ATRG 6321 Practicum IV in Athletic Training

(Effective Fall 2019)

This intensive experiential learning course allows students to practice skills learned in their didactic courses under a clinical preceptor's supervision. Students must complete 375 clinical hours and assigned proficiencies. Proof of current PPD and CPR/AED certification and signed clinical agreement are required no later than 7 days after the first day of classes.

Credits

2,4,6

Prerequisite

ATRG 6301

Typically Offered

Demorest Campus: spring

Student Learning Outcomes

Alignment	Current Objective
CIP-9	Apply contemporary principles and practices of health informatics to patient care delivery and administration to 5) use an electronic health record to document, communicate, and manage health-related information, mitigate error, and support decision making.
CIP-6	Clinically evaluate and manage a patient with an emergency injury or condition to include the assessment of vital signs and level of consciousness, activation of emergency action plan, secondary assessment, diagnosis, and provision of the appropriate emergency care (e.g., CPR, AED, supplemental oxygen, airway adjunct, splinting, spinal stabilization, control of bleeding).
CIP-8	Demonstrate the ability to recognize and refer at-risk individuals and individuals with psychosocial disorders and/or mental health emergencies. As a member of the management team, develop an appropriate management plan (including recommendations for patient safety and activity status) that establishes a professional helping relationship with the patient, ensures interactive support and education, and encourages the athletic trainer's role of informed patient advocate in a manner consistent with current practice guidelines.
CIP-3	Develop, implement, and monitor prevention strategies for at-risk individuals (e.g., persons with asthma or diabetes, persons with a previous history of heat illness, persons with sickle cell trait) and large groups to allow safe physical activity in a variety of conditions. This includes obtaining and interpreting data related to potentially hazardous environmental conditions, monitoring body functions (e.g., blood glucose, peak expiratory flow, hydration status), and making the appropriate recommendations for individual safety and activity status.
CIP-4	Perform a comprehensive clinical examination of a patient with an upper extremity, lower extremity, head, neck, thorax, and/or spine injury or condition. This exam should incorporate clinical reasoning in the selection of assessment procedures and interpretation of findings in order to formulate a differential diagnosis and/or diagnosis, determine underlying impairments, and identify activity limitations and participation restrictions. Based on the assessment data and consideration of the patient's goals, provide the appropriate initial care and establish overall treatment goals. Create and implement a therapeutic intervention that targets these treatment goals to include, as appropriate, therapeutic modalities, medications (with physician involvement as necessary), and rehabilitative techniques and procedures. Integrate and interpret various forms of standardized documentation including both patient-oriented and clinician-oriented outcomes measures to recommend activity level, make return to play decisions, and maximize patient outcomes and progress in the treatment plan.
CIP-2	Select, apply, evaluate, and modify appropriate standard protective equipment, taping, wrapping, bracing, padding, and other custom devices for the client/patient in order to prevent and/or minimize the risk of injury to the head, torso, spine, and extremities for safe participation in sport or other physical activity.
EBP-10 EBP-13 EBP-14	Students will apply and interpret clinical outcomes to assess therapeutic intervention efficacy, patient status, progress toward goals, using psychometrically sound outcome instruments and develop a relevant clinical question (e.g., PICO, PIO, or CAT) based on desired outcome (patient-based or clinician-based) and available evidence (patient-oriented or disease-oriented).
AC-38	Students will apply appropriate immediate treatment to protect the injured area and minimize the effects of hypoxic and enzymatic injury.
CE-7	Students will assess and interpret findings from a physical examination (including posture, gait, and movement patterns) that is based on the patient’s clinical presentation to identify participation restrictions (disabilities), activity limitations (functional limitations), and overall impact of the condition on the patient’s life and goals.
AC-1 AC-2 PD-8 HA-1 HA-18	Students will define the legal, moral, and ethical parameters that define the athletic trainer’s scope of acute and emergency care and differentiate their role, responsibilities, preparation, and scope of practice from other pre-hospital care and hospital-based providers within the context of the broader healthcare system
CE-15 CE-19	Students will demonstrate the ability to modify the diagnostic examination process and return-to-play decision according to the demands of the situation and patient responses and current status.
EBP-5	Students will describe and differentiate the types of quantitative and qualitative research, research components, and levels of research evidence and use a systematic approach to create and answer a clinical question through review and application of existing research.
AC-4	Students will describe and perform scene, primary, and secondary surveys, including assessment of vital signs and level of consciousness, activation of emergency action plan, and a medical history appropriate for the patient’s ability to respond.
HA-5	Students will describe basic healthcare facility design and create a floorplan the includes safe treatment and rehabilitation areas and efficient evacuation routes.
