Leadership Service Advocacy. © 2012 Pennsylvania School Boards Association Concussion Management...

Leadership Service Advocacy

Concussion Concussion ManagementManagement

Policy and Policy and Administrative Administrative Regulations Regulations

May 29, 2012May 29, 2012

ObjectivesObjectives

Attendees will understand:

• What is policy

• What is an administrative regulation

• Distinction between Board policy and administrative regulations

Objectives Objectives

• Legal requirements/legal liability

• Roles and responsibilities

• Reasons for continually evaluating and maintaining policy

ObjectivesObjectives

• Concussion Management Policy

• Sports-Related Concussion/Mild Traumatic Brain Injury Administrative Regulation (AR)

• Other relevant policy and AR considerations

Definition - PolicyDefinition - Policy

• Policies are statements that set forth the purposes and prescribe, in general terms, the organization and programs of a school system

• Policies tell what is wanted, why, how much, who is responsible

Why is Policy Important?Why is Policy Important?

• Policies create a framework within which the Superintendent and staff can discharge assigned duties with positive direction

Definition – Definition – Administrative RegulationAdministrative Regulation

• Administrative regulations contain procedural information such as step-by-step processes, specific responsibilities, timelines, amounts, percentages, etc.

• Administrative regulations tell how, by whom, where, when

Why are Administrative Why are Administrative Regulations Important?Regulations Important?

• Administrative regulations are the mechanics and details needed for administrators and staff to put a policy into effect

• Administrative regulations assist in ensuring consistency in implementation throughout the district

• Protection from liability

Common ElementsCommon Elements

• Comply with state and federal laws, regulations, and court decisions

• Consistent when addressing the same issue

• Superintendent is involved with process

• Communication tool

Policy vs.Policy vs. Administrative Regulation Administrative Regulation

• Policies must be approved by the Board at a public meeting, in accordance with Board policy governing policy revisions and adoptions

• Administrative regulations do not require Board approval, only Board review

DifferencesDifferencesAdministrative Regulations• Related to specific element

related to issue• Precise statement with

specific details• Subject to administrative

changes• Communicated mainly to

staff• Directives for staff actions• Related to “how to do”• Reviewed by Board

Policy• Related to general topic

• Broad statement allowing discretion

• Applicable over time

• Communicated to public

• Equivalent to law• Related to “what to do”• Adopted by Board

Characteristics of Characteristics of Effective Development Effective Development

ProcessProcess• Includes input from major stakeholders

• Collaborate with the experts

• Research best practices

• Sample policies and administrative regulations– www.psba.org

Characteristics of Effective Characteristics of Effective Policy and Policy and

Administrative Administrative RegulationsRegulations

• Clarity– clearly conveys necessary information to

stakeholders

• Consistency – ensures fair, consistent treatment– sends same message as other internal

documents

• Current– With law and relevant to district practices– Continuous review and awareness of

required changes– Timely consideration of information

provided by feedback from stakeholders

• Communication

– All stakeholders

– Easy accessibility • Post online – policies

• Intranet – Administrative Regulations

–Training and Inservice• Continuity

Administrative RegulationAdministrative Regulation

• Compliance– Local needs– Legal requirements

• Safety In Youth Sports Act

– Legal insurance– Allows discretion where appropriate

Safety In Youth Sports ActSafety In Youth Sports Act

• Effective July 1, 2012– Requires development of educational

materials– Standards for removal from and return to

play– Establishes training requirements– Sets penalties– Addresses civil liability

Safety In Youth Sports ActSafety In Youth Sports Act

• Policy is not required- Legal liability

- Protects students, coaches, district

•Policy News Network (PNN) – Volume II 2012- Policy

•Policy News Network+ (PNN+) – Volume II 2012- Policy and Administrative Regulations

Concussion Management Concussion Management PolicyPolicy

123.1. Concussion Management

– PSBA policy guide – tracks law• Consider local practices

• Involve internal expertise

• Consult with solicitor

• Revise as deemed necessary

• Present to Board for adoption

DEFINITIONS

Appropriate Medical ProfessionalTrained in evaluation and management of concussions (EMC)

Licensed physician - EMCLicensed or certified health care professional - EMC•Designated by a licensed physician with training in EMC

Licensed psychologist neuropsychologically - EMC

or who has postdoctoral training in neuropsychology and specific training in EMC

DEFINITIONS

Athletic Activity

Interscholastic athletics Athletic contest or competition sponsored by the school Noncompetitive cheerleading All practices, interschool practices and scrimmages

