INTERCOLLEGIATE ATHLETICS

LONG BEACH STATE

SPORTS MEDICINE POLICIES & PROCEDURES

___ Long Beach State Athletics - 1250 Bellflower Blvd. Long Beach, CA 90840__

Baseball, M/W-Basketball, M/W-Cross-Country/Indoor/ Outdoor Track & Field, M/W-Golf, W-Sand Volleyball, W-Soccer, Softball, W-Tennis, M/W-Water Polo, M/W-Volleyball

Revised 8/2018

TABLE OF CONTENTS Mission Statement ________________________________________________ 4 Sports Medicine Staff 5 Athletic Training Room Staff Duties Head Team Physician/Medical Director 6 Assistant Athletics Director for Sports Medicine/Head Athletic Trainer 7 Team Physician 7 Assistant Athletic Trainer 8 Athletic Trainer 9 Athletic Training Students 10 Athletic Training Room Information General Information 11 General Policies 11 Rules 11 Student Health Services Location and Services 12 Club Sports/Intramurals/KPE 12 Policies & Procedures for Medical Eligibility Pre-participation Physicals 13 Sickle Cell Trait Testing 14 Try-out Athletes 14 On Campus Evaluations 15 Student Athlete Responsibilities 15 Medical Insurance Policy 16 Injury/Illness/Surgery Procedures 17 Transportation Policy 18 Driving Directions to Long Beach Memorial Hospital 18 Driving Directions to Dignity Health - St. Mary Medical Center 18 Athletic Training Medical Staff Communication 19 Withholding and/or Limiting Athletes from Practice or Competition 19 Pregnant Athlete Policy 20 Outside Physician Referrals 21 Chiropractor 21 Dental/Eye Safety 22 Prescription Medication 22 Nutritional Supplements 23 Infection Control 24 Concussion Policy 25 Injury Prevention & Reduction 30

Drug and Alcohol Policy & Testing Procedures 32 Self-referral 35 Sanctions 36 Sanctions Chart 39 Student Athlete Rights to Appeal 39 Appendix A - Drug Declaration Form 40 Appendix B – Reasonable Suspicion Reporting Form 41 Appendix C - Drug Free Sports Urine Collection Guidelines 43 Appendix D – NCAA Banned Drugs 45 Administrative Policies and Procedures Medical Hardship Waiver 47 Exit Physicals 47 Required Workshops for Coaches 47 Medical Records 48 Summer Camps 49 Guidelines for Care Outside of Athletic Training Room Hours 50 Injury Statistics Review 52 Emergency Action Plan 54 Venue Specific Emergency Action Plans Athletic Training Room and West/East Gyms 58 On Campus Baseball Practice Filed 60 Blair Field 62 Campus Pool 64 Pyramid 66 George Allen Field 68 Softball Field 70 Tennis Courts 72 Track 74 Virginia Country Club 76 Weight Room 78 Closing Statement 80

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MISSION STATEMENT

The Long Beach State Sports Medicine Department is committed to providing the best possible health care for its student-athletes and visiting athletic teams. Our staff is devoted to the care, prevention, treatment, and rehabilitation of injuries and illnesses while maximizing athletic performance. Our sports medicine team is composed of team physicians, certified athletic trainers, athletic training students, and several specialists (sports nutrition, sports psychology, orthopedic specialists). The sports medicine team is dedicated to providing student-athletes an inclusive environment that promotes total wellness and care is given without regard to race, color, national origin, ancestry, religious creed, sex, gender identity, sexual orientation, marital status, disability, medical condition, age, Vietnam era veteran status, or any other veteran's status.

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SPORTS MEDICINE STAFF Jarrod Spanjer MA, ATC Jessica Jewell, MAT, ATC Chrissy Turnbull, MA, ATC Ashley St. Clair, MS, ATC Jarrod.Spanjer@csulb.edu Jessica.jewell@csulb.edu Christine.Turnbull@csulb.edu Ashley.St.Clair@csulb.edu C (562) 480-8699 C (509) 879-2204 C (925) 487-0531 C (404) 403-1195 O (562) 985-7154 O (562) 985-5222 O (562) 985-2160 O (562) 985-5881 Tesaa McEvoy, MS, ATC Brian Martin, ATC Taylor Curry, ATC Fumi Nakata, ATC tessa.McEvoy@student.csulb.edu Brian.martin@student.csulb.edu taylor.curry@student.csulb.edu Fumiya.Nakata@csulb.edu (206) 854-2750 (323) 356-6659 (206) 300-7528 (562) 453-6492 _____________________________________________________________________________________________________ Team Physicians

Internal Medicine

Jeff Lai MD Kim Fodran MD Andrew Nobe, MD JLai2@memorialcare.org Kimberly.Fodran@csulb.edu andrew.nobe@gmail.com C (310) 619-6273 C (562) 719-1749 C (949) 697-8623 Ross Nathan MD - Hand Ron Smith MD - Ankle / Foot ross@handwristcenter.com rsmith@memorialcare.org O (562) 424-9000 F (562) 424-9067 O (562) 424-9444 C (310) 600-3040 F (562) 490-0434 Dentist Opthamologists Optometrist Chiropractor Terrie St. Germain Dr. Hertzog Dr DeCarlo Dr. Paul Newton DC O (562) 795-5900 O (562) 597-3100 O (562)986-6373 (Karen) O (562) 795-7007 F (562) 795-9119 www.hertzogeyecare.com F (562) 719-2780 F (562) 795-7009 C (562) 706-0865

drpjnewton@yahoo.com Imaging Walker St Imaging Los Coyotes Imaging Center Liberty Pacific Imaging (714) 656-2130 (Irma/Ashley) (562) 627-0903 (562) 216-5120 F (714) 252-8484 F (562) 627-0923 F (562) 733-5880 Important numbers on campus CAPS Student Health Services Lab Disabled Student Services Police 5-4001 5-4771 4-3057 5-5401 5-4101 Hospitals Long Beach Memorial St Mary’s Hospital Kaiser – Bellflower Harbor City ER (562) 933-1400 (562) 491-9000 (562) 461-3000 (310) 325-5111 2801 Atlantic Ave 1050 Linden Ave Long Beach CA, 90806 Long Beach, CA 90813 Urgent Care ______Physical Therapy________ _______ MemorialCare Medical Group Advanced Ortho PT Center for PT Urgent Care Center Patti Sogaard O (562) 597-3035 (562) 346-2222 O (562) 595-5159 5214 E Los Altos Plaza 2110 N Bellflower Blvd Fax (562) 595-7839 Long Beach, CA 90815 Long Beach, 90815 2501 Cherry Avenue M-F 9am -9pm Suite #250 Sat/Sun & Holidays 9am-5pm Signal Hill, 90755

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ATHLETIC TRAINING ROOM STAFF DUTIES HEAD TEAM PHYSICIAN/MEDICAL DIRECTOR

• Responsible for providing medical oversight of the Sports Medicine Department, including athletic trainers, team physicians, and other allied health professionals.

• Provide medical services for student athletes involved in intercollegiate athletic programs. • Assist with coordinating coverage and pre-participation physicals for all student-athletes. • In conjunction with the Assistant Athletic Director for Sports Medicine, oversee and annually

review all Policies & Procedures for the Sports Medicine Department. o Annually review the Drug and Alcohol Policy & Testing Program

In coordination with the Assistant Athletic Director for Sports Medicine, oversee the implementation of sanctions for positive test results

Assist with drug education program o Collaborates with the Assistant Athletic Director for Sports Medicine in the

implementation and maintenance of Emergency Action Plans for every participation venue utilized by the University's Athletics Programs.

o Annually reviews the Sports Medicine Concussion Policy to make sure it is up to standards of best practice

• Communicate status of injury and health-related issues to other health care professionals, coaches, and parents.

• Maintain office hours, and/or campus clinic(s), as necessary or appropriate for student-athletes to receive evaluation, treatment, and/or to seek referrals to specialists or other health care providers.

o Maintains accurate, legible, and confidential medical records. Documents medical evaluations, diagnoses, procedures, treatments, outcomes, education, referrals, and consultations consistent with AAAHC (Accreditation and Association for Ambulatory Health Care) standards.

o Orders and interprets laboratory and diagnostic studies for evaluation, clinical decision making and continued care of patients.

o Prescribes, dispenses and/or administers appropriate medication, corrective measures and medical therapeutics.

o Educates and instructs patients on preventative care, medical and psychiatric issues, and the use of prescribed medical treatments and/or prescription medications.

o Initiates emergency treatment of acute medical and psychiatric problems consistent with state regulation and board certification.

o Facilitates and coordinates transitional or specialized care for student athletes who require services beyond the scope of Student Health Services.

o When granted a release of information by a student athlete, the head team physician will act as the liaison on medical services and information between the sports medicine team and the student athlete’s parent(s) or legal guardian(s).

• The head team physician must be available 24 hours a day for medical care direction or referrals.

• Coordinate coverage for home or away (post-season events) sporting events as needed or required.

o Home Women’s Soccer, Men’s Basketball, Women’s Basketball Required • Must submit their license and adjunct documentation to Student Health Services to be certified

and possesses privileges there.

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ASSISTANT ATHLETIC DIRECTOR FOR SPORTS MEDICINE/HEAD ATHLETIC TRAINER The Assistant Athletic Director for Sports Medicine/Head Athletic Trainer reports to the Senior Associate Athletic Director/Senior Women’s Administrator (SWA) and is responsible for the following duties and assignments: Maintains current and valid athletic training certification through the NATABOC and current

CPR/AED/First Aid for the professional rescuer certification. Stay abreast with the latest developments and treatment techniques used in the profession. Supervising, training and educating athletic training room personnel on the uses and contra-

indications of athletic training room equipment and modalities. Also, training personnel in the latest physical therapy procedures such as mobilization, release mechanisms and exercise techniques.

Supervising the development and implementation of treatment and rehabilitation programs for all injured student-athletes. Supervising and assessing progress of the rehabilitation and making necessary changes to enhance the recovery and well-being of the student-athlete.

Supervising the collection and maintenance of all student-athlete medical records, including pre-participation physicals, daily injury and treatment records and the processing of medical insurance coverage.

Assisting the team physician with physicals to determine athlete’s physical status regarding their ability to participate. Also, in consultation with the team physician, determine an athlete’s readiness to return to a competitive status post-injury or illness.

Requisitioning of training room supplies and equipment. Maintain a running inventory of all items. Design, purchase and/or fabricate protective equipment and padding for use by the student-athlete. Make recommendations to the staff regarding function, usability and safety of new equipment and supplies specific to each sport.

Attend team practices, games and travel with teams as directed by the SWA to administer care and treatment as required by the athletes.

Handle all training room correspondence, submitting special reports when requested. Maintain regular training room hours. Other duties as assigned by the Senior Associate Athletic Director/Senior Women’s

Administrator.

TEAM PHYSICIAN • Provide medical services for student athletes involved in intercollegiate athletic programs. • Assist with pre-participation physicals for all student-athletes. • Communicate status of injury and health-related issues to head team physician, athletic trainers,

other health care professionals, coaches, and parents. • In conjunction with the Head Team Physician and Assistant Athletic Director for Sports

Medicine, oversee and annually review all Policies & Procedures for the Sports Medicine Department.

• Maintain office hours, and/or clinic(s) in the athletic training room, as necessary or appropriate for student-athletes to receive evaluation, treatment, and/or to seek referrals to specialists or other health care providers.

o Maintains accurate, legible, and confidential medical records. Documents medical evaluations, diagnoses, procedures, treatments, outcomes, education, referrals, and consultations consistent with AAAHC (Accreditation and Association for Ambulatory Health Care) standards.

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o Orders and interprets laboratory and diagnostic studies for evaluation, clinical decision making and continued care of patients.

o Prescribes, dispenses and/or administers appropriate medication, corrective measures and medical therapeutics.

o Educates and instructs patients on preventative care, medical and psychiatric issues, and the use of prescribed medical treatments and/or prescription medications.

o Initiates emergency treatment of acute medical and psychiatric problems consistent with state regulation and board certification.

o Facilitates and coordinates transitional or specialized care for student athletes who require services beyond the scope of Student Health Services.

o When granted a release of information by a student athlete, the team physician will act as the liaison on medical services and information between the sports medicine team and the student athlete’s parent(s) or legal guardian(s).

• Coordinate coverage for home or away (post-season events) sporting events as needed or required.

o Home Women’s Soccer, Men’s Basketball, Women’s Basketball Required o Hosted Big West Championship Events

• Keeps abreast of, and ensures compliance with NCAA regulations.

ASSISTANT ATHLETIC TRAINER Maintains current and valid athletic training certification through the NATABOC and current

CPR/AED/First Aid for the professional rescuer certification. Assist team physician(s) in physical examination and screening of student-athletes for physical

eligibility. Tape, brace, or bandage athletes for prevention of injury and injury reoccurrence. Assist with getting information relating to nutrition or assist with referral to nutrition specialist for individuals interested in increasing muscle mass, decreasing body fat, and/or

maintenance as needed. Evaluate injuries and assess the severity by performing specialized tests. Administer first aid and immediate care for athletic injuries. Recognize life-threatening conditions, administer appropriate emergency care, and activate

emergency transport system. Make appropriate referrals to outside on and off-campus medical practitioners. Plan and implement treatment protocols utilizing the modality and rehabilitation equipment

available in the athletic training facility. Determine the readiness of athletes to return to competition in collaboration with Head Athletic

Trainer and team physician. Plan and implement rehabilitation programs for post-injury/post-surgical conditions. Reassess

the status of athlete injury or post-surgical condition for appropriate treatment/rehabilitation progression or return to competition/practice.

Maintain regular training room hours. Keep and maintain records of each athlete and sport, including date of injury, evaluation of

injury, treatment or rehabilitation protocol and progress report. Keep appropriate communication with team physician, Assistant Athletic Director for Sports

Medicine, and coaches regarding athlete injury, physician visits, post-surgical status, and practice/play status.

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Teach and train athletic training students in athletic training techniques, use of equipment, and training room procedures. Supervise and evaluate the performance of the athletic trainer students.

Cover scheduled practices and workouts of assigned sports. Travel with assigned teams to perform athletic training duties. Attend all home events of assigned teams administering immediate and preventative care and

treatment. This includes - hosting visiting athletic trainers for home competitions and provide necessary supplies on visitor’s bench or for visiting team practices.

Coordinate and process insurance paperwork for billing. Handle insurance inquiries. Other duties as assigned by the Assistant Athletic Director for Sports Medicine.

ATHLETIC TRAINER Serves as a part time staff member to the athletic training room and must be a Certified Athletic Trainer. Duties include: Must maintain current and valid athletic training certification through the NATABOC and

current CPR/AED/First Aid for the professional rescuer certification. Recognize life-threatening conditions, administer appropriate emergency care, and activate

emergency transport system. Assist team physician in physical examination and screening of student-athletes for physical

eligibility. Make appropriate referrals to outside on and off-campus medical practitioners. Administer first aid and immediate care for athletic injuries. Tape, brace, or bandage athletes for prevention of injury and injury reoccurrence. Evaluate injuries and assess the severity by performing specialized tests. Plan and implement treatment protocols utilizing the modality and rehabilitation equipment

available in the athletic training facility. Reassess the status of athlete injury or post-surgical condition for appropriate

treatment/rehabilitation progression or return to competition/practice. Plan and implement rehabilitation programs for post-surgical conditions. Determine the readiness of athletes to return to competition in collaboration with Assistant

Athletic Director for Sports Medicine and team physician. Keep appropriate communication with team physician, head athletic trainer, and coaches

regarding athlete injury, physician visits, post-surgical status, and practice/play status. Keep and maintain records of each athlete and sport, including date of injury, evaluation of

injury, treatment or rehabilitation protocol and progress report. Maintain regular training room hours. Attend all home events of assigned teams administering immediate and preventative care and

treatment. This includes - hosting visiting athletic trainers for home competitions and provide necessary supplies on visitor’s bench or for visiting team practices.

Cover scheduled practices and workouts of assigned sports. Travel with assigned teams to perform athletic training duties. Teach and train athletic training students in athletic training techniques, use of equipment, and

training room procedures. Supervise and evaluate the performance of the athletic trainer students.

Assist in supervision of athletic training students in the athletic training room and on the playing field.

Coordinate and process insurance paperwork for billing. Handle insurance inquiries. Other duties as assigned by the Assistant Athletic Director for Sports Medicine.

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ATHLETIC TRAINING STUDENTS While specific duties and responsibilities will vary with each athletic training student according to his/her experience and capabilities, certain general responsibilities of all students are outlined. Maintains current CPR/AED/First Aid for the professional rescuer certification. Learn the correct and effective application of all taping, bandaging, padding, etc. Learn the correct application of modalities and the precautions involved

(indications/contraindications). Apply proper first aid procedures and emergency care when needed. Assist the Assistant Athletic Director for Sports Medicine, assistant athletic trainer, athletic

trainer (part-time), and team physician(s) when needed. Refers all significant athletic injuries to a certified athletic trainer

Assist with general athletic training room duties – filing medical documentation, daily cleaning duties, inventory maintenance, stocking of medical supplies.

Follow and enforce the athletic training room rules at all times.

