James W. Robinson
Athletic Training Program
2013-2014
Nottingham Athletic Training Center
Room 535
Robinson Athletic Training Staff
Jeff Perry, MS, VATL, ATC
jgperry@fcps.edu
• Office:
703-426-6818
• Cell:
703-932-1950
Deb Cassidy, VATL, ATC
dkcassidy@fcps.edu
Karen Conboy, MS, VATL,ATC
keconboy@fcps.edu
Have both numbers and
Email addresses saved.
Robinson Athletic Training Support Staff
Team Physicians:
Dr. Marc Childress, Family/Sports Medicine, DeWitt),
Dr. Matt Levine, Orthopedics/ER, INOVA Fairfax
GMU AT Student Intern:Sandy Tanloet
JWR Student Aides: Giselle C., Idil Y., Hope O., Alsiha
C., Tyler H.
Related Acronyms
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AED
AT
ATC
ATC/ATR
ATP
DO
Dx
EAP
ECC
LNP
MD
OTC
PA
PPE
Rx
Tx
automated external defibrillator
athletic trainer
certified athletic trainer (not to be used as a noun)
athletic training center/room
athletic training program
doctor of osteopathic
diagnosis
emergency action plan
emergency care card
licensed nurse practitioner
medical doctor
over-the-counter
physician assistant
pre-participation physical exam or “physical”
prescription
treatment
Athletic Trainer Responsibilities
• Prevention of injuries/ re-injury
• Recognition, evaluation, and assessment of
injuries and conditions resulting
• Immediate care of injuries
• Rehabilitation and reconditioning of injuries
• Organization and administration
• Professional development and responsibility
• Visit www.nata.org for more information
Coach as First Responder
Sports First AID and CPR Course
• To be completed once--during first year of
coaching in FCPS. Register on-line and
www.fcps.edu/coach complete online portion
before course date:
• January
• February 12 McLean
• June 23rd Woodson HS
• Concussion Education for Coaches info on
concussion slide below.
Athletic Trainer Coverage
Athletic Training Room Coverage
• The Athletic Trainer will be available for treatments,
rehabilitation, and questions from parents / physicians each
school day afternoon.
• Fall Hours: 12:30 to 7 PM or end of game. Treatment and
rehab before and/or after practice. Note: ATC at FB practice
during live contact drills and play.
• Winter Hours: 12:30 to 8 PM, later on Home Game/Event
nights. Weekends: if scheduled Home Events.
• Spring Hours: 12:30 to 7 PM, or end of games. ATC available
for treatment and rehab before and after practice.
• Note: athletic training meetings are on Wednesday’s and may cause delay
in opening AT Center later than 12:30.
Athletic Event Coverage
An Athletic Trainer is present at all contests below. Please consider that an athletic trainer has
to be on site when scheduling or re-scheduling events (scrimmages, regular and post games)-especially on weekends and vacation periods.
FALL
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WINTER
• Wrestling
Football, home & away,
• Boys and Girls Basketball (all levels)
all levels
• Gymnastics
Field Hockey
• Indoor Track Meets (shared)
Volleyball
• Swim/Dive Playoffs
Cross Country meets
Spring
(shared with FCPS ATCs) • Lacrosse
• Soccer
Cheer Competitions
• Baseball and Softball (on-site, unless only
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Track & Field Meets
Tennis (on site),
Crew regattas (shared)
Please let Athletic Trainer know if ice, supplies, or evaluation of athlete will be
needed before your “post-game” team meeting.
Athletic Trainer Coverage—Travel, Camps & Tournaments
• Utilize the AT for injury evaluations and acute care when
possible. Help make the connection of AT to parent of our
injured athlete if they are available.
• Camps: Since a “standard of care” has been established in
FCPS, any team camp should be covered by an AT if game
like situations are involved. Same for away games,
tournaments, etc.
• If you host a tournament on vacation periods, outside of
normal schedule, or as a fundraiser, the athletic trainer is
paid from the same funds as the officials. If officials paid
by school, then AT is not paid. If officials paid by individual
sport or booster club, then AT is paid. Usually equivalent
of $30/hour. See a Robinson AT for help in arranging AT
coverage at least one month in advance.
Assumption Of Risk
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Participation in any sport presents risk
Not all injuries can be prevented
Catastrophic injuries can occur in any sport
Comprehensive Athletic Training Program care
has proven to influence a reduction in injuries
and severity of injury.
