Student Handbook Athletic Training Education Program The University of Wisconsin – Stevens Point 2010 ­2011 Updated: August 2010 1 Table of Contents Mission Statement p. 3 Program Staff p. 4 Responsibility of Staff and Students p. 5 Admission Requirements p. 8 Retention Standards p. 9 ATEP Policy and Procedures p. 10 Professional Appearance p. 10 Conduct p. 11 Curriculum p. 11 Clinical Rotations p. 11 Priorities and Responsibilities during Clinical Rotations p. 12 Clinical Proficiencies – Instruction and Evaluation p. 15 Evaluation Performance of Clinical Rotations p. 16 Professional Relationships p. 17 Outside Employment p. 18 Chain of Command p. 18 Disciplinary Actions p. 19 Appendix A – ATEP Technical Standards p. 20 Appendix B – Clinical Rotations p. 22 Appendix C ‐ Costs of ATEP p. 24 Appendix D – Inclement Weather Policy p. 25 Appendix E – Policies for Student Safety and Patient Care p. 27 Appendix F – Infectious Disease Policy p. 30 Appendix G – Student‐Athlete Policy for the ATEP p. 35 2 UWSP Athletic Training Program The UWSP Athletic Training Program ‐ a joint collaboration of Athletic Training Education and Sports Medicine services – is built upon a tradition of dedicated service by our faculty and staff. Our service component strives to offer comprehensive care that includes athletic training, physical therapy and physician services to UWSP athletes, students, and staff. The nationally accredited Athletic Training Education Program is a competitive quality education program dedicated to providing a unique, integrative experience. Athletic Training Education Program Mission Statement The mission of the University of Wisconsin‐Stevens Point Athletic Training Educational Program is to provide students with a unique and comprehensive education as it relates to the profession of athletic training. The UWSP athletic training faculty and the sports medicine team are committed to educational approaches that encompass didactic, clinical and field educational experiences that prepare the athletic training student as an entry‐level professional. Field experience opportunities are provided in the collegiate, high school and clinical environments. The athletic training student will have the opportunity to learn, develop, and master competency knowledge and proficiency skills, as defined by the Commission on Accreditation of Athletic Training Education (CAATE) competencies. Goals and Objectives of the Athletic Training Education Program o
Goal 1: To prepare successful entry‐level athletic training professionals through proper didactic and clinical educational experiences o Objectives: o To prepare student athletic trainers for the Board of Certification (BOC) certification examination. o To provide the students with appropriate clinical education and subsequent field experience to develop and master clinical proficiencies in physically active populations o To integrate new and current trends or topics as they relate to allied health professions. o To provide students exposure to injuries and illness in varied ethnic, racial, gender and socioeconomic backgrounds as much as possible. o
Goal 2: Provide students with numerous opportunities to understand the roles and responsibilities of a certified athletic trainer o Objectives: o To identify the importance of life‐long learning and professional development o To encourage personal and professional development through proper supervision and evaluation. o To continue to assist athletic training students in the accomplishment of their professional goals beyond their education at UWSP. o To foster awareness, appreciation, and adherence to professional ethics and standards of conduct as outlined in the NATA Code of Ethics. 3 o
Goal 3: To create a student‐centered environment to encourage and facilitate learning in both the classroom and clinical setting. o Objectives: o To provide consistent and frequent formative and summative feedback to students o To foster developmental communication and dialogue between students, ACI/CIs, and other medical and allied health professionals. o To provide opportunities for active learning in all educational settings of the ATEP. o To continually question how the athletic training educational program's "processes" hinder or promote student learning, and work to improve them. Athletic Training Education Program Staff The sports medicine staff consists of the athletic training education program director, director of athletic training services, assistant athletic trainer(s), team physicians, physician assistants, and physical therapist. The term "certified athletic trainer" shall refer to the program director, athletic training services director, or assistant athletic trainer(s). The term "athletic training staff' will refer to the certified athletic trainers. ATEP Medical Directors The medical directors of the UWSP athletic training education program are licensed physicians by the State of Wisconsin and “act as a resource and expert for the medical content of the ATEP in both formal classroom and supervised clinical experiences” (CAATE Standard B4.2). The medical directors are: (a) James Banovetz, PhD., MD Dr. Banovetz is a board eligible orthopedic surgeon and sports medicine specialist. He earned a degree in mathematics at Washington University, St. Louis. He then attended Northwestern University where he obtained an M.D. and a Ph.D. in motor control neurophysiology. He completed his orthopedic surgery residency at the University of Missouri‐Columbia and a sports medicine fellowship at the University of Iowa, where he was a Hawkeye team physician. He is a member of the American Medical Association, Wisconsin State Medical Society, and is a candidate member of the American Academy of Orthopedic Surgeons. (b) Dan Kraeger, DO, ATC Dr. Kraeger is a board certified family physician with specialized training in sports medicine. He graduated with a degree in Health Education and Athletic Training from the University of Wisconsin‐La Crosse in 1983. He served as the assistant athletic trainer for the Chicago White Sox through the 1979 and 1980 seasons. He graduated from the University of Osteopathic Medicine and Health Sciences in Des Moines, Iowa in 1987, and completed his family residency at Iowa Lutheran Hospital. He also completed a sports medicine fellowship at the Hughston Sports Medicine Center in Columbus, Georgia. Dr. Kraeger is a charter member of the American Medical Society for Sports Medicine, a Fellow of the American College of Sports Medicine, a member of the American Academy of Family Physicians, and the National Athletic Trainers Association. 4 Athletic Training Education Program Staff (a) Program Director – Holly Schmies, MS, LAT (b) Clinical Coordinator – Rhonda Verdegan, MS, LAT, CSCS (c) Lecturers and Approved Clinical Instructors at UWSP a. Beth Kinslow, MS, LAT – Assistant Athletic Trainer b. Michael Koroch, MEd, LAT – Assistant Athletic Trainer c. Dawn Wedeking, MA, LAT – Assistant Athletic Trainer d. Nate Weiler, MS, LAT – Head of Athletic Training Services (d) Clinical Instructor at UWSP – Michele Holzer, LAT – Intern Athletic Trainer (e) Approved Clinical Instructors at Affiliated Sites a. Linda Haller, LAT – Ministry Health Care/SPASH b. Jodi Waltenberg, MS, LAT – Ministry Health Care/Amherst High School c. Jen Day, PT, LAT – Ministry Health Care/Rosholt High School d. Kris Ficken, LAT – Ministry Health Care/Almond‐Bancroft High School/SPASH Hockey e. Traci Smet, LAT – Ministry Health Care f.
Jeannen Gulenchyn, LAT, CSCS – McDonough Orthopaedics g. Jen Kurszweski , LAT – Marshfield Clinic/Auburndale High School h. Jodi (Przekurat) Napiwocki, LAT – Iola High School/Pacelli High School i.
Gary Premo, LAT – Riverside Medical Center/Wausau and Weyauwega‐Fremont HS j.
Chris Lex, LAT – Sport and Spine/DC Everest High School k. Brett Schulz, LAT – Sport and Spine/Wausau East High School l.
