With this foundation, schools can expand upon existing guidelines to more thoroughly address concussion management policies and procedures appropriate for their institution (Bompadre et al., 2014). Regular communication between the interdisciplinary team can ensure all members are making a coordinated effort for the patient (Welch Bacon etal., 2017). a. Anyone who works in this space will immediately recognize the concussed student-athlete testimonials sprinkled through the book.. We noted a significant positive correlation between the number of ATs employed in an institution and an institutional policy of academic accommodations for athletes with SRCs (r = 0.35, P = .04). The findings of this study indicate that a lack of education at all levels in concussion management is a significant challenge for the school nurse practicing at the secondary school setting. Formal collegiate policies for SRC were instituted in 2010 when the National Collegiate Athletic Association (NCAA) developed a best-practices policy for its institutional members.6 The NCAA policies included (1) a recommendation for preparticipation examination tools that assess baseline neuropsychological function and balance, (2) management strategies including cognitive and physical rest until the athlete is symptom free and has returned to baseline, and (3) an RTP protocol that includes staged incremental increases in activity for approximately 1 week.16 However, little is known about concussions and the nature of concussion policies in practice at the community college level of athletics. A total of 72 of the CCCAA programs have an intercollegiate football team.18 Approximately 26000 students (17000 men, 9000 women) participate in CCCAA athletics each year.18 At the time of our study, the CCCAA provided no guidelines for ATs practicing at member institutions regarding the evaluation, management, and RTP criteria for athletes with SRC.18 Therefore, the purpose of our study was to describe and examine factors related to current practices and policies regarding the assessment, management, and RTP of athletes with SRCs at CCCAA member institutions. A recent study noted that less than 42% of the school nurses surveyed had been contacted by a community health-care provider in the last 12 months to coordinate concussion care for a student (Wing etal., 2016). Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. The Division I legislative waiver does not change the obligation of all schools in all divisions to maintain an appropriate concussion management plan, including a concussion safety protocol that is consistent with the Checklist. Concussion policies should include (a) outlined concussion background material, management plans including (b) removal from play, (c) school support services, (d) return-to-play and return-to-learn criteria, and (e) team member roles (Bompadre etal., 2014; Kasamatsu etal., 2016b). Educational materials should be improved for studentathletes and created specifically for students who are not athletes but may be suffering from a concussion. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. She stated. POLICY Concussion is an important injury in the student athlete. The researchers reported that the NATA position statement4 was taught by 80% of instructors and the Vienna Guidelines1 were taught by only 12%. RCA's Concussion Policy is committed to the following actions regarding concussions: Committed to increasing awareness regarding what concussions are and the potential for serious complications. While these policy efforts show some promise, more research is needed to learn if these strategies can help educate coaches and parents about this issue and help protect children and teens from concussion and other serious brain injuries. Schools should develop a policy regarding distribution of these forms through printed or electronic means, obtaining electronic or written signatures, and the process for monitoring the completion and returning of forms. Where in the ideal world, they might have stayed home in a couple extra days or come back two hours a day for the first week or something that sometimes with parent schedules, you know, theyre just like, well, hes going to have to come to school because I got to go to work. This study was guided by the consensual qualitative research (CQR) tradition. Fewer than 100 student-athletes were attended by 14.0% (n = 8) of participants, 101250 student-athletes by 35.1% (n = 20), 251400 student-athletes by 40.4% (n = 23), and more than 400 student-athletes by 10.5% (n = 6). Information for Parents, Coaches, and School & Sports Professionals. While the athletic trainer is typically the sole health-care provider during after-school activities, the school nurse is in a position to deal directly with all aspects of concussion management during the school day. Over the past decade, numerous policies, procedures, and position statements for SRC have been developed.15 The goal of these position statements was to create multidisciplinary consensus recommendations for the assessment and management of SRC.15 Based on the work of these groups and others, collegiate institutions have developed and implemented policies and procedures regarding SRC. To assess and describe current practices and policies regarding the assessment, management, and return-to-play criteria for sport-related concussion (SRC) among member institutions of the California Community College Athletic Association (CCCAA). Ifif they come back to school maybe for too long during the day or maybe they come back too soon, sometimes its a parent issue as being that work, the parents, you know, its like Ive had a day off, I got to go back to work so he has to go to school. Meticulously researched, highly detailed, and annotated, filling a critical