This needs to be presented to parents. You can
add it to any preseason team information you give
them.
Physicals:
 Correct form? (“Revised March 2013” top left, with
VHSL logo, routing box)
 Exam date after May 1, 2013 and signed and stamped
by an MD, DO, PA, or CNP/LNP ONLY
 Appropriate “Cleared” box checked
 Completed with insurance company name and parent
signatures on page 2, and two places bottom page 4.
 Physical is good until June 30 of current school year
 PPE’s at Robinson are scheduled each June. This year June 10,
2014. This is a fundraiser for rams boosters for $50 donations.
Encourage getting PPE early for summer conditioning. Check AT
website for updates. If you know a medical professional (MD,
PA , LNP, EMT, RN, PT, AT) that may want to volunteer, please
have them contact us.
EMERGENCY CARE CARDS
All students participating in athletics must complete the FCPS Emergency Care
Information Form. The coach of each sport must have a copy of every athlete’s
emergency care card at all practices and competitions.
Coaches are advised to keep the emergency care forms in a waterproof container.
The athletic trainer, DSA, or another school administrator may keep the second copy.
The athletic trainer reviews this form and notes any pertinent information such as
allergies, previous injuries, and medical conditions that may be a problem during
athletic participation.
In the event there is a change in the medical status of an athlete during the school
year, (recent diagnosis of asthma for example), a revised emergency care card is
required and all appropriate personnel (ATC, Coach, DSA) must be made aware of
the changes.
The FCPS Emergency Care Card is available to download from the web at:
http://www.fcps.edu/DIT/forms/se3.pdf
Medications
• If an athlete has a systemic condition
that requires the use of an inhaler, EpiPen, glucagon, etc., the athlete must
have that device at practice or game or
not participate.
• If any of your athletes requires
emergency medication, make yourself
familiar with its use.
• If an athlete’s health status changes
during the course of the season (Dx with
asthma, mono, etc.) please notify us as
soon as possible.
• Discourage the use of OTC pain
medications before or during
competition.
Emergency Action Plan Considerations
• EMS should be notified of any upcoming home events
• EMS should be familiar with/have directions to the location of the event
(including entrances to fields, closest gate to field/doors to gymnasiums/weight
room/training room) This information should be coordinated with the 1st and 2nd
responding EMS Stations to the school during the first few weeks of school year.
• Emergency Care Cards for each athlete MUST BE READILY AVAILABLE for EACH
practice and contest, and should include:
– Family phone numbers (home/work/cell)
– Who to contact if parent/guardian is unavailable.
– Any medical alerts (allergies, diabetes, single paired organs)
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Emergency plans should be reviewed prior to each season (or school year) for
each location in use during that season (or school year)
• Write it down. It must be designed with regards to your specific sport, practice
locations, and unique situations (i.e. camps), and discussed with entire coaching
staff prior to 1st practice.
• Inquire about appropriate care/standard of care at camps, tournaments, etc.
that your team may attend. To avoid liability a comparable standard of care
should be available at away camp or tournament. (i.e.: at least an AT on site as
you would have at home event).
School: _____________________________________________
Date: ______________
Coach: ________________________________
Sport: ___________________ Contact Number ___________
Game Site Street Address: __________________________________________________________
Specific directions to game site from nearest major intersection: ______________________________
________________________________________________________________________________
Practice Site Street Address: ________________________________________________________
Specific directions to practice site from nearest major intersection: ___________________________
________________________________________________________________________________
Directions. Please complete and distribute a copy to all members of your coaching staff, the athletic administrator and ATC. Discuss this plan with
your coaching staff. Proper preparation can lead to quick, appropriate action.
______________________________
Where should EMS come to have quick access to the injured athlete?
_______________________________
Who will give primary care to the athlete?
_______________________________
_______________________________
Where is the first aid kit?
Where are the emergency care cards?
_______________________________
_______________________________
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Who calls EMS?
From which cell phone/telephone will the call to EMS be made?
Who will notify the parents that the athlete is being transported to an emergency care facility?
_______________________________
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Who will open any gates or doors for EMS?
Who will meet EMS and direct them to the injured athlete?
Who will travel with the injured athlete to the emergency care facility?
