physician

2. Paramedic

3. EMT

4. Head Athletic Trainer

5. Certified Athletic Trainer

6. First Responder Professional Rescuer Certified

7. CPR/First Aide Certified

8. Coaches

III. Critical Telephone Numbers

A. Emergency EMS, Fire, Police 911

B. Athletic Training Room O: (937) 766-7767

C. Wes Stephens, Head Athletic Trainer O: (937) 766-7622 C: (937) 286-1565

D. Kurt Gruenberg, Associate Athletic Trainer O: (937) 766-4105 C: (937) 503-4253

E. Carly Mayfield, Assist. Athletic Trainer O: (937) 766-6156 C: (937) 408-0238

F. Erin Ackerson, Assist, Athletic Trainer O: (937) 766-3063 C: (937) 708-9104

G. Ohio Valley Sports Medicine O: (937) 398-1066

H. Dr. Jerry Frasure (Dentist) O: (937) 766-5207

I. Miami Valley Hospital Jamestown ED O: (937) 374-5280

Addresses:

Miami Valley Hospital Jamestown ED

4940 Cottonville Rd, Jamestown, OH 45335

Dr. Jerry Frasure, DDS

400 N Main St, Cedarville, OH 45314

Venue Directions:

If an injury takes place at the north end of the Field House, the best access point is to take Route

72 to Alumni Drive and to turn left into the parking lot just before Varsity Drive; there is a metal

door which can be lifted to provide easy access to the injured individual.

If an injury takes place at the south end of the Field House (where the glass doors to UMS are

found), the best access point is to take Route 72 to University Boulevard; access point is easiest

from the glass doors near UMS for direct entrance into the Field House.

3.15 Elvin R. King Cross Country Course EAP

Elvin R. King Cross Country Course

Men’s/Women’s Cross Country

Emergency Personnel:

Emergency personnel include Certified Athletic Trainer (ATC) within four to six minutes of

venue, athletic training student(s) on site for practice and competition, ATC present at

competition, and/or additional sports medicine staff accessible from athletic training facility.

Emergency Communication:

Cell phones are present during competition or practice in the event of an emergency. The ATC

will have one at all competitions. Athletic training students should have one at practice. The

fixed telephone line number into the athletic training room is 766-7767.

Emergency Equipment:

All supplies and medical equipment are brought to the site by the athletic training staff during the

in-season. Additional emergency equipment will be accessible from the athletic training facility.

Roles of First Responders:

22. Immediate care of the injured or ill student-athlete

23. Emergency equipment retrieval

24. Activation of emergency medical system (EMS), if appropriate:

a. Call 911

b. Provide name of caller

c. Address of venue

d. Telephone number calling from

e. Number of injured individuals

f. Conditions of injured individuals

g. First aid treatment currently being given by first responder

h. Specific directions as needed to locate the emergency scene

i. Other information as requested by dispatcher

j. Stay on the line until dispatchers tell you to hang up

k. Designate individual to “flag down” EMS and direct to scene

General Emergency Responsibilities

In the event of a life-threatening emergency, it is important that everyone understand what to do. You

must know and carry out the following basic responsibilities.

I. General Responsibilities

A. Know how to activate the emergency plan

B. Know how to describe the location of the incident, how to get there, and the location of all

exits

C. Know the location of all emergency equipment

1. Spine board

2. AED

3. Splint Bag

4. CPR Pocket Masks

5. B.V.M

6. Oxygen

7. Pulse Oximeter

8. Stethescope

D. Know your responsibilities and the responsibilities of the people assisting with the incident

E. Be able to provide first responder assistance

F. Know where the “Life Support Kit” is

G. Prepare an accurate account of the incident and what was done. History, blood pressure and

pulse, reparation rate, skin color, temperature, conciseness, and what management and/or

treatment that was done

II. Chain of Command

A. Pre EMS Arrival

1. Physician

2. Head Athletic Trainer

3. Certified Athletic Trainer

4. First Responder Professional Rescuer Certified

5. CPR/First Aide Certified

6. Coaches

B. Post EMS Arrival

1. Physician

2. Paramedic

3. EMT

4. Head Athletic Trainer

5. Certified Athletic Trainer

6. First Responder Professional Rescuer Certified

7. CPR/First Aide Certified

8. Coaches

III. Critical Telephone Numbers

A. Emergency EMS, Fire, Police 911

B. Athletic Training Room O: (937) 766-7767

C. Wes Stephens, Head Athletic Trainer O: (937) 766-7622 C: (937) 286-1565

D. Kurt Gruenberg, Associate Athletic Trainer O: (937) 766-4105 C: (937) 503-4253

E. Carly Mayfield, Assist. Athletic Trainer O: (937) 766-6156 C: (937) 408-0238

F. Erin Ackerson, Assist, Athletic Trainer O: (937) 766-3063 C: (937) 708-9104

G. Ohio Valley Sports Medicine O: (937) 398-1066

H. Dr. Jerry Frasure (Dentist) O: (937) 766-5207

I. Miami Valley Hospital Jamestown ED O: (937) 374-5280

Addresses:

Miami Valley Hospital Jamestown ED

4940 Cottonville Rd, Jamestown, OH 45335

Dr. Jerry Frasure, DDS

400 N Main St, Cedarville, OH 45314

Venue Directions:

This may vary depending on specific course practicing on.

