what do ATs specialize in? - -preventing, they can practice
recognizing, managing, and rehabilitating injuries - pay a fee
- doesnt prevent people who are not registered from
calling themselves ATs
when was NATA formed? - -1950
Exemption - -state recognizes that ATs perform
the 6 domains of AT - -1. prevention functions similar to those of other licensed profession
2. clinical eval and diagnosis and allows them to practice
3. immmediate care
4. treatment, rehabilitation, and reconditioning
5. organization and administration professional responsibilites of an AT - --
6. professional responsibility continuing ed
-an educator
- a counselor
what is part of a PPE - -- medical history - a researcher
- physical examp
- height
- weight signs of burnout - -- excessive anger
- body comp - blaming others
- BP - guilt
- cardio exam - being tired and exhausted all day
- orthopedic exam - sleep problems
- high absenteeism
- family problems
the order of a physical exam - -1. brief med hx - self- preocupation
2. observation
3. palpation
4. special tests first step in Oand A for AT - -figure out why the
program is needed and its goals -> mission statement
-> WOTS UP analysis
the state regulations of AT from most to least
restrictive - -1. licensure
2. certification WOTS UP analyiss - -- weaknesses
3. registration - opportunities
4. exemption - threats
- stregnths
- Underlying
licensure - -limits practice of ATs to those who -Planning
have met minimal requirements. (can't call yourself (for existing healthcare porograms
an AT unless licensed)
policies - -clear and accurate written
certification - -does not restrict use of title, but statements that ID basic rules and principles- to
can restirct performance of AT functions to only control and expedite deicsion making
those who are state certified
procedures - -describes the process as to how
registration - -- must register in state before something gets done
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two types of coverage - -facility personnel work conditioning - -intensive rehab offered 3
coverage and sports coverage hours a day, for 3 days a week
facility personnel coverage - -high schools with HIPAA - -health insurance portability and
limited available supervision may be able to provide accountability act.
AT facility coverage only in the afternoons and during - regulates how health care providers share
vacation periods healthcare informationw ith others.
- gaurantee patients have acess to their medical
records
sports coverage - -ideally, every practice and
game should be covered
FERPA - -family educational rights and privacy.
- law that protects the privacy to student educational
the two types of purchasing systems - -direct records.
buy and competitive bid - gives patients certain rights until 18
direct buy - -smaller purchases or emergency parts of the physical exam - -height, weight,
body comp, BP, pulse, vision, skin, dental, ear, nose,
throat, heart and lung function, abdomen, lymphatics,
competitive bid - -for expensive purchases genitalia, maturation index, urinalysis, and blood work
expendable vs non expendable budgeting - - orthopedic screening - -strength, ROM, and
most ATs spend their b udget on expendables stability of various joints
(reusable supplied- tape, bandages)- injury
prevention, first aid
tanner's 5 stages of maturity assessment - -
crucial stages for collision and high intesntiy non
capital vs nonconsumable capital equiment - -- contact sport= stage 3
items used for a number of years
- nonconsumable = things not taken out of AT room-
ice machines, tx tables, combo units liability - -being legally responsible for the harm
- capital equipment- crutches, coolers, training kits one causes another person
what does the hydrotherapy area need? - - negligence - -failure to use ordinary or
GFIs (ground fault interrupters) reasonable care, care that people would normally
exercise to avoid injury
scope of practice - -limitations fo what the AT
can and cannot do determined by individual states standard of reasonable care - -that an
individual will brin g acommonsense appraoch to the
situation and will exercise duty of care- assumes a
work hardening - -intensive rehab offered 8 hrs person of reasonable and ordinary prudence
a day for 5 days a week
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18
duty of care - -that it existed between the - usually ahve 1-5 years to file suit
person and injured person
assumtion of risk - -an AT assumes the risk of
establishing negligence - -- duty of care participating in an activity when he or she knows and
- why the conduct of the defendant fell short of the understands the dangers of that activity and
duty of care voluntarily chooses to expose those dangeers
-the resultant damages (waiver)
tort - -legal wrongs committed against the assumption of risk in a suit - -- asserted as a
person or property of another- also serves as a defence to a negligence suit
deterrant by sending a messageto the community as - the individual assumed the risk by producing the
to what is unacceptable to conduct document signed by that individual or his/her parents
or guardian, providing that the risk of the activity was
known or undertood.