To which emergency care facility will athletes be transported?
_______________________________
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Who will notify the ATC?
Who will manage the rest of the team while care is given to the injured athlete?
_______________________________
_______________________________
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Who will follow-up with the parents?
Who will document the injury?
Who will speak to parent in the instance of catastrophic injury?
Emergency Telephone Numbers
EMS __________________
Certified Athletic Trainer __________________
Emergency Care Facility _______________
Athletic Administrator _____________________
OFF CAMPUS PRACTICE GUIDELINES
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Due to limitations on the number of practice facilities available at each school, FCPS athletic teams are
often forced to conduct practices at sites away from the high school campus. Use this as a guide in
developing an emergency action plan to ensure a safe practice environment.
Identify means of communication in case of an emergency. Land line, cell phone, radio, etc. Ensure there
will be access to this communication device at any time during your practice.
Know where AED is, nearby building. Loaner AED is available from ATC as needed.
Memorize the exact street address of your practice location, as well as nearby landmarks that would aid
an ambulance in finding your location quickly and efficiently.
Have a properly developed emergency care plan
Identify individuals to “flag down” the ambulance in the event of a 911 call. Anticipate from which
direction the ambulance would be arriving.
Ensure that every athlete’s emergency care card is readily available at each practice and competition.
Identify an individual to retrieve the card if needed. Remember that the head coach is often not able to
search for the Emergency Care Card as they must stay with the athlete.
Ensure the practice field is free from any natural or artificial hazards: power pole support lines, broken
glass, metal spikes, etc.
Have readily available a well-stocked first aid kit equipped to handle “typical” sports injuries. Keep abreast
of current practices in first aid care through regular communication with your school’s athletic training
staff. Remember that each coach is required to successfully complete Sports First Aid Course.
Be aware of and prepared to deal with potentially infectious bodily fluids, especially blood. Have readily
accessible adequate materials to properly handle these fluids. Follow the procedures outlined in
“Universal Precautions”, available from your school’s athletic trainers.
Inform your school’s athletic trainer of any and all injuries incurred by your athletes within 24 hours.
Have an adequate amount of ice available for the treatment of acute injuries.
Ensure drinking water is available and accessible to all athletes at all times during practice.
Abide by FCPS Inclement Weather and Heat Guidelines.
Have all approved emergency medications (Epi-Pen, inhalers, etc.) readily available for indicated athletes.
Emergency Plan Flow Chart
Injury
Coach (no AT present)
Athletic Trainer Present
Medical Emergency?
Parent
notification
Coaches
Notified
Non-Emergency
EAP or Provide First Responder Care
AT Follow up
Activate EMS (911)
Physician
Referral
if needed
Notify parents
Note from MD
AT Evaluation
Rehab Program
Initiated
Coach
Who Calls?
Phone access?
Meet EMS
ECC available?
Notify Parents
Physician Referral?
ATC Rehab Program
Initiated as needed
Coach
Return To Practice/Play
Coach
Injury Prevention
As a coach, you probably have more influence and ability to prevent injuries than anyone else.
Some tips and things to think about:
1. Facilities: scan area you practice or play in before each session to look for potential hazards
left behind by others (objects, standing water, etc.).
2. Equipment: in good condition? Is it being used properly? (Headgear worn in wrestling
practice? Helmet on for BP? Warming up or practice without protective eyewear? e.g.)
3. Strength and Conditioning: Every sport. Provide opportunities and teach proper
techniques. Age and skill level appropriate. Gradual increase. Encourage them to get in
shape to play sport--as opposed to playing to get in shape as young “athletes” often do.
4. Encourage proper nutrition and hydration. (provide adequate time to hydrate during
practices)
5. Recognize signs of dehydration, heat illness, and concussion
6. Encourage proper rest/sleep. (Provide enough rest between sessions—2+ hours rec.)
7. Be aware of athletes or team becoming fatigued (i.e. “dead-legs,” unfocused) or stale
8. Recognize injury or overuse patterns (unusual number of… “shin splint” problems in your
sport? ankle sprains? ACL sprains? concussions? Infections? ), then…
9. …Do something about it. Consult with and utilize the athletic trainers. (For example: Can
you incorporate ACL or ankle sprain prevention exercises into your team warm-up?)