Ann Pachniak, LAT – Bone and Joint/Wausau West High School (f) Responsibilities of the Athletic Training Education Faculty and Students a. Program Director: The Program Director is responsible for all day–to–day operation, coordination, supervision, and evaluation of all aspects of the athletic training educational program. These responsibilities include: (i) Administration and evaluation of the athletic training education program (ii) Coordinate and instruct courses within the athletic training education program (iii) Provide direction and continuing progression of the athletic training education program (iv) Advise athletic training and pre‐athletic training majors (v) Maintain student files and documents in accordance with the CAATE Standards for Accreditation. 5 b. Clinical Coordinator: The Clinical Coordinator is responsible for the coordinating the athletic training students’ clinical experience. These responsibilities include: (i) Evaluate and supervise athletic training and pre‐athletic training majors (ii) Instruct courses within the athletic training major (iii) Work with the Program Director to coordinate the athletic training educational program's affiliated sites and respective clinical instructors (iv) Provide ACI training and communicate on a regular basis with the approved clinical instructors (v) Assign athletic training students to clinical rotations and maintain records of their performance and hours. c. Athletic Training Faculty/Academic Staff: It is the responsibility of the athletic training faculty to provide the athletic training student with the highest level of instruction possible. Faculty/academic staff will provide instruction in both the classroom and clinical setting to create confident and competent entry‐level certified athletic trainers. d. Approved Clinical Instructors (ACI): An ACI in a licensed/certified athletic trainer who provides direct supervision and instruction to athletic training students in the clinical setting. The ACI should have a minimum of one year experience as a certified athletic trainer and should also possess a strong academic orientation, ability to teach clinical skills, and a sincere interest in the professional preparation of student athletic trainers. All ACIs for the UWSP ATEP have attended an ACI workshop to prepare them to instruct and evaluate students on the Athletic Training Educational Competencies. All ACIs are expected to follow the State of Wisconsin Athletic Training Practice Act, the BOC Standards of Practice and the NATA Code of Ethics. i. Specific responsibilities of the ACI are: 1. Provide the ATS with an orientation for the clinical setting. This must include reviewing emergency action plans and blood borne pathogen protocols. 2. Provide the ATS with an appropriate schedule to fulfill the hour requirements for each rotation. Work with the students to ensure the schedule is not in conflict with academic requirements. 3. Provide opportunities for clinical instruction as much as possible utilizing both real life experiences, mock practical scenarios or case studies. 4. Provide ongoing evaluation of student performance through verbal feedback and written evaluation. a. Review of goals from ATS Goal Sheet at beginning of rotation b. 4‐week evaluation on the monthly time sheet and 8‐week comprehensive evaluation c. Minimum of two meetings with ATS to go over 4‐week and 8‐
week evaluations 5. Only allow students to perform skills for which they have been evaluated clinically and found proficient to perform 6 6. Assist ATS with proficiency skill packets and skill evaluation during their clinical rotation 7. Utilize various teaching methods to challenge the student to think critically, to develop clinical decision making skills and to understand differences between each clinical experience 8. Report any student misconduct, policy/procedure violations or gross clinical deficiencies to the clinical coordinator or program director 9. Attend an ACI training session offered by the UWSP ATEP at least once every three years. e. Clinical Instructors (CI): Clinical Instructors for the ATEP are either (1): licensed athletic trainers who have not been certified for one year or have not attended an ACI training workshop, or (2) allied health professionals who provide supervision to the ATS during general medical rotations or industrial rotations i. Specific responsibilities of the Clinical instructor: 1. Responsibilities of the CI in an athletic training setting (UWSP, high schools or clinics) are similar to those of the ACI (see 1‐8 above). 2. Responsibilities of allied health practitioners for the general medical rotations (see 1‐3 above under responsibilities of ACI): a. The general medical experience is more observational than hands‐on. The ATS will be engaging in more discussion with the practitioner about patients rather than performing skills on patients. b. When time allows, the practitioner will assist the ATS in learning and reviewing skills associated with AT 425. c. The CI will complete a written evaluation specific to the general medical setting at the end of the rotation. 3. Responsibilities with be reviewed with the CI during an educational session with the Clinical Coordinator or ATEP Program Director. f.
Athletic Training Student (ATS): All students officially accepted into the UWSP ATEP are expected to follow all policies and procedures established by the University, the College of Professional Studies, the School of Health, Exercise Science and Athletics, all affiliated clinical sites (on and off campus), and the Athletic Training Education Program. Failure to abide by these policy and procedures may result in probation and/or dismissal from the program (See section on Disciplinary Action). In addition, each student is expected to maintain academic excellence, the highest professional and ethical standards, and to take an active role in his/her athletic training education. 7 UWSP ATEP Admission Requirements Incoming freshman and transfer students declaring an athletic training major are “pre‐majors”. Students must complete the application process and pre‐requisite courses prior to being admitted to the ATEP. The admission/application requirements are: •
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Before you apply, complete, or be in progress with good standing, in the following: AT 181, AT 182, Biology 160, Physics 101, HP/W 102, Psychology 110, WLNS 123, with a grade of C ‐ or better. Have a minimum 2.75 grade point average in all credits attempted. •
Request (in writing) and complete the Athletic Training Educational Program application. •
Submit four letters of recommendation. Signed statement of acceptance for the athletic training educational program’s technical standards. (See Appendix A) The technical standards are to ensure all students meet the essential qualities necessary to be a successful athletic training student. Students are able to request reasonable accommodations through the Office of Disability Services. Requests for accommodation are not used prejudicially against students. •
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Complete the formal interview. •
Application deadline is March 1. Admission decisions are provided in writing by April 1. •
Students not accepted in their initial application may reapply. Students will continue to work on general degree requirements and in their minor area of study while awaiting reapplication. •
Transfer courses in athletic training from other accredited UW System programs may be accepted. However, transfer students must realize that additional courses may be required to meet program competencies and proficiencies. If you are a transfer student or decide to major in AT after your freshman year, you may apply to the program after all pre‐application requirements (listed in first bullet above) are complete. •
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Student‐athletes who desire to become accepted into the ATEP should refer to Policy on Athletic Training Student Participation in Intercollegiate Athletics (Appendix G). If accepted into the ATEP upon application, the student must follow this policy for clinical rotations. •
Athletic training courses (courses beginning with the prefix AT) are to be completed at the University of Wisconsin ‐ Stevens Point. Transfer courses in athletic training will be accepted if earned at other accredited UW‐System programs. If a student is a transfer, or decides upon the major after their freshman year, the student may apply once all pre‐application requirements are fulfilled. •
Admission to the ATEP is a competitive process. Meeting or exceeding the requirements for eligibility to apply to the program does not guarantee placement. Acceptance is based upon academic credentials, interviews, and available clinical sites. The application process is non‐
8 discriminatory and provides equal opportunity for all students to apply as long as they meet the minimum requirements for application. Once officially accepted into the ATEP, students are required to: • Provide verification of current physical examination by an approved, licensed health care provider (MD, DO, PA, or CNP) and the following information: o Include verification of physical health status (we will give you a form for this) o Freedom from communicable diseases Provide immunization history including: hepatitis B, measles, mumps, rubella, tetanus, varicella, and diphtheria (must be a report from physician’s office) Obtain the following immunization titers: Hepatitis B (mandatory) MMR titer (if you cannot verify vaccination history) Varicella titer (if you did not have the immunization shot) If titers do not show immunity, students will be required to obtain a booster shot or future immunization for varicella or Hepatitis B TB test (need a two‐step test for your first year in the ATEP if you have not had a previous test within the past 12 months) • Verification of student personal liability insurance prior to affiliated rotations. (approximately $30.00 per academic year) • Complete a background study as required by regulations in Wisconsin Administrative Code Chapter HFS 12. (approximately $20.00 onetime fee completed by the student) • Each year, students will be required to update their TB test and personal liability insurance. • All costs associated with obtaining medical records, completing a physical and titers, completing a TB test and performing a background check are the responsibility of the student. Costs will vary for medical requirements based on insurance and location of service. ATEP Academic Retention Standards •