3.16 Lightning/Thunder Policy

Lightning results in approximately 50 deaths every year in the United States. It is possible to have

lightning without rain or thunder, but thunder never occurs in the absence of lightning. Lightning can

strike up to 10 miles away. Due to this, the following protocols have been established to maintain safety

in all outdoor events during lightning/thunder storms. When thunder roars, go indoors!

GAME DAY PROTOCOL

At the start of any game day event, the announcer will make an announcement as to where to go and what

to do in the case of thunder/lightning. There will be signs present at all event locations informing all

individuals where to seek safe shelter. The athletic trainer in charge of game day events will be

monitoring inclement weather via WxSentry and will notify the Athletic Department Game Day

Administrator (ADGDA) with any observation of thunder/lightning. The primary consideration in any

type of lightning/thunder situation should be the safety factor. The game should be suspended when there

is an imminent threat. The official has the ability to suspend the game and should not hesitate to do

so. Prior to suspending the game, the official may elect to consult with the proper officials from each

institution participating in the game but is not obligated to do so. All participants and student-athletes

should immediately leave the playing surface and seek safe shelter upon notification. All spectators will

be instructed by event staff to clear the stadium and where the closest safe shelter is located.

Lightning Mileage:

A. 20 miles: ADGDA will make an announcement regarding the status of thunder/lightning

B. 15 miles: Announcement made about inclement weather and that should patrons wish to vacate

the facility for a safe shelter, they will be allowed to re-enter with a ticket stub.

C. 10 miles: Competition shall be suspended by the official upon notification by game management

personnel and/or AT. Every individual (spectators, officials, coaches, athletes, game day

personnel, etc.) must seek safe shelter

Safe Shelters:

A. The best option for safe shelter is a fully enclosed building with electrical wiring features,

plumbing, and all windows and doors shut.

B. The second-best option is a fully enclosed vehicle with all windows and doors shut.

C. Cedarville University Location Specific Shelters

a. Soccer, Baseball, Softball, Tennis, & Track = Doden Field House

b. Cross Country Course = Vehicles/Buses

D. DO NOT USE THE FOLLOWING AS SHELTERS: Tent, dugout, refreshment stand, press box,

open garage, tree, tower, or pole

Resuming Activity:

A. ADGDA, coaches, athletic trainers, and event staff should communicate to determine when or if

the game should resume.

B. Activities may resume when lightning is no longer within the ten-mile range for a period of at

least 30 minutes

C. A ten-minute warm-up period will be granted to both teams prior to the resumption of play once

it has been determined it’s safe for participants to return to the field

D. The ADGDA will communicate to both teams when this transition period can commence

PRACTICE PROTOCOL

Supervising athletic trainers will inform the head coach or coach that is in charge of practice that a

lightning strike has occurred within the 10-mile range. Any thunder/lightning/imminent threat within this

area, whether notified by WxSentry or witnessed, should immediately suspend practice. Practice shall

move to an indoor facility or wait 30 minutes after the lightning strike before resuming outdoor practice.

If the head coach refuses to cooperate, the supervising athletic trainer has the right to remove the athletic

training staff from the playing surface and the head coach then assumes responsibility of all team

members and anyone associated with the team.

IN THE ABSENCCE OF TECHNOLOGICAL DEVICES

The National Athletic Trainers’ Association promotes the flash-to-bang standard to warn people of

imminent lightning danger. The flash-to-bang method is the easiest and most convenient means for

determining the distance to a lightning flash. To use, count the seconds between the lightning strike and

the associated sound of thunder. A flash-to-bang of less than 30 seconds should be used to determine the

suspension or postponement of activities. Activities can resume after 30 minutes from the last lightning

strike if all flash-to-bang counts are greater than 30 seconds since the last witnessed lightning.

FIRST AID PROTOCOL

When in the event of a lightning strike that hits an individual, the athletic trainer or emergency care/first

aid certified individual should respond. Victims do not carry a charge thus it is not a safety risk to touch a

lightning-struck person to render appropriate care. Basic first aid and emergency care skills should be

followed but the following are specifics towards lightning-struck individuals.

A. Move strike victim to safe shelter if possible, to ensure maintained safety for you and victim

B. If victim has no heart rate, CPR and AED must be implemented immediately

C. EMS should be initiated

D. If a triage scenario, treat it opposite from normal. This means if multiple cases at once, treat

those who seem dead. Victims who are moving/breathing will be fine.

E. If imminent weather is approaching and hair stands on end at the back of one’s neck, crouch do

not lie flat.

3.17 Tornado Policy

When a threat of a tornado exists at any level (“watch” or “warning”), there should be a person designated

to monitor any/all alerts from WxSentry. If tornado activity is reported in the general area or from a

direction that does not pose a threat, all spectators must be informed in as much detail as is available. All

persons will evacuate to a safe area from the area if a tornado has been sighted in the immediate area or if

the weather becomes “threatening.”

Safe Areas

All participants in outdoor activities must go to the Callan Athletic Center and/or Doden Field House

when notified of the need to leave their athletic venue due to inclement weather.

Lightning/Tornado Safe Areas

Soccer/T&F

Baseball

Softball

Tennis

3.18 Heat Policy

Technique for measuring the Heat Index:

First, use the electrical handheld heat-stress monitor and compare to the heat index practice

recommendations below to determine event/practice participation. If the electrical handheld

heat-stress monitor is unavailable use the manual sling psychrometer to measure and follow the

directions listed below.