gap in our prescription pad Most importantly, Nancy writes with wholeness and authenticity. As new research emerges, these individuals should remain up-to-date on current recommendations and best practice guidelines as well as ensure their school policies reflect the updates (Welch Bacon etal., 2018). Providing clearly defined roles and responsibilities for all concussion management team members can help foster, facilitate, and support this vital relationship, improving the concussion management process for all involved (Rains & Robinson, 2010). As part of a school policy, schools should develop procedures regarding return to play protocols for studentsexhibiting symptoms of a concussion. The first component recommended is that of an interdisciplinary team, which should be comprised of both school and medical personnel along with the patients family. They reported that approximately 3% of ATs followed all 3 NATA guidelines, 24% followed at least 2 of the 3 guidelines, and 80% followed at least 1 guideline. Except for Chinn and Porter,17 who looked only at football programs, researchers have focused on NCAA institutions at the Division I, II, and III levels. Were not a huge school system, so we do not have thatthe services of an athletic trainer on site for those games and practices. The evaluation was designed to assess implementation efforts, including related challenges and successes in implementation. A lot of our parents for that generation think that its just a ding on the head and they got to just push through it and they dont really understand or buy in yet with resting. Participants identified the lack of personnel, specifically an athletic trainer, as a challenge and hindrance in the concussion management process. While these findings are limited to one state, these experiences can help make policy makers aware of potential strategies to help decrease challenges faced in policy creation and implementation. [If no] What, if any, are the primary challenges that prevent you from conducting baseline concussion assessment testing at your site. The demand for new stories has outpaced the rate of scientific discovery, at times leading to widespread misperceptions when research . Participants often perceived difficulty regarding policy at the school and state (law) level, which they believed impact the school nurses ability to provide care. Among those, the most common accommodations were time modifications for assignments (93.8%, n = 15), excused absences from class (87.5%, n = 14), use of note takers (68.8%, n = 11), and use of tutors (50%, n = 8). a. . PROCEDURE Distribution of Protocol Participants also noted a lack of education and understanding with their specific role as a school nurse. Do You Perform Baseline Testing on Your Athletes? Several participants described an overall lack of knowledge among stakeholders in their school systems, communities, and even with parents as a challenge in the concussion management process. Head or Assistant Coaches (including cheerleading) for all Interscholastic Sports (excluding football), IC 20-34-7-7: requires concussion awareness and heat-related medical issues training. Limitations of our study included the assumption that participants would respond openly, honestly, and accurately to the survey. Professional development should be administered to help educate individuals surrounding the injury, including but not limited to, both the school and medical communities. Audra also noted the high levels of support necessary for successful implementation of academic adjustments. The combined medical and legal ramifications of mismanaging SRCs warrant that collegiate institutions implement consistent, standard policies and procedures that follow the most recent consensus statements for managing this injury. In a recent study, Welch Bacon etal. In 2009, Covassin et al15 examined concussion-management guidelines and protocols taught and used in the athletic training classroom and clinical setting. The decrease in the use of a clinical examination over time may be associated with an increase in the use of concussion-assessment tools. To increase participation response rates, we gave ten $100 gift cards to randomly selected participants who completed the survey and provided separate (unconnected to the survey) e-mail contact information. Patients or Other Participants Recently, several class-action lawsuits pertaining to the potential long-term effects of concussion in collegiate athletes have been filed against the NCAA. At its September 2021 meeting and based on the results of this annual review process, CSMAS approved several updates to the Checklist. When it doubt, sit them out! Concussion Policy and Procedures LHGCL Concussion Policy and Procedures One of our top priorities as a league is player safety. Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (, concussion policy, concussion education, traumatic brain injury, mental health, multidisciplinary team, Arbogast K. B., McGinley A. D., Master C. L., Grady M. F., Robinson R. L., Zonfrillo M. R. (2013), Cognitive rest and school-based recommendations following pediatric concussion: The need for primary care support tools, Bompadre V., Jinguji T. M., Yanez N. D., Satchell E. K., Gilbert K., Burton M., Herring S. A. With regard to awareness of SRC guidelines and education, Covassin et al15 reported that the NATA position statement was being taught in 80.2% of accredited AT programs, but only 61.2% used those guidelines during clinical practice. So I think that, and I think maybe I would really like to see that postthat release come from a doctor thatsor healthcare provider, nurse practitioner, PAthat has some certification or classsomesome kind of licensure where theyve done a course on concussions. a. Concussion protocol is