• Concussion and Traumatic Brain Injury Information Sheet– Student and parent/guardian responsibility

• Informational Meetings– Optional– Brackets { } indicate choices

Sections in policy relating to:

• Removal from play

• Return to play

• Training

• Penalties

Removal from play:– A student who, as determined by a game

official, coach from the student’s team, certified athletic trainer, licensed physician, licensed physical therapist or other official designated by the district, exhibits signs or symptoms of a concussion or traumatic brain injury

Return to play:

– Evaluated and cleared in writing by an appropriate medical professional

– District may designate the appropriate medical professional

Training:

– Annual training prior to coaching an activity• Centers for Disease Control and Prevention

• National Federation of State High School Associations

• Another provider approved by PA Department of Health

Penalties:– 1st violation – suspension from coaching for

remainder of season– 2nd violation – suspension for remainder of

current season and next season– 3rd violation – permanent suspension

Required – July 1, 2014

Delegates responsibility to the Superintendent or his/her designee to develop administrative regulations to implement the policy

Policy is only effective if implemented appropriately

• Brain Injury Association of Pennsylvania– Provided as a guide

– Review, compare with local practices

– Consult experts• Coaches

• Athletic Directors

• School Nurse

• Physicians, Neuropsychologist

• Athletic trainers

– Revise as deemed necessary

123.1-AR-0. Sports-Related Concussion/Mild

Traumatic Brain Injury

• Signs of concussions

• Symptoms of concussions

• Concussion management protocol

• Return to play

• Return to classroom – BrainSTEPS

Signs of concussions:• Dazed

• Forgets plays

• Slurs words

• Difficulty with balance or coordination

• Answers questions slowly or inaccurately

• Seizures or vomiting

• Changes in levels of consciousness – less than 10%

Symptoms of concussions:• Headache

• Nausea

• Balance or dizziness

• Changes in vision

• Sensitivity to light or sound

• Sluggish

• Difficulty with short-term memory or concentration

• Difficulty sleeping

• Irritability or changes in personality and behavior

Concussion Management Protocol:• Guidelines for when emergency medical treatment should be

pursued• Notification of appropriate school officials and parents/guardians• Provision of information to parents/guardians for continued care

of person with concussion• BrainSTEPS referrals• Evaluation by an appropriate medical professional• Written clearance• Complete physical, cognitive, emotional and social rest

Return to Play:

• Guidelines for a graduated return to play protocol– Six day process

• Tools – Symptoms checklists– Compare post injury performance to baseline– Balance testing

• Concussion symptoms recur – Return to pervious level of activity that caused no symptoms– Notify attending physician

Return to Play:

Step One –

Completion of full day of normal cognitive activities without re-emergence of any signs or symptoms.

If no return of symptoms, next day advance to:

Return to Play:

Step Two –

Light aerobic exercise, which includes walking, swimming, or stationary cycling, keeping the intensity less than 70% of maximum predicted heart rate: no resistance training.

Return to Play:

Step Three –

Sport-specific exercise including skating, and/or running; no head impact activities.

Return to Play:

Step Four –

Noncontact training drills such as passing drills.

May initiate progressive resistance training.

Return to Play:

Step Five –

Normal training activities.

Return to Play:

Step Six –

Return to normal play and activity.

Return to Classroom:

• Team approach

• Possible learning support accommodations necessary– Rest breaks

– Shorter school day

– More time for tests or assignments

– Reduced time on computer, reading and writing

• Monitor performance

• BrainSTEPS

Related Policies and Related Policies and Administrative Administrative

RegulationsRegulations122. Extracurricular Activities

– Definition of athletic activity

– Concussion and traumatic brain injury information sheet

122-AR-8. Concussion Information Sheet– Option A – PIAA Form

– Option B – Centers for Disease Control and Prevention Form

Related Policies and Related Policies and Administrative Administrative

RegulationsRegulations123. Interscholastic Athletics

– Concussion and traumatic brain injury information sheet

123-AR-3. PIAA Forms

123-AR-4. Concussion Information Sheet– Option A – PIAA Form

– Option B – Centers for Disease Control and Prevention Form

123-AR-6. Athletic Safety Checklist– Updated to include concussion related training

– Reference to Concussion Management policy and AR

Contact InformationContact Information

Davelyn S. Smeltzer

Director of Policy Services

PA School Boards Association

davelyn.smeltzer@psba.org

800-932-0588 ext. 3357

www.psba.org

Leadership Service Advocacy

(800) 932-0588 www.psba.org

Leadership Service Advocacy. © 2012 Pennsylvania School Boards Association Concussion Management...

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