Athletic Training Policies
MU INTERCOLLEGIATE ATHLETICS
ELIGIBILITY FOR ATHLETIC PARTICIPATION
Before any athlete begins participation with an athletic team they must meet the following standards:
- All athletes participating in Intercollegiate Athletics must have updated their SportsWare file and had a physical examination performed within the guidelines established by Health Services and the NCAA before their first practice.
- All athletes must have a signed Athletic Insurance Policy Card on file before they may practice.
INSURANCE: ATHLETIC ACCIDENT INSURANCE
The Athletic Department carries athletic injury insurance for the athlete's protection in case of injuries sustained during supervised practice or games. Medical expenses are reimbursed on an excess basis over any payable Group Insurance.
- The first $1,000 is the responsibility of the student, his/her parents or their insurance carrier. Our policy will not duplicate any benefits payable by the athlete's own insurance.
- The University policy becomes primary coverage after the $1,000 deductible if there is no other collectible Group plan in force.
PREVIOUS MEDICAL CONDITIONS
Financial coverage will be provided (if costs exceed $1000.00) for any injuries received during intercollegiate practice or competition. Health Service physicians will recommend professionals to athletes with previous problems upon request (For example: gynecologist, urologist, podiatrist, etc.). However, the Athletic Department IS NOT financially responsible.
- Any previously incurred medical condition will not be covered.
- Failure to report such previously incurred injuries or illnesses relieves the Athletic Department of all liability, in the event the athlete sustains a subsequent injury or re-injury to the affected part, provided the original injury was a contributing factor to the subsequent injury in the opinion of the Team Physician.
- Loss of one of any paired organ, (eye, kidney, testicle, etc.) shall disqualify one from participation on any intercollegiate team sponsored by the Athletic Department unless the athlete receives written permission to participate from the Team Physician and has signed a waiver outlining the potential consequences of injury to the remaining organ.
HEAD COACHES RESPONSIBILITY
In order that the athletic medical staff be informed at all times with regard to the student-athlete, it will be necessary for the head coach to strictly adhere to the following guidelines:
- Delivery of a roster of their team listing email address and school M number for each athlete to the athletic trainers.
- Any deletions and additions to the approved roster made during the sport year must be reported to the athletic trainers immediately.
- It is the Head Coaches' responsibility to assure that all athletes on their roster have medical clearance prior to athletic participation.
- The Team Physician is in charge of the medical program in the Athletic Department. The University Athletic Trainers assist them. Decisions regarding the availability of an athlete for practice or game competition shall be the sole responsibility of the M.U. athletic medical staff.
- Athletes desiring medical attention other than that provided by the Millersville University Medical Staff for injuries may do so. Athletes who seek non-referral medical care must be cleared by the Millersville University Athletic Medical Staff prior to returning to athletic participation. In addition, written and/or verbal consultation must be received by the Athletic Medical Staff from the non-referred physician.
- Coaches' are prohibited from making medical appointments for a Millersville University athlete without the consent of the athletic medical staff and/or informing a PROSPECTIVE student athlete that Millersville University will be responsible for medical services for injuries NOT incurred at Millersville University.
- Emergencies: In instances of emergency and when the Athletic Medical Staff cannot be contacted, the athlete may obtain medical attention on his/her own. However, the Athletic Medical Staff must be notified by the athlete or coach the following day.
The Athletic Department will not be responsible for payment of medical expenses for athletes in the following circumstances:
- Injuries incurred from some activity other than one supervised by our own coaches.
- Any required surgery where the medical condition is not a condition of athletic participation. (e.g. appendectomy, pregnancy, etc.)
REFERRAL POLICY for INTERCOLLEGIATE ATHLETES TO SPECIALISTS
- Except for an emergency, all referrals for intercollegiate athletes should be made through the Health Services by having a Staff Athletic Trainer consult with the Medical Director.
- In an orthopedic emergency, or at a time when the Medical Director is not available, referral should be made to a board certified orthopedic surgeon, preferably those that have a direct interest in the care of athletic injuries.
