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Lincoln University Department of Athletics Office of Sports Medicine – Sports Medicine Manual Revised July 05, 2018 of 22

LINCOLN UNIVERSITY OFFICE OF SPORTS MEDICINE

DEPARTMENT OF INTERCOLLEGIATE ATHLETICS SPORTS MEDICINE

POLICIES AND PROCEDURES 2018-2019


Mission Statement The health and safety of Lincoln University student-athletes is the primary focus of the Office of Sports

Medicine. The Lincoln University Office of Sports Medicine aims to provide athletes with the highest standard of medical care. This includes preventative care in an attempt to minimize injury-risk

associated with athletic participation. When injuries do occur, the Sports Medicine Department provides student-athletes with individualized treatment and rehabilitation to facilitate return-to-

sport. The Sports Medicine Department seeks serve as a resource for student-athletes in regards to health and nutrition education. The athletic training staff works under the direction of the team

physicians and with University Health Services, coaching staffs, administration and resources from the NCAA to meet these goals.


General Athletic Training Room Procedures Open Treatments Monday – Friday: 10 a.m. - 2 p.m. By Appointment Only – Monday – Friday: 2 p.m. – 6 p.m. Saturday – Sunday: Two hours prior to event - One hour following event

Open treatment times are held Monday-Friday 10am-2pm; after 2pm athletes must make appointments for treatments. Times are subject to change, depending on season, sport and special circumstances. These times can be viewed on the dry-erase calendar located outside the athletic training room entrance. Athletes are responsible for making their appointments if they are unable to attend open treatment times through the use of Hudl, phone, or email. Athletes will not be treated after 2 p.m. without an appointment. As athletic trainers may be at practices after 2 p.m. the athletic training room may be locked if no athletes have made appointments for that day.

Head coaches are responsible for submitting a schedule of practice, competition, and rest day dates to the Sports Medicine Department in writing via email at least 45 days prior to their team’s first practice. Arrangements must be made at least 24 hours in advance should practice times change. Off-season conditioning dates should be submitted to the athletic trainers 30 days prior to the first session so that appropriate medical coverage can be arranged. Schedule changes should be communicated with at least 24 hour notice whenever possible. It is unacceptable to arrange a practice without a certified athletic trainer present or medical support services arranged by the Office of Sports Medicine. The athletic training room is a frequent point of interest for recruits. To ensure that recruits are given the best impression of our sports medicine team all recruit visits/tours must be scheduled at least 72 hours in advance via email. Failure to schedule visits may result in the athletic training room being close or unavailability of an athletic trainer to speak to the group. The athletic training room is only opened for intercollegiate athletic team members, cheerleaders and athletic staff. Other members of the Lincoln University’s faculty, staff and student body may be evaluated by a member of the Sports Medicine staff and may utilize rehabilitation services provided by NovaCare Rehabilitation only after being evaluated by a physician.

Athletic Training Room Rules Because Manuel Rivero Athletic Training Room is coeducational, used by a diverse population, and used as laboratories for Medical Residents, Sports Medicine Interns, and Athletic Training Students, we expect everyone to respect each other while utilizing this facility. Athletes are expected to adhere to the following rules:

1. ALL Electronics (Cell Phones, Tablets & Laptops) are not permitted during treatment/rehab in the athletic training room. If you are on a cell phone, tablet, computer, or other electronic device you will be asked to leave. This includes phone calls.

2. Absolutely no social media is allowed in the athletic training room. This includes but is not limited to Snapchat, Facetime, Twitter, Instagram and Facebook. Use of these in the athletic training room increases the risk of patient privacy violations and will not be tolerated.

3. No cursing or abusive language is permitted in the Athletic Training Room. Violation of this rule will result in burpees or suspension of Athletic Training Room Privileges.


4. Student-Athletes are expected to report all injuries/illnesses to the staff within 24 hours. 5. All referrals to doctors must be coordinated through the Sports Medicine Staff. 6. Injured athletes must report to the Athletic Training Room daily for treatment until they have

been cleared to return by our team physician and/or Sports Medicine Staff member. If an athlete has not been medically cleared they are not eligible to participate in practice or games and are ineligible to travel as per Student Athlete Handbook.

7. Daily Treatments are to be performed by a Sports Medicine Staff member only. At no time should any athlete use or set up any treatment modality.

a. You must sign in, or you will not receive treatment. b. Athletes must check in with Sports Medicine Staff before beginning treatments. c. Athletes are NOT permitted to touch any modality machine. d. Wipe down tables when you are done with treatments. e. Empty ice into the sink, and throw ice bag in trash

8. Being in the Athletic Training Room is never an excuse to be late for or miss class, practice or meetings. It is the student-athlete’s responsibility to plan ahead and notify coaches/professors.

9. Over the counter medications are to only be given out by a Sports Medicine Staff Member. 10. Student-Athletes must dress appropriately for treatments/injury evaluations.

a. You must have a shirt on when in Athletic Training Room b. For Hip, Knee, Ankle, or Feet injuries- Shorts must be worn c. For Arm, Shoulder, Elbow or Hand Injuries- T-shirt, tank top or sleeveless shirts are

acceptable d. Athletic Sneakers must be work for treatments e. No shoes on treatment tables f. No hats g. Although Sports Spandex is a part of the uniform, you may be asked to wear additional

clothing while in the Athletic Training Room (Dance/Cheer, Track/XC, Volleyball) h. It is always up to the discretion of the Sports Medicine Staff, Athletics Department, and

Coaching Staff to determine appropriate clothing. i. The Sports Medicine department does not provide towels for after ice baths. Athletes

are responsible for bringing their own towels. 11. In the event of an emergency and a student-athlete becomes ill, is injured or in need of

emergency care and the Athletic Training Room is closed, Call 9-1-1 immediately. Call public safety as well and inform them of the situation.

12. There is no storage in the athletic training room. Athletes should leave all personal items, including cell phones and other electronics in their lockers.

13. Athletes may not use the Athletic Training Room computers, phones, or fax machine without permission of a Sports Medicine Staff Member

14. No food or drink is allowed in the Athletic Training Room at any time unless specified by a Sports Medicine Staff Member

15. The Sports Medicine Department participates in Lincoln University’s internship program and, depending on the semester, may have athletic training students from other universities athletes should treat all interns and athletic training students with the same respect as the Sports Medicine Staff.

16. At times it may be necessary for an athlete to sign-out materials from the athletic training room (bands, boots, crutches), all materials must be signed out by a staff member, if signed-out


materials are not returned after use a hold may be placed on your Bursar account.

Blood-borne Pathogen Policies Lincoln University’s Office of Sports Medicine adheres to OSHA regulations and practices of universal precautions in an attempt to protect the athletic training staff, student-athletes, and other involved personnel as it relates to blood-borne pathogens. The following areas are addressed in order to minimize the risk of exposure to blood-borne pathogens:

● Education of staff athletic trainers, student/graduate athletic trainers, student-athletes, managers and other personnel for reducing exposure risks.

● Use of personal protective equipment. ● Procedures for reducing exposure risks. ● Containing and handling regulated waste. ● Hepatitis B vaccination / screening. ● Post-exposure and follow-up.

Athletic Training Room Treatment and Care Policies ● All athletes with injuries are expected to be seen for treatment daily. Coaches will be emailed

a treatment log in addition to and injury report each day. ● First priority will be given to In-Season athletes ● Secondary priority will be given to athletes preparing for pre-game/pre-practice. ● All other student-athletes will be seen when one of the athletic training staff is available. ● No student will receive treatment until they sign in on Sportsware using computer in ATR. This

sign-in is what generates the reports that are emailed to coaches.

Treatment and evaluation provided to athletes who: ● are members of an official team roster ● have completed Pre-Participation Physicals, Sickle Cell Testing, ImPACT Testing and signed all

required forms ● sustained injuries during official team activities ● seek to condition, rehabilitate, or exercise. These athletes must communicate with the athletic

training staff to set up times for these sessions. No rehabilitation or workout sessions will be provided during practice hours.

All student athletes may access the training room located in the lower level of Manuel Rivero Hall (room 115) during regular hours of operation. Athletes with appointments will take priority over walk – ins, except in the case of medical emergencies.

Athletic Training Room Services Service is provided by three full-time Certified Athletic Trainers. The athletic trainers work under a supervising physician and orthopedic surgeon who provide care for all of the student-athletes. A

NovaCare Rehabilitation physical therapist provides physical therapy on campus in the Athletic Training room three days a week.

Services Provided: ● Prevention of athletic injuries


● First aid and emergency care ● Prompt athletic injury evaluation ● Treatment and rehabilitation of athletic injuries using contemporary methods and equipment ● Referral to team physicians ● Scheduling for imaging studies at the referral of team physicians ● Medical Coverage for scheduled practices and contests ● Orthopedic screenings and physical exam appointments ● Confidential consultation of other health related conditions.

Practice Coverage and Scheduling

In order to ensure coverage of practices by the Sports Medicine staff, coaches must turn in a practice schedule at least 45 days before their first practice. Off-season conditioning activities, including those that are optional must be submitted 30 days prior to the first session. Schedule changes must be submitted in writing to the athletic trainers at least 24 hours before the change occurs. Failure to provide this notice will not guarantee athletic training coverage of the event will be based on staff availability. If a staff athletic trainer is not available, teams will not be able to practice. In the case of inclement weather mutual consideration shall apply. The Sports Medicine Department utilizes the Google Calendar to record all scheduled athletic activities. Coaches are responsible for reviewing this calendar and notifying the athletic trainers of any errors or changes. It is recommended that coaches review the calendar weekly.

Travel and Game Coverage Football, men’s basketball, and women’s basketball are the only sports guaranteed travel coverage by a staff athletic trainer. All other sports will travel with a certified athletic trainer when the schedules allow.

High-risk sports will take precedence when assigning ATC coverage. When possible a certified athletic trainer will travel with teams who are participating in CIAA tournament play as well as NCAA regional and national championship competition.

The sports medicine staff and support staff’s travel accommodations and per diem will be included in the football, men’s basketball, and women’s basketball respective budgets. In other sports, coaches will accommodate one athletic trainer in their travel budget. Athletic trainers should be included on the email distribution of trip itineraries.

Athletic training kits will be provided to each team prior to leaving for any athletic contest when a certified athletic trainer will not accompany the team. Every attempt should be made to use materials supplied in the kit for the needs of our athletes prior to use of host materials. Each kit should be returned to the Office of Sports Medicine upon arrival back to Lincoln University for restocking.

When a team travels without a certified athletic trainer, the Lincoln University Office of Sports Medicine will contact the host institution sports medicine staff to request assistance as needed. Information regarding taping, bracing, or treatments will be provided in writing to assist the host ATC prior to departing.


Any athlete injured during an away trip MUST report the injury to the sports medicine staff immediately upon return to campus. Decisions based on medical exams, diagnostic imaging, referrals, etc., will be made at that time, unless the injury requires immediate medical attention (i.e. Emergency). In the event of an emergency while on the road the coaches must contact the Head Athletic Trainer immediately.

Team Managers Football and basketball will be required to appoint an appropriate number of managers (based on team size) for their individual teams. Other teams are encouraged to appoint managers as they see fit. Managers are responsible for picking up and bringing back water and water bottles in a timely manner prior to and immediately after team practices and games. All managers should meet with the athletic trainers to discuss expectations prior to the first game of the season. Coaches are responsible for introducing team mangers to the athletic trainers. Manager Responsibilities Include:

● Providing athletes with water during games, timeouts, end of quarters, halftime, injury timeouts ect.