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ATHLETIC TRAINING ROOM INFORMATION There are three athletic training rooms open throughout the year on campus. The main athletic training room is located in the Kinesiology building, Room 86. The Pyramid athletic training room is located on the south side of the Pyramid at court level. There is a small satellite athletic training room located in the W Soccer/Softball facility. The sports medicine staff consists of an Assistant Athletic Director for Sports Medicine, 3 Full Time Athletic Trainers, 3-5 Part Time Athletic Trainers and assigned curriculum athletic training students. Main Athletic Training Room (KIN Building) (562) 985-4660 FAX (562) 985-7348 Monday-Thursday 10:00am-6:00pm Friday 10:00am- 5:00pm Weekends/Holidays as needed based on coverage of scheduled events Pyramid Athletic Training Room (562) 985-1447 Practice, game, or event coverage as scheduled GENERAL POLICIES

1. When possible, a certified athletic trainer will be present at all home games. 2. When a certified athletic trainer is unavailable to be at the venue, there will be one on campus

and on call. 3. All athletes will be treated with the same professionalism and will not be given preferential

treatment based on race, color, national origin, ancestry, religious creed, sex, gender identity, sexual orientation, marital status, disability, medical condition, age, Vietnam era veteran status, or any other veteran's status.

4. At least 48 hour notice must be given by the coach for any change in a practice schedule to allow for adequate medical coverage.

5. Coverage of practices will be provided based on season, risk and staff. We will not be responsible for coverage of out-of-season practices/workouts or “punishment” conditioning if outside normal training room hours and may not have an athletic trainer on site.

6. All athletes & coaches will be made aware of athletic training room policies and rules. 7. Water for practice/workouts is the responsibility of each team.

RULES

1. All athletes must shower before receiving treatment if a locker room is available. 2. No loitering, hanging out, socializing in the athletic training room. 3. All practice equipment should be kept out of the athletic training room. 4. Keep all shoes off the treatment tables. 5. Gym shorts or equivalent must be worn at all times while in athletic training room. 6. Only those athletes who are participating in an intercollegiate sport are to be treated in the

athletic training room. All others are to be referred to the student health services for medical attention and treatment.

7. Athletes are to avoid self-treatment, assistance will be provided by the Sports Medicine Staff. 8. Do not use or remove the athletic training room equipment or supplies without the permission

of the Head or Staff ATC’s 9. Athletes are reminded to avoid horseplay as it often results in unexpected and avoidable

injury.. 10. Inappropriate language will not be acceptable and athletes may be asked to leave if

language/conversations are deemed inappropriate for the athletic training room. 11. No bikes or scooters are allowed in the athletic training room.

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STUDENT HEALTH SERVICES Main Telephone # (562) 985-4771 Monday-Friday 9:00am-5:00pm LOCATION: The student health center is located on campus at the corner of Beach Drive and Merriam Way. SERVICES: Medical care available to all students:

X-rays, Lab work (which includes drug testing, blood, and urine analysis for physicals), Physicians, Nurse Practitioners, Physician Assistants, Immunizations, Pharmacy, Medical Specialist

Procedure for Student-Athletes using the Health Center when costs are covered by Athletic Department: Athletes must pick-up a referral slip from a certified athletic trainer prior to going to the

Student Health Center for appropriate exam, testing, and/or medications. The Sports Medicine Department will not pay for medication involving life-long illnesses. The Sports Medicine Department will not pay for VDRL’s, pregnancy tests or birth control. The Sports Medicine Department does not pay for University required vaccinations.

CLUB SPORTS/INTRAMURALS/KPE CLASSES The athletic training room will ONLY provide ice for students that are injured while participating in club sports, intramurals and KPE classes during normal business hours. The sports medicine staff will not do injury evaluations/assessments for students participating in club sports, intramurals and KPE. The sports medicine staff is also not be responsible for coverage of emergencies related to club sports, intramurals or KPE classes. Campus Police should be notified any time there is an injury that requires assistance and they will determine the disposition of the injured party and whether transportation is needed. Club Sports: The athletic training room will only provide ice to athletes who sustain injuries while competing in an officially sanctioned University Club Sport. It is necessary that each club manager provide a completed roster to the athletic training room. During the school year, requests for assistance from an athletic trainer in covering special events and competitions are made. We may assist in finding coverage but are not responsible for staffing or coverage of these events.

**Use of any of our facilities and/or equipment must be** authorized by the Assistant Athletic Director for Sports Medicine prior to use.

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POLICIES & PROCEDURES FOR MEDICAL ELIGIBILITY

Pre-Participation Physicals

A comprehensive physical exam and completion of all sports medicine documents are required for all incoming new student-athletes prior to participation in any Long Beach State activities – this includes ANY voluntary summer activities using a Long Beach State Facility (ie weight room workouts, conditioning, batting practice, captain’s practices). It is the head coach’s responsibility to insure that each of his/her athletes has received medical clearance PRIOR to beginning participation. Coaches must work with the athletic training room staff to coordinate physicals. Athletes are encouraged to get their physical done over the summer to minimize any delay in clearance to participate. All new student-athletes are required to complete a pre-participation physical (must be

conducted within the last 3 months and performed by a doctor using the "General Medical Exam" form). Each team is assigned a physical date (or by appointment) for new student-athletes which will be posted on our website. Student-athletes may also visit our physicians in their clinic if they are on or around campus prior to their assigned physical date. There is no cost to student-athletes for their physical if performed by our team physician(s) and they are encouraged to get their physical done over the summer to minimize any delay in clearance to participate.

Athletes may also choose to obtain a physical with their own physician, but they are RESPONSIBLE FOR ALL COSTS. If the student-athlete chooses to go through his/her own physician, it must STILL be documented on the Long Beach State Forms provided on our website & the physical must be performed by a physician that is a medical doctor (MD) or a doctor of osteopathy (DO) ONLY.

New student-athletes must also provide the following documentation (#1-4 are located in the “New Athlete Packet” on website; #5 is only in the “New Athlete Packet (Under18)):

1. New Athlete Health History Record Form 2. Insurance Questionnaire 3. Authorization/Consent for Disclosure of Health Information Regarding Athletic

Related Injuries and Illnesses 4. Assumption of Risk, Informed Consent 5. Authorization for Treatment (if athlete is under 18 y/o) 6. Student Health Center Authorization to Treat 7. Drug Testing Consent Form - will be filled out electronically through JumpForward

with the Compliance Documentation. 8. Concussion Acknowledgement Form - will be filled out electronically through

JumpForward with the Compliance Documentation An orthopedic exam and baseline concussion testing will be done during the assigned team

physical or during a coordinated time with their assigned athletic trainer Student-athletes will be sent to the Student Health Center for lab work (CBC and Urine

Analysis) Sickle cell results verification is required (see below).

All returning student-athletes must complete and turn in every year (#1-5 is located in the

“Returner Packet” on website): 1. Returner’s Health Screening Form 2. Insurance Questionnaire

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3. Authorization/Consent for Disclosure of Health Information Regarding Athletic Related Injuries and Illnesses

4. Assumption of Risk 5. Informed Consent. 6. The Drug Testing Consent Form will be filled out on JumpForward with the

Compliance Documentation All other forms are available on the Long Beach State Athletics Department web site.

Depending on returning student-athlete’s medical history, they may be required to see a physician prior to clearance if requested by the athletic training staff.

Any student-athlete who fails to turn in requested health history information relating to an ailment or injury will be prohibited from participating until all information is received.

Any student-athlete who fails the physical exam for any reason will not be permitted to participate in any form of intercollegiate athletics until cleared by a team physician.

Returning student-athletes planning to use facilities (weight room) during summer must turn in packets prior to being able to use those facilities if after July 1 of each year (previous year’s paperwork expires June 30th each year)

Sickle Cell Trait Testing

Sickle cell trait is the inheritance of one gene for sickle hemoglobin and one for normal hemoglobin. Sickle cell trait is a life-long condition that will not change over time. Beginning August 1, 2010 the NCAA mandated that ALL student-athletes have knowledge of their sickle cell trait status prior to participation in any sport activity. This includes events, practice, strength & conditioning, etc. Any athlete that is found to be sickle cell trait positive WILL NOT be excluded from participation, but it allows training precautions to be put in place. Athlete’s that have not been tested or cannot provide verification can be tested at no expense at the Student Health Center. Please be aware that results may take as long as 3 weeks to receive.

Try-Out Athletes

All athletes who wish to try-out for a team must have a physical PRIOR to the try-out. The athletic training staff will provide (all paperwork is also located on the Long Beach State Athletics website) the necessary paperwork which includes (#1-6 are located in the “Tryout Packet” on website; #9 is only in the “Tryout Packet (Under18)):

1. General Medical Exam (completed by physician)* 2. Health History Questionnaire 3. Assumption Of Risk 4. Authorization/Consent for Disclosure of Health Information Regarding Athletic

Related Injuries and Illnesses 5. NCAA Drug Testing Consent Form 6. Informed Consent 7. Sickle Cell Trait Results 8. Proof of Insurance (copy of your card if available) 9. Authorization for Treatment (if athlete is under 18 y/o) 10. Student Health Center Authorization to Treat

*The general medical exam must be completed by a medical doctor (MD) or a doctor of osteopathy (DO). The paperwork must state that the person is cleared to participate in intercollegiate sports.

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The athlete is responsible for turning the physical paperwork into an athletic training room staff member before he/she can be cleared for the try-out. Once the athletic training room staff is notified that a try-out athlete has made the team, the student-athlete will need to complete the rest of the sports medicine packet required of all new athletes.

On Campus Evaluations (OCE) If you have been invited to do an on campus workout with one of our teams at Long Beach State, you are required to do all of the following: Print, complete, sign and return the forms provided below with any supporting documentation

related to injuries, illnesses and/or medications (#1-3 are located in the “OCE Packet” on website; #4 is only in the “OCE Packet (Under18)).

1. New Athlete Health Screening Form 2. General Med Physical Exam 3. Assumption of Risk 4. Authorization for Treatment (only fill out if athlete under 18 y/o)

Have a physical exam, which must be conducted within the last 3 months prior to your evaluation, performed by a doctor (MD ONLY) using the "General Medical Exam" form provided here. Make sure to have this form signed and stamped by the physician performing the exam.

Provide verification of your Sickle Cell Trait status. If you have questions about obtaining your sickle cell status, please refer to the section above.

You will not be able to work out until cleared by the Athletic Training Staff, so PLEASE submit these documents prior to getting to campus. This will allow us time to review your documentation to make sure it is correct prior to your arrival and avoid any unnecessary delays. You can email the packets to jarrod.spanjer@csulb.edu, Fax them to the Sports Medicine Dept at (562) 985-7348, or mail them (make sure to send well in advance to ensure arrival before you get to campus): Long Beach State Athletics

ATTN: Jarrod Spanjer 1250 Bellflower Blvd. KIN 86 Long Beach, CA 90840

STUDENT-ATHLETE RESPONSIBILITIES The student-athlete must provide accurate health history and health insurance information to

the athletic training room staff. The student-athlete is responsible for making sure that the health insurance information is kept

up-to-date if a change in coverage is made. The student-athlete must provide outside physicians (i.e. primary care physicians) with contact

information for the athletic training room, so that the physician can easily communicate with the certified athletic trainers

The student-athlete is responsible for notifying the athletic training staff of dates of physician visits, diagnostic tests, and their outside physician contact information.

The student-athlete must report outside physician diagnosis and plan of treatment upon return from medical visits. This must be done PRIOR to communicating with the coaching staff so that the athletic training room staff can verify the accuracy of the information, plan of treatment, and determine actual ability to practice or play of the student-athlete. It also allows

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time for the athletic training staff to consult with the team physician on the information if necessary.

Notify the athletic training staff of all injuries or illnesses that occur. The student-athlete must have an up-to-date Authorization to Release Medical Information

form on file with the training room at all times. A release is necessary for open communication between the athletic trainer, physicians, coaches, and support staff if necessary.

MEDICAL INSURANCE POLICY Insurance Provisions For Athletes

1. The Athletics Department has a secondary, or excess, insurance policy for injuries that occur while participating in Long Beach State athletic activities. The insurance policy requires that if an athlete has personal insurance it must pay first and the remaining balances and deductibles will be paid by the Athletic Department’s insurance. Benefits are payable only on an excess basis over and above any benefits or services provided by the primary insurance. Out-of-pocket expense to the student-athlete or parent(s) can be reimbursed by our secondary insurance if they are for payments to an athletic related injury with a claim and can provide receipts for proof of payment..

2. If an athlete has no insurance, the Athletic Department will pay all expenses up to the limits of

its insurance policy. If a claim involves more than this amount ($90,000), the NCAA catastrophic insurance policy will then provide coverage. It provides up to $20 million in lifetime benefits to varsity student-athletes (including student coaches, student managers, athletic training students and student cheerleaders).

3. Travel accident benefits for staff and players are covered by the policy. 4. Another stipulation of the coverage is that if an athlete is covered by an HMO organization

he/she is required to utilize that insurance. The HMO/PPO provision requires that treatment be denied by that entity before the risk pool will cover the expenses. The athletic department has no choice in this matter.

5. Notable exclusions:

a. Dental treatment except as a result of injury to sound and natural teeth are not covered. b. Replacement of eyeglasses or eye exams unless an injury has caused sight impairment. c. Any injury occurring other than as a participant in an athletic event or practice. d. Any expense for the treatment of sickness or disease in any form.

6. The first documented treatment for an injury must occur within 120 days of the injury.

Expenses are covered for up to 104 weeks from the onset of injury. The insurance company will not pay for services billed that are past 2 years from the date of injury.

7. Claims must be authorized by and submitted for payment to the sports medicine staff. This requires that athletes submit any bills and/or receipts immediately to the sports medicine staff. The athletic department or its insurance provider will not be responsible for late charges or payment of claims that have not been authorized or submitted for payment in a timely manner.

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REFERAL PROCEDURE The sports medicine department will decide when referrals to an outside medical entity are necessary. Coaches who wish to have an athlete referred should discuss this with the sports medicine department prior to the athlete being seen. (See Outside Physician Referral Policy)

INJURY/ILLNESS/SURGERY PROCEDURES

All athletes are required to report any injuries or illness that may affect their ability to participate, to the sports medicine department. Anytime an athlete sustains an injury or illness, it is the responsibility of the athlete to report it to one of the athletic trainers or team physicians. This includes signs and symptoms of concussion. The athletic trainer will assess the injury and make appropriate referrals based on this assessment. Medical records will be maintained for injuries and illnesses using SIMS and the athlete’s individual medical file. In the event of an illness, athletes will be referred to the Student Health Center or to the appropriate team physician(s). When an athlete is referred to the Student Health Center, he/she should pick up a referral slip and “athlete visit form” from one of the certified athletic trainers, prior to going so the SHS. This is the only way the Sports Medicine Department will be responsible for charges incurred. An athlete can seek services at the Student Health Service without a referral, but charges will be the responsibility of the individual. Only the sports medicine staff can make a referral to an off- campus physicians. Our athletic insurance does not cover illnesses; therefore, arrangements for payment of services must be made prior to the referral. This includes dental appointments. For guidelines on transporting our student-athletes please see the transportation policy. Referrals for athletes who may require surgery must be made by one of the sports medicine staff. Referrals are made to those surgeons with whom there is a working relationship and who have excellent reputation within the medical community. This allows the sports medicine staff to maintain close communication and follow-up with the surgeon during the rehabilitation process. For guidelines on transporting our student-athletes please, see the transportation policy.

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TRANSPORTATION POLICY During an emergency situation:

Medical personnel will be dispatched through 911 services. If an athlete needs immediate medical attention while an event or practice is in progress the following will accompany in the ambulance or provided transportation for the athlete:

First: An available assistant coach, athletic department personnel or the athlete’s parent

Second: A qualified athletic training student (ATS) who is not in charge of the primary medical coverage for the game or practice.

Pre-scheduled physician visits or diagnostic procedures or tests: First: The athlete is responsible for their own transportation.

Second: If the athlete does not have transportation, then an assistant coach, or a member of the athletic training staff, if available, will transport the athlete.

Athletic Trainers will provide transportation only when necessary. If it is requested that an athletic trainer go with an athlete to a physician visit, an attempt will be made ONLY if medical coverage on campus or at an event is not compromised. Athletic trainers will not stay with an athlete during a medical procedure. For example, they will not wait for an athlete while they are having a bone scan, MRI, or surgery. DRIVING DIRECTIONS (FROM CSULB): LONG BEACH MEMORIAL HOSPITAL 2801 Atlantic Ave, Long Beach, CA 90806 (562) 933-2000

1. You are at Palo Verde Ave at E. State University Dr, Long Beach, going to 2801 Atlantic Ave, Long Beach.

2. Go North on Palo Verde Ave for 1.1 miles to I-405. 3. You will see a sign reading “I-405 N to SAN DIEGO FWY NORTH”. 4. Bear right on ramp to SAN DIEGO FWY NORTH and merge with caution. 5. Go Northwest on I-405 for 4.5 miles to Atlantic Ave. 6. Take Atlantic Ave. exit South (left). 7. Memorial Hospital is on the West (right) side of the street at E. Columbia St.

DIGNITY HEALTH - ST. MARY MEDICAL CENTER, Long Beach 1050 Linden Ave, Long Beach, CA 90813 (562) 491-9000

1. Head toward 7th St and Bellflower, turn onto 7th St heading West (opposite direction of 405 FWY)

2. Continue straight to stay on E 7th St (Pass by Pizza Hut on the left in 1.7 miles) 3. Turn right onto Atlantic Ave 4. St Mary’s will be on the West (left) side of the St at Linden

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ATHLETIC TRAINING MEDICAL STAFF COMMUNICATION

The certified athletic trainer or athletic training student will notify head coaches of injury assessment, physician diagnosis, course of treatment, diagnostic tests ordered, athletes’ responsibility for treatment, and any other pertinent information regarding the medical care of a student-athlete on their team. The certified athletic trainers are responsible for notifying the head coach of practice and competition limitations or restrictions for an injured student-athlete. These limitations and restrictions will come either from a physician order or from an athletic trainer’s recommendation based on possibility of further or future injury to the athlete. The information will be communicated in an agreed upon method (written injury report, email, voicemail, face-to-face, text message, etc.) between the coach and the athletic trainer assigned to that sport. The athletic training staff will contact physicians regarding the care of the student-athlete to verify and/or clarify the physician’s diagnosis and plan of action if that physician is not one of our team physicians. This will only be possible when the athlete has provided the staff with physician’s contact information. The success of obtaining information from an outside physician will be dependent on the willingness of the physician to take the time to provide the athletic training staff with the requested information. It will always be more difficult to obtain medical information from non-affiliated physicians.

WITHHOLDING AND/OR LIMITING ATHLETES FROM PRACTICE OR COMPETITION FOR MEDICAL REASONS

Our team physicians’ order on limitations or holding an athlete from activity is final and must

be adhered to by the athletic training staff and all members of the coaching staff A certified athletic trainer can hold or limit an athlete from practice or competition if they

assess that the player will further injure him/herself if activity is continued or if participation is not in the best interest of the athlete. All members of the coaching staff must adhere to any limitations.

Recommendations regarding participation in practice or competition by a physician other than one of the Long Beach State team physicians will be reviewed by team physicians who will make the final decision regarding their status. The medical director is the only individual who can alter the instructions of an outside physician. The medical director will be the liaison between outside physicians who restrict Long Beach State athletes.

Any limitations or restrictions placed on an athlete will be communicated to the Head Coach by the athletic training staff.

These limitations/restrictions are not made at the request of the student-athlete; therefore, members of the coaching staff should not attempt to question the student-athlete on the validity or severity of the injury and should at no time attempt to influence or pressure an student-athlete into practicing, competing or punish them in any way for their injury limitations. Any coaching staff questions should be directed toward a member of the athletic training staff or team physician(s).

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PREGNANT ATHLETE POLICY The Long Beach State Department of Athletics is committed to the personnel health and development of all of our student-athletes. We strive to provide an environment that respects all pregnancy and parenting decisions and urges all participants to work cooperatively toward protecting the student-athletes physical and psychological health. The procedures outlined below will allow the student-athlete and the sports medicine staff to make the best decision related to participation in athletic related exercises. PROCEDURE: The student-athlete should inform a member of the athletic training staff at the earliest known date of pregnancy or suspected pregnancy. The athletic trainer will notify the head team physician and, if appropriate, an administrator and/or support staff. Confidentiality between these parties will be maintained unless cleared by the student-athlete prior to notification. The student-athlete’s participation status will be based on the following: 1. The recommendation of the student-athlete’s personal physician or OB/GYN 2. The recommendation of the Long Beach State Head Team Physician. The student-athlete MUST be cleared by BOTH of the physicians listed above and activity levels will be based on their recommendations. Participation status will be monitored and altered based on the progression of the pregnancy and/or signs and symptoms that may arise. The decision of the Long Beach State Head Team Physician will ultimately determine a student-athlete’s ability to participate in Long Beach State Athletic related activity. Warning Signs & Symptoms to Terminate Exercise While Pregnant

• Vaginal Bleeding • Chest Pain • Abdominal Pain • Shortness of Breath • Dizziness • Headache • Preterm Labor • Decreased Fetal Movement • Amniotic Fluid Leakage • Muscle Weakness • Calf Pain or Swelling

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OUTSIDE PHYSICIAN REFERRAL POLICY

Long Beach State Athletics Department’s student-athletes may be granted an opportunity to seek a second medical opinion at the university’s expense under the following conditions:

1. They wish to see their family doctor-Pediatrician, Internist, Family Practitioner, General Practitioner.

2. The referral is to a specialist in treating the specific injury(s). Referrals must come

from the Long Beach State athletic training staff and/or team physician(s) and must be authorized prior to the onset of care.

The final disposition of a student-athlete’s case and the treatment recommended, including any and all surgeries, will be determined by the head team physician in consultation with our team orthopedists and the second opinion doctor. The student-athlete will be given copies of all the pertinent medical records, information, x-rays, and other documentation needed to assist the second opinion doctor in making a thorough evaluation. Treatment and/or surgery by second opinion doctor won’t be allowed unless specifically authorized by the head team physician or assistant athletic director for sports medicine. The second opinion doctor must work in conjunction with our sports medicine department director at all times. Long Beach State Athletics should not and will not pay for any “after-the-fact” second opinions. There should be no surprises for the sports medicine department. Repeated consultations, or “shopping for a doctor”, with different medical professionals often result in unnecessary loss of practice and playing time for the athlete. If a coach sends an athlete out for a second opinion without the approval of the head team physician or assistant athletic director for sports medicine without going through the proper procedures, the cost of the referral should then be paid for by the student-athlete individually or by that particular team’s operating budget. It is generally agreed that second opinions can be requested from licensed M.D.’s only and that certain other categories must be excluded from that group (Holistic caregivers, chiropractors, acupuncturists). Chiropractor: Long Beach State uses a few chiropractors in the area that athletes may be referred to for athletic related injuries. Athletes must be referred to the chiropractor by an athletic training staff member and/or physician in order for services to be paid for. Services will be provided only for the specified amount of time and athletes will be required to continue with the rehabilitation and/or treatment plan as directed by the athletic training staff member and/or team physician(s).

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DENTAL/ EYE SAFETY Dental The Sports Medicine Department will provide medical coverage for any injury to the teeth, gums, or jaw that is a direct result of participation in intercollegiate athletics regularly scheduled practice and/or competition. Student-athletes that are injured will be referred to the team dentist or to their personal dentist. The certified athletic trainers must make the referrals if the department is to assume financial responsibility. The department does not cover routine dental care – cleanings, routine checkups, etc. Glasses and Contacts The Sports Medicine Department will be responsible for payment to replace or repair glasses and/or contacts, which are lost or broken, provided the loss is a direct result of participation in athletic practice/competition. Routine eye examinations are the financial responsibility of the student-athlete.

PRESCRIPTION MEDICATIONS The Sports Medicine Department may agree to pay for medications prescribed by medical doctors as long as the medication is for acute physical conditions and minor illnesses. Prescriptions for life-long illnesses and chronic conditions may not be covered; an example of this would be non-exercise induced asthma. Prescriptions from our team physicians and/or physicians from the Student Health Services (SHS) can generally be filled at the Student Health Services pharmacy. If the SHS does not have the particular drug in its pharmacy, the athlete can have it filled at an outside pharmacy and bring the receipt to the training room for reimbursement. If an athlete has primary medical insurance, the prescription will be filled by an outside pharmacy utilizing the athletes insurance for a discount. He/she will pay the co-pay and have it reimbursed by the Sports Medicine Department by presenting the receipt to the head athletic trainer. In all cases, authorization by one of the certified athletic trainers is required prior to filling the prescription if the Sports Medicine Department is to reimburse for medications. Athletes should come to the training room prior to going to the SHS and pick up a signed authorization slip so the pharmacy will know to bill the sports medicine department. If the athlete goes to an outside pharmacy, he/she must first discuss the procedure with the assistant athletic director for sports medicine or their assigned athletic trainer. The Sports Medicine Department will not authorize payment for tests involving birth control, pregnancy, and tests for STD’s and treatment. Prescription Drugs: The Long Beach State athletic training room will adhere to the suggested guidelines of the NCAA with regards to dispensing of prescription medications. No oral prescription drugs of any kind will be stored in the training room. Select prescription topical creams and liquids for electromotive drug administration (Iontophoresis) are stored in a lockable cabinet in a room that is locked after hours. Athletes needing these prescription drugs must see one of the team physicians for a prescription for these medications which will include dosage and length of use (# of treatments). The athlete will be

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given proper instruction of what medication they are taking and proper usage of how and when they should take it. Over The Counter Drugs: Distributing over-the-counter drugs (OTC) as a single dose of a drug will be allowed. All over-the-counter drugs will be secured in a locked cabinet in a room that is locked after hours. Periodic inventories will be completed to insure removal of outdated or deteriorated drugs. A written list of individuals requesting medication, the type of medication, and dosage will be maintained in the physicians’ office. No athletic trainer will dispense medication (as per definition in the NCAA suggested guidelines). There will be no preparing, packaging and labeling of a prescription drug or device for subsequent use by a patient.

NUTRITIONAL SUPPLEMENTS

The NCAA and Long Beach State Athletics warns student-athletes about the use of any nutritional supplements. The food and drug administration (FDA) does not regulate supplement labeling; therefore, ingredients in the product, including banned substances, may not be listed on the label and/or the amount of the ingredient may be incorrect. The NCAA also bans many of the substances in over-the-counter nutritional products and student-athletes should be warned that salespeople are often unaware of the banned ingredients in these supplements. There are often many different names used for the same or similar products and this may lead to an athlete thinking they are not taking a banned substance; however, the NCAA’s policy is that ignorance is no excuse and if an athlete tests positive during an NCAA sponsored test he/she will lose one year of eligibility regardless of the source of the banned substance. NCAA ByLaw 16.5.2.7 Nutritional Supplements. [A] An institution may provide permissible nutritional supplements to a student-athlete for the purpose of providing additional calories and electrolytes. Permissible nutritional supplements do not contain any NCAA banned substances and are identified according to the following classes: carbohydrate/electrolyte drinks, energy bars, carbohydrate boosters, protein supplements, and vitamins and minerals. [R] (Adopted: 4/27/00 effective 8/1/00, Tevised: 11/1/01 effective 8/1/02, 4/14/09, 8/7/14, 1/20/17) Athletes who are taking or plan to take supplements would be well advised to see an athletic trainer or contact Drug Free Sports on-line at https://dfsaxis.com/users/login (password= ncaa1) to find information on specific products. Athletes will never be advised that a supplement is guaranteed to be safe and will not cause a positive result on a drug test.

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INFECTION PREVENTION & CONTROL The athletic training staff strives to maintain a clean environment for all student athletes. This is maintained through education on prevention and management of infections and proper disinfection of all surfaces and equipment that the athletes may come in contact with. The following are guidelines that help with these prevention and management strategies.

1. Keep hands clean by washing thoroughly with soap and warm water OR using an alcohol based hand sanitizer routinely.

2. Encourage showering immediately following activity and prior to treatment in the athletic training room.

3. Avoid sharing towels, razors, or athletic gear. 4. Avoid using whirlpools when athletes have open wounds 5. Maintain a clean facility and equipment with disinfectant solution

i. Treatment tables, stools, and fitness equipment should be cleaned daily ii. All other equipment cleaned on per use (cleaned in Fall and Spring if in non-

use) 6. IMMEDIATELY report any active skin lesions/wounds to the athletic training staff,

student health services, or a physician. 7. Administer or seek proper first aid and cover all lesions appropriately prior to

participation. 8. Properly wash and care for athletic gear daily

The athletic training staff should go over recommendations for infection/disease prevention with each team prior to the start of practice/competition each year. Athlete’s that report and are suspected of having a wound or lesion that could be a staph infection will be referred for evaluation by Student Health Services, a team physician or other appropriate health care provider. Athletes are instructed to report daily for follow-up care or as directed by treating physician.

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LONG BEACH STATE CONCUSSION MANAGEMENT PLAN Per NCAA Constitution 3.2.4.17

Revised 4/2017 Introduction Concussion remains a common but serious injury among collegiate athletes. There are over 8,000 concussions annually across all NCAA institutions. Despite the increased public awareness and advancing scientific knowledge in this field, there are many aspects of concussion management that still rely on clinical judgment and expert opinion. The objective tests that are commonly used to diagnose and qualify a concussion are useful adjunctive tools, but ultimately there is no testing modality that conclusively defines a concussion or reliably determines safe recovery from a concussion. Given this landscape of diagnostic uncertainty, this document reflects our current understanding of sports-related concussion and reflects our policy and overall philosophy of encouraging athletic participation in a safe and fair manner. Definition There are 42 different consensus-based definitions for concussion. For the purposes of this document, concussion is defined as: A brain injury that results in measured cognitive and neurologic dysfunction that

typically results from a direct or transmitted blow to the head Baseline Assessment All new student athletes will have a baseline concussion assessment prior to their first day of participation. A team physician(s) will make the final determination for clearance and/or the need for additional consultation or testing based on results. This assessment includes: Providing a Thorough History of previous brain injury and/or concussions Standard Assessment of Concussion (SAC) Balance Error Scoring System (BESS) Completion of Concussion Symptom Scale

Each student-athlete will read and sign a statement contained in the “Informed Consent & Assumption of Risk” form signed annually in which they accept responsibility for reporting all injuries/illness to the athletic training staff, including signs and symptoms of concussion. Each student athlete will also receive education regarding concussions prior to their season that includes signs and symptoms of concussion and how to report them to the athletic training staff. Injury Assessment and Management - Sideline/Field Assessment Medical personnel (member of the sports medicine staff – athletic trainer or team physician) with training in the diagnosis, treatment and initial management of acute concussions will be “present” at all NCAA varsity competitions in the following contact/collisions sports (that we have at Long Beach State):

• Men’s Basketball • Women’s Basketball • Women’s Soccer

To be “present” means on site at the campus or arena of the competition. Sports Medicine Staff may be supplied by either team, or may be independently contracted for the event.

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Medical personnel (member of the sports medicine staff – athletic trainer or team physician) with training in the diagnosis, treatment and initial management of acute concussions will be “available” at all NCAA varsity competitions in the following contact/collisions sports (that we have at Long Beach State):

• Men’s Basketball • Women’s Basketball • Women’s Soccer

To be “available” means that, at minimum, medical personnel can be contacted at any time during the practice via telephone, messaging, email, beeper or other immediate communication means. Further, the case can be discussed through such communication, and immediate arrangements can be made for the student athlete to be evaluated. Any student-athlete suspected of having a concussion will be removed from all activities immediately. A “sideline/field” clinical assessment will be performed by the athletic trainer, or covering physician, including:

• Symptom assessment. • Physical and neurological exam. • Cognitive assessment • Balance exam. • Clinical assessment for cervical spine trauma, skull fracture and intracranial bleed

The determination of a concussion or suspected concussion will be made by the sports medicine staff (athletic trainer or physician) and not by the athlete or coaching staff. If the athletic trainer or physician confidently rules out a concussion on the sideline, the student-athlete may return to play after performing sport specific functional drills; however, if it is determined that the athlete has sustained a concussion, the athlete will be removed from participation and may not return that day. Post-Concussion Management Any student-athlete suspected of having a concussion should be referred to the sports medicine staff member immediately. A staff athletic trainer and/or team physician will evaluate the athlete and referral to the appropriate level of medical care and/or consultation with team physician will be made. Assessment will include the SAC, BESS and Post-Concussion Symptom Scale in addition to testing ordered by treating physician if necessary. The student-athlete will be treated based on recommendations of treating physician(s) and/or appropriate medical specialist (neurologist, neuropsychologist, neurosurgeon) if needed. It is recommended that a symptom reassessment be done every 20-30 minutes until sent home. Activation of the Emergency Medical System (as listed on each venue specific emergency action plan) should occur if any of the following occurs or is suspected:

• Glasgow Coma Scale < 13 o Eye Opening (E)

4 = spontaneous 3 = to voice 2 = to pain 1 = none

o Verbal Response (V) 5 = normal conversation

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4 = disoriented conversation 3 = words, but not coherent 2 = no words, only sounds 1 = none

o Motor Response (M) 6 = normal 5 = localized to pain 4 = withdraws to pain 3 = decorticate posture (an abnormal posture that can include rigidity,

clenched fists, legs held straight out, and arms bent inward toward the body with the wrists and fingers bend and held on the chest)

2 = decerebrate (an abnormal posture that can include rigidity, arms and legs held straight out, toes pointed downward, head and neck arched backwards)

1 = none o Using the Glasgow Coma Scale (Total from 3 categories above)

Every brain injury is different, but generally, brain injury is classified as: • Severe: GCS 3-8 (You cannot score lower than a 3.) • Moderate: GCS 9-12 • Mild: GCS 13-15

• Prolonged loss of consciousness • Focal neurological deficit suggesting intracranial trauma • Repetitive emesis (vomiting) • Persistently diminished/worsening mental status or other neurological signs/symptoms • Spine injury.

Student-athletes suspected of suffering a concussion will be given oral and written (if available) home instructions for them and a responsible adult (parent or roommate). A follow-up clinical evaluation and symptom checklist will be performed the following day and subsequent days until the athlete begins the graduated Return to Academics and Return To Play protocols. A student-athlete with prolonged recovery will be referred to a team physician for further evaluation in order to consider additional diagnosis* and the best management options. *Additional diagnosis include, but are not limited to:

• Post-concussion syndrome • Sleep dysfunction • Migraine or other headache disorder • Mood disorders such as anxiety or depression • Ocular or vestibular dysfunction

Return to Learn/Academics Any student-athlete suspected of having a concussion will:

• not attend classes/study hall that day. • remain home/in the dorms until light cognitive activity can be tolerated

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o Initial phase should involve rest from all physical and cognitive stress. This may include avoidance of video games (and other electronic stimuli), review of game film, class work and exams.

• progress back to studying/classroom as tolerated once asymptomatic for 24 hours.

The Sports Medicine staff will communicate with the Director of the Bickerstaff Academic Center (academic services for athletics) who will act as the liaison between the sports medicine staff, his/her staff, and the appropriate academic staff on campus to establish an individualized return to learn plan based on their recovery. This plan will be compliant with Americans with Disability Act Amendments Act (ADAAA) and involve all appropriate academic modifications as directed by the sports medicine department and academic team members (which includes athletics, OSD, and the University/local ADAAA office). Student-athletes that develop prolonged symptoms (>2weeks) or are identified as a complex case will be re-evaluated by a multidisciplinary team* to adjust the overall recovery and return to learn plans. * Multidisciplinary team may include, but not limited to:

- Team physician - Athletic trainer - Psychologist/counselor - Neuropsychologist consultant - Faculty athletic representative - Academic counselor - Course instructor(s) - College administrator(s) - Office of disable student services - Coach(es)

Return To Play Guidelines The following will be used to determine the athlete’s ability to return to participation:

1. Athlete’s reported levels on the Post-Concussion Symptom Scale 2. Scores on the SAC & BESS tests 3. Team physician, athletic trainers, and/or treating medical specialist recommendations 4. Performance of exertion tests using a gradual return to play protocol listed below:

a. Light aerobic exercise (walking, swimming, or stationary cycling) without resistance training.

b. Sport-specific exercise and activity without head impact. c. Non-contact practice with progressive resistance training. d. Unrestricted training. e. Return-to-competition.