- In other types of emergencies, or at a time when the Medical Director is not available, referral should be made to a specialist who is board certified in their particular area.
- If a board-certified specialist is not available at the time then referral to Lancaster General, or Lancaster Regional Emergency Room is appropriate.
- If an emergency occurs out-of-town, and it is necessary to see a physician immediately, consult the physician on site or transport to the nearest emergency room via ambulance or car, whichever appropriate. The athlete and/or coach should notify the athletic medical staff as soon as possible or the following day.
- An athlete's right to choose the physician of their choice or of their parent's choice will be respected, but then he/she assumes total responsibility for his/her care. In addition, written and/or verbal consultation must be received by the Medical Staff from the non-referred physician.
- The Athletic Department carries athletic injury insurance for the athlete's protection in case of injuries sustained during supervised practices or games. Medical expenses are reimbursed on an excess basis over any payable Group Insurance. The first $1,000 is the responsibility of the student, his/her parents or their insurance carrier. This policy will not duplicate any benefits payable by other Group Insurance. However, the University policy becomes primary coverage after the $1,000 deductible if there is no other collectible Group plan in force.
- Coaches shall not interfere with medical care in any way. Treatment will be provided by the athletic trainer, Health Services' staff or consultants selected by them. If any coach is dissatisfied with treatment, then they should discuss this with their respective Athletic Director who will in turn address the Medical Director.
- Promises that medical payment will be provided should not be made by any member of the coaching staff. If there are any questions in this regard, direct them to the staff athletic trainers or to the Health Services' secretary.
- Any intercollegiate athletic injury deemed severe enough to incur $1000.00 in medical bills should be reported to the Health Service secretary as soon as possible after the injury. Failure to do so may result in long delays in payment or denial of payment.
- The Medical Director will reserve the right of final decision regarding the availability of Intercollegiate Athletes for play.
The Athletic Department will not be responsible for any medical charges incurred by an athlete upon completion of his/her athletic eligibility unless those charges are for further CONSULTATION OF AN INJURY SUSTAINED WHILE ACTIVELY ENGAGED IN A SANCTIONED INTERCOLLEGIATE SPORT.
ATHLETIC TRAINING ROOM FUNCTION
To assist all Millersville University Intercollegiate athletes in the prevention and care of athletically associated injuries.
These will be the areas for sport treatments:
- Morning treatments for all University athletes in the will be conducted in the Pucillo Athletic Training Room.
- Afternoon treatments will be conducted in the Stadium and Pucillo Athletic Training Rooms depending on seasonal sport needs.
- Treatments of athletes in these facilities will be conducted by athletic training staff personnel only.
ATHLETIC TRAINING ROOM HOURS
- The athletic training facilities are available for use for all athletes during working hours as set by each athletic training room. Arrangements for use of rehabilitation equipment will be made on an appointment basis through the athletic training room personnel.
- The athletic training room will be open approximately 20 minutes following the end of organized practice (if the time is outside normal working hours).
- Athletic Training room personnel are not responsible to remain for athletes wishing to work out on their own or who are unsupervised.
ATHLETIC TRAINER COVERAGE FOR PRACTICE
- All scheduled practices will be covered by athletic training room personnel ONLY AFTER 24 HOURS notification by the coaching staff or athletic director. We will not accept notification from anyone else.
- Weekend practices will be covered after (2) day's notification by the coaching staff only. This means notification by Thursday morning. Notification respecting these time limitations will guarantee athletic training room personnel coverage.
- If the team members have not showed up by the time practice is scheduled to start then the student or staff athletic trainer will leave.
The athlete is responsible for insuring sufficient time for any pre-practice taping, treatments or evaluations. Athletes will be dealt with on a "first come first serve" basis in conjunction with the respective practice times. Emergency situations will be given top priority.
ATHLETIC TRAINING COVERAGE FOR NONTRADITIONAL SPORTS SEASONS
Athletic teams participating in nontraditional practices should adhere to the following guidelines to assure athletic training coverage:
- Practice and competition schedules need to be forwarded to the athletic training staff at least 2 weeks before the start of the practices to assure adequate coverage.
