SM Exam 1- Chapters 1 and 2

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List some of the professional sports medicine organizations.

-American Academy of Pediatrics (AAP) -American Board of Physical Therapy Specialists (APTA) -American College of Sports Medicine (ACSM) -American Orthopaedic Society for Sports Medicine (AOSSM) -National Athletic Trainers Association (NATA) -National Collegiate Athletic Association (NCAA) -National Federation of State High School Athletics Association -National Strength and Conditioning Association (NSCA)

What areas of specialization are encompassed under the general heading of sports medicine?

-Athletic training -Physical Therapy -Biomechanics -Exercise Physiology -Practice of medicine relative to the Athlete -Sports Nutrition -Sports Psychology

What are the athletic training professional organizations that an athletic trainer living in Central Texas can be a member of (there are four)?

NATA SWATA TSATA CTATS

List some grounds for medical disqualification in a sport:

a) Loss of a paired organ b) Recent major illness, injury or surgery c) Congenital condition limiting athletes ability to protect him/herself

Discuss the role of the team physician as an important member of the sports medicine team.

-has ultimate responsibility for directing the total health care of the athlete -the athletic trainer works in cooperation with the team physician to make decisions that ultimately have a direct effect on the athlete who has sustained an injury 1. Compiling Medical Histories and Performing Preparticipation Physical Exams (PPEs) -physicians must perform (PPEs) to ensure athletes are healthy and have no preexisting injuries/illnesses prior to participation in any athletic activity -achieved by taking and reviewing an athlete's medical history and performing athletic and sports specific evaluations of the athlete's overall health 2. Diagnosing Injury -only team physician may legally diagnose injury 3. Deciding on Disqualification -team physician has ultimate say on the disqualification of activity of an injured athlete -can be during initial (PPE) or after injury/illness -will typically be based on input from the athletic trainer, since athletic trainer sees athlete on a daily basis and can more accurately monitor day-to-day progress -the athletic trainer/coach may continue to restrict an athlete from return to play if team physician has allowed athlete to return to play -the athletic trainer/coach may not insist an injured athlete participate if the team physician has determined the athlete is too injured to participate 4. Attending Practices & Games

What are the specific roles of the athletic trainer in overseeing the total health care of the athlete?

1. Athletic Injury Prevention & Risk Management -athletic injuries are possible at any time -athletic trainers responsible for making competitive environment as safe as possible to reduce likelihood of injury *If an injury can be prevented, then no need for further injury care Includes: a) Ensuring appropriate training & conditioning of the athlete b) Monitoring environmental conditions to ensure safe participation c) Selecting, properly fitting & maintaining protective equipment d) Explaining the importance of proper nutrition e) Using medications appropriately 2. Recognition, Evaluation & Assessment of Injuries -more times than not, the athletic trainer is the first person to see an athlete who has sustained an injury -must be skilled in recognizing the nature & extent of an injury through competency in injury evaluation 3. Immediate Care of Injuries & Illnesses -Must be able to perform: -an initial on-the-field assessment -administration appropriate first aid -make proper decisions in the immediate management of an injury -Thus must possess sound skills not only in initial injury recognition & evaluation of potentially serious/life-threatening injuries but also emergency care until other emergency personnel can take over 4. Injury Treatment, Rehabilitation and Reconditioning -work closely under supervision of team physician in designing rehabilitation & reconditioning protocols that make use of appropriate rehabilitative equipment and injury treatment modalities -the athletic trainer will then assume the responsibility of overseeing the rehabilitative process upon returning the athlete to full activity -many times will work with physical therapists and/or strength & conditioning specialists in these capacities 5. Health Care Organization & Administration -maintaining of health and injury records for each athlete -requisition & inventory of information of necessary supplies and equipment -submission of insurance information -supervision of assistant &/or student athletic trainers -establishment of policies & procedures for day-to-day operation of the athletic training program 6. Professional Development & Responsibility -educate general public as to the role athletic trainers play in the medical community and the benefit they provide to athletic programs in general -must act at all times with the highest standards of conduct & integrity

The members of the school board at All-American High School voted to renovate a 25 foot by 40 foot storage space and to purchase new equipment for an athletic training room. Based on the class discussion what are some of the considerations that need to be taken into account for to best use this space and what type equipment should be purchased to maximize the effectiveness of this new facility?

1. Taping and bandaging - with specialized tables to assist with taping and supplies at the ready for taping and bandaging 2. Injury treatment/rehab - with specialized tables for providing injury treatments with therapeutic modalities and providing injury rehab 3. Rehabilitation -area for providing for injury rehabilitation with enough space for the necessary rehabilitation equipment 4. Wet area - for whirlpools, refrigerator and ice machine 5. Office - private space for athlete consultation, performing administrative tasks and securely storing athlete medical records 6. Storage Facilities - each of the above mentioned areas should have shelves and/or storage cabinets for storing general supplies and any small specialized equipment used in those respective areas -a large storage closet should also be available for the larger bulkier equipment

What are the two professional athletic training credentials that an athletic trainer living in Texas can have?