10. What else? ___________________________________________________
When Injury Does Happen
You can assist your athlete by encouraging them to…
… Immediately
Breathe! Help to relax, calm down
… Later..Accept responsibility, this happened to you!
… report injury if not obvious,
… be compliant with treatment plan,
… stay involved with team
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Approach the injury as a challenge
Keep a POSITIVE attitude
Be compliant with treatment or rehab plan
Set Goals, (work with AT and Coaches)
Ask Questions
By understanding the injury and what to expect, the athlete
will feel less anxiety and a greater sense of control, which does
enhance the healing process
ACUTE INJURY TREATMENT
RICES
The immediate care of any sprain, strain, or contusion (bruise) is the same.
Please adhere to the following guidelines and apply “RICES” to help prevent further injury or discomfort.
R = Rest - Sometimes there is no substitute for it--allow the injured area to begin the healing process.
This may take one to 10 days, depending on the severity of the injury.
I = Ice - after the initial evaluation, apply ice for 20 minutes.
During the next 72 hours (minimum), apply ice
for 20 minutes or soak the injured body part in ice water for 10 minutes, no more than five (5) times
per day. Apply no heat to the injury during the first 72 hours after the injury has occurred.
C = Compression - apply a “snug” elastic wrap around the injured body part, being careful not
to cut off circulation. Advise not to wear elastic wraps overnight, but keep
the injured body part elevated above the heart.
E = Elevation - keep the body part above the level of the heart whenever possible.
For example,
with an ankle sprain, raise the bottom of the bed 8-12 inches by placing an object between the
mattress and the box spring, under the foot area.
S = Support - support the injured body part if possible (crutches, brace, splint, sling, etc.).
Note: heat application of any kind is not advisable for a recent (acute) injury.
Injury Reporting
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All injuries must be reported to the school athletic training staff asap.
Injuries that cause any time loss from sports participation must be reevaluated by the school athletic training staff prior to returning to activity.
Report every injury or illness occurring on your team to the athletic training staff
Please do not assume the AT was notified by athlete or parent
If AT is not immediately available please email or leave a phone message.
The athletic trainer must also evaluate athletes that are unable to participate in
practice or competition due to injury or illness regardless of doctor intervention.
When an athlete is restricted from participation by a physician, the physician AND
the AT must clear athlete before they can return to participation.
Our goal is to return athletes as soon as possible.
Recommendations on participation status and modification of activity will be
provided.
Return to play decisions are based on evaluation and functional testing by the ATC,
and when appropriate, input from athlete, parents, coach, physician, and team
physicians.
Follow AT recommendations to prevent re-injury or prolong healing process, and
avoid taking on that liability.
When to see the doctor?
When injury occurs a referral to a MD is
warranted when:
• Signs and symptoms indicate probable fracture,
• Possible fracture or complication
• 2nd or 3rd degree sprain (pain level, amount or swelling,
degree of laxity, loss of function, etc.)
• When reasonable progress is not made with rest and
conservative treatment
• Unexplained symptoms, uncertainty, athlete disposition
• When mom or dad say so!
Medical Referrals
• It is best if coaches do not refer kids to a doctor or say things like
“you have to see a doctor.”
• At the same time, do not discourage athlete or parent from seeing a
physician if that’s what they already plan to do. (i.e. While you may
suggest they see us first, Please do not say they “must” see athletic
trainer first).
• Physicians – If athlete goes or are referred by us, they should bring
our “Response Form” to their appointment, or bring in a note from
doctor that informs us of diagnosis, what rehab or treatment the
physician would like, and playing status.
• If do visit MD, PT, chiropractor, acupuncturist, etc., Let us know!
Bring our form to appointment so we may better communicate with
other healthcare professional.
Care by Third Parties
• “In no event shall the medical care of an athlete within Fairfax County
Public Schools facilities involve the manipulation, massage, diagnosis or
adjustment of an injury or condition without the approval of a member
of the Sports Medicine Team.” –FCPS Risk Management
Athletic Trainer—Athlete meetings
Athletes need to meet with ATC before each season to go
over Local ATP, VHSL Policy, and State Law in the following areas:
1. Following AT Center Rules
2. AT Philosophy and Expectations of Athletes
3. Reporting Injury and Illnesses
4. Available treatments/therapy
5. Treatment Cards—Note to away AT
6. Hygiene. Proper cleaning habits; uniform and equipment care disinfecting, water
bottles
7. MRSA etc., Video and “Communicable Diseases and Info Sheet,” etc.
8. Importance of proper nutrition, hydration and heat related illnesses, and sleep
9. Supplements and Steroids ( VHSL Video/Facts plus FCPS Policy)
10. Concussion: Updates, Clarifications, management protocol, etc., ImPACT,
concussion testing for athletes, schedule all freshmen & juniors for baseline
testing, also test students new to school, or if recent concussion, takes 30 minutes
to test a group of 25 to 30.