- Practices should be scheduled during normal hours when the athletic training room is staffed.
- Practices outside the normal hours should be scheduled when an inseason sport is practicing or competing.
- Practices outside these parameters will need prior approval by the athletic training staff for coverage.
- Weekend practices - If a weekend nontraditional practice is held during an inseason competition and that competition is postponed or cancelled then the nontraditional practice will not be covered.
- Any team wishing to practice outside these guidelines without athletic training coverage will need permission of the Athletic Director to do so.
POLICY ON NEUTRAL SITE PRACTICES AND COMPETITIONS
This policy will address situations which include the on campus hosting of two intercollegiate teams, in which MU is not involved, for the purpose of neutral site competition or a MU team playing or practicing at a neutral site at which there is not a designated host institution.
Visiting Teams - MU as a Neutral Site
Teams practicing at Millersville University are advised to bring a certified athletic trainer to provide care for their athletes. In the case of two outside team's competing at MU it is advised that one team should travel with an athletic trainer who would act as host for that competition. If this cannot be arranged then MU may provide coverage, with suitable compensation paid to the athletic training staff member. This arrangement in no way will detract from the normal coverage provided to MU athletes.
Neutral site practices and competitions have the potential for putting the MU student athlete at greater risk for a number of reasons.
- No guarantee of adequate medical coverage
- Unknown contact procedure for EMS, unknown transit time
- Unknown hospital location
- Unfamiliar layout if a need arises to direct EMS to location
- Access to water and/or ice
- Unknown hazards inherent to facility
Off Campus Neutral Site Practice
A team intending to practice at a site that does not have a host responsible for providing athletic training services may do so only under the following conditions:
- The Coach takes full responsibility for health and safety of athletes
- Prior approval of the Athletic Director and Athletic Trainer
- Coach is familiar with local EMS contact numbers and hospital location.
- Ensure that an AED is onsite or bring one from MU if available
- Ensure that water and ice will be available. (either on site or transported with team)
Off Campus Neutral Site Competition
A team intending to compete at a site that is not responsible for providing athletic training services may do so only under the following conditions:
- Determine if a Certified Athletic Trainer can be provided for event
- If no ATC is available then prior approval of Athletic Director and Athletic Trainer is needed
- Coach is familiar with local EMS contact numbers, site and hospital location.
- Ensure that an AED is onsite or bring one from MU if available
- Ensure that water and ice will be available. (either on site or transported with team)
TREATMENT OF NON-INTERCOLLEGIATE ATHLETES
Treatment of non-intercollegiate individuals may be done on a referral basis from their own physician. Athletic training room personnel reserve the right to refuse facility/equipment use of non-intercollegiate athletes.
TRYOUTS FOR ATHLETES NOT CURRENTLY ENROLLED
Students trying out who are not currently enrolled at Millersville University must meet the following criteria:
- Signed waiver of liability, by parent or guardian if a minor.
- Show proof of medical insurance.
- Show proof of a physical within the last 6 months.
The coach of the team that the student is trying out for must present this information to the athletic training staff at least one week prior to tryouts for approval. Failure to do so disqualifies that student from trying out.
HIGH SCHOOL EVENTS
These events will not be covered by athletic training personnel unless prior arrangement is made with the athletic training staff. Services offered will be only of a first aid nature and with the staff member compensated for the coverage. This arrangement in no way will detract from the normal coverage provided to MU athletes.
SPORT CAMPS AND FUND RAISING EVENTS
Coverage of sport camps and/or fun raising events is not the duty of the athletic training staff. Coverage of these events will be compensated for by the camp director or event organizer. The use of athletic training supplies will be reimbursed to the athletic training budget.
RECOMMENDATION FOR PREGNANT ATHLETES
In the interest of maintaining the good health of women participating in athletics, the Athletic Training Program makes the following recommendations in the event of pregnancy:
- That an athlete who suspects she is pregnant has this verified as soon as possible by a physician of her choice. She should avoid all medications and x-rays until certain she is not pregnant.