Manual Sling Psychrometer:

1. Wet the wick on the wet bulb portion of the sling psychrometer

2. Stand in the middle of the practice field and sling the psychrometer for five (5)

minutes; After five (5) minutes, take both a wet bulb and dry bulb reading

3. Sling the psychrometer again for 1-2 minute intervals until you get the same readings two

(2) times in a row

4. Use the sliding chart on the sling psychrometer to determine the relative humidity

5. Use the chart below to determine the Apparent Temperature;

AIR TEMPERATURE (degrees Fahrenheit)

100

105

110

115

APPARENT TEMPERATURE

100

103

10%

100

105

111

20%

105

112

120

30%

104

113

123

135

40%

101

110

123

137

151

50%

107

120

135

150

60%

100

114

132

149

70%

106

124

144

80%

113

136

90%

102

122

100%

108

6. Multiply the dry bulb reading by .1; the wet bulb reading by .7; and the apparent

temperature reading by .2; add the three readings together to determine the Heat Index.

Example of Heat Index-

Dry bulb reading = 90 degrees F x .1 = 9.0

Wet bulb reading = 80 degrees F x .7 = 56.0

Apparent temperature reading = 113 degrees F x .2 =

22.6

HEAT INDEX = 87.6

7. Use the Heat Index and published guidelines for practice recommendations.

Heat Index Practice Recommendations-

WBGT Reading

Activity Guidelines and Rest-Break Guidelines

Under 82.0°F (27.8°C)

Normal activities: provide >3 separate rest breaks/h of minimum duration 3 min each during

workout.

82.0-86.9°F (27.8°C-30.5°C)

Use discretion for intense or prolonged exercise. Watch at-risk players carefully. Provide >3

separate breaks/h of minimum duration 4 min each.

87.0°F-89.9°F (30.5°C-

32.2°C)

Maximum practice time = 2h. All protective equipment must be removed for condition

activities. Provide >4 separate rest breaks/h of minimum duration 4 min each. Have

emergent ice tub ready and prepared in Athletic Training Facility (Callan Athletic Center)

prior to onset of activity.

90.0-92.0°F (32.2°C-33.3°C)

Maximum length of practice = 1 h. No protective equipment may be worn during practice

and there may be no conditioning activities. There must be 20 min of rest breaks provided

during the hour of practice. Have emergent ice tub ready and prepared in Athletic Training

Facility (Callan Athletic Center) prior to onset of activity.

Over 92.1°F (33.4°C)

No outdoor workouts, cancel exercise, delay practices until a cooler WBGT reading occurs.

Guidelines for hydration and rest breaks:

1. Rest time should involve both unlimited hydration intake (water or electrolyte drinks) and res

without any activity involved

2. The site of the rest time should be a “cooling zone” and not in direct sunlight

3. When the WBGT reading is greater than 86°F (30°C):

a. Ice towels and spray bottles filled with ice water should be available at the “cooling

zone” to aid the cooling process

b. Cold-immersion tubs must be available for practices for the benefit of any player

showing early signs of heat illness

NCAA Soccer Heat Policy

When the WetBulb Globe Temperature (WBGT) is equal to or greater than 86 degrees Fahrenheit,

hydration breaks of no less than two minutes around the 25-30-minute marks during the first half, and 70-

75-minute marks during the second half are required. The WBGT measurements should be taken by

appropriate host personnel before the game and again throughout the game. Appropriate host personnel

will instruct the officials if the threshold for mandatory hydration breaks is met. The referee is responsible

for informing the head coaches and implementing the hydration breaks. Additional hydration breaks are

permissible at the discretion of the referee. Coaching and substitutions are allowed during the hydration

break(s).

Below is guidance provided by the NCAA Sport Science Institute staff on the WBGT measurement and

hydration breaks:

1. WBGT measurements should be conducted prior to the game, by appropriate host personnel (e.g.

athletic trainer, event manager, etc.). Appropriate host personnel should take measurements

throughout the game if changing environmental conditions warrant.

2. Measurements should be taken with a validated wet bulb globe temperature device that measures

ambient temperature, relative humidity, wind, and solar radiation from the sun following the

manufacturer’s guidelines. Apps associated with measurements taken outside the field of play

may not provide accurate measurements of local game time environmental conditions.

3. Variety of devices to choose from with wide range of costs.

4. WBGT measurements should be taken on the field of play to ensure accurate measurements of

game time conditions.

5. Weather station data may not accurately reflect venue conditions depending on the proximity of

the weather station to the venue.

6. Heat Index readings should not be substituted for WBGT measurements.

7. The on-site host personnel should use their discretion and institutional policy to determine

when/if additional WBGT readings should be taken. If the threshold is met at the beginning of the

competition, institutions should follow the guidelines listed above. If the threshold is not met

prior to the start of the game, it would be appropriate for the host site and game officials to have a

plan in place should environmental conditions change in a way that warrant a hydration break. If

conditions change and the threshold is met, institutions should follow the guidelines as listed

above.

8. If a WBGT device is not available on-site, the game still may begin and the referee shall file a

report with the host conference. In this situation, the host institution could estimate the WBGT by

using temperature and relative humidity, although this method increases the probability of error,

or err on the side of caution and apply the hydration break rule in both halves of the contest.

However, a WBGT device must be available on-site for subsequent contests

Recognition & Treatment of Exertional Heat Illnesses

Characteristic

Exercise-

Associated

Muscle (Heat)

Cramps

Heat Syncope

Heat Exhaustion

Exertional Heat

Stroke

Description

Acute, painful,

involuntary

muscle

contractions

presenting during

or after exercise

Collapsing in the

heat, resulting in

loss of

consciousness

Inability to

continue exercise

due to

cardiovascular

insufficiency

Severe

hyperthermia

leading to

overwhelming of

the

thermoregulatory

system

Physiologic cause

Dehydration,

electrolyte

imbalances,

and/or

neuromuscular

fatigue

Standing erect in a

hot environment,

causing postural

polling of blood in

the legs

High skin blood

flow, heavy

sweating, and/or

dehydration,

causing reduce

venous return

High metabolic

heat production

and/or reduced

heat dissipation

Primary

treatment factors

Stop exercising,

provide sodium-

containing

beverages

Lay patient supine

and elevate legs to

restore central

blood volume

Cease exercise,

remove from hot

environment,

elevate legs,

provide fluids

Immediate whole-

body cold-water

immersion to

quickly reduce

core body

temperature

Recovery

Often occurs

within minutes to

hours

Often occurs

within hours

Often occurs

within 24h; same-

day return to play

not advised

Highly dependent

on initial care and

treatment; further

medical testing

and physician

clearance required

before return to

activity

Standards:

1. Continual hydration always provided in “cooling areas.”

2. Cold water tub available and ready in the Athletic Training Room as well as cold towels available

when the heat index is 86°F over above.

3. A rectal thermometer should be on site for any events/practices when the heat index is 86°F over

above

3.19 Cold Weather Policy

Environmental related injury/illness/condition is extremely preventable. When the proper measures are

set in place and acted upon, individual’s safety can be maintained. The following procedures have been

put in place to ensure the safety of all individual’s during inclement cold weather.

Environmental Assessment:

A. Evaluate immediate and projected weather information, including air temperature, wind, chance

of precipitation or water immersion, and altitude via WxSentry

B. The following guidelines can be used in planning activity depending on the wind-chill

temperature

a. 30° and below: Be aware of the potential for cold injury and notify appropriate personnel

of the potential

b. 25° and below: Provide additional protective clothing, cover as much exposed skin as

practical, provide opportunities and facilities for rewarming

c. 15° and below: Consider modifying activity to limit exposure or to allow more frequent

chances to rewarm

d. 0° and below: Consider terminating or rescheduling activity

C. Below are two charts in which indicate the frostbite risk for temperature/wind chill and exposure

time

Event & Practice Guidelines

A. Participation decisions will be made based on length of activity and access to facilities/equipment

for rewarming

B. Environmental factors should be monitored before and during activity

C. Athlete’s should be constantly monitored for signs/symptoms of cold weather injuries

Treatment

A. Remove any wet/damp clothing

B. Insulate body with warm, dry clothing/blankets

C. Move individual to warm environment

a. Athletic Training Room within the Callan Athletic Center

D. Apply heat to trunk NOT extremities

E. Administer warm food/fluids with 6-8% carbohydrates

F. Provide CPR and AED when necessary

G. IF frostbite: rewarming of tissues in 98-104° water

H. Continually monitor for after drop (when the core body temperature begins to decrease after

rewarming begins)

Section 4: Athletes with Special Needs

4.1 Introduction and Philosophy

Cedarville University Eating Disorder Policy 2008

The Department of Health and Human Performance (HHP) at Cedarville University advocates the

development of a healthy and honoring lifestyle to that modeled by Jesus Christ. Student-athletes at

Cedarville are in a position of ministry that affects not only themselves but the University as well.

Behaviors that go against the University philosophy and that threaten the healthy lifestyle we as

Christians strive for include that of disordered eating.

The HHP department recognizes that the manifestations of disordered eating reflect the interaction of

spiritual, psychological, physiological, and social factors in both the development of an eating disorder

and the treatment of such disorder. Student-athletes are at an increased risk of developing or maintaining

patterns of disordered eating due to their participation in elite collegiate athletics.

The effects of disordered eating can range from mild to severe in nature. The severity depends on the

extent of the disorder and the length of time the individual has engaged in such behaviors.

 Medically, disordered eating can have short term and long term health consequences ranging

from an increased sport related injury to include death. There is potential for serious

consequences in every system of the body, which may take a lifetime to recover from.

 Psychologically, individuals with an eating disorder have an increased risk of depression and

suicide. Eating disorders are often associated with low self esteem, obsessive thinking and

feelings of isolation.

 Spiritually, like all types of sin, disordered eating leads to spiritual death. In many situations of

disordered eating the issue of “control” over something such as their eating patterns, is an

underlying issue. Leading a person back to Christ and recognizing that, yes this is killing you

slowly and repenting of their sin, will allow a renewing of the relationship with the Lord Jesus

Christ.

Recovery from an eating disorder can be a difficult process and one that takes time. In general, the greater

the duration and frequency of disordered eating, the longer it will take for recovery to occur, however, as

we believe, in Christ all things are possible.