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Maintain a 3.0 GPA in major and collateral coursework. Maintain a 2.75 cumulative GPA in all credits attempted. Maintain 3.0 (5.0) clinical evaluation scores. (Student athletic trainer evaluation form is based on a 5‐point scale.) Failure to meet all of the retention criteria listed above will result in being placed on academic probation in the Athletic Training major. If the student does not attain all of the criteria for active status during the semester on probation, the student will be ineligible to continue in the major. 9 ATEP Policy and Procedures It is the belief of the athletic training education program staff that an environment which displays respect and professionalism while encouraging the highest level of academic excellence will foster an educational experience consistent with professional practice in athletic training. The following policies and procedures apply to conduct during and related to all assigned clinical rotations in the ATEP. The purpose and rationale for these policies and procedures is to help students develop as future professionals in a positive learning environment. General Athletic Training Student Responsibilities (a) Professional Appearance: The athletic training student (ATS) is a highly visible figure in the UWSP athletic program and a recognized member of the health care team. The appearance of all students should reflect that of the medical community. At all times, students should maintain a professional appearance and practice good personal hygiene. If the ATS is questioning their appearance or if unsure what modest and professional appearance is, please ask. (b) Dress Code: During all clinical rotations the ATS must follow the following dress code. The only time exceptions can be made is through verbal approval of the supervising ACI at each clinical site. Clothing needs to allow the ATS to perform the duties necessary to learn the skills of an entry‐level athletic trainer. a. Attire i. Issued name tags must be worn at all times. If nametags are lost, the replacement cost will have to be paid by the ATS. (approximately $13.00) ii. Closed toe shoes, no slip‐ons/sandals iii. Khaki (style) pants iv. Khaki (style) shorts (must come to at least mid‐thigh) v. Shirts must be tucked in, except for shirts tailored to be un‐tucked. Un‐tucked shirts should not expose the belly or back during normal movements, nor should shirts expose the chest area. Appropriate shirts for clinical rotations are: 1. UWSP Athletic Training Polos 2. UWSP Athletic Training T‐Shirts or Sweatshirts (no hoodies) vi. Outdoor practice – Please wear appropriate clothing in case of inclement weather. UWSP hats are also acceptable outside. vii. Events – ATS must wear the UWSP Athletic Training Polos at events unless supervising ACI instructs and/or approves alternate attire. T‐shirts and sweatshirts are not allowed. b. Piercings ‐ No lip or tongue piercings will be allowed during clinical rotations. Piercings have the potential of interfering with cardiopulmonary resuscitation. Other piercings may be asked to be removed if they portray a non‐professional image. 10 (c) Conduct a. Attitude ‐ The athletic training facility should be a positive working and learning environment. Personal attitudes/grudges should be left at the door. A positive attitude will foster learning and create an optimal working environment. Maintain a professional attitude and treat others with respect and courtesy. b. Hazing ‐ The UWSP Athletic Training Services will not tolerate hazing in any form or fashion. UWSP Athletic Training Services abides by the UWSP athletics hazing position statement. Any known hazing will be dealt with harshly. (d) The Curriculum a. The ATEP Curriculum consists of didactic (or classroom) learning and hands‐on experience during clinical rotations. The hours for clinical rotations are an academic requirement of the ATEP and are part of the practicum courses each semester. i. Practicum courses: Each semester, the ATS will have a practicum course which is designed for the hands‐on component of learning. The skills for this course will complement the other courses you are taking that semester. The requirements include: 1. Completion of assigned clinical hours [see (e) and (f)] 2. Completion of proficiency skill packet for the practicum course [see (g)] 3. Completion of assigned Learning Over Time experiences 4. Evaluation by the supervising Approved Clinical Instructor [see (h)] 5. Mid‐term and final practical examinations in each practicum course (e) Clinical Rotations (see Appendix B for more detail) a. Students will be assigned to two 8‐week rotations with an ACI at an affiliated clinical site as part of the academic requirements of a practicum course. These rotations allow for hands‐on clinical practice and skill acquisition of the assigned competencies and proficiencies for each practicum course. b. The hours required each semester will vary with the practicum course. Please see the syllabus for the practicum course for specific instructions. The requirements for each clinical rotation can be viewed in Appendix B. In general the ATS should expect to complete approximately 8‐11 hours/week their 1st year, 12‐16 hours/week their 2nd year, and 15‐20 hours/week their 3rd year. During the spring semester of the 3rd year, clinical hours will be reduced to allow for other clinical projects and BOC exam preparation. i. The hours spent in clinical rotation should be monitored by the ACI and the ATS. It is important to remember the priority of the ATS is to learn and they have rigorous course requirements. ii. The hours scheduled in the clinical setting should be realistic and should not go over 20 hours per week. 11 iii. Scheduled hours will include both weekday and weekend requirements. iv. The ACI must consider the student’s academic schedule when scheduling clinical rotation hours. The ATS should have time off and days off for studying purposes. v. Students are not required to participate in clinical rotations at times when school is not in session (i.e. winter break, spring break, and holidays). There is always the opportunity to volunteer during this time, but it is not required. c. Students are responsible for arranging travel to the affiliated clinical sites and will also be responsible for the cost of travel. It is the desire of the ATEP to give students exposure to a variety of clinical settings. As a result, students may be required to travel to affiliated sites off‐campus. (See Appendix C for mileage to clinical sites) d. The UWSP athletic teams will obviously travel to away events as part of their competitive season. At no time is the ATS required to travel to these events unless it is part of the supervised educational experience and the ATS is accompanied by an ACI. If an ACI is traveling to an away event, they can schedule students to travel with them for the educational experience. Any unsupervised travel is not a requirement of the ATEP. (f) Priorities and Responsibilities during Clinical Rotations a. Supervision/Communication with ACI i. At all times during the clinical rotation, the ATS should be under direct supervision of the ACI. ii. ATS is expected to make contact with his/her ACI at the start of each clinical rotation. At this time: 1. Policies and procedures for each clinical site should be communicated. 2. A schedule will be made for the clinical rotation. 3. Roles and responsibilities of the ATS will be reviewed. b. Competencies and Proficiencies i. Each clinical rotation is an academic requirement of a practicum course (AT 201, 300, 301, 302, 400, 401) has assigned competencies and proficiencies that must be completed by the ATS. Other courses AT 200, AT 362, AT 382, AT 420, AT 425, and AT 430 are not technically practicum courses, but will have some skill proficiencies associated with the course. The ACI, ATS, and course instructor must work together to complete these competencies/proficiencies. The competency and proficiency packet will be provided to you by your practicum course instructor. ii. Proficiency completion can be worked on during scheduled clinical rotations if time allows. The ATS may also have to schedule individual time with the ACI or course instructor outside of clinical rotation hours to get these completed. It is important for the ATS to remember that all ACIs have a job to complete and are responsible for the care of patients. They will not always be available during 12 your clinical scheduled time to work one‐on‐one with you. The ATS is always able to ask for personal time with their ACI, the clinical coordinator, and the program director to help with skill completion. iii. The ATS is not allowed to perform any athletic training related skill on a patient unless he/she has previously been evaluated on the skill. iv. At the end of the course, students will be allowed to keep their proficiency packets for learning purposes. Record of proficiency completion will be completed by a signed verification form and/or the grade received within the course. This form will be kept as a record of completion in the ATS’ file. c. Attendance policy – i. The clinical portion of the ATEP is a continuous experience starting during the 1st semester of the ATEP. Presence at clinical rotations is a key factor in the education and success of the ATS. Therefore, absence from one's clinical setting is unacceptable. Missing the clinical rotation is just like skipping an academic course. ii. Students will be expected to acquire their clinical hours in rotations designated by the Clinical Coordinator. A schedule for the rotations will be provided by your ACI. Thanksgiving, the winter break, Spring Break and Good Friday, as well as holiday weekends, will be considered as non‐rotation days. iii. Students are expected to arrive on time. Tardiness is not acceptable and habitual tardiness can result in disciplinary action. iv. Students are to record their clinical hours on the time sheets provided by the Clinical Coordinator. These hours are to be signed off weekly by the ACI. Students are responsible for ensuring the time sheets are filled out COMPLETELY. Hour sheets that are not filled out correctly will be returned to the ATS and will not be counted for clinical hours until completed correctly. v. In cases of inclement weather, the ATS should abide by the Inclement Weather Policy (Appendix D). vi. If an ATS is also a student‐athlete, the ATS must adhere to the Policy on Athletic Training Student Participation in Intercollegiate Athletics (Appendix G). vii. If absence is necessary for any reason, students must make personal or verbal contact with their ACI/CI prior to any absence. Students will be required to correspondingly lengthen their clinical experience to complete missed days in rotations. The clinical coordinator must be informed if the ATS cannot reach the ACI/CI prior to absence. viii. In absences occurring more than 3 days as a result of illness, students will be required to have written documentation of medical clearance prior to returning to their clinical rotations. Please refer to the communicable/infectious disease policy (Appendix F) for specific information on certain illnesses. 13 ix. Should an extended absence be necessary, the program director and the clinical education coordinator must be notified as soon as possible. The program director, the clinical education coordinator and the university HESA department chair, in consultation with the student, will determine an alternate schedule to complete the clinical experience. 1. If the absence exceeds four weeks, the students may need to consider withdrawing from the current semester and continuing the ATEP curricular sequence the following semester or year. d. LEARN and HAVE FUN!! – Under the direct supervision of an ACI, students have the opportunity to learn in a unique, hands‐on environment. Immerse yourself, have fun, and be passionate about your experience!!! i. Assist in the prevention, evaluation, treatment, rehabilitation, and documentation of athletic related injuries/illnesses. ii. Complete competencies/skills, interact with pre‐athletic training majors, review/practice previously learned skills. iii. Ask the certified staff to teach you something new. iv. Teach younger student athletic trainers, educate the pre‐athletic training majors. v. Observe and interact with team physicians during weekly clinics. e. Medical Confidentiality ‐ Patient/athlete confidentiality must be maintained in all medically related matters. What is seen, heard, or read from medical reports, sports medicine staff discussions or evaluations is confidential. i. The ATS should only discuss medical injuries or illnesses with the supervising ACI and UWSP sports medicine staff. This should be done in the privacy of an office where conversations cannot be overheard. ii. Do not discuss medical records with faculty, communication media, press, scouts, or friends/relatives. Do not discuss these matters where they may be overheard. iii. Medical records can only be released with the consent of the athlete. Any request for release of medical information should be directed to the ACI or the Head of Athletic Training Services. f.