- That continued participation in athletic activities during pregnancy is evaluated by the athlete's physician.
- That the athlete's active participation, particularly in contact sports, be discontinued at the end of three (3) months of pregnancy, or as recommended by her physician.
- That the athlete notify her Coach, Athletic Trainer and/or Team Physician of the pregnancy as early as possible, regardless of whether the pregnancy will be carried to term or terminated. *
- That if the athlete miscarries or chooses to terminate the pregnancy, she should not return to participating in athletics until such participation is approved by her physician.
*An athlete is not required to inform a Coach, Athletic Trainer or Team Physician of a pregnancy, termination of pregnancy, miscarriage, or recovery there from; however, doing so may be in the athletes' best interest. If an athlete does notify her Coach, Athletic Trainer and/or Team Physician of her pregnancy, such persons will not notify anyone else of the pregnancy unless the athlete gives her prior consent to such notification.
BLOOD-BORNE PATHOGEN POLICY
New policies have been developed to protect health care workers from blood-borne pathogens. The blood-borne pathogens of main concern to athletic trainers are HIV and Hepatitis B. Athletic trainers can be exposed in a variety of ways; including open bloody wounds, vomitus, saliva from spitting, and blister serum. So it is imperative to practice preventative measures to protect ourselves.
OSHA (Occupational Safety and Health Administration) has developed federal regulations for employees whose jobs may put them at risk to blood-borne pathogens. Also, the NCAA is developing rules per sport for athletes who may be bleeding. These rules are to be carried out by the officials and the medical personnel to protect the athlete, teammates and opponents. The PSAC has released policies and procedures for the handling and treatment of blood. These are all guidelines that need to be followed.
OSHA requires each work place to develop and keep on hand an exposure control plan. (Each athletic training room has a copy; also a copy of federal regulations) The exposure control plan lists and defines training of staff, staff duties, documentation of exposure, personal protective equipment and various other items.
OSHA also regulates that all employees who are at risk of exposure to a BBP must be offered the Hepatitis B vaccinations. If the employee declines, a written statement must be signed, however if the employee changes their mind, they may still receive the vaccination.
Special containers should be available for bio-hazard waste only. These containers should have a labeled red biohazard bag within for proper waste disposal. The container must also have a proper red biohazard label. Bio-hazard materials include bloodied gauze, Band-Aids, and latex gloves. Each facility should also have a red plastic container for sharps equipment. Sharps equipment includes, scalpel blades, razors, uncapped syringes, and needles.
If you are exposed to a blood-borne pathogen, it is advised to take proper precautions. Wear latex gloves when exposed to any body fluids. This offers some protection between you and the wound or fluid. If a glove should tear, replace it immediately. Also change gloves if worn more than ten (10) minutes. Some gloves may be slightly permeable; so two layers may be worn.. After use, carefully remove the gloves and discard in a biohazard waste container or bag. Hands should also be washed thoroughly after wearing latex gloves and handling blood products.
The contaminated area (treatment table, counter top, floor or court) should be cleaned thoroughly to help rid of contamination. Some sources recommend using a 1:10 to 1:100 bleach-water solution, but this needs to be made daily to be effective. We will use "Cetylcide" to clean and decontaminate tables or infected areas. Tables and counters should be cleaned with the solution every day even if it has not been infected.
When cleaning an area, it is advised to wear latex gloves, and absorb the fluids with paper towels - not terry cloth towels. Discard the towels in the bio-hazard waste container or bags. Saturate the area with disinfectant. Allow to soak ten to twenty minutes if possible. And clean up with another paper towel (with rubber gloves). This should also go in the bio-hazard bags. Again, wash hands thoroughly.
These are the main precautionary preventative guidelines set by OSHA. If followed, the risk of exposure to blood-borne pathogens is decreased.
