Northside Middle SchoolConcussionPolicy2013-2014

THISCONCUSSIONPOLICYMUSTBESIGNEDANDRETURNEDTOTHECOACH

PERBILLH.3061- CONCUSSIONLAWFORSTUDENTS(EFFECTIVE 6/7/13)

Northside Middle School iscommittedtotheprevention,identification,evaluationandmanagementof

concussions.Perrecentconcussionrecommendationsandlaw,Northside Middle School hasdevelopedaplansoany student-athletewhoexhibits signs,symptomsorbehaviorsconsistentwithaconcussionshallberemovedfrompracticeor competitionandevaluatedbyanathleticshealthcareproviderwithexperienceintheevaluationandmanagementof concussions.Thosestudent-athletesdiagnosedwithaconcussionshallnotreturntoactivityfortheremainderofthatday.

A student athlete who has been removed from play and evaluated and who is suspected of having a concussion or brain injury may not return to play untilthe student athlete has received written medical clearance by a physician.

WhatisaConcussion?

Aconcussionisabraininjurythatmaybecausedbyablowtothehead,face,neckorelsewhereonthebodywithan "impulsive"forcetransmittedtothehead.Concussionscanalsoresultfromhittingahardsurfaceastheground,iceorfloor, fromplayerscollidingwitheachotherorbeinghitbyapieceofequipmentsuchasabatorball.Ifasecondblowisreceived withoutthebrainhealingcompletely(SecondImpactSyndrome),anathleterisksbecomingseverelyimpairedorevendeath.

SignsandSymptoms ObservedbvCoachingstaffAppearsdazedorstunned

Confusedaboutassignmentorposition

Forgetsplays

Unsureofgame,scoreoropponent

Movesclumsily

Answersquestionsslowly

Losesconsciousness(evenbriefly) Showbehaviororpersonalitychanges Can'trecalleventsbefore hitorfall Can'trecalleventsafterhitorfall

ReportedbvstudentathleteHeadacheor"pressure"inhead Nauseaorvomiting

Balanceproblemsordizziness Doubleorblurryvision Sensitivitytolight

Sensitivitytonoise

Feelingsluggish,hazy,foggyorgroggy Concentrationormemoryproblems Confusion

Doesnot"feelright"

EducationandAcknowledgement

Beforebeingallowedtoparticipateinanysport,all student-athletesandtheirparentsmustreadthisdocument,theKnow YourConcussionABCs:FactSheetforParents,andsign theconcussionawarenessstatementatthebottomofthisdocument acknowledgingthattheyhavereadandunderstandtheinformationandtheirresponsibilitytoreporttheirinjuryandillnesses tothe coach or staffcertifiedathletictrainer,includingsignsandsymptomsofaconcussion.

Thestaffcertifiedathletictrainerandcoacheswillberequiredtocomplywiththeconcussionpolicythatisinplace,as wellas completetheNFHSConcussionCourseinaccordancewithSCHSLrules.

ConcussionManagementPlan

Anystudent-athleteexperiencingsymptomsshouldreporttothecoach or staffcertifiedathletictrainerassoonaspossible.Anyathleteexhibitingsigns,symptoms,orbehaviorsconsistentwithaconcussionshallberemovedfromathleticactivitiesbythe certified athletictrainer(orcoachintheabsenceofthecertifiedathletictrainer)andevaluatedbyamedicalstaffmemberassoonas possible.

TheSouthCarolinaHighSchoolLeaguehasdeterminedthefollowinghealthcareprofessionalstobetheappropriatehealth­

careprofessionals:

•CertifiedAthleticTrainer(ATCand/orSCAT)

•DoctorofMedicine (MD)

•DoctorofOsteopathicMedicine(DO)

•NursePractitioner

•Physician'sAssistant(PA)

Anyonenotfittingoneoftheabovedescriptionsisnotqualifiedtodeterminethestatusoftheconcussed student/athlete.

Nostudent-athletewillreturntoplaythesamedaytheysustainaconcussionorpresentwithANYconcussionsymptoms,until clearedbytheappropriatemedicalprofessional.

Whenastudent-athletesustainsaconcussion,his/herparentwillbecontactedassoonaspossibleandbothparentand student-athletewillbefurthereducatedinconcussionmanagement.The"AthleteInformation"portionofthe SCAT2willbe providedtotheparent/student-athlete.

Whenastudent-athletesustainsaconcussion,theywillberequiredtocompleteaSCAT2withthecertifiedathletictraineras soonaspossible.

AfterthefirstevaluationandSCAT2bythecertifiedathletictrainer,thestudent-athletewillberequiredtoreporttothe certifiedathletictrainerdailytodoasymptomcheck.Thestudent-athletewillalsoberequiredtocompletepost-concussion testingthroughConcussionVitalSignsuntiltheyarecompletelyasymptomatic(symptom-free)andthetestreleasesthem basedon theirpre-seasonbaselinetest:

•24hourspost-injury

•72hourspost-injuryandeveryotherdayafteruntilasymptomaticandConcussionVitalSignstestreleasesthe student-athletebasedonpre-seasonbaselinetest.

Whenastudent-athletesustainsaconcussion,thefollowingpeoplewillbenotifiedandwillreceiveinstructionsonhowto takecareofthatstudent-athlete:

•Parents

•HeadCoach

•Student-Athlete's Teachers , Nurse and GuidanceCounselor(mayhavetroubleinclass]

GraduatedReturntoPlayProtocolfortheConcussedAthlete

Thestudent-athletewillbeginthegraduatedreturntoplayprotocolwhenasymptomatic(nosymptomspresent]ANDafter passingtheConcussionVitalSignsPost-ConcussionTesting.Thegraduatedreturntoplayprotocolwillbeconductedand supervisedbythecertifiedathletictrainer. ·

•DayOne:

•DayTwo:

•DayThree:

•DayFour:

•DayFive:

Lightexercise

Intenseexercisewithsportspecificdrills

Non-contactdrillsatpractice

Fullcontactpractice

Fullreturntoplay

Ifthestudent-athletebecomessymptomaticduringanystageofthereturntoplayprotocol,they willreturntodayoneofthe returntoplayprotocolifasymptomaticatleast24hoursafter,untilcompletelyasymptomatic, with appropriate medical clearance from a physician.

Importantinjuryinformation-Alldoctorvisitsthatresultintheathletebeingremovedtemporarilyfromactivity MUSTBEIN WRITINGfromthedoctor'soffice.InorderfortheathletetoreturntoactivityAWRITTENNOTETHATINCLUDESARETURNDATEORTIMEOUTRECOMMENDEDfromthedoctor mustbepresentedtothecertified athletictrainer.Inshort,ifthedoctorsaystheathletecannotplay,thenthedoctor mustgivetheapprovaltoreturn toaction.Onceclearedbythedoctor,thenthecertifiedathletictrainerwilldeterminefinalreturntoplay.

_____ConcussionAwarenessStatement

Ihavereadandunderstandtheinformationprovidedtomeaboutconcussions.Iunderstandthataconcussionisatraumatic braininjuryandthereareconsequences,includingpossibledeath,ifItrytohidethisinjury.Bysigningthisstatement,I understandthatitismyresponsibilitytoreportanysymptomsImaybehaving, or, in the case of the parent, that I observe my child having, assoonaspossibletothestaffcertified athletictrainerormycoach,intheabsenceofthestaffcertifiedathletictrainer.

Parent/GuardianSignatureDate

StudentSignatureDate