Brain Injury/Concussion Policy

 

 

1. Purpose:

The purpose of this policy is to implement reasonable precautionary measures to protect students who may have sustained a concussion or head injury.

 

2. Policy:

2.1. The Board recognizes that concussions and head injuries are commonly reported injuries in children and adolescents who participate in athletic programs, practices, competitions, and physical education classes. It shall be the policy of the Soldier Hollow Charter School Board of Education, in accordance with the Utah State Code, to require all coaches, assistant coaches, athletic program volunteers, and physical education teachers and assistants to complete training on the recognition and management of concussions and head injuries.

 

Further, the District shall inform parents or legal guardians of this policy and obtain the parent’s or legal guardian’s signature before permitting a child to participate in a sporting event (see Student Concussion and Head Injury Policy Consent Form).

 

3. Procedure:

3.1. Training

3.1.1. Staff will be trained in CPR/First Aid/ prior to certification lapsing.

3.1.2. A certificate of successful completion of any health training shall be maintained in the School Office.

3.1.3. Staff shall have 120 days from the date of hire/assignment to complete CPR/First Aid training.

 

4.. Parent Notification and Approval

4.1. Each school year, school officials will make parents aware of the school policy by signing an acknowledgement that they fully understand the information provided by Soldier Hollow Charter School regarding the risks of injuries, head injuries and concussion.

4.2.2. Students may not participate in any field trip or snow skiing until the parent/guardian signed acknowledgement form and ski waiver is returned and on file at the school.

 

4.3. Recognition of Concussion or Head Injury:

A student shall be suspected of suffering a concussion or head injury if any of the following symptoms arising from possible blunt trauma, acceleration of force or deceleration of force are observed or reported by a student.

4.3.1. Transient confusion, disorientation, or impaired consciousness;

4.3.2. Dysfunction of memory;

4.3.3. Loss of consciousness; or

4.3.4. Signs of other neurological or neuropsychological dysfunction, including:

  • seizures;
  • irritability;
  • lethargy;
  • vomiting
  • headache;
  • dizziness;
  • fatigue;

4.3.5. Staff has reason to believe above symptoms are manifested when the student:

  • Forgets plays or demonstrates short term memory difficulty.
  • Exhibits difficulties with balance or coordination.
  • Answers questions slowly or inaccurately.
  • Exhibits balance problems or dizziness.
  • Complains of double vision or changes in vision.
  • Notices sensitivity to light or sound/noise.
  • Feels sluggish or foggy.
  • Has difficulty with concentration and short term memory.
  • Demonstrates a vacant stare (befuddled facial expression)
  • Exhibits delayed verbal and motor responses (slow to answerquestions or follow instructions)
  • Is confused or is unable to focus attention (easily distracted andunable to follow through with normal activities)
  • Is disoriented (walling in the wrong direction; unaware of time,date and place)
  • Has slurred or incoherent speech (making disjointed orincomprehensible statements)
  • Exhibits emotions out of proportion to circumstances (distraught,crying for no apparent reason)
  • Demonstrates memory deficits (exhibited by the athleterepeatedly asking the same question that has already beenanswered, or inability to memorize and recall 3 of 3 words, or 3of 3 objects in 5 minutes)
  • Has any period of loss of consciousness (paralytic coma,unresponsiveness to arousal)

 

4.4. Emergency Management and Referral: The following situations indicate a medical emergency and require emergency medical assistance. The student should be transported immediately to the nearest emergency department via emergency vehicle:

4.4.1. Any student who has symptoms of a concussion, and who is not stable (i.e., condition is worsening).

4.4.2. A student who exhibits any of the following symptoms.

  • Deterioration of neurological function
  • Decreasing level of consciousness
  • Decrease or irregularity in respirations

 

Any signs or symptoms of associated injuries, spine or skull fracture, or bleeding

  • Mental status changes: lethargy, difficulty maintaining arousal,confusion or agitation
  • Seizure activity

 

4.5. Removal from Activity and Notification:

4.5.1. Any student with a witnessed loss of consciousness of any duration must be immediately removed from the activity. Parents should be notified immediately.

4.5.2. A student who is symptomatic but stable, may be transported by his or her parents. The parents should be advised to contact the student’s primary care provider, or seek care at the nearest emergency department, on the day of the injury.

4.5.3. All student participants in any activity covered by this policy that are suspected of suffering a concussion or head injury will be immediately removed from any covered activity during an activity, game, skiingor competition and not returned to participate until cleared, in writing, by ahealth care professional trained in the evaluation and management ofconcussions.

4.5.4. The teacher, ski coach or program supervisor shall notify school administration as soon as reasonably possible if a student is suspected ofsuffering from a concussion or head injury.

4.5.5. Administration or their designee shall personally notify the parent/guardian.

4.5.5.1. In the event that a student’s parent(s) cannot be reached, and the student is able to be sent home:

4.5.5.2. The student must be with a responsible individual, who is capable of monitoring the student before allowing the student to go home.

4.5.5.3. The administrator or designee should continue efforts to reach a parent. If there is any question about the status of the student, or if the student cannot be monitored appropriately, the student should be referred to an Emergency Department for evaluation. The administrator

or designee should accompany the student and remain with the student until a parent arrives.

 

4.6. Health Care Professional Management and Certification

4.6.1. Pursuant to Utah State Code, a concussed student must obtain the approval of a qualified Health Care Professional before s/he is allowed to return to play in any outdoor program. The Health Care Professional must sign a Clearance Form to document the authorization.

4.6.2. If the Health Care Professional certifies the student did NOT sustain a concussion then the student may be released to return to activities at the school.

4.6.4. If the Health Care Professional certifies the student did sustain an injury, then the student must follow the guidance of the health care professional.

 

4.8. Possible Temporary Transitional Accommodations for Students with Activity-Related Head Injuries

4.8.1. Rest is the best “medicine” for healing concussions or other head injuries. The concussed brain is affected in many functional aspects as a result of the injury. Memory, attention span, concentration and speed of processing significantly impacts learning. Further, exposing the concussed student to the stimulating school environment may delay the resolution of symptoms needed for recovery. Accordingly, consideration of the cognitive effects in returning to the classroom is also an important part of the treatment of sports-related concussions and head injuries.

4.8.2. Mental exertion increases the symptoms from concussions and affects recovery. To recover, cognitive rest is just as important as physical rest. Reading, studying, computer usage, testing, texting – even watching movies if a student is sensitive to light/sound – can slow a student’s recovery. In accordance with the Centers for Disease Control’s toolkit on managing concussions boards of education may look to address the student’s cognitive needs in the following ways.

4.8.3. Students who return to school after a concussion may need to:

1. Take rest breaks as needed.

2. Spend fewer hours at school.

3. Be given more time to take tests or complete assignments.

(All courses should be considered)

4. Receive help with schoolwork.

5. Reduce time spent on the computer, reading, and writing.

6. Be granted early dismissal to avoid crowded hallways.

 

 

 

 

 

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