● Assisting with pre-game set-up. Managers should arrive with plenty of time for set up (approximately 1.5 hours before game start time)

● Remain with the team for the entire length of competition unless prior arrangements have been made

● Assist with clean-up after contests

Medical Clearance Policies and Procedures No student-athlete will be allowed to participate in any sports-related activities (practices, conditioning sessions, lifting sessions, games, or scrimmages) until they are medically cleared by the Sports Medicine Staff. Coaches are required to submit rosters to the sports medicine department 45 days prior to their first practice to allow adequate time for each athlete’s clearance status to be verified. No athlete may participate in any team activities without verification of their medical clearance status. Any additions or deletions to the roster must be communicated in writing to the sports medicine department.

Coaches are able to check their team’s clearance status on the shared Google sheet. Athletes highlighted in green are medically cleared. Athletes highlighted in red are not medically cleared. If an athlete’s name is not on this roster the Sports Medicine Department does not have record of them and they are not cleared.

In order to be medically cleared student athletes: • Be on a written roster submitted by a coach • Have a physical with team physician that indicates that the athlete is cleared to play • Taken an ImPACT test with a valid score • Have an active, complete Sportsware account with all required electronic signatures • Have a current insurance card on file • Have sickle cell test results on file


Physical Exam Policy All athletes are required to receive a physical annually from The Lincoln University’s team physicians. Physicals completed with clinicians other than the team physicians at Lincoln University will NOT satisfy the physical exam requirement.

The athlete will receive the physical upon their return from school. The physical will involve a thorough medical and orthopedic exam. Athletes should bring a completed medical history form from Sportsware and $25 cash payment for the physical when they arrive for their appointment. Only cash payments are accepted. Per NCAA rule, no physicals will be performed without payment.

Should an athlete miss the scheduled physical date at Lincoln University, he/she is responsible for scheduling an appointment at Drexel Sports Medicine. The Sports Medicine Department is not responsible for transportation to and from this appointment. When scheduling through the Drexel Sports Medicine Office the athlete is responsible for any co-pays or fees charged for an office visit (this may be more than $25). The athlete must bring a copy of this physical to the athletic trainers before they are cleared to participate. All medical records will be kept on file in the Office of Sports Medicine. Electronic copies of these records will be uploaded to each athlete’s Sportsware account. An additional copy will be kept at Student Health Services. The Office of Sports Medicine will only provide the student-athlete’s freshman physical to Student Health Services unless otherwise requested. All immunization records will be kept on file with Student Health Services. The student-athlete’s medical records will be kept secure for up to 7 years after the student-athlete departs The Lincoln University. Part of the physical exam involves discussion of the student-athlete’s medical history. Student-athletes must give a complete and honest medical history. Falsification of medical history or omission of any incidents, injuries, or illnesses may void the student-athlete’s physical and result in medical clearance being revoked.

Tryout Waiver Policy Coaches may choose to hold open try-outs for their team. In order to be medically eligible to participate in try-outs students must have a signed try-out waiver that includes sickle cell release. Blank copies of the waivers are available in the Sports Medicine Office. Additionally the prospective student-athlete must provide a copy of their last physical and current insurance card to the organizing coach. The sports medicine department is not responsible for collecting these physicals and insurance cards. The tryout waiver will satisfy the physical exam requirement only until a physical date with the team physicians is scheduled. Once a physical date is set, the student must have a physical with the team physician. After this date tryout waivers are voided and athletes must obtain medical clearance as outlined in the list above. To expedite this process the Sports Medicine Department recommends athletes begin working on their clearances (ie. ImPACT tests, Sportsware account, insurance, sickle cell, electronic signatures) as soon as they are aware they made a team.


ImPACT Testing ImPACT testing provides a baseline that is utilized in making return-to-play decisions after a concussion. This test must be completed under the supervision of the athletic trainers and is usually completed on the same date as physicals. Should an athlete miss the physical date he/she must make arrangements with the athletic trainers to take the test. Athletes cannot participate until they have taken this test and scored a valid score.

Sickle Cell Testing As of August 1, 2012 the NCAA Division II requires all student athletes to be given a sickle cell solubility test or must show proof of a prior test and the results. The student athlete has the right to decline the test but will be required to sign a written release in order to practice, compete or partake in any training or tryouts. Most children should have been tested at birth if they were born in the United States. Those medical files may be hard to attain if not already in the athlete’s possession. If the results cannot be found there are other ways to get tested below. Please read the following to better understand what sickle cell trait is and what the test will require.

Sickle Cell Trait Information: ● Sickle cell trait is an inherited condition involving one oxygen carrying gene (hemoglobin) and

one abnormal oxygen carrying gene in the red blood cells. ● Sickle cell trait can affect either gender in any nationality although it is found more frequently in

those of African, South or Central American, Mediterranean, Indian, or Caribbean ancestry. ● Sickle cell trait is most often benign and may not be associated with sickle cell anemia. ● Sickle cell trait may cause red blood cells to become crescent shaped (“sickle”) during extreme

exercise which can lead to an accumulation in the bloodstream blocking normal blood flow. ● A lack of blood flow may lead to collapse, splenic infarction, renal failure, exercise induced

rhabdomyolysis, and exercise related sudden death. ● Heat illness, extreme exertion, altitude, and dehydration may all be complicating factors for

sickle cell trait. Lincoln University will require all student athletes to provide proof of their sickle cell trait status prior to participation in intercollegiate practice, conditioning, or competitions.

● No student athlete will be allowed to participate in ANY sports related activities until they do one of the following: obtain a test result by having a blood test, provide proof of a previous sickle cell test, or sign a written release form declining the test.

● In the event the athlete refuses to be tested and wants to decline the test for personal or religious reasons they must communicate with the head athletic trainer and sign a waiver that will be placed in their file.

*** All of the above requirements (physical, required paperwork, sickle cell and ImPACT testing) must be completed in order for a student-athlete to be medically cleared to participate in any sport-related activities. Please note that the student-athlete will be considered “medically cleared” meaning they are able to participate in conditioning and practices from a medical standpoint. However they must

check with their coaches and the athletic department’s compliance officer to make sure they are cleared by the NCAA for full participation.***


End of Season Procedures Exit Evaluations

Following the end of competitive season all student-athletes are required to complete an exit evaluation. This evaluation serves as the student-athlete’s opportunity to disclose any injuries that occurred over the course of the season. Student-athletes have sixty (60) days to complete this exit evaluation and disclose any injuries that occurred over the season. It is the student-athlete’s responsibility to return his/her completed evaluation to the athletic trainers. Failure to do so may result in injuries being denied from the athletics’ medical insurance policy.