Travel – The ATS is not required with any athletic team unless it is part of your scheduled hours under the supervision of an ACI. i. If the ATS does volunteer to travel with an athletic team, this is not at all part of the educational experience of the ATEP. The ATS is under the direction of the Director of Athletic Training Services and must follow the policy and procedures set forth by Nate Weiler. ii. If an ATS feels he/she is being forced into travel by the ACI or Head of Athletic Training Services, he/she needs to immediately report this situation to the 14 Clinical Coordinator or the ATEP Program Director so the situation can be addressed. g. Computers in the UWSP Athletic Training Facility i. The first priority for the computers in the ATF is medical documentation. ii. The second priority is educational purposes only. iii. Under no circumstances should the computers be used for personal use such as email, use of internet chatting, etc. iv. If an ATS is continually using the computers in the ATF improperly, it can result in disciplinary action. h. Cell phones in the UWSP Athletic Training Facility i. Students are not allowed to have their cell phones in the ATF or at practice. ii. During clinical hours, cell phones and personal belongings are to be housed in the lockers provided to you outside of the ATF when at UWSP and in appropriate places at off‐site clinical sites. iii. If an ATS is continually using their cell phone improperly, it can result in disciplinary action. (g) Clinical Proficiency Instruction and Evaluation a. Students will be provided a proficiency manual/packet designed to aid in the development of the competencies and proficiencies required for an entry‐level athletic trainer completing an undergraduate athletic training education program. The packet will include new skills/information from the course and Learning Over Time [LOT] requirements from previous courses. (See Appendix B for more information) b. All assigned competencies and proficiencies will coincide with specific course levels and assigned rotations. The following are guidelines for proficiency completion: i. Athletic training students must demonstrate their mastery of proficiency either during regularly scheduled clinical rotation hours, during class time for the appropriate practicum experience course, or during an individually scheduled time with an ACI. ii. It is expected that athletic training students will complete proficiencies at the assigned time. If a student is unable to meet an assigned time, it is the student's obligation to make arrangements with the instructor. iii. When students have successfully completed proficiencies, the evaluator will sign and date your proficiency sheet. At the completion of all assigned proficiencies prior to the end of each semester, the student will hand in their manual/packet to the instructor of the practicum course. 15 iv. Students will also be expected to demonstrate previously learned skills through LOT experiences as assigned in practicum courses. It is also the student’s responsibility to continually practice skills at all times during clinical rotations. c. The role of the Approved Clinical Instructor (ACI) is: i. To assist students in developing their athletic training skills and to verify proficiency completion. The ACI's signature on a student's proficiency indicates the student's achievement of that proficiency. ii. Offer suggestions and advice to the student, however, do not let them use the evaluator as the primary resource. Students should come prepared for the final signature by the ACI. iii. Students must demonstrate their skills. They should not simply be allowed to explain what they are doing. iv. The ACI should be fair with the evaluation of the student. All students admitted to the program will eventually be in a position of responsibility and must possess the knowledge and skills contained in the proficiencies. Conversely, being unreasonably tough may unfairly discourage some students from progressing through the clinical portion of the program. v. A student that does not demonstrate competence during skill evaluation must wait until the next day for another attempt. The ACI should record date, initial unsuccessful attempts, and provide comments to the ATS to assist in proper skill development. vi. Following successful completion of a student's proficiency, be sure to sign and date the appropriate proficiency form. (h) Evaluation Performance in Clinical Rotations a. Clinical rotations are 8 weeks in length. During all clinical rotation, students will be evaluated by the ACI/CI. The only exception to the following evaluation procedure is the General Medical Rotation the spring semester during the final year in the program. i. At the end of 4‐weeks with a short evaluation to give the ATS direction on how to improve and continue to grow. ii. At the end of the 8‐week rotation with a comprehensive evaluation on their performance. iii. All evaluations of the ATS will include a conversation between the ATS and the ACI to aid in the growth and performance of the student. iv. Since each clinical rotation is part of an academic requirement in the practicum course, the 8‐week evaluation will count toward 20% of the grade awarded for the associated practicum course. b. The ATS is required to: i. Complete a goal sheet at the beginning of the rotation to share with the ACI/CI 16 ii. Complete a self‐evaluation at the end of 8‐weeks to be used in the discussion with the ACI. iii. Complete an evaluation of the ACI and the clinical site. These evaluations will be turned in to the Program Director and will remain anonymous. It is the hope of the Program Director that students will provide honest and constructive feedback of the ACI and clinical site to aid in the development of the ATEP and the abilities of each ACI. c. Evaluation/Grades in the Practicum Courses i. Grades in these courses are a combination of: 1. Completion of assigned clinical hours (10% of grade for course) 2. Completion of proficiency skill packets (verification by course instructor) 3. Evaluation of clinical performance by the ACI (20% of grade for course) 4. Grades on assignments, exams/quizzes, and mid‐term and final practical examinations (70% of grade for course) ii. The course syllabi for each practicum course will provide students with more information on the required hours, evaluations by the ACI and other requirements for the course such as the practical exams and other assignments. d. Evaluation Performance in General Medical Rotations i. Unlike previous rotations, there is not a 4‐week evaluation only an evaluation of your performance at the end of the general medical rotation. This form is also different from the evaluation forms you are accustomed to. ii. The evaluation will still count toward 20% of your grade in the practicum course. iii. It is not necessary to fill out goal sheets for this rotation since the general medical providers are made aware of the skills and knowledge the ATS should practice during this clinical rotation. iv. During this rotation, there is also a separate time sheet that the ATS will have to have signed by the general medical provider to verify clinical hours. (i) Professional Relationships a. Physicians/Medical Personnel: This is a prime opportunity to learn from others in the health field. Present yourself in a professional and respectful manner. Be attentive and do not be afraid to ask questions. b. Certified Athletic Trainers or Approved Clinical Instructors (ACI): They are the immediate supervisors at UWSP and affiliated sites. The ATS should report any questions, comments, or concerns to the ATCs or ACIs at the clinical site they are assigned to. c. Head Coach/Coaching Staff: The head coach and coaching staff must be treated with respect. It is important to appreciate the work and effort that the coaches put in to 17 fielding a competitive team. The relationship between the coach and athletic training student should be kept professional at all times. Second‐guessing and discussing a particular coaching strategy with team members/coaches is unacceptable. d. Patients and Student‐Athletes: Athletic training students are striving to be a professional in an allied health field. Due to the close nature of athletic training and athletics, personal relationships with athletes are inevitable. It is important to treat the athletes as clients/patients when they are in the athletic training room. Discussing personal matters (parties, dates, personal items) during facility hours is unacceptable. i. If an ATS is dating a patient or student‐athlete, the relationship must remain at a professional level during clinical rotations. ii. If an ATS cannot maintain this professional relationship, the ACI will take necessary actions to report this conduct to the Clinical Coordinator/ATEP Program Director iii. Unprofessional behavior will result in disciplinary action – including the possibility of removing the ATS from the clinical rotation (j) Outside Employment a. Outside employment, although sometimes necessary to help with tuition, living expenses, etc., is discouraged during the times it will conflict with academics and clinical experiences. If outside employment is necessary, please schedule your work hours outside of the afternoon hours and weekend hours typically used for clinical education. b. Students are strongly encouraged to apply for scholarships, investigate financial aid options, or to use summer and vacations to earn money necessary for educational expenses. (k) Chain of Command a. If an ATS has a matter that needs to be addressed certain channels must be recognized. It is important to follow the below chain of command: i. Athletic Training Student – students are encouraged to work through disagreements and challenges together to gain experience with conflict and communication. ii. Approved Clinical Instructor or Clinical Instructor at assigned site iii. Clinical Coordinator iv. Director of Athletic Training Education (and Director of Athletic Training Services when appropriate) v. Associate Dean, School of Health, Exercise Science and Athletics/Athletic Director vi. Dean – College of Professional Studies 18 (l) Disciplinary Actions a. Any student who does not abide by the policies and procedures set forth by the ATEP staff through this Student Handbook may be subject to disciplinary actions. b. All offenses will be documented (including the verbal warning) and a record will be kept in the ATS file housed in the office of the Director of Athletic Training Education. c. An individual offense will be handled with the following disciplinary actions: i. 1st Offense ‐ Verbal warning and individual meeting with ACI ii. 2nd Offense – 1st Written warning – 1 day suspension, formal apology to ACI and ATEP staff, and personal written reflection. iii. 3rd Offense – 2nd Written warning ‐ minimum of 1 week suspension, formal meeting with ATEP staff prior to being allowed to return to clinical rotation. At this meeting, appropriate consequences will be decided by the ATEP staff with assistance from the Associate Dean of HESA. iv. 4th Offense ‐ Removal from the program d. Accumulation of three 1st offenses or two 2nd offenses of unrelated issues requiring disciplinary actions will count as the equivalent of a 3rd offense. e. Disciplinary Actions are accumulative during the 3 years in the ATEP. f.
