IPFW Athletic Training

Table of Contents

Mission Statement
Sports Medicine Staff Personnel
Training Room Facilities
Training Room Rules
IPFW Sports Medicine Operating Policies and Procedures
1.0 Administration of Policies Regarding the Area of Sports Medicine
2.0 Student Athlete Physical
3.0 Student Athlete Physicals for Team “Tryouts” and Skill Instruction
4.0 Student Athlete Physicals for Cheerleading and Dance Teams
5.0 Pre-Existing / Current Medical Condition Policy
6.0 Return to Activity Guidelines
7.0 Reporting of Injuries and Illness by Student Athletes
8.0 Emergency Room or Student Heath Center Use by Student Athletes
9.0 Insurance Coverage, Medical Bills and Financial Responsibility of Payment
10.0 Medical Financial Responsibility of IPFW end of Athletic Participation
11.0 Student Athlete Referrals to Outside Providers
12.0 Off Campus Rehabilitation Services for Injured Student Athletes
13.0 Sports Medicine Staff Meetings
14.0 Athletic Training Inventory and Facility Management
15.0 Sports Medicine Coverage of IPFW Sponsored Athletic Teams and Events
16.0 Visiting Team Athletic Training Needs
17.0 Athletic Training for Summer Camp Coverage
18.0 Release of Medical Records and Length of Storage of Medical Records
19.0 Corrective Eye-Wear for Student Athletes
20.0 Athletic Related Dental Care and Mouth guards for Student Athletes
21.0 Orthopedic Appliances and Foot Orthotics to Student Athletes
22.0 Distribution of Prescription Drugs and Medications to Student Athletes
23.0 Influenza Vaccination of Athletic Teams
24.0 Acknowledgment of Potential Injury from Athletic Participation with a Pre-existing Injury
25.0 Medical Disqualification and “Medical Waiver” for Injured Student Athletes
26.0 Handicap or Close Proximity Parking for Injured Student Athletes
27.0 Nutritional or Dietetic Referral for Student Athletes
28.0 Selection of Ergogenic Aids and Food Supplements
29.0 Physiological Testing and Body Mass Determination for Student Athletes
30.0 Adjunct Sports Therapy for Student Athletes and Athletic Teams
31.0 Psychological Referrals for Student Athletes
32.0 Process for Determining Student Athlete Involvement in Studies
33.0 Management of Blood-Borne Pathogens
34.0 Payment of Medical Bills for Student Athletes Without Medical Insurance
35.0 Contract Negotiations with Non-IPFW Health Team Providers
36.0 Student Athletes Participating in Multiple Sports
37.0 Payment of Medical Bills after Completion of Eligibility
Sports Medicine Emergency Plan
Introduction
Components of the Emergency Plan
Emergency Plan Personnel
Roles within the Emergency Team
Activating the EMS System
Providing Information
Guidelines to Use during a Serious On-Field Player Injury
Emergency Communication
Emergency Equipment
Recommend Medical Equipment
Transportation
Information concerning a critically injured athlete
Weather Emergencies
Severe Thunderstorm 5
Lightning
Tornados
Conclusion
Emergency Plans
Baseball, Softball, Soccer Game Fields
Gates Center
Carrington, Hefner Fields and The Plex Soccer Complex
Memorial Coliseum and Memorial Stadium
Substance Abuse Policy and Program
Philosophy
Purpose of the Program
Components of Program
General Principles of Program
Athletic Department Code of Conduct
Substances Banned By The NCAA Include (But Are Not Limited To) The Following:
a. Psychomotor and central nervous system stimulants:
b. Anabolic agents:
c. Nutrition supplements:
d. Street drugs:
e. Peptide hormones and analogues:
f. Diuretics: 59 Enforcement of the Code of Conduct
Administrative Procedures
First Violation
Second Violation
Third Violation
Parent Involvement
Sanctions
Appeal Procedures
Amendments
Acknowledgement of the Substance Abuse Policy and Program
Drug Testing Procedures
IPFW Athletic Department Substance Abuse Appeals Committee
Institutional Drug-Testing Procedures
Medical Code
Organization 6
Causes For Loss of Eligibility
Institution and Student Athlete Selection
Institution and Student –Athlete Notification
Specimen Collection Procedures
ON –Site Screening Procedures
If the On-Site Screening Test is NEGATIVE
If the On-Site Screening Test is NON-NEGATIVE
Interpretation of Test Results
Chain of Custody
Notification of Results and Appeal Process
Restoration of Eligibility
Statement of IPFW Drug-Testing Exceptions Procedures
Procedures for Exceptions
Notification of Alleged Violation of Code of Conduct
Notification of Disciplinary Sanctions for Violation of Code of Conduct

Mission Statement At IPFW, the health and well-being of our student-athletes is a primary concern. We strive to prevent injuries through pre-participation physical examinations, well-designed conditioning programs, nutritional considerations, warms-up, proper practice planning, and appropriate equipment selection. When an athletic injury occurs, it is our goal is to provide the best medical care possible from the initial first-aid to the follow-up care and rehabilitation. Sports Medicine Staff Personnel All medical personal will be provided by Orthopaedics Northeast PC and Integrity Physical Therapy per contractual agreement. All salaries and benefit packages are provided by their respective employers and IPFW is not financially responsible for the compensation of the Sports Medicine Staff.

Daniel Fox ATC/L; EMT-B – Head Athletic Trainer (Orthopaedics Northeast)
Scott Knerr ATC/L (Integrity Physical Therapy)
Richard Riles ATC/L (Orthopaedics Northeast)
Megan Wrage ATC/L (Integrity Physical Therapy)

The Sports Medicine Staff will consist of a Team Physician, Orthopedic Surgeons and an in-house staff of full-time nationally certified and state licensed Athletic Trainers. The Team Physician may refer athletes to other physicians or specialists. However, the Head Team Physician supervises the status of all athletes and has the final authority with regard to all medical disqualifications, treatment, and return to play. All referrals to specialists or other medical providers will be made through the Team Physicians or Athletic Trainers.

Trained personnel are present at all athletic contests and, when possible, at all practices to insure prompt medical attention. Priority for coverage is given to those sports where the risk of injury is greatest.

The Sports Medicine Staff works closely with the coaching staff to keep them informed regarding the medical status of the athletes. All medical information becomes the property of IPFW and will be utilized only to make participation decisions and aid in filing insurance claims.

Training Room Facilities There is one main Athletic Training Room in operation at IPFW and two ancillary Training Rooms off campus. The main Training Room is located on the ground floor of the Hilliard Gates Sports Center, Room 12. Ancillary Training Rooms are located at the complex on the Hefner Soccer Fields and in the Memorial Coliseum. The hours of operation are posted each academic year and are subject to change due to holidays and home events. Ancillary Training Rooms are temporarily established for those events held off campus.
Training Room Rules
  1. The training room is a co-educational facility. Athletes coming in for a treatment and or taping should wear shorts and a T-shirt. As a rule, athletes will not be treated in street clothes.
  2. The training room is for the use of members of the IPFW athletic teams. As a rule, the training room is not for use by the general population. Emergency first-aid will be provided for people using the facility, but treatments will be limited to the athletic department personnel. Exceptions to this must be approved by the Head Athletic Trainer.
  3. While the training room is open, athletes will be seen on a first come first serve basis. The following should be the only exceptions to this rule:
  4. Emergencies take precedence over all other activity. Acute, serious, or life-threatening problems will be cared for first
  5. Athletes preparing for a game will be treated before those who are preparing for practice.
  6. Athletes in season in their sport will be treated before those who are out of season.
  7. There may be circumstances which would justify modifying procedure for a particular instance.
  8. All treatments must be approved by the Sports Medicine Staff. Treatments to visiting athletes can only be given under the following conditions:
  9. The athlete is accompanied by a certified trainer.
  10. The athlete has written instructions from the head trainer, team physician, or registered physical therapist for treatment, and it is approved by the head trainer at IPFW.
  11. The treatment for the athlete is ordered by our team physician.
  12. No spiked shoes or cleats of any kind (new or used) are allowed in the training room. This is for cleanliness and to protect the floor.
  13. All shoes (new or used, clean or dirty) go on the floor. This is to protect the tables and for cleanliness.
  14. The trainer’s office is for use by the training staff and not a gathering place prior to practice. An athlete is allowed in the trainer’s office when accompanied by a certified staff member.
  15. Athletes are not allowed to use the telephone unless previously approved by the head trainer. Student trainers are to limit the number of phone calls, in order to keep the phone lines open.
  16. Absolutely no food or beverages allowed in the treatment area. OHSA has strict guidelines concerning this topic.
  17. Do not bring uniforms, shoes, or other clothing into the training room
  18. Absolutely no self treatments; all taping, bandages, etc., will be applied by the Sports medicine Staff.
  19. No loitering in the training room unless you are there for treatment or examination by the Sports Medicine Staff.
  20. Do not use or remove equipment, supplies, or special pads without permission of the Athletic Trainers. All wraps, etc., will be checked out to the athlete and returned when the athlete is finished using them. Athletes will be charged for any item not returned.
  21. Avoid horseplay, improper language, and unnecessary confusion.
  22. After practice, remove tape, etc., and take a shower before treatment of injuries, minor wounds, cuts, and abrasions.
  23. Absolutely no pagers or cell phones in the training room. Leave them in your car or secured locker.
  24. Do not leave personal items such as clothing and book bags in the training room. Leave them in your car or secured locker.

IPFW Sports Medicine Operating Policies and Procedures

1.0 Administration of Policies Regarding the Area of Sports Medicine Fall 2000

Policy:
Final decisions regarding medical policy will be made by the Director of Athletics. The Sports Medicine Staff which includes Athletic Trainers and Team Physicians will submit all suggestions to the Director of Athletics for possible revision and final approval.

Purpose:
To provide the policy actions of the Sports Medicine Staff and to involve the necessary expertise in the decision process of policy making.

Procedure:
1.00 Sports Medicine Staff shall meet as deemed necessary by the members to address pertinent issues involving the operations of the Training Room and care of the student athletes.
1.01 All policy changes are subject to review and acceptance by the Director of Athletics. However, procedural changes do not need the approval of the athletic director, only a majority decision by the Sports Medicine Staff.
1.02 The Director of Athletic and Associate Director of Athletics shall make final decisions regarding financial responsibility. This would encompass medical payments to any appeals from the student athletes or medical providers.

2.0 Student Athlete Physical Spring 2001

Policy:
All students upon entry to IPFW and before any athletic participation will have a physical examination by a licensed medical doctor or approved provider. Physical examinations will be done at the direction of the athletic training staff. (Also see: "Student Athlete's Involvement in "Team Tryouts.") No equipment or lockers will be assigned until the student athlete completes all the requirements of the physical examination.

Purpose:
Insure safe participation for all student athletes by providing a comprehensive medical history and physical examination.

Procedure:
2.00 All incoming freshmen and transfer students will be required to obtain a physical on prior to their arrival at IPFW from their family doctor at their own expense.
2.01 All physicals will be completed on the forms provided to the athletes by IPFW Athletic Department. Forms may be obtained from the particular coach or the Sports Medicine Staff
2.02 All returning athletes will be required to fill out only the medical history questionnaire and complete a brief screening at no charge in the training room by the sports medicine staff. 2nd and 4th year returnees will have a physical screening provided by the athletic training staff – 3rd year returnees will have a complete physical done by the athletic staff. All screenings and physicals provided by the IPFW Sports Medicine Staff will be completed in the spring prior to their season.
2.03 Any student athlete requiring diagnostic testing, such as x-rays, laboratory testing, etc..., for the purpose to determine medical fitness, will be responsible for the billing of those services.
2.04 Each new student athlete will be examined by the IPFW Team Physician in a clinical setting that provides confidentiality and privacy.
2.05 Any student athlete with previous significant medical history will sign a "Release of Medical Information Form" to be forwarded to the student athlete's health care provider.
2.06 Any student athlete who fails to pass a medical examination and wishes to appeal the findings must contact a staff athletic trainer and apprise them of their appeal. The staff athletic trainer will contact the physician who made the decision to disqualify the student athlete and reconfirm the findings. The staff athletic trainer may involve the Head Team Physician and consultants in reexamination of the medical disqualification.
2.07 The student athlete will fill out all the necessary insurance papers and other information required for participation in intercollegiate sports at IPFW, prior to full release to athletic participation.
2.08 No athlete will be released to participate in any form (conditioning, practice, competition) until all of the following criteria are met and proper documentation is on file in the training room – THERE WILL BE NO EXCEPTIONS. Returnees bring the following with them to their physical date. Incoming freshmen and transfer are expected to send all information the IPFW Sports Medicine Staff prior to the academic year if applicable.
  • Physical completed with personal information – make sure it is signed
  • Parent’s Insurance Information signed by parents or student if self-insured
  • Copy of both front and back of parent’s insurance card
  • Copy of previous medical history / records of pertinent injuries or conditions

    •  Documentation:
    2.10 All copies of the Insurance Information, Medical History and Physical Exam Form will be kept in a confidential file as part of the student athlete's medical record and will become the property of IPFW.
    2.11 A student athlete will be asked to sign an Acknowledgement of Potential Injury Form for pre-existing injuries that may increase the risk of injury with athletic participation.
    2.12 A student athlete will be asked to sign Consent to Treat and Medical Release of Information Form for the Sports Medicine Staff to be compliant with HIPPA Mandate.
    2.13 Upon completion of all required paper work and passing of the medical examination, the student athlete will be given written clearance to present to the equipment room for equipment issue.

    3.0 Student Athlete Physicals for Team “Tryouts” and Skill Instruction Fall 2001

    Policy:
    All coaches wishing to hold open "tryouts" for walk-on athletes must inform the athletic training staff of the date, time, place and number of athletes expected. Before any physical activity begins, all athletes must fill out a "Medical History Questionnaire", “Insurance Information” and sign a waiver of medical liability.

    The student athlete may participate in the "tryout" experience for up to one week, upon which time the Coach must decide if the athlete will continue to practice with the varsity team. At the end of the "tryout" experience any student athlete who makes the varsity team must have an IPFW Sports Medicine approved physical examination, prior to the physical examination the student athlete must have proof that they have met with the IPFW office of compliance, and completed the medical insurance information forms.

    Purpose:
    This policy is designed to ensure that all student athletes i.e., incoming freshmen, transfer, walk-ons and continuing student athletes will be required to undergo a medical examination prior to any supervised countable athletically related activities referenced in the NCAA Division 1 Manual regarding “Playing and Practice Seasons”. Interpretation regarding any elements of this policy should be directed to the Athletic Department Compliance Officer for clarification.

    Furthermore, it allows the IPFW Sports Medicine Staff to screen out potential injury problems before participation, and to release IPFW from any medical legal and financial responsibility for injuries that may occur during the "tryout" experience.

    Procedure:
    3.00 Prior to athletic participation, each athlete must be enrolled in a minimum of 12 semester credits for the current term.
    3.01 Prior to athletic participation, each athlete must fill out a "Medical History Questionnaire" “Insurance Information” and sign a waiver of medical liability.
    3.02 All student athletes who are asked to participate with the varsity team must have an IPFW Sports Medicine approved medical examination, which is to be set up by the team's athletic trainer.