End-of-Year Coaches Meetings

Following spring commencement each coaching staff should meet with the Sports Medicine Department between May and July to review the previous year’s activity. These meetings serve as important planning tools and provide coaches with an outlet for feedback to help the athletic trainers continue to advance student-athlete’s standard of care. These meetings give the sports medicine team an opportunity to update coaches on changes with plenty of notice prior to the start of their next season. The athletic trainers will send an email reminder to schedule meetings; however, it is the responsibility of each coaching staff to respond and schedule a meeting.

Medical Insurance Policy Lincoln University’s athletic training staff will act as liaison between team physicians, on- and off-campus resources, and consultants in the care and treatment of medical conditions. All information will remain confidential unless written authorization is given by the student-athlete to share with specified individual(s). Team physicians will automatically be involved if the student-athlete is at risk or if his or her playing status is questioned.

In accordance with the NCAA and Lincoln University Athletics Department guidelines, all student athletes must have current primary health insurance that ensures coverage for athletic injuries. To ensure these guidelines are followed, if a student athlete does not have their own primary health insurance, they will be required to purchase The Lincoln University’s health insurance. This insurance coverage will be put on the student-athlete’s tuition bill. If the athlete purchases the school insurance they will be provided with year round coverage whether or not school is in session. Athletes must provide proof of their current health insurance at the time of physicals. Athletes cannot participate in any team activities until proof of health insurance is provided. The Office of Sports Medicine will require a front and back copy of the athlete’s insurance card along with the subscribers’ date of birth to keep on file.

Any out of state or international students must check with their insurance companies to make sure they are not considered “out of network” while at Lincoln University. If the athlete’s insurance is considered “out of network” then they could be limited to what medical care they can receive. In the event of an injury the athlete will need to have full coverage. If their personal insurance does not allow them to use the medical facilities in the area they will be asked to consider purchasing Lincoln


University’s health insurance. When an athlete is restricted with their insurance it could limit them to getting the best care possible and could significantly delay their return to play.

In the event of an athletic related injury (an injury that occurs as a result of a scheduled team practice, conditioning session, game, or scrimmage), all athletes will be covered under The Lincoln University’s Sports Insurance. This insurance will only cover an injury or medical emergency that occurs while the student-athlete is participating in an official team conditioning, practice, or competition. This is considered a secondary insurance that is used once the primary insurance has been exhausted. This does not mean that all medical bills will be covered. Please note that any costs remaining after the primary and secondary insurance submits their coverage, will be the responsibility of the student-athlete and their parent/guardian. The medical bills will be required to be paid in a timely manner.

In order for a student-athlete to receive the Sports Insurance, the Office of Sports Medicine must complete a claim form and submit it to the insurance company. Therefore all athletic related injuries must be evaluated by the athletic trainers where it will be determined if the athlete will require further medical care and if the injury will be covered under the insurance. Staff will not reimburse payments if athlete seeks medical treatment outside of the direction of the staff.

Injury and Treatment Policies Whenever an injury occurs during official practices or competitions the athletic trainer will be the initial care provider. All injuries that occur during practice or competition must be reported to the athletic trainers within 24 hours. The athletic trainer will do a thorough evaluation of the injury to determine if further diagnostic testing will be required.

Injury and Treatment Communication The Sports Medicine Staff will record all injury and treatment records on Sportsware. These records will be updated at least every 15 days until the athlete has been cleared to play and the injury is closed. Coaches will be sent email reports of both treatment and injuries daily. Failure to attend treatment while injured will result in a penalty set forth by each head coach. Rehabilitation exercises conducted on the sidelines of practices are not considered formal rehabilitation sessions and do not satisfy the daily treatment for active injuries requirement. Sideline sessions may be conducted when possible only if the athlete has already met their daily treatment requirement.

Doctor/Imaging Appointments All athletes will discuss and schedule appointments for the doctors, rehabilitation, imaging, etc. with the athletic trainers. It is important for the athletic training staff to be kept informed of all doctor visits and testing. It is the athlete’s responsibility to arrive at the appointment early enough to complete paperwork. If a student athlete is going to be late or unable to make the appointment, he/she must notify the Office of Sports Medicine in advance that they will be late or they need to cancel. A NO CALL, NO SHOW will not be tolerated.

Any athlete seen by a physician must get medical clearance from that physician to return to active competition. A note stating the athlete is cleared will be required to be put on file. The Office of Sports Medicine will adhere to each physician’s requests.

Athletes are required to obtain copies of their medical imaging studies at the time of their visit. These


copies will be retained in the Office of Sports Medicine as references for impending medical consults. Records should be brought to the office upon return to campus from the exam. Athletes will not be cleared to return-to-play until all documentation from appointments is submitted to the Sports Medicine Department.

Referrals for Off-Campus Consultations/Treatments All appointments for off-campus medical care are to be scheduled by the sports medicine staff or the University Health Center. Appointments should be scheduled around the student-athletes class and sport schedules whenever possible. The Office of Sports Medicine will work in conjunction with University Health Services and coaching staffs to transport athletes to and from medical appointments. In the event an athlete is unable to transport him/herself to an appointment, appointments will be scheduled between the hours of 9 am and 2 pm.

It is the responsibility of the student-athlete to communicate with the athletic trainer if they need transportation or if they have their own transportation. The athletic trainers can provide transportation if they are available during the day. The athletic trainer must be give at least 24 hours notice so they can request for a university vehicle. It is the athlete’s responsibility to show up on time to the athletic training room if transportation is needed.