Other: for Coaches
Each team should have a first aid kit with them during games and
practices in the absence of an AT.
Sign out kits or get yours restocked in the training room. Familiarize
yourself with contents and read directions if necessary. Please don’t
leave in hot or cold car as this can quickly ruin supplies.
Return first aid kits and coolers at end of season.
Clean and store coolers/bottles in TEAM Storage rooms during
season.
Enlist managers, water boys, or athletes to get water ready for
practice or games--including visitors as well. AT will assist.
Return ice chests daily
Please don’t borrow items or equipment from the athletic training
room without asking
FCPS Exposure Control Plan and Training
Coaches are required to complete training and have documentation on file with FCPS
Office of Risk Management.
VHSL rules indicate that there will be blood clean–up supplies at every contest;
Coaches will be responsible for clean up of blood spills on equipment and uniforms.
Please use gloves on both hands to avoid the school getting an OSHA fine
Rehabilitation and Taping
• Athletes are better served if they are
provided a specific rehabilitation
program, which may or may not include
the application of tape as short-term
additional support.
• Tape or brace? If athlete is using it, they
should also be doing Rehab daily. Be
prepared each day to work towards
getting better and not needing to rely on
taping/brace.
• Coaches should not tape injured
athletes—even if you are good at it!
• We stock some braces for convenience
and resale to athletes at cost
• We have the tools and time to work with
athletes on daily basis
• Coordinate with ATC and each athlete
when best time is to perform rehab-before during, or after practice
Return To Play
• Parent, Coach, Family Physician, Athlete,
Administrator, ATC, or Team Physician can
exclude an athlete from participation.
• All 7 of these individuals must agree that
the athlete can and should play
• The role of the Athletic Trainer is also to
make sure athlete is safe to return to
play. AT must “clear” athlete to play
regardless if doctor has also “cleared”
you.
PRE-GAME SEVERE WEATHER ANNOUNCEMENT
This announcement should be read over the public address system at the beginning
of each contest when the National Weather Service (NWS) predicts the possibility
of thunder/lightning in your area, and/or when local conditions indicate severe
weather is possible. The announcement should be repeated at the first indication of
thunder or lightning in the distance.
Announcement
Local forecasts indicate a potential for thunder & lightning storms for this
area. In the event the presence of lightning causes a delay in this athletic
contest, it will be requested that you exit the stadium in an orderly fashion,
and seek shelter inside the school building. All spectators and players
should seek safe shelter within the school building at that time. The contest
will resume 30 minutes after the last evidence of ground to cloud lightning,
please remain in the school until that time.
Clear The Area Order
FCPS Lightning Guidelines indicate when the decision has been made by
the designated individual to suspend the contest due to lightning, the
following clear-the-area order shall be read:
DUE TO LIGHTNING IN THE AREA, ALL INDIVIDUALS SHOULD
RELOCATE TO AN AREA INSIDE THE SCHOOL BUILDING, IN AN
ORDERLY FASHION, AT THIS TIME. (Repeat as necessary)
WET BULB TEMPERATURE RECOMMENDATIONS
Level
FWBT
Duration
Attire
1
Less than 60°
2 hours
Full gear
2
2 hours
Full gear
3
60.1° 65.9°
66° - 74.9°
2 hours
Full gear
4
75° - 76.9°
2 hours, every 45 minutes
of work > 15 minutes of
rest each hour
Remove helmets
unless active in
drill
5
77° - 78.9°
2 hours, every 45 minutes
of work > 15 minutes of
rest each hour
6
79° - 80.9°
7
81° - up
Fluid Consumption
Recommendations
Insist that adequate water be
ingested
Insist that adequate water be
ingested
Never restrict water
consumption
Provide minimum of 2
water breaks per hour
Insist that 4 - 6 oz minimum
water be ingested every 20
minutes
Insist that 6 – 8 oz minimum
water be ingested every 20
minutes
Provide minimum of 3
water breaks per hour
Remove
protective
equipment for
non-contact drills
Insist that 8 – 10 oz minimum
water be ingested every 15
minutes
Remove helmet unless
active in drill, remove pads
(i.e., shoulder pads) when
teaching or non-contact
portions of practice exceed
10 minutes in length
2 hours, every 45 minutes
of work > 15 minutes of
rest each hour
Shirt, shorts only.