    Documentation:
    3.10 All paperwork will be kept in a confidential file until a student athlete makes the varsity team, at which time an individual medical record will be established.
    3.11 All documentation concerning the student athlete physical examination is intended to be used for athletic participation only. Entities which require physicals must be notified that this was an athletic physical for participation not a general physical for employment or other intended use.

    4.0 Student Athlete Physicals for Cheerleading and Dance Teams Fall 2001

    Policy:
    Although Cheerleading and Dance teams are not recognized by the NCAA and is not a varsity sport at IPFW, the university has chosen to treat them with the same regard as the student athlete in matters concerning athletic injuries.

    It is the policy of the athletic department at IPFW that the following protocol for injury treatment of cheerleaders will be followed.

    All incoming freshmen and transfers will be required to obtain a physical on their own from their family doctor at their own expense.

    All physicals will be completed on the forms provided to the athletes by IPFW Athletic Department. If you have already sent your summer mailings out, let us know and we will work with you to get the information to them.

    All returning athletes will be required to fill out only the medical history questionnaire and complete a brief screening at no charge in the training room by the sports medicine staff.

    No cheerleader/dancer will be released to participate in any form (conditioning, practice, competition) until all of the following criteria are met and proper documentation is on file in the training room – THERE WILL BE NO EXCEPTIONS FROM THIS POINT FORWARD.
    Physical completed with personal information – make sure it is signed
    Parent’s Insurance Information signed by parents or student if self-insured
    Copy of both front and back of parent’s insurance card

    Coaches will have freshman and transfers should send their documentation to the training room:
    Medical history and Physical completed and signed by licensed physician
    Parent’s Insurance Information
    Copy of both front and back of parent’s insurance card

    Our goal is to have complete information on file for all of our athletes prior to the beginning of their respective seasons so we do not have to hold anyone out. Also, as in the past if athletes have not passed their physicals and need additional follow-up it gives them an opportunity to complete their physical requirements without missing a portion of the season.
    The athletic training staff will only provide immediate life saving or first aid care for any cheerleaders injured while on IPFW property during a supervised game or practice.

    All injuries will be referred to a medical facility, not affiliated with IPFW sports medicine, following an injury.

    Orthopaedics Northeast physicians will not treat or evaluate any cheerleader/dancer while covering sporting events or during training room clinics.

    The athletic training staff will provide minimal care to cheerleaders for minor injuries only (i.e. taping, rehabilitation) in the training room.

    University insurance will not be liable for medical expenses incurred through participation in cheerleading/dance that were not reported to the training room first.

    All claims must be submitted to the personal primary insurance company first before IPFW will take responsibility.

    Purpose:
    This policy is necessary due to the fact that the NCAA does not recognize cheerleading as a sport. Because of this, cheerleading is not covered by IPFW’s catastrophic insurance policy. Cheerleading is considered a high-risk sport, with the realistic potential for serious or catastrophic injury. It is the stance of the athletic department at IPFW that, without catastrophic insurance coverage, IPFW is financial responsibility for injuries associated with cheerleading only to the extent of the policy set forth by Purdue University.

    Procedure:
    4.00 Prior to athletic participation, each athlete must fill out a "Medical History Questionnaire", “Insurance Information” and sign a waiver of medical liability.
    4.01 All student athletes who are asked to participate with the varsity team must have an IPFW Sports Medicine approved medical examination, which is to be set up by the team's athletic trainer.
    Documentation:
    4.10 All paperwork will be kept in a confidential file until a student athlete makes the varsity team, at which time an individual medical record will be established.

    5.0 Pre-Existing / Current Medical Condition Policy Fall 2001

    Policy:
    A policy that addresses pre-existing and / or current medical conditions for a prospective student-athlete and an enrolled student athlete has been formulated to ensure the athletic medical staff is provided with all medical information pertinent to a student-athlete.

    Purpose:
    To protect both the student-athlete as a whole physically and psychologically and the institution from assuming liabilities as it relates to his / her pre-existing and present medical condition.

    This policy is designed to remedy the following:
    5.00 The sports medicine staff not being apprised of the student-athletes past medical history which may cause complications or further harm.
    5.01 Not allowing student-athletes to participate in athletic activities that are categorized as being “high-risk” or may involve dangerous behaviors.
    5.02 After evaluation of the student-athlete’s documented medical condition, it will be determined if the institution will absorb any and all medical expenses as related to a pre-existing or current medical condition.
    5.03 Eliminate untimely return to participation, which may endanger the student-athlete.
    5.04 Approval to return to participation (i.e. limitations, partial or full return) will be determined by the sports medicine staff.

    Documentation:
    In order for the athletic department to accept responsibility for pre-existing and current medical injuries / conditions the following criteria must be met:

    5.10 Chronological documentation to include physician notes, rehabilitation notes, surgical notes, medical release for all preexisting or current medical conditions in which medical attention was administered are supplied.
    5.11 Such documentation must include procedures, test results, diagnosis and participation release and or restrictions for a specific athletic activity.
    5.12 Documents must be supplied at the time of the physical exam for review by the sport medicine staff at which point determination of participation will be made.
    5.13 All documentation will become the property of IPFW as it will become part of the athlete’s permanent file (as prescribed the release of medical information form).
    5.14 Any financial encumbrance including follow-up exams and testing (including radiographic imaging, psychological or counseling) related to a pre-existing or current medical condition will be the responsibility of the athlete / parent / guardian.

    6.0 Return to Activity Guidelines Fall 2001

    Policy:
    All athletes returning from an injury must have medical clearance from the Sports Medicine Staff prior to their engagement in any physical activity including conditioning and practice.

    Purpose:
    Athletes must be physically and mentally prepared to participate in the rigors of collegiate athletics. Successful completion of treatment and rehabilitation must be followed with functional drills and limited playing time. Special skills and test will demonstrate to the clinician that the individual is able to participate.

    Procedures:
    6.01 Athlete must demonstrate compliancy with all medical and rehabilitation appointments.
    6.02 Athlete must demonstrate normal active daily living routine (gait, stairs, ROM, Strength).
    6.03 Athlete must demonstrate functional activities related to their sport as established by the sports medicine staff.
    6.04 Athlete must demonstrate functional skills as established by their particular coaching staff.
    6.05 The Sports Medicine Staff after all subsequent will determine final decision for return requirements have been met.

    Documentation:
    6.10 Prior to return to any form of activity, all written documentation stating any restrictions and / or medical clearance must be on file in the training room.

    The sports medicine staff will monitor all rehabilitation and follow-up procedures as well as perform on an as need basis physical / neurological screenings or exams. Any and all injuries determined by a qualified medical professional which imposes abnormalities or dysfunction determined to be hazardous to the athlete will warrant the disqualification of the student-athlete from all institutional athletic participation. At the earliest time, evaluation by an institution approved qualified medical doctor or specialist will determined their safe return to participation. Written documentation of all results from the attending physician and / or specialist will be forwarded to the Athletic Trainers, Team Physicians and Director of Sports Medicine for recommendations, limitations and expected date of return.

    At any time, the sports medicine staff will reserve the right to conduct any type of medical (including drug testing) procedure or psychological evaluation to the student-athlete when deemed necessary. Failure to submit any pre-existing or current medical problem may result in the student-athlete being suspended from conditioning, practice and competition. Regardless of the injury, all athletes will be subject to the same return to activity guidelines. Failure to adhere to any of these guidelines may require dismissal from the athletic program, indefinitely.

    7.0 Reporting of Injuries and Illness by Student Athletes Fall 2000

    Policy:
    All illness and injuries (including dental injuries) resulting from athletic participation, which includes IPFW directed practices, competitions, conditioning sessions, and team travel, must be reported as soon as possible to the athletic training staff. Non-athletic injuries and illnesses should also be reported to the athletic training staff, since the injury or illness may affect the student athlete's ability to participate.

    Purpose:
    Expedite initial care, follow-up treatment, referral of illnesses and injuries to appropriate specialists, and expedite coordination of insurance benefits. Maintain communication between physicians, athletic training staff, and coaches concerning care of the student-athlete. Student-athletes with illnesses and injuries that are not the IPFW financial responsibility will be assisted with appropriate referral and care.

    Procedures:
    7.00 All student-athletes must report their injuries or illness upon occurrence to the staff athletic trainer covering the sport.
    7.01 Coaches should direct their student-athletes with illnesses or injuries to the athletic training staff.
    7.02 The athletic training staff upon notification of the illness or injury will evaluate the student athlete and initiate care. If necessary the student-athlete will be referred to the appropriate physician. The student athlete's competitive status will be reported to the student athlete's head coach.

    Documentation:
    7.10 Documentation of the student athlete's health status will be noted on a daily basis either in the form of a hard copy or computer generated report.
    7.11 For each illness or injury a student athlete sustains, the athletic trainer of that sport will be notified.
    7.12 For each illness or injury that occurs as a result of athletic participation which may incur a medical charge, the athletic trainer who oversees that sport will fill out a "Athlete Accident Claim Form” which will be signed by the Head Athletic Trainer.
    7.13 All athletic injuries that require physician referral, special diagnostic testing, missed practice or medication will be recorded by the athletic trainer in charge of that sport.

    8.0 Emergency Room or Student Heath Center Use by Student Athletes Fall 2000

    Policy:
    In case of serious illness or injury the medical staff may refer the student athlete to an area Emergency Room.

    If the athletic training staff cannot be contacted, the student athlete may proceed to the emergency room on his/her own and inform the staff athletic trainer as soon as possible thereafter.

    Examples of need for urgent care are severe orthopedic injuries such as dislocations, fractures, lacerations; Severe physical illnesses such as extremely high fever, uncontrolled vomiting, severe abdominal pain and acute allergic responses. The DIA will coordinate payment for services related to athletic participation.

    Procedure:
    8.00 Student-athletes requiring emergency room/urgent care should inform their athletic trainer.
    8.01 The athletic trainer will direct the student athlete to the emergency room and contact the necessary personnel to care for the student athlete.
    8.02 If the athletic trainer cannot be contacted, the student athlete should proceed to the emergency room with their insurance information available. The student athlete should ask the emergency room to contact their team physician with any pertinent information regarding their condition.
    8.03 The student athlete should inform the athletic training staff as soon as possible that they were seen at the emergency room.

    Documentation:
    8.10 If the incident is related to athletic participation the staff athletic trainer will fill out a "Athlete Accident Claim Form” and submit it to the Human Resource designee at IPFW.
    8.12 If the incident is not related to athletic participation the staff athletic trainer will inform the student athlete that coverage is the responsibility of the student athlete or their own insurance carrier.
    8.12 If an acute care situation develops while an IPFW Varsity team is on the road, the athletic trainer should provide the athlete’s personal medical insurance information and the contact phone number of the Human Resource designee at IPFW.

    9.0 Insurance Coverage, Medical Bills and Financial Responsibility of Payment Fall 2000

    Policy:
    Financial coverage will be provided by IPFW for all injuries or illnesses sustained as a result IPFW directed practices, competitions, conditioning sessions and team travel. Coordination of benefits will utilize the parent's or student athlete's own health insurance as the primary payer. All bills not covered by the parent's or student athlete's health insurance that are the responsibility of IPFW will be paid by the Athletic Insurance of IPFW.

    The student-athlete's insurance information must be on file with the Training Room prior to the athlete's participation in practice or play. IPFW cannot cover medical bills incurred that are not a direct result of IPFW directed athletic participation. IPFW may provide coverage for some diagnostic procedures to determine the safety of participation but will not pay for treatment of non-athletic injuries or illnesses. IPFW will not pay for bills that do not receive "Pre-Authorization" from the athletic training staff.

    The insurance company which IPFW utilizes outlines certain providers which the university may choose for providing specific services and products. If the student-athlete wishes not to utilize the approved providers due to personal constraints encumbered by their personal insurance, they may be held responsible for the remaining balance of any medical bill.

    In the event the athlete does not have health insurance, it is recommended that the athlete enroll in the IPFW insurance program through the Bursar’s office. Although this policy does not cover athletic injuries – which the Athletics Division will cover – it will provide insurance coverage for those injuries and illnesses that occur outside participation in the athlete’s sport.

    Purpose:
    To be in compliance with NCAA regulations and to provide for efficient coordination reimbursement of medical expenses. Furthermore, insurance coverage is limited to the decision of the policy underwriter and certain procedures and costs may not be covered. Advisement is needed such that a significant financial burden is not placed on the student athlete or University.

    Procedure:
    9.00 IPFW Sports Medicine Staff will send out prior to the fall semester, a letter describing the medical coverage and an insurance information form to all prospective and returning student athletes. This form should be completed and returned to the athletic trainer staff as soon as possible.

    9.01 The athletic trainer must make sure insurance information is on file in the Training Room prior to participation in tryouts or practice. Walk on student-athletes or late arriving student athletes who may not have received the mailing, may obtain forms from the athletic training.
    9.02 Questions concerning coverage should be directed to the Sports Medicine Staff.
    9.03 Final ruling of payment of medical expenses will be made in consultation with the Head Athletic Trainer and the Associate Director of Athletics in charge of Operations.
    9.06 Student-athletes or parents that receive billings for medical expenses that are the responsibility of IPFW should forward the original statement and Explanation of Benefits and any cancelled checks to the staff athletic trainer in charge of the sport or IPFW Human Resource Designee.

    Documentation:
    9.10 The athletic trainer will provide the student athlete, with copies of his personal insurance prior to receiving medical services. This information will be presented to the provider of medical care.
    9.11 A staff athletic trainer will complete the “Proof of Loss” form and forward it with a copy of the athlete’s insurance information to the IPFW Human Resources Designee.
    9.12 It is the responsibility of the student athlete to meet with the IPFW Human Resources Designee and sign all paperwork and forward all bills and documentation.

    10.0 Medical Financial Responsibility of IPFW end of Athletic Participation Fall 2000

    Policy:
    Upon ending of a student athlete's varsity athletic participation with IPFW, any student athlete with a continuing medical problem will be cared for until the injury resolves or up to one year, which ever comes first.

    If the injured student athlete transfers to another school and participates in athletics or if the student athlete begins a professional athletic career, IPFW will upon the time of such participation be released of any medical financial responsibility to that athlete.

    Purpose:
    To provide a reasonable time period in which to care for athletic injuries a student athlete may have incurred while participating at IPFW.

    Procedure:
    10.01 All student athletes will report their injuries to their athletic trainer, any injury not resolved upon the completion of the student athlete's participation will be cared for in the training room.
    10.02 All medical care must be given by the IPFW Sports Medicine Staff. Only pre-authorized medical care will be the financial responsibility of the IPFW.
    10.03 A student athlete's "athletic participation" is officially over when the last day of NCAA competition ends in that sport. If a student athlete continues to "work out" with their team, then they must assume the liability for financial costs from any injuries incurred after the official end of their sport.

    Documentation:
    10.10 A documentation of medical care will be kept in the student athlete's medical record.

    11.0 Student Athlete Referrals to Outside Providers Fall 2000

    Policy:
    Student athletes requiring consultation from a specialist or in the need of special diagnostic studies will be referred by the team physician to appropriate medical provider.

    Purpose:
    To provide consultation with specialists or special diagnostics that may improve the health care provided to the student athlete within the IPFW health care system and to control costs to the Athletic Department.