4.2 Goals

1. To implement an effective multi-disciplinary “team” approach to the prevention, identification, and

treatment of eating disorders. The treatment team will consist of the athletic trainer, team / campus

physician, sport psychologist, dietitian, and pastor along with other professionals as needed which

include but are not limited to the athletic director, head coach, other physicians and any other

professionals deemed necessary.

2. To diagnose and provide treatment plans for student-athletes struggling with eating disorders.

3. To provide spiritual, medical, nutritional, and psychological services to the student-athlete while

respecting his or her privacy.

4. The treatment / management team will meet with the student-athlete to oversee his or her compliance

with treatment program, if necessary.

4.3 Prevention of Eating Disorders

Prophylactic nutritional and psychological education will be provided to sports teams identified as “high

risk” for eating disorders. For example:

 Cross Country

 Volleyball

 Track & Field

 Soccer

 Cheerleading

Please Note: Student-athletes from all sports teams are at risk for developing eating disorders.

Training and education about eating disorders will be provided for professionals with student-athletes

under their supervision, including:

 Athletic trainers

 Coaches

 Administration

 Pastors

Guidelines for Coaches

 If a coach wants a student to modify their diet, the coach will refer the student-athlete to the

athletic trainer initially. The athletic trainer will work closely with the medical staff (physician,

nurses, and dietitian) and will help the student-athlete to utilize these resources to establish a

nutritionally sound change in diet.

 Coaches and Athletic Trainers will not weigh student athletes in group settings. Body weight and

compositions are private information and will be treated as such.

4.4 Treatment and Intervention

If an athletic department staff member witnesses or has reports of a student-athlete displaying signs or

symptoms of an eating disorder (see “Behavioral and Physical Signs of an Eating Disorder”), then they

are to approach the student athlete. If a teammate witnesses a student-athlete engaging in disordered

eating behaviors, the teammate will be encouraged to approach the student athlete first and then to inform

a staff member of the observed behaviors. Appropriate confrontation involves an expression of concern

that the student-athlete is displaying specific eating behaviors that may interfere with his or her health and

athletic performance (see “Approaching a Student-Athlete about Disordered Eating”). The staff member

will request that the student-athlete meet with the sport psychologist, pastor, dietitian and or team/campus

physician for assessment.

If the student-athlete complies with the request for an assessment with members of the management team,

first the team will determine if the student athlete has an eating disorder as identified by the DSM-IV (see

“Definitions of Eating Disorders”).

If the treatment team concludes that the student-athlete does have an eating disorder, or is in need of

medical, nutritional, spiritual, or psychological intervention, then they will develop a treatment plan for

the student-athlete. Elements of the treatment plan may include:

 Required visits with the sport psychologist / pastor, nutritionist, and or team physician.

 Required attendance of a nutritional and body image support group.

 Weight checks including body composition

 In- patient treatment referrals if needed

 Any other intervention as deemed necessary medically, spiritually, or psychologically.

If the student-athlete does not seek help independently with the initial confrontation having been

discussed and documented, the staff member will notify the student-athlete that he or she is referred to the

eating disorders management team.

The management team will meet with the student athlete to oversee his or her compliance with the

treatment plan (which will be developed by the entire team). The student-athlete will be required to sign a

contract agreeing to the terms of the treatment plan. If he or she refuses to attend the meeting or comp

with the plan, suspension from sport will result with corresponding loss of any scholarship they may

have.

4.5 Definitions of Eating Disorders

The following definitions are based on the criteria in the Diagnostic and Statistical Manual of Mental

Disorders - Fourth Edition (DSM-IV).

Anorexia Nervosa

 Refusal to maintain body weight at or above a minimally normal weight for age and height (e.g.

weight loss leading to maintenance of body weight less than 85% of that expected; or failure to

make expected weight gain during period of growth, leading to body weight less than 85% of that

expected).

 Intense fear of gaining weight or becoming fat, even though underweight.

 Disturbance in the way in which one’s body weight or shape is experienced, undue influence of

body weight or shape on self-evaluation, or denial or the seriousness of the current low body

weight.

 In postmenarchal females, amenorrhea, i.e. the absence of at least three consecutive menstrual

cycles.

Bulimia Nervosa

 An episode of binge eating is characterized by both of the following:

- Eating in a discrete period of time (e.g. within any 2 hour period), an amount of food that is

larger than most people would eat during a similar period of time and under similar

circumstances

- A sense of lack of control over eating during this episode (e.g. a feeling that one cannot stop

eating or control what or how much one is eating)

 Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self

induced vomiting, misuse of laxatives (natural or over the counter), diuretics, enemas, or other

medications; fasting, or excessive exercise

 The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice

a week for 3 months

 Self-evaluation is unduly influenced by body shape or weight

 The disturbance does not occur exclusively during episodes of Anorexia Nervosa

Eating Disorder Not Otherwise Specified (NOS)

This category is for disorders of eating that do not meet the criteria for any specific Eating Disorder.

Examples include:

Behavioral and Physical Signs and Symptoms of an Eating Disorder

The following list may serve only as a guide for the recognition of disordered eating behaviors. Any one

symptom alone may not indication an eating disorder. Careful observation and awareness of a student-

athlete’s behavior will guide identification of an eating disorder.

