Athletic Training Room Policies and Procedures

Coat Room

A coat and book bag room located across from the men’s locker rooms in the downstairs hallway of Memorial Hall is provided for the use of the Athletic Training Staff. All book bags, coats, rainwear, boots, etc. should be stored in the coat room during hours of operation. The coatroom must be locked at all times. The Athletic Training Room key can be obtained from an ATC/R and will open this door.

Stereo

The 1997-98 Athletic Training Club donated a receiver, CD player and speakers for use in the Athletic Training Room. These are very expensive items and need to be treated with the utmost care. The volume of the stereo should not impair the ability to verbally communicate at normal conversational levels. Music selection should represent a broad range of choices to suit every ones tastes. The supervising ATC/R’s reserve the right to censor music choices.

Computers

The computers are provided for athletic training and athletic insurance purposes. Use of a computer is prioritized for injury tracking, athletic insurance and generating documents for the athletic training program. Student personal use is a privilege. ATS's may use the computer for e-mail, word processing and Internet research during non-peak athletic training times. All personal documents should be saved to a floppy disk and not on the hard drive. All documents not relating to the functions of the Athletic Training Program will be deleted. At all times University policies will be adhered to regarding use of e-mail and the internet.

Library

A small reference library composed of texts, flash cards, CD-ROMs, etc. is provided for staff and student use in the athletic training room. This reference material is used daily and needs to remain available. Therefore, these materials need to stay in the athletic training room. Materials may be checked out overnight but must be returned the next day. Completing the sign out sheet in the library cupboard may check out an item. Remember these materials are provided for everyone so treat them with care.

Keys

At times it is necessary for students to gain access to the athletic training room when an ATC is not available. For this purpose two extra sets of keys are available for the student to check out. It is the student’s responsibility to notify their supervising ATC if they need a set of keys. Contacting an ATC and having the ATC sign out a set to the student may check out keys. The student’s name, date checked out, date returned and the supervising ATC/R’s initials should be recorded. The sign-out sheet and keys are located in the locked drug cabinet. Keys should be returned as soon as the event or need for the keys is completed.

Use of University Vehicles

ATS's will be expected to drive university vehicles to and from outdoor practices and events.

Please follow the guidelines and rules attached to the clipboard in the vehicle. If you have any questions or problems with the vehicle contact your supervising ATC/R immediately!

The vehicle assigned to the athletic training area must be put away each night in the proper location. ATS's will need to fill out a student employment form to be covered under the University’s insurance. ATS’s may be asked to take an athlete to the emergency room or to a physician’s appointment. University vehicles should be used for this. Vehicles should be cleaned and all supplies and equipment should be removed daily! ATS's are expected to drive responsibly and follow all laws.

OTC Medications

Over the counter medications are to be kept secured in the locked drug cabinet. A Team Physician or ATC/R may only administer drugs. When administering medications an instruction card regarding the dosage and warnings should be given to the individual. The following information should be recorded on the Drug Administering Sheet: name, date, medication, amount, dosage and ATC initials. Athletic Training Kits should not contain medications. Small dosage packs may be checked out for travel. A record of administering needs is to be completed at that time.

Equipment Check out

Any equipment issued to student athletes, faculty, or intramural athletes must be checked out. For example: crutches, TENS unit, wraps, braces, etc. Fill out a yellow equipment check out card located in the card file on the counter top in the taping area. Individuals will be charged for any unreturned or damaged equipment.

Supplies

The supply cabinets in the athletic training room need to remain stocked at all times. The ATS assigned to the athletic training room should check the supply level everyday before practices

begin. Items that are low should be retrieved from the supply room. All items that are removed from the storage room should be signed out on the inventory check out sheet. The type, quantity, dates and name of individual should be noted. When receiving supplies the same information should be noted on the inventory check-in sheet. At the end of the month the ATS should enter the information of total supplies checked out and in into the database. When it appears that a supply is running low the supervising ATC should be notified. The key to the storage room is located in the paperwork cabinet.

Stocking Taping Tables

The taping table should be adequately stocked before practices everyday. The necessary supplies will vary with each sports season. The following should serve as a guideline:

1. 1 1/2" 40 rolls

2. Prewrap 6 rolls

3. 3" elastikon 4 rolls

4. lite plast 4 rolls

5. 1" 4 rolls

6. 1" elastikon 2 rolls

7. 2" elastikon 4 rolls

8. 1/2" 4 rolls

9. QDA 2 cans

10. 2 pairs Lister bandage scissors

Athletic Training Kits

Each sport needs to have a well-stocked equipment/supply kit. Black soft-sided kits are to be used only for indoor sports. Out door sports should have a plastic kit. Supplies required for each sport will vary slightly. However, the basic essentials will be the same for all kits. A reference list for supplies is located in Principles of Athletic Training by Arnheim. SAT's assigned to each sport are responsible for constructing and maintaining their kit. When finished stocking a kit it should be reviewed with your supervising ATC.

