Winona State University

Athletic Training Education Program

Athletic Training Student Field Experience Agreement

 

As an athletic training student at Winona State University , I understand that I will have a variety of clinical education and fieldwork experiences. These experiences will compliment my classroom experiences and prepare me for NATBOC certification and an entry-level athletic training position.

 

My clinical education experiences will include: focused learning experiences on and off campus directly supervised by an Approved Clinical Instructor (ACI), experiences with orthopaedic surgeons, physician’s assistants, physical therapists, nurses, and other allied health care providers in medical offices, clinics, and in the emergency and surgery departments.

 

My fieldwork experiences will include experiences with athletes in traditional athletic training settings, practice and game settings. These experiences will be both supervised by an ACI and unsupervised.

 

As an athletic training student at Winona State University :

 

•  I understand that I must always maintain current First Aid (FA) and Cardiopulmonary Resuscitation (CPR) certifications as a minimum and preferably First Responder (FR) certification. ________ (initial)

 

•  I understand that when I am learning and practicing the skills of an athletic training student, I must be directly supervised by an ACI, Clinical Instructor (CI) or Certified Athletic Trainer (ATC). In this situation, the skills that I am allowed to perform are at the discretion of my clinical supervisor. ________

 

•  I understand that when I am in a situation where I am not directly supervised by an ACI or ATC. I may only perform the skills that I am currently certified for (FA, CPR, FR ). I may only continue ice and heat treatments, taping, wrapping, bracing, and stretching that have already been established by an ATC. In acute situations, I may provide first aid, CPR, establish a history and cursory evaluation to safely determine splinting, transportation, or referral to appropriate medical facility or personnel. ________

 

•  I also understand that in an acute injury situation that is unsupervised by an ATC, that I may NOT make a return to play decision. This decision MUST be made by an ATC, other appropriate medical personnel, or a legally acceptable representative of the university. ________

 

•  I further understand that in situations that are unsupervised by an ATC, I may not perform a comprehensive evaluations, direct any NEW treatments or rehabilitation exercises, or use any electrical or ultrasound modalities. ______

 

•  I understand that I willingly have chosen to participate in the athletic training education at Winona State University. I understand that all supervised clinical education and fieldwork experiences are required for successful progression in the program. I also understand that any unsupervised experiences I participate in are voluntary. _______

 

I _______________________________ (athletic training student) understand and will comply with all of the above statements. I have read and understand the Clinical Education Guidelines document.

 

If at anytime I have a question about the skills I may perform in any given situation, I will immediately contact my supervisor, WSU ATC, or WSU Program Director.

 

 

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Athletic Training Student           Date

 

 

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WSU ATEP Program Director         Date