HA-25	Students will describe common health insurance models, insurance contract negotiation, and the common benefits and exclusions identified within these models.
HA-16	Students will describe federal and state infection control regulations and guidelines, including universal precautions, for the prevention, exposure, and control of infectious diseases, and discuss how they apply to the practicing of athletic training.
TI-31	Students will describe how common pharmacological agents influence pain and healing, explain their therapeutic use, general categories used for treatment, desired treatment outcomes, and typical duration of treatment, and optimize patient outcomes by communicating the importance of compliance, drug interactions, adverse reactions, and possible results of sub-optimal therapy for common diseases and conditions (asthma, diabetes, hypertension, infections, depression, GERD, allergies, pain, inflammation, and the common cold).
CE-23	Students will describe setting-specific (e.g., high school, college) and activity-specific rules and guidelines for managing injuries and illnesses.
PHP-4	Students will describe the concepts (case definitions, incidence versus prevalence, exposure assessment, rates) and uses of injury and illness surveillance and outcome measures relevant to athletic training and use the resulting data to assess an injury/illness prevention strategy.
HA-26	Students will describe the criteria for selection, common features, specifications, and required documentation needed for secondary, excess accident, and catastrophic health insurance.
AC-3	Students will describe the hospital trauma level system and its role in the transportation decision-making process.
HA-2 HA-4 HA-7 HA-8 HA-27	Students will describe the impact of organizational structure and strategic planning on the daily operations of a healthcare facility and create/implement a basic business plan that incorporates these concepts, procedures for revenue generation and reimbursement, recognition for the value of services provided by athletic trainers, operational and capital budgeting, and a needs assessment.
PHP-47	Students will describe the psychological and sociocultural factors, signs, symptoms, and physiological and psychological responses of patients displaying disordered eating and devise appropriate management and referral strategies that are consistent with current practice guidelines.
HA-30	Students will describe the role and functions of various healthcare providers and protocols that govern the referral of patients to these professionals.
HA-3	Students will describe the role of strategic planning as a means to assess and promote organizational improvement and use its concepts as part of healthcare facility design.
PD-10	Students will develop educational healthcare programming specific to a target audience that uses appropriate multimedia tools to create a professional product.
CE-14	Students will differentiate between an initial injury evaluation and follow-up/reassessment as a means to evaluate the efficacy of the patient’s treatment/rehabilitation program, and make modifications to the patient’s program as needed.
CE-10	Students will explain and calculate diagnostic accuracy concepts including reliability, sensitivity, specificity, likelihood ratios, prediction values, and pre-test and post-test probabilities for selecting and interpreting physical examination and diagnostic procedures.
PHP-17a PHP-17b PHP-17c PHP-17d PHP-17h PHP-17i	Students will explain and discuss the etiology and prevention guidelines associated with the leading causes of sudden death during physical activity, including but not limited to: Cardiac arrhythmia or arrest, Asthma, Traumatic brain injury, exertional heat stroke, hyponatremia, exertional sickling, anaphylactic shock, cervical spine injury, and lightning strike.
HA-6	Students will explain and practice components of the budgeting process including: purchasing, requisition, bidding, request for proposal, inventory, profit and loss ratios, budget balancing, and return on investments.
PHP-7	Students will explain and practice disinfectant procedures to prevent the spread of infectious diseases and to comply with Occupational Safety and Health Administration (OSHA) and other federal regulations.
CE-11 CE-12	Students will explain the creation of clinical prediction rules and apply them in the diagnosis and prognosis of various clinical conditions.
AC-8	Students will explain the indications, guidelines, proper techniques, and necessary supplies for removing equipment and clothing in order to access the airway, evaluate and/or stabilize an athlete’s injured body part and demonstrate those skills.
PHP-21	Students will explain the principles and concepts related to the fabrication, modification, and appropriate application or use of orthotics and other dynamic and static splints and demonstrate their creation.
AC-19 AC-20 AC-21 AC-22	Students will explain the proper procedures and rationale for managing external hemorrhage (e.g., direct pressure, pressure points, tourniquets) and demonstrate procedures to manage it using aseptic or sterile techniques, approved sanitation methods, and universal precautions used in the cleaning, closure, and dressing of wounds.
PD-4 HA-13	Students will explain the role and function of state athletic training practice acts and registration, licensure, and certification agencies and how to obtain and maintain those credentials.
AC-27 AC-28 AC-29 AC-30	Students will explain the role of core body temperature as part of a differential diagnosis and its use during treatment (CWI) for exertional heat stroke and practice validated methods for obtaining accurate measurements in real-time.