Student athletes must have no increase in symptoms for a minimum of 24 hours following each phase of progression to progress to the next level. If an athlete has symptoms recur during the activity progression, they should revert back to full rest and then resume progress after asymptomatic for a full 24 hours. Progress at that point may require a more gradual progression of activity levels.

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Many factors may affect the management of concussions (eg. prior concussions, learning disabilities, migraine headaches, sleep dysfunction), it is emphasized that ultimately the phases of return to play are implemented based upon the clinical judgment of the treating physician. The athletic training staff, in consultation with the treating physician(s) or medical specialists, will then make a recommendation for participation status. Team Physician(s) will have the final say in return to play protocols. Pre-Season Education The following parties will be provided with updated concussion information (I.e. NCAA concussion fact sheets or other applicable material) annually:

• Student-athletes • Coaches • Team physicians • Athletic Trainers, Certified • Director of athletics.

Each party will provide a signed acknowledgement of having read and understood the concussion material. Reducing Exposure to Head Trauma:

• Long Beach State will adhere to Inter-Association Consensus: Independent Medical Care Guidelines

• Long Beach State will aim to reduce gratuitous contact during practice. • Long Beach State will take a ‘safety first’ approach to sport. • Long Beach State will provide education to coaches and student-athletes regarding safe

play, proper technique and taking the head out of contact.

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INJURY PREVENTION & REDUCTION

Our system of care uses the following policies and procedures for prevention and reduction of injuries. These are pre-participation physical exams, guidelines on injury management and return to play decisions, performance and functional activity programs, prophylactic taping and bracing policies and environmental monitoring. All of these are based on progressive changes within the field of sports medicine and a review of our related injury data.

I. Pre-Participation Screening • All new athletes are required to have a comprehensive physical exam prior to

participation as Long Beach State. These exams are overseen by our team physicians and involve the following areas:

- Internal medical evaluation with referral for lab work (Sickle Cell status only – for M Basketball, Baseball, and M/W Cross-country please check with your ATC)

- Cardiac screening (health history and physical) - Orthopedic evaluation

- Baseline concussion testing • Returning athletes are referred for exams or follow up evaluations based on

completion of a returning athlete questionnaire and knowledge of past illness/injury. By providing accurate, comprehensive and up to date information on this document it assists the sports medicine department in identifying athletes that need referral to a team doctor for clearance. Returners are not “cleared” until a staff athletic trainer and/or team physician reviews their file.

These exams & evaluations allow our staff to identify medical or orthopedic conditions that may prevent an athlete from participating safely and/or preventing further or additional injuries. The goal is to identify and correct. Rehabilitation programs are set-up for specific athletes while preventative programs covered in section III are implemented for all athletes in their specific sports.

II. Injury Management and Return to Play Decisions When an injury or illness is suspected, our system is set up to manage the issue from onset to return to play. This is accomplished by: • Immediate Care and Diagnosis • Quality Care as directed by team physician(s) • Return to play decision based on knowledge of injury/illness, athlete, and

requirements of the sport. III. Performance and Functional Activity Programs

The athletic training staff works closely with the strength and conditioning staff, coaches and physicians to develop program that will increase the functional ability and facilitate injury prevention. By reviewing injury statistics in each sport and assessing the individual needs of each athlete we can develop strength, flexibility and functional movement programs. Specifically, staff athletic trainers have worked with teams developing pre and post practice programs. These programs are geared towards reducing the chance of injury by the principles stated above. The most preventable being overuse and past injuries identified during PPE”s.

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IV. Prophylactic Taping and bracing for high risk sports/athletes

Tape and/or ankles brace are recommended for all athletes on Men’s and Women’s basketball and the Men’s and Women’s volleyball teams. We may also require one of these options for an athlete that is identified during our screening process as having a prior injury or instability that may lead to future/further injury.

V. Identifying Unsafe Practices & Environmental Conditions This involves monitoring and assessing the conditions and environment that our athletes participate in to ensure the highest level of safety. Examples include unsafe or improper techniques or activities, playing surface, and weather. Identification and assessment of these factors can reduce injuries by limiting exposure to unsafe conditions for activity.

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LONG BEACH STATE ATHLETICS

DRUG AND ALCOHOL POLICY & TESTING July 1 2018- July 31, 2019

I. Policy Statement. California State University, Long Beach (Long Beach State) is concerned with the health, safety, and welfare of the student athletes who participate in intercollegiate athletics and represent Long Beach State. Long Beach State recognizes student athletes using controlled substances and alcohol can adversely affect their health and well-being, academic achievement, athletic performance, and skill. Further, the physical rigors of intercollegiate sport makes abuse of legal and illegal drugs and alcohol by intercollegiate athletes especially dangerous and may increase the risk of serious injury to themselves and others during athletic practice and in competition.  Long Beach State Athletics reserves the right to amend this policy as necessary to better protect the health, safety and well-being of our student-athletes. This policy does not, and should not be construed to create a contract between student athletes and Long Beach State. The Long Beach State Drug and Alcohol Policy & Testing is separate and distinct from the NCAA drug-testing program; however, positive testing with the NCAA does count against Long Beach State’s athletic sanctions. Information regarding the NCAA drug-testing program is available at www.ncaa.org. II. Purposes of the Drug Education Program. The Long Beach State Athletics Department is committed to the Long Beach State Drug Education Program, with the following specific program goals:

To educate student-athletes about the dangers of substance abuse. To prevent illicit drug and alcohol use and abuse by student-athletes. To identify any student-athlete who may be using one or more illicit drugs and

identify those drugs. To identify any illicit drug dependency and ensure such drug dependency is

addressed, treated, and properly documented. To provide reasonable safeguards to ensure every Long Beach State student-

athlete is medically qualified to participate in intercollegiate athletics. To encourage discussion among Long Beach State student-athletes about the

dangers of drug use and address their related questions. To ensure student-athletes are physically and mentally fit for the rigors of

intercollegiate athletic participation, and to minimize the risks of serious injury to student-athletes and their teammates and opponents.

III. Participants in the Drug and Alcohol Testing Program. All student-athletes listed on an NCAA squad list and participating in Long Beach State athletics are included in the Drug and Alcohol Testing Program and are subject to periodic, random urine drug testing. During the first compliance or team meeting of each competition season, student-athletes will receive a presentation outlining the Athletics Department’s program and policies regarding drug screening, as well as the purpose and implementation of drug screening. Prior to student-athlete’s first day of practice, each student-athlete shall confirm by electronic signature through JumpForward the Drug and Alcohol Policy & Testing Acknowledgement, Consent, and Release form.

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Student-athlete will not be permitted to participate in Long Beach State athletic activities (including, but not limited to, practices, workouts, use of the strength and conditioning facility, attending team meetings, competitions and student athlete functions) until the Drug and Alcohol Policy & Testing Acknowledgement, Consent, and Release form has been electronically signed and returned via JumpForward. Alcohol Consumption of alcohol by student-athletes is prohibited at all events sponsored by Long Beach State, including, but not limited to, athletic events, banquets, fundraisers, recruiting visits and while on the road representing the university. In addition, student-athletes must comply with all written team rules and policies regarding alcohol consumption. Alcohol-related violations by student-athletes will be handled in accordance with athletic department policies and team rules, and may result in sanctions described in Section VII below. Use of Supplements: Long Beach State Athletics Department personnel discourage use of dietary supplements and ergogenic aids. Many dietary supplements and ergogenic aids contain substances banned by the NCAA. Oftentimes the labeling of dietary supplements is not accurate and is misleading. Terms such as “healthy” or “all natural” does not mean dietary supplements do not contain a banned substance or are safe to use. Dietary supplements may cause a positive drug test. It is highly recommended that any student-athlete taking a dietary supplement or intending to take one review the product with the Assistant Athletic Director for Sports Medicine prior to taking the supplement. For more information on dietary supplements, please visit the Dietary Supplement Resource Exchange Center (REC) at www.dfsaxis.com/users/login. Student-athletes who take any dietary supplements and products containing dietary supplements do so at their own risk, even if the supplement has been reviewed and cleared by the Assistant Athletic Director for Sports Medicine. Tobacco Policy Long Beach State is a tobacco and smoke-free campus. The campus tobacco and smoke-free policy applies to all university facilities, property, vehicles, and Blair Field. The use of all “tobacco products” in any form is prohibited by student-athletes, coaches and any Long Beach State affiliated staff (including part-time or student), including at all practices, workouts and competitions. “Tobacco products” include: a) any product containing, made, or derived from tobacco or nicotine that is intended for human consumption, whether smoked, heated, chewed, absorbed, dissolved, inhaled, snorted, sniffed, vaped, or ingested by any means, including, but not limited to, cigarettes, cigars, little cigars, chewing tobacco, pipe tobacco, snuff and vapor; and b) any electronic device that delivers nicotine or other substances to the person inhaling from the device, including, but not limited to, electronic cigarette/vaping, cigar, pipe, or hookah. Violation of the tobacco and smoke-free policy will not be tolerated. Per NCAA rules, a student-athlete who uses tobacco products during a practice or competition shall be disqualified for the remainder of that practice, workout or competition. Additional penalties may be imposed by the University Compliance committee. The University Compliance Committee will also sanction other game personnel who violate this policy on a case-by-case basis along with any sports specific penalties. Disclosure of Medical Conditions/Medication: Medical conditions/ailments will be reviewed on a case by case by basis by the Head Team Physician. Student-athletes with prior conditions should provide relevant medical documentation prior to selection for testing.

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Upon enrollment at Long Beach State, all student-athletes must inform the sports medicine staff of all medications (prescribed or over the counter medications) they have or are using by disclosing those medications on the new athlete or returner health history questionnaire. If at any time during your athletic participation at Long Beach State you begin taking new or additional medication, you must immediately inform the sports medicine staff. The student-athlete must provide a Drug Declaration Form “Appendix A” from his/her outside personal physician containing the student-athlete’s medical history, diagnoses, and treatment plans, including medications and dosage information. This information shall be maintained in the student-athlete’s university medical records.

University ATOD 123 program: The Athletic Department is part of the Universities ATOD 1-2-3 program. If a student-athlete is cited for use of alcohol or other drugs on campus by the police, while residing in the residence halls, breaking department policies or team alcohol rules they would be referred to the ATOD Step 1-2-3 program. The ATOD Program will track all students referred to the ATOD Step 1-2-3 process. Please also be aware that if students are cited by multiple departments (i.e. Athletics, Police, and Housing) on separate occasions they will proceed to the next step in the Step 1-2-3 process. IV. Types of Drug Testing

1. Random A pre-determined number of student athletes will be randomly selected to participate in the institutional drug-testing program. Random testing will occur a minimum of once during each semester.

2. Reasonable Suspicion Any student participating in the intercollegiate athletic program is subject to drug testing upon request if there is reasonable cause to believe the student may be using banned substances. Circumstances constituting reasonable cause include, but are not limited to, the following: current or past involvement with the criminal justice system for drug related activities, notification of any report that includes the presence of drugs and/or drug paraphernalia, prior treatment for drug use, admission of current drug use, prior positive test for any banned substances, signs of possible physiological impairment from drugs, or a pattern of aberrant behavior as mentioned on the reasonable suspicion form. “Appendix B”

3. Post Season/Championships A team or individual that has qualified or may qualify for an NCAA championship event may be tested before the NCAA competition begins. This includes student-athletes who may have already been tested through the random selection process.

4. Follow–up Any athlete testing positive for a banned substance is subject to follow-up testing for one calendar (1) year from the time of the positive test. If there are no positive test results within that calendar year, the student-athlete will be placed back in the “random” pool.

V. Notification for testing process Student-athletes selected for testing will be notified by the Assistant Athletics Director for Sports Medicine or his/her designee no more than 24 hours in advance. Selected individuals will be contacted in person or by phone. Text messaging, email, or voicemail are not acceptable notification methods.

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Student-athletes selected for testing are expected to show up to the testing location in a prompt manner at the designated time, and must be ready to produce a sample for collection. Collection methods for urine samples are listed in Appendix C. NCAA banned substances are listed in Appendix D. Testing may include any of these banned substances, but is not limited to this list. For the most up to date list of the NCAA banned substance list please refer to their website - http://www.ncaa.org/sport-science-institute/ncaa-drug-testing-program. Self-Referral for Admission of Prohibited Drug Use Any Long Beach State student-athlete who feels he/she has a problem with alcohol and/or other drugs may request assistance through the Assistant Athletics Director for Sports Medicine, their assigned staff Athletic Trainer, or an Athletic Administrator. The Head Team Physician and Assistant Athletics Director for Sports Medicine will develop a treatment plan based on the student-athlete’s specific needs. The treatment plan will include baseline and future drug testing, counseling, and may include a recommendation the student-athlete enter a drug or alcohol treatment program. If baseline testing is positive for a banned substance, the positive test result will not result in sanctions; however, the Head Team Physician may suspend the student-athlete from competition or practice if the Head Team Physician deems the student-athlete is not physically and/or mentally fit for the rigors of intercollegiate athletic participation. Rules regarding “self-referral”:

Admission of drug or alcohol use must occur prior to the student-athlete being notified of an impending institutional drug test or prior to having administrative charges brought against them for alcohol and/or drug related behavior.

A student-athlete may use the “self-referral” only to seek help ONE TIME during their athletics career at Long Beach State.

A student-athlete may use the “self-referral” only prior to a positive drug test result. A student-athlete who has a prior positive result may still “self-refer” himself/herself for help or assistance, but the student-athlete will still be eligible for drug testing if their team is selected. Put another way, self-referring after a prior positive test result does not remove the student-athlete from being eligible for random testing selection.

Failure to comply with the treatment plan shall be equivalent to a positive test result and the student-athlete shall be subject to sanctions.

A positive test result for a prohibited drug other than ones identified in the “baseline” drug test, and/or evidence of new substance abuse (as determined by follow-up testing) shall result in a positive test result and the student athlete shall be subject to sanctions.

The “self-referral” is applicable only to Long Beach State drug testing. The NCAA does not recognize “self-referral,” and a positive drug test result during NCAA testing will result in NCAA sanctions.

VI. Notification of positive drug test result In the event of a positive drug test result, the National Center for Drug Free Sport, Inc. will notify the following: the Assistant Athletic Director for Sports Medicine and the Deputy Athletics Director/Senior Women’s Administrator (SWA). Drug test results are generally confidential, but certain individuals must be notified for the purpose of implementing and enforcing the Long Beach State Athletics Drug & Alcohol Policy and for the potential administration of sanctions against the student-athlete. The Assistant Athletics Director for Sports Medicine or the Deputy Athletics Director/SWA will notify the:

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Student-Athlete Athletics Director Head Team Physician Head Coach of the athlete’s sport Counselor (ie drug educator, therapist) Sport’s Supervisor Assigned Academic Advisor Parent

VII Sanctions for a Positive Drug Test Long Beach State drug testing of student-athletes is meant to supplement drug testing administered by the NCAA, the United States Anti-Doping Agency and the governing bodies of particular sports. Sanctions prescribed by this Drug and Alcohol Policy for student-athletes are in addition to sanctions imposed by the NCAA, the United States Anti-Doping Agency and the governing bodies of particular sports. A positive drug test result with the NCAA, or any other governing body, counts as a positive test result under Long Beach State’s Drug & Alcohol policy and the student-athlete will be held accountable and will be subject to appropriate Long Beach State sanctions in addition to those imposed by the outside body.

Sanctions by the NCAA or any other governing body for a positive drug test will be enforced by the Athletic Department.

If a student-athlete is suspended pursuant to Long Beach State’s sanctions (2nd or 3rd positive) and is also suspended by the NCAA or other governing body, the student-athlete may serve the suspensions concurrently.

If the student-athlete appeals his or her sanctions with the NCAA or other governing body, the student-athlete will not be subject to Long Beach State sanctions until the NCAA or other governing body’s appeal is resolved.

The following applies to all positive drug tests (1st, 2nd, & 3rd Positive): The duration of the student-athlete’s suspension and medical ineligibility will be determined jointly by the Head Team Physician and/or Counselor, who will evaluate whether the student-athlete should be referred to a drug treatment facility for assessment of the severity of chemical dependency and recommendations for either outpatient or residential treatment. If the student-athlete is referred to a drug treatment facility for assessment and recommendations, the student-athlete shall, if requested by the Head Team Physician and/or Counselor, sign a release permitting the agency to disclose the results of the assessment and recommendations to the Head Team Physician and/or Counselor. Failure to agree will disqualify the student-athlete from further participation.

If a student-athlete tests positive for a banned substance, the Athletics Department may impose the sanctions listed below.

A. FIRST POSITIVE TEST: A student-athlete who tests positive for the first time or fails to timely participate in a drug test will be referred to the Assistant Athletics Director for Sports Medicine, Head Team Physician (if necessary), a counselor (i.e., drug educator, therapist), and/or the Deputy Athletics Director/SWA. Please see Chart 1 on page 8 for the detailed list of sanctions. The suspension may be extended if the student-athlete does not schedule and/or attend the required meeting(s) described below.

To maintain medical eligibility, all of the following conditions must be satisfied:

1. The student-athlete must submit to regular follow up drug testing as directed by the Assistant Athletics Director for Sports Medicine. The student-athlete may be

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responsible for paying for the cost of these future tests. Refusal or failure to participate in such drug testing will result in loss of medical eligibility.

