The Finale

1
The Finale
2
Occupational Safety Health Administration

• OSHA
• Established in 1970
• Established standards for an employer to follow
  that govern occupational exposure to blood borne
  pathogens
• Guidelines were developed to protect the health
  care provider the patient against blood borne
  pathogens
• http//www.osha.gov/

3
Establishing an Exposure Plan

• Important to develop carry out a blood borne
  pathogen exposure control plan
• NATA has established specific guidelines for
  athletic trainers
• http//www.nata.org/publications/otherpub/bloodpat
  hogens.htm
• Plan should include counseling, education,
  volunteer testing, management of bodily fluids
• http//www.osha-slc.gov/pls/oshaweb/owadisp.show_d
  ocument?p_tableSTANDARDSp_id10052
• UI Blood Borne Pathogen Policy
• http//www.uidaho.edu/safety/TCONTENT.HTM

4
Universal Precautions for the Athletic Environment

• As mandated by NCAA USOC, open wounds or other
  skin lesions considered a risk for disease
  transmission should be given aggressive treatment
  
• Take care against possible transmission of AIDS,
  HIV, HBV.
• Always take precautionary measures. Glove up!
• All open wounds or lesions must be covered with a
  fixed dressing before practice or competition.
• Athletes with active bleeding must be removed
  ASAP return only when OKd by medical staff.

5
Universal Precautions for the Athletic Environment

• Uniforms saturated with blood must be changed
  before returning to participation.
• Protective equipment must be used when there is a
  potential for contact with blood borne pathogens.
• Infectious waste/Biohazard material (gauze,
  dressings, tissues, towels, gloves, sharps, etc.)
  must be disposed of properly.

6
Post-Exposure Procedures

• University of Idaho Athletic Training Room Blood
  Borne Pathogen Guidelines Procedures

7
In the End

• Always take precautionary measures!
• Glove up!
• Hepatitis B shots
• Proper placement of contaminated material
• Education of various blood borne pathogens

8
Professional Committees

• http//www.nata.org/sitemap.htm

9
Mentoring

• Women in Athletic Training Committee
• http//www.nata.org/

10
Appropriate Medical Coverage for Intercollegiate
Athletics (AMCIA)

• Task Force created in 1998
• Comprised of ATCs representing all competitive
  levels (NCAA Division I, II, III, NAIA, and
  NJCAA), including members from the College
  Athletic Trainers' Society, NATA College
  University Athletic Trainers Committee, NATA
  Pronouncements Committee, the NCAA Committee on
  Competitive Safeguards Medical Aspects of
  Sports.
• Recommendations guidelines established by NATA
  Task Force, March 2000, revised May 2003

11

• Why developed 2 trends in athletics
• Major change in college athletics itself over the
  past two decades
• There are more teams, more non-traditional
  seasons, more strength conditioning sessions
  (more events, practices workouts where injuries
  occur).
• Legal trend
• Lawsuits have shifted away from equipment
  manufacturers their duty to warn toward the
  health care delivery process. Universities are
  sued over whether they have properly trained
  health care professionals, they have enough of
  them, the health care providers have adequate
  plans to follow, they keep proper records,
  whether they deliver proper treatment as a
  result.

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NATA Issues

• http//www.nata.org/