These disciplinary actions are separate from academic retention standards. In addition to maintaining good academic standing, students need to follow the policies and procedures for the ATEP. Don’t worry……the Student Handbook is designed to be helpful and the policies and procedures just help with clarity and understanding ☺ 19 ATEP Technical Standards for Admission Appendix A ATHLETIC TRAINING EDUCATIONAL PROGRAM TECHNICAL STANDARDS FOR ADMISSION The Athletic Training Educational Program at the University of Wisconsin‐Stevens Point is a rigorous and intense program that places specific requirements and demands on the students enrolled in the program. An objective of this program is to prepare graduates to enter a variety of employment settings and to render care to a wide spectrum of active individuals. The technical standards set forth by the Athletic Training Educational Program [ATEP] establish the essential qualities considered necessary for students admitted to this program to achieve the knowledge, skills, and competencies of an entry‐level athletic trainer, as well as meet the expectations of the program’s accrediting agency (Commission on Accreditation of Athletic Training Education [CAATE]). The following abilities and expectations must be met be all students admitted to the ATEP. In the event a student is unable to fulfill these technical standards, with or without reasonable accommodation, the student will not be admitted into the program. Candidates for selection to the ATEP must demonstrate: 1. The mental capacity to assimilate, analyze, synthesize, integrate concepts and problem solve to formulate assessment and therapeutic judgments and to be able to distinguish deviations from the norm. 2. Sufficient postural and neuromuscular control, sensory function, and coordination to perform appropriate physical examinations using accepted techniques; and accurately, safely and efficiently use equipment and materials during the assessment and treatment of patients. 3. The ability to communicate effectively and sensitively with patients and colleagues, including individuals from different cultural and social backgrounds; this includes, but is not limited to, the ability to establish rapport with patients and communicate judgments and treatment information effectively. Students must be able to understand and speak the English language at a level consistent with competent professional practice. 4. The ability to record the physical examination results and a treatment plan clearly and accurately. 5. The capacity to maintain composure and continue to function well during periods of high stress. 6. The perseverance, diligence and commitment to complete the athletic training education program as outlined and sequenced. 7. Flexibility and the ability to adjust to changing situations and uncertainty in clinical situations. 8. Affective skills and appropriate demeanor and rapport that relate to professional education and quality patient care. 20 Candidates for selection to the athletic training educational program will be required to verify they understand and meet these technical standards or that they believe that, with certain accommodations, they can meet the standards. Compliance with the program’s technical standards does not guarantee a student’s eligibility for the BOC certification examination. Students with disabilities who request accommodations to meet the program standards must provide the Disability Services Office with documentation appropriate to the condition from an appropriate authority. The Disability Services Office will evaluate documentation and determine whether the stated condition qualifies as a disability. The Disability Services Office together with the Athletic Training Educational Program will determine what appropriate accommodations will be provided to a student so that he/she could meet the program’s technical standards. I certify that I have read and understand the technical standards for selection listed above, and I believe to the best of my knowledge that I meet each of these standards. I understand that if I am unable to meet these standards I will not be admitted into the program. __________________________________ ___________________ Signature of Applicant Date Students Requesting Accommodations I certify that I have read and understand the technical standards for selection listed above, and I believe to the best of my knowledge that I can meet each of these standards with appropriate accommodations. I understand that if I am unable to meet these standards I will not be admitted into the program. __________________________________ ____________________ Signature of Applicant Date 21 Clinical Education Requirements/ Progressions SEMESTER 3 (Fall) CLINICAL EXPERIENCE Current Practicum Focus: Students will be practicing skills currently being taught in AT 200 and AT 201. Skills are associated with emergency care and first aid, taping, medical history taking and documentation and skills for prevention of athletic injury and illness. Clinical Rotation Focus: 1st 8 weeks ATS will be assigned to an on‐campus ACI with the primary nd
rotation being in the athletic training facility. 2 8 weeks may be at high school in lieu of HS rotation next spring. Students will also complete one 8‐hour rotation at the ER as part of AT 200. 4 (Spring) Current Practicum Focus: AT 300 Assessment and evaluation of the lower extremity, including recognition of signs and symptoms of common injuries and pre‐disposing conditions. Clinical Rotation Focus: Students will be assigned to an on‐campus or off‐campus rotation with an ACI. The 1st 8 weeks will emphasize high school rotations for those students who did not get this experience in semester 3. Students will be expected to look for opportunities to practice emergency care and first aid and prevention skills. 5 (Fall) Current Practicum Focus: AT 301 and 382 Assessment and evaluation of the upper extremity, including recognition of signs and symptoms of common injuries and pre‐disposing conditions; and the principles and application of therapeutic modalities. Clinical Rotation Focus: Students will be assigned to an on‐campus or off‐campus ACI. The ATS should focus on continuing to refine lower extremity evaluation skills as well as prevention and emergency care. The ATS should also be working on new skills in upper extremity and modalities with the ACI. 6 (Spring) Current Practicum Focus: AT 302 and 362 Principles and techniques of therapeutic exercise, and the application of psychosocial techniques. Clinical Rotation Focus: Students will be assigned to an on‐campus or off‐campus ACI and should continue to refine previously learned skills especially upper extremity and modalities. The ACI can also assist the ATS with proficiencies in rehabilitation. 22 REQUIREMENTS AND EXPECTATIONS 112‐154 hours of clinical experience (8‐11 hrs/wk) Complete AT 201 proficiency skill sheets and practicum requirements Complete AT 200 proficiency skill sheets ACI evaluation of clinical rotations Appendix B PRE‐REQUISITES FOR PLACEMENT Admission to ATEP Maintains good academic standing Current CPR/1st Aid certification Currently enrolled in Semester 3 courses 112‐154 hours of clinical experience (8‐11 hrs/wk) Complete AT 300 proficiency skill sheets and practicum requirements ACI evaluation of clinical rotations Successful completion of semester 3 requirements Maintains good academic standing Prior accumulation of at least 112 hours Currently enrolled in semester 4 courses At least 3.0 ave. rating on ACI evaluations 168‐224 hours of clinical experience (12‐16 hrs/wk) Complete AT 301 proficiency skill sheets and practicum requirements Complete practicum portion of AT 382 (proficiency skill sheets) 2 Learning over time experiences in prevention and care skills ACI evaluation of clinical rotations 168‐224 hours of clinical experience(12‐16 hrs/wk) Complete AT 302 proficiency skill sheets and practicum requirements 1 Learning over time experience in prevention and care 1 Learning over time experience in lower extremity evaluation ACI evaluation of clinical Successful completion of semester 4 requirements Maintains good academic standing Prior accumulation of at least 224 hours. Currently enrolled in semester 5 courses At least 3.0 ave. rating on ACI evaluations and LOT experiences Successful completion of semester 5 requirements Maintains good academic standing Prior accumulation of at least 392 hours Currently enrolled in semester 6 courses At least 3.0 ave. rating on ACI evaluations and LOT experiences Pre‐season rotations 90 hours of clinical experience (~5‐7 hrs/day, inc. weekends) Complete pre‐season review of emergency care skills and environmental skills. 2 Learning over time experiences in prevention and care, assessment and evaluation, modalities, or therapeutic exercise ACI evaluation of clinical rotation 210‐300 hours of clinical experience (15‐20 hrs/wk) Complete AT 400 proficiency skill sheets and practicum requirements 1 Learning over time experience in upper extremity evaluation 1 Learning over time experience in modalities ACI evaluation of clinical rotations Clinical Rotation Focus: Students will enroll in AT 399 – Pre‐season practicum and be assigned to an on‐campus or off‐campus ACI to experience pre‐
season practices with football or soccer. Main focus will be pre‐participation screenings and physicals, prevention of injury, risk management, practice preparation and coverage, injury assessment and evaluation. The proficiencies for this course are also included in AT 400 to continue practice of these skills throughout the semester. 7 (Fall) Current Practicum Focus: AT 400 Athletic training research methods; general medical conditions including proper interventions for asthma and anaphylaxis. Review will be focused on risk management and prevention, emergency care, and evaluation and diagnosis. Clinical Rotation Focus: Students will be assigned to an on‐campus or off‐campus ACI and experience at least 4 weeks of an equipment intensive sport if they have not had this previously. Students are expected to practice all previously learned skills during this rotation. Other clinical experience will be provided on‐campus with lower extremity or upper extremity sports. 8 (Spring) Current Practicum Focus: AT 401 General medical illnesses and conditions (on‐site); pharmacological principles and protocols, medication documentation; counseling skills; athletic training administration, facility design, and budget. Review skills will focus on therapeutic modalities and rehabilitation. 180‐220 hours of clinical experience (13‐15 hrs/wk 1st 8 weeks; 10‐