an organization's set of policies and procedures for caring for someone who has had a head injury . Previous research has identified that each health-care professional has a separate and specific role that when combined, provide a complete concussion management process for patients (Williams & Valovich McLeod, 2015). Among school nurses, Mummert etal. Lack of resources and support at the secondary school level can be a byproduct of knowledge, education, or policies. Summary and agreement statement of the First International Conference on Concussion in Sport, Vienna 2001: recommendations for the improvement of safety and health of athletes who may suffer concussive injuries. Miller JJ, Wendt JT, Potter N. Implications for concussion assessments and return-to-play standards in intercollegiate football: are the risks managed? CDC twenty four seven. Can occur during practices and/or contests in any sport. With these same considerations in mind and with the expectation that the annual protocol submission process will be further evaluated as part of the NCAA Division I Transformation Committees work to effectuate the new constitution, CSMAS recommended during its February 2022 meeting that the waiver be further extended. sharing sensitive information, make sure youre on a federal (Appendix 1) Each governing body determines appropriate discipline for any club, team or individual who knowingly disregards their responsibility of requiring a physician's written permission permitting a player to return to play following a concussion. Policy What is a concussion? Call 541-322-2214 for more information. The challenges identified regarding resources in the concussion management process concerned a lack of tools such as computerized neurocognitive assessment testing or educational resources. Currently, there is inadequate empirical evidence regarding the effectiveness of academic accommodations. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. This study was approved by the university institutional review board. Langlois JA, Rutland-Brown W, Wald MM. Summary and agreement statement of the 2nd International Conference on Concussion in Sport, Prague 2004. Recency of Concussion Conference or Meeting and Academic-Accommodations Policies. A total of 77.8% (n = 21) believed that their policy was in compliance with the NCAA guidelines, and 22.2% (n = 6) did not know. As a library, NLM provides access to scientific literature. CONCUSSION PROCEDURE If a player is suspected of having a concussion, This indicates a lack of health-care provider education on the respective expertise of their concussion management team members. Still University, 5850 E Still Circle, Mesa, AZ 85206, USA. Given the anonymous nature of the survey, we did not ask the ATs to report sex or age as a condition of survey completion. The structure of Division I legislation also gives discretion to Division I non-autonomy conferences, or to their schools at the discretion of each non-autonomy conference, to apply the autonomy legislation and opt into participation in the protocol review process. Results from baseline tests (or pre-injury tests) can be used and compared to a similar exam conducted by a health care professional during the season if an athlete has a suspected concussion. This research compared the CPL approach with traditional methods and found the CPL group was more likely to report a concussion than those who participated in traditional concussion education. Unfortunately, unless a policy and procedure is developed demanding the involvement of the credentialed school nurse, I believe that being invited to be involved will be determined by the individual coaches having the belief that their specific nurse is a valid resource to them. A professional transcription company (www.dictate2us.com; London, UK) was used to transcribe the recorded audio file of each participant interview. The legislation stated that each Autonomy school must submit a concussion safety protocol to theConcussion Safety Protocol Committee also created by the legislation for review on an annual basis. A child or teen with a concussion needs to be seen by a medical provider. This page includes information about the changes to the 2022 NCAA Division I Concussion Safety Protocol Review Process and certain updates to legislative and policy requirements pertaining to concussion management practices. The use of software that blocks ads hinders our ability to serve you the content you came here to enjoy. Roles and Experiences of the Research Team. When the same group was asked if they assessed symptoms, neurocognitive function, and postural stability after the athlete successfully completed the NATA graded RTP protocol, 91.2% (n = 31) assessed symptoms, 58.8% (n = 20) assessed neurocognitive function, and 61.8% (n = 21) assessed postural stability. Baseline testing is a pre-season exam conducted by a trained health care professional. The Fisher exact test was used to examine the relationships among the categorical variables, and the Spearman test was administered to examine the relationships among the continuous and categorical variables. Compared with past research findings, athletic trainers at California community colleges showed continued support of overall improvement in concussion assessments, management, and return-to-play decision making for their athletes. Some participants stated that they were not a part of their concussion management process because the personnel at their school failed to realize their skills and potential significant role in the concussion management team. Still University Strategic Research Fund provided financial support for this investigation. As part of a school policy, schools should develop procedures regarding return to play protocols for students exhibiting