nonfeasance - -"act of omission", the individual - it is very subjective and varies interpretations by
failts to perform a legal duty (ex: failure to refer) courts (esp wit minor)
malfeasance - -"act of commission", the how to reduce risk of litigation - -1. good
indivudal commits an act that is not legally his or hers relationship with athlete and parents
to perform 2. establish specific AT protocols
3. annually review the EAP
4. know patients med hxs
5. doc. all injuries
misfeasance - -an individual improperly does
6. doc efforts to make a safe AT room
something that he or she has the legal right to do (ex:
7. confidentiality of medical records
improper first aid)
8. make sure coaches know protocol of an injured
player
9. have liability insurance
sovereign immunity - -protects the AT. states 10. have detailed job description in writing
that neither the governemnt nor any individual who is 11. obtain written conset of providing healthcare
emploted by the government can be held liable for 12. caution with meds- cannot DISPENSE
negligence (ats mnostly working in colleges)- varies 13. use only therapeutic methods qualified for
from state to state 14. no faulty equipment
15. dont let play unless cleared by physician
16. follow orders of physician ALWAYS
good samaritan law - -been enacted in most 17. known limitaitons of your expertiese
states to provide limited protection against legal 18. use common sense
liability to any individual who voluntarily choooses to
provide first aid, should something go wrong
product liability - -the liabilty of any or all parties
along the chain of manufacture of any product for
statues of limitations - -sets a specific length of damage caused by that product
time that individuals may sue for damages from
negligence
- some states require than an injured miror must file look at p 72 in book - -...
suit at least 3 yeras after the minor reaches an age of
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extended for a lifetime
managed care - -costs of a healthcare - in high schools, insurance kicks in when med,
provider's care are closely monitored and scrutinized rehab, and transportation costs exceed 10,000 not
by insurance carriers covered by other insurance benefits
medical insurance definition - -a contract errors and ommissions liability insurance - -
between an insurance company and a policy holder designed to cover school employees, oficers, and the
in which the insurance company agrees to reimburse district against suits claiming malpractice, wrongful
a portion of the total medicine bill after some actions, errorors and ommisonts, and acts of
deductible is met by the policyholder negligence
general health insurance - -- covers illness, what is 3rd party reimbursements - -primary
hospitalization, and emergency care mechanism of payment for medical services in the
- primary and secondary insurance coverage US. policy holder's insurance company reimburses
health care professionals for services performed
primary insurance coverage - -all medical
expenses are paid for by the institution (instituion Health Maintenance organization (HMO) - --
pays a high premium for this type of coverage) provide preventative measures and limits where the
individual can receive care
- determine feeds using a capitation system, which
secondary insurance coverages - -pays the lmits the amount that will be reimbursed for a specific
remianing medical bills once the personal insurance service
has made its paymenet (most of these require large - permission must be obtained before can go to
prepayments before the isnurance takes effect- antoehr provier
deductible - pay 100% of medical costs as long as go to
approved list of health care proviers (doesnt pay for
anything outside of approved list)
- no deductables, but have a copay
accident insurance - -covers accidents on
school grounds while the student is in attendance or
accidents that occur int eh workplace
- coverage is limited, does not require knowledge of Preferred provider organizations (PPO) - -- also
falut,a nd the amount pay is limited limit where a person can go for treatment
- all costs are paid of go to approved list (90/10), if go
somewhere outside of the plan then it is (50/50)
- agree to pay upfront for procedure
professional liability insurance - -- protects
- pay provide added services more easily at no cost
against damages that may arise from injuries
- pay on a fee for service basis
occurring on their property (general liability
insurance)
- main concernt is whether supervision was
reasonable and if unreasonable risk of harm was point of service plan (POS) - -- combination of
perceived by the individual who was injured HMO and PPO
- covers negligence in a civil case - based on HMO structure but allows people to go
outside of the HMO to obtain services (only with
certain conditions and circumstances)
catastrophic insurance - -- benefits begin when
the expencses have reached 25,000 and then are