12 hrs/wk 2nd 8 weeks) Complete AT 401 proficiency skill sheets and practicum requirements 1 Learning over time experience in therapeutic exercise 1 Learning over time in experience in any subject ACI evaluation of clinical rotations Clinical Rotation Focus: During the 1st 8 weeks, students will continue to finish their rotation from the fall semester. The focus is still practice of all previously learned skills and mentorship to the younger students. Students will be assigned to a general medical rotation for the 2nd 8 weeks of the semester for 28 clinical hours. Purpose is to gain exposure to general medical illnesses and conditions that can occur in an active population. Additional required hours will be assigned to an on‐campus ACI. Students will be expected to demonstrate proficiency in skills learned from semester 3‐7 during practical examinations. 23 Successful completion of semester 5 requirements Maintains good academic standing Prior accumulation of at least 560 hours At least 3.0 ave. rating on ACI evaluations and LOT experiences Successful completion of semester 6 requirements Maintains good academic standing Prior accumulation of at least 650 hours Currently enrolled in semester 7 courses At least 3.0 ave. rating on ACI evaluations and LOT experiences Successful completion of semester 7 Maintain good academic standing Prior accumulation of at least 860 hours Currently enrolled in semester 8 courses At least 3.0 ave. rating on ACI evaluations and LOT experiences Costs to student for ATEP TUITION COSTS Appendix C Yearly tuition: Full time student ‐ $2949.30 (12 – 18 credits) Out of state*: Full time student ‐ $6937.50 (12 – 18 credits) *MN residents eligible for reciprocity Not enrolled full‐time, view cost per credit: http://www.uwsp.edu/news/uwspcatalog/financial.htm#Tuition ADDITIONAL COSTS FOR ATHLETIC TRAINING EDUCATION PROGRAM Physical/Titers – costs will vary depending on insurance coverage if done through personal physician. Costs at UWSP Student Health Services: Physical: no additional cost •
Hepatitis B vaccination series: $30.00 per shot • MMR booster vaccination: no additional cost •
Varicella titer: $12.25 •
Titer for Hepatitis B: $19.20 •
TB test and reading: no additional cost • Influenza vaccination: no additional cost • Varicella vaccination is not offered Personal Liability Insurance: Cost is $29.50 per academic year – www.hpso.com Textbooks required to purchase: Starkey – Evaluation of Orthopedic Injury (3rd ed) – approximately $90.00 Cuppett & Walsh – General Medical Conditions of the Athlete – approximately $55.00 Van Ost – Athletic Training Exam Review (4th ed) – approximately $50.00 Suggested: Arnheim – Principles of Athletic Training (14th ed) – approximately $100.00 Suggested: Rehberg – Sports Emergency Care – approximately $47.00 Potential travel costs to off‐site clinical rotations: Costs will vary depending on gas prices. Mileage to clinical sites: (required to travel 2‐3 days per week depending on schedule) Amherst: 19 miles Mosinee: 25 miles Wisconsin Rapids: 23 miles Auburndale: 25 miles Rosholt: 17 miles SPASH: 1.5 miles DC Everest: 31 miles Waupaca: 31 miles Pacelli: 0.8 miles Iola: 24 miles Wausau: 36 miles Almond: 24 miles Clothing: Students are provided with a polo and t‐shirt at the beginning of each year. Students are responsible for buying pants or shorts compliant with the ATEP dress code. If students wish to purchase additional ATEP clothing other than the polo and t‐shirt provided, they are responsible for the cost. The ATEP makes an effort to ensure additional clothing is affordable to the student. CPR Certification: $7.00 during 1st year of program and 3rd year of program Course fees: There may be the possibility of course fees attached to courses for personal supplies. Currently, we have a fee of $100.00 for AT 200. We do not have any other course fees in the AT curriculum. However, you may encounter this in other courses. Course fees are added directly to your tuition bill. 24 Appendix D Athletic Training Student Inclement Weather Policy The purpose of this document is to provide guidelines in the response to inclement weather. Inclement weather causes a significant risk to athletic training students during their clinical rotation with UWSP Athletic Training Services. This policy covers the following situations: o
o
o
o
Campus closings Response to heat stress Response to lightning strike Response to cold weather/wind chill advisory Campus Closings When the Chancellor chooses to close campus due to inclement weather, students will not be required to attend courses or clinical rotations. The Chancellor’s office will send out an email indicating campus closing. Please check your email prior to coming to campus on days of extreme weather. If campus is open, students are expected to be in class or at their clinical rotation. However, students are not expected to take abnormal risks when traveling to and from school/clinical rotation. Safety and welfare should be the principle that guides a decision to not attend your courses or clinical rotation. The ATS is expected to call their ACI or course instructor to inform them of absence. Heat Stress Prolonged physical activity during periods of elevated temperature and humidity pose an increased risk for a heat‐related illness. Athletic training students who are completing rotations during fall & spring outdoor sports season (AT 201, AT 300, AT 301, AT 302, AT 399, AT 400 and AT 401) need to be aware of the risks of heat illness. During the fall sport season, the weather is monitored by a member of the UWSP Athletic Training staff by using the WBGT index or heat index (sling psychrometer). The following guidelines are used to protect the athletic training students from heat‐related illness: If the WBGT is used: WBGT Reading 80‐89 90+ Recommendation Heat illness possible. Inform ATS of weather concern. Watch for possible heat illness. Consider removing the ATS from the rotation for that day. Continue to monitor for significant change. If the sling psychrometer is used: Heat Index 90° to 105° 105° to 130° and up Recommendation Heat illness possible. Inform ATS of weather concern. Watch for possible heat illness. Consider removing the ATS from the rotation for that day. Continue to monitor for significant change. 25 Lightning Strike During periods of inclement weather, persons who are outside are at risk of injury from lightning strike. Athletic training students who are completing rotations during fall & spring outdoor sports season (AT 201, AT 300, AT 301, AT 302, AT 399, AT 400 and AT 401) need to be aware of the risks of a lightning strike. The UWSP Athletic Training staff will monitor the weather for potential of lightning strike. The Flash‐to‐Bang Method or a lightning detector will be used to determine the potential of a strike. The following guidelines are used to prevent the possibility of injury due to lightning strike: o
Utilization of the Flash‐to‐Bang Method: Count the seconds from the time the lightning is sighted to when the clap of thunder is heard. Divide this number by five to obtain how far away, in miles, the lightning is occurring. (2008‐09 NCAA Sports Medicine Handbook). If it reveals lightning to be within 6 miles (a 30 second count between the flash of lightning and the bang of thunder) activity is to be suspended and everyone should seek shelter immediately. 1. ATS should use the following shelter areas when evacuation is necessary: Event Football practice Football game Softball game/practice Baseball game/practice Outdoor Track & Field meet/practice Tennis practice/match Soccer match Off‐site high schools Primary Site HEC multi‐activity center Willett arena Hyer hall Hyer hall Hyer hall Hyer hall Hyer hall ACI will inform ATS Secondary Site HEC strength/fitness center Under grandstand Allen center Allen center Debot center Allen center Allen center ACI will inform ATS o
Resumption of Activity: During practice, activity may resume under the following conditions. This decision will be based on: Thirty minutes AFTER the last lightning strike within a 6‐mile range using the Flash‐To‐Bang method. During a game situation the activity will resume once the Athletic Director, Athletic Training staff member and officials have conferred and the above criteria have been met. Cold Weather/Wind Chill Advisory Cold weather and wind chill pose a significant risk of frostbite and hypothermia. Athletic training students who are completing rotations during fall & spring outdoor sports season (AT 201, AT 300, AT 301, AT 302, AT 399, AT 400 and AT 401) need to be aware of the risks of cold weather/wind chill. The following guidelines are used to protect athletic training students from the potential of frostbite or hypothermia: o
o