I. Anorexia Nervosa

A. Behavioral Signs:

1. Reports feeling “fat/heavy” despite low body weight

2. Obsessions about weight, diet, appearance

3. Ritualistic eating behaviors

4. Avoiding social eating situation and social withdrawal

5. Obsession with exercise; hyperactivity - may increase workouts secretly

6. Feeling cold a lot of the time

7. Perfectionism followed by self criticism

8. Seems anxious/depressed about performance and other events

9. Denial of unhealthy eating patters - anger when confronted with problems

10. Eventual decline in physical and school performance

B. Physical Signs:

1. Amenorrhea (lack of menstrual periods)

2. Dehydration (not related to workout / competition)

3. Fatigue (beyond expected)

4. Weakness, dizziness

5. Overuse injuries, stress fractures

6. Yellow tint to the hands

7. Gastrointestinal problems

8. Lanugo (fine hair on arms and face)

9. Hypotension (low blood pressure)

II. Bulimia Nervosa

A. Behavioral signs

1. Excessive exercise beyond scheduled practice

2. Extremely self critical

3. Depression and mood fluctuations

4. Irregular weight loss / gain; rapid fluctuations in weight

5. Erratic performance

6. Low self esteem

7. Drug or alcohol use

8. Binges or eats large meals and then disappears

A. Physical Signs

1. Callous on knuckles

2. Dental and gum problems (bad breath - chewing gum all of the time)

3. Red puffy eyes

4. Swollen parotid glands (at the base of the jaw)

5. Edema (bloating)

6. Frequent sore throats

7. Low or average weight despite eating large amounts of food

8. Electrolyte abnormalities

9. Diarrhea, alternating with constipation

10. Dry mouth cracked lips

11. Muscle cramps / weakness

4.6 Approaching a Student-Athlete about Eating Disorders

A coach or staff member who has the best rapport with the student should arrange a private meeting. If

that student is a person of the opposite sex, there should be a person of like sex to the student-athlete

present during the meeting.

In a calm and respectful manner, indicate to the student-athlete what specific observations were made that

aroused your concerns. Avoid any statements which directly attack the person directly but rather that deal

with the behavior and then allow the athlete to respond. Do not allow the athlete to direct, control or

manipulate the conversation - stay on task.

 Use “I” statements. “I’m concerned about you because .... It worries me to hear you are...”

 Avoid “You” statements and discussions about weight or appearance (You are too thin.....)

 Avoid giving simple solutions (If you would just eat more, everything would be fine)

 Affirm that the student-athlete’s role on the team will not be jeopardized by an admitting a

problem exists

The student-athlete’s reaction may be one of denial or perhaps hostility. Firmly encourage the student-

athlete to meet with a professional for an assessment, acknowledging that outside help is often necessary

for eating problems and is not a sign of weakness.

Refer the student-athlete to the appropriate professionals on the management team - physically place a

call for them to make an appointment to seek assessment mentally, spiritually, or physically and then

inform the athlete that this medical professional may also refer them to another professional on the

management team if deemed necessary. At Cedarville University, the order of referral might look

something like this:

 Campus / team physician for assessment of physical welfare and to document present level

 Spiritual / psychological professional for emotional / spiritual help in dealing with underlying

issues involved

 Nutritionist for guidance with physical eating patterns to help break the downward spiral

 Athletic director / coach/ dean for suspension or dismissal from athletics / school due to non-

compliance or refusal of treatment

Sources: Eating Disorders Awareness and Prevention; Laura Hill, Ph.D.

Ohio State University - Athletic Department Eating Disorders Policy 2001

Section 5: Appendices

5.1 NATA Code of Ethics

NATA CODE OF ETHICS

March, 2018

1. Members Shall Practice with Compassion, Respecting the Rights, Well-being, and Dignity of Others

1.1 Members shall render quality patient care regardless of the patient’s race, religion, age, sex,

ethnic or national origin, disability, health status, socioeconomic status, sexual orientation, or

gender identity.

1.2. Member’s duty to the patient is the first concern, and therefore members are obligated to

place the well-being and long-term well-being of their patient above other groups and their own

self-interest, to provide competent care in all decisions, and advocate for the best medical interest

and safety of their patient at all times as delineated by professional statements and best practices.

1.3. Members shall preserve the confidentiality of privileged information and shall not release or

otherwise publish in any form, including social media, such information to a third party not

involved in the patient’s care without a release unless required by law.

2. Members Shall Comply With the Laws and Regulations Governing the Practice of Athletic Training,

National Athletic Trainers’ Association (NATA) Membership Standards, and the NATA Code of Ethics

2.1. Members shall comply with applicable local, state, federal laws, and any state athletic

training practice acts.

2.2. Members shall understand and uphold all NATA Standards and the Code of Ethics.

2.3. Members shall refrain from, and report illegal or unethical practices related to athletic

training.

2.4. Members shall cooperate in ethics investigations by the NATA, state professional

licensing/regulatory boards, or other professional agencies governing the athletic training

profession. Failure to fully cooperate in an ethics investigation is an ethical violation.

2.5. Members must not file, or encourage others to file, a frivolous ethics complaint with any

organization or entity governing the athletic training profession such that the complaint is

unfounded or willfully ignore facts that would disprove the allegation(s) in the complaint.

2.6. Members shall refrain from substance and alcohol abuse. For any member involved in an

ethics proceeding with NATA and who, as part of that proceeding is seeking rehabilitation for

substance or alcohol dependency, documentation of the completion of rehabilitation must be

provided to the NATA Committee on Professional Ethics as a requisite to complete a NATA

membership reinstatement or suspension process.

