Facility Management Rankin Ch. 6 Ray Ch.. Policies and Procedures Supervision of Students ( in some programs) Scheduling / duties Fund-Raising Multisite.

Facility Management

Rankin Ch. 6

Ray Ch.

Policies and Procedures

Supervision of Students ( in some programs)

Scheduling / duties

Fund-Raising

Multisite communication

SAT Organizations

Policies and Procedures

• Policies : basic framework (what and why)• Procedure: process by which something is

accomplished (how)• These should address:

– Population served– Appropriate use of facilities– Job descriptions of staff– Supervision

Job Descriptions

• Expected, allowed, disallowed duties of employees

• Protects from confusion about responsibilities, provides for smooth operations, protects from legal complications (how)

Partial Example Job Description• Direct the program of prevention, treatment and

rehabilitation of athletic-related injuries for all M & W athletics

• Supervise FT ATCS• Administer emergency care and make referrals• Supervise SAT in clinical experience and assist program

director with SAT assignment to specific duties• Manage budget and arrange for purchase of equipment• Coordinate team physicians and subsequent duties• Other responsibilities as assigned by Athletic Director• ….

Population Served

• Type of patient varies with settings

• Sports Medicine clinic

• University ATR

• High schools– Issue of treating minors

• Industrial Settings

Consider…

• Legal Responsibilities

• Policies and procedures of institution

• Patient Rights

Facility Usage

Principles of operation = Common sense• Confidentiality• Sterile procedures • Respect for patient• Staff feelings towards /about a patient will not

affect care

In other words, you should start from the same outlook as any other health chare facility

Usage

• By who? For what purpose?– Athletes / patients– Students: clinical lab– Outside groups: continuing education

• Who gets the upper hand?

• How would you handle a variety of populations in your facility?

Chain of Command

• Essential for smooth operations• Designates responsibility for medical

decisions• Designates who implements those decisions• Designates who can assign agents to

complete tasks• Is the perception real? Who do you think

makes the decisions, for example, here?

Supervision of SATs

• January 1, 2004

• Clinical sites and supervisors

• NATABOS

• JRC-AT

• CAAHEP

NATABOC• Determines qualifications of entry level Ats and admin. THE EXAM• Role Delineation Study• Only accreditation body for AT• Established 15 standards of professional practice for

Ats (CH 15 Rankin)• Statement on supervising SATs (daily personal

contact at supervision site, must be in close enough proximity to intervene if necessary to protect patient)

• AT time of exam application, at least 25% hours must be covering FB, SOC, WRES, BKB, GYM, VB, RUG, Rodeo

NATABOC

• Jan. 1, 2004 deadline for application

• According to the BOC, an internship candidate’s application must be submitted and accepted for the Feb 2004 test

• In actuality, a candidate is eligible for 1 colander year from the initial test date

JRC-ATC

• Branch of CAAHEP• Administers Standards and Guidelines for an

Accredited Ed. Program for AT (reviewed every 5 years)

• Program must provide instruction in 13 key areas• Instrumental in self study process and scheduling of

on site review• 8 to 1 recommended ratio• Supervising AT must be ATCS and have at least 1

year clinical experience

NATA Education Council

• Publishes AT competencies (3rd edition in effect 9/2001)

• Identifies skills and knowledge required of entry level AT

• 3rd edition expanded original into 12 subject matter areas (pg 94 Rankin)

• Move for clinical education experience to be incorporated into classes (verses hours requirement)

• Clinical instructor need to be approved

Clinical Evaluation

• Needs to follow formal education model• Formative (nonjudgmental): verbally or

written immediately following situation• Summative (judgmental): usually written at

the end of a rotation• What makes a good clinical instructor?• How can we ensure good clinical

instructors are teaching the students?

Personnel Scheduling

Must consider

• Purpose of facility

• Hours of operation

• Personnel availability

• Extent of coverage necessary for proper care

Purpose of Facility

• Services verses teaching site

• Atmospheric differences b/t settings

• Demands of various sites– High risk verses clinical site

Hours of Operation

• # of hours necessary to provide sufficient coverage to patients

• Varies due to site• Extent of facility usage

– HS – 1AT for all sports– College – each sport has AT / few ATCs +SAT– Main or satellite– Pros – management wishes; in verses off season

Personnel Consideration

• Staff Variance

• FT ATC

• PT ATC

• GA ATC

• Others

• Team verses ATR coverage

Fundraising

• $ outside normal budget• Solicitation• Research sponsorship• Contract services• Alumni (both of Athletic Training and

athletes)• Special monies funds• Sport specific budgets• Booster clubs (HS, some colleges) (both

monies and services)

Multisite Communication

• Telephones

• Two-way radios

• Beepers

• Others?

SAT Organizations• Encourage involvement

• Promotion

• Professional participation

• In-service programs

• Fund-raising

• Critical that it be founded and operated by students

FYI

We start Financial Management Next time. Rankin Ch 11 and Ray Ch 4

Accreditation

Formal recognition provided to an organization or one of its programs

indicating that it meets certain prescribed quality standards

General Requirements• Sponsorship: sponsoring institution must be

accredited by recognized agency or meet equivalent standards

• Resources: Personnel, Financial, Physical• Students: admission, evaluation, health,

guidance• Operational Policies: • Program Evaluation: outcomes, ongoing

Requirements for Athletic Training

• Curriculum– Description of program– Instructional Plan

Maintaining and Administering Accreditation

• Applying– Can only be initiated by request of chief

executive officer or designated rep– Request a ‘Request for Accreditation Services”

form form JRC and return to them– CAAHEP requires institution to notify

communities of interest– Complete self study document and

comprehensive on site review

Maintaining and Administering Accreditation

• Maintaining– Good for 5 years– Must have on site review at least once every 5

years– Must submit self study within time frame– Must inform JRC of changes in program– Must pay JRC-AT and CAAHEP fees– Several others

Maintaining and Administering Accreditation

• Review Process– Once CAAHEP accredited, JRC-AT assesses

program status– If recommends probation, institution can

request reconsideration– CAAHEP awards of Probationary Accreditation

is final and not subject to appeal