Any medical bills generated as a result of appointments arranged by the student-athlete, parent, or coach, without the knowledge and/or approval by the sports medicine staff, University Health Center or University physicians will be the responsibility of the student-athlete. Even though the athletic training staff may be involved in the referral of a student athlete for conditions unrelated to sport participation; this does not imply responsibility on the part of the University for medical bills incurred. The student-athlete must take his/her personal health insurance card to all medical appointments and an identification card.

At no time should a staff athletic trainer, a student athletic trainer, or a student worker transport an athlete in a personal vehicle; University vehicles will be utilized to transport a student athlete to physician appointments. The driver must be an approved driver by the University. If an athletic trainer is unavailable, a coach may be used to transport their athletes in a university vehicle. If a University vehicle is unavailable, Public Safety will be utilized to transport to athletes to appointments. When appropriate the student-athlete may drive him/herself to an appointment; University vehicles must be scheduled through the physical plant’s transportation department. All transportation through the University will be arranged through the Office of Sports Medicine.

Drug and Medication Policies Medications

Non-Prescription (OTC) Medication The Lincoln University Department of Sports Medicine will provide its student-athletes and staff with a small assortment of non-prescription (OTC) medications. These medications will be securely kept in the storage closet with the keys being kept by LU Sports Medicine Staff members only. ONLY up to a THREE DAY SUPPLY of these medications will be given out. If a student-athlete requires beyond a three day supply of these medications, it will be the student-athletes responsibility to purchase these items. The following is a list of the non-prescription (OTC) medications the LU Sports Medicine department


keeps in stock: ● Anti-inflammatories (Ibuprofen) ● Fever Reducer/Pain Reliever (Acetominophen) ● Decongestants ● Cold and Flu Relief ● Antihistamines (Diphenhydramine) ● Anti-Diarrheals ● Antacids/Nausea Relief ● Cough Suppressants

Prescription Medication The Lincoln University Department of Sports Medicine will not cover the cost of prescription medication for student-athletes. The student-athletes will be responsible for all costs of a medication that is prescribed to them by the Team Physician or on-campus health center. In the event of a life threatening anaphylactic reaction, the Lincoln University Department of Sports Medicine will make use of an Epi-Pen Auto Injector (.3 mg).

NCAA and Lincoln University Athletic Department Drug Testing Policy The NCAA and Lincoln University have established random drug testing for all athletic teams. Student-athletes are required to read and sign the NCAA Consent to Drug Testing Form and Lincoln University’s Athletic Department’s Drug/Alcohol Education and Testing Consent Form which are included in the physical examination packet. By signing both forms, the student-athlete indicates that he or she will adhere to the NCAA and Lincoln University’s drug policies and conform to the sanctions. All drug testing will be administered by Lincoln University’s Sports Medicine Office. The NCAA and Lincoln University’s Sports Medicine Office will randomly test for drugs year round on all teams. If a student-athlete tests positive under a random test administered by Lincoln University’s Sports Medicine Office, sanctions will be applied in accordance to Lincoln University’s Drug/Alcohol Policy as listed in The Lincoln University Department of Education and Testing Program Handbook. Non-compliance with the sanctions listed in the handbook may result in loss of eligibility to compete in Lincoln University’s intercollegiate athletics program.

If the NCAA randomly selects a sport team for drug testing at Lincoln University, the Sports Medicine Office will assist in administering the test. Should an athlete generate a positive test results the following sanctions will apply:

● The student-athlete shall be suspended immediately from competition for a minimum of 50% of regularly scheduled contests, conference and postseason contests in all sports. If the student-athlete competes in multiple sports, the 50% penalty will apply separately for each sport.

● In addition, a student-athlete testing positive will also be precluded from participating in all nontraditional competitions including, but not limited to, foreign tours, special team trips, scrimmages and exhibition events. Being prohibited from participating in non-traditional competitions does not count toward serving a 50% sanction from regularly scheduled contests, conference and postseason contests.

● The Director of Athletics or his/her designee may impose a longer suspension on a case-by-case basis. If the suspension imposed may not be completed during the current academic year, the suspension will rollover to the following academic year.


● The student-athlete will remain ineligible until he or she subsequently tests negative. An NCAA positive drug test will count as a Lincoln University positive drug test. However, NCAA drug testing sanctions will apply

● If the student-athlete tests positive a second time for the use of any drug, other than a “street drug” he/she shall lose all remaining regular-season and post-season eligibility in all sports.

● In addition, the penalty for missing a scheduled drug test is the same as the penalty for testing positive for the use of a banned drug; and .if the student-athlete tests positive for the use of a “street drug” after having restored eligibility, he/she shall be charged with the loss of a minimum of one additional season of competition in all sports and also remain ineligible for regular-season and post-season competition at least through the next calendar year.

Confidentially Statement The University, Office of Sports Medicine and University Health Center recognizes the confidential nature of information received in the administration of its drug testing policy, and will make every effort to maintain the confidentiality of such information.

***For any further information please see the Alcohol, Drug, and Tobacco Education handbook for details on the drug testing policy and the policies on alcohol and tobacco use setby The Lincoln

University and the NCAA.***

Weather Related Policies and Procedures Advance planning is the single most important means of safeguard against weather conditions that could become potentially dangerous during practice or competition. It is the shared responsibility of the head coach and the Sports Medicine staff to suspend play during weather conditions that place student-athletes, or staff in harm’s way. All athletic trainers will be supplied with a digital psychrometer (measures temperature and humidity) and a lightning detector to help provide the most accurate conditions during the time of play.

Heat Policy Practice or competition in hot and/or humid conditions poses special problems for all. Not only does it lead to dehydration, which diminishes athletic performance, but it may also lead to heat illnesses. The following steps will be used to prevent heat related illnesses:

● Coaches will ensure proper acclimatization by gradually introducing the student-athletes to hot or humid conditions over 7-10 days. Research has shown that up to 80% acclimatization should occur in the recommended 7-10 days, however, it may take up to 14 to become fully acclimatized.

