Standard 56: Advocate for the health needs of clients, patients, communities, and populations.
Standard 57: Analyze the impact of health literacy and social determinants of health on patient care and outcomes to determine healthcare strategies that empower patients and improve outcomes.
Standard 58: Incorporate patient education and self-care programs to engage patients and their families and friends to participate in their care and recovery.
Standard 59: Communicate effectively and appropriately with clients/patients, family members, coaches, administrators, other health care professionals, consumers, payors, policy makers, and others.
Standard 60: Use the International Classification of Functioning, Disability, and Health (ICF) as a framework for delivery of patient care and communication about patient care.
Standard 61: Practice in collaboration with other health care and wellness professionals.
Standard 62: Provide athletic training services in a manner that uses evidence to inform practice.
Standard 63: Use systems of quality assurance and quality improvement to enhance client/patient care.
Standard 64: Apply contemporary principles and practices of health informatics to the administration and delivery of patient care, including (but not limited to) the ability to do the following:
- Use data to drive informed decisions
- Search, retrieve, and use information derived from online databases and internal databases for clinical decision support
- Maintain data privacy,protection, and data security
- Use medical classification systems (including International Classification of Disease codes) and terminology (including Current Procedural Terminology)
- Use an electronic health record to document, communicate, and manage health-related information; mitigate error; and support decisionmaking.
Standard 65: Practice in a manner that is congruent with the ethical standards of the profession.
Standard 66: Practice health care in a manner that is compliant with the BOC Standards of Professional Practice and applicable institutional/organizational, local, state, and federal laws, regulations, rules, and guidelines. Applicable laws and regulations include (but are not limited to) the following:
- Requirementsfor physician direction and collaboration
- Mandatory reporting obligations
- Health Insurance Portability and Accountability Act (HIPAA)
- Family Education Rights and Privacy Act(FERPA) • Universal Precautions/OSHA Bloodborne PathogenStandards
- Regulations pertaining to over-the-counter and prescription medications
Standard 67: Self-assess professional competence and create professional development plans according to personal and professional goals and requirements.
Standard 68: Advocate for the profession.
Standard 69: Develop a care plan for each patient. The care plan includes (but is not limited to) the following:
- Assessment of the patient on an ongoing basis and adjustment of care accordingly
- Collection, analysis, and use of patient-reported and clinician-rated outcome measures to improve patient care
- Consideration of the patient’s goals and level of function in treatment decisions
- Discharge of the patient when goals are met, or the patient is no longer making progress
- Referral when warranted
Standard 70: Evaluate and manage patients with acute conditions, including triaging conditions that are life threatening or otherwise emergent. These include (but are not limited to) the following conditions:
- Cardiac compromise (including emergency cardiac care, supplemental oxygen, suction, adjunct airways, nitroglycerine, and low-dose aspirin)
- Respiratory compromise (including use of pulse oximetry, adjunct airways, supplemental oxygen, spirometry, meter-dosed inhalers, nebulizers, and bronchodilators)
- Conditions related to the environment: lightning, cold, heat (including use of rectal thermometry)
- Cervical spine compromise
- Traumatic brain injury
- Internal and external hemorrhage (including use of a tourniquet and hemostatic agents)
- Fractures and dislocations (including reduction of dislocation)
- Anaphylaxis(including administering epinephrine using automated injection device)
- Exertional sickling, rhabdomyolysis, andhyponatremia
- Diabetes (including use of glucometer, administering glucagon, insulin)
- Drug overdose (including administration of rescue medications such as naloxone)
- Wounds (including care and closure)
- Testicular injury
- Other musculoskeletal injuries
Standard 71: Perform an examination to formulate a diagnosis and plan of care for patients with health conditions commonly seen in athletic training practice. This exam includes the following:
- Obtaining a medical history from the patient or other individual
- Identifying comorbidities and patients with complex medical conditions
- Assessing function (including gait) • Selecting and using tests and measures that assess the following, as relevant to the patient’s clinical presentation:
- Cardiovascular system (including auscultation) oEndocrine system oEyes, ears, nose, throat, mouth, and teeth
- Gastrointestinal system
- Genitourinary system oIntegumentary system Mental status
- Musculoskeletal system
- Neurological system
- Pain level
- Reproductive system
- Respiratory system (including auscultation)
- Specific functional tasks
- Evaluating all results to determine a plan of care, including referral to the appropriate provider when indicated
Standard 72: Perform or obtain the necessary and appropriate diagnostic or laboratory tests— including (but not limited to) imaging, blood work, urinalysis, and electrocardiogram—to facilitate diagnosis, referral, and treatment planning.