2. The student-athlete must reaffirm his/her commitment to remain drug free while a member of a Long Beach State athletic team.

3. The student-athlete must take part in a minimum of 2 drug counseling sessions.

The Head Team Physician and/or Assistant Athletics Director for Sports Medicine will determine which counseling services are utilized and appropriate.

Reinstatement of the student-athlete shall be determined by the Head Team Physician.

B. SECOND POSITIVE TEST: A student-athlete who has a second positive drug test or fails for a second time to timely participate in a drug test will be referred to the Assistant Athletics Director for Sports Medicine, the Head Team Physician (if necessary), the Counselor, and the Deputy Athletics Director/SWA. Please see Chart 1 on page 7 for the detailed list of sanctions. The suspension may be extended if the student-athlete does not schedule and/or attend the required meeting(s) described below.

To regain and maintain medical eligibility, all of the following conditions must be satisfied:

1. The student-athlete must submit to regular follow up drug testing as directed by the Assistant Athletics Director for Sports Medicine. The student-athlete may be responsible for paying for the cost of these future tests. Refusal or failure to participate in such drug testing will result in loss of medical eligibility.

2. The student-athlete must reaffirm his/her commitment to remain drug free while enrolled as a member of a Long Beach State athletic team.

3. The student-athlete must take part in a minimum of 4 drug counseling sessions. The Head Team Physician and/or Assistant Athletics Director for Sports Medicine will determine which counseling services are utilized and appropriate.

4. If the Head Team Physician and/or Counselor recommend the student-athlete participate in a treatment program, the student-athlete shall (a) participate in the treatment program, (b) may be required to pay all costs associated with the treatment program and (c) sign a release permitting the operator of the treatment program to disclose attendance and participation information to the Head Team Physician and/or Counselor. Refusal or failure to participate in a recommended treatment plan will be considered a violation of Athletics Department policy, and may result in dismissal from all athletic teams representing Long Beach State and removal of all athletic-related financial aid.

Reinstatement of the student-athlete shall be determined by the Head Team Physician.

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C. THIRD POSITIVE TEST: A third positive test or third failure to timely participate in a drug test will result in suspension from all athletic teams representing Long Beach State for a minimum of one year – Please see Chart 1 on page 7 for the detailed list of sanctions. Also, financial aid may cease, subject to NCAA financial aid regulations. Determinations regarding the length of the suspension (which shall not be less than one year) and loss of financial aid shall be made by the Athletics Director and the Deputy Athletics Director. Reinstatement of the student-athlete shall be determined by the Head Team Physician.

To regain and maintain medical eligibility after the required suspension has been served, all of the following conditions must be satisfied:

1. The student-athlete must complete an inpatient or outpatient rehabilitation program approved by the Head Team Physician and counselor. The student-athlete may be responsible for all costs associated with the rehabilitation program.

2. The student-athlete must commit to comply with a recovery plan determined by the Head Team Physician and Counselor. The student-athlete may be responsible for all costs associated with the recovery plan.

3. The student-athlete must attend meetings with the counselor for a period determined by the counselor. Unexcused failure to meet will result in loss of medical eligibility.

4. The student-athlete must submit to drug testing as directed by the Assistant Athletics Director for Sports Medicine. The student-athlete may be responsible for paying for the cost of these future tests. Refusal or failure to participate in such drug testing will result in loss of medical eligibility.

Additionally, the student athlete will be encouraged to remain in a drug abuse prevention program for at least one additional academic year.

C. FOURTH POSITIVE TEST: A fourth positive test or fourth failure to timely participate in a drug test will result in an immediate and permanent suspension from all athletic team activities associated with Long Beach State. Additional notes regarding testing:

Failure to appear for a scheduled drug test or failure to produce a sample will count as a positive drug result.

o A student-athlete’s failure to show up for a scheduled drug test after having been officially notified will count as a positive result, and the student-athlete will be rescheduled for testing to establish baseline values at the student athlete’s expense!

o The “failure to appear” will count as a “positive test”; however, if the athlete tests positive on the “baseline” test it will not count as a second positive. The baseline will be used to establish baseline values to compare to future test results.

A positive drug test result will be defined as a result that indicates new or continued use of a banned substance. If during follow up testing the student-athlete tests positive, but the test results indicate appropriate declining values of a banned substance, the positive result will not be considered an additional positive result. The result interpretation will be conducted by the Assistant Athletic Director for Sports Medicine and the Head Team Physician with assistance from Drug Free Sport.

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Violation of documented team rules may also result in additional coach-imposed sanctions.

Chart 1: Drug Testing Positive Result Sanctions Chart

Championship Season (CS) Counseling (for both NCS or CS)

8 Hr. segment 20 Hr. Segment

1st Positive

7 consecutive days, starting with date of notification

7 consecutive days, starting with date of notification

+1 Game Suspension served

during CS (for either 8 or 20 hr.)

7 consecutive days, starting with date of notification;

includes ALL practices and competitions

minimum 2 sessions; Parent may be notified by Athletic

Administrator or Coach

2nd Positive

21 consecutive days, starting with date of notification

14 consecutive days, starting with date of notification

+1 Game Suspension served

during CS (for either 8 or 20 hr.)

14 consecutive days, starting with date of

notification - not to exceed 25% of competitions

minimum 4 sessions AND parents notified of 2nd positive by

Athletics Director/Designee

3rd Positive

must show proof of having gone through a treatment or

rehabilitation program AND parents notified of 3rd positive by

Athletics Director/Designee

4th Positive

No use of any athletic facilities during suspension - this includes

practice facilities and weight room

Immediate and permanent suspension of all team activities AND parents notified of 4th positive by Athletics Director

NC Season (NCS)

1 year (365 days) suspension of all team activities and possible loss of scholarship

VIII. RIGHT TO APPEAL A student-athlete may appeal a positive test, a sanction imposed for a positive test, or may contest the accuracy of the test results by delivering a written notice of appeal to the Deputy Athletics Director/SWA no later than three (3) business days after the date of the initial test result notification letter to the student-athlete. The student-athlete must include in the appeal (1) a statement clearly presenting the basis for the appeal, and (2) any documentation supporting the appeal. Upon receiving the appeal, if applicable, the Deputy Athletics Director/designee will request the laboratory retained by Long Beach State perform testing on the specimen B. Specimen B findings will be final, subject to the results of any appeal. If specimen B results are negative, the drug test will be considered negative; otherwise, the burden of proof rests upon the student-athlete submitting the appeal. In the event that a student-athlete files an appeal, a date and time will be set for an appeal hearing before the Student Athlete Welfare Committee. Prior to the hearing, the Committee may require clarification in writing from the student-athlete. The student-athlete will be given written notice of the appeal hearing and will be given the opportunity to attend the appeal hearing. The student-athlete may have an advisor or other representative present; however, the role of advisor/representative shall be limited to consultation with the student athlete; an advisor/representative may not address the committee or question participants in the proceeding. The student-athlete will be reinstated immediately and allowed to participate in all team activities while the appeal is pending. If the appeal is denied, the student-athlete will resume/start the suspension through the remaining time period determined by the policy stated in the appropriate testing section. After the committee makes its determination, the committee chair will prepare a written statement of its decision and send copies of the written statement to the student-athlete and the Deputy Athletics Director/SWA. The committee’s written statement of decision shall be final and binding. An appeal may be terminated at any point by a letter from the student-athlete withdrawing the appeal, and the suspension will continue through for the remaining period determined by the policy stated in the appropriate testing section.

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Appendix A

Long Beach State Sports Medicine

Medication Use by Student-Athlete

Name: __________________________ __________ Sport: _____________________ _______________ On accordance with NCAA policy, in order for a student-athlete to be granted a medical exception for the use of a medication that contains a banned substance, the student-athlete must have the following:

1. Present documentation of the assessment & diagnosis of the condition.

2. Provide documentation from the prescribing physician explaining assessment, the course of treatment, and the current prescription.

Name of Medication(s): Diagnosed condition(s) for which the above named medication(s) have been prescribed: Name of Treating Physician: Physician Contact Information:

Please submit this form and documentation requested above via FAX to (562) 985-7348.

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Appendix B

Long Beach State Department of Athletics Drug Testing Reasonable Suspicion Reporting Form

I, , under the reasonable suspicion clause that is

Staff Name

outlined in the Long Beach State Drug Education and Drug Testing Policy, report the following objective sign(s), symptom(s) or behavior(s) that I reasonably believe warrant be referred to the Director of Athletics or his/her designee

Student-Athlete

for possible drug testing. The following sign(s), symptom(s) or behavior(s) were observed by me over the past hours and/or days.

Please check below all that apply:

The Student-Athlete has shown:

irritability loss of temper poor motivation failure to follow directions verbal outburst (e.g. to faculty, staff,

teammates)

physical outburst (e.g. throwing equipment) emotional outburst (e.g. crying) weight gain weight loss sloppy hygiene and/or appearance

The Student-Athlete has been:

late for practice late for class not attending class receiving poor grades

staying up too late missing appointments missing/skipping meals arrested or had dealings with law enforcement

The Student-Athlete has demonstrated the following:

dilated pupils constricted pupils red eyes smell of alcohol on the breath smell of marijuana staggering or difficulty walking constantly running and/or red nose recurrent bouts with a cold or the flu

(provide dates )

over stimulated or “hyper” excessive talking withdrawn and/or less communicative periods of memory loss slurred speech recurrent motor vehicle accidents and/or

violations (provide dates ) recurrent violations of Student Code of

Conduct policy

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Other specific objective findings include:

Signatures:

Name of Staff

Signature of Staff Date

Reviewed By: Director of Athletics/Designee Date

Name of Counselor Consulted Date Consulted

□ Reasonable Suspicion Upheld

□ Reasonable Suspicion Denied

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Appendix C

Urine Collection Guidelines

1. Only those persons authorized by the institution will be allowed in the collection room.

2. When arriving to the collection room, the student-athlete will provide photo identification or a client representative will need to identify the student-athlete. The student-athlete will then print his or her name and arrival time on the Roster Sign-In Form.

3. The student-athlete will select a Custody & Control Form (CCF) from a supply of such and work with the

institutional collector to complete the necessary information before proceeding with the specimen collection process.

4. The student-athlete will select a specimen collection beaker from a supply of such and will be escorted by

the institutional collector (same gender) to the restroom to provide a specimen. The student-athlete will rinse his or her hands with water (no soap) and then dry their hands. Then the student-athlete will place a specimen barcode from the Custody & Control Form onto the beaker.

5. The institutional collector will directly observe the furnishing of the urine specimen to assure the

integrity of the specimen.

6. The student-athlete will be responsible for keeping the collection beaker closed and controlled.

7. Fluids and food given to student-athletes who have difficulty voiding must be from sealed containers (approved by the institutional collector), opened and consumed in the collection room. These items must be free of any other banned substances.

8. If the specimen is incomplete, the student-athlete must remain in the collection room until the sample is

completed. During this period, the student-athlete is responsible for keeping the collection beaker closed and controlled.

9. If the specimen is incomplete and the student-athlete must leave the collection room for a reason approved

by the institutional collector, the specimen must be discarded.

10. Upon return to the collection room, the student-athlete will begin the collection procedure again.

11. Once an adequate volume specimen is provided; the institutional collector will escort the student-athlete to the specimen processing table.

12. The specimen processor will instruct the student-athlete to closely observe the specimen processing steps and

will then measure the specific gravity.

13. If the urine has a specific gravity below 1.005, no value will be recorded on the CCF and the specimen will be discarded by the student-athlete with the institutional collector observing. The student-athlete must remain in the collection room until another specimen is provided. The student-athlete will provide another specimen.

14. Once the specimen processor has determined the specimen has a specific gravity above 1.005 the sample

will be processed and sent to the laboratory.

15. If the laboratory determines that a student-athlete’s sample is inadequate for analysis, at the client’s discretion, another sample may be collected.

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16. If a student-athlete is suspected of manipulating specimens (e.g., via dilution, substitution), the institutional collector will collect another specimen from the student-athlete.

17. Once a specimen has been provided that meets the on-site specific gravity, the student-athlete will select a

sample collection kit from a supply of such.

18. The specimen processor will open the kit, demonstrate to the student-athlete the vials are securely sealed, open the plastic and open the A vial lid. The processor will pour the urine into the A and B vials and close the lids. The specimen processor should pour urine into vials above the minimum volume level (35 mL in A vial; 15 mL in B vial) and pour as much urine as possible into the vials using care not to exceed the maximum levels (90 mL in A vial; 60 mL in B vial).

19. The specimen processor will securely close the lids on each vial and then seal each vial using the vial seals

attached to the CCF; assuring seals are tightly adhered to the vials with no tears or loose areas.

20. The specimen processor must then collect all necessary signatures (collector, donor, witness, and collector/ specimen processor) and dates/times where indicated on the CCF.

21. The specimen processor will place the laboratory copy of the CCF in the back pouch of the plastic bag and

the vials in the front pouch of the same bag. The bag should then be sealed. The sealed bag with vials will then be placed in the sample box. The box will then be sealed.

22. The student-athlete is then released by the institutional collector.

23. All sealed samples will be secured in a shipping case. The collector will prepare the case for forwarding.

When two split samples are collected and packaged, care must be taken to assure one sample is placed in the shipping container for shipment to the “drugs of abuse” laboratory and one sample is placed in the shipping container for shipment to the “anabolic steroids” laboratory.

24. After the collection has been completed, the samples will be forwarded to the appropriate laboratory and

copies of any forms forwarded to the Sport Drug Testing Department.

25. The samples then become the property of the client.

26. If the student-athlete does not comply with the collection process, the institutional collector will notify the appropriate institutional administrator and Drug Free Sport.

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Appendix D

2018-19 NCAA Banned Drugs It is your responsibility to check with the appropriate or designated athletics staff

before using any substance. The NCAA bans the following classes of drugs: a. Stimulants. b. Anabolic Agents. c. Alcohol and Beta Blockers (banned for rifle only). d. Diuretics and Other Masking Agents. e. Illicit Drugs. f. Peptide Hormones and Analogues. g. Anti-estrogens. h. Beta-2 Agonists.

Note: Any substance chemically related to these classes is also banned. The institution and the student-athlete shall be held accountable for all drugs within the banned drug class regardless of whether they have been specifically identified. See exceptions in the following examples listed for each class.

Drugs and Procedures Subject to Restrictions:

a. Blood Doping. b. Gene Doping. c. Local Anesthetics (under some conditions). d. Manipulation of Urine Samples. e. Beta-2 Agonists permitted only by prescription and inhalation (i.e. Albuterol).

NCAA Nutritional/Dietary Supplements WARNING:

Before consuming any nutritional/dietary supplement product, review the product with the appropriate or designated athletics department staff!

Dietary supplements, including vitamins and minerals, are not well regulated and may cause a

positive drug test result. Student-athletes have tested positive and lost their eligibility using dietary supplements. Many dietary supplements are contaminated with banned drugs not listed on the label. Any product containing a dietary supplement ingredient is taken at your own risk.

Check with your athletics department staff prior to using a supplement.

Some Examples of NCAA Banned Substances in Each Drug Class.

THERE IS NO COMPLETE LIST OF BANNED SUBSTANCES. Do not rely on this list to rule out any label ingredient.

Please refer to NCAA website for most current list of banned substances http://www.ncaa.org/2018-19-ncaa-banned-drugs-list

Rev. 5/2018

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2018-19 NCAA Banned Drugs Page No. 2 Stimulants:

amphetamine (Adderall); caffeine (guarana); cocaine; ephedrine; methamphetamine; methylphenidate (Ritalin); synephrine (bitter orange); dimethylamylamine (DMAA, methylhexanamine); “bath salts” (mephedrone); Octopamine; hordenine; dimethylbutylamine (DMBA, AMP, 4-amino methylpentane citrate); phenethylamines (PEAs); dimethylhexylamine (DMHA, Octodrine) etc.

exceptions: phenylephrine and pseudoephedrine are not banned.

Anabolic Agents (sometimes listed as a chemical formula, such as 3,6,17-androstenetrione): Androstenedione; boldenone; clenbuterol; DHEA (7-Keto); epi-trenbolone; testosterone; etiocholanolone; methasterone; methandienone; nandrolone; norandrostenedione; stanozolol; stenbolone; trenbolone; SARMS (ostarine, ligandrol, LGD-4033); etc.

Alcohol and Beta Blockers (banned for rifle only):

alcohol; atenolol; metoprolol; nadolol; pindolol; propranolol; timolol; etc.

Diuretics (water pills) and Other Masking Agents: bumetanide; chlorothiazide; furosemide; hydrochlorothiazide; probenecid; spironolactone (canrenone); triameterene; trichlormethiazide; etc.

exceptions: finasteride is not banned.

Illicit Drugs: heroin; marijuana; tetrahydrocannabinol (THC); synthetic cannabinoids (e.g., spice, K2, JWH-018, JWH-073).

Peptide Hormones and Analogues:

growth hormone(hGH); human chorionic gonadotropin (hCG); erythropoietin (EPO); IGF-1 (colostrum, deer antler velvet); etc.

exceptions: insulin, Synthroid are not banned.

Anti-Estrogens : anastrozole; tamoxifen; formestane; ATD, clomiphene; SERMS (nolvadex); Arimidex; clomid; evista; fulvestrant; aromatase inhibitors (Androst-3,5-dien-7,17-dione), letrozole; etc.

Beta-2 Agonists:

bambuterol; formoterol; salbutamol; salmeterol; higenamine; norcoclaurine; etc.

Any substance that is chemically related to one of the above classes, even if it is not listed as an example, is also banned!

Information about ingredients in medications and nutritional/dietary supplements can be obtained by

contacting Drug Free Sport AXIS, 877-202-0769 or www.drugfreesport.com/axis password ncaa1, ncaa2 or ncaa3.