    Procedure:
    11.00 If the student athlete, coach or team physician is concerned about an injury or illness that may require investigation or consultation of a specialist, a staff athletic trainer is informed.
    11.01 The staff athletic trainer will consult with the team physician for a referral to the appropriate provider necessary.
    11.02 The athletic trainer will arrange the necessary appointments according to the student athlete's schedule.
    11.03 The athletic trainer will inform the team physician, student athlete and the sport's head coach of the results of the consultation.

    12.0 Off Campus Rehabilitation Services for Injured Student Athletes Spring 2002

    Policy:
    Staff athletic trainers or team physicians referring a student athlete to Physical Therapy for rehabilitation services must make prior contact before the student athlete leaves for semester break or summer vacation.

    Purpose:
    To facilitate initial or continued rehabilitation with the student athlete which they could not receive from the Sports Medicine Staff at IPFW.

    Procedure:
    12.00 When referring a student athlete to physical therapy for rehabilitation, a staff athletic trainer will make prior contact with a Physical Therapy Clinic to communicate the medical problem of the student athlete.
    12.01 The student athlete's surgical report if appropriate, the physician’s diagnosis, a prescription for physical therapy and copies of the student athlete's personal insurance will be sent prior to the student athlete’s visit to the physical therapy provider.
    12.02 The athletic trainer will note in the student-athlete's medical record the change in rehabilitation responsibility.
    12.03 The staff athletic trainer will request weekly written updates and progress reports to be sent to the staff athletic trainer concerning student athlete’s referral.
    12.04 Upon completion of therapeutic services, the provider will send the staff athletic trainer complete copies of all records.

    Documentation:
    12.10 All documentation from the physical therapy provider will be added to the student athletes’ personal file and will become the property of IPFW.

    13.0 Sports Medicine Staff Meetings Fall 2000

    Policy:
    The staff athletic trainers will meet as needed. Every staff member is expected to be present. Items covered in each meeting will be physicians, clinics, event coverage, budgetary concerns, program, and other pertinent operational issues.

    In addition to the Sport Medicine Staff meetings, each Athletic Trainer is responsible to meet with their respective employer on a regular basis to discuss topics aforementioned and report in the next meeting to the Sports Medicine Staff.

    Purpose:
    Provide information to the athletic training staff and plan for future event coverage. Address issues which may compromise the care of the student athlete.

    Procedure:
    13.00 The head athletic trainer will have an agenda for each meeting.
    13.01 Any staff member requesting an item to be on the agenda should submit it at meeting time.

    Documentation:
    13.10 All decisions made by the sports medicine staff will be submitted in writing to the Director of Athletics and parties involved.

    14.0 Athletic Training Inventory and Facility Management Fall 2002

    Policy:
    All staff athletic trainers will be designated as facility supervisors will be responsible for the maintenance of inventory and the facility. One staff athletic trainer is responsible for all supplies taken from the central inventory. The Head Athletic Trainer is responsible for reporting changes in capital equipment. Any needed repairs and maintenance will be coordinated through the Head Athletic Trainer.

    Purpose:
    To have an accountability record of supplies and capital equipment. To provide a mechanism for ordering supplies. To ensure all facilities are properly maintained.

    Procedure:
    14.00 The staff athletic trainer should cover clean up and close down procedures of the facility with the student athletic trainers assigned to them.
    14.01 Semester inventory counts will be taken and entered into the computer to track supply use.
    14.02 Capital items or special inventory required by the staff athletic trainer should be submitted to the Head Athletic Trainer for consideration of inclusion in the next year’s budget.
    Item's needing repair or maintenance should be brought to the attention of the Head Athletic Trainer in Charge of Inventory Control.

    Documentation:
    14.10 Monthly budget expenditures will be supplied by the Associate Athletic Director and will be compared to actual expenditures keep on file in the Training Room

    15.0 Sports Medicine Coverage of IPFW Sponsored Athletic Teams and Events Fall 2000

    Policy:
    The level of coverage (i.e. staff, student or physician) will be determined by the Head Athletic Trainer and Head Team Physician with respect to concerns of the administration, coaching staff and the risk inherent to each sport. Home athletic events will be covered by athletic trainers as they appear on the season schedule. Schedule changes should be forwarded as soon as they occur to the athletic trainer covering the sport.

    On the road coverage will be as agreed upon by the Head Athletic Trainer and Head Coach. Teams traveling without an athletic trainer should notify the staff athletic trainer one week in advance so that appropriate treatments of student-athletes can be arranged with the host athletic trainers.

    Purpose:
    To provide for competent medical coverage needed for all IPFW sports and to provide consistent medical care.

    Procedure:
    15.00 The athletic trainer covering the sport will arrange for coverage of home and road events. The scheduled events will be covered at the level established by the Head Team Physician and Head Athletic Trainer.

    15.01 The athletic trainer in charge of the sport will contact the host athletic trainer to arrange for treatment of student athletes on the road.

    15.02 Based on changing needs, the Head Athletic Trainer will make recommendations to the Head Team Physician for additional staff needs.

    Documentation:
    15.10 Each spring, sport assignments for all Athletic Trainers will be determined by the Sports Medicine Staff. Coaches will then be contacted by their assigned athletic trainer to initiate preseason procedures.

    16.0 Visiting Team Athletic Training Needs Fall 2000

    Policy:
    The staff athletic trainers for each sport will make sure all visiting teams receive a letter outlining the care they can expect while visiting IPFW. The letter should include specific instructions, list of supplies and equipment provided, emergency numbers, and any information deemed necessary for their stay.

    Purpose:
    To demonstrate professional courtesy to visiting athletic trainers. To provide information to expedient care of their student athletes. To provide equipment and necessary supplies to treat athletes that visiting teams may not have with them.

    Procedure:
    16.00 The athletic trainer in charge of each sport should compose a letter to be sent to each visiting school. 16.01 The athletic trainer in charge of each sport will set up and coordinate all necessary treatments and supplies needed for the visiting school.

    Documentation:
    16.10 Letter will be mailed to each visiting team prior to the beginning of their season

    17.0 Athletic Training for Summer Camp Coverage Spring 2001

    Policy:
    The athletic training staff will coordinate through a designated staff athletic trainer the medical needs for all sports camps. Prior to the start of all summer camps each year, coaches will be informed of their camps needs regarding athletic training coverage.

    Purpose:
    To instruct coaches in providing athletic trainer coverage for summer camps that offers the best health care to the summer camp attendee. All Athletic Trainers are contracted from outside sources and will enter the agreement on their own accord.

    Procedure:
    17.01 A Certified Athletic Trainer will volunteer to coordinate and oversee the daily operation of the summer sports camps athletic training needs.
    17.02 A contractual agreement will be made concerning hours, coverage and payment for services rendered.

    Documentation:
    17.10 The organizing coach of each event will notify the Athletic Trainer of the needs for each camp.
    17.11 A signed contract of services must be completed before the camp begins or,
    17.12 A signed contract negating the training room for services will be signed if the coach chooses not to utilize the sports medicine staff for camps.

    18.0 Release of Medical Records and Length of Storage of Medical Records Spring 2002

    Policy:
    The release of student athlete medical records will only be done upon written documentation from the student athlete in question. The records will not to be released to administrators, investigators or other non-medical personnel without written permission of the student athlete. No student athlete's medical information will be given to any professional athletic team or scouting representative without the written permission of the student athlete in question. All professional athletic teams or their representatives will acknowledge, in writing, having received the student athlete's medical information.

    All student athlete medical records will be kept for a period of seven years following the student athlete's cessation of their last completed season at IPFW.

    Purpose:
    To protect the confidentiality and security of the student athlete medical records and to give IPFW’s athletic training staff, team physicians, and coaches the permission to talk to professional teams and their representatives, about the medical history of the student athlete in question. To also give the student athlete the right to choose what information is being discussed and who has asked for their medical information. To be in compliance with current HIPPA Mandates. Procedure:
    18.00 All requests for student athlete medical records must be accompanied by a signed statement from the student athlete. Copies of the original medical record release are acceptable. All copied documents that are requested by attorneys or official organizations, will be handed directly to the student athlete for dispersal.
    18.02 The student athlete medical records are the property of the IPFW Department of Intercollegiate Athletics; however, the student athlete may personally examine their records at any time.
    18.03 All inactive student athlete medical records will be placed in secure storage, at the completion of ten years of non-competition by a student athlete; their medical records will be destroyed.
    18.04 Prior to discussions with professional athletic teams or their representatives, the staff athletic trainer overseeing the sport of the athlete in question will document on a "Medical Release Form" any significant injury or medical abnormality of the student athlete. The student athlete will sign the Medical Release Form, verifying their permission to discuss their injuries. Upon request of a student athlete’s medical information by a professional athletic team or their representative, the Medical Release Form will be shown.

    Documentation:
    18.10 All inquiries into a student athlete's medical history by a professional athletic team or their representative will be logged onto the medical release form.
    18.11 All student athletes will sign a “HIPPA Compliance” form noting to whom information may be released to.
    18.12 Student athletes will sign a “Release of Information” form for each instance information is requested.

    19.0 Corrective Eye-Wear for Student Athletes Fall 2001

    Policy:
    IPFW will not purchase contact lens, prescription goggles, or glasses for student athletes who require them for competition in accordance with NCAA regulations. If a non-athletic loss or damage occurs to the corrective eye-wear, the student athlete will pay for the cost of repair or replacement.

    Purpose:
    To provide the student athlete with proper vision for athletic competition, for reasonable replacement and repair of corrective eye-wear and for re-evaluation of prescription.

    Procedure:
    19.00 Student athletes will have an entry vision screening, which will identify those student athletes who need referral for further eye examinations.
    19.01 If identified for further study from the vision screening, the student athlete will be contacted by the athletic trainer to set up a referral to the team optometrist.
    19.02 The athletic trainer will make an appointment for the student athlete through the team optometrist.
    19.04 If the student athlete feels there is significant change in vision he will contact the team athletic trainer for a referral to the team optometrist.
    19.05 If the student athlete has damaged or lost the corrective eye-wear, it should be reported to the athletic trainer for replacement or repair. Replacement or repair will be the responsibility of IPFW Athletics only if athletic participation is involved. If the loss or damage is not the result of athletic participation the student athlete will be financially responsible.
    19.06 Reimbursement for lost or damaged corrective eye-wear because of athletic participation, to student athletes who have corrective eye-wear prior to participating at IPFW will be the responsibility of IPFW.

    Documentation:
    19.10 The athletic trainer will place a copy of the vision screening exam in the student athlete's file.
    19.11 A Pre-authorization for Medical Services Form will be used for all optometry transactions that are the responsibility of IPFW Athletics.

    20.0 Athletic Related Dental Care and Mouth guards for Student Athletes March 6, 1995

    Policy:
    Dental injuries occurring as direct result of athletic competition will be considered the responsibility of IPFW after the student athlete’s primary insurance has made payment. IPFW is not responsible for cosmetic dental surgery unless deemed necessary by the appropriate medical professional.

    Protective mouth guards will be provided for any athlete who wishes to wear such appliance. The dental school on campus will coordinate with the athlete the time and availability of their services. If the athlete has to go off campus for the mouthguard appliance, the student athlete will be responsible for the financial encumbrance.

    Purpose:
    To provide the student athlete preventative and injury treatment dental care.

    Procedures:
    20.00 Mouthguards will be made on a team basis. The athletic trainer in charge of the sport will arrange a suitable time with the dentist for taking impressions.
    20.01 Dental injuries should be reported to the athletic training staff. The staff athletic trainer will arrange an appointment with team dentist.

    Documentation:
    20.10 The athletic trainer will fill out the medical records for all dental injuries. The name of the dentist to whom the student athlete is referred, should be included in the records.
    20.11 The athletic trainer will fill out a "Pre-authorization for Medical Services Form" for each dental referral that is the responsibility of IPFW.

    21.0 Orthopedic Appliances and Foot Orthotics to Student Athletes

    Policy:
    Orthopedic appliances, orthotics, arch supports, and braces will be provided by IPFW for student athletes by prescription or referral from an IPFW designated team physician. Prescription arch supports or orthotics will be the financial responsibility of the student athlete’s insurance with the IPFW athletic insurance policy providing only secondary payment if the problem is chronic and cannot be corrected by non-prescription appliances.

    Purpose:
    To have IPFW designated team physicians and consultants determining the scientific basis for the use of such devices.

    Procedure:
    21.00 The team physician will determine if a correction is needed or if a referral is necessary for the student athlete to participate.
    21.01 Student athlete's needing orthopedic braces to participate will receive a prescription from the physician designating the type of brace and correction needed.
    21.02 The staff athletic trainer will seek prior authorization from the student athlete's insurance carrier when appropriate.
    21.03 The Athletic trainer will make arrangements as necessary to obtain the prescribed appliances for the student athlete.
    21.04 At the time of an appointment the student-athlete must present their insurance information and a Pre-authorization for Medical Services Form obtained from an athletic trainer.

    Documentation:
    21.10 The athletic trainer will provide a copy of the Pre-authorization form to the Associate Athletic Director.

    22.0 Distribution of Prescription Drugs and Medications to Student Athletes

    Policy:
    All prescription medications stocked in the IPFW Athletic Training Room are will be distributed by written prescription from team physicians.

    Medications unavailable in the IPFW Athletic Training Room will be referred by written prescription to a pharmacy of choice. Any financial encumbrances due to medications will be the responsibility of the student athlete. Selected non-prescription over the counter medications will be available for the student athletes in the athletic training room.

    Purpose:
    To have commonly prescribed medications available for immediate distribution to the student athlete upon prescription from the physician.

    Procedure:
    22.00 All medication will be kept in locked cabinets with only team physicians and staff athletic trainers with keys to those locked cabinets.
    22.01 Selected over the counter medications will be provided to student athletes at their request.
    22.02 Prior to distributing medication the team physicians will inform the student athlete of concerns while taking the medication including NCAA rules regarding the use of the medication.
    22.03 Selected Class III drugs (narcotics, etc.) will not be kept in the athletic training room.

    Documentation:
    22.10 After distribution of the prescription medication to the student athlete, the athletic trainer will record the di
    stribution in the Medication Logbook. 22.11 Each year, the team physician will audit the medication distribution system in the athletic training rooms. A report of the audit will be sent to the Director of Athletics and Head Team Physician.

    23.0 Influenza Vaccination of Athletic Teams

    Policy:
    Influenza vaccinations are will not be provided for student athletes, coaches, and athletic trainers who have competitions and training through the winter influenza season. If a student athlete wishes to have a vaccination, they will be responsible for payment to the provider. Student athletes with chronic illnesses (i.e. asthma, diabetes, heart conditions) should seek the opinion of their team physician about receiving the vaccination.

    Purpose:
    To provide influenza vaccinations for student athletes, coaches, and support staff, when appropriate, during the peak winter influenza season.

    Procedure:
    23.00 Vaccinations are set up on an individual basis with a primary care provider.
    23.01 The medical staff will make the vaccine available during the fall based upon annual recommendations from the CDC (Center for Disease Control) and availability.
    23.02 At the time of the inoculation, the student athlete will fill out a vaccine screening form.

    Documentation:
    23.10 The vaccine screening form will be put into the student athlete's file and the attenuated virus used will be noted.

    24.0 Acknowledgment of Potential Injury from Athletic Participation with a Pre-existing Injury

    Policy:
    Student athletes with a medical dysfunction or history of significant injury may be asked by the team physician or Athletic Training Staff, to acknowledge the potential for a more serious injury because of their continued participation in intercollegiate athletics. The acknowledgement of the potential to become injured because of a pre-existing medical condition shall serve to address the medical legal term of "Failure to Warn."

    Purpose:
    To put in writing, the risks of continued athletic participation of a student athlete who has a predisposition to future injury based on previous medical history.

    Procedure:
    24.00 The student athlete, their assigned team physician and their staff athletic trainer, shall meet to discuss the potential for harm, put in writing the risks involved on the "Acknowledgement of Potential Injury Form" sign and date it. The original shall be placed in the student athlete's medical records.

    25.0 Medical Disqualification and “Medical Waiver” for Injured Student Athletes

    Policy:
    Student athletes, who have an injury or pre-existing medical condition that puts them at risk for serious injury or significant future medical problems, may be ruled ineligible for participation by the Head Team Physician. IPFW reserves the right to decide the medical liability exposure.

    Injured student athletes who meet the conference criteria for "Medical Waiver" must be reported to the Head Athletic Trainer by their coach for the proper paperwork to be recorded with the IPFW Compliance Office and the conference.

    Purpose:
    To prevent unacceptable risks because of medical conditions that threatens a student athlete's life or activities of daily living.

    To inform coaches and student athletes of the mechanisms for processing "medical waivers."

    Procedure:
    25.00 Medical conditions found during physical examinations, medical histories, previous records, or recent trauma that are thought to be potentially catastrophic in nature, will be brought to the attention of the Head Team Physician for consultation.
    25.01 Medical documentation will be available to the Head Athletic Trainer and Head Team Physician for review before filing with the IPFW Compliance Office for petition of a "Medical Waiver."

    26.0 Handicap or Close Proximity Parking for Injured Student Athletes March 6, 1995

    Policy:
    Following surgery or post injury if an student-athlete is hindered in the ability to attend class, a handicap parking permit, can be ordered for the student athlete by the staff athletic trainer.

    Purpose:
    To allow the injured or post surgical student-athlete who is handicapped by injury easy access to classes. To conform with University rules in obtaining the permit.

    Procedure:
    26.00 The staff athletic trainer will help the athlete obtain the proper documentation to request a permit.
    26.01 The student-athlete must return the proper forms to Policy and Safety. A fee may be charged to an unregistered vehicle, which shall be the responsibility of the student athlete.

    27.0 Nutritional or Dietetic Referral for Student Athletes

    Policy:
    The staff athletic trainers and physicians may refer student athletes to a dietitian for dietary consultation.

    Purpose:
    To provide a referral mechanism for student athletes with a demonstrated need for dietary consultation.

    Procedure:
    27.00 Student athletes needing help with body composition or other nutritional concern should be referred to the team physician.
    27.01 If the student athlete has demonstrated lack of proper nutrition habits the athletic training staff may refer the student athlete to the team physician and then a dietitian.
    27.02 If the student athlete has demonstrated lack of control (anorexia, bulimia, etc...) over their body composition, the student athlete may be referred to a physician and then to the IPFW psychiatrist to rule out serious organic or psychological problems. 27.03 If a student athlete has to withdraw from athletic participation or need extended counseling, because of psychiatric reasons relating to an eating disorder, then the financial responsibility of the IPFW will be determined after consultation with the consulting psychiatrist.

    Documentation:
    27.10 If a charge will result from the referral to the dietitian or IPFW psychiatrist, the student athlete will be provided a Pre-authorization for Medical Services Form.
    27.11 In order to provide confidentiality, the student athlete's personal insurance will be contacted only after permission is granted by the student athlete.

    28.0 Selection of Ergogenic Aids and Food Supplements

    Policy:
    Selection of ergogenic aids and food supplements will start with a review of all scientific data by a Staff Athletic Trainer. If merit is found in potential use of said substance then appropriate medical consultants will be contacted (nutritionist, etc....) Final determination of medical value of substance in question, will be by the Team Physician.

    IPFW will not supply or endorse any ergogenic aid or food supplement nor will it purchase and said products for their athletic teams.

    Purpose:
    To provide an orderly and scientific method to determine the efficacy, safety and regulation of using ergogenic aids and food supplements.

    Procedure:
    28.01 All written data and scientific studies of substance in question will be forwarded to the Staff Athletic Trainer.
    28.02 The Staff Athletic Trainer will contact the Team Physician for final review of ergogenic aids and food supplements.

    Documentation:
    28.10 Upon final review of ergogenic aids and food supplements, written notification will be sent to the party who brought the question to attention.

    29.0 Physiological Testing and Body Mass Determination for Student Athletes

    Policy:
    All physiological testing of teams will be done in the Training Room at IPFW. The athletic training staff will arrange the specific tests and will assist in other aspects of the tests.

    Purpose:
    To provide the student-athlete and coach a means to assess the effectiveness of training programs.

    Procedure:
    29.00 The head coach should request of the athletic trainer their needs for physiological testing of student-athletes. The coach should work with the athletic trainer of the sport to develop a testing protocol that will evaluate the training program.
    29.01 The head athletic trainer will notify the head coach of the cost for testing requested. 29.02 The athletic trainer of the sport will coordinate the timing of the tests and assist in the distribution of the testing results to the head coach.

    Documentation:
    29.10 All records of testing will become part of the student athlete’s medical record and results will not be released without the consent of the student athlete.

    30.0 Adjunct Sports Therapy for Student Athletes and Athletic Teams

    Policy:
    All adjunct therapies (sport psychology, massage therapy, etc.) must be coordinated through the IPFW Sports Medicine Staff. Therapy services for student athletes will be determined to be medically necessary by a Team Physician and Staff Athletic Trainer will be paid from the student athlete's personal insurance.

    Adjunct sport therapeutic services that are used for competition, (i.e. team preparation) will be paid by the student athlete. Adjunct therapists are not to initiate counseling or treatment of student athletes without the permission of the Team Physician and Staff Athletic Trainer.

    All adjunct therapists must be approved by the Head Team Physician before any contact with the student athlete occurs.

    Purpose:
    To coordinate medical care of student athletes and to maintain physician directed medical care of all student-athletes. To establish budgetary responsibility for types of services rendered.

    Procedure:
    30.00 The Team Physician and Staff Athletic Trainer will determine the need for adjunct therapy for the student athlete.
    30.01 When the need for adjunct therapy has been identified, the staff athletic trainer will notify the Head Athletic Trainer to determine the method of payment based upon cost and length of treatment. The initial visit must be "Pre-authorized" prior to the start of the service.
    30.02 Adjunct therapy provided to student-athletes for competitive reasons will be coordinated through the staff athletic trainer of the sport. The staff athletic trainer will note any concerns with the Team Physician.
    30.03 Adjunct therapists will refer all student-athletes with significant or continuing problems to the staff athletic trainer for evaluation, treatment, or referral to the Team Physician.
    30.04 Adjunct therapists approved by the Head Team Physician must carry personal liability insurance, and proof of such insurance must be provided prior to initiation of adjunctive therapy.

    Documentation:
    30.10 Adjunct therapists providing therapeutic needs are responsible for providing the staff athletic trainer with any information that may be inherent into the problems of the student athlete.
    30.11 Adjunct therapists must maintain records for each student athlete encounter and report findings to the staff athletic trainers and physicians.

    31.0 Psychological Referrals for Student Athletes

    Policy:
    Any student athlete who is undergoing abnormal stress, potential eating disorder, suicidal intention or having a psychological episode will be referred immediately to the Team Physician. If the Team Physician is unavailable, immediate referral will be to the nearest crisis center or hospital emergency room.

    Purpose:
    To coordinate medical and psychological care of student athletes and to maintain physician directed medical care of all student-athletes. To prevent coaches and administrators from deciding on medical referrals to psychiatrists and other mental health specialists without a Team Physician's involvement.

    Procedure:
    31.00 The Staff Athletic Trainer will talk to coaches and administrators regarding the student athlete's psychological condition and make arrangements to see the Team Physician. The Team Physician will then determine the need for an evaluation and psychological intervention.
    31.01 All student athletes who have been identified to receive psychological referral services will be reported to the Head Athletic Trainer.
    31.02 When the need for intervention therapy has been identified, the staff athletic trainer will notify the Associate Athletic Director to determine the method of payment based upon cost and length of treatment. The initial visit must be "Pre-authorized" prior to the start of the service.

    Documentation:
    31.10 All psychological referrals will be kept strictly confidential. Coaches will only be informed if the student athlete has given permission or the student athlete is a medical risk.
    31.11 All referrals will be documented on a Physician Exam Report and will be kept in a confidential file.

    32.0 Process for Determining Student Athlete Involvement in Studies

    Policy:
    The athletic training staff will participate whenever possible with all legitimate injury surveys and studies.

    Purpose:
    To protect the student athlete from poorly designed studies and to avoid exploitation of the athletes.

    Procedure:
    32.00 All requests for student athlete involved studies will be first read by the Head Athletic Trainer then the Head Team Physician and if acceptable, then the Associate Athletic Director will be contacted.
    32.01 Investigations from the conference or the NCAA will be seriously considered by the Head Athletic Trainer and Head Team Physician.

    33.0 Management of Blood-Borne Pathogens

    Policy:
    All student-athletes with open wounds must report to or be referred immediately to the appropriate medical staff. The appropriate medical personnel will properly care for the wound utilizing universal precautions as recommended by OSHA, before the student-athlete can return to practice or competition. Potential exposure (i.e. through eye, mucous membrane, and open wounds) to blood must be reported through appropriate medical procedures.

    The IPFW Athletic Training Personnel will adhere to the IPFW Policies on Blood Borne Pathogens and follow the Athletic Training Protocols developed for the Training Room.

    Purpose:
    To help prevent the possible transmission of blood-borne pathogens to the student-athlete, other student-athletes, coaches, support staff, medical staff, and game personnel.

    Procedure:
    33.00 Student athletes with open wounds must report or be referred to the appropriate medical staff for evaluation.
    33.01 All coaches, support staff, and game personnel must refer student-athletes with open wounds to the appropriate medical personnel immediately.
    33.02 All open wounds will be cared for by utilizing universal precautions as recommended by OSHA.
    33.03 All open wounds must be cared for and covered by adequate wound care material before a student athlete can return to practice or competition. This includes the cleaning of blood on all exposed skin surfaces.
    33.04 All tape, padding and uniforms that are saturated with blood will be properly cleaned by approved disinfecting solutions or changed before the student athlete will be allowed to return to practice or competition.
    33.05 All student athletes will report to the training room or see the appropriate medical personnel following practice or competition for proper care of all open wounds.
    33.06 Exposure, if found to be actual, will be reported according to OSHA procedures.
    33.07 The personnel exposed to blood-borne pathogens will be referred according to set up procedures for follow up care and confidentiality.

    34.0 Payment of Medical Bills for Student Athletes without Medical Insurance

    Policy:
    Any student athlete requiring medical services from providers who will bill for services, ie...hospitals, MRI, specialty clinics, etc., will present to the provider a Pre-authorization for Medical Services Form prior to receiving medical care.

    Purpose:
    To reduce the potential medical costs to IPFW by notifying medical care providers prior to services.

    Procedure:
    34.00 If an injured athlete has no insurance and requires a major procedure, the IPFW Human Resource representative will contact the health care provider in question to inform them of the athlete's non-insurance status. The representative will also inform K&K Insurance and it is the responsibility of the insurance company to agree on the rate of reasonable and customary care.
    34.01 The IPFW Human Resource representative will provide a written copy of the Non-insurance policy to the student athlete for the provider's records.
    34.02 All student-athletes who do not have medical insurance and need a “significant procedure” will be scheduled to receive care at Orthopaedics Northeast or other insurance approved provider.

    35.0 Contract Negotiations with Non-IPFW Health Team Providers

    Policy:
    No contracts may be written and or entered by with IPFW Sports Medicine and outside health care providers without express written permission from the Director of Athletics.

    Purpose:
    To prevent IPFW Sports Medicine from entering into contracts with health care providers outside the insurance company’s list of preferred providers that are not properly credentialed or licensed for services to be performed.

    Procedure:
    35.00 Before any contractual language is written, the Team Physician will be contacted to discuss the need for going outside the usual IPFW providers. The Team Physician will determine the proper credentials and licenses of the said health care provider and inform the interested party of the credentialing status of the provider.
    35.01 Contractual terms will be brought forward to the Director of Athletics for medical liability evaluation and legality issues.

    36.0 Student Athletes Participating in Multiple Sports Spring 2004

    Policy:
    Athletes participating in multiple sports have additional stresses placed upon them. The sport classified as “in season” will take precedence over the “non-traditional” season sport season and conditioning. The student athlete is not obligated to participate in activities associated with that sport unless it is on a voluntary basis. The Sports Medicine Staff reserves the right to discontinue any activity deemed detrimental to the well being of the student athlete

    Purpose:
    To ensure the safety and well-being of the student athlete and prevent potential “burnout” and over exertion of the athlete which could lead to injury.

    Procedure:
    36.00 Any athlete wishing to participate in multiple sports must do so voluntarily.

    All coaches will be notified of the student athlete’s decision and level of participation.

    Any conflicts will be directed to the Director of Athletics for final decision

    Documentation:
    36.01 All previous documentation will be considered valid for use in the other sports (Physicals, HIPPA, etc.)

    37.0 Payment of Medical Bills after Completion of Eligibility Spring 2004

    Policy:
    Any procedures or medical encumbrances incurred by a student athlete after the completion of their eligibility must be associated and substantiated with written documentation concerning the injury was incurred during a supervised IPFW sporting event (game, practice, and conditioning). Those participating with their respective teams after the completion of their eligibility and become injured will not be the responsibility of IPFW.

    All outstanding bills due to an injury sustained during competition at IPFW will be filed and paid within one year of the actual injury date. The only exception is that any injury deferred for treatment until the completion of their eligibility is documented with regular visits to a physician or continued physical therapy to satisfy the insurance company’s requirement of continuation of care.

    All fiscal obligations to IPFW will conclude within one year, at that time all bills are the responsibility of the student athlete.

    Purpose:
    To ensure proper continuation of medical care of the student athlete who suffered an injury at IPFW. Mandate immediate processing of all medical claims. Limitations of the insurance company may cause additional financial burden for the student athlete and IPFW.

    Procedures:
    37.00 All injuries must be report to the IPFW Sports Medicine Staff at which time an injury report will be filed.
    37.10 The Athletic Trainer will file a “Proof of Loss” form with Human Resources if deemed necessary.
    37.20 It is the responsibility of the student athlete to file all medical bills and EOBs with Human Resources. Any bills not filed with Human Resources will be the responsibility of the student athlete.

    Sports Medicine Emergency Plan

    Introduction Emergency situations may arise at anytime during athletic events. Expedient action must be taken in order to provide the best possible care to the athletes of emergency and/or life threatening condition. The development and implementation of an emergency plan will help ensure that the best care will be provided.

    Athletic departments have a duty to develop an emergency plan that may be implemented immediately when necessary and to provide appropriate standards of health care to all sports participants. 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 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. Hopefully, through careful pre-participation physical screenings, adequate medical coverage, safe practice and training techniques and other safety avenues, some 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 will enable each emergency situation to be managed appropriately.