● The athletic training staff will take sling psychrometer readings before and during athletic activities and will inform the coaches of the relative humidity. The athletic training and coaching staff is ultimately responsible to make judgments, based on established hazard tables and guidelines, as to the status of the activity.

● Water will be made readily available for the student-athletes; and they must be encouraged to drink to thirst. At no time are coaches permitted to limit student-athletes’ access to water


Wet-Bulb Globe Temperature Risk Chart The Wet-Bulb Globe Helps to determine if the environment is safe for the athletes to practice or compete in based on the humidity and temperature.

WBGT Flag Color Level of Risk

< 65F Green Low risk

65-73F Yellow Moderate Risk-Increases throughout day

73-83F Red High-Be aware of injury potential, allow frequent breaks, at risk individuals should not compete

>82F Black Extreme- Consider re-scheduling or delaying event, use high caution if event must take place.

There are several factors that must be taken into account when dealing with heat illnesses including: air temperature and humidity, wind, clothing, fluid intake, the intensity of the activity, and the adaptability of each athlete’s body.

Taking into account an athlete’s body, the following issues may make an athlete much more susceptible to falling out of practice due to heat illness:

● Athletes affected with certain medical conditions (Sickle Cell Trait) ● Athletes who are taking certain supplements (creatine, pre-workout) ● Athletes who have taken ill ● Athletes with a history of heat illness or cramping ● Overweight or athletes who are not acclimatized to the weather

It is important to recognize those on the team who may be more susceptible to heat illnesses and closely monitor them through practices. It is also important to educate athletes on the signs and symptoms of heat illnesses so they are aware that what they may be feeling is the early onset of what could potentially become a life threatening malady. The sports medicine team must be prepared with quick cooling remedies in the event of a heat illness. These items may include, but are not limited to:

● Ice/water readily available ● Ice towels ● Tents/cool area near the field


● Ice tubs/cold whirlpools

In order for an athlete to be fully prepared for their next practice, it is important to keep a weight chart to note the amount of weight lost during a practice to be able to rehydrate the body fully. There must also be a urine color chart for the athlete to track how hydrated they are at any given time.

General Guidelines for Fluid Needs during Exercise The student-athletes will be taught on how to stay hydrated. They will also be closely monitored by the athletic training staff and coaches to ensure they are drinking plenty of fluids. Every practice and competition will be supplied with water and ice. Below is a guideline on how much they should be drinking on a daily basis. These guidelines are used to help the athlete make sure they are hydrating properly. Athlete should be advised to drink to thirst.

Before Practice ● 2 or 3 Hours before Practice 17 to 20 fl oz of water or a sports drink ● 10 to 20 Minutes before Practice 7 to 10 fl oz of water or a sports drink ● Weigh-in before practice

During Practice ● Every 10- 20 minutes 7 to 10 fl oz of water or sports drink

After Practice ● Weigh in after exercise and replace fluid losses. ● Drink 20-24 fl oz water for every 1 lb lost.

Condition % Body Weight Change ● Well Hydrated +1 to -1 ● Minimal Dehydration -1 to -3 ● Significant Dehydration -3 to -5 ● Serious Dehydration >-5 ● Pre-Practice Weight – Post-practice weight /Pre-Practice Weight X 100= % Body Weight Change

Drinking Too Much Water (Hypernatremia)

Although rare, athletes can drink too much water and suffer from hypernatremia (water intoxication). Drinking excessive amounts of water can cause a low concentration of sodium in the blood which can lead to a serious medical emergency.

Checking Hydration Status

Have the athletes check their urine to make sure they are not dehydrated. Any number below 4 means they are dehydrated.


Cold Weather Policy Participating in athletic practice or competition during cold weather is uncomfortable and can be potentially dangerous. It can impair performance and even become life threatening. A wet and windy, 30-50 degree exposure, may be as serious as a subzero exposure. Athletes should dress properly and try to stay dry. The following is suggested during cold weather conditions:

● Dress in layers. After competition, add clothing to avoid rapid cooling. Warm extremely cold air with a mask or scarf to prevent bronchospasm.

● Warm up thoroughly and keep warm throughout the practice or competition to prevent a drop in muscle or body temperature.

● Maintain energy levels via use of meals, energy snacks and carbohydrate/ electrolyte sports drinks.

● Never train alone All outdoor events at Lincoln University should operate under the guidelines in the table below. The sports medicine staff is responsible for communicating these guidelines; if an athletic trainer is not present it is the responsibility of the coaching staff to adhere to the guidelines. Note, these guidelines take into account wind-chill and correspond to the “feels-like” temperature used in weather reporting.

Temperature with Wind Chill

Action Taken

25-30F Maximum exposure time of 2 hours

15-25F Maximum exposure time of 2 hours with re-warming periods every 20 minutes

0-15F Maximum exposure time of 1 hour with re-warming periods every 15 minutes

<0F Cancel activity or move indoors

Lightning Policy

It is the athletic training/coaching staff’s responsibility to be aware of current weather conditions and potential storm threats moving into the area during the day. If an athletic trainer is not present, the coaching staff is expected to act appropriately, remove the teams from the event site, and seek safe shelter. The athletic training and coaching staff should be aware of the following:

● The signs of a thunderstorm. It is important to understand that thunderstorms can become threatening in the matter of half an hour. In addition, lightning can occur even with the absence of rain.

● Identify the closest safe shelter to their practice or game site and the amount of time it takes to reach the safe shelter. Any sturdy building that has metal plumbing or wiring to electrically ground the structure. In the absence of a sturdy building any vehicle with a hard metal roof (not a golf cart or convertible) with the windows rolled up.

● A sky scanner will be used to observe the thunderstorm and lightning activity. ● If you hear lightning or see thunder, remove everyone to the closest indoor facility. Teams will

wait 20-30 minutes after the last thunder boom, or lightning strike before returning to the field.