It is your responsibility to check with the appropriate or designated athletics staff before using any substance.

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ADMINISTRATIVE POLICIES AND PROCEDURES

MEDICAL HARDSHIP WAIVER Medical Hardship Waivers are governed under the provisions of the NCAA Bylaw 12.8.4. In short, a student-athlete qualifies for a medical hardship waiver if the student- athlete: sustains an incapacitating illness or injury during the four years of intercollegiate competition

or occurred subsequent to the first day of classes of the senior year of high school that results in the SA not being able to compete.

has competed in no more than three contests or dates of competition or 30% of the institution’s scheduled contests prior to the completion of the first half of the season.

did not compete in the second half of the segment ending with the NCAA Championship. The injury must be a season ending injury with no competition or practice.

The Coach must inform the Assistant Athletics Director for Sports Medicine, of their desire to have an athlete apply for a medical hardship waiver. The medical hardship waiver must be filed with the Associate Athletics Director for Compliance within Six (6) months of the completion of the season in which the injury occurred.

Exit Physical Exams Exit physical exams or the corresponding waiver are to be completed by all student-athletes who have completed their athletic eligibility or who will no longer compete (transferring, quitting) in intercollegiate athletics for Long Beach State. The Exit Physical Exam Form(s) must be submitted within two weeks following the completion of the season to the Sports Medicine Staff. Failure to complete the exit physical exam will automatically waive the department from any medical or financial responsibility for new or undocumented injuries/ailments.

REQUIRED WORKSHOPS FOR COACHES CARDIO-PULMONARY RESUSCITATION/AED/FIRST AID Training in Cardio-Pulmonary Resuscitation, Automated External Defibrillator, and First Aid is required for all coaches within 45 days of their hire/start date. The sports medicine department will schedule several dates throughout the year when coaches can receive certification. Renewal is required based on expiration dates set – generally every 2 years. If a coach cannot make the dates/times offered by the department then they will be responsible for paying for their own class that meet the requirements (in person class ONLY; online classes do not meet requirements) by the deadline. Proof of certification must be provided to the athletic training staff immediately to meet these requirements. Coaches that have not taken a class or provided proof of certification can not work out, run a practice, or direct any other sport related activity with student-athletes without another member of the coaching staff that is certified until they have taken a class or shown proof of certification.

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MEDICAL RECORDS

The Following written policies and procedures for the maintenance and security of student-athlete medical information has been implemented in the athletic training room. Policies are reviewed and updated annually. Each athletic training staff member must review these policies annually and sign a log of review.

1. Medical Record Retention a. All student–athlete medical files are locked in filing cabinets in the main athletic

training room KPE 86. All current files are maintained in the athletic training room in a locked file cabinet. All old files are stored in a locked cabinet within a locked storage room. These records are kept per CSU Records/Information Retention and Disposition Schedule (7 years from end of athletic eligibility or time athlete quits/transfers). Keys are kept in a locked office that only the assistant athletics director for sports medicine, full time assistant athletic trainers, and part-time assistant athletic trainers have access to. All policy statements are reviewed annually or as needed based on change to the university policy. CSULB policy updates can will be followed at the site below: http://daf.csulb.edu/offices/vp/information_security/policies/rms/retention.html Training of the assistant athletics director for sports medicine and athletic training staff is documented on the “Documentation of Policy Review”.

2. Access to Medical Records and Health Information

a. Only authorized personnel are permitted access to clinical records. Authorized personnel include the assistant athletics director for sports medicine, full time assistant athletic trainers, part-time assistant athletic trainers, as well as current athletic training students. Team physicians may be granted access to medical records when they come to campus for clinics. This will occur in the presence of a staff athletic trainer and they will not have free access.

b. Prior to access, all athletic training staff members are required to sign “statement of confidentiality” form and receive ATS orientation training.

3. Student authorization to Release/Disclose Information.

• When there is a request for medical information from various entities such as scouting combines, professional leagues, individuals, etc. a written release is required from the athlete prior to any information being disclosed. When a request for medical information is received from any news agencies, even if a release is on file, the sports medicine department is not obligated to discuss or release any medical information. A copy of the release will be kept in the athlete’s file and a log with the date, athlete, requesting party and information release by the head athletic trainer. Records will be released only if the athlete is over 18 yrs of age.

4. Security

a. Only the assistant athletics director for sports medicine, full time assistant athletic trainers, part-time assistant athletic trainers, as well as current athletic training students will prepare charts, pull charts, and maintain charts, file and other related tasks.

b. The clinical record area will be locked during all non-business hours. Keys will be kept in a locked office at all times.

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c. All unauthorized personnel will check in with the appropriate supervisors and coordinators prior to performing work in this area. Unauthorized personnel are defined as anyone who has not been granted access by the assistant athletics director for sports medicine or assistant athletic trainer(s). Examples include custodial staff, athletes, athletic department personnel, students, etc. Appropriate supervisors and/or coordinators would include facilities management, custodial supervisor, clinical coordinators for the ATEP program in kinesiology. or senior women’s administrator for athletics.

d. Keys: Keys are distributed and tracked by CSULB facilities management. Exterior door keys are given to the assistant athletics director for sports medicine, full time assistant athletic trainers, part-time assistant athletic trainers, and kinesiology faculty that teach in this area. The assistant athletics director for sports medicine, senior women’s administrator for athletics, and/or PE department chair are the only personnel authorized to sign for these keys. Interior office door keys are given to the head athletic trainer, full time assistant athletic trainers, part-time assistant athletic trainers only and may be authorized by the assistant athletics director for sports medicine or senior women’s administrator. Key issue lists are reviewed annually or as needed due to changes in staff.

e. Keyless entry: The athletic training room exterior doors allow keyless entry via coded key locks. These locks do not allow access to any interior doors or cabinets. Keyless codes are distributed and maintained by CSULB facilities management. A log may be reviewed and deactivated biannually or as needed based on staff changes by the head athletic trainer and senior women’s administrator. This log only documents names and what each individual has access to (i.e. Locker rooms, pyramid athletic training room, or main athletic training room). Keyless codes are given to the assistant athletics director for sports medicine, full time assistant athletic trainers, part-time assistant athletic trainers, current athletic training students, current kinesiology faculty, appropriate athletic department personnel and custodial crew. Custodial crew are allowed access outside of operating hours and are managed by the head of custodial services.

5. Electronic Medical Records (EMR’s) a. EMR’s can be accessed by athletic training staff members as authorized by the

Assistant Athletics’ Director for Sports Medicine. This includes full time assistant athletic trainers, part-time assistant athletic trainers, team physicians, and current athletic training students (ATS) only.

b. Medical information is protected via individual password. Athletic training staff and current ATS’s only will be granted access via password by the assistant athletics director for sports medicine. Each staff member must log in to the campus network with their ID and password and then sign into SIMS with a separate ID and password (10-character minimum).

c. EMR’s are stored on a CSULB network drive that is managed by the CSULB ITS network department.

SUMMER CAMPS

The athletic training staff is not responsible for coverage of summer camps held at Long Beach State. We may assist in finding staff for coverage, but are not responsible for obtaining it.

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Guidelines for Care of Injuries Outside of Athletic Training Rooms Hours, Off Campus or Traveling

LIFE THREATENING EMERGENCIES:

1. The athlete is unconscious. 2. The athlete is not breathing. 3. The athlete has no pulse. 4. You suspect a serious neck or spinal cord injury. 5. You suspect any severe trauma.

ON Campus:

1. Activate Emergency Medical System (EMS) by dialing 985-4101 or contact via campus emergency phone or 911 on a cell phone.

2. Give information and care as directed by operator 3. Notify Staff Athletic Trainer as soon as possible.

OFF Campus:

1. Activate EMS by Dialing 911 2. Give information and care as directed by operator 3. Notify Staff Athletic Trainer as soon as possible

NON-Life Threatening Injuries / Illness If athlete needs immediate medical attention:

1. Activate EMS using ON or OFF campus guidelines stated above 2. Notify Staff Athletic Trainer as soon as possible.

If athlete needs medical attention but does not need to be evaluated or transported by paramedics:

1. Provide appropriate care 2. Attempt to notify Staff Athletic Trainer 3. If needed/directed by athletic trainer, seek medical attention from appropriate facility based

on athlete’s medical insurance. *If athlete has NO insurance - they may be taken to nearest facility.* 4. Athlete must follow up with staff athletic trainer as directed.

Hospitals: LONG BEACH MEMORIAL HOSPITAL 2801 Atlantic Ave, Long Beach, CA (562) 933-2000 ER (562) 933-2133

1. You are at Palo Verde Ave at E. State University Dr, Long Beach, going to 2801 Atlantic Ave, Long Beach. 2. Go North on Palo Verde Ave for 1.1 miles to I-405. 3. You will see a sign reading "I-405 N to SAN DIEGO FWY NORTH”. 4. Bear right on ramp to SAN DIEGO FWY NORTH and merge with caution. 5. Go Northwest on I-405 for 4.5 miles to Atlantic Ave. 6. Take Atlantic Ave. exit South (left). 7. Memorial Hospital is on the West (right) side of the street at E. Columbia St.

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DIGNITY HEALTH - ST. MARY MEDICAL CENTER, Long Beach 1050 Linden Ave, Long Beach, CA 90813 (562) 491-9000

1. Head toward 7th St and Bellflower, turn onto 7th St heading West (opposite direction of 405 FWY)

2. Continue straight to stay on E 7th St (Pass by Pizza Hut on the left in 1.7 miles) 3. Turn right onto Atlantic Ave 4. St Mary’s will be on the West (left) side of the St at Linden

Kaiser Hospital – Bellflower 9400 E. Rosecrans Ave, Bellflower, CA (562) 461-3000 1. Take 605 N to Rosecrans 2. West on Rosecrans 3. Left on Clark

Injuries/Illness While Traveling

LIFE THREATENING EMERGENCIES:

- The athlete is unconscious. - The athlete is not breathing. - The athlete has no pulse. - You suspect a serious neck or spinal cord injury. - You suspect any severe trauma

1. Notify Host Medical Staff or Activate EMS by dialing 911 2. Notify Staff Athletic Trainer as soon as possible

NON Life Threatening Injuries / Illness

1. Notify Host medical staff and follow instructions for care 2. Notify Staff Athletic Trainer as soon as possible *Travel with host site medical contact information which can be obtained from the LBSU Athletic Training Staff. *

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Injury Statistics Review The Long Beach State Sports Medicine Staff will review injury data yearly. Based on this review and comparison with previous year’s data, we will evaluate our current policies to see if there are ways to minimize the number and severity of injuries which is detailed below. Our system of care has four levels of prevention in place to address this. These are pre-participation physical exams, guidelines on injury management and return to play decisions, performance and functional activity programs and environmental monitoring. All of these are based on progressive changes within the field of sports medicine.

I. Pre-Participation Physicals a. All new athletes are required to have a comprehensive physical exam prior to

participation as Long Beach State. These exams are overseen by our team physicians and involve the following areas:

- Internal medical evaluation with lab work (including Sickle Cell Testing) - Orthopedic evaluation - Cardiac screening - Baseline concussion testing

• Returning athletes are referred for exams or evaluations based on completion of a yearly questionnaire and past illness/injury. By keeping accurate, comprehensive and up to date files on each athlete we will be able to refer those athletes that need the appropriate yearly exams. Returners are not cleared until there file is reviewed by a staff athletic trainer and/or team physician.

These exams & evaluations allow our staff to identify medical or orthopedic conditions that may prevent an athlete from competing safely as well as preventing further or additional injuries. The goal is to identify and correct. Rehabilitation programs are set-up for specific athletes while preventative programs covered in section III are implemented for all athletes in their specific sports. An example of this strategy is applied to a volleyball player with shoulder instability who performs a specific strength and stability program in the athletic training room in addition to the program the team performs pre/post practice and in the weight room that addresses shoulder strength and proper functional movement.

II. Injury Management and Return to Play Decisions

When an injury or illness is suspected, our system is set up to manage the issue from onset to return to play. This is accomplished by:

• Immediate Care and Evaluation • Quality Care as directed by team physician(s) • Return to play decision based on knowledge of injury/illness, athlete, and

requirements of the sport.

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III. Performance and Functional Activity Programs

The athletic training staff works closely with the strength & conditioning staff, coaches, and team physician(s) to develop programs that will increase functional ability and focus on injury prevention. We can analyze injury trends to assess whether as a department, or within certain sports, we may need to make changes in the areas of strength, flexibility and/or functional movement programs. Specifically, the sports medicine staff has worked with teams developing pre- and post-practice/game programs. These programs are geared towards reducing the chance of injury by the principles stated above. The most preventable issues are overuse injuries and past injuries identified during PPE”s.

IV. Monitoring Environmental Conditions This involves monitoring and assessing conditions that our athletes participate in to ensure the highest level of safety. Examples include the playing surfaces and weather. Identification and assessment of these factors can reduce injuries by limiting exposure to unsafe conditions for activity.

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Long Beach State Sports Medicine

Emergency Action Plan

Emergency situations may arise at any time during athletic events. Expedient action must be taken in order to provide the best possible care to the sport participant of emergency and/or life threatening conditions. The development and implementation of an emergency action plan will help ensure that the best care is provided in a prompt manner. As athletic injuries may occur at any time and during any activity, the sports medicine team must be prepared. This preparation involves formulation of an emergency action plan, proper coverage of events, maintenance of appropriate emergency equipment and supplies, utilization of appropriate emergency medical personnel, and continuing education in the area of emergency medicine and planning. Through thorough pre-participation physical screenings, adequate medical coverage, safe practice and training techniques and other safety avenues, potential emergencies may be averted; however, accidents and injuries are inherent with sports participation, and proper preparation on the part of the sports medicine team should enable each emergency situation to be managed appropriately. Components of the Emergency Plan These are the basic components of this plan:

1. emergency personnel & roles of responders 2. emergency communication 3. emergency equipment 4. transportation 5. venue/site specific plan

Emergency Plan Personnel With athletic practice and competition, the first responder to an emergency situation is typically a member of the athletic training staff. The first responder may also be a coach or other institutional personnel. Certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), first aid, prevention of disease transmission, and emergency plan review is required for all athletics personnel associated with practices, competitions, skills instruction, and strength and conditioning. Copies of training certificates and/or cards are maintained in the athletic training room. The development of an emergency action plan cannot be complete without the formation of an emergency team. The emergency team may consist of a number of healthcare providers including physicians, emergency medical technicians, certified athletic trainers, athletic training students, coaches, managers, campus police, and, possibly, bystanders. Roles of these individuals within the emergency team may vary depending on various factors such as the number of team members, the athletic venue itself, or the preferences of the assistant athletics director for sports medicine or head team physician. There are four basic roles within the emergency team. The first and most important role is establishing safety of the scene and immediate care of the athlete. Acute care in an emergency situation should be provided by the most qualified individual on the scene. Individuals with lower credentials should yield to those with more appropriate training. The second role, EMS activation, may be necessary in situations where emergency transportation is not already present at the sporting event. This should be done as soon as the situation is deemed an emergency or a life-threatening event. Time is the most critical factor under emergency conditions. Activating the EMS system may be done by anyone on the team; however, the person chosen for this duty should be someone who is calm under pressure and who communicates well over the telephone. This person should also be familiar with the location and address of the sporting event. The third role, equipment

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retrieval may be done by anyone on the emergency team who is familiar with the types and location of the specific equipment needed. Athletic training students, managers, and coaches are good choices for this role. The fourth role of the emergency team is that of directing EMS to the scene. One member of the team should be responsible for meeting emergency medical personnel as they arrive at the site of the emergency. Depending on ease of access, this person should have keys to any locked gates or doors that may slow the arrival of medical personnel. An athletic training student, manager, or coach may be appropriate for this role. Roles within the Emergency Team 1. Establish scene safety and immediate care of the athlete 2. Activation of the Emergency Medical System 3. Emergency equipment retrieval 4. Direction of EMS to scene Activating the EMS System Making the Call: • 911 (if available) • notify Campus Police at (562) 985-4101 Providing Information: • name, address, telephone number of caller • nature of emergency, whether medical or non-medical * • number of athletes • condition of athlete(s) • first aid treatment initiated by first responder • specific directions as needed to locate the emergency scene ("come to south entrance of coliseum") • other information as requested by dispatcher * if non-medical, refer to the specific checklist of the emergency action plan When forming the emergency team, it is important to adapt the team to each situation or sport. It may also be advantageous to have more than one individual assigned to each role. This allows the emergency team to function even though certain members may not always be present. Emergency Communication Communication is the key to quick emergency response. Athletic trainers and emergency medical personnel must work together to provide the best emergency response capability and should have contact information such as telephone tree established as a part of pre-planning for emergency situations. Communication prior to the event is a good way to establish boundaries and to build rapport between both groups of professionals. If emergency medical transportation is not available on site during a particular sporting event then direct communication with the emergency medical system at the time of injury or illness is necessary. Access to a working telephone or other telecommunications device, whether fixed or mobile, should be assured. The communications system should be checked periodically to ensure proper working order. A back-up communication plan should be in effect should there be failure of the primary