    Components of the Emergency Plan
  • There are six basic components of this plan:
  • Emergency personnel
  • Emergency communication
  • Emergency equipment
  • Athlete transportation
  • Information concerning critically injured athletes
  • Weather emergencies
    • Emergency Plan Personnel
    With athletic association practice and competition, the first responder to an emergency situation is typically a member of the sports medicine staff, most commonly a certified athletic trainer. A team physician may not always be present at every organized practice or competition. The type and degree of sports medicine coverage for an athletic event may vary widely, based on such factors as the sport or activity, the setting, and the type of training or competition. The first responder in some instances may be a coach or other institutional personnel. Certification in cardiopulmonary resuscitation (CPR), first aid, prevention of disease transmission, and emergency plan review is required for all athletic personnel associated with practices, competitions, skills instruction, and strength and conditioning.

    The development of an emergency plan cannot be complete without to formation of an emergency team. The emergency team may consist of a number of healthcare providers including physicians, emergency medical technicians, certified athletic trainers; student athletic trainers; coaches; managers; and, possibly, bystanders. Roles of these individuals within the emergency team may vary depending on various factors such as the number of members of the team, the athletic venue itself, or the preference of the head athletic trainer. There are four basic roles within the emergency team.

    The first and most important role is 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, equipment retrieval, may be done by anyone on the emergency team who is familiar with the types and location of the specific equipment needed. Student athletic trainers, managers, and coaches are good choices for this role.

    The third 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.

    After EMS bas been activated the fourth role n the emergency team should be performed, 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 contest. Depending on ease of access, this person should have keys to any locked gates or doors that may slow the arrival of medical personnel. A student athletic trainer, manager, or coach may be appropriate for this role.

    Roles within the Emergency Team
    Immediate care of the athlete
    Emergency equipment retrieval
    Activation of the Emergency Medical System
    Direction of EMS to scene

    Activating the EMS System
    Making the Call:
    431-6911— Notify Campus Police
    911 — Start Fire Department / EMS in route
    481-6656 — Notify Sports Medicine Staff Providing Information:
    Providing Information
    Name, address or location on campus, telephone number of caller
    Number of athletes involved in incident
    Condition of athlete(s)Chief complaint, conscious level, respiration, pulse, medications, allergies, known medical conditions (diabetes, epilepsy)
    First aid treatment initiated by first responder (i.e. CPR, rescue breathing, treating for shock.)
    Specific directions as needed to locate the emergency scene (“come to Front entrance of Gates Sports Center, soccer field # 5 at Hefner”)
    Other information as requested by dispatcher - DO NOT TURN YOUR CELL PHONE OFF UNTIL YOU ARE DIRECTED TO BY THE DISPATCHER

    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.
  • There should be a pre-determined chain of command between the coaching staff and the sports medicine as to roles of each in an emergency situation.
  • Each team’s coaching staff should be familiar with the appropriate emergency plan and be able to initiate the emergency medical system in the event that a member of the sports medicine staff is not in the immediate area of the venue.
  • Once the sports medicine staff or advanced medical personnel arrive at the scene of an injury, the sports medicine or medical personnel will have control of the situation.
  • Coaches and bystanders will be used for assistance on the discretion of the sports medicine staff.
  • Protocol for dealing with a critically injured individual on the playing field as presented by the NCAA:

    • Guidelines to Use During a Serious On-Field Player Injury
    These guidelines have been recommended for National Football League officials and have been shared with NCCA championships staff.
    1. Players and coaches should go to and remain in the bench area once medical assistance arrives. Adequate lines of vision between the medical staffs and all available emergency personnel should be established and maintained.
    2. Players, parents and non-authorized personnel should be kept a significant distance away from the seriously injured player or players.
    3. Players or non-medical personnel should not touch, move or roll an injured player.
    4. Players should not try to assist a teammate who is lying on the field (i.e. removing the helmet or chin strap, or attempting to assist breathing by elevating the waist).
    5. Players should not pull an injured teammate or opponent from a pile-up.
    6. Once the medical staff begins to work on an injured player, the athletic trainer should be allowed to perform services without interruption or interference.
    7. Players and coaches should avoid dictating medical services to the athletic trainers or team physicians or taking up their time to perform such services.

    Emergency Communication

    Communication is the key to quick delivery of emergency care in athletic trauma situations. Athletic trainers and emergency medical personnel must work together to provide the best possible care to injured athletes. 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 prior to each practice or competition to ensure proper working order. A back-up communication plan should be in effect should there be failure of the primary 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 necessary emergency equipment should be at the site and quickly accessible. 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. Equipment should be stored in a clean and environmentally controlled area. It should be readily available when emergency situations arise.

    Recommend Medical Equipment
    Required medical equipment at all venues is as follows but not limited to:
  • Medical bag – Stocked with all items for cleaning and dressing wounds and providing care for minor injuries and ailments.
  • Biohazard Kits – Materials for clean spills and removing blood from uniforms.
  • Crutches
  • Portable stretcher or other device for removing athlete from field.
  • Long Spine Board – Must have neck and head stabilizing units with it.
  • Access to AED – Security carry AEDs in all vehicles and one is located in Gates.

    • Transportation
    In the emergency evaluation, the primary survey assists the emergency care provider in identifying emergencies requiring critical intervention and in determining transport decisions. Transportation of athletes involved in emergency or life threatening situations shall be by ambulance. IPFW staff will not transport individuals experiencing any life threatening conditions to the hospital. The IPFW Sports Medicine staff will coordinate with EMS and campus police each year to insure correct protocols are understood concerning routing EMS to each on campus venue.

    In some instances, it may be necessary for a member of the sports medicine staff to remain with an athlete transported to an advanced care facility. If this occurs, care must be taken to ensure that the activity areas are supervised should the emergency care provider leave the site in transporting the athlete.

    Information concerning a critically injured athlete

    In the event that an athlete is critically injured during practice or competition, it is necessary for the athletic director, athlete’s parents and coaches to be informed of the seriousness of the injury to the athlete. It is also necessary to maintain the confidentially of the athlete during such an incident per HIPPA mandate. The head athletic trainer will act as the coordinator of the medical status of the injured athlete. The athletic director will be notified following the transport of a critically injured athlete to a medical facility. The athletic director will then notify the family of the injured athlete. Further contact to parents concerning the athlete’s medical status will be conducted by the sports medicine staff. The team physician will also be involved in decisions concerning appropriate medical treatment of the injured athlete when appropriate.

    Weather Emergencies

    As a university located in mid-west, IPFW’s weather emergencies will be thunderstorms, lightening, and tornados. It is important to consider such emergencies and determine a plan of action in each of these weather situations. These emergencies will most likely affect outdoor sports, but conditions may be such that will affect indoor sports as well. The training room will track potential weather emergencies in the training room from Doppler radar and the National Weather Service reports. The training room will inform the on site trainer of changes in weather conditions via cell phone and 2 way radio.

    Severe Thunderstorm
    If a severe thunderstorm warning has been announced by the National Weather Service in Allen County, the following procedures will be in effect.
  • Notification of both teams and officials.
  • If lightening is present, the lightening protocol will be followed.
  • If no lightning is present, determination of game continuance will be made by the game administrator, head coach, and staff athletic trainer. The athletic trainer having the final decision in the suspension of the game.
  • During suspension of play, all athletes and spectators will be directed to the Gates Center for shelter.

    • Lightning
    The protocol for game suspension in the presence of lightening is as follows:
    1. The staff athletic trainer will have the lightning detector on site for all outdoor competitions. During all games with potential weather concerns, the staff athletic will have the
    2. Lightning detector turned on with a sensitivity range of 8 to 20 miles.
    3. Prior to all competitions in which lightning may be a Consideration the athletic trainer will inform the head coach and officials of IPFW’s lightning policy.
    4. Competition will be suspended if a lightning strike registers in the 8 to 20 mile range. During the game suspension, all spectators and players will proceed to the Gates Center for shelter.
    5. Suspension will be lifted once there have been no lightening strikes registered in the 8 to 20 mile range for a period of 30 minutes.
    6. The on site staff athletic trainer will have the final decision of game suspension and continuance.
    Further information concerning lightning safety can be seen in the following NCAA guideline for lightning safety found in the NCAA Sports Medicine Guidelines 2000-2001 section 1d Specific lightning-safety guidelines have been developed with the assistance of the National Severe Storms Laboratory (NSSL).
    1. As a minimum, NSSL staff strongly recommends that by the time the monitor obtains a flash-to-bang count of 30 seconds, all individuals should have left the athletics site and reached a safe structure or location. Athletics events may need to be terminated.
    2. The existence of blue sky and the absence of rain are not protection from lightning. Lightning can, and does, strike as far as 10 miles away from the rain shaft. It does not have to be raining for lightning to strike,
    3. If no safe structure or location is within a reasonable distance, find a thick grove of small trees surrounded by taller trees or a dry ditch. Assume a crouched position on the ground with only the halls of the feet touching the ground, wrap your arms around your knees and lower your head. Minimize contact with the ground, because lightning current often enters a victim through the ground rather than by a direct overhead strike. MINIMIZE YOUR BODY’S SURFACE AREA. AND MINIMIZE CONTACT WITH THE GROUND! DO NOT LIE FLAT! If unable to reach safe shelter, stay away from the tallest trees or objects (such as light poles or flag poles), metal objects (such as fences or bleachers), individual trees, standing pools of water, and open fields. Avoid being the highest object in a field. Do not take shelter under a single, tall tree.
    4. A person, who feels his or her hair stand on end, or skin tingle, should immediately crouch, as described in item 3.
    5. Avoid using the telephone, except in emergency situations. People have been struck by lightning while using a land-line telephone.
    6. A cellular phone or a portable remote phone is a safe alternative to land-line phones, if the person and the antenna are located within a safe structure or location, and if all other precautions are followed.
    7. When considering resumption of an athletics activity, NSSL staff recommends that everyone should ideally wait at least 30 minutes after the last f]ash of lightning or sound of thunder before returning to the field or activity.
    8. People who have been struck by lightning do not carry an electrical charge; therefore, cardiopulmonary resuscitation (CPR) is safe for the responder. If possible, an injured person should be moved to a safer location before starting CPR.
    9. Lightning-strike victims who show signs of cardiac or respiratory arrest need emergency help quickly. Prompt, aggressive CPR has been highly effective for the survival of victims of lightning strikes.

    Tornados
    When a tornado warning is issued by the National Weather Service for Allen County, University Police will sound a series of short horn blasts. During a tornado warning all indoor and outdoor practice and competition will be suspended until the warning is lifted as per university policy. During this suspension, all spectators and players will be instructed to seek shelter in the Gates Center basement. Spectators and players will remain in until an all clear notice is delivered in person by University Police.

    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 sports medicine personnel. The emergency plan should be reviewed at least once a year with all athletic personnel, along with CPR and first aid refresher training. Through development and implementation of the emergency plan, IPFW helps ensure that the athlete will have the best care provided when an emergency situation does arise.

    Emergency Plans

    Baseball, Softball, Soccer Game Fields

    Emergency Personnel: Certified Athletic Trainers on campus able to respond in 4 minutes or less.

    Emergency Communication: Emergency telephone located by entrance to facility. Coaches will carry cell phones on site. Certified athletic trainers on site for competition will carry cell phones

    Emergency Equipment: Supplies (blood borne pathogen kit, trauma kit, splint kit, spine board) maintained in press box; additional emergency equipment accessible from athletic training facility across street from facility in Gates Center (481-6656).

    Role of First Responder
    Immediate care of the injured or ill student-athlete
    Emergency equipment retrieval
    Activation of emergency medical system (EMS)

    Making the Call:
    481-6911 - Notify Campus Police
    911 - Start Fire Department and EMS in route
    481-6666 - Notify Sports Medicine Staff

    Providing Information:
    Caller’s name, located on IPFW campus game fields across from Gates Center, give telephone number of caller
    Number of athletes involved in incident
    Condition of athlete(s) - Chief complaint, conscious level, respiration, pulse, medications, allergies, known medical
    conditions (diabetes, epilepsy)
    Treatment initiated by first responder such as CPR, rescue breathing, splinting and treating for shock.
    Specific directions as needed to locate the emergency scene
    Enter through main gait on Broyles Ave. across from the Gates Center; this entrance is near the blue emergency phone.
    Give information as to which field the injury is located (i.e. center field of baseball field)

    Other information as requested by dispatcher - DO NOT TURN YOUR CELL PHONE OFF UNTIL YOU ARE DIRECTED TO BY THE DISPATCHER

    Direction of EMS to scene
    Open appropriate gates
    Designate individual to “flag down” EMS and direct to scene

    Scene control: Campus police will act as crowd control. Once medical staff has arrived, coaches and team members should remain on their bench.

    Venue Directions: baseball, softball and soccer game fields are located on Broyles Blvd. across from the parking garage.
    Entrance gate is located by blue light emergency phone.

     Gates Center

    Emergency Personnel: Certified athletic trainer on campus located in Gates Center Rm. 12 - phone #481-6656. Certified athletic trainer will be on court for all home events.

    Emergency Communication: Fixed telephone line at front desk of fitness center during hours that fitness center is open. Certified athletic trainer will have phone accessible during games and times that fitness center is closed.

    Emergency equipment: Spine boards, splint kit, blood borne pathogen kits available in Gates Center training room located in the basement of Gates Center ph. #481-6656.

    Role of First Responder
    Immediate care of the injured or ill student-athlete
    Emergency equipment retrieval
    Activation of emergency medical system (EMS)
    Making the Call:
    481-6911 - Notify Campus Police
    911 - Start Fire Department I EMS in route
    481-6666 - Notify Sports Medicine Staff
    Providing Information:
    Caller’s name, located on IPFW campus in the Gates Center on gym floor or fitness center, give telephone number of caller
    Number of athletes involved in incident
    Condition of athlete(s) - Chief complaint, conscious level, respiration, pulse, medications, allergies, known medical
    conditions (diabetes, epilepsy)
    Treatment initiated by first responder such as CPR, rescue breathing, splinting and treating for shock.
    Specific directions as needed to locate the emergency scene
    Enter through box office doors in front of the Gates Center.

    Other information as requested by dispatcher - DO NOT TURN YOUR CELL PHONE OFF UNTIL YOU ARE DIRECTED TO BY THE DISPATCHER

    Direction of EMS to scene
    Open appropriate gates
    Designate individual to “flag down” EMS and direct to scene

    Scene control: Campus police will act as crowd control. Once medical staff has arrived, coaches and team members should remain on their bench.

    Venue Directions: Gates Center is located on Broyles Street behind parking garage 2. Hilliard Gates Sports Center is accessible via St. Joe Rd or Crescent Ave.

     Carrington, Hefner Fields and The Plex Soccer Complex

    Emergency Personnel: Certified athletic trainers on campus able to respond in 4 minutes or less. Coaches certified in CPR and First Aid.

    Emergency Communication: Emergency telephone located by entrance to facility. Coaches will carry cell phones on site. Certified athletic trainers on site for competition will carry cell phones

    Emergency Equipment: Supplies (blood borne pathogen kit, trauma kit, splint kit, spine board) maintained in press box; additional emergency equipment accessible from athletic training facility across street from facility in Gates Center #481-6656.