If UWSP cancels courses due to the cold or high wind chill all athletic training students will not attend their respective clinical rotation on that day. Students are expected to dress properly for cold weather. Ill preparedness for cold weather is not an excuse for missing your clinical rotation. 26 Policies for Student Safety and Proper Patient Care Appendix E Blood Borne Pathogen Exposure Control Plan The UWSP ATEP will follow the UWSP Exposure Control Plan that has been developed by the Environmental Health and Safety Office (EHS). The plan can be downloaded at the EHS website at http://www.uwsp.edu/ehs/policydownloads.htm . The following outline has been created to give more detail to the responsibilities of the certified athletic training staff, athletic training student and coaches in preventing and determining blood borne pathogen (BBP) exposure. This plan has been developed based on the information provided in the UWSP Exposure Control Plan and has only been changed to make it more specific to the UWSP ATEP. Any student who is officially accepted into the ATEP, must follow the guidelines within this plan for prevention of exposure to BBP or if reporting an exposure. Purpose 1.1 Safety of those individual who have a potential for exposure to BBP 1.2 Set a standard protocol for dealing with BBP 1.3 Reduce the risk of infection 1.4 Meet UWSP Environmental Health and Safety standards and OSHA standards 2. Training and Education 2.1 All students officially accepted into the ATEP, 1st year students will receive training and education about BBP and Universal Precautions during the first semester AT 200. In this session, the BBP exposure plan will be outlined for them. 2.2 Each fall semester, 2nd and 3rd year students are required to attend a training session by the certified athletic training staff to review the information provided in AT 200. 2.3 Documentation of each training session will be housed in the ATS permanent file. 2.4 Prior to each clinical rotation, the supervising athletic trainer (ACI or CI) at the affiliated site should inform each ATS where the personal protective equipment is kept and proper procedures to follow. 3. Responsibilities 3.1 UWSP Certified Athletic Trainers 3.1.1
Yearly training and education of BBP to the student athletic trainers 3.1.2
Assure proper implementation of the plan which is annually updated 3.1.3
Purchase and maintain supplies (biohazard, bleach, personal protective equipment, etc.) 3.1.4
Recording of an exposure to BBP 3.1.5
Be trained in first aid & CPR 27 3.1.6
Provide pre, during, and post event/practice wound care to reduce the risk of infection or transmission of BBP 3.1.7
Know and understand all aspect of the exposure control plan 3.1.8
Contact Environmental Health and Safety Office in the event of a potential BBP exposure 3.2 Athletic Training Students 3.2.1
Provide documentation of Hepatitis B vaccination. If students have not received the vaccination, they are available through UWSP Student Health Center. Students are responsible for the cost of the shots. 3.2.2
Attend yearly training sessions 3.2.3
Report BBP exposure to the Certified Athletic Trainers 3.2.4
Provide pre, during, and post event/practice wound care to reduce the risk of infection or transmission of BBP 3.2.5
Be trained in first aid & CPR 3.2.6
Know and understand all aspects of exposure control plan 3.2.7
Assure proper implementation of the exposure control plan 3.3 Coaches 3.3.1
Be trained in first aid & CPR 3.3.2
Recognize a potential for exposure control plan and report it to the athletic training staff 4. Exposure Determination and Post‐Exposure Protocol: An athletic exposure incident occurs if you come in direct contact (skin or open wounds) with blood or other bodily fluids. A determination of exposure to blood/body fluids sheet must be completed when there is a direct exposure without personal protective equipment. Examples of tasks which may involve exposure to BBP include: care of an injured athlete during a sports activity, care of a minor wound that occur within the athletic setting i.e. bloody nose, abrasion, laceration, care of an athlete with an injury/illness in an athletic setting, cleaning and maintenance tasks associated with body fluid spills, and administration of CPR. 4.1 Certified Athletic Training Staff 4.1.1
According to the UWSP Exposure Plan, employees of UWSP are to report potential exposures to Environmental Health and Safety Office. 4.1.2
The protocol that is followed is outlined in the Exposure Plan under Section 5.2. (5.2.1 – 5.2.4) http://www.uwsp.edu/ehs/policydownloads.htm 4.2 Athletic Training Students 4.2.1
Students should report any potential exposure to the Certified Athletic Trainer. 28 4.2.2
Since athletic training students are not considered employees of UWSP, the protocol outlined for exposure to students will be followed (Section 8.0). 4.2.3
Certified Athletic Training staff will assist the ATS in filling out a UWSP Accident Report for Non‐Employees (Appendix D) and WKC‐8165 "Determination of Exposure to Blood/Bodily Fluids" (obtained through Safety and Health Protection Office). 4.2.4
ATS will be immediately referred to UWSP Student Health Center. Cost of post‐
exposure care will be endured by the student. 4.2.5
ATS experiencing a potential exposure at an affiliated site should inform their supervising athletic trainer but also report the exposure to the Clinical Coordinator. The Clinical Coordinator will refer the ATS to UWSP Student Health Center. 5. Methods of Compliance 5.1 Universal Precautions: All blood or other potentially infected materials will be considered infectious regardless of the perceived status of the source individual 5.2 Engineering controls 5.2.1
Practice controls shall be utilized when practical to eliminate or minimize exposure to potentially infectious materials 5.2.2
After institution of these controls, personal protective equipment should be used 5.2.3
The following controls are used to reduce or eliminate the risk of infection: a. hand washing facilities b. hand antiseptic gel c. eye wash stations d. sharps containers e. biohazard waste container f. sharps container g. autoclave procedure 5.3 Personal protective equipment 5.3.1
The following equipment will be used to reduce the risk of potential exposure: a. gloves b. facemasks c. CPR masks d. goggles e. gowns/aprons 5.3.2
At a minimum, ATS should be provided gloves, goggles, and facemasks at each affiliated site. 5.4 Sharps 5.4.1
The following items will be placed in the sharps biohazard container after contact with potentially infectious materials: a. callous shaver b. disposable scalpel c. glass d. razor blade e. needles 29 Appendix F The University of Wisconsin­Stevens Point Athletic Training Educational Program Policy Statement on Infectious Illness The information contained in this policy statement has been adapted from the Centers for Disease Control and Prevention paper “Guidelines for Infection Control in Health Care Personnel” (1998). It is the responsibility of the ATEP and its affiliated health care facilities to implement measures to prevent transmission of infectious disease, which sometimes warrants exclusion of students from rotation or patient contact. Decisions on educational rotations are based on the mode of transmission and the epidemiology of the disease (Table 3). The term exclude from rotation should be interpreted as exclusion from the health care rotation and from health care activities outside the assigned facility. Students who are excluded should avoid contact with susceptible persons both in the facility and in the community. The educational program administrators and supervising approved clinical instructors should know which infections may warrant exclusion (Table 3). Additional information for educational program administrators and supervising approved clinical instructors can be found at the Centers for Disease Control and Prevention Website. REQUIREMENTS OF UWSP ATEP STUDENTS FOR INFECTION CONTROL 1. All students must complete a physical prior to the start of their education in the ATEP. 2. All students must provide documentation of vaccination records including: MMR, Hepatitis B, and varicella 3. All students must provide an antibody titer for Hepatitis B prior to clinical rotations in the ATEP 4. All student must obtain yearly TB tests 5. It is possible to obtain routine physicals through UWSP Student Health Services if students suspect they have been exposed to various illness or disease GENERAL RECOMMENDATIONS FOR STUDENT RESTRICTION DUE TO INFECTIOUS ILLNESSES 1. Students are required to report personal illness or suspected illness to the clinical coordinator and the student’s supervising approved clinical instructor. The student will not be penalized for exclusion from rotation due to infectious illness; however, rotation requirements must be met once the student has been cleared by an appropriate medical authority. 2. Students presenting with infectious illness will be excluded from rotations until cleared by an appropriate medical authority (MD, DO, PA, or NP) and/or the educational program’s medical director. 3. Clearance for rotation after an illness that required restriction must be obtained prior to resuming the rotation or subsequent rotations. 4. The educational program medical director, program director, clinical coordinator and supervising approved clinical instructors have the authority to relieve students of their rotation requirements due to infectious illness. 5. Students who have signs and symptoms of a transmissible infectious disease should report their condition promptly to the individuals outlined in item #1. 30 6. Students on rotation should adhere to good hygienic practices, especially handwashing and covering the nose and mouth when coughing and sneezing. Table 3. Summary of suggested work restrictions for health care personnel exposed to or infected with infectious diseases of importance in health care settings. Disease/problem
Work restriction
Duration
Conjunctivitis Restrict from patient contact and contact with the patient's environment Until discharge ceases Diarrheal diseases Acute stage (diarrhea with other symptoms) Restrict from patient contact, contact with the patient's environment, or food handling Convalescent stage, Salmonella spp Restrict from care of high‐risk patients. Diphtheria Exclude from duty Enteroviral infections Restrict from care of infants, neonates, and immuno‐compromised patients and their environments Hepatitis A Restrict from patient contact, contact with patient's environment, and food handling Hepatitis B Personnel with acute or No restriction*; refer to state regulations; standard chronic hepatitis B surface precautions should always be observed antigemia who do not perform exposure prone procedures Personnel with acute or Do not perform exposure‐prone invasive chronic hepatitis B e anti procedures until counsel from an expert review genemia who perform panel has been sought; panel should review and exposure‐prone procedures recommend procedures the worker can perform, taking into account specific procedure as well as skill and technique of worker; refer to state regulations Hepatitis C No recommendation