Remove helmets,
pads and other
equipment
Insist that 8 – 10 oz water be
ingested every 15 minutes.
Reduce intensity of
activity, no equipment or
helmets
NO OUTDOOR PRACTICE
The Heat Policy
also applies to
indoor practice
Re-hydrate 24 oz for every
pound of body weight lost per
day.
Follow the Heat Policy for
practices conducted indoors
Remove helmet unless
active in drill
RED ALERT DAYS - When the Council of Governments (COG) issues a RED ALERT all outside athletic activities
will be suspended between 11 am and 6 pm unless the air quality improves.
RECOMMENDATIONS:
Replace fluids at a rate of 24 fluid ounces for every pound of body weight lost after exercise.
Encourage athletes to wear light colored, loose clothing during activity in hot weather.
Encourage athletes to wear sunscreen on exposed skin during hot, sunny conditions.
Make readily available an adequate fluid supply to athletes at all times during activity in hot weather.
Recommend replacement of sodium (sports drinks, salty foods) if dehydrated, or with activity over multiple days of heat stress conditions
Discourage athletes from taking caffeine, energy, and/or dietary supplements such as ephedra containing products as they may cause an increase in
dehydration and heat related illness and/or injury.
The following athletes are at increased risk for heat related illness/injury and should be monitored closely or placed on a modified participation schedule
•Individuals poorly acclimatized, overweight, or poorly conditioned
•Athletes having a pre-existing dehydrated state (recent fever or gastro-intestinal illness) or pre-existing heat injury
•Athletes taking certain medications including diuretics, antihistamines, beta blockers and anticolinergics
•Overweight athletes
Nutrition
Nutrition should be a priority
Breakfast / Lunch / Dinner
 EAT ALL THREE!
 Eat Good Calories, AVOID JUNK FOOD!
 60-70% CHO, 20-25% K, 10-15% Fat
Sodium
 Helps avoid cramping
 Sprinkle extra table salt on food
 Eat a small bag of pretzels before practice
Proper Hydration is essential --Top choices
 Good ol’ H2O (WATER), 64
 Gatorade / Sports Drinks
 Chocolate Milk
oz per day!
Nutrition +
• Adequate Sleep is also essential for athletic
performance
• There is no quick fix…real food is far better
than pills or supplements
Supplements :
• are often not recommended for under 18
• are NOT regulated, therefore may be impure,
and contain ephedra, steroids, e.g.
• Don’t make expensive URINE!
ENERGY DRINKS
ARE BANNED by the
VHSL
This is only a Partial
List:
Any new product
sold as an energy or
performance
enhancer is banned
Steroids
• Signs and Symptoms: Severe Acne, mood swings,
aggression, depression, very fast strength gains,
change in physical characteristics, organ damage, and
others.
• Unlawful:
• The consequences for being caught using steroids is 2 years
disqualification from sports. (Virginia state law)
• Are Banned by VHSL, NFHS, NCAA, USOC
• Side Effects are Unappealing and Unhealthy (Can be even be
Deadly)
• Don’t confuse Steroids with supplements or
“corticosteroids”
Hygiene
• Clean Practice Clothes Daily
• Clean and Disinfect Gym Bag(s) or
Item(s) You Use to Carry Shoes & Practice Clothes
• Wash Hands Often(Use Hibiclens if available)
• Avoid touching face, eyes
• Shower After Practices & Games
• Do NOT Share Towels or Personal Hygiene Items
• Report All Cuts, Abrasions or Any lesion that Concerns You to
the Athletic Trainer and/or your Doctor Immediately
• All Cuts, Scrapes, Abrasions or Any lesion of Concern MUST be
Covered and Cleaned Before Practice
• Use ALL of your Rx Meds. Throw away expired meds.
