508 Concussion Management

The District considers concussions and head injuries serious matters, and will follow all laws and regulations regarding the identification and management of such injuries. The District shall provideannually to each parent or guardian of each student in grades seven through twelve a concussions and brain injury information sheet, as provided by the Iowa Department of Public Health, the Iowa High School Athletic Association, and the Iowa Girls High School Athletic Union. The student and the student’s parent or guardian shall sign the sheet and return it to the District prior to the student’s participation in any extra-curricular interscholastic activity.

If a student’s coach or activity sponsor observes signs, symptoms or behaviors consistent with a concussion or brain injury during an extra-curricular interscholastic activity, the student shall be immediately removed from the activity. Extra-curricular interscholastic activity means any dance or cheerleading activity or extracurricular interscholastic activity, contest or practice governed by the Iowa High School Athletic Association or the Iowa Girls High School Athletic Union that is a contact or limited contact activity as identified by the American Academy of Pediatrics.

The student’s parent or guardian shall be contacted as soon as possible following the injury, and told that the student cannot return to participate in the activity until evaluated by an appropriate health-care professional. The student shall not return to participate in the activity or practice on the same day of a concussion. The student shall not return to participation in an extracurricular interscholastic activity, contest or practice until a written clearance to participation signed by the appropriate health care provider is given to the district. The student shall be examined by an appropriate health-care professional the same day the injury occurs. A licensed health care provider means a physician, physician’s assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist or licensed athletic trainer. There may be situations when the Iowa High School Athletic Association, Iowa Girls High School Athletic Union and/or the District specifically designates individuals to act as the health-care professional during an activity or event. In such situations, the Iowa High School Athletic Association’s, the Iowa Girls High School Athletic Union’s, and/or the District’s decision regarding the designation of the healthcare professional is final. The written release shall be maintained as part of the student’s cumulative record.

For students who participate in an extracurricular interscholastic activity which is a contest in grades seven through twelve, the District shall adopt a return to play protocol consistent with the Department of Public Health’s rules and a return to learn plan based on guidance developed by the Brain Injury Association of America in cooperation with a student removed from participation in an extracurricular interscholastic activity and diagnosed with a concussion or brain injury, the student’s parent or guardian, and the student’s licensed health care provider to accommodate the student as the student returns to the classroom.

 

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Approved: 6/10/19                                          Reviewed:                                               Revised: 

    506.9 Student Exposure to Non Food Irritants and Allergens

    Students may be exposed to non food irritants or environment that pose a risk to the student’s health and safety during the school day.  Parents and students shall take all precautions to ensure that they are not exposed to such irritants and/or allergens.

    If the parent(s) requests a meeting, the District will meet with the parent(s) and/or student to discuss the student’s exposure to irritant(s) and/or allergen(s), and, if appropriate, develop a plan based on the student’s physician’s recommendation to limit the above student’s exposure to irritant(s) and/or allergen(s).  Every such plan to avoid exposure shall include a completed Parental Identification of Student Irritant and/or Allergen Form and a completed Parental Authorization and Release Form for the Administration of Medication to Student.

    The District cannot guarantee that the student will never be exposed to such irritants and/or allergens.  If a student is exposed to such an irritant and/or allergen and/or suffers from an allergic reaction, the District may administer medication to the student as necessary according to its policies and procedures.

     

     

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    Approved: 1/13/20                                                 Reviewed:                                         Revised:

    508.E1 Heads Up: Concussion in High School Sports

     

       HEADS UP: Concussion in High School Sports 

    The Iowa Legislature passed a new law, effective July 1, 2011, regarding students in grades 7 – 12 who participate in extracurricular interscholastic activities. Please note this important information from Iowa Code Section 280.13C, Brain Injury Policies:

    1. A child must be immediately removed from participation (practice or competition) if his/her coach or a contest official observes signs, symptoms, or behaviors consistent with a concussion or brain injury in an extracurricular interscholastic activity.
    2. A child may not participate again until a licensed health care provider trained in the evaluation and management of concussions and other brain injuries has evaluated him/her and the student has received written clearance from that person to return to participation.
    3. Key definitions:

              “Licensed health care provider” means a physician, physician assistant, chiropractor, advanced registered nurse practitioner,                                                nurse, physical therapist, or athletic trainer licensed by a board.

               “Extracurricular interscholastic activity” means any extracurricular interscholastic activity, contest, or practice, including sports,                                           dance, or cheerleading.

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    What is a concussion?

    A concussion is a brain injury. Concussions are caused by a bump, blow, or jolt to the head or body. Even a “ding,” “getting your bell rung,” or what seems to be a mild bump or blow to the head can be serious.

    What parents/guardians should do if they think their child has a concussion?

    1. OBEY THE NEW LAW.
      • Keep your child out of participation until s/he is cleared to return by a licensed healthcare provider.
      • Seek medical attention right away.
    2. Teach your child that it’s not smart to play with a concussion.
    3. Tell all of your child’s coaches and the student’s school nurse about ANY concussion.

    What are the signs and symptoms of a concussion?

    You cannot see a concussion. Signs and symptoms of concussion can show up right after the injury or may not appear or be noticed until days after the injury. If your teen reports one or more symptoms of concussion listed below, or if you notice the symptoms yourself, keep your teen out of play and seek medical attention right away.

    STUDENTS:

    If you think you have a concussion:

    • Tell your coaches & parents – Never ignore a bump or blow to the head, even if you feel fine. Also, tell your coach if you think one of your teammates might have a concussion.
    • Get a medical check-up – A physician or other licensed health care provider can tell you if you have a concussion, and when it is OK to return to play.
    • Give yourself time to heal – If you have a concussion, your brain needs time to heal. While your brain is healing, you are much more likely to have another concussion. It is important to rest and not return to play until you get the OK from your health care professional.

    IT’S BETTER TO MISS ONE CONTEST THAN THE WHOLE SEASON.

    Signs Reported by Students:

    • Headache or “pressure” in head
    • Nausea or vomiting
    • Balance problems or dizziness
    • Double or blurry vision
    • Sensitivity to light or noise
    • Feeling sluggish, hazy, foggy, or groggy
    • Concentration or memory problems
    • Confusion
    • Just not “feeling right” or is “feeling down”

    PARENTS:

    How can you help your child prevent a concussion?

    Every sport is different, but there are steps your children can take to protect themselves from concussion and other injuries.

    • Make sure they wear the right protective equipment for their activity. It should fit properly, be well maintained, and be worn consistently and correctly.
    • Ensure that they follow their coaches’ rules for safety and the rules of the sport.
    • Encourage them to practice good sportsmanship at all times.

    Signs Observed by Parents or Guardians:

    • Appears dazed or stunned
    • Is confused about assignment or position
    • Forgets an instruction
    • Is unsure of game, score, or opponent
    • Moves clumsily
    • Answers questions slowly
    • Loses consciousness (even briefly)
    • Shows mood, behavior, or personality changes
    • Can’t recall events prior to hit or fall
    • Can’t recall events after hit or fall

    Information on concussions provided by the Centers for Disease Control and Prevention.

    For more information visit: www.cdc.gov/Concussion

    IT'S BETTER TO MISS ONE CONTEST THAN THE WHOLE SEASON.

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    IMPORTANT: Students participating in interscholastic athletics, cheerleading and dance; and their parents/guardians; must annually sign the acknowledgement below and return it to their school. Students cannot practice or compete in those activities until this form is signed and returned.

    We have received the information provided on the concussion fact sheet titled, “HEADS UP: Concussion in High School Sports.”

    ___________________________________________________                              ____________________________________________ 

    Student’s Signature                                             Date                                                 Student’s Printed Name

    ___________________________________________________                               _____________           _________________________

    Parent’s/Guardian’s Signature                           Date                                                   Student’s Grade           Student’s School

     

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    Approved: 6/10/19                                          Reviewed:                                               Revised: 

     

     

     

     

    508.R1 Return to Learn Protocol

    Total cognitive and physical rest, also called the complete rest phase, is the first step in the recovery plan. This should last for three days or less if the student is symptom free for 24 hours. Activities that should be avoided include cell phone use (including texting), computer use, and video games. Activities that can be done include yoga, light meditation, light stretching activities, and breathing exercises. Light thinking activities are the second step in the recovery plan. Activities that are appropriate include listening to music that is calm and relaxing and playing familiar games. Activities that were mentioned in the complete rest phase may be expanded upon (yoga, meditation, stretching exercises, and breathing activities). Now you have reached the return to school phase in the recovery plan. Start with half-days or attending school part time. Discuss a 504 plan with accommodations with the teacher and school sta. Identify accommodations that will make the student most successful. Always monitor the student carefully, allow rest breaks, and look for signs that he or she is not doing well. Everyone involved with the student should work together. This includes parents and school sta. It is key for everyone to keep the lines of communication open while monitoring the recovery plan.

     

     

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    Approved: 6/10/19                                          Reviewed:                                               Revised: 

     

     

     

     

     

    508.R2 Return-to-play Protocol

    Return-to-play Protocol.

    The following return-to-play step-wise process shall begin when the student who has been removed from participation in any extracurricular interscholastic activity governed by the Iowa High School Athletic Association or the Iowa Girls High School Athletic Union is no longer showing signs, symptoms, or behaviors consistent with a concussion or other brain injury for a minimum of 24 hours and has received written medical clearance from a licensed health care provider to return to or commence such participation.

    Return-to-play process.

    Each step shall take a minimum of 24 hours.

    a. If the student shows signs, symptoms, or behaviors consistent with a concussion or other brain injury at any step of the return-to-play protocol, the student must stop the activity and the student’s licensed health care provider and parent or guardian shall be contacted.

    b. If the student shows signs, symptoms, or behaviors consistent with a concussion or other brain injury during this process, an additional 24-hour period of rest shall take place. After the 24-hour period of rest, the student shall drop back to the previous level when the student showed no signs, symptoms, or behaviors consistent with a concussion or other brain injury and begin the progression again.

    Return-to-play steps.

    STEP 1:

    Athlete has received written medical clearance from a licensed health care provider to begin the return-toplay process, AND the athlete is back to regular activities, including school, without experiencing any concussion signs, symptoms, or behaviors for a minimum of 24 hours.

    STEP 2:

    Low impact, light aerobic exercise. Walking or stationary cycling at slow to medium pace. No resistance/weight training.

    STEP 3:

    Basic exercise, such as running in the gym or on the field. No helmet or other equipment.

    STEP 4:

    Noncontact, sport-specific training drills (dribbling, ball handling, batting, fielding, running drills) in full equipment. Resistance/weight training may begin.

    STEP 5:

    Full contact practice and participation in normal training activities.

    STEP 6:

    Contest participation.

     

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    Approved: 6/10/2019                              Reviewed:                                        Revised: