Chapter 2: Organizing and Administering an Athletic Health Care Program

©William E. Prentice

OBJECTIVES

When you finish this chapter you will be able to:

• Identify the rules of operation that should be enforced in an athletic health care program.

• Explain budgetary concerns for ordering supplies and equipment.

• Explain the importance of the preparticipation physical examination.

• Identify the records that an athletic health care program must maintain.

• Describe a well-designed athletic health care facility.

Operating an effective athletic health care program requires careful organization and administration.¹⁹ This chapter is intended for the individual who at some point may assume some administrative responsibility for an athletic program, perhaps at a secondary or middle school, or even at a community college or small Division III college. In this case, some understanding of the considerations necessary for operating an effective athletic health care program is essential.¹⁴ As stated in Chapter 1, an athletic administrator's consistent support of and commitment to an athletic health care program can have a tremendous impact on the success of the athletic program.²⁰

This chapter looks at the administrative tasks required for successful operation of an athletic health care program, including facility design, policies and procedures, budget considerations, organizing preparticipation physical examinations, and record keeping.

ESTABLISHING RULES OF OPERATION FOR AN ATHLETIC HEALTH CARE PROGRAM

Every athletic health care program must develop policies and procedures that carefully delineate the daily routine of the program.^4,32 This is imperative for handling health problems and injuries.²³

It is first necessary to decide exactly who will be taken care of in the athletic health care facility. The athletic administrator or school principal must decide the extent to which the athlete will be served. For example, will prevention and care activities be extended to athletes for the entire year, including summer and other vacations, or only during the competitive season? A policy should clarify whether students other than athletes, athletes from other schools, faculty, and staff are to receive care.^15,30 Often legal concerns and the school liability insurance dictate who, other than the athlete, is to be served.¹⁶

Providing Coverage

A concern of any athletic program is to try to provide the most qualified health care possible to the athlete.^5,14 Unfortunately, as indicated in Chapter 1, budgetary limitations often dictate who is responsible for overseeing the health care program for the athletes.²⁵ Ideally an institution hires a certified athletic trainer who is primarily responsible.^1,14 In some cases, schools rely on a nurse to provide care. And in other situations in which there are no athletic trainers or nurses, health care ...