• Keep Finger Nails Trimmed
Play Safe and Clean: How to prevent the spread of communicable and infectious diseases in secondary school sports
Immediately shower after each practice or competition.
Wash all athletic clothing worn during practice or competition daily.
Clean and disinfect gym bags and/or travel bags, if the athlete is carrying dirty workout gear home to be
washed and then bringing clean gear back to school in the same bag (note: this problem can also be
prevented by using disposable bags for practice laundry).
Wash athletic gear (such as knee or elbow pads) periodically and hang to dry.
Clean and disinfect protective equipment such as helmets, shoulder pads, catcher’s equipment and
hockey goalie equipment regularly
Do not share towels or personal hygiene products with others.
All skin lesions should be covered before practice or competition to prevent risk of infection to the wound and transmission
of illness to other participants; only infections that have been properly diagnosed and treated may be covered to allow
participation of any kind.
All new skin lesions occurring during practice or competition should be properly diagnosed and treated
immediately.
Playing fields should be inspected regularly for foreign objects and debris that could cause cuts or
abrasions, and for animal droppings that could cause bacterial infections of cuts or abrasions.
Athletic lockers should be sanitized between seasons.
Rather than carpeting, locker or dressing rooms should have tile floors that can not only be cleaned, but also sanitized.
Wrestling and gymnastics mats should be sanitized daily.
Weight room equipment – including benches, bars and handles – should be cleaned and sanitized daily.
Water Bottles 101
• Bring a case of water bottles with
you to away games as not all
schools will have cups available
• Teach How to properly drink out of
a Gatorade Bottle:
 Do not touch the cap with your
mouth or hands!
 Squeeze the Green part of the bottle
to dispense fluid.
 Place bottle back in the Orange
carrying tray.
 Please Don’t Waste Cups
when available
MRSA: What Is It?
• Methicillin-Resistant Staphylococcus Aureus
• Form of “Staph” Infection that does not respond to
common antibiotics
• Approximately 25-30% of healthy people may carry
staph aureus, and only 1% carry MRSA
• MRSA is Treatable!
• Early recognition and treatment is important
MRSA: What Does It Look Like?
Mild infections may look like a
pimple or boil and can be red,
swollen, painful, or have pus or
other drainage and are usually
mildly infectious and easily treated.
More serious infections may cause
pneumonia, bloodstream
infections, or surgical wound
infections.
Prevention of Skin Infections
☺ Treat Uniforms with Anti-Microbial detergent “FabricAide,” Mats and
equipment with SurfaceAideXL (See AT to arrange this)
 Encourage Proper Hygiene
 Washing hands frequently
 Using alcohol based hand gel when sink is
not available is a good practice
 Clean equipment (helmets, headgear, pads) regularly (i.e. daily)
 LysolR, Clorox AnywhereR, or 100:1 diluted Bleach
 Do not share personal clothes or items
 Wear clean practice and game clothes
 Shower soon as possible after participation
 Any skin lesions must be evaluated by the ATC
 Wash and dry thoroughly any soiled clothes or linens that may have
contacted infected area
 Perform routine skin checks to catch skin conditions as early as
possible
Skin Lesion and Participation?
• Protect your team, remove the athlete with suspect lesion from
participation
• Immediately refer the athlete to the AT
• Do not allow an athlete to participate with a wound that is not covered-whether it is infected or not
• Maintain confidentiality
– Encourage your athletes not to “talk too much,” to avoid rumors about
who may have an infection or skin disorder
Return to Play
• The athlete’s return to play status will be determined by the ATC in
consultation with the parent and treating physician.
• Having an infection does not necessarily mean the athlete will be excluded
from participation for an extended period of time.
Information sheet to hand out to athletes
This form along with others can be found on athletic training web page as well. It does not need to be signed and turned in
as in past since we added this to concussion ed. presentation.
FCPS Athletic Training Program
Communicable Disease Information Sheet
Because most sports involve both physical contact and shared equipment and facilities, athletes have an
increased risk of contracting a communicable disease, particularly a skin infection. Transmission of
disease and skin infection can be minimized when athletes take part in diligent and proper hygiene
practices. Skin infections include, but are not limited to, ringworm (fungal infection), staphylococcus
including MRSA and impetigo (bacterial infections), herpes (viral infections), and conjunctivitis (pink
eye). Most skin infections are treatable by a health care professional, although some forms of skin
infections can not be cured.