3. Members Shall Maintain and Promote High Standards in Their Provision of Services

`3.1. Members shall not misrepresent, either directly or indirectly, their skills, training,

professional credentials, identity, or services.

3.2. Members shall provide only those services for which they are qualified through education or

experience and which are allowed by the applicable state athletic training practice acts and other

applicable regulations for athletic trainers.

3.3. Members shall provide services, make referrals, and seek compensation only for those

services that are necessary and are in the best interest of the patient as delineated by professional

statements and best practices.

3.4. Members shall recognize the need for continuing education and participate in educational

activities that enhance their skills and knowledge and shall complete such educational

requirements necessary to continue to qualify as athletic trainers under the applicable state

athletic training practice acts.

3.5. Members shall educate those whom they supervise in the practice of athletic training about

the Code of Ethics and stress the importance of adherence.

3.6. Members who are researchers or educators must maintain and promote ethical conduct in

research and educational activities.

4. Members Shall Not Engage in Conduct That Could Be Construed as a Conflict of Interest, Reflects

Negatively on the Athletic Training Profession, or Jeopardizes a Patient’s Health and Well-Being.

4.1. Members should conduct themselves personally and professionally in a manner that does not

compromise their professional responsibilities or the practice of athletic training.

4.2. All NATA members, whether current or past, shall not use the NATA logo or AT logo in the

endorsement of products or services, or exploit their affiliation with the NATA in a manner that

reflects badly upon the profession.

4.3. Members shall not place financial gain above the patient’s well-being and shall not

participate in any arrangement that exploits the patient.

4.4. Members shall not, through direct or indirect means, use information obtained in the course

of the practice of athletic training to try and influence the score or outcome of an athletic event, or

attempt to induce financial gain through gambling.

4.5. Members shall not provide or publish false or misleading information, photography, or any

other communications in any media format, including on any social media platform, related to

athletic training that negatively reflects the profession, other members of the NATA, NATA

officers, and the NATA office.

5.2 OTC Patient Care Protocols

PROBLEM

SYMPTOMS

MAY GIVE

NOTES

Abdominal

Pain/Gas/Heartburn

(See Dysmenorrhea

for menstrual pain)

Not associated with injury

Temp not over 99deg

No vomiting or diarrhea

No GI bleeding

No dysuria

No guarding or rebound

tenderness

Mylanta Gel Tabs,

Alamag Plus or other

chewable antacid/gas

tablets or liquid per

package directions

Try:

- Bland diet for 24 hours

- Assess heartburn as

distinguished from chest

pain

- Refer all abdominal

pain unrelated to GI

upset, gas, or

menstrual pain to

physician or ER same

day.

Asthma Attack

(known asthmatic)

Wheezing

Moderate respiratory distress

Lung sounds diminished in

bases

Student shall self-

administer their own

prescribed medication if

available. ATF

personnel shall not

dispense nor administer

any other medication.

See physician same day.

Call 911 if severe

respiratory distress or

patient prescribed

medication ineffective.

Monitor vital signs and

lung assessment.

Bee Sting/Insect Bite

(mild reaction)

No respiratory distress

Local reaction less than 4"

diameter

Benadryl 25 mg 1 q 3-4

Acetaminophen 2 q 4 h

Acetaminophen ES 2 q 4

Ibuprofen 1-2 q 4 h

May apply “sting kill”.

Local ice application

Have patient stay 30

min.

Do not elevate body

area for 24 hours

Bee Sting/Insect Bite

(severe reaction)

Respiratory distress

Has shortness of breath,

wheezing, feeling of

suffocation.

Signs of shock.

Unconsciousness

ATF staff may

administer an Epi-Pen or

Ana-Kit medication as

described on

container. Every

attempt shall be made to

obtain MD order before

administering the

medications.

Local ice application

Apply sting kill or meat

tenderizer.

Monitor blood pressure

Do not elevate body

area x 24 hours

CALL PHYSICIAN

IMMEDIATELY or

CALL 911

Bleeding

Bleeding wound

Iodine with dressing.

Monsell’s Solution

If bleeding cannot be

controlled, refer to ER.

Burns

(also see Chemical

Burns)

“Floor Burns”

A. Categories:

First degree: epidermis

- no blisters

- erythematous

- painful

Second degree: includes the

upper layer of the dermis

- blisters

- painful

- wound is hypersensitive

- burns blanche with

TREATMENT:

First degree:

-flush with cool water

until no longer burns.

Second degree:

-treat minor burns same

as first degree.

All burns greater than

first degree and larger

than 10% TBSA must

see the physician the

same day or be sent to

ER.

pressure

Third degree: deep dermis

- mottled pink and white

- pt. c/o discomfort vs. pain

- may include blisters

- slow capillary refill

B. Severity:

Minor:

- superficial in depth

- less than 15%TBSA

Moderate:

- partial thickness burns of

15% to 25% TBSA

(adults), 10% to 20%

TBSA (children)

- full thickness burns of less

than 10%TBSA

- burns that do not involve

the face, hands, feet, or

perineum

Major:

- anything larger than above

guidelines

 For TBSA, refer to the

“Rule of Nines” chart.

Canker Sores

(located in

mouth/gums)

Less than 1cm ulcer, usually

whitish.