● The flash-to-bang method should be used to monitor how close lightning is occurring. Count the seconds between seeing the lightning flash and hearing the clap of thunder bang. Divide this


number by 5 to determine how far away (in miles) the lightning is occurring. For example, 15 seconds is 3 miles away. If the flash-to-bang count is decreasing rapidly and the storm is approaching your location or if the flash-to-bang count approaches 30 seconds, all outdoor activity must cease. All persons must immediately leave the athletic field and report to the closest safe shelter. The NCAA requires 30 minutes to pass after the last sound of thunder and flash of lightning before resuming any activity. Lightning can still flash even after the rain stops.

● Do not use the telephone unless an emergency arises. ● Lightning strike victims do not carry an electrical charge. CPR is safe and should be utilized

immediately if warranted.

In the event of a lightning strike, the Athletic Trainer will immediately notify: ● The Official (s) ● The Game Day Manager ● The Head Coach

Concussion Policy

A sports-related concussion is defined as a traumatic brain injury induced by biomechanical forces. A

concussion may be caused by a direct blow to the head but can also be sustained through a blow to the

neck or anywhere else on the body that transmits forces to the head. Concussions typically result in a

quick onset of symptoms but in some cases it may take hours for symptoms to develop. These

symptoms cannot be explained by the student-athlete’s concurrent medical conditions. Loss of

consciousness may occur but is not observed in every concussion. Concussions result in functional

disturbances, not structural injury and do not result in abnormal neuroimaging.

Concussion Policy Requirements for Student-Athletes 1. All Lincoln University student-athletes are required to attend Sports Medicine’s fall

presentation on concussions and read the NCAA Concussion Fact Sheet: For Student-Athletes (located in the NCAA Policy portion).

a. a. Student-athletes must sign a sheet during the presentation which means they accept the responsibility of reporting any injury or illness to the sports medicine staff including signs and symptoms of a concussion.

2. In order to be cleared for participation, all student-athletes must take an ImPACT test and receive a valid score. This test must be completed annually each year the student participates in athletics.

Concussion Policy Requirements for Staff

1. All The Lincoln University coaches are required to read and sign the NCAA Concussion Fact Sheet for Coaches (located in the NCAA Policy Portion

Concussion Protocol

The concussion protocol designed by the Office of Sports Medicine includes a very detailed step by step procedure on how to evaluate, diagnose, and treat an athlete with a concussion. In conjunction with the team physician the athletic trainers will follow a specific return to play and return to academics protocol for each individual.


The concussion protocol was created using the most up to date research and guidelines and is updated annually unless new critical information is released during the year.

*** For more details about concussions, return-to-play procedures, and academic accommodations please see the Concussion Protocol located in the athletic training room***

Mental Health Policies and Procedures

Mental health is an important aspect of student-athlete health and well-being. The Sports Medicine Department is prepared provide a student-athletes with resources to maintain their mental health. In the event of a mental health emergency (threats of harm to self and/or others) the Chester County Crisis Intervention line will be called (1-877-918-2100) and 911 will be activated for ambulance transport per University policy.

***More information about mental health procedures and resources can be found in the Mental Health Policies and Procedures Manual located in the athletic training room.***

Sexual Assault Prevention and Mandated Reporting

Athletic trainers are Title IX identified mandated reporters; as such they are required to report any instance of sexual misconduct (sexual harassment, sexual exploitation, sexual violence) or sexual assault (rape, fondling, statutory rape, incest) that they become aware of. All reports will be made to the anonymous hotline (484-365-7799) within 24 hours of the incident.

Epinephrine Auto Injector Policy and Procedure Introduction to Epinephrine Auto-Injector (Epi-Pen)

Ephinephrine has been the drug of choice for the treatment of severe allergic and anaphylactic reactions to various allergens and for the basic life support treatment for severe asthma. These various allergens can include: insect bites and stings, drugs, and foods (most commonly peanuts/tree nuts and shellfish). Epinephrine has been shown to mimic the sympathetic nervous system response, which constricts blood vessels, improving blood pressure, reducing leakage from blood vessels, and improves breathing, by relaxing smooth muscles in the bronchioles to relieve wheezing and disordered breathing. Epinephrine also works to reverse swelling and hives associated with allergic reactions and helps to stimulate the heart rate. By injecting this drug intramuscularly, it goes into effect within second but the duration is short lived (usually 10-20 minutes).

Emergency Care for Anaphylaxis and/or Severe Asthma with Epi-Pen The Lincoln Sports Medicine Staff will:

● Activate EMS ● Maintain athlete airway ● Be prepared to assist ventilation with bag-valve-mask ● Administer epinephrine from a prescriber auto-injector ● Initiate early emergency transport

Indications/Contraindications for Epinephrine Administration Epinephrine or Epi-Pen should ONLY be administered if the athlete exhibits signs and symptoms of a SEVERE allergic reaction (anaphylaxis), including shock and/or respiratory distress or severe asthma. Athletes who have progressed to severe asthma experience a combination of the follow signs and symptoms: sweaty, unable to lie down, mental statue changes (confusion, anxiety, drowsy, combativeness), shortness of breath (>30 breaths/min), and an inability to speak in sentences. There are


no contraindications for the administration of epinephrine in severe asthma cases or in the case of a life-threatening allergic reaction; however, precautions should be taken with in athletes with hypertension and heart disease or in an elderly patient.

Administration of Epinephrine (Epi-Pen) Be sure the check the Epi-pen for expiration date, discolored liquid in auto injector and that there is no particulate or sediment suspended within the auto injector.

● Prep skin site with alcohol ● Remove the gray safety cap from the auto injector ● Place the tip of the auto injector against the lateral aspect of the athletes thigh midway between

the waist and knee ● Push the injector firmly against the thigh until the spring loaded needle is deployed and the

medication is injected (at least 10 seconds) ● Massage the injection site for 30 seconds to distribute medication ● Dispose of the auto injector in a biohazard container designed for sharp objects. Be careful of

any possibly exposed needle. ● Record that the epinephrine was administered, the dose, and the time of administration. ● Continue to monitor athlete’s airway and signs and symptoms of severe asthma and allergic

reaction ● A second dose of epinephrine may be warranted if symptoms do not begin to subside, or

symptoms return, within 5 to 15 minutes. Any more than 2 doses MUST be administered under direct medical supervision.