    Role of First Responder
    Immediate care of the injured or ill student-athlete
    Emergency equipment retrieval
    Activation of emergency medical system (EMS)

    Making the Call:
    481-6911 - Notify Campus Police
    911 - Start Fire Department I EMS in route
    481-6666 - Notify Sports Medicine Staff

    Providing Information:
    Caller’s name, located at Carrington Field, Hefner Fields or the Plex – 1807 California Road, give telephone number of caller
    Number of athletes involved in incident
    Condition of athlete(s) — Chief complaint, conscious level, respiration, pulse, medications, allergies, known medical conditions (diabetes, epilepsy)
    Treatment initiated by first responder such as CPR, rescue breathing, splinting and treating for shock.
    Specific directions as needed to locate the emergency scene
    Main entrance to The Plex and Hefner fields is located off of California Road. To access Hefner fields, enter the main fields through the paved road leading into the stadium - access to the field is through the gate on the service road.
    Give information as to which field the injury is located (i.e. center field of baseball field or soccer field # 1)

    Other information as requested by dispatcher - DO NOT TURN YOUR CELL PHONE OFF UNTIL YOU ARE DIRECTED TO BY THE DISPATCHER

    Direction of EMS to scene
    Open appropriate gates
    Designate individual to “flag down” EMS and direct to scene

    Scene control: Campus police will act as crowd control. Once medical staff has arrived, coaches and team members should remain on their bench.

    Venue Directions from IPFW: Take Coliseum Blvd across the bridge to California Rd. Turn right and follow California Rd. behind Carrington Baseball Field. Turn right into the Flex parking lot. The entrance to Hefner fields is located on the right of the parking lot of the Plex.

     Memorial Coliseum and Memorial Stadium

    Emergency Personnel: Certified athletic trainers on site for all practices and competitions. Coliseum / Stadium medical personal if needed.

    Emergency Communication: Certified athletic trainers on site will have cell phones with emergency contact numbers.

    Emergency Equipment: supplies (blood borne pathogen kit, trauma kit, splint kit, spine board, biohazard supplies) located in dressing room and behind the home bench.

    Role of First Responder
    Immediate care of the injured or ill student-athlete
    Emergency equipment retrieval
    Activation of emergency medical system (EMS)
    Making the Call:
    Notify venue security – they will make the call to emergency personal
    911 — Start Fire Department I EMS in route
    481-6666 — Notify Sports Medicine Staff

    Providing Information:
    Caller’s name, located at Memorial Coliseum or Stadium, give telephone number of caller
    Number of athletes involved in incident
    Condition of athlete(s) — Chief complaint, conscious level, respiration, pulse, medications, allergies, known medical conditions (diabetes, epilepsy)
    Treatment initiated by first responder such as CPR, rescue breathing, splinting and treating for shock.
    Specific directions as needed to locate the emergency scene
    Give information as to which field the injury is located (i.e. center field of baseball field or basketball court)

    Other information as requested by dispatcher - DO NOT TURN YOUR CELL PHONE OFF UNTIL YOU ARE DIRECTED TO BY THE DISPATCHER

    Direction of EMS to scene
    Open appropriate gates
    Designate individual to “flag down” EMS and direct to scene

    Scene control: Campus police will act as crowd control. Once medical staff has arrived, coaches and team members should remain on their bench.

    Venue Directions from IPFW: Take Coliseum Blvd west across the river. The Memorial Coliseum is located at the corner of Coliseum Blvd. and Parnell Ave. on the southeast corner of the intersection.

    Substance Abuse Policy and Program

    Philosophy
    The Department of Athletics at Indiana University-Purdue University Fort Wayne (IPFW), including its Administrators, Physicians, Athletic Trainers, and Coaches, strongly believe that the use and abuse of nutrition supplements, drugs, tobacco, and alcohol can be detrimental to the physical well being of our student athletes. The use of nutrition supplements, drugs, tobacco, and alcohol (excluding those prescribed by a physician to treat a specific medical condition) can seriously interfere with the performance of individuals as students and athletes. This abuse is not only dangerous to the student athlete, but also to his/her teammates during practice, competition and daily activities.

    This program is in effect throughout the entire academic year. All student athletes, including red shirt players and those deemed academically ineligible for the semester, are required to participate. Assessment, drug testing, education, counseling, support, and referral are components of the program in an effort to assist and benefit the men and women student athletes of IPFW.

    Purpose of the Program
    The purpose of our program is to provide information, education, drug testing, assessment, counseling, referral, and Athletic Department Code of Conduct enforcement procedures. This program is based on the Department of Athletics' policy that the abuse of nutrition supplements, drugs, tobacco, and alcohol is detrimental to the health of student athletes and a violation of team rules, university regulations, city, state and federal laws. Program components will be coordinated by IPFW Wellness in conjunction with IPFW Sports Medicine Staff.

    Specific goals of this program are to:
    1. Educate IPFW student athletes, coaches, and staff concerning nutrition supplements, drug, tobacco, and alcohol abuse and associated problems;
    2. Encourage frank discussions of the concerns that student athletes may have about the use of substances;
    3. Reduce any nutrition supplement, drug and alcohol abuse by IPFW student athletes;
    4. Implement drug testing procedures;
    5. Provide assessment, short term supportive counseling, and referrals to student athletes reported to have substance abuse problems; and
    6. Enforce the Athletic Department’s Code of Conduct.
    7. Provide support to student athletes for rehabilitation and reinstatement.

    Components of Program

    At the beginning of the academic year, a presentation will be made to all IPFW student athletes to outline and review the purpose and implementation of the Department's policy and program regarding nutrition supplements, drugs, tobacco, and alcohol use. Follow up sessions with individual teams will be scheduled during the first quarter of each semester to reinforce components of the program and to address specific needs. All student athletes will be subject to random drug testing. A copy of the program will be given to each student athlete and coach.

    Each student athlete will be asked to:
    1. Sign a copy of the Substance Abuse Policy and Program acknowledging receipt of a copy and understanding of the policy and program details;
    2. Sign the NCAA Student Athlete Statement; and
    3. Sign the NCAA Drug Consent Form.

    General Principles of Program
    1. The IPFW Athletic Department mandates that all student athletes must participate in the substance abuse program, with no exceptions. This program is considered an extension of the physical examination process. Nutrition supplement, drug, tobacco, and alcohol education presentations and follow up sessions are mandatory.
    2. All nutrition supplement, drug, tobacco, and alcohol related violations are considered cumulative for the student athlete's career.
    3. Any convictions resulting from the selling of drugs will cause a student athlete to be terminated from athletic participation.
    4. Any student athlete who, independent of drug testing, self reports a violation of the Athletic Department’s code of conduct to a department administrator, head coach, or head trainer will be referred for appropriate counseling or treatment and will receive due consideration in any sanctions that may be imposed for the violation.
    5. All student athletes found in violation of Athletic Department’s Code of Conduct will receive appropriate sanctions.
    6. The Athletic Director must authorize any exceptions to the above regulations.

    Athletic Department Code of Conduct

    The IPFW nutrition supplement, alcohol, tobacco, and drug education and testing program for student athletes is designed to promote and support an environment that encourages safe and responsible use of nutritious food, beverages, and prescription drugs, and discourages abuse of substances.

    The following constitutes an illegal act and/or a violation of the Athletic Department’s Code of Conduct:

    Illegal use, possession or sale of alcohol, nutrition supplements, tobacco, and drugs is prohibited as prescribed by the Indiana Criminal Code, City Criminal Code, NCAA, and the IPFW Student Handbook and Planner.

    Substances Banned By The NCAA Include (But Are Not Limited To) The Following:
    a. Psychomotor and central nervous system stimulants:
    amiphenazole
    fencamfamine
    amphetamine
    meclofenoxoate
    bemigride
    methamphetamine
    benzphetamine
    methylene-dioxymethamphetmine (MDMA) (Ecstacy)
    bromantan
    methylphenidate
    caffeine
    nikethamide
    chlorphentermine
    pemoline
    cocaine
    pentetraxol
    cropropamide
    phendimeytrazine
    crothetamide
    phenmetrazine
    diethylpropion
    phentermine
    dimethylamphetamine
    picrotoxine
    doxapram
    pipradol
    ephedrine
    prolintane
    ethamivan
    trychnine
    ethylamphetamine
    nd related compounds

    b. Anabolic agents:
    anabolic steroids
    dehydrotestosterone
    norethandrolene
    androstendediol
    dromostanolone
    oxandrolone
    androstenedione
    fluoxymesterone
    oxymesterone
    bolasterone
    mesterolone
    oxymetholone
    boldenone
    methandienone
    stanozolol
    clenbuterol
    methenolone
    stenbolone
    clostebol
    methyltestosterone
    testoterone (T/EPI-T Ratio)2
    dehydrochlormethyl-testosterone
    nandrolone
    trenbolone
    dehydroepiandrosterone (DHEA)
    norandrostenediol
    tribulus terrestris
    norandrostenedione
    and related compounds

    c. Nutrition supplements:
    Ephendrine
    Ma Huang
    Guarana
    Yohimbie


    d. Street drugs:
    Heroin
    Marijuana (Tetrahydrocannabinol)
    Cocaine
    Bennies
    LSD
    Ecstasy
    Opium

    e. Peptide hormones and analogues:
    Choronic gonadotrophin (HCG)
    Corticotrophin (ACTH)
    Growth hormone (HGH)


    f. Diuretics:
    Acetazolamide
    Bendroflumethiazide
    Hydroflumethiazide
    Methyclothiazide


    For more information on NCAA banned substances, refer to: www.NCAA.org; www.drugfreesport.com, or www.USantidoping.org.

    IPFW regulations prohibit the possession, consumption, distribution, or sale of alcoholic beverages (as defined by state law) on campus, except as expressly permitted by the Internal Operating Procedures for the Possession, Consumption, Distribution, and Sale of Alcoholic Beverages on the Fort Wayne Campus. The use, possession, manufacture, processing, distribution or sale of any drug or controlled substance except as expressly permitted by law is also prohibited.

    Use of alcoholic beverages off-campus by anyone under the age of 21 is prohibited. Use of alcoholic beverages before and after competitions and practices is prohibited. Student athletes over 21 are strongly encouraged not to use alcoholic beverages.

    Attendance will be mandatory for all substance abuse education meetings held by the Department of Athletics unless absence is pre-approved by NCAA Compliance Officer and IPFW Wellness/Fitness Coordinator. All meetings are considered an ongoing phase of the physical examination process. Head coaches will be notified of times and dates of such meetings.

    Adherence to all sanctions as found in the Substance Abuse Education Program will be strictly enforced. If the student athlete does not follow the directions set forth in the sanctions, it will constitute a second violation.

    Criminal citations for drug and alcohol related infractions constitute a serious breach of the Code of Conduct. After the case has been discharged, sanctions may be imposed in relation to the seriousness of the offense.

    Any prescribed and over-the-counter medication that has been authorized by the team physician will not violate the Athletic Department’s Code of Conduct. Student athletes who are taking prescribed medication from a personal or licensed health care provider must notify the Athletic Department’s Athletic Trainer. A written notification is required.

    Enforcement of the Code of Conduct

  • All members of the Department of Athletics (Administrators, Head Coaches, Head Athletic Trainer) are expected to report (in writing) a violation of the Code of Conduct.
  • All members of the University Police staff are expected to report (in writing) a violation of the Code.
  • All reports will remain confidential.
  • The Athletic Department Substance Abuse Appeal Committee will determine appropriate actions in a timely manner.
  • All student athletes will be treated fairly throughout the investigation.
  • All violation reports will be documented and forwarded to the following personnel: Athletic Director, Head Coach, Athletic Trainer, and student-athlete.
  • The student athlete has the right to appeal sanctions. Appeals will be heard by the Substance Abuse Appeal Committee

    All student athletes found to be in violation of the Athletic Department’s Code of Conduct will be subject to the following disciplinary actions:

    • Administrative Procedures

    First Violation
    1. If a student-athlete has a confirmed positive test result, such fact will be reported by the Associate Director of Athletics to the student-athlete, the Head Coach and the Director of Athletics.
    2. The Head Coach shall establish a private meeting attended by himself/herself, the student-athlete, the Head Athletic Trainer or his/her designee, and the Associate Director of Athletics to:
    3. Reinforce the non-punitive philosophy of the Substance Abuse Program, discuss any input of notified parents, review the sanctions and implications of Step 2 and thereafter, and discuss any other matters desired by any of the participants in the meeting.
    4. Agree upon and attend a mandatory assessment education/counseling session with the IPFW personal counselor, to discuss:
    5. A commitment by the student-athlete that he/she will meaningfully cooperate in problem awareness/assessment/counseling sessions as proposed by the personal counselor.
    6. Specific objectives or activities to be accomplished or discontinued by the student-athlete.
    7. During Step 1, team membership and athletic activities will not be adversely affected solely for the reason that the student-athlete had a confirmed positive test result.
    8. During Step 1, at any times (s) with or without prior notice or cause, the student-athlete may be required to participate in the Testing Procedure.

    Second Violation
    1. If a student-athlete has a second confirmed positive test result during the same academic year, such fact will be reported by the Associate Director of Athletics to the student-athlete, the Head Coach, the Head Athletic Trainer or his/her designee, Director of Athletics and the IPFW personal counselor.
    2. The Head Coach shall establish a private meeting attended by himself/herself, the student-athlete, Associate Director of Athletics, the Head Athletic Trainer or his/her designee, and potentially the Director of Athletics. The IPFW personal counselor shall be notified of the meeting and the Counselor assigned to the student-athlete may attend the meeting to discuss any matter desired by any participant, including any input of notified parents, review the sanctions of Step 2 and thereafter, and agree upon the plan of action which is warranted by the fact that there has been a second confirmed positive test result.
    3. During Step 2, the Head Coach may, after prior notice to the Counselor and after providing the Counselor an opportunity to discuss the matter with the student-athlete and the Head Coach, take action by demoting the team status of the student-athlete (benching him/her) and/or then or later suspending him/her from the team.
    4. During Step 2, at any time(s) with or without prior notice or cause, the student-athlete may be required to participate in the Testing Procedure.

    Third Violation
    1. If a student-athlete has a third confirmed positive test result during the same academic year, such fact will be reported by the Associate Director of Athletics to the student-athlete, the Head Coach, the Head Athletic Trainer or his/her designee, the Director of Athletics and the IPFW personal counselor.
    2. Upon such third confirmed positive test result, the student-athlete shall automatically and forthwith be dismissed from all athletic teams and shall lose his/her athletic scholarship at the end of the current academic year.

      Parent Involvement
      Unless prohibited by law, parents (including legal guardians) of a student-athlete will be notified as to matters involving participation of such student-athlete in this Substance Abuse Program under the following circumstances:
    3. If a student-athlete is denied the opportunity to participate in intercollegiate activities for the reason that he/she refused or otherwise failed to participate in the Testing Procedure by not providing a specimen when and where requested, the parents will be notified of such fact when the Director of Athletics determines that the student-athlete denied participation has not availed himself/herself of the interview opportunity or in the discretion of the Director of Athletics after the interview.
    4. If a student-athlete who is not then availing himself/herself of IPFW Personal Counselor by self-referral has the first confirmed positive test result, the parents may be notified of such fact at the discretion of the Director of Athletics after consultation with the IPFW Personal Counselor.
    5. If a student-athlete has a second or third confirmed positive test result during the same academic year, the parents will be notified of such fact at the time of each such result.
    6. Such parent notification will be by the Director of Athletics and notified parents are encouraged to thereafter initiate discussions of the matter with the Head Coach and/or the Director of Athletics and provide any input that might be of assistance in achieving the objectives of the Substance Abuse Program.