May have some redness

surrounding it

Anbesol Gel 4-5 times a

day, PRN

Refer larger areas to

physician.

Chemical Burns

(also see Burns)

Unless absolutely sure, treat

all chemical burns as deep

dermal or full thickness until

proven otherwise.

Flush with water or use

eyewash station for

chemicals in the eye.

Have patient see

physician immediately,

refer eye

contaminations to

ophthalmologist, or

send to ER after

flushing.

For treatment of

chemical burns, refer to

the MSDS for

instructions or call

Poison Control 222-

2227 .

Chicken Pox

(Varicella)

(Reportable Disease)

Definite exposure 2 weeks

(usually 13 - 17 days) prior

with symptoms of slight sore

throat, runny nose, and

malaise day before outbreak of

“rash” (i.e. vesicles with

yellow crusts)

Patient MUST be

referred to Patterson

Clinic IMMEDIATELY.

PATIENT TO LEAVE

CAMPUS UNTIL

VESICLES ARE

DRY, PER POLICY

See Physician for

confirmation and

treatment.

Must report to GCHD.

Cold

Flu

Congestion, body aches, sinus

drainage, cough,

Other OTC cold or flu

medication

Refer all suspected

URIs to U.M.S. or

(also see Sinusitis)

(also see Headaches

associated with Nasal

Congestion)

non-productive

Urgent Care for

evaluation.

Conjunctivitis

Assess for possible foreign

body

Sclera and conjunctiva red,

watery; itching, burning, pain,

photophobia experienced

May have clear to green

matter

Give NO MEDS

pending Md. referral.

Do visual acuity check.

See Physician same day.

Assess for

photosensitivity.

Constipation

Any Irregular pattern for

individual

Give NO MEDS

pending Md. referral.

Refer to U.M.S. or MD.

Contact Dermatitis

Mild (not involving

areas near eyes or

nose)

Rash, hives, vesicles, macules

Apply 1-3 times a day

PRN.

- Hydrocortisone Cream

1% or .5% - apply 2-3

times a day, PRN for

one week only.

- Benadryl 25 mg - 1 q

4h PRN

SEE PHYSICIAN

SAME DAY IF:

Severe onset &

symptoms

Area involved near eyes

or nose

If suspected allergy to a

drug or food

Use Hydrocortisone

only qd on face. Avoid

eye and genital areas.

Cough

Temp not over 100deg

No chest congestion

No wheezes, rales, crackles

noted.

Cough less than 7 days.

Lungs clear and equal

bilaterally

No chest pain or chest

discomfort

Ibuprofen 2 qid - for

anti-inflammatory

Zinc Lozenges, 1-3 per

day

Other OTC cough

products

Encourage fluids

Saline gargles

Cough drops or hard

candy

Have patient see

physician for cough

greater than 7 days.

Refer to U.M.S. or

Urgent Care if severe.

Diabetes

(Suspected)

Suspected due to symptoms,

such as polyuria, polydipsia,

unexplained weight loss.

Symptoms of hyperglycemia:

- deep breathing

- drowsiness, confusion

- flushed, dry, hot skin

- fruity odor to breath

- hypotension, tachycardia

- nausea, vomiting

May Perform:

blood glucose “finger

stick”

and/or send blood

glucose

specimen to lab

Refer to Physician if >

120

Refer to ER if > 300 w/

symptoms

Diarrhea

Temp not over 100deg

No blood in stool

Less than 10 liquid stools

in 24 hrs.

Mild to moderate abdominal

cramping

Assess for dehydration

Suggest Pepto Bismol or

Kaopectate OTC

Other OTC anti-

diarrheal medication

REFER TO

PHYSICIAN IF NO

RELIEF IN 24 HRS

Clear liquids,

progressive GI diet

If also vomiting and

dehydrated (check

mucous membranes),

REFER TO ER

Dysmenorrhea

Normal menses

No abnormal or unusual

symptoms for individual

Acetaminophen 2 q 4 h

Acetaminophen ES 2 q 4

Ibuprofen 1-2 q 4 h

Other OTC analgesic

Heating pad, bed rest.

Pelvic rock and

abdominal crunch

exercises

If severe and occur

regularly, refer to GYN

doctor.

Earaches with

Canal/Tympanic

Membrane

Involvement

Canal Reddened

T.M. abnormal

Glands tender/enlarged

Temp over 99deg

Acetaminophen or

Acetaminophen ES - 2 q

4 h

Ibuprofen - 1 -2 q 4 h

Other OTC analgesic

REFER TO

PHYSICIAN

Earaches

Obvious nasal congestion

Temp less than 100deg

Slight glandular tenderness

Acetaminophen 2 q 4 h

Other OTC

Decongestant

TREATMENT:

Instruct on S/S Otitis

Media

Refer to Physician

Eating Disorder

Suspected (also see

“Psychological

Problems”)

Assess for: Intentional weight

loss associated with s/s of

dehydration and verbal clues

suggesting eating disorder.

- Thin frame, but not

necessarily binging/purging

- Laxative use

- Voiding and eliminating

patterns

- Pattern of menses

- Pattern of eating

- Condition of teeth, nails, and

hair

- Excessive body hair

- General appearance and fit of

clothes

Treatment options:

Refer to Counseling

Department

VITAL SIGNS

Weight (by nurse)

REFER TO

PHYSICIAN