Equipment needed at Practice

ATS's are responsible for seeing that all necessary equipment is available at practice. Remember you can not do your job if you do not have your tools. Amount of supplies and equipment will vary for each sport. However, these basic supplies need to be on site for each practice:

1. Athletic Training Kit

2. Ice kit: bags, ice cups, wet wraps

3. Water: cooler, cups, water bottles

4. Splint bag: vacuum splints, Sam splints, and knee immobilizer

5. Crutches: sizes to fit all athletes

6. Communication: walkie talkie, phone, cell phone

7. Coach’s injury report

8. * Equipment/padding bag for football

Laundry

All used towels, pillowcases, hydrocollater covers, and elastic wraps must be placed in the laundry bag. This bag should be taken to the laundry room every night before the Athletic Training Room closes. All laundry must be folded before the day’s practices begin. Do not allow towels to leave the Athletic Training Room. The towels should be used for Tx’s only.

Communication Tools

"Walkie Talkies" are provided for communication between practice sites and the Athletic Training Room. The radios are very expensive and fragile and need to have the utmost care. Radios are to be used only for essential communication of the AT staff. When using the radios identify yourself and the site and end the transmission by saying "______ out" so that people know you are finished. At the end of the day the radios should be turned off and plugged back into the chargers located in the locked black storage cabinet.

The cell phone may be given out by an ATC/R for practices or games when there are no other communication devices available. The cell phone is to be used only for essential communication of the AT staff. Do not leave the cell phone out of your site. Be sure to turn on the phone when you receive it. Turn off the phone when you return to the Athletic Training Room. The cell phone should be returned and placed on the charger in the locked drug cabinet when you are finished.

The Athletic Training Room phone is for professional use only. No one may use the telephone for personal reasons without permission. Answer all phone call appropriately: "Winona State Athletic Training Room, this (your name)." Take messages accurately and deliver them promptly.

Modalities

Any electrical modality treatments performed in the Athletic Training Room must have a prescription from an ATC/R and be supervised by an ATC/R.  A prescription and treatment form must be filled out prior to any treatment administered. The prescription should then be placed into the tx log book categorized by sport. Every tx should be recorded on this form with the care giver’s initials. Only students who are properly trained may administer tx’s. You must have your supervising ATC/R evaluate your performance on each modality before giving tx’s. Only students who have successfully completed HHP 393 Therapeutic Modalities may suggest tx prescriptions and must have an ATC/R sign it before giving the initial tx.

Paper Work

Every athlete that receives an injury must be evaluated and have a completed injury report form. Make sure this form is filled out completely and signed by the ATS and a supervising ATC/R. This form should then be placed in the current injury sport file. Once the injury has been successfully treated the form should be filed in the athletes individual file. If the athlete was referred to a physician then a referral form should be completed by the supervising ATC/R and this must accompany the athlete to the appointment. If the athlete is seeing a CMH Sports Medicine Physician then a patient questionnaire and an insurance information form needs to be completed. All corresponding paperwork to the injury should be attached to the original injury report form and filed chronologically in the athlete’s file.

If an athlete is receiving rehabilitation in the Athletic Training Room then a rehabilitation form should be filled out. It should include in proper progression the tx, exercise, stretching etc. with the number of set, reps, and days. The athlete should check mark each day the program is completed. When the rehabilitation is complete this form should be filed with the original injury report form in the athletes file.

Every athlete must complete a green personal data sheet, an emergency information blue card, a physical, and a preseason screening. These forms should be filled in the athlete’s individual file.

Every athlete entering the Athletic Training Room for treatment must sign in on the daily tx log. It is very important that this form be displayed and available for athletes to sign in. It is a very necessary part of record keeping for the Athletic Training Program. These forms should be totaled monthly and placed in the daily tx log file. SportsWare injury tracking software will also be utilized for this purpose. The Co-Head Athletic Trainers will provide specific instructions for use of this software.

Intramural First Aid Guidelines

1.Athletic Training Students employed by the intramural program may only function as first aiders.

2. IM participants may only receive acute care and should then be appropriately referred to the ER or Health Service.

3. No supplies should be given to IM participants. Wound care supplies may be utilized acutely and elastic wraps may be borrowed if the student has no other means available.

4. No equipment should issued to, or used by IM participants. Crutches may be borrowed, but should be returned the next day when crutches may be obtained at the Health Service. Make sure to fill out a yellow check out card if any equipment or supply is issued and they must leave an ID.

5. The Athletic Training Room should not be left unlocked! If you need to leave, put a note on the door indicating your whereabouts.

DAILY CLEANING

1. WIPE DOWN ALL TABLES, CHAIRS, REHAB EQUIPMENT, AND COUNTERS WITH DISINFECTING SOLUTION

2. CLEAN SINK

3. STOCK AND ORGANIZE TAPING CABINET AND TABLES

4. PICK UP AND ORGANIZE KIT AREA

5. RESTOCK KITS AND BLOOD KIT

6. CLEAN MODALITY HEADS AND PADS

7. CLEAN AND WIPE DOWN WHIRLPOOLS, HYDROCS, AND ICE MACHINE

8. MAKE ICE CUPS

9. PICK UP AND EMPTY ICE BAGS

10. WASH, WIPE, AND DRY ALL COOLERS

11. PICK UP CHECK IN AREA

12. FILE! FILE! FILE!

13. WASH AND WIPE OFF CHALKBOARD

14. TAKE TOWELS AND PILLOW CASES TO LAUNDRY

15. CLEAN AND DISINFECT WATER BOTTLES

16. WIPE WALLS ABOVE TABLES

17. ENTER ALL TX AND INJURY REPORTS INTO THE SPORTSWARE PROGRAM ON COMPUTER

WEEKLY CLEANING

1. DRAIN AND CLEAN HYDROCOLLATORS

2. VACUUM UNDERNEATH AND BEHIND TABLES

3. ORGANIZE AND CLEAN STUDENT TRAINER AND PAPERWORK CABINET

4. MOP AND SCRUB HYDRO FLOOR

5. CLEAN OFFICE WINDOWS

6. CLEAN WHITE ICE TUB

7. ORGANIZE WEIGHT RACK

8. FILL ULTRASOUND BOTTLES

9. THOROUGHLY CLEAN ORTHOTRON AND BIKES

10. CLEAN TOPS OF CABINETS, KIT AND COOLER SHELVES

11. AUTOCLAVE INSTRUMENTS EVERY TWO WEEKS OR AS NEEDED.

Athletic Training and Winona State University Athletes

Athletic Training Room Hours

The Athletic Training Room is TYPICALLY open Monday through Friday from 1:30 p.m. until 6:30 p.m. for daily athletic practices and treatments. A daily schedule is posted outside of the ATR . This schedule is determined by the availability of Certified Athletic Training staff. Athletes may not receive ANY treatments or care in the facility unless an ATC is available. The Athletic Training Room will TYPICALLY be open one hour before any PRIOR scheduled event or practice and one-half hour after. Plan treatments accordingly.
IF an ATC is unavailable for evaluations and treatments in the ATR, your coaches and the Athletic Director will be notified of the closing of the ATR. A sign will be posted on the ATR door that announces when an ATC will be available.

Athletic Training Room Policies

1. Report all injuries to the Athletic Training Staff after practice or as soon as possible.

2. Report for all treatments and all doctor appointments on time.

3. Transportation to and from all appointments is the responsibility of the athlete. The Athletic Training Staff will assist you in making arrangements.

4. Do not take any equipment out of the training room unless it is issued and checked out to you. Please check in all equipment when you are finished with it.

5. All special pads are to be kept in your locker. It is your responsibility not to lose them.

6. Do not dress or undress in the training room. Leave any clothing you do not need during treatment or examination in your locker.

7. Do not wear football cleats in the training room. Athletic shoes must remain on the floor and not on the tables! All other shoes must remain in the hallway.

8. Wear gym shorts at all times in the training room.

9. After practice, take a shower before routine treatment of minor wounds, cuts, scratches and before icing.

10. Please help us keep the training room clean. Clean up after yourself.

11. Avoid horseplay, improper language, and unnecessary confusion.

12. If you have no business in the training room, keep out.

Medical Treatment

1. Before seeking medical or dental care for an athletic related injury or condition, confer with the Athletic Training staff. Communication between all facets of your medical care is critical to your participation at WSU. You will be given a form to be filled out by the doctor and returned to the Co-Head Athletic Trainer working with your sport. This information is also very important in insurance processing.

2. WSU has strict Insurance policies and procedures. You must check with the Athletic Training Staff for these policies.

3. Clearance for individuals to return to activity is solely the responsibility of the Winona State University Team Physicians or their designee.

Preseason Screenings

1. All athletes must have a current physical completed by a physician on file in the Athletic Training Room before participating in any practice or competition. All 1st, 3rd, 5th year and transfer students must receive a new physical. This includes any athletes trying out for teams.

2. All athletes must under-go a preseason screening performed by the Athletic Training Staff prior to any practice or competition.

3. All athletes must complete a personal data form and an emergency information card.

Athletic Training and Winona State University Coaching Staff

Communication

The Co-Head Athletic Trainers will make every attempt to facilitate communication with the coaching staff. However at times direct personal contact is not possible. This is wear the Daily Injury Report becomes a vital tool. Head Coaches will be provided with a daily summary of injured players, which will include the injury and participation status. Remember the best communication takes place by both parties. If you have any questions do not hesitate to contact the Co-Head Athletic Trainer working with your team.

The Co-Head Athletic Trainers are in direct contact with the Team Physicians regarding injured players. If you have an athlete who sees a physician and you have a question or concern regarding the status of the athlete please feel free to let the Co-Head Athletic Trainer know so he/she can assist you or aid you in contacting the physician to have your questions answered.

Scheduling

All practice and game schedules need to be given to the Athletic Director or SWA five weeks prior to the first practice to allow for scheduling of a certified athletic trainer (one of the Co-Head Athletic Trainers or a part-time ATC/R if necessary) and the appropriate student staff. Any changes in the schedule must have a five-day notice to the Athletic Director or SWA for the Athletic Training staff to be scheduled and provide athletic training services to your team. Athletic Training Students MAY NOT work at a practice or event WITHOUT an ATC/R. If a student does so, he/she will be removed from the Athletic Training Major. PLEASE do not schedule practice changes through a ATS or ask a ATS to work a practice that has not been scheduled through the AD. All practices on breaks, holidays, and non-class days must occur concurrently or in succession, this should be coordinated with the AD.

Part-time Staff

Winona State University has a joint appointment contract with Winona Sports Medicine (CMH) to provide Athletic Training Services. As part of this agreement CMH has agreed to supply Winona State University with half-time Athletic Training services that will be scheduled by the Athletic Director or SWA. CMH Athletic Trainers will staff this part-time position. Throughout the year you will see these individuals at your practices, games and in the Athletic Training Room when the Co-Head Athletic Trainer(s) are not available or when multiple events dictate. These ATC/Rs serve the University in the same capacity as the Co-Head Athletic Trainers. Every attempt will be made to make sure you know who these individuals are and when they will be providing service.

Medical Emergencies (911)

***911 should be contacted immediately in the following situations***

Elbow Dislocation
Femur Fracture
Unconscious Athlete
Compound Fracture
Ankle Dislocation
Internal Injuries (Spleen…)
Cervical Spine Injury

Medical Conditions that may be transported by WSU staff to the CMH Emergency Room

Lacerations needing suturing
Finger Dislocations
Wrist/Hand/finger fractures or dislocations
Fibular/ankle/toe fractures or dislocations
Shoulder dislocations
Conscious Head Injuries (concussions)

Medical Conditions that will be referred to a Sportsmedicine Physician

ACL Ruptures
Any type of 2-3 degree ligament sprain
Any type of dislocation
Neurological Conditions (disc injuries…)
All concussions
Eye Injuries

***If the situation is an emergency the athlete will be transported to CMH E.D. and then properly referred. If possible and appropriate, the athlete will be transported to Winona Eye and Vision.

Dental Injuries

***All dental injuries will be referred to an available dentist or to the E.D. if necessary.

Modality Policy and Procedures

The Winona State University Athletic Training Program currently possess multiple therapeutic modalities intended for the treatment of Winona State University student-athletes and as tools in the instruction of modality principles and practices to students accepted into the Athletic Training Educational Program. Any use of the therapeutic modalities at Winona State University must be done so under the direct supervision of a staff Certified Athletic Trainer.

Modality Calibration

All Winona State University electrical modalities are calibrated annually by a certified calibration technician contracted by Winona State University . Calibrations are typically completed in July of each year prior to the return of accepted athletic training students and student-athletes to campus for Fall athletic camps.

Modality Problems and Repair

Any problems identified by athletic training students or staff with any electrical modality should be reported to one of the Co-Head Athletic Trainers immediately and that modality removed from use until the problem is corrected. If the electrical modality requires further repair then what can be accomplished on site, the Co-Head Athletic Trainer will contact the contracted technician for instructions on shipping the modality to the appropriate location. For more specific trouble shooting information please refer to the specific modalities Operating Manual located next to the unit.

Athletic Training Student Use

Pre-admitted and admitted athletic training students who have completed an in-service on the proper application of ultrasound and electrical stimulation units and have a current modality prescription form filled out by a staff certified athletic trainer in hand may apply the modality to a student-athlete under the supervision of a staff certified athletic trainer. Athletic training students who have completed HERS 393- Therapeutic Modalities, may complete a modality prescription form for a student-athlete recommending the use and suggested parameters for treatment. Prior to the onset of this new treatment protocol the form must be approved and signed by a staff certified athletic trainer. NO electrical modality may be performed on a student-athlete without the direct supervision of a staff certified athletic trainer.