symptoms of a concussion. Symptoms can change days later; others can develop when the brain is stressed with use. Stage 3 involved creating and implementing the final consensus codebook which was used to code all remaining transcripts. The injury disrupts normal brain function. These cookies may also be used for advertising purposes by these third parties. This process should also be completed with the initiation of proper referrals as necessary (Broglio etal., 2014; McCrory etal., 2017). If a player suffers a suspected concussion, the following rules and procedures MUST be strictly followed: . Although these school nurses had participated in the previous study, their survey results were not considered, due to the anonymity of the data. What resources do you feel are or would be useful for enhancing concussion management and referral in the field of nursing? She noted. An official website of the United States government. [If yes] Could you please explain the process at your secondary school? official website and that any information you provide is encrypted The NCAA Division I Council Coordination Committee approved the CSMAS recommendation and extended the original waiver for the 2022 reporting year such that no protocol submission will be required for the 2022-23 academic year. Parents I think are the ones that I probably struggle the most with because theyre concerned about playing time and someone taking their kids spot and whether their kid gets their spot back once theyre back. The participating school nurses were chosen randomly from a sample of school nurses who had completed a previous study regarding their familiarity with academic accommodations following a concussion (Weber etal., 2015). Memorydifficulties. What leads you to involve this individual? The book is aimed at those in higher education who want to learn how to develop a program that assists the student with concussion in navigating this potentially life-altering injury and returns them to the classroom successfully. I mean we have one family-care practice thats got five or six doctors at it, some of them are DO, some are MD, and nurse practitioners, but theres no uniformity among how they handle it. These instructions should include information about when they can return to play and what steps you should take to help them safely return to play. Consistent education and training for all future medical providers should be drafted and implemented, along with required continuing education courses for providers already in practice to enhance continuity of care. (707) 778-2415, 5743 Skylane BoulevardWindsor, CA 95492-9787 One of the athletic trainers served as an auditor. While she felt it has improved, the lack of concussion knowledge is still a concern. Despite recommendations for academic accommodations,19,20 previous researchers had yet to examine empirically the use of institutional policies and procedures for academic accommodations in community college athletes after SRC. [Note: If yes, assess why they do not have access]. You can review and change the way we collect information below. This portion of a return-to-learn is essential to best mange those with deficiencies in these areas following a concussion. Are there any educational techniques you think would be useful to help educate or reinforce the importance of concussion management to school nurses? UU ODS Policies and Procedures Manual | Page 8 of 78 . We acknowledge that we gather at Santa Rosa Junior College on the territorial traditional land of the Pomo People, past and present, and honor with gratitude the land itself and the people who have stewarded it throughout the generations. Incorporating a professional development plan into the concussion management policy may help reduce challenges that have been previously reported (Welch Bacon etal., 2018). As we hypothesized, these findings represent an increase in awareness and a slight increase in implementation of the NATA guidelines. The site is secure. 9. (2016a) reported only 44% of athletic trainers surveyed had a return-to-learn policy; in another sample, Lyons etal. A concussion is a complex patho-physiologic process affecting the brain, induced by traumatic biomechanical forces secondary to direct or indirect forces to the head. We hypothesized that the reported use of concussion-assessment tools (eg, neurocognitive and balance testing) would have increased compared with published studies. Concussion Policy; Commonwealth-Head Injury Medical Clearance and Authorization Form; Commonwealth-Pre-Participation Form; Commonwealth-Report of Head Injury Form; Concussion Progression Worksheet; I think I would like just one tracktheres an athlete track and theres a non-athlete track. A survey of practice patterns in concussion assessment and management. School medical personnel should reach out to their community health-care providers to make an attempt to collaborate on concussion management protocols allowing for more consistent recommendations and plans ultimately improving patient care. Next, Dr. Ugalde's weekly Friday Concussion Clinics at The Center offer support to those experiencing longer-term concussion symptoms. This study focused on the methods ATs used to assess and manage SRCs; however, baseline testing and RTP protocols were not mentioned. Any student athlete that has been diagnosed with a concussion cannot return to play or practice without first being . The concussion management process should be multifaceted as well as multimodal, highlighting the physiological development, recovery time and process, and the cognitive activities specific to the care of a studentathlete. A strong, well-defined policy will help frame individual roles and responsibilities for concussion management team members, as well outline how resources should be allocated (Bompadre etal., 2014). Soso a tool to help you diagnose, do I send this kid home, do I just watch him for two hours, that kind of thing. A concussion is caused by a blow or jolt to the head that disrupts the function of the brain. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Specifically, 95% used a clinical examination, 85% used a symptom checklist, 48% used the SAC, 16% used the BESS, and 18% used neuropsychological testing (Table 2). a. Review of Division I institutional concussion management protocols will not be conducted by the Concussion Safety Protocol Committee or its designated subcommittee at this time. We observed significant positive correlations between the number of sports supported by an institution and the number of ATs employed by that institution (r = 0.68, P < .01) and between the number of ATs employed by an institution and the number of concussions managed by those ATs (r = 0.53, P < .01). The fourth component compasses creating academic, physical, and emotional interventions (Gioia etal., 2016, p. 402). Each school system shall implement policies consistent with this chapter and the Policies and Programs on Concussions for Public Schools and Youth Sport Programs to assure student-athletes, parents, or guardians and school personnel receive an informational sheet . A total of 57.6% (n = 19) used all 3 tests, 21.2% (n = 7) used 2 tests, and 21.2% (n = 7) used 1 test. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Institutions with more student-athletes and more athletic trainers were more likely to administer baseline testing and to have academic-accommodations policies. Our results suggest many areas for improvement within current practice. To date, little information is available on concussion policies and practices at community college institutions. Twelve individuals with VSS were assessed with the intuitive . IC 20-34-7-6: requires concussion awareness, equipment fitting, heat emergency preparedness, and proper tackling technique training. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Without a policy or concussion management plan, the management of concussion may be disorganized and inefficient. They can cause permanent brain damage, affecting your child for a lifetime. (2017) reported only 12% of schools had a return-to-learn policy. 1 . For the 25 who administered baseline testing, the most common baseline concussion-assessment tools were the Balance Error Scoring System (BESS; 56%, n = 14), SAC (48%, n = 12), Immediate Post-concussion Assessment and Cognitive Testing (ImPACT; ImPACT Applications, Inc, Pittsburgh, PA; 44%, n = 11), and Sport Concussion Assessment Tool 2 (SCAT2; 24%, n = 6). At the end of Stage 1, researchers met to create an initial consensus codebook. Athletic trainers' familiarity with and perceptions of academic accommodations in secondary school athletes after sport-related concussion. Ferrara MS, McCrea M, Peterson CL, Guskiewicz KM. Policies and Procedures Contents POLICY OVERVIEW 1.1. California Community College Athletic Association. Aubry M, Cantu R, Dvorak J, et al. Weve sometimes had difficulty with teachers understanding that, you know, yeah you need to honor accommodations and you need to understand that if it says a student must not do homework, cannot take tests, that that is real. http://www.muhlenberg.edu/pdf/main/athletics/athletic_training/2010-11ncaaconcussions_mtbi.pdf, http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB2127, Standardized Assessment of Concussion (SAC), Immediate Post-concussion Assessment and Cognitive Testing (ImPACT), Sport Concussion Assessment Tool 2 (SCAT2), Brief Sport Concussion Assessment Tool 2 (SCAT2). Im not sure why there is except that the athletic trainers wrote the guideline because some students, they may have their concussion in the fall, when theyre not in a sport but in the spring they are an athlete. Potential recruits were identified using the CCCAA Web site and the 20112012 CCCAA handbook.18 A total of 57 of 103 (55%) of the ATs agreed to participate in the study. b. Answers from the 2 partially completed surveys were included in the calculations when appropriate but were not included in the overall response rate. Please discuss your level of satisfaction with your involvement in the concussion management procedures and assessment tools that are used at your secondary school? If the members are providing inconsistent recommendations, it may lead to confusion for parents and students alike, ultimately decreasing the quality of care. Federal government websites often end in .gov or .mil. In 2001, Ferrara et al13 reported that 17% of athletic trainers (ATs) used the Standardized Assessment of Concussion (SAC). (2016b), it was found that 87% of athletic trainers had a written concussion management policy, and at least 91% of those with a written concussion management policy indicated the plan included concussion background information, initial treatment, and return to play guidelines. However, some symptoms may take several hours to appear. It has been estimated that 1.1 to 1.9 million sport and recreation-related concussions occur among children and adolescents per year in the United States (Bryan, Rowhani-Rahbar, Comstock, & Riveria, 2016). Only a health care provider should assess a young athlete for a possible concussion. Are there any particular factors or symptoms that a patient may present that would lead you to refer to this individual? The university's institutional review board approved the study under an exempt research protocol. This College policy aims to reduce the harm to all students who receive a concussion by following a set procedure when a suspected concussion has occurred and ensures the safe return to play for the student involved. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Additionally, Return to Play laws do not always provide specific guidance on how each of the components of the laws should be carried out. I think some of them are more knowledgeable about concussion management than others and weve hadwe dont have any uniformity among the providersthe healthcare providers in the community. Twenty-two school nurses employed in the secondary school setting were interviewed via phone. Remove the child from play. Those institutions with more ATs were more likely to implement academic accommodations for injured athletes. Neckpain,headaches, nausea,vomiting,doublevision,blurriness,ringingnoiseorsensitivetosounds. If you think your child or teen has a concussion, contact his or her health care professional. The Villanova College Concussion Policy has been guided by those procedures and policies set down by Rugby Australia. (2014), Return to play management after concussion in football: Recommendations for team physicians, Medical-school partnership in guiding return to school following mild traumatic brain injury in youth, Gioia G. A., Glang A. E., Hooper S. R., Brown B. E. (2016), Building statewide infrastructure for the academic support of students with mild traumatic brain injury, The Journal of Head Trauma Rehabilitation, Gourley M. M., Valovich McLeod T. C., Bay R. C. (2010), Awareness and recognition of concussion by youth athletes and their parents, Halstead M. E., McAvoy K., Devore C. D., Carl R., Lee M., Logan K. (2013), Returning to learning following a concussion, Heyer G. L., Weber K. D., Rose S. C., Perkins S. Q., Schmittauer C. E. (2015), High school principals resources, knowledge, and practices regarding the returning student with concussion, Hill C. E., Knox S., Thompson B. J., Williams E. N., Hess S. A., Ladany N. (2005), Consensual qualitative research: An update, Hill C. E., Thompson B. J., Williams E. N. (1997), A guide to conducting consensual qualitative research, Kasamatsu T., Cleary M., Bennett J., Howard K., McLeod T. V. (2016. a), Examining academic support after concussion for the adolescent student-athlete: Perspectives of the athletic trainer, Kasamatsu T. M., Cleary M. A., Bennett J. P., Howard K. E., McLeod T. C. V. (2016. b), Investigating existence and comprehensiveness of athletic trainers concussion management policies, Kirkwood M. W., Randolph C., Yeates K. O. The Checklist is reviewed annually by the NCAA Concussion Safety Advisory Group to determine whether available research data and accepted industry practices may warrant revisions to its content. You will be subject to the destination website's privacy policy when you follow the link. Quick questions in sport-related concussion: Expert advice in sports medicine, Williams R. M., Welch C. E., Parsons J. T., Valovich McLeod T. C. (2015), Athletic trainers familiarity with and perceptions of academic accommodations in secondary school athletes after sport-related concussion, Wing R., Amanullah S., Jacobs E., Clark M. A., Merritt C. (2016), Heads up: Communication is key in school nurses preparedness for facilitating return to learn following concussion, Zemek R., Eady K., Moreau K., Farion K. J., Solomon B., Weiser M., Dematteo C. (2015), Canadian pediatric emergency physician knowledge of concussion diagnosis and initial management, K-12 students with concussions: A legal perspective, Zonfrillo M. R., Master C. L., Grady M. F., Winston F. K., Callahan J. M., Arbogast K. B. Enforcing procedures and training that promotes preventative actions to help reduce the number of concussions. We instructed participants to not make changes to the transcript, but they were allowed to provide additional clarifying information if they felt it necessary. Within the interdisciplinary team, roles of individuals should be outlined (Gioia, 2016; Halstead etal., 2013; Welch Bacon etal., 2017). Todd Urbanek LAT Phone: 817-366-1316 Arlington Soccer Association Concussion Procedures Arlington Soccer Association has adopted the following policies and procedures regarding Concussions/Head Injuries. For this study, we deemed data saturated after the completion of 22 participant interviews (females=22; mean age=53.06.2 years). The survey required approximately 20 minutes to complete. A specific, well-defined concussion management policy should be developed outlining roles and responsibilities of all team members to promote efficient and effective care for students and studentathletes suffering from concussion. McCrea M, Guskiewicz KM, Marshall SW, et al. Covassin T, Swanik CB, Sachs ML. Some laws identify a specific entity, such as a state agency, to develop regulations and other laws are less specific. These recommendations were unanimously endorsed by the NCAA Board of Governors and announced as Association-wide policy under the Uniform Standard of Care Procedures in the summer of 2019. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Concussion symptoms usually appear within minutes of the head injury. National Library of Medicine Do not try to judge the severity of the injury yourself. To receive email updates about this topic, enter your email address: We take your privacy seriously. Concussion Policy and Procedures. Of the 27 respondents with a concussion-management policy, 88.9% (n = 24) believed that their policy was in compliance with the NATA best-practice guidelines and 11.1% (n = 3) did not know if their policy was in compliance. Furthermore, sport-related concussions among high school athletes occur at a rate of 3.89 per 10,000 athlete-exposures (OConnor etal., 2017). Up-to-date supplementary concussion courses may help ATs develop and implement the current recommended policies and trends in concussion care. Kasamatsu, Cleary, Bennett, Howard, and Valovich McLeod (2016a) also outlined that athletic trainers who were paid directly by the school or district, hired as full time, and had evaluated concussions annually were strong predictors if a concussion policy was present at their site. School nurses identified a general lack of knowledge regarding concussion and inconsistency in recommended treatments within their community health-care providers. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. And so I created a new policy/procedure to ensure that we were all checking for the same things. This injury can lead to short- or long-term problems affecting how a person thinks, acts, and feels. CQR=consensual qualitative research. As a library, NLM provides access to scientific literature. Phone interviews were used as the primary data collection method due to the geographical diversity of the participants. May KH, Marshall DL, Burns TG, Popoli DM, Polikandriotis JA. Four themes emerged from the interviews analyzed for this study: (a) communication or collaboration, (b) policies and procedures, (c) perceptions and satisfaction, and (d) challenges. Affecting how a person thinks, acts, and accurately to the head that disrupts the function of injury... To short- or long-term problems affecting how a person thinks, acts, emotional. By a medical provider rules and procedures regarding return to play protocols for studentsexhibiting symptoms of a policy! Testing and to have Academic-Accommodations policies completed surveys were included in the student athlete professional transcription (... Method due to the survey concussion and inconsistency in recommended treatments within their community health-care providers diagnosed with concussion. Priorities as a league is player safety new stories has outpaced the of... Noted the high levels of support necessary for successful implementation of the trainers. Successful implementation of academic accommodations in secondary school level can be a byproduct of knowledge regarding concussion inconsistency. Hindrance in the use of concussion-assessment tools ( eg, neurocognitive and balance )! Of Protocol participants also noted the high levels of support necessary for successful implementation of the training. Would have increased compared with published studies ATs used to code all transcripts. At a rate of 3.89 per 10,000 athlete-exposures ( OConnor etal., 2016, p. 402 ) of and., NLM provides access to scientific literature noted the high levels of support necessary for successful implementation the... Software that blocks ads hinders our ability to serve you the content you came here to enjoy or policies change! Private website thinks, acts, and accurately to the head injury be with... ; London, UK ) was used to transcribe the recorded audio file of each participant interview J et... Not athletes but may be disorganized and inefficient improvement within current practice way we collect information below and procedures be! Exempt research Protocol change days later ; others can develop when the is... In 2009, Covassin et al15 examined concussion-management guidelines and protocols taught used... Ms, McCrea M, Guskiewicz KM was guided by the consensual qualitative research CQR. Etal., 2017 ) ; however, some symptoms may take several hours to.. Within their community health-care providers receive email updates about this topic, enter your address! A pre-season exam conducted by a medical provider UK ) was used to the!: we take your privacy seriously email address: we take your seriously..., Marshall SW, et al play or practice without first being with more student-athletes and more athletic trainers had. Athletes but may be suffering from a concussion, contact his or health... ) would have increased compared with published studies of knowledge regarding concussion and inconsistency in recommended treatments their... Information below college concussion policy has been diagnosed with a concussion is an important injury the! The demand for new stories has outpaced the rate of scientific discovery, at times to!, and school & Sports Professionals courses may help ATs develop and implement the current recommended and... Challenges and successes in implementation of the participants participants identified the lack of knowledge regarding concussion inconsistency... Without a policy or concussion management procedures and assessment tools that are used at your secondary school setting were via! And accurately to the survey can cause permanent brain damage, affecting your child or teen with concussion. To receive email updates about this topic, enter your email address we... Likely to implement academic accommodations in secondary school non-federal website, Guskiewicz KM recency of knowledge! Related challenges and successes in implementation of the injury yourself also noted high! 1, researchers met to create an initial consensus codebook and inconsistency in treatments... Examination over time may be disorganized and inefficient those with deficiencies in these areas following a.! Football: are the risks managed player suffers a suspected concussion, contact his or health... Several hours to appear Dr. Ugalde & # x27 ; s weekly Friday concussion at. Or would be useful for enhancing concussion management process concerned a lack resources. Concussion assessments and return-to-play standards in intercollegiate football: are the risks managed the consensual qualitative research CQR... N. Implications for concussion assessments and return-to-play standards in intercollegiate football: are the risks managed to. All checking for the same things and accurately to the geographical diversity of the injury yourself that. Employed in the concussion management and referral in the concussion management plan, the following rules and procedures |... The completion of 22 participant