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communication system. The most common method of communication is a public telephone. However, a cellular phone is preferred if available. At any athletic venue, whether home or away, it is important to know the location of a workable telephone. Pre-arranged access to the phone should be established if it is not easily accessible. Emergency Equipment All athletic training staff should know the location of emergency equipment. Personnel should be familiar with the function and operation of each type of emergency equipment. Equipment should be in good operating condition, and personnel must be trained in advance to use it properly. Emergency equipment should be checked on a regular basis and use rehearsed by emergency personnel. The emergency equipment available should be appropriate for the level of training for the emergency medical providers. Creating an equipment inspection log book for continued inspection is strongly recommended. It is recommended that a few members of the emergency team be trained and responsible for the care of the equipment. It is important to know the proper way to care for and store the equipment as well. Equipment should be stored in a clean and environmentally controlled area. It should be readily available when emergency situations arise. AED’s Long Beach State Sports Medicine has 4 AED’s that are for use by athletics and during Long Beach State Athletic events only. At least 1 AED is located in each of the following locations and regulations for use are described. Please note, in the Spring of 2018, CSULB installed wall mounted AED’s at several venues across campus. These will be listed on the individual site location EAP’s. Main Athletic Training Room: Will be stored in the storeroom. May only be removed for Long Beach State Athletic events (practice or competition) on or off campus. The main ATR has 2 AED’s. Pyramid Athletic Training Room: Stored on shelf on west wall. May only be moved to the sideline/home team bench during events (practice or competition) scheduled in the pyramid. Blair Field Athletic Training Room: Will be stored in the athletic training room during Long Beach State athletics practice or events only. Long Beach State Campus Police carry AED’s in all of their cruisers. When EMS is activated it is their policy to respond immediately and provide access to AED if needed. Medical Emergency Transportation EMS shall provide transportation when they deem appropriate. Consideration is given to the capabilities of transportation service available (i.e., Basic Life Support or Advanced Life Support) and the equipment and level of trained personnel on board the ambulance. In the event that an ambulance is on site, there should be a designated location with rapid access to the site and a cleared route for entering/exiting the venue. If not on site, a designated member of the emergency team should meet EMS at the designated area defined by each site or venue. In the medical emergency evaluation, the primary survey assists the emergency care provider in identifying emergencies requiring critical intervention and in determining transport decisions. In an emergency situation, the athlete should be transported by ambulance, where the necessary staff and equipment is available to deliver appropriate care. Emergency care providers should refrain from transporting unstable athletes in inappropriate vehicles. Care must be taken to ensure that the activity areas are supervised should the emergency care provider leave the site in transporting the athlete. Any emergency situations where there is impairment in level of consciousness (LOC), airway,

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breathing, or circulation (ABC) or there is neurovascular compromise should be considered a “load and go” situation and emphasis placed on rapid evaluation, treatment and transportation. Venue Specific Plans There are venue specific emergency action plans for the areas our athletes participate. These plans are annually reviewed by the athletic training staff, in consultation with team physicians, university police and athletic department staff as needed. In addition, EAPs will be reviewed following any incident when the plan was initiated. The athletic training staff will review the applicable plans with coaches and appropriate athletic department staff based on sport and venue. The athletic training staff members carry these plans in their kits and they are posted in all athletic training facilities. EAPs are available for review and reference on-line by all athletic department staff in the “Staff Manual” and to all student-athletes in the “Student Athlete Handbook”. Student-athletes will be notified of this information during the first team meeting each fall. Conclusion The importance of being properly prepared when athletic emergencies arise cannot be stressed enough. An athlete’s survival may hinge on how well trained and prepared athletic healthcare providers are. It is prudent to invest athletic department “ownership" in the emergency plan by involving the athletic administration and sport coaches as well as athletic training staff. The emergency plan should be reviewed at least once a year by the athletic training staff and appropriate medial and athletic staff personnel. Through development and implementation of the emergency plan, the athletic department helps ensure that the athlete will have the best care provided when an emergency situation does arise.

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EMERGENCY ACTION PLAN

*AED is mounted on the South Wall* LIFE THREATENING EMERGENCY SITUATIONS

1. The athlete is unconscious 2. The athlete is not breathing 3. The athlete has no pulse 4. You suspect a serious neck or spinal cord injury 5. You suspect any severe trauma

ROLES WITHIN THE EMERGENCY TEAM

A. ATC and Team physicians – First responder 1. Assess scene and athlete 2. Determines if EMS is needed 3. Begins rescue breathing or CPR, if needed 4. Responsible for filling out incident report

B. Athletic Training Students 1. Emergency equipment retrieval

a. AED, First aid supplies, splints, crutches, blood pathogen supplies, blood pressure cuff & stethoscope, blankets and towels, etc.

2. Assist ATC and physician as needed. 3. Activation of Emergency Medical System (see below) 4. Direct EMS to scene

C. Coach, department staff member, player or bystanders 1. If first responder:

- Assess scene and athlete - Activate EMS - Provide care equivalent to training

2. Secondary responder = Assist personnel on site

SCENERIOS

With 2 athletic trainers, an ATC and an athletic training student (ATS), the ATC should remain with the injured athlete while the ATS activates EMS. The student will retrieve equipment and help to direct the EMS to the exact location of the athlete of campus police is not available.

If there are no athletic trainers present, any person(s) who is trained in CPR/AED and/or first aid should take control of the situation. Immediately instruct one bystander to contact EMS via 911. Remain calm, and most importantly do not leave the injured athlete once you have started to care for them. Do not attempt to do anything to the athlete that is outside of your level of skill and/or knowledge. Help is on the way.

AT NO TIME, FOR WHATEVER REASON, SHOULD THE ATHLETIC TRAINER LEAVE THE INJURED ATHLETE UNTIL EMS ARRIVES ON THE SCENE

ATHLETIC TRAINING ROOM and WEST/EAST GYMS

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LOCATION OF PHONES

1. Athletic Training Room located on round desk in front room Dial 5+4101 for campus police

MAKING THE CALL Cellphone - Dial 562-985-4101 or 911 Any emergency call made from a campus phone goes directly to campus police and they

dispatch EMS. They assist in making sure EMS arrives to the scene. Telephone numbers for local hospitals, medical services, doctors, etc. (see contact list)

PROVIDING INFORMATION

Identify yourself by NAME and TITLE ( Student or Staff ATHLETIC TRAINER) Give location of injured athlete(s). Number of athletes involved. The age and gender of the athlete. Mechanism of injury/chief complaint. Condition of athlete/vital signs. First aid treatment administered by first responder. Specific directions needed to locate the emergency scene. Any other information requested by the dispatcher.

DIRECTIONS TO THE ATHLETIC TRAINING ROOM & WEST GYM Take Palo Verde to State University Dr. and turn right. Follow State Univ. Dr to Deukmejian Way and turn right. Follow Deukmejian Way to parking lot 10. Enter parking lot, you will be escorted to the scene by campus police or athletic training student.

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EMERGENCY ACTION PLAN

*AED mounted on the outside of the Baseball Field bathroom, South side on the right side of custodial room door.*

LIFE THREATENING EMERGENCIES

1. The athlete is unconscious 2. The athlete is not breathing 3. The athlete has no pulse 4. You suspect a serious neck or spinal cord injury 5. You suspect any severe trauma

ROLES WITHIN THE EMERGENCY TEAM

A. ATC and Team physicians – First responder 1. Assess scene and athlete 2. Determines if EMS is needed 3. Begins rescue breathing or CPR, if needed 4. Responsible for filling out incident report

B. Athletic Training Students 1. Emergency equipment retrieval

a. AED, First aid supplies, splints, crutches, blood pathogen supplies, blood pressure cuff & stethoscope, blankets and towels, etc.

2. Assist ATC and physician as needed. 3. Activation of Emergency Medical System (see below) 4. Direct EMS to scene

C. Coach, department staff member, player or bystanders 1. If first responder:

- Assess scene and athlete - Activate EMS - Provide care equivalent to training

2. Secondary responder = Assist personnel on site

SCENERIOS

With 2 athletic trainers, an ATC and an athletic training student (ATS), the ATC should remain with the injured athlete while the ATS activates EMS. The student will retrieve equipment and help to direct the EMS to the exact location of the athlete of campus police is not available.

If there are no athletic trainers present, any person(s) who is trained in CPR/AED and/or first aid should take control of the situation. Immediately instruct one bystander to contact EMS via 911. Remain calm, and most importantly do not leave the injured athlete once you have started to care for them. Do not attempt to do anything to the athlete that is outside of your level of skill and/or knowledge. Help is on the way.

AT NO TIME, FOR WHATEVER REASON, SHOULD THE ATHLETIC TRAINER LEAVE THE INJURED ATHLETE UNTIL EMS ARRIVES ON THE SCENE

ON CAMPUS BASEBALL PRACTICE FIELD

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LOCATION OF PHONES 1. Blue Emergency Button

• On service road between The Pyramid and parking structure

MAKING THE CALL

Cellphone - Dial 562-985-4101 or 911 Any emergency call made from a campus phone goes directly to campus police and they

dispatch EMS. They assist in making sure EMS arrives to the scene. Telephone numbers for local hospitals, medical services, doctors, etc. (see contact list)

PROVIDING INFORMATION

Identify yourself by NAME and TITLE ( Student or Staff athletic trainer ect) Give location of injured athlete(s). Number of athletes involved The age and gender of the athlete Mechanism of injury/chief complaint Condition of athlete/vital signs First aid treatment administered by first responder Specific directions needed to locate the emergency scene Any other information requested by the dispatcher

***EMS should be instructed to enter the field at the North End through the double gates

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EMERGENCY ACTION PLAN

*AED is located with ATC on site*

LIFE THREATENING EMERGENCIES

1. The athlete is unconscious 2. The athlete is not breathing 3. The athlete has no pulse 4. You suspect a serious neck or spinal cord injury 5. You suspect any severe trauma

ROLES WITHIN THE EMERGENCY TEAM

A. ATC and Team physicians – First responder 1. Assess scene and athlete 2. Determines if EMS is needed 3. Begins rescue breathing or CPR, if needed 4. Responsible for filling out incident report

B. Athletic Training Students 1. Emergency equipment retrieval

a. AED, First aid supplies, splints, crutches, blood pathogen supplies, blood pressure cuff & stethoscope, blankets and towels, etc.

2. Assist ATC and physician as needed. 3. Activation of Emergency Medical System (see below) 4. Direct EMS to scene

C. Coach, department staff member, player or bystanders 1. If first responder:

- Assess scene and athlete - Activate EMS - Provide care equivalent to training

2. Secondary responder = Assist personnel on site

SCENERIOS

With 2 athletic trainers, an ATC and an athletic training student (ATS), the ATC should remain with the injured athlete while the ATS activates EMS. The student will retrieve equipment and help to direct the EMS to the exact location of the athlete of campus police is not available.

If there are no athletic trainers present, any person(s) who is trained in CPR/AED and/or first aid should take control of the situation. Immediately instruct one bystander to contact EMS via 911. Remain calm, and most importantly do not leave the injured athlete once you have started to care for them. Do not attempt to do anything to the athlete that is outside of your level of skill and/or knowledge. Help is on the way.

AT NO TIME, FOR WHATEVER REASON, SHOULD THE ATHLETIC TRAINER LEAVE THE INJURED ATHLETE UNTIL EMS ARRIVES ON THE SCENE

BLAIR FIELD

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NON-VERBAL HAND SIGNALS

1. One hand raised with open palm-------------------------Situation is under control 2. Point finger at second trainer-----------------------------Assistance is needed 3. Pat hand on top of head------------------------------------Activate EMS

MAKING THE CALL Cellphone - Dial 911 Any emergency call made from a campus phone goes directly to campus police and they

dispatch EMS. They assist in making sure EMS arrives to the scene. Telephone numbers for local hospitals, medical services, doctors, etc. (see contact list)

PROVIDING INFORMATION

Identify yourself by NAME and TITLE ( Student or Staff ATHLETIC TRAINER) Give location of injured athlete(s). Number of athletes involved. The age and gender of the athlete. Mechanism of injury/chief complaint. Condition of athlete/vital signs. First aid treatment administered by first responder. Specific directions needed to locate the emergency scene. Any other information requested by the dispatcher.

SEND A COACH OR OTHER RESPONSIBLE ADULT TO MEET THE AMBULANCE ON THE CORNER OF PARK AND 10TH STREET AND GUIDE THEM TO THE FIELD. THE AMBULANCE CAN BE GUIDED THROUGH THE PARKING LOT TO THE SIDE GATE – OUTSIDE OF THE HOME CLUBHOUSE. EMS PERSONNEL CAN PROCEED THROUGH THE GATE, AND CAN ACCESS THE FIELD VIA THE GATE ADJACENT THE HOME DUGOUT.

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EMERGENCY ACTION PLAN

*AED is mounted outside of lifeguard office (room 104), right side of door*

LIFE THREATENING EMERGENCIES

1. The athlete is unconscious 2. The athlete is not breathing 3. The athlete has no pulse 4. You suspect a serious neck or spinal cord injury 5. You suspect any severe trauma

ROLES WITHIN THE EMERGENCY TEAM

A. ATC and Team physicians – First responder 1. Assess scene and athlete 2. Determines if EMS is needed 3. Begins rescue breathing or CPR, if needed 4. Responsible for filling out incident report

B. Athletic Training Students 1. Emergency equipment retrieval

a. AED, First aid supplies, splints, crutches, blood pathogen supplies, blood pressure cuff & stethoscope, blankets and towels, etc.

2. Assist ATC and physician as needed. 3. Activation of Emergency Medical System (see below) 4. Direct EMS to scene

C. Coach, department staff member, player or bystanders 1. If first responder:

- Assess scene and athlete - Activate EMS - Provide care equivalent to training

2. Secondary responder = Assist personnel on site

SCENERIOS

With 2 athletic trainers, an ATC and an athletic training student (ATS), the ATC should remain with the injured athlete while the ATS activates EMS. The student will retrieve equipment and help to direct the EMS to the exact location of the athlete of campus police is not available.

If there are no athletic trainers present, any person(s) who is trained in CPR/AED and/or first aid should take control of the situation. Immediately instruct one bystander to contact EMS via 911. Remain calm, and most importantly do not leave the injured athlete once you have started to care for them. Do not attempt to do anything to the athlete that is outside of your level of skill and/or knowledge. Help is on the way.

AT NO TIME, FOR WHATEVER REASON, SHOULD THE ATHLETIC TRAINER LEAVE THE INJURED ATHLETE UNTIL EMS ARRIVES ON THE SCENE

CAMPUS POOL

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LOCATION OF PHONES

1. Athletic Training Room located on round desk front room Dial 5+4101 for campus police 2. Inside pool entrance – Emergency phone to your left Press button for campus police

MAKING THE CALL Cellphone - Dial 562-985-4101 or 911 Any emergency call made from a campus phone goes directly to campus police and they

dispatch EMS. They assist in making sure EMS arrives to the scene. Telephone numbers for local hospitals, medical services, doctors, etc. (see contact list)

PROVIDING INFORMATION

Identify yourself by NAME and TITLE ( Student or Staff ATHLETIC TRAINER) Give location of injured athlete(s). Number of athletes involved. The age and gender of the athlete. Mechanism of injury/chief complaint. Condition of athlete/vital signs. First aid treatment administered by first responder. Specific directions needed to locate the emergency scene. Any other information requested by the dispatcher.

DIRECTIONS TO THE CAMPUS POOL Take Palo Verde to State University Dr. and turn right. Follow State Univ. Dr to Deukmejian Way and turn right. Follow Deukmejian Way to parking lot 10. Enter parking lot, you will be escorted to the scene by campus police or athletic training student.

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EMERGENCY ACTION PLAN

*AED mounted in the 1st floor hallway to the elevator (court level). ATC on site should also have AED at events*

1. The athlete is unconscious 2. The athlete is not breathing 3. The athlete has no pulse 4. You suspect a serious neck or spinal cord injury 5. You suspect any severe trauma

ROLES WITHIN THE EMERGENCY TEAM

A. ATC and Team physicians – First responder 1. Assess scene and athlete 2. Determines if EMS is needed 3. Begins rescue breathing or CPR, if needed 4. Responsible for filling out incident report

B. Athletic Training Students 1. Emergency equipment retrieval

a. AED, First aid supplies, splints, crutches, blood pathogen supplies, blood pressure cuff & stethoscope, blankets and towels, etc.

2. Assist ATC and physician as needed. 3. Activation of Emergency Medical System (see below) 4. Direct EMS to scene

C. Coach, department staff member, player or bystanders 1. If first responder:

- Assess scene and athlete - Activate EMS - Provide care equivalent to training

2. Secondary responder = Assist personnel on site

SCENERIOS

With 2 athletic trainers, an ATC and an athletic training student (ATS), the ATC should remain with the injured athlete while the ATS activates EMS. The student will retrieve equipment and help to direct the EMS to the exact location of the athlete of campus police is not available.

If there are no athletic trainers present, any person(s) who is trained in CPR/AED and/or first aid should take control of the situation. Immediately instruct one bystander to contact EMS via 911. Remain calm, and most importantly do not leave the injured athlete once you have started to care for them. Do not attempt to do anything to the athlete that is outside of your level of skill and/or knowledge. Help is on the way.

AT NO TIME, FOR WHATEVER REASON, SHOULD THE ATHLETIC TRAINER LEAVE THE INJURED ATHLETE UNTIL EMS ARRIVES ON THE SCENE

PYRAMID

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LOCATION OF PHONES 1. Campus Telephones

a. Pyramid athletic training room office b. Courtside floor during events

1. Blue emergency button a. North Wall outside women’s locker room (court level) b. Outside between The Pyramid and the parking structure

MAKING THE CALL Cellphone - Dial 562-985-4101 or 911 Any emergency call made from a campus phone goes directly to campus police and they

dispatch EMS. They assist in making sure EMS arrives to the scene. Telephone numbers for local hospitals, medical services, doctors, etc. (see contact list)

PROVIDING INFORMATION

Identify yourself by NAME and TITLE ( Student or Staff ATHLETIC TRAINER) Give exact location of injured athlete. (i.e. playing floor or 2nd level, near which colored

entrance?) Number of athletes involved. The age and gender of the athlete. Mechanism of injury/chief complaint. Condition of athlete/vital signs. First aid treatment administered by first responder. Specific directions needed to locate the emergency scene. Any other information requested by the dispatcher.

DIRECTIONS TO THE PYRAMID The Pyramid is located on Atherton between Palo Verde Ave. and Bellflower Blvd. Enter CSULB from Merriam Way and make the second left into the parking lot. Continue onto service road between the Pyramid and annex building. Make a U-turn down the ramp.

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EMERGENCY ACTION PLAN

*AED mounted on the first brick post inside the southwest corner gate. ATC on site should also have AED at events*

LIFE THREATENING EMERGENCIES:

1. The athlete is unconscious 2. The athlete is not breathing 3. The athlete has no pulse 4. You suspect a serious neck or spinal cord injury 5. You suspect any severe trauma

ROLES WITHIN THE EMERGENCY TEAM

A. ATC and Team physicians – First responder 1. Assess scene and athlete 2. Determines if EMS is needed 3. Begins rescue breathing or CPR, if needed 4. Responsible for filling out incident report

B. Athletic Training Students 1. Emergency equipment retrieval

a. AED, First aid supplies, splints, crutches, blood pathogen supplies, blood pressure cuff & stethoscope, blankets and towels, etc.

2. Assist ATC and physician as needed. 3. Activation of Emergency Medical System (see below) 4. Direct EMS to scene

C. Coach, department staff member, player or bystanders 1. If first responder:

- Assess scene and athlete - Activate EMS - Provide care equivalent to training

2. Secondary responder = Assist personnel on site

SCENERIOS

With 2 athletic trainers, an ATC and an athletic training student (ATS), the ATC should remain with the injured athlete while the ATS activates EMS. The student will retrieve equipment and help to direct the EMS to the exact location of the athlete of campus police is not available.

If there are no athletic trainers present, any person(s) who is trained in CPR/AED and/or first aid should take control of the situation. Immediately instruct one bystander to contact EMS via 911. Remain calm, and most importantly do not leave the injured athlete once you have started to care for them. Do not attempt to do anything to the athlete that is outside of your level of skill and/or knowledge. Help is on the way.

AT NO TIME, FOR WHATEVER REASON, SHOULD THE ATHLETIC TRAINER LEAVE THE INJURED ATHLETE UNTIL EMS ARRIVES ON THE SCENE

GEORGE ALLEN FIELD

69

LOCATION OF PHONES

1. Blue Emergency Button

• SW corner of George Allen Field • East Entrance for Tennis courts

MAKING THE CALL

Cellphone - Dial 562-985-4101 or 911 Any emergency call made from a campus phone goes directly to campus police and they

dispatch EMS. They assist in making sure EMS arrives to the scene. Telephone numbers for local hospitals, medical services, doctors, etc. (see contact list)

PROVIDING INFORMATION

Identify yourself by NAME and TITLE ( Student or Staff ATHLETIC TRAINER) Give location of injured athlete(s). Number of athletes involved The age and gender of the athlete Mechanism of injury/chief complaint Condition of athlete/vital signs First aid treatment administered by first responder Specific directions needed to locate the emergency scene Any other information requested by the dispatcher

***EMS should be instructed to enter the field at the North End through the double gates

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EMERGENCY ACTION PLAN

*AED mounted outside of restroom on the right side of men's restroom door. ATC on site should also have AED at events*

LIFE THREATENING EMERGENCIES:

1. The athlete is unconscious 2. The athlete is not breathing 3. The athlete has no pulse 4. You suspect a serious neck or spinal cord injury 5. You suspect any severe trauma

ROLES WITHIN THE EMERGENCY TEAM

A. ATC and Team physicians – First responder 1. Assess scene and athlete 2. Determines if EMS is needed 3. Begins rescue breathing or CPR, if needed 4. Responsible for filling out incident report

B. Athletic Training Students 1. Emergency equipment retrieval

a. AED, First aid supplies, splints, crutches, blood pathogen supplies, blood pressure cuff & stethoscope, blankets and towels, etc.

2. Assist ATC and physician as needed. 3. Activation of Emergency Medical System (see below) 4. Direct EMS to scene

C. Coach, department staff member, player or bystanders 1. If first responder:

- Assess scene and athlete - Activate EMS - Provide care equivalent to training

2. Secondary responder = Assist personnel on site

SCENERIOS

With 2 athletic trainers, an ATC and an athletic training student (ATS), the ATC should remain with the injured athlete while the ATS activates EMS. The student will retrieve equipment and help to direct the EMS to the exact location of the athlete if campus police is not available.

If there are no athletic trainers present, any person(s) who is trained in CPR/AED and/or first aid should take control of the situation. Immediately instruct one bystander to contact EMS via 911. Remain calm, and most importantly do not leave the injured athlete once you have started to care for them. Do not attempt to do anything to the athlete that is outside of your level of skill and/or knowledge. Help is on the way.

SOFTBALL FIELD

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AT NO TIME, FOR WHATEVER REASON, SHOULD THE ATHLETIC TRAINER LEAVE THE INJURED ATHLETE UNTIL EMS ARRIVES ON THE SCENE

LOCATION OF PHONES

1. Blue Emergency Button • On sidewalk of music center in lot 12 • Between George Allen Field and tennis courts on service road

MAKING THE CALL

Cellphone - Dial 562-985-4101 or 911 Any emergency call made from a campus phone goes directly to campus police and they

dispatch EMS. They assist in making sure EMS arrives to the scene. Telephone numbers for local hospitals, medical services, doctors, etc. (see contact list)

PROVIDING INFORMATION

Identify yourself by NAME and TITLE ( Student or Staff ATHLETIC TRAINER) Give location of injured athlete(s). Number of athletes involved The age and gender of the athlete Mechanism of injury/chief complaint Condition of athlete/vital signs First aid treatment administered by first responder Specific directions needed to locate the emergency scene Any other information requested by the dispatcher

***EMS should be instructed to enter the field - Instruct EMS to enter through the open double gates on the walkway between the soccer field and grass field. The gate should be unlocked by a member of the athletic staff - coaches, event staff, and ground crew have keys to gate. The ambulance should continue to enter through the left field gates

and onto the field.

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EMERGENCY ACTION PLAN

*AED mounted outside tennis shed on East side*

LIFE THREATENING EMERGENCIES:

1. The athlete is unconscious 2. The athlete is not breathing 3. The athlete has no pulse 4. You suspect a serious neck or spinal cord injury 5. You suspect any severe trauma

ROLES WITHIN THE EMERGENCY TEAM

A. ATC and Team physicians – First responder 1. Assess scene and athlete 2. Determines if EMS is needed 3. Begins CPR and/or applies AED, if needed 4. Responsible for filling out incident report

B. Athletic Training Students 1. Emergency equipment retrieval

a. AED, First aid supplies, splints, crutches, blood pathogen supplies, blood pressure cuff & stethoscope, blankets and towels, etc.

2. Assist ATC and physician as needed. 3. Activation of Emergency Medical System (see below) 4. Direct EMS to scene

C. Coach, department staff member, player or bystanders 1. If first responder:

- Assess scene and athlete - Activate EMS or ask another coach/bystander to Activate EMS if able

- Begins CPR and/or applies AED, if certified to do so 2. Secondary responder = Assist personnel on site

SCENERIOS

With 2 athletic trainers, an ATC and an athletic training student (ATS), the ATC should remain with the injured athlete while the ATS activates EMS. The student will retrieve equipment and help to direct the EMS to the exact location of the athlete if campus police is not available.

If there are no athletic trainers present, any person(s) who is trained in CPR/AED and/or first aid should take control of the situation. Immediately instruct one bystander to contact EMS via 911. Remain calm, and most importantly do not leave the injured athlete once you have started to care for them. Do not attempt to do anything to the athlete that is outside of your level of skill and/or knowledge. Help is on the way.

AT NO TIME, FOR WHATEVER REASON, SHOULD THE ATHLETIC TRAINER LEAVE THE INJURED ATHLETE UNTIL EMS ARRIVES ON THE SCENE

TENNIS COURTS

73

LOCATION OF PHONES 1. Blue Emergency Button

• East entrance of Tennis courts • North-West corner of Tennis center

MAKING THE CALL

Dial 562-985-4101 or 911 Any emergency call made from a campus phone goes directly to campus police and they

dispatch EMS. They assist in making sure EMS arrives to the scene. Telephone numbers for local hospitals, medical services, doctors, etc. (see contact list)

PROVIDING INFORMATION

Identify yourself by NAME and TITLE ( Student or Staff ATHLETIC TRAINER) Give location of injured athlete(s). Number of athletes involved The age and gender of the athlete Mechanism of injury/chief complaint Condition of athlete/vital signs First aid treatment administered by first responder Specific directions needed to locate the emergency scene (see below) Any other information requested by the dispatcher

***EMS should be instructed to enter the courts from Palo Verde Avenue between the Student Recreation Center and the University Police Station.

74

EMERGENCY ACTION PLAN

*AED mounted on the outside of the Baseball Field bathroom, South side on the right side of custodial room door. ATC on site should also have AED at events *

LIFE THREATENING EMERGENCIES:

1. The athlete is unconscious. 2. The athlete is not breathing. 3. The athlete has no pulse. 4. You suspect a serious neck or spinal cord injury. 5. You suspect any severe trauma.

ROLES WITHIN THE EMERGENCY TEAM:

1. ATC and Team physicians – First responder a. Assess scene and athlete b. Determines if EMS is needed c. Begins rescue breathing or CPR, if needed d. Responsible for filling out incident report

2. Athletic Training Students e. Emergency equipment retrieval

i. AED, First aid supplies, splints, crutches, blood pathogen supplies, blood pressure cuff & stethoscope, blankets and towels, etc.

f. Assist ATC and physician as needed. g. Activation of Emergency Medical System (see below) h. Direct EMS to scene

3. Coach, department staff member, player or bystanders a. If first responder: - Assess scene and athlete - Activate EMS - Provide care equivalent to training b. Secondary responder = Assist personnel on site

SCENERIOS With two trainers, an ATC and a ATS, the ATC should remain with the injured athlete

while the student trainer activates EMS. The student will also help to direct the EMS to the exact location of the athlete if campus police is not available.

With two ATS, the more experienced student should remain with the injured athlete while the other activates EMS. The attending ATC should be notified of the occurrence as soon as possible.

If there are no athletic trainers present, any person or persons who are trained in first aid and/or CPR should take control of the situation. Immediately instruct one bystander to contact EMS via 911. Remain calm, and most importantly do not leave the injured athlete once you have started to care for them. Do not attempt to do anything to the athlete that is outside of your level of skill and/or knowledge. Help is on the way.

TRACK

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AT NO TIME, FOR WHATEVER REASON, SHOULD THE ATHLETIC TRAINER LEAVE THE INJURED ATHLETE UNTIL EMS ARRIVES ON THE SCENE!

LOCATION OF PHONES

Blue Emergency Button

• On the east side of the parking structure, by elevators 1 and 3

MAKING THE CALL

Cellphone - Dial 562-985-4101 or 911 Any emergency call made from a campus phone goes directly to campus police and they

dispatch EMS. They assist in making sure EMS arrives to the scene. Telephone numbers for local hospitals, medical services, doctors, etc. (see contact list)

PROVIDING INFORMATION

Identify yourself by NAME and TITLE ( Student or Staff ATHLETIC TRAINER) Give location of injured athlete(s). Number of athletes involved The age and gender of the athlete Mechanism of injury/chief complaint Condition of athlete/vital signs First aid treatment administered by first responder Specific directions needed to locate the emergency scene Any other information requested by the dispatcher

***EMS should be instructed to enter the track at the North End through the double gates.

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EMERGENCY ACTION PLAN

4602 N Virginia Rd, Long Beach, CA (562)427-0924

*AED is located with ATC on site* LIFE THREATENING EMERGENCY SITUATIONS:

1. The athlete is unconscious 2. The athlete is not breathing 3. The athlete has no pulse 4. You suspect a serious neck or spinal cord injury 5. You suspect any severe trauma

ROLES WITHIN THE EMERGENCY TEAM

A. ATC and Team physicians – First responder 1. Assess scene and athlete 2. Determines if EMS is needed 3. Begins rescue breathing or CPR, if needed 4. Responsible for filling out incident report

B. Athletic Training Students 1. Emergency equipment retrieval

a. AED, First aid supplies, splints, crutches, blood pathogen supplies, blood pressure cuff & stethoscope, blankets and towels, etc.

2. Assist ATC and physician as needed. 3. Activation of Emergency Medical System (see below) 4. Direct EMS to scene

C. Coach, department staff member, player or bystanders 1. If first responder:

- Assess scene and athlete - Activate EMS - Provide care equivalent to training

2. Secondary responder = Assist personnel on site

AT NO TIME, FOR WHATEVER REASON, SHOULD THE ATHLETIC TRAINER LEAVE THE INJURED ATHLETE UNTIL EMS ARRIVES ON THE SCENE!

Virginia Country Club

77

MAKING THE CALL Cellphone - Dial 911

PROVIDING INFORMATION

Identify yourself by NAME and TITLE (ATHLETIC TRAINER) Give location of injured athlete(s). Number of athletes involved. The age and gender of the athlete. Mechanism of injury/chief complaint. Condition of athlete/vital signs. First aid treatment administered by first responder. Specific directions needed to locate the emergency scene. Any other information requested by the dispatcher.

ASSISTANCE FROM STAFF ON SITE

Use radio or cell phones to communicate with personnel at the club house as to your location of the course so they may provide directions to EMS

Club House (562) 427-0924

78

EMERGENCY ACTION PLAN

*AED mounted on East wall outside men’s locker room*

LIFE THREATENING EMERGENCY SITUATIONS:

1. The athlete is unconscious 2. The athlete is not breathing 3. The athlete has no pulse 4. You suspect a serious neck or spinal cord injury 5. You suspect any severe trauma

ROLES WITHIN THE EMERGENCY TEAM

A. ATC and Team physicians – First responder 1. Assess scene and athlete 2. Determines if EMS is needed 3. Begins rescue breathing or CPR, if needed 4. Responsible for filling out incident report

B. Athletic Training Students 1. Emergency equipment retrieval

a. AED, First aid supplies, splints, crutches, blood pathogen supplies, blood pressure cuff & stethoscope, blankets and towels, etc.

2. Assist ATC and physician as needed. 3. Activation of Emergency Medical System (see below) 4. Direct EMS to scene

C. Coach, department staff member, player or bystanders 1. If first responder:

- Assess scene and athlete - Activate EMS - Provide care equivalent to training

2. Secondary responder = Assist personnel on site

SCENERIOS

With 2 athletic trainers, an ATC and an athletic training student (ATS), the ATC should remain with the injured athlete while the ATS activates EMS. The student will retrieve equipment and help to direct the EMS to the exact location of the athlete of campus police is not available.

If there are no athletic trainers present, any person(s) who is trained in CPR/AED and/or first aid should take control of the situation. Immediately instruct one bystander to contact EMS via 911. Remain calm, and most importantly do not leave the injured athlete once you have started to care for them. Do not attempt to do anything to the athlete that is outside of your level of skill and/or knowledge. Help is on the way.

AT NO TIME, FOR WHATEVER REASON, SHOULD THE ATHLETIC TRAINER LEAVE THE INJURED ATHLETE UNTIL EMS ARRIVES ON THE SCENE

WEIGHT ROOM

79

LOCATION OF PHONES 1. Campus Telephones

a. Pyramid athletic training room (562) 985-1447 b. Weight Room Office (562) 985-5480 or - 4347 c. Courtside floor during events

1. Blue emergency button a. North Wall outside women’s locker room (court level) b. Outside (West side) between The Pyramid and the parking structure

MAKING THE CALL

Cellphone - Dial 562-985-4101 or 911 Any emergency call made from a campus phone goes directly to campus police and they

dispatch EMS. They assist in making sure EMS arrives to the scene. Telephone numbers for local hospitals, medical services, doctors, etc. (see contact list)

PROVIDING INFORMATION

Identify yourself by NAME and TITLE ( Student or Staff ATHLETIC TRAINER) Give exact location of injured athlete. (i.e. playing floor or 2nd level, near which colored

entrance?) Number of athletes involved. The age and gender of the athlete. Mechanism of injury/chief complaint. Condition of athlete/vital signs. First aid treatment administered by first responder. Specific directions needed to locate the emergency scene. Any other information requested by the dispatcher.

DIRECTIONS TO THE WEIGHT ROOM The Weight Room is located along the southern half of the Pyramid – which is located on Atherton between Palo Verde Ave. and Bellflower Blvd. Enter CSULB from Merriam Way and make the second left into the parking lot. Continue to the southwest corner of the Pyramid (the one closest to the parking lot). Someone should be on this corner to direct EMS to the scene; however, if the individual tending to the injured person is alone and can’t leave the scene, use the south walkway and enter into the 2nd door on the left.

80

CLOSING STATEMENT

All members of the sports medicine staff, athletic training room and associates provide the highest level of care to all student-athletes at Long Beach State without prejudice. It will therefore also be stated that no coach or staff member who does not possess a state license in medicine, physical therapy, or is a certified athletic trainer be allowed to direct the services of the athletic training room or demand that certain services be provided. All members of the sports medicine staff, athletic training room and associates must comply with Federal or State law, CSU, and Cal. State University, Long Beach policies. All members of the sports medicine staff, athletic training room and associates must work to advance the efforts of the Department of Athletics and the University toward diversity and gender equity. Fully support and abide by the CSU and Long Beach State commitment to gender equity in education, athletics, and its full compliance with Title IX of the Education Amendments to the Civil Rights Act of 1964. Employee will fully support and abide by CSU and Long Beach State’s commitment to maintain a working and learning environment where every student, employee and community member is treated with dignity and respect. Employee will support and comply with the Long Beach State commitment to maintain a safe and healthy living and learning environment for everyone. All members of the sports medicine staff, athletic training room and associates must also comply with NCAA, Big West Conference, and Mountain Pacific Sports Federation rules and guidelines.