HA-21 HA-22 HA-24 HA-29	Students will explain typical administrative policies and procedures that govern first aid and emergency care and develop a comprehensive, venue-specific emergency action plan (EAP) for the care of common emergent conditions and injuries that includes disease control, medical authority notification, and a plan to prevent disease epidemics.
HA-10	Students will Identify and explain the statutes that regulate the privacy and security of medical records.
HA-9 HA-28	Students will identify components of a comprehensive medical record and differentiate between diagnostic and procedural codes when documenting patient care.
HA-28	Students will identify components of a comprehensive medical record and differentiate between diagnostic and procedural codes when documenting patient care.
HA-19 HA-20	Students will identify components of a risk management plan (security, fire, electrical and equipment safety, emergency preparedness, and hazardous chemicals) and use them to create policies and procedures to guide athletic training facility operations.
HA-17	Students will identify key regulatory agencies that impact healthcare facilities and describe their function in the regulation and overall delivery of healthcare.
HA-14 HA-15	Students will identify principles of recruiting, selecting, employing, and contracting with athletic trainers, physicians, and other medical and healthcare personnel in the deployment of healthcare services.
AC-36a AC-36i AC-36d AC-36m AC-36k AC-36g AC-36l	Students will identify the signs, symptoms, interventions, and when appropriate, the return-to-participation criteria for: sudden cardiac arrest, environmental illnesses, exertional sickling, rhabdomyolysis, internal bleeding, diabetic emergencies, asthma, anaphylaxis, local allergic reactions, epilepsy and other seizure disorders, shock, and toxic drug overdoses.
PD-7	Students will perform a self-assessment of professional competence and create a professional development plan to maintain necessary credentials and promote life-long learning strategies.
AC-34 AC-36b CE-16	Students will recognize the signs and symptoms of catastrophic and emergent conditions and demonstrate appropriate referral and physician return-to-play clearance following traumatic and brain injuries (concussion, subdural and epidural hematomas, second impact syndrome, and skull fracture).
AC-35	Students will recognize when auto-injectable epinephrine is necessary based on the patient's condition and demonstrate its use (epi-pen).
AC-9 AC-10 AC-12 AC-13 AC-14 AC-15	Students will recognize when rescue breathing, CPR, AED, adjunct airways, and/or oxygen use is indicated and apply those skills according to current accepted practice protocols.
AC-11 AC-16 AC-17	Students will recognize when suction or supplemental oxygen for airway maintenance use is indicated and apply those skills according to current accepted practice protocols, including pulse oximeter reading to guide treatment.
AC-23 AC-24 AC-25 AC-26 AC-37	Students will select and apply appropriate splinting material to stabilize an injured body area (including spine boarding) and demonstrate appropriate transportation techniques for patient safety and comfort.
AC-39 AC-40 AC-41 AC-42	Students will select and apply appropriate splinting material to stabilize an injured body area (including spine boarding) and demonstrate appropriate transportation techniques for patient safety and comfort.
PHP-22 PHP-23 TI-16	Students will select, apply, evaluate, and modify appropriate standard protective equipment, taping, wrapping, bracing, padding, and other custom devices for the client/patient in order to prevent and/or minimize the risk of injury to the head, torso, spine, and extremities for safe participation in sport or other physical activity.
PS-4 PS-5 PS-6	Students will summarize and demonstrate effective interpersonal and cross-cultural communication and educational intervention strategies for patients and others involved in their healthcare to effect positive behavioral change and impact the patient's psychological and emotional well-being while protecting their privacy.
PHP-20	Students will summarize the basic principles associated with the design, construction, fit, maintenance, and reconditioning of protective equipment, including the rules and regulations established by the associations that govern its use.
HA-11 HA-12	Students will use contemporary documentation strategies, including chart documentation, risk management, outcomes, and billing procedures, to effectively communicate with patients, physicians, insurers, colleagues, administrators, and parents or family members.
PD-9 CE-20b CE-20e CE-22	Students will use standard techniques and procedures (history taking, inspection/observation, palpation, functional assessment, special tests, neurological assessments, capsular and ligamentous stress testing, and joint play assessment) to complete a clinical examination for a common injury, condition, illness, or disease and interpret their findings to determine when referral is necessary.
AC-6 AC-7 AC-18	Students will use standard techniques to measure vital signs and other physiologic functions (pulse, blood pressure, respiration, oxygen saturation, pain, core temperature, heart/lung/abdominal sounds, peak flow) and differentiate between normal and abnormal findings to discern any associated pathophysiology.
CE-20	Use standard techniques and procedures for the clinical examination of common injuries, conditions, illnesses, and diseases.
CIP-9	Utilize documentation strategies to effectively communicate with patients, physicians, insurers, colleagues, administrators, and parents or family members while using appropriate terminology and complying with statues that regulate privacy of medical records. This includes using a comprehensive patient-file management system (including diagnostic and procedural codes) for appropriate chart documentation, risk management, outcomes, and billing.