MINIMUM PSAC PROCEDURES FOR HANDLING THE CLEANING
AND TREATMENT OF FACILITIES AND ATHLETES EXPOSED
TO BLOOD OR BODY FLUIDS
Because of the on-going concern for the spread of blood-borne pathogens, it is strongly recommended that every institution be in compliance with the standard of Universal Precautions as defined by the Occupational Safety and Health Administration. The standard requires employers to establish a written exposure control plan, identifying workers with occupational exposure to blood or other infectious material. It calls for engineering controls, specific work practices, personal protective equipment, housekeeping and laundry procedures as well as providing vaccination and training opportunity. It is for this reason that minimal standards are being established for competitions in the PSAC conference.
The following recommendations on policies and procedures concerning facilities and equipment should be made available to all athletes and medical staffs who engage in athletic events in the PSAC, whether it be conference or non-conference competition:
- It shall be the responsibility of the medical staffs of each university to treat student athletes with bleeding injuries. Guidelines and precautions in the treatment of bleeding injuries and the transmission of blood-borne diseases can be found in the current NCAA Sports Medicine Handbook.
The following is a summary of information available at this time, and it shall be the responsibility of the Host School's Medical Staff to adhere to the following procedures and to provide the following equipment and facilities:
- Prepare and have available the appropriate disinfectant needed to deactivate blood-borne pathogens on mats and playing surfaces, as well as the appropriate surfaces in the athletic training room. This includes but is not limited to alcohol or the proper diluted solution of 5.25% sodium hypochlorite (bleach). However, it is recommended that we not use bleach solution to clean surrounding skin areas or uniforms as it may in the case of acne or other skin lesions cause cellulitis, burning or respiratory problems and or destruction of uniform fabrics. Further, current information from the CDC and other research sources indicates that unless the bleach solution is mixed the day of use, and left in contact with the body fluid for 10 minutes or more, it's actual worth is in question. Where commercial solutions are concerned, they must be safe by EPA standard with an MSDS that specifies that they are at least bactericidal and virucidal. This means that they will kill HIV as well as tuberculosis, which is being used as a surrogate standard until a disinfectant can be tested against the virus that causes Hepatitis B. Some examples would be but are not limited to SaniDEX wipes, Virahol, or Lysol I.C. aerosol. However, at the present time there is not a known solution that has been approved for surface cleaning and also for skin and uniforms. For these reasons we are recommending that a mixture of 1/2 part 70% isopropyl alcohol and 1/2 part hydrogen peroxide be made available for the cleanup of blood or body fluids. This solution still needs to be in a colored spray bottle to prevent the breakdown of the peroxide. It is also recommended that SaniDEX wipes or an equivalent still be carried by individual athletic trainers to clean the surrounding skin areas of bleeding and non-bleeding athletes.
We realize that like a bleach solution, what we are recommending may not in all cases deactivate a blood borne pathogen if present. However, this solution will help accomplish our goal for a minimum standard, and it will be safe for the athlete. It will also assist in the cleaning of uniforms that are spattered but not saturated. A saturated uniform (which is defined as a spot of blood or body fluid 2" X 2" and that has soaked through the fabric) should be changed in every case.
- The host school shall, at the earliest possible time, be responsible for disposing of blood on the mat or playing surface. Towels or other items used to accomplish this shall be correctly disposed of or at least not reused until property treated and cleaned.
- Properly labeled and designated Biohazardous Waste Receptacles shall be available at each bench as well as in the locker room for football games. Visiting athletic trainers shall also have access to a sharps container as needed.
- Bleeding injuries shall be mason for halting competition for treatment. The athlete shall not return to mat or playing surface until bleeding has ceased and surrounding skin area, mat or playing surface has been cleansed of all blood residue. Furthermore, the opponents (especially wrestlers) should be examined by their respective medical staff personnel, and property treated and cleaned if blood is found on the skin.
- Proper disinfection and procedure shall be used to clean wounds, i.e. Alcohol, Betadine, Bactine, etc., and covered with a sterile dressing. Also, surrounding skin areas with blood spillage present shall be cleaned with proper solution both on bleeding and non-bleeding athletes.
Revised & Approved by PSAC Athletic Trainers: 3/1/95