      Sanctions
      Failure to participate in Testing Procedures: A student-athlete will be denied the opportunity to participate in intercollegiate athletic activities.
    7. Second confirmed positive test result during one academic year: The student-athlete may be demoted in team status (benched) or may be suspended from the team.
    8. The student-athlete will be dismissed from all athletic teams and will lose his/her athletic scholarship at the end of the current academic year under the following circumstances:
    9. A third confirmed positive test result during one academic year.
    10. A material and substantial failure to participate in the Substance Abuse Program, including the refusal or failure to provide a specimen when and where requested as provided above under Testing Procedures.
      11. Nothing herein contained supersedes or modifies any other procedure which may be applicable or sanction which may be imposed by the University or the Athletic Department or University disciplinary process resulting from the sale, transfer or use of illegal substances or the use/misuse/abuse of any substance.

    Appeal Procedures
    1. A student-athlete shall have the right to appeal to the Director of Athletics any matter involving interpretation or application of the Substance Abuse Program deemed by the student-athlete to be adverse to his/her personal best interests.
    2. Such appeal shall be in writing and state the facts and reasons upon which it is based and must be received by the Director of Athletics, or the person in charge of his/her office in his/her absence, within three (3) school days after the occurrence of the matter being appealed.
    3. The Director of Athletics shall, forthwith upon his/her receipt of the appeal, make a determination, based solely on the contents of the appeal and his/her familiarity with the objectives of the Substance Abuse Program, as to whether any actions then involving the student-athlete should be suspended during the appeal. If the Director of Athletics determines that some action should be so suspended, he/she shall cause to be taken such action as is appropriate to effect such suspension.
    4. The Director of Athletics shall investigate, to the extent he/she deems appropriate, the facts and circumstances involved in the subject matter of the appeal to determine whether, in his/her opinion, the student-athlete is entitled to the relief requested in the appeal.
    5. Such investigative activity, to the extent reasonably possible, shall be conducted so as to maintain the confidentiality of the Substance Abuse Program except to the extent that the student-athlete waives confidentiality.
    6. Such determination shall be in writing and shall be delivered or mailed within seven (7) school days after receipt of the appeal by the Director of Athletics to the student-athlete. If mailed to the student-athlete, it shall be by certified mail to the local address of the student-athlete as shown on IPFW’s Bursar Office records.
    7. If the Director of Athletics determines the appeal in favor of the student-athlete he/she shall cause to be taken such action as is appropriate to correct the situation. This determination shall be final.
    8. If the Director of Athletics determines the appeal in whole or in part against the student-athlete, the determination of the Director of Athletics shall be final except to the extent that the student-athlete has appeal rights to the IPFW Athletic Department Substance Abuse Appeals Committee (“Committee”) as hereinafter provided.
    9. If the determination of the Director of Athletics does not grant to the student-athlete the full relief sought, he/she may appeal such determination to the Committee.
    10. Such appeal must be in writing and must be received by the Director of Athletics, or the person in charge of his/her office in his/her absence, within three (3) school days after the determination of the Director of Athletics is delivered to the student-athlete, or within seven (7) calendar days after the determination has been deposited in the U.S. mails.
    11. The Director of Athletics shall promptly furnish a copy of said appeal, together with a copy of the initial appeal to the Director of Athletics and the determination of the Director of Athletics with respect to such appeal, to each member of the Committee.
    12. Upon receipt of the appeal, any three (3) members of the Committee by a writing signed by them may, based solely on the contents of the appeal, the determination of the Director of Athletics being appeal from, and their familiarity with the objectives of the Substance Abuse Program, order that the actions involving the student-athlete being appealed be suspended. If such order of suspension is issued, the Director of Athletics shall cause to be taken such action as is appropriate to affect such suspension.
    13. Upon receipt of such appeal, a hearing will be set before the Committee in order to take all evidence relevant to the subject matter of the appeal. Three members of the Committee shall constitute a quorum for the hearing, provided that at least one of the members present at the hearing shall be either the Chairman or the Vice Chairman of the Committee. Concurrence by a majority of the members present at the hearing shall be required to render a decision.
    14. The following procedures shall govern the conduct of this hearing.
      1. Notice of the date of hearing will be served upon the student-athlete at least five (5) school days prior to the date of the hearing.
      2. The hearing will be transcribed or recorded, and the student-athlete will be provided with a copy of the transcription or record.
      3. The hearing will be closed to the public. Notified parents may attend the hearing.
      4. The Director of Athletics, who shall be deemed to be the party adverse to the student-athlete for the purposes of the hearing, may be accompanied and assisted by members of his/her staff. The Director of Athletics shall have the burden of proof to show that the procedures of the Substance Abuse Program, to the extent relevant to the appeal, were substantially followed and that any deviation did not materially, substantially and adversely affect the student-athlete, and that the facts which were the basis of the action being appealed were true. The burden of proof shall be by a preponderance of the evidence.
      5. Prior to the hearing, the student-athlete will have the opportunity to obtain necessary witnesses and documents and other evidence, and the University will cooperate in such opportunity.
      6. The Director of Athletics and the student-athlete shall each have the right to confront and cross-examine the witnesses of the other. Where a witness does not appear, in the interest of justice, the Committee may accept a written statement into the record which will be disclosed to the other party who will then be given the opportunity to submit written questions to be answered by the witness and placed into the record.
      7. The Committee is not bound by rules of evidence applicable in a court trial. It may admit any evidence that has probative value in determining the issues involved. Efforts will be made to admit the most reliable evidence.
    15. Based on the evidence and record, the Committee must decide whether or not the action taken which is the subject matter of the appeal was properly taken pursuant to the IPFW Substance Abuse Program. If it finds that the action was properly taken, the appeal shall be dismissed. If it finds that the action was not properly taken, the Committee shall order such relief in favor of the student-athlete, as it deems proper and equitable in the circumstances.
    16. The findings and decision of the Committee shall be final and binding on both the Director of Athletics and the student-athlete.
    17. It is intended that an appeal to the Committee be only with respect to matters which involve the imposition of sanctions or the imminent probability that sanctions may be imposed. Accordingly, notwithstanding the foregoing, an appeal may be summarily dismissed without a hearing if four members of the Committee by a writing signed by them, determines that the appeal is not consistent with such intent.
    18. An appeal pending at the end of an academic year, except with respect to loss of athletic scholarship shall be dismissed as being moot. An appeal pending at the end of an academic year involving loss of athletic scholarship shall continue and be disposed of as soon as possible after the end of the academic year. If necessary, the Chancellor of the University shall reconstitute the Committee so that the appeal can proceed. Amendments
      This Substance Abuse Program will be under constant evaluation and may be amended from time to time at the discretion of the IPFW Athletic Department. Amendments will be distributed to all student-athletes and no amendment will be retroactively applied.

     Drug Testing Procedures

    1. The Athletic Department identifies student-athletes to be tested using a randomly generated list of numbers provided by the Faculty Athletics Rep.
    2. The lists of student-athletes to be tested are turned over to the Head Athletic Trainer for notification.
    3. Student-athletes report at the designated place and time and provide a urine sample.
    4. Collection procedures will be performed following guidelines set forth by the laboratory chosen by the Athletic Department.
    5. Documentation for all certified test administrators and procedures will be kept on file in the Training Room.
    6. A representative from the designated testing lab handles all paperwork and assures that every effort is made to maintain a proper chain of custody for the sample.
    7. Results are reported only to the Associate Director of Athletics, who takes appropriate action based on the principles and guidelines of the Athletic Department’s Substance Abuse Policies.

    IPFW Athletic Department Substance Abuse Appeals Committee

    The Athletic Department Substance Abuse Appeals Committee will conduct the appeal procedure as outlined in the Substance Abuse Policy and Program and determine the appropriate actions in a timely manner.

    A representative from the following IPFW administrative areas will make up the composition of the committee:
  • Academic Affairs.
  • Dean of Students Office.
  • SCOA.
  • Athletic Department Representative (non-coach).
  • Faculty Athletic Representative (Shall serve as Chair for the Committee).