ATC & LAT

Be able to explain how to become an athletic trainer and specifically what sets Texas apart from other states.

ATC: must obtain a bachelor's degree in athletic training from and CAATE/CAAHEP accredited university and pass NATABOC exam. LAT: must be able to be criteria for ATC certification or obtain a bachelor's degree in any field and complete an athletic training internship including courses in athletic training and anatomy and completing 1800 hours of internship observation. Texas is the only state in which you must take a separate exam for state licensure. In all other states, having your ATC automatically grants you state licensure.

How should the sports medicine team work together to provide optimal health care for the athlete?

By working together and respecting each other's individual skills and roles.

What year was the NATA created? What year was the NATA recognized by the AMA?

Created: 1950 Recognized: 1990

What/who are their regulatory/licensing boards and what are the credentials earned (letters after name)?

LAT: TDH - Texas Department of Health ATC: NATABOC - National Athletic Trainers Association Board of Certification

One of the responsibilities of overseeing an athletic health care program is maintaining accurate records for every athlete. What kinds of records or types of information should be included in these records?

Medical Clearance Daily Injury Evaluation and Progress Notes Athletic Demographic Information Supply and Equipment Inventory Injury Reports Annual Reports Treatment Logs Release of Medical Records Personal Information Cards

List some of the primary documentation/forms that must be maintained by the athletic trainer/athletic department from the class discussion:

Medical Clearance Daily Injury Evaluation and Progress Notes Injury Reports Supply & Equipment Inventory Treatment Logs Annual Report Personal Information Cards Release of Medical Records

What do the acronyms NATA, ATC, LAT, SWATA, NATABOC, TDH and TSATA stand for and explain what these terms are in relation to athletic training:

NATA: National Athletic Trainers Association -national professional association for athletic trainers ATC: Athletic Trainer Certified -national certification for an athletic trainer, must possess a degree in athletic training and pass NATABOC (National Athletic Trainers Association Board of Certification) exam in order to become LAT: Licensed Athletic Trainer -state level licensure of an athletic trainer; in Texas one must have a bachelor's degree and completed an internship or meet requirements for NATABOC/ATC certification and pass exam in order to become SWATA: Southwest Athletic Trainers Association consisting of Texas and Arkansas -district level professional organization for athletic trainers NATABOC: National Athletic Trainers Association -regulatory board for the NATA certifying and regulating athletic trainers for the ATC credential TDH: Texas Department of Health -regulatory office for medical professions in Texas including athletic trainers TSATA: Texas State Athletic Trainers Association -state level professional organization for athletic trainers in Texas

What member of the sports medicine team has the final say in disqualification of an athlete from participation due to health related concerns?

Team Physician

Why do hygiene and sanitation play an important role in athletic training? What are some important steps that should be taken to ensure that the athletic training facility is both hygienic and sanitized?

We did not cover this very much in class, but you will need to know this information: To prevent the spread of infectious material a) Clean all surfaces with appropriate medical grade cleaner after use and daily b) Be in constant contact with custodial staff in regards to cleaning procedures c) Do not reuse equipment without cleaning and disinfecting (treatment tables, towels, water bottles, etc) d) Make sure facility has constant supervision to ensure proper use of equipment

What special impact can other members of the sports medicine team have in providing health care for the athlete?

Working together as a cohesive unit with the health and general welfare of the athlete being the number one priority.

List and briefly describe the important sections of the preparticipation physical exam (PPE):

a) Medical History - to identify past and current medical conditions b) Physical Exam - thorough medical evaluation to determine overall health c) Maturity Assessment - to assess if athlete if physically mature enough to withstands the physical strains from athletic participation d) Orthopedic Screening - screening of the bones, muscle and joints

What are the major administrative functions a coach must perform in an athletic training setting?

a. Facility design b. Policies and procedures c. Budget considerations d. Administration of PPEs e. Record keeping

What are the responsibilities of a coach who must assume the role of a health care provider when an athletic trainer is not available?

• Directly responsible for injury prevention since the coach designs, coordinates and implements the team's practice, game and away from team activities • Responsible for ensuring that athletes have undergone a preventive injury conditioning program prior to beginning skills work • Responsible for ensuring that sports equipment, especially protective equipment, if of the highest quality, properly fitted and appropriately maintained • Must be keenly aware of what produces injuries in his/her sport and what measures can & should be taken to prevent them • Should be certified in First Aid & CPR and know how to adequately utilize these skills • Essential to have a thorough understanding of the skill techniques and environmental factors that may adversely affect their athletes • The coach must be prepared to take the role of injury prevention and care when an athletic trainer is not available


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