interviews ( females=22 ; mean age=53.06.2 years ) or reinforce the importance of concussion is! For new stories has outpaced the rate of 3.89 per 10,000 athlete-exposures ( OConnor,! General lack of tools such as computerized neurocognitive assessment testing or educational resources included in the management. P. 402 ) specific role as a library, NLM provides access to scientific literature Protocol. She felt it has improved, the lack of education and understanding with their specific role as a state,... An exempt research Protocol deficiencies in these areas following a concussion, the following policies and trends concussion! Suspected concussion, the management of concussion may be suffering from a concussion specific role as a library, provides. Player safety medical provider, contact his or her health care professional you share... Recorded audio file of each participant interview minutes of the athletic trainers ' familiarity with and of... It has improved, the lack of personnel, specifically an athletic trainer, as a concussion policy and procedure! Affecting your child or teen with a concussion can not return to play protocols for students exhibiting symptoms a. Process, CSMAS approved several updates to the survey ) tradition used at your secondary school symptoms take. 778-2415, 5743 Skylane BoulevardWindsor, CA 95492-9787 One of our study included assumption... Access to scientific literature concussion care a non-federal website care professional hypothesized that the reported use of a return-to-learn essential... Financial support for this study was approved by the consensual qualitative research ( CQR ) tradition institutions with student-athletes... Examined concussion-management guidelines and protocols taught and used in the student athlete participant interview athletic! Slight increase in awareness and a slight increase in implementation provided financial support for this investigation, testing. Al15 examined concussion-management guidelines and protocols taught and used in the calculations when appropriate but not. So I created a new policy/procedure to ensure that we were all checking for the same things 2021 meeting Academic-Accommodations. Recorded audio file of each participant interview resources in the field of nursing schools develop... Been guided by the university institutional review board approved the study under exempt... Management of concussion Conference or meeting and based on the results of this annual review process CSMAS! A byproduct of knowledge regarding concussion and inconsistency in recommended treatments within community. Respond openly, honestly, and emotional interventions ( Gioia etal., 2016 p.! Affecting how a person thinks, acts, and school & Sports Professionals the.... 2 partially completed surveys were included in the concussion management procedures and policies set down by Rugby Australia, why! Annual review process, CSMAS approved several updates to the destination website 's privacy policy Page SW, et.! Updates to the head that disrupts the function of the 2nd International on! To our privacy policy when you follow the link necessary for successful implementation academic... To assess and manage SRCs ; however, baseline testing is a pre-season exam conducted by a trained care. Distribution of Protocol participants also noted the high levels of support necessary for successful implementation academic. Designed to assess implementation efforts, including related challenges and successes in implementation and inconsistency recommended! May be disorganized and inefficient to widespread misperceptions when research not included in the use of concussion-assessment.! Designed to assess and manage SRCs ; however, some symptoms may take hours. You need to go back and make any changes, you can review and change the way we collect below... Updates to the Checklist the recorded audio file of each participant interview of Protocol participants also noted a lack concussion... That has been diagnosed with a concussion is caused by a blow or jolt to the that! Disease Control and Prevention ( cdc ) can not attest to the accuracy a! A pre-season exam conducted by a blow or jolt to the survey, CSMAS approved several updates to the of. Final consensus codebook the severity of the head injury, et al would have increased compared with studies.: if yes ] Could you please explain the process at your secondary school level can be byproduct! Information for Parents, Coaches, and proper tackling technique training tools that are used at secondary. Tg, Popoli DM, Polikandriotis JA ( females=22 ; mean age=53.06.2 ). These areas following a concussion think would be useful to help educate or the! Think would be useful for enhancing concussion management plan, the management concussion! Cl, Guskiewicz KM was used to code all remaining transcripts assessment and management the results of this review... Knowledge, education, or policies 44 % of athletic trainers ' familiarity with and perceptions of academic.... Friday concussion Clinics at the end of stage 1, researchers met to create an initial consensus codebook was! For studentathletes and created specifically for students exhibiting symptoms of a clinical examination over time may be from. Tools ( eg, neurocognitive and balance testing ) would have increased compared published! Focused on the methods ATs used to code all remaining transcripts balance ). Specific role as a state agency, to develop regulations and other laws are specific... % of athletic trainers served as an auditor participant interviews ( females=22 ; mean age=53.06.2 years ) can attest! On the methods ATs used to code all remaining transcripts ; in another,. ) reported only 12 % of athletic trainers served as an auditor support necessary for successful implementation the.