chapter 3: the central training room. copyright ©2004 by thomson delmar learning. all rights...
TRANSCRIPT
Chapter 3:
The Central Training Room
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Central Training Room
A Multipurpose facility designed to accommodate a variety of athletic training needs
The central training room must be easily accessible to both male and female athletes.
Rules of Operation for and Athletic Healthcare Program
Must develop policies and procedures – Delineate daily routine of program
Define scope of program– Who will be served by program?– Athlete: to what extent and what services
will be rendered– Institution: who else can be served
medically and educationally and what are the legalities
Providing Coverage
Facility Personnel Coverage– Budgetary concerns may be a limiting
factor– What personnel are available?
Sports Coverage– Different institutions (including high
schools) have different levels of coverage based on personnel and risks involved with sports
Athletic Training Room Policies
Facility should be used only for prevention and care of sports injuries
Rules must be established in the interest of sanitation
Policies regarding environmental conditions and emergency protocols should also be set
Hygiene and Sanitation
Rules concerning room cleanliness and sanitation must be set and made known to population using facility– Examples
• No equipment/cleats in training room• Shoes off treatment tables• Shower prior to treatment• No roughhousing or profanity• No food or smokeless tobacco
Must adhere to OSHA standards and guidelines
– Cleaning responsibilities are divided between athletic training staff and maintenance personnel
– Division of responsibilities– Maintenance crew
• Sweep floors daily, clean and disinfect sinks and tubs, mop hydrotherapy room, empty waste baskets
– Athletic Training staff• Clean treatment tables, disinfect hydrotherapy
modalities daily, clean equipment regularly
Establishing Health Habits for the Athlete
Promotion of good health and hygiene is critical
• Are the athletes cleared to participate?• Is each athlete insured?• Does the athlete promptly report injury and
illnesses?• Does the athlete follow good living habits?• Do they avoid sharing clothes and towels?• Does the athlete exhibit good hygiene
practices?• Does the athlete avoid common drinking
sources?
Emergency Telephones
Accessibility to phones in all major areas of activity is a must
Should be able to contact outside emergency help and be able to call for additional athletic training assistance
Radios, cell and digital phones provide a great deal of flexibility
Injury Reports
Injury reports serve as future reference
Reports can shed light on events that may be hazy following an incident
Necessary in case of litigation All reports should be filed in the
athletic training room
Treatment Log
Sign-in to keep track of services Daily treatments can be recorded Can be used as legal documentation in
instances of litigation Subject to HIPAA and FERPA
regulations
Injury Evaluation and Progress Notes
Injured athlete should be evaluated by an athletic trainer or physician– Record of the evaluation should be kept
If not available, a coach should encourage athlete and parents to set appointment with a local physician for injury assessment, diagnosis and documentation.
Supply and Equipment Inventory
Managing budget and equipment/supplies is critically important
Inventory must be taken yearly in order to effectively keep track of: – New equipment that is needed– Equipment that needs to be replaced – Equipment needing to be replenished
Annual Report
Summary of athletic healthcare function Can be used to evaluate/recommend
potential changes for program Includes number and types of injuries
seen/treated
Budgetary Concerns
Size of budget?? Different settings = different size
budgets and space allocations Equipment needs and supplies vary
depending on the setting (college vs. high school)
Continuous planning, inventory and prioritizing is necessary to effectively manage monetary allocations to meet programmatic goals
Ordering Supplies and Equipment
Expendable items
– Supplies that cannot be reused- first aid and injury prevention supplies
Equipment
– Items that can be used for a number of years
– Fixed (remain in the training room- ice machine, tables)
– Non-fixed (crutches, coolers, training kits) Yearly inventory and records must be
maintained in both areas
Additional Budget Considerations
Other operating costs– Telephone and postage expenses– Contracts for outside services– Purchases relative to liability insurance
and professional development
Purchasing Systems Direct buy vs. competitive bidding
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Organization
The central training room should be organized for efficient use of the space available.