● Transport athlete to hospital via EMS

Side Effects The athlete may complain of specific side effects following the administration of epinephrine. These side effects may include dizziness, chest pain, headache, increased heart rate, pale skin, nausea, vomiting, anxiousness, excitability. These symptoms are often short term and will pass quickly while resting.

Reassessment It is necessary to continually reassess the athletes following the administration of epinephrine. These reassessments should include continued evaluation of the airway, breathing and circulatory status. Decreasing blood pressure and mental status, and an increasing difficulty with breathing indicate that the severe asthma or allergic reaction is continuing to worsen. If this condition does appear to be worsening, the following interventions should be considered: a second dose of epinephrine via auto injector, be prepared to initiate CPR and apply AED if patient requires, and be prepared to provide emergency care for shock.

If the athlete’s condition continues to improve following the first administration of the epi-pen auto injector, continue performing ongoing assessments with the athlete. It is imperative to be aware of the above listed side effects. If the athlete is conscious, 50mg of diphenhydramine may also be administered orally or sublingually for its antihistamine effects. The use of a non-rebreather device and continued treatment for shock is recommended for those athletes who require it. Any athlete who requires an epinephrine injection MUST be transported to the closest medical facility for follow-up assessment and treatment as soon as possible. It is imperative to remember that epinephrine is short acting and signs and symptoms may return as the drug wears off.


Asthma Management Policy and Procedure Athletes with a history of asthma should indicate this during their pre-participation physical with the team physician. The Sports Medicine Department will make coaches aware of these athletes, as well as the signs and symptoms of asthma. These signs and symptoms include: sweating, confusion, drowsiness, wheezing, cyanosis, use of accessory muscles when breathing, and inability to speak. The Sports Medicine Department will also educated coaches and student-athletes on conditions that increase the likelihood of an asthma episode; these include poor air quality, recent illness, allergies, and smoke.

Student-athletes with asthma are encouraged to bring two inhalers to campus with them if possible. One should be kept with the student and the other should brought to the Sports Medicine Department. In the event that a student-athlete has an asthma episode during an athletic event his/her inhaler will be administered a maximum of three times. If there is no improvement on the third attempt the Emergency Action Plan will be activated.

Diabetes Management Policy and Procedures Athletes with diagnosed with diabetes should indicate this during their pre-participation physical with the team physician. The Sports Medicine Department will make coaches aware of these athletes and educate them on the signs and symptoms of hypo- and hyperglycemia. Hypoglycemia presents with sweating, palpitations, hunger, nervousness, headache, trembling, dizziness and in severe cases loss of consciousness. Hyperglycemia presents with nausea, dehydration, sluggishness, and fatigue. Athletes diagnosed with diabetes should have a care plan on file that includes blood glucose monitoring and insulin guidelines.

Pregnancy Policy Experts estimate that 10-15% of student-athletes will be affected annually by pregnancy. The purpose of this policy is to outline the resources at Lincoln University for both female and male athletes who may be faced with a pregnancy situation. A pregnant student-athlete must understand that she will not only be responsible for all athletic policies but first and foremost Lincoln University’s policies in regards to her pregnancy. The Policy Concerning Pregnant Students Residing in the Residence Halls can be found in the Student handbook on p. 25-26.

Reporting a Pregnancy Once a student-athlete has confirmed that she is pregnant, it is important to begin receiving prenatal care under the direction of a health care provider. The Office of Sports Medicine will remain consistent with University policy and require that pregnant student-athletes report the pregnancy as soon as it has been confirmed. Those students residing in the residence halls “should notify the Dean of Students & Campus Life, and the Office of Residence Life within the first trimester.” Pursuant to University policy, both the Dean of Students as well as the Office of Sports Medicine will need to be notified of the attending health care provider’s name and location; the Lincoln University Health Center will not provide prenatal care. It is important to know that the Office of Sports Medicine has a team of staff in place that will not only include our office, but the Lincoln University Health Center, the Counseling Center – to help discuss any concerns she may have, her coach, her health care provider, our team physician, and an athletic department representative who will help advise her of all options regarding


scholarship and eligibility status. Once reported to a member of our staff; the pregnancy, all appointments and treatment will be kept completely confidential until we are given written permission to inform anyone else.

Members of the Athletics Department or teammates of an individual who suspect a pregnancy or who have knowledge of a pregnancy may report any concerns to the Office of Sports Medicine, the team physician, or the Lincoln University Health Center.

Confidentiality It is important for a pregnant or parenting student-athlete to understand that the Lincoln University Athletics Department and the Office of Sports Medicine will handle all confidentiality with the utmost care. If it is found that a member of our staff has violated a student athlete’s confidentiality, he/she will be subject to disciplinary action.

Emergency Action Plan Policy

The emergency action plan (EAP) is designed to be used in the event of a medical emergency. All coaches, managers, sports medicine students, physicians and athletic trainers must know the EAP. The EAP tells step by step how to activate emergency response and how to direct the response teams to the locations. Please see the Emergency Action Plan book for specific details and directions for all emergency situations. Lincoln University does not discriminate on the basis of race, color and national origin (Title VI of the Civil Rights Act

of 1964), sex (Title IX of the Education Amendment of 1972), disability (Section 504 of the Rehabilitation Act of

1973), and age (Age Discrimination Act of 1975) in its programs, activities, employment, and admission.

The following person has been designated to handle inquiries regarding the non-discrimination policies: Gerard Garlic, Title IX Coordinator/Director of the Health and Wellness Center, room 126B, Lincoln University, 1570 Baltimore Pike, Lincoln University, PA 19352 (p) 484-746-0000 or Office of Civil Rights, U.S. Department of Education, The Wanamaker Building, 100 Penn Square East, Suite 515, Philadelphia, PA 19107-3323, phone 215-656-8541, fax 215-656-8605, email: [email protected]

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