Unresolved issue Herpes simplex Genital No restriction Hands (herpetic whitlow) Restrict from patient contact and contact with the Until lesions heal 31 patient's environment
Orofacial Evaluate for need to restrict from care of high‐risk patients Human immunodeficiency virus Do not perform exposure‐prone invasive procedures until counsel from an expert review panel has been sought; panel should review and recommend procedures the worker can perform, taking into account specific procedure as well as skill and technique of the worker; standard precautions should always be observed; refer to state regulations Measles Active Exclude from duty
Until 7 days after the rash appears
Postexposure (susceptible personnel) Exclude from duty
From 5th day after 1st exposure through 21st day after last exposure and/or 4 days after rash appears Meningococcal infections Exclude from duty
Mumps Active Exclude from duty
Until 24 hours after start of effective therapy Until 9 days after onset of parotitis
Postexposure (susceptible personnel) Exclude from duty
From 12th day after 1st exposure through 26th day after last exposure or until 9 days after onset of parotitis Pediculosis Restrict from patient contact
Until treated and observed to be free of adult and immature lice Pertussis Active Exclude from duty
Postexposure (asymptomatic personnel) No restriction, prophylaxis recommended
Postexposure (symptomatic personnel) Exclude from duty
From beginning of catarrhal stage through 3rd wk after onset of parox ysms or until 5 days after start of effective antimicrobial therapy Until 5 days after start of effective antimicrobial therapy Rubella 32 Active Exclude from duty
Until 5 days after rash appears
Postexposure (susceptible personnel) Exclude from duty
From 7th day after 1 st exposure through 21st day after last exposure Scabies Restrict from patient contact
Until cleared by medical evaluation
Staphylococcus aureus infection Active, draining skin lesions Restrict from contact with patients and patient's environment or food handling Carrier state No restriction, unless personnel are epidemiologi cally linked to transmission of the organism Until lesions have resolved
Streptococcal infection, group A Restrict from patient care, contact with patient's environment, or food handling Tuberculosis Active disease Exclude from duty
PPD converter No restriction Until 24 hours after adequate treatment started Until proved noninfectious
Varicella Active Exclude from duty Until all lesions dry and crust Postexposure (susceptible personnel) Exclude from duty)
From 10th day after list exposure through 21st day (28th day if VZIG given) after last exposure Zoster Localized, in healthy person Cover lesions; restrict from care of high‐risk patients**
Until all lesions dry and crust
Generalized or localized in immunosuppressed person Restrict from patient contact
Until all lesions dry and crust
Postexposure (Susceptible personnel) Restrict from patient contact
From 10th day after 1st exposure through 21st day (28th day if VZIG given) after last exposure or, if varicella occurs, until all lesions dry and crust Viral respiratory infections, acute febrile Consider excluding from the care of high risk patients*** or contact with their environment during community outbreak of RSV and influenza Until acute symptoms resolve
33 STUDENTS IN PREGNANCY ATEP students who are or become pregnant will be required to gain the permission of their health care provider to participate in athletic training clinical duties. All illness/disease policies for students in pregnancy will be in accordance to the guidelines provided by their health care provider. Immunologic changes occur during pregnancy, primarily depression of certain aspects of cell‐
mediated immunity such as decreased levels of helper T cells. These changes permit fetal development without rejection but generally do not increase maternal susceptibility to infectious diseases. Acquisition of infections is of special concern to female health care students of childbearing age for several reasons. Some infections, such as varicella, may be more severe during pregnancy. Transplacental infections with viruses such as parvovirus, varicella, and rubella have been associated with abortion, congenital anomaly, and mental retardation. Other diseases in which the infectious agent may be transmitted to the fetus include CMV, hepatitis B, herpes simplex, influenza, and measles. In addition, certain drugs used to treat or prevent some infections, for example tuberculosis, may be contraindicated during pregnancy. In general, pregnant health care students do not have an increased risk for acquiring infections. Female students of childbearing age are strongly encouraged to receive immunizations for vaccine‐
preventable diseases before pregnancy. Students may also decrease their risk of acquiring infection by adhering to appropriate infection control practices, including standard precautions when caring for all patients. Citation: Centers for Disease Control and Prevention Public Health Service United States Department of Health and Human Services Special Article: Guidelines for Infection Control in Health Care Personnel, 1998 Elizabeth A. Bolyard, RN, MPH, Ofelia, C. Tablan, MD, Walter W. Williams, MD, Michele L. Pearson, MD, Craig N. Shapiro, MD, Scott D. Deitchman, MD, and The Hospital Infection Control Practices Advisory Committee 34 Appendix G University of Wisconsin – Stevens Point Athletic Training Education Program Policy on Athletic Training Student Participation in Intercollegiate Athletics Purpose Many prospective students who express interest in the UW‐Stevens Point Athletic Training Education Program [ATEP] are also interested in participating in one or more intercollegiate sports during their college years. Because the athletic training program has a significant clinical component, often requiring student commitment during afternoons, evenings, and weekends, time conflicts between sport demands and clinical requirements are common. The ATEP is committed to encouraging students to take advantage of the co‐curricular opportunities available on campus, but there is also a commitment to academia. On the other hand, ATEP is also dedicated to making sure that students can graduate on time, fulfill all the requirements for the athletic training major, and have enough quality clinical experiences to enable them to become skilled health care professionals. The following guidelines are designed to help accomplish both of these purposes. Guidelines 1. The intention on the part of a prospective student to participate in intercollegiate athletics shall not factor into the admissions decision for the athletic training program. 2. Students admitted to the athletic training program may participate in intercollegiate athletics, but shall limit their participation to one intercollegiate team during your time at UWSP. 3. Athletic training students who are members of an intercollegiate team shall participate during their team’s TRADITIONAL SEASON ONLY. During the traditional season, accommodations will be made to aid the student’s success in both academics and athletics as long as student continues to maintain the program retention requirements and additional guidelines in this document. Participation during the non‐traditional season must not conflict with athletic training clinical hours and under no circumstances will accommodations be made for athletic participation during the non‐traditional season. 4. During the traditional season, students will still be required to maintain a minimum number of weekly hours in the athletic training facility as agreed upon by the Clinical Coordinator and Approved Clinical Instructor. Students will not be completely excused from their clinical rotations during their athletic season. 5. Athletic training students who participate in intercollegiate athletics must, like all students, fulfill all the didactic and clinical program requirements before they may graduate. All such students are strongly encouraged to consult the program director early in their program since effective planning is crucial to on‐time graduation. 35 6. Athletic training students who participate in intercollegiate athletics must realize that there may be times when academics will have to take the place of athletics (i.e. the student may have to miss a practice to participate in a clinical rotation, a team social event may have to be missed to do an academic requirement) and the student will be held responsible for fulfilling these requirements. 7. If the ATS’ 3rd year in the ATEP and remaining athletic eligibility take place simultaneously concessions for athletic participation cannot be guaranteed. Students may have to miss competitions or practices in order to fulfill your clinical requirements. 8. It is desired that the 3rd year in the ATEP would be free of any athletic conflict since this is the time students will be required to complete the highest number of clinical rotation hours and will get the best time for hands‐on practice of clinical skills. 9. It is recommended all student‐athletes consider a 5‐year academic plan to allow for the 3rd year in the ATEP to be free of athletic conflict. Students with questions regarding this policy are encouraged to speak with the ATEP Program Director for clarification of their concerns. I, _________________________________, have read the student‐athlete policy and understand what is expected of me as an athletic training student. I agree with the policy that is in place and will be able to fulfill the requirements of an athletic training student and student‐athlete. I understand that academics take priority over athletics and there may be times when I will have to fulfill academic requirements in place of athletic commitments. If at any time I fail to maintain the standards required of me as an athletic training student, I realize there will be disciplinary actions and potential dismissal from the ATEP. ____________________________________________ Signature of ATS ____________________________________________ Signature of Clinical Coordinator ____________________________________________ Signature of ATEP Program Director 36