Following the guidelines below will reduce the potential for contracting a communicable disease:
 All athletes should shower with soap and water immediately following practices or competitions.
 Athletes should not share clothes, towels, soap, razors, etc.
 Sports equipment in direct contact with skin (helmets, headgear, etc.) should be cleaned and
sanitized after each use using a bleach solution mixed daily or a commercial EPA-approved product.
 All clothes worn during practice and competition should be washed daily.
 All towels should be washed daily.
 Athletes should carefully and thoroughly inspect all areas of their bodies for lesions or signs of skin
disorders daily. This includes the entire scalp area in sports such as wrestling.
 Lesions that are identified during self-inspection are to be brought immediately to the attention of
the coach and the school’s certified athletic trainer.
 Athletes with skin infections must follow the direction of the certified athletic trainer regarding
participation in practices and competition.
---cut and retain the top portion, return lower portion signed to the certified athletic trainer---
Complete the portion below and return it to the certified athletic training staff at your
school.
The undersigned understand and accept the risk of the skin infections associated with
participation in sports. We agree to follow the guidelines provided regarding practicing good
hygiene and reporting all lesions to the certified athletic trainer.
________________________________
Printed name of student athlete
Sport you will participate in this season:
________________________________
Signature of student athlete
____________________________________
________________________________
Printed name of parent or guardian
________________________________
Signature of parent or guardian
Date_______________
MRSA Video
http://www.google.com/url?sa=t&rct=j&q=mrsa%20video&source=web&cd=9&ved=0CFkQFjAI&url=http%3A%2F%2Fw
ww.hibiclens.com%2Fmrsa_video%2Findex.html&ei=m1rFTrO2ITq0gHEh5nfDg&usg=AFQjCNFXNbeBGc7RDVJIxmben7iPr5Li_g
What Was The Main Message In The Fight
Against MRSA?
Concussions
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A concussions is an injury to the brain
Concussions can alter a student’s ability to learn
Concussions can be life threatening
Signs & Symptoms include: Headache, confusion, dizziness, change in
personality, difficulty sleeping, difficulty concentrating, loss of appetite, loss of
memory, and many others.
• Treatment is REST and hydration. Other treatments may be used for cases of
prolonged recovery
• Parents and students need to complete concussion
education each year to comply with state law.
www.fcps.edu/sports
• Coaches need to review concussion education course
each school year before season. Either course below is
acceptable.
– http://brain101.orcasinc.com/4000/
– http://www.nfhslearn.com/electiveDetail.aspx?courseID=15000
– Print certificate for DSA
• Concussion Management Tool
• ImPACT baseline testing helps monitor safe RTP
• Obtain Baseline Results (for all Freshmen & Juniors,
new students, concussion previous year)
• Retest if Injury Occurs
• Video (9 min) students watch
• http://web1.ncaa.org/web_video/health_and_safet
y/concussion/concussion.html
HEAD INJURY FOLLOW-UP
This is a follow-up sheet for the health and safety of your child. Quite often significant signs and symptoms of a head injury do not
appear for several hours following the injury. This fact sheet is to alert you to those signs and symptoms that may not be
readily apparent, but may materialize over time. DO NOT give your child aspirin, Tylenol, Advil, etc following a head injury
unless directed to do so by a physician.
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If any of the following signs or symptoms become WORSE over time, please contact a physician immediately.
Difficulty remembering recent events or meaningful facts
Severe headache
Stiffening of the neck
Mental confusion or feeling of strangeness
Nausea
Irritability
Changes in emotional status/mood swings
Dizziness, poor balance, or unsteadiness
Abnormal drowsiness or sleepiness
Loss of appetite
Continued ringing in the ears
Slurring of speech
If any of the following appear, contact Emergency Medical Services immediately.
Blood or yellowish/clear fluid from nose or ears
Vomiting
Alterations in breathing patterns
Double or blurred vision, photophobia
Convulsions or seizures
Weakness in either arm or leg
Unequal pupils or uncontrolled eye movements
Have healthy season. Good luck!
If you have any questions or need assistance
please
Visit the Athletic Training Center
Thank you.
Visit the Robinson Athletic Training Page or FCPS ATP for more
information. www.robinsonathletics.com or www.fcps.edu/sports