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Transcript of Leadership Service Advocacy. © 2012 Pennsylvania School Boards Association Concussion Management...
Leadership Service Advocacy
© 2012 Pennsylvania School Boards Association
Concussion Concussion ManagementManagement
Policy and Policy and Administrative Administrative Regulations Regulations
May 29, 2012May 29, 2012
© 2012 Pennsylvania School Boards Association
ObjectivesObjectives
Attendees will understand:
• What is policy
• What is an administrative regulation
• Distinction between Board policy and administrative regulations
© 2012 Pennsylvania School Boards Association
Objectives Objectives
• Legal requirements/legal liability
• Roles and responsibilities
• Reasons for continually evaluating and maintaining policy
© 2012 Pennsylvania School Boards Association
ObjectivesObjectives
• Concussion Management Policy
• Sports-Related Concussion/Mild Traumatic Brain Injury Administrative Regulation (AR)
• Other relevant policy and AR considerations
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
Characteristics of Effective Characteristics of Effective Policy and Policy and
Administrative Administrative RegulationsRegulations
• Current– With law and relevant to district practices– Continuous review and awareness of
required changes– Timely consideration of information
provided by feedback from stakeholders
© 2012 Pennsylvania School Boards Association
Characteristics of Effective Characteristics of Effective Policy and Policy and
Administrative Administrative RegulationsRegulations
• Communication
– All stakeholders
– Easy accessibility • Post online – policies
• Intranet – Administrative Regulations
–Training and Inservice• Continuity
© 2012 Pennsylvania School Boards Association
Characteristics of Effective Characteristics of Effective Policy and Policy and
Administrative RegulationAdministrative Regulation
• Compliance– Local needs– Legal requirements
• Safety In Youth Sports Act
– Legal insurance– Allows discretion where appropriate
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
Concussion Management Concussion Management PolicyPolicy
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
© 2012 Pennsylvania School Boards Association
Concussion Management Concussion Management PolicyPolicy
DEFINITIONS
Athletic Activity
Interscholastic athletics Athletic contest or competition sponsored by the school Noncompetitive cheerleading All practices, interschool practices and scrimmages
© 2012 Pennsylvania School Boards Association
Concussion Management Concussion Management PolicyPolicy
• Concussion and Traumatic Brain Injury Information Sheet– Student and parent/guardian responsibility
• Informational Meetings– Optional– Brackets { } indicate choices
© 2012 Pennsylvania School Boards Association
Concussion Management Concussion Management PolicyPolicy
Sections in policy relating to:
• Removal from play
• Return to play
• Training
• Penalties
© 2012 Pennsylvania School Boards Association
Concussion Management Concussion Management PolicyPolicy
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
© 2012 Pennsylvania School Boards Association
Concussion Management Concussion Management PolicyPolicy
Return to play:
– Evaluated and cleared in writing by an appropriate medical professional
– District may designate the appropriate medical professional
© 2012 Pennsylvania School Boards Association
Concussion Management Concussion Management PolicyPolicy
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
© 2012 Pennsylvania School Boards Association
Concussion Management Concussion Management PolicyPolicy
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
© 2012 Pennsylvania School Boards Association
Concussion Management Concussion Management PolicyPolicy
Delegates responsibility to the Superintendent or his/her designee to develop administrative regulations to implement the policy
Policy is only effective if implemented appropriately
© 2012 Pennsylvania School Boards Association
Administrative Administrative RegulationsRegulations
• 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
© 2012 Pennsylvania School Boards Association
Administrative Administrative RegulationsRegulations
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
© 2012 Pennsylvania School Boards Association
Administrative Administrative RegulationsRegulations
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%
© 2012 Pennsylvania School Boards Association
Administrative Administrative RegulationsRegulations
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
© 2012 Pennsylvania School Boards Association
Administrative Administrative RegulationsRegulations
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
© 2012 Pennsylvania School Boards Association
Administrative Administrative RegulationsRegulations
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
© 2012 Pennsylvania School Boards Association
Administrative Administrative RegulationsRegulations
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:
© 2012 Pennsylvania School Boards Association
Administrative Administrative RegulationsRegulations
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.
If no return of symptoms, next day advance to:
© 2012 Pennsylvania School Boards Association
Administrative Administrative RegulationsRegulations
Return to Play:
Step Three –
Sport-specific exercise including skating, and/or running; no head impact activities.
If no return of symptoms, next day advance to:
© 2012 Pennsylvania School Boards Association
Administrative Administrative RegulationsRegulations
Return to Play:
Step Four –
Noncontact training drills such as passing drills.
May initiate progressive resistance training.
If no return of symptoms, next day advance to:
© 2012 Pennsylvania School Boards Association
Administrative Administrative RegulationsRegulations
Return to Play:
Step Five –
Normal training activities.
If no return of symptoms, next day advance to:
© 2012 Pennsylvania School Boards Association
Administrative Administrative RegulationsRegulations
Return to Play:
Step Six –
Return to normal play and activity.
© 2012 Pennsylvania School Boards Association
Administrative Administrative RegulationsRegulations
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
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
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
© 2012 Pennsylvania School Boards Association
Contact InformationContact Information
Davelyn S. Smeltzer
Director of Policy Services
PA School Boards Association
800-932-0588 ext. 3357
www.psba.org
Leadership Service Advocacy
(800) 932-0588 www.psba.org