Ideally, 1200 square feet is suitable Realistically, most schools have
about 400 – 800 square feet. Should have good lighting for
proper exams and treatment
Organization Ground Fault Interrupters (GFI)
must be used in areas near water. Must have proper ventilation and
heating Must have telephone access Great storage space Office Space
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Facility Design
Design will vary drastically based on number of athletes, teams, and various needs of the program
Size– Varies between settings – Must take advantage and manage space
effectively– Interact with architect relative to needs of
program and athletes• Existing space or newly designed
Location– Outside entrance (limits doors that must be
accessed when transporting injured athletes)
– Double door entrances and ramps are ideal– Proximity to locker rooms and toilet facilities
Distinct areas– Taping and bandaging– Injury treatment with rehabilitation
equipment and/or therapeutic modalities– Wet area (whirlpools, refrigerator, ice
machine)– Office space
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Storage Facilities– Training rooms often lack ample storage space– Storage in training room that holds general
supplies and special equipment– Storage available in the specified areas of the
training room– Large walk-in storage cabinet for bulk supplies– Refrigerator for equipment, ice cups, medicine
and additional supplies
Wet Area
Refrigerator, Ice machine, whirlpool and Hydrocollator
Must be separate with special flooring and a floor drain.
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Taping
The taping area is the most used space of the central training room.
Taping area should hold 4-6 tapping tables
The size and type of tables is up to the athletic trainer on staff.
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Exercise and Rehab
Access to an exercise area in the central training room allows athletes to work out under supervision.
Should hold various exercise machines and weights for rehab purposes.
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Staff
Staff varies from school to school Most HS have one or two staff
athletic trainers Colleges can have anywhere from
1-20 staff athletic trainers HS have many student athletic
trainers Colleges have a selection of 10
student athletic trainers per level.Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 27
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Central Training RoomRules and Procedures
All injuries are to be reported to the training staff, regardless of severity
Treatments are given only after training staff approval
Treatments are continued until cleared by medical staff
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Central Training RoomRules and Procedures (cont.)
Athletes are not to treat themselves No horseplay or improper language
allowed Appropriate dress required: shirt,
shorts, shoes No cleats allowed
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Central Training RoomRules and Procedures (cont.)
Do not move any supplies without the trainer’s permission
All athletes must sign in before receiving treatment
Return all loaned items to the training room
No food or drink allowed
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No use of training equipment without prior approval
The telephone is not for personal use Only athletes being treated and their
coaches are allowed in the training room
Attend and work at the athletic contests and practices assigned
Central Training RoomRules and Procedures (cont.)
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Complete daily jobs as assigned Athletes are not to bring their bags
or other nonessential personal items into the training room
Do not leave the training room or office open if no one will be in the training room
Supervise all treatments
Central Training RoomRules and Procedures (cont.)
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Wear gloves whenever your work might involve contact with bodily fluids
Wash your hands after working with each athlete
Document every injury
Central Training RoomRules and Procedures (cont.)
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Medical Kit
Supplies include– Adhesive tape– Analgesics– Antibacterial/Antiseptic cream– Antimicrobial hand wipes– Applicators, cotton-tipped– Bandage scissors and/or tape cutters
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Medical Kit (cont.)
Supplies include– Bandages– Biohazard bags– Cold pack, instant– Contact lens kit– Emergency contact information for
athlete– Eyewash, sterile solution
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Supplies include– Foot powder– Gauze pads, sterile– Gloves, latex– Heel cups– Hydrogen peroxide– Mirror with plastic holder
Medical Kit (cont.)
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Supplies include– Moleskin– Mouth shield or CPR protector– Pencil and paper– Plastic bags for ice– Roller gauze– Saline solution/eyewash– Scissors
Medical Kit (cont.)
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Supplies include– Skin lubricant or petroleum jelly– Sling or triangular bandage– Tape adherent– Thermometer– Tongue depressors– Underwrap– Wraps, elastic
Medical Kit (cont.)
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Sharps Container
Sharps equipment includes scalpel blades, razors, uncapped syringes, and needles.
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OSHA
The Occupational Safety and Health Administration (OSHA) establishes federal standards for prevention of work-related injury associated with exposure to blood-borne pathogens.
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OSHA Regulations
Exposure control plan must be on hand.
Staff are trained about bloodborne pathogens.
All exposures are documented and reported.
Personal protective equipment is available to staff.
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OSHA Regulations (cont.)
Hepatitis B vaccine is offered to all at-risk staff.
There are special containers for biohazardous materials and sharps.
All staff members follow standard precautions.
Proper disinfection techniques are used to clean tools and work surfaces.