Chapter 3 The Central Training Room Central Training

Chapter 3: The Central Training Room

Central Training Room § A Multipurpose facility designed to accommodate a variety of athletic training needs § The central training room must be easily accessible to both male and female athletes. Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 2

Rules of Operation for and Athletic Healthcare Program § Must develop policies and procedures – Delineate daily routine of program § Define scope of program – Who will be served by program? – Athlete: to what extent and what services will be rendered – Institution: who else can be served medically and educationally and what are the legalities

Providing Coverage § Facility Personnel Coverage – Budgetary concerns may be a limiting factor – What personnel are available? § Sports Coverage – Different institutions (including high schools) have different levels of coverage based on personnel and risks involved with sports

Athletic Training Room Policies § Facility should be used only for prevention and care of sports injuries § Rules must be established in the interest of sanitation § Policies regarding environmental conditions and emergency protocols should also be set

Hygiene and Sanitation § Rules concerning room cleanliness and sanitation must be set and made known to population using facility – Examples • • • No equipment/cleats in training room Shoes off treatment tables Shower prior to treatment No roughhousing or profanity No food or smokeless tobacco § Must adhere to OSHA standards and guidelines

– Cleaning responsibilities are divided between athletic training staff and maintenance personnel – Division of responsibilities – Maintenance crew • Sweep floors daily, clean and disinfect sinks and tubs, mop hydrotherapy room, empty waste baskets – Athletic Training staff • Clean treatment tables, disinfect hydrotherapy modalities daily, clean equipment regularly

Establishing Health Habits for the Athlete § Promotion of good health and hygiene is critical • Are the athletes cleared to participate? • Is each athlete insured? • Does the athlete promptly report injury and illnesses? • Does the athlete follow good living habits? • Do they avoid sharing clothes and towels? • Does the athlete exhibit good hygiene practices? • Does the athlete avoid common drinking sources?

Emergency Telephones § Accessibility to phones in all major areas of activity is a must § Should be able to contact outside emergency help and be able to call for additional athletic training assistance § Radios, cell and digital phones provide a great deal of flexibility

Injury Reports § Injury reports serve as future reference § Reports can shed light on events that may be hazy following an incident § Necessary in case of litigation § All reports should be filed in the athletic training room

Treatment Log § Sign-in to keep track of services § Daily treatments can be recorded § Can be used as legal documentation in instances of litigation § Subject to HIPAA and FERPA regulations

Injury Evaluation and Progress Notes § Injured athlete should be evaluated by an athletic trainer or physician – Record of the evaluation should be kept § If not available, a coach should encourage athlete and parents to set appointment with a local physician for injury assessment, diagnosis and documentation.

Supply and Equipment Inventory § Managing budget and equipment/supplies is critically important § Inventory must be taken yearly in order to effectively keep track of: – New equipment that is needed – Equipment that needs to be replaced – Equipment needing to be replenished

Annual Report § Summary of athletic healthcare function § Can be used to evaluate/recommend potential changes for program § Includes number and types of injuries seen/treated

Budgetary Concerns § Size of budget? ? § Different settings = different size budgets and space allocations § Equipment needs and supplies vary depending on the setting (college vs. high school) § Continuous planning, inventory and prioritizing is necessary to effectively manage monetary allocations to meet programmatic goals

Ordering Supplies and Equipment § Expendable items – Supplies that cannot be reused- first aid and injury prevention supplies § Equipment – Items that can be used for a number of years – Fixed (remain in the training room- ice machine, tables) – Non-fixed (crutches, coolers, training kits) § Yearly inventory and records must be maintained in both areas

Additional Budget Considerations § Other operating costs – Telephone and postage expenses – Contracts for outside services – Purchases relative to liability insurance and professional development Purchasing Systems § Direct buy vs. competitive bidding

Organization § The central training room should be organized for efficient use of the space available. § Ideally, 1200 square feet is suitable § Realistically, most schools have about 400 – 800 square feet. § Should have good lighting for proper exams and treatment Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 18

Organization § Ground Fault Interrupters (GFI) must be used in areas near water. § Must have proper ventilation and heating § Must have telephone access § Great storage space § Office Space Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 19

Facility Design § Design will vary drastically based on number of athletes, teams, and various needs of the program § Size – Varies between settings – Must take advantage and manage space effectively – Interact with architect relative to needs of program and athletes • Existing space or newly designed