Standard 73: Select and incorporate interventions (for pre-op patients, post-op patients, and patients with nonsurgical conditions) that align with the care plan. Interventions include (but are not limited to) the following:
- Therapeutic and corrective exercise
- Joint mobilization and manipulation
- Soft tissue techniques
- Movement training (including gait training)
- Motor control/proprioceptiveactivities
- Task-specific functionaltraining
- Therapeutic modalities
- Home care management
- Cardiovascular training
Standard 74: Educate patients regarding appropriate pharmacological agents for the management of their condition, including indications, contraindications, dosing, interactions, and adverse reactions.
Standard 75: Administer medications or other therapeutic agents by the appropriate route of administration upon the order of a physician or other provider with legal prescribing authority.
Standard 76: Evaluate and treat a patient who has sustained a concussion or other brain injury, with consideration of established guidelines:
- Performance of a comprehensive examination designed to recognize concussion or other brain injury, including (but not limited to) neurocognitive evaluation, assessment of the vestibular and vision systems, cervical spine involvement, mental health status, sleep assessment, exertional testing, nutritional status, and clinical interview
- Re-examination of the patient on an ongoing basis
- Recognition of an atypical response to braininjury
- Implementation of a plan of care (addressing vestibular and oculomotor disturbance, cervical spine pain, headache, vision, psychological needs, nutrition, sleep disturbance, exercise, academic and behavioral accommodations, and riskreduction)
- Return of the patient toactivity/participation
- Referral to the appropriate provider when indicated
Standard 77: Identify, refer, and give support to patients with behavioral health conditions. Work with other health care professionals to monitor these patients’ treatment, compliance, progress, and readiness to participate. These behavioral health conditions include (but are not limited to) the following:
- Suicidal ideation
- Depression
- Anxiety Disorder
- Psychosis
- Mania
- Eating Disorders
- Attention Deficit Disorders
Standard 78: Select, fabricate, and/or customize prophylactic, assistive, and restrictive devices, materials, and techniques for incorporation into the plan of care, including the following:
- Durable medical equipment
- Orthotic devices
- Taping, splinting, protective padding, and casting
Standard 79: Develop and implement strategies to mitigate the risk for longterm health conditions across the lifespan.
These include (but are not limited to) the following conditions:
- Adrenal diseases
- Cardiovascular disease
- Diabetes
- Neurocognitive disease
- Obesity
- Osteoarthritis
Standard 80: Develop, implement, and assess the effectiveness of programs to reduce injury risk.
Standard 81: Plan and implement a comprehensive preparticipation examination process to affect health outcomes.
Standard 82: Develop, implement, and supervise comprehensive programs to maximize sport performance that are safe and specific to the client’s activity
Standard 83: Educate and make recommendations to clients/patients on fluids and nutrients to ingest prior to activity, during activity, and during recovery for a variety of activities and environmental conditions.
Standard 84: Educate clients/patients about the effects, participation consequences, and risks of misuse and abuse of alcohol, tobacco, performance-enhancing drugs/substances, and over the counter, prescription, and recreational drugs.
Standard 85: Monitor and evaluate environmental conditions to make appropriate recommendations to start, stop, or modify activity in order to prevent environmental illness or injury.
Standard 86: Select, fit, and remove protective equipment to minimize the risk of injury or reinjury.
Standard 87: Select and use biometrics and physiological monitoring systems and translate the data into effective preventive measures, clinical interventions, and performance enhancement.
Standard 88: Perform administrative duties related to the management of physical, human, and financial resources in the delivery of health care services. These include (but are not limited to) the following duties:
- Strategic planning and assessment
- Managing a physical facility that is compliant with current standards and regulations
- Managing budgetary and fiscalprocesses
- Identifying and mitigating sources of risk to the individual, the organization, and the community
- Navigating multipayor insurance systems and classifications
- Implementing a model of delivery (for example, value-based care model)
Standard 89: Use a comprehensive patient-file management system (including diagnostic and procedural codes) for documentation of patient care and health insurance management.
Standard 90: Establish a working relationship with a directing or collaborating physician.
Standard 91: Develop, implement, and revise policies and procedures to guide the daily operation of athletic training services.
Standard 92: Develop, implement, and revise policies that pertain to prevention, preparedness, and response to medical emergencies and other critical incidents.
Standard 93: Develop and implement specific policies and procedures for individuals who have sustained concussions or other brain injuries, including the following:
- Education of allstakeholders
- Recognition, appraisal, and mitigation of riskfactors
- Selection and interpretation of baseline testing
- Agreement on protocols to be followed, including immediate management, referral, and progressive return to activities of daily living, including school,sport, occupation, and recreation
Standard 94: Develop and implement specific policies and procedures for the purposes of identifying patients with behavioral health problems and referring patients in crisis to qualified providers.
Presenter: Nicolette Harris, DAT, LAT, ATC, CSCS
Please refer to Compliance with the Curricular Content Standards for more information from our 2022 Accreditation Conference.