In July of 2011
the Concussion Management and Awareness Act became law. The law took effect on July 1, 2012 and is
now included in the Commissioner’s Regulations section 135.6. The details of the law are included in this
document, the Concussion Management Plan.
Additional information that will help educate and inform both students
and parents on concussion management can be found district web site under the
Health Office and Athletic homepages.
The law requires that a parent must sign off acknowledging that they
have received information on concussion management. The athletic handbook signature page or the
athletic handbook outline page will serve as the consent form that must be
signed and handed in to your child’s coach.
You will receive this form from your child’s coach during the
pre-season. NCS has received a one year
grant to be able to purchase neurocognitive testing software and have our
nurses trained to administer test, this neurocognitive test is called ImPACT.
This neurocognitive test will be administered to all incoming fall student
athletes before the start of their season to establish a baseline.
This document is
a summary of NYSED’s “Guidelines for Concussion Management in a School Setting”
and it will serve as the Newfane Central School Concussion Management Plan. The plan will be kept on file in the Health
Office and Athletic Office. It will also
be disseminated to students and parents via the coach at the beginning of each
sports season and again if a student is suspected of a head injury. Furthermore, each student will also receive
concussion information as part of the PE curriculum at the beginning of each
year as well as additional information that can be found on the NCS website. If you have any questions about the Newfane
Central School Concussion Management Plan, please direct them to the Director
of Health / Physical Education and Athletics, Mr. Douglas Ames. Mr. Ames can be contacted at (716)-778-6560.
Information and Prevention
the risk of a concussion may always be present with certain types of
activities, in order to minimize the risk, the following actions will be taken:
students, staff, and parents on all of the information in the Concussion
that facilities are safe and regularly inspected
lesson plans with student safety being a top priority
and enforce rules of play
rules of sportsmanship
students from initiating contact to another player with their head or to
the head of another player
players on sport-specific safe body alignment and encourage them to be
aware of what is going on around them
strength and conditioning will help reduce head injuries
available on the school website:
Newfane Central School Concussion Management Plan
Newfane Central School Student-Athlete Handbook
o The Newfane Central School Board of Education
Policy on Concussion Management
informational pamphlet provided by the NYSPHSAA on concussions that is designed
for parents and students
o A link to http://www.health.ny.gov/prevention/injury_prevention/concussion.htm
o A link to http://www.nysphsaa.org/safety/,
this will lead to more concussion information that can be found on the NYSPHSAA
website or via other links, such as the New York State Education Department and
the Centers for Disease Control and Prevention.
law, parent consent is required to compete in interscholastic athletics. The Student-Athlete Handbook signature page
or the Student-Athlete Handbook Outline page will serve as the consent form. The
coach must review the Concussion Management Plan with the players prior to the
start of the season. NYSED’s “Guidelines
for Concussion Management in the School Setting”, can be found by visiting the
NCS district web site for details, this document includes detailed information
on guidelines that should be shared with the students (page 14). Note – PE teachers need to review these same
guidelines with all of their students as part of the “opening day agenda”.
Steps following a head injury:
following steps are required in the event a student may have sustained a
COACH/PE TEACHER must remove any student who has taken a significant blow to
head or body, or presents with signs and symptoms of a head injury immediately
from play because the Concussion Awareness Management Act requires immediate
removal of any student believed to have sustained a concussion.
Symptoms of a concussion include, but are not necessarily limited to:
(e.g. decreased or absent memory of events prior to or immediately after the
injury, or difficulty retaining new information)
or appearing dazed
or head pressure
difficulty or dizziness, or clumsy movements
or blurry vision
to light and/or sound
vomiting, and/or loss of appetite
sadness or other changes in personality
sluggish, foggy, groggy, or lightheaded
or focusing problems
reaction times, drowsiness
and/or sleep issues (e.g. sleeping more or less than usual)
the school nurse or certified athletic trainer (if available) for assistance
with any student injury.
any student exhibiting signs and symptoms of a more significant concussion (see
below) to the nearest hospital emergency room via emergency medical services.
- Headaches that worsen
- Looks drowsy and/or cannot be awakened
- Repeated vomiting
- Slurred speech
- Unable to recognize people or places
- Weakness or numbing in arms or legs, facial drooping
- Unsteady gait
- Dilated or pinpoint pupils, or change in pupil
size of one eye
loss of consciousness
of skull fracture: blood draining from ear, or clear fluid from nose
COACH will inform the PARENT/GUARDIAN of the need for evaluation by their primary
private medical provider (physicians, nurse practitioners, and physician
assistants). The COACH must provide the parent/guardian with the Newfane
Central School District Concussion Management Plan which includes the Concussion
Checklist that needs to be completed by the student’s private medical provider
as well as written educational materials on concussions and the Newfane Central
School Concussion Management Policy.
This will be the responsibility of the SCHOOL NURSE if the student was
injured in PE class. STUDENTS/PARENTS
need to share all of the completed documents with the Health Office.
- The 1st visit to the private medical
provider should be immediately following the student’s injury. The medical provider will determine if
the student has a concussion.
- Depending on the timeline of the 1st
visit to the private medical provider, a 2