    • Institutional Drug-Testing Procedures

    Medical Code
    1. The presence in a student-athlete's urine of a substance and/or metabolite of such substance belonging to a class of drugs currently banned by the NCAA / IPFW may be cause for loss of eligibility.
    2. Related compounds are included in the class due to their pharmacological action and/or chemical structure. No substance belonging to the prohibited class may be used, regardless of whether it is specifically listed as an example.
    3. Evidence of presence of a banned substance and/or metabolite will be from analysis of the student-athlete's urine and confirmation by gas chromatography / mass spectrometry by an IPFW Sports Medicine approved laboratory.
    4. The current NCAA list of banned-drug classes is available from the NCAA and at www.ncaa.org/sports_sciences/drugtesting/banned_list.html. In addition, other substances may be screened to gather data for making decisions as to whether additional drugs should be added to the list. The NCAA Executive Committee will be responsible for reviewing and revising the list of banned-drug classes.
    5. The IPFW Athletic Department Substance Abuse Committee may limit testing to select banned-drug classes.
    Organization
    1. The IPFW Subcommittee on Athletics (SCOA) has final authority over the procedures and implementation of the IPFW drug-testing program.
    2. The IPFW Subcommittee on Athletics (SCOA) will recommend policies and procedures to the Director of Athletics and will hear drug testing appeals.
    3. The IPFW Athletic Department Substance Abuse Task Force Committee will provide periodic evaluations and recommendations to IPFW Subcommittee on Athletics (SCOA)
    4. IPFW Athletics will support, coordinate and be responsible for the general administration of the drug-testing program under the supervision of the IPFW Subcommittee on Athletics (SCOA).
    5. IPFW Athletics will be responsible for administration of the program. This will include selection of and training of the test administrators who will take responsibility for respective drug-testing occasions.
    6. IPFW Athletics may utilize the services of outside collection agencies to conduct drug-testing specimen collection. Certified test administrators and determination of testing sites will be part of the administrative responsibility of IPFW Sports Medicine.
    7. No member of a drug-testing crew may concurrently be serving as an IPFW coach or faculty member or in any other capacity.
    8. The IPFW Athletic Director or his or her designee will approve any contracts between the drug-testing entities or consultants.
    9. Any drug-testing laboratory (ies) will be required to demonstrate, to the satisfaction of the IPFW Athletic Department Substance Abuse Committee, proficiency in detection and confirmation of the banned substance categories on the NCAA list of banned-drug classes.
    10. A periodic quality control check of the laboratory (ies) will be maintained.
    11. Members of the IPFW Athletic Department Substance Abuse Committee and/or its consultants may be called upon to interpret test results.
    12. Specimen collection by organizations other than those authorized by IPFW is not allowed without the consent of the IPFW Athletic Department Substance Abuse Committee.
    Causes For Loss of Eligibility
    1. According to NCAA Bylaw 14.1.4.1, each academic year the student-athlete shall sign a form prescribed by the Management Council in which the student-athlete consents to be tested for the use of drugs prohibited by NCAA legislation. Failure to complete and sign the consent form prior to practice or competition in Divisions I and II sports in which the Association conducts year-round drug testing and prior to competition in all other sports in Divisions I, II and III shall result in the student-athlete's ineligibility for participation (i.e., practice and competition) in all intercollegiate athletics.
    2. According to NCAA Bylaw 14.1.4.1.1, a non-recruited student-athlete in sports other than those involved in the Association's year-round drug-testing program may participate in preseason practice activities prior to the team's first contest or date of competition without signing the drug-testing consent form.
    3. IPFW shall administer the consent form individually to each student-athlete (including recruited partial qualifiers and non-qualifiers) each academic year. Details about the content, administration and disposition of the consent form are set forth in NCAA Bylaw 30.5.
    4. All student-athletes found to be positive for a banned substance and/or metabolite are subject to loss of eligibility consistent with existing policies, as designated in NCAA Bylaw 18.4.1.5.
    5. Student-athletes who fail to sign the notification form or signature form, fail to arrive at the collection station at the designated time without justification, failure to supply a valid IPFW identification card, fail to provide a urine sample according to protocol, leave the collection station before providing a specimen according to protocol, or attempt to alter the integrity or validity of the urine specimen and/or collection process will be treated as if there was a positive for a banned substance.
    6. According to NCAA Bylaw 10.2, a member institution's athletics department staff members or others employed by the intercollegiate athletics program who have knowledge of a student-athlete's use of a substance on the list of banned drugs, as set forth in 31.2.3.1, shall follow institutional procedures dealing with drug abuse or shall be subject to disciplinary or corrective action as set forth in 19.6.2.2.
    Institution and Student Athlete Selection
    1. The method for selecting student-athletes to be tested will be recommended by the IPFW Athletic Department Substance Abuse Committee and approved by the Director of Athletics or designee in advance of the testing occasion, and implemented by test administrators. All student-athletes are subject to testing.
    2. All eligible student-athletes competing at IPFW are subject to year-round testing.
    3. IPFW student-athletes may be selected on the basis of position, athletics financial-aid status, playing time, an IPFW-approved random selection process or any combination thereof or reasonable suspicion.
    4. IPFW Student-athletes will be selected from the official institutional squad list.
    5. IPFW Student-athletes listed on the squad list that have exhausted their eligibility or who have career-ending injuries will not be selected.
    6. Persons who are competing and have tested positive will may be automatically tested at any subsequent IPFW athletic event or NCAA championship in which drug testing are not being conducted.
    Institution and Student –Athlete Notification
    1. In the event of on-campus drug testing, the site coordinator will inform the IPFW Compliance Officer, Facility Manager, Fitness / Wellness Coordinator and the Athletic Director no earlier than two days before the day of testing.
    2. Each student-athlete will receive either / both written / verbal notification of their test time and date. The notification form will instruct the student-athlete when to report to the collection station, student –athletes must be present 30 minutes prior to test time.
    3. An official IPFW representative must be in the collection station to certify the identity of the student-athletes selected. The institutional representative must remain in the collection station until all student-athletes have reported.
    4. The time of notification will be recorded and the student-athlete will read and sign the notification form.
    5. Completed notification forms will be returned to the collection station and given to the crew chief (or designate). The student-athlete or institutional representative will be given a copy at the completion of the collection process.
    6. A witness may accompany the student-athlete to the collection station.
    7. The witness will be asked to remain during the entire collection process and will be asked to sign the Student-Athlete Signature Form.
    8. At NCAA on-campus, non-championship testing events, the student-athlete will be notified of and scheduled for testing by the institution. The institution will notify the student-athlete of the date and time to report to the collection station and will have the student-athlete read and sign any Student-Athlete Notification Form.
    9. The student-athlete will be instructed that he/she must report to the collection station within 30 minutes of the determined notification time. Failure of reporting on time will deem the athlete ineligible until arrangements can be made to test the student-athlete.
    10. An IPFW representative will be present in the collection station to certify the identity of student-athletes and will be responsible for security of the collection station.
    11. Student-athletes shall provide picture identification (Valid IPFW Student Identification) when entering the drug-testing station.
    Specimen Collection Procedures
    1. Only those persons authorized by the test administrator will be allowed in the collection station.
    2. The test administrator may release a sick or injured student-athlete from the collection station or may release a student-athlete to return to competition or to meet academic obligations only after appropriate arrangements for having the student-athlete tested have been made and documented on the Student-Athlete Notification Form.
    3. Upon entering the collection station, the student-athlete will be identified by an IPFW representative and confirmed with one form of photo identification.
    4. The IPFW representative will record time of arrival and print name on the Student-Athlete Signature Form, Specimen Processing Form and complete the Chain-of Custody Form.
    5. The student-athlete’s outer garments and personal belongings are to be left outside the collection area. All items will be secured by test administration staff.
    6. The student-athlete will wash his/her hands prior to collection and at conclusion of procedures
    7. Split-specimen kit will be opened in presence of student-athlete.
    8. A certified test administrator will monitor the furnishing of the specimen by observation in order to assure the integrity of the specimen until a specimen of at least 60 – 85 ml is provided into the calibrated collection container with temperature strip.
    9. Once a specimen (at least 60 ml) is provided, the student-athlete is responsible for keeping the collection beaker controlled.
    10. Fluids and food given to student-athletes who have difficulty voiding must be from sealed containers (certified by the test administrator) that are opened and consumed in the station. These items must be caffeine- and alcohol-free and free of any other banned substances.
    11. If the specimen is incomplete, the student-athlete must remain in the collection station until the sample is completed. During this period, the student-athlete is responsible for keeping the collection beaker closed and controlled.
    12. If the student-athlete is unable to provide an adequate sample, the test administrator may give up to 2 hours to provide the sample. During this time, the student athlete will be allowed to only consume water and no food will be allowed.
    13. If the specimen is incomplete and the student-athlete must leave the collection station for a reason approved by the test administrator, the specimen must be discarded.
    14. Upon return to the collection station, the student-athlete will begin the collection procedure again according to #3.
    15. Once a specimen (at least 60 ml) is provided, the student-athlete will pour a small amount of urine into an approved container. A certified test administrator will check the temperature, specific gravity and pH of the urine in the presence of the student-athlete. Temperature Acceptable: 90 – 100 degrees Fahrenheit
      Specific Gravity Acceptable: Above 1.005 (1.010 if measured with a regent strip)
      PH Acceptable: 4.5 – 7.5 (if measured with a regent strip)
    16. If the urine has a temperature below 90 degrees Fahrenheit or above 100 degrees Fahrenheit the specimen will be discarded by the student-athlete. The student-athlete must remain in the collection station until another specimen is provided. The student-athlete will provide another specimen according to #7 - #9.
    17. If the urine has a specific gravity below 1.005 (1.010 if measured with a reagent strip), the specimen will be discarded by the student-athlete. The student-athlete must remain in the collection station until another specimen is provided. The student-athlete will provide another specimen according to #7 - #9.
    18. If the urine has a pH greater than 7.5 (with reagent strip) or less than 4.5 (with reagent strip), the specimen will be discarded by the student-athlete. The student-athlete must remain in the collection station until another specimen is provided. The student-athlete will provide another specimen according to #7 - #9.
    19. If the urine has a specific gravity above 1.005 (1.010 if measured with a reagent strip) and the urine has a pH between 4.5 and 7.5 inclusive, the specimen will be processed and sent to the laboratory.
    20. Final determination of specimen adequacy will be made by the laboratory.
    21. If the laboratory determines that a student-athlete's specimen is inadequate for analysis, at the discretion of IPFW, another specimen may be collected.
    22. If a student-athlete is suspected of manipulating specimens (e.g., via dilution), IPFW will have the authority to perform additional tests on the student-athlete, not to exceed two consecutive negative tests.
    23. The certified test administrator who monitored the furnishing of the specimen by observation will record the temperature, specific gravity and pH values and sign for verification on the Specimen Processing Form and Chain of Custody Form.
    24. Once a specimen has been provided that meets the on-site temperature, specific gravity and pH parameters, the student-athlete will open both specimen bottles and will pour at least 30 ml of the specimen into each bottle.
    25. Security seals will be removed and attached to the chain of custody form. The student-athlete will place the cap on each bottle; the certified test administrator will then seal each vial in the required manner under the observation of the student-athlete and witness (if present). Security seals will be placed over the top and down the side of each bottle and the student-athlete will initial each seal to verify their particular samples. Chain-of custody will be completed and placed in the provided biohazard bag of each sample collected. The laboratory's copy of the Student-Athlete Signature Form shall not contain the name of the student-athlete.
    26. The student-athlete and witness (if present) will sign the Student-Athlete Notification Form, certifying that the procedures were followed as described in the protocol. Any deviation from the procedures must be described and recorded on the
    27. Student-Athlete Signature Form at that time. If deviations are alleged, the student-athlete will be required to provide another specimen.
    28. The certified test administrator will sign the Student-Athlete Signature Form, give the student-athlete a copy and secure all remaining copies. The compiled Student-Athlete Signature Forms constitute the "Master Code" for that drug testing. The student-athlete will receive his/her copy of the Chain-of-Custody form and will be released from the collection area by the test administrator. The specimens now become the property of the IPFW Athletic Department.
    29. After the collection has been completed, the specimens will be forwarded for in-house processing and to the laboratory and all copies of all forms forwarded to the designated persons.
    30. Failure to sign the Student-Athlete Signature Form, Specimen Processing Form, Chain of Custody form and arrival at the collection station at the designated time without justification or provide a urine specimen according to protocol or failure to provide a valid IPFW student identification card is cause for the same action(s) as evidence of use of a banned substance.
    31. The test administrator will inform the student-athlete of these implications (in the presence of witnesses) and record such on the Specimen Processing Form. If the student-athlete is not available, the test administrator will notify the IPFW official responsible for administration of the event or an institutional representative. The student-athlete will be considered to have withdrawn consent and will be ineligible on that basis.
    ON –Site Screening Procedures
    1. Chain-of-Custody form and one specimen container will be removed from the bio-hazard bag.
    2. The laboratory provided testing device will be opened and be marked accordingly:
    3. Test Date
    4. Student-athlete identification number
    5. Sealed specimen bottle will be opened and a urine sample drawn into the supplied pipette until full.
    6. Two drops of the specimen will be placed into the sample well.
    7. Test results will be read in 5-7 minutes after the sample application
    8. If the laboratory provided testing device control line is absent, the sample will be tested again with a new laboratory provided testing device.
    9. If the control line is absent a second time, it is the discretion of the test administrator if the sample is to be forwarded to the laboratory for further analysis or a new sample taken. C
    10. hain-of-Custody form will be completed annotating the results of on-site screen test.

    If the On-Site Screening Test is NEGATIVE
    A copy of the Chain-of-Custody form will be sent to Administrator’s laboratory via fax and the Head Athletic Trainer at IPFW.
    Specimen will be destroyed as well as all remaining copies of the Chain-of-Custody form.

    If the On-Site Screening Test is NON-NEGATIVE
    A copy of the Chain-of-Custody form will be sent to Administrator’s laboratory via fax An additional copy of the Chain-of-Custody form will be sealed in a specimen transport (bio-hazard) bag for transport to the laboratory via Airborne Express or other overnight shipper.
    Copies of all forms will be forwarded to the designated persons.

    Interpretation of Test Results
    1. All on-site screening procedures will be conducting in a secured area away from interference of all student-athletes and representatives of IPFW.
    2. All information disclosed whether negative or non-negative is strictly confidential and is not to be released by the student-athletes, test administrators, IPFW staff or any others involved with the procedures.
    3. Information confirming test results will be released only to the Head Athletic Trainer at IPFW at which time he/she will disclose the information the Athletic Director and Drug and Substance Committee for any disciplinary sanctions.
    4. The student-athlete will be considered eligible until the final results have been received from the testing laboratory even if the screening process has revealed a non-negative result.
    5. All non-negative results will be sent to a certified (SAMHSA) laboratory capable of analyzing samples with gas chromatography / mass spectrometry to ensure the integrity of the sample
    6. The following are the cut-offs in which a particular substance may reveal a non-negative result in the On-Site Screening and will be sent for further analysis. THC (marijuana) 50 ng/ml
      COC (cocaine) 300 ng/ml
      OPI (opiates) 2000 ng/ml
      AMP (amphetamines) 1000 ng/ml
      PCP (phencyclidine) 25 ng/ml
      BZO (benzodiazepines) 300 ng/ml
      BAR (barbiturates) 200 ng/ml

    7. Although the above standards are in effect by the laboratory which IPFW has chosen to utilize, the sensitivity of the test administrated by the NCAA may elicit a different result.
    8. The on-site screening device is utilized only to identify potential use and exposure and all conclusive results will be quantified at the laboratory for specific substance amounts.
    9. IPFW reserves the right at any time to test for other substances than which are listed above including steroids and ephedrine.
    10. Once the laboratory has confirmed the sample supplied through quantitative analysis as “non-negative” or “positive” the student-athlete will be deemed ineligible and a Notification of Alleged Violation of Code of Conduct will be completed by the Head Athletic Trainer and will be forwarded to appropriate parties to initiate a Substance Abuse Committee hearing.
    Chain of Custody
    1. An IPFW agent will receive the shipping case(s) and deliver them to the carrier.
    2. A laboratory employee will record that the shipping case(s) have been received from the carrier.
    3. The laboratory will record whether the numbered seal on each vial arrived intact.
    4. If a specimen arrives at the laboratory with security seals not intact, the IPFW may collect another specimen.
    Notification of Results and Appeal Process
    1. The laboratory will use a portion of specimen for its initial analysis.
    2. Analysis will consist of sample preparation, instrument analysis and data interpretation.
    3. The laboratory director or designated certifying scientist will review all results showing a banned substance and/or metabolite(s) in specimen.
    4. By facsimile or electronic mail, the laboratory will inform the certified test administrator of the results by each respective code number. Subsequently, the laboratory will mail the corresponding written report to IPFW.
    5. Upon receipt of the results, the Head Athletic Trainer will break the number code to identify any individuals with positive findings.
    6. Once the laboratory has confirmed the sample supplied through quantitative analysis as “non-negative” or “positive” the student-athlete will be deemed ineligible and a Notification of Alleged Violation of Code of Conduct will be completed by the Head Athletic Trainer and will be forwarded to appropriate parties to initiate a Substance Abuse Committee hearing.
    7. The student-athlete will be notified through certified mail and/or phone call of their test results, eligibility status and hearing date with the committee.
    8. A positive finding may be appealed by the student-athlete, coach or IPFW athletic department member. The IPFW Athletic Department Substance Abuse Committee shall notify the student-athlete of the positive test and of the right to appeal no later than 48 hours of notification of the results.
    9. IPFW Athletics shall appeal if so requested by the student-athlete.
    10. The request for a student-athlete appeal shall be submitted in writing (e.g., letter, fax, email, etc.) by the director of athletics to the IPFW Athletic Department Substance Abuse Committee within 48 hours of notification of positive results or breach of protocol.
    11. Appeals must heard prior to the next contest date or date agreed upon by the IPFW Athletic Department Substance Abuse Committee and student –athlete.
    12. During this time, the student-athlete may seek an outside laboratory to test them again at their own expense. The laboratory must be certified for this type of testing and follow the same sample analysis (GC/MS) as IPFW or the NCAA and all results must be reported to the IPFW Athletic Department Substance Abuse Committee prior to their hearing.
    13. The student-athlete may have others available to participate on his/her behalf.
    14. The IPFW Athletic Department Substance Abuse Committee will send a report of aggregate findings to the director of athletics. No report of aggregate data will be otherwise released without the approval of the IPFW Athletic Department Substance Abuse Committee.
    15. IPFW may release the results of a student-athlete's final positive test to the involved institution's conference office upon the approval of the IPFW Athletic Department Substance Abuse Committee.
    16. The following is a recommended statement concerning a positive testing test results in a student-athlete's ineligibility. If inquiries are received, this statement could be released:

      "The student-athlete in question was found in violation of the IPFW eligibility rules and has been declared ineligible."

     Restoration of Eligibility
    1. Student-athletes who have lost eligibility due to a positive drug test will be tested by IPFW in order to be considered for eligibility restoration. Retests for reinstatement of eligibility are conducted at the student-athlete’s expense.
    2. Requests for retesting should be submitted to IPFW Athletic Department Substance Abuse Committee.
    3. Student-athletes who are ineligible as a result of an IPFW positive drug test shall be subject to testing by the IPFW at any time during their period of ineligibility. In addition, these student-athletes shall be subject to a mandatory IPFW exit test no sooner than one month prior of their suspension, with the results of the retests provided to the IPFW Athletic Department Substance Abuse Committee.

    Statement of IPFW Drug-Testing Exceptions Procedures

    The NCAA list of banned-drug classes (NCAA Bylaw 31.2.3.1) is comprised of substances that are generally reported to be performance enhancing and/or potentially harmful to the health and safety of the student-athlete. The NCAA recognizes that some banned substances are used for legitimate medical purposes. Accordingly, the NCAA allows exception to be made for those student-athletes with a documented medical history demonstrating the need for regular use of such a drug.

    Exceptions may be granted for substances included in the following classes of banned drugs: stimulants, beta blockers, diuretics and peptide hormones. (NCAA Bylaw 31.2.3.1)

    Procedures for Exceptions
    1. Alternative non-banned medications for the treatment of various conditions exist and should be considered before an exception is pursued.
    2. In the event that the student-athlete and the physician (in coordination with sports-medicine staff at the student-athlete's institution) agree that no alternative to the use of the banned substance is available, the decision may be made to continue the use of the banned substance (i.e., stimulant, beta blocker, and diuretic or peptide hormone).
    3. The institution should maintain in the student-athlete's medical record on campus a letter from the prescribing physician that documents that the student-athlete has a medical history demonstrating the need for regular use of such a drug. The letter should contain information as to the diagnosis (including appropriate verification), medical history and dosage information.
    4. A student-athlete's medical records or physicians' letters should not be sent to IPFW unless requested by the IPFW. Also, the use of the substance need not be reported at the time of an IPFW drug testing.
    5. In the event that a student-athlete is tested by the IPFW and tests positive for a substance for which the institution desires an exception, normal procedures for reporting positive test results will be followed and the institution, through its director of athletics, may request an exception by submitting to the IPFW Athletic Department Substance Abuse Committee a physician's letter and any other medical documentation it wishes to have considered.
    6. Requests for exceptions will be reviewed by IPFW Athletic Department Substance Abuse Committee.
    7. The IPFW Athletic Department Substance Abuse Committee will inform the director of athletics regarding the outcome of the exception request. In the event that the exception is not granted, the student-athlete may appeal this action.
    8. The eligibility of the involved student-athlete will be maintained during the period of time the exception is being reviewed by the drug subcommittee.
    Return to Athletic Department Policy and Procedures Manual

    Copyright © 2004 Indiana University-Purdue University Fort Wayne.
    Send comments and corrections on this web site to Tim Heffron

    Revised: November 2, 2004
    URL: http://users.ipfw.edu/heffron/depttraining.html