§ Location – Outside entrance (limits doors that must be accessed when transporting injured athletes) – Double door entrances and ramps are ideal – Proximity to locker rooms and toilet facilities § Distinct areas – Taping and bandaging – Injury treatment with rehabilitation equipment and/or therapeutic modalities – Wet area (whirlpools, refrigerator, ice machine) – Office space 21

§ Storage Facilities – Training rooms often lack ample storage space – Storage in training room that holds general supplies and special equipment – Storage available in the specified areas of the training room – Large walk-in storage cabinet for bulk supplies – Refrigerator for equipment, ice cups, medicine and additional supplies

Wet Area § Refrigerator, Ice machine, whirlpool and Hydrocollator § Must be separate with special flooring and a floor drain. Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 23

Taping § The taping area is the most used space of the central training room. § Taping area should hold 4 -6 tapping tables § The size and type of tables is up to the athletic trainer on staff. Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 24

Exercise and Rehab § Access to an exercise area in the central training room allows athletes to work out under supervision. § Should hold various exercise machines and weights for rehab purposes. Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 25

Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 26

Staff § Staff varies from school to school § Most HS have one or two staff athletic trainers § Colleges can have anywhere from 1 -20 staff athletic trainers § HS have many student athletic trainers § Colleges have a selection of 10 student athletic trainers per level. Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 27

Central Training Room Rules and Procedures § All injuries are to be reported to the training staff, regardless of severity § Treatments are given only after training staff approval § Treatments are continued until cleared by medical staff Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 28

Central Training Room Rules and Procedures (cont. ) § Athletes are not to treat themselves § No horseplay or improper language allowed § Appropriate dress required: shirt, shorts, shoes § No cleats allowed Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 29

Central Training Room Rules and Procedures (cont. ) § Do not move any supplies without the trainer’s permission § All athletes must sign in before receiving treatment § Return all loaned items to the training room § No food or drink allowed Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 30

Central Training Room Rules and Procedures (cont. ) § No use of training equipment without prior approval § The telephone is not for personal use § Only athletes being treated and their coaches are allowed in the training room § Attend and work at the athletic contests and practices assigned Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 31

Central Training Room Rules and Procedures (cont. ) § Complete daily jobs as assigned § Athletes are not to bring their bags or other nonessential personal items into the training room § Do not leave the training room or office open if no one will be in the training room § Supervise all treatments Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 32

Central Training Room Rules and Procedures (cont. ) § Wear gloves whenever your work might involve contact with bodily fluids § Wash your hands after working with each athlete § Document every injury Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 33

Medical Kit § Supplies include – Adhesive tape – Analgesics – Antibacterial/Antiseptic cream – Antimicrobial hand wipes – Applicators, cotton-tipped – Bandage scissors and/or tape cutters Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 34

Medical Kit (cont. ) § Supplies include – Bandages – Biohazard bags – Cold pack, instant – Contact lens kit – Emergency contact information for athlete – Eyewash, sterile solution Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 35

Medical Kit (cont. ) § Supplies include – Foot powder – Gauze pads, sterile – Gloves, latex – Heel cups – Hydrogen peroxide – Mirror with plastic holder Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 36

Medical Kit (cont. ) § Supplies include – Moleskin – Mouth shield or CPR protector – Pencil and paper – Plastic bags for ice – Roller gauze – Saline solution/eyewash – Scissors Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 37

Medical Kit (cont. ) § Supplies include – Skin lubricant or petroleum jelly – Sling or triangular bandage – Tape adherent – Thermometer – Tongue depressors – Underwrap – Wraps, elastic Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 38

Sharps Container § Sharps equipment includes scalpel blades, razors, uncapped syringes, and needles. Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 39

OSHA § The Occupational Safety and Health Administration (OSHA) establishes federal standards for prevention of work-related injury associated with exposure to bloodborne pathogens. Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 40

OSHA Regulations § Exposure control plan must be on hand. § Staff are trained about bloodborne pathogens. § All exposures are documented and reported. § Personal protective equipment is available to staff. Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 41

OSHA Regulations (cont. ) § Hepatitis B vaccine is offered to all at-risk staff. § There are special containers for biohazardous materials and sharps. § All staff members follow standard precautions. § Proper disinfection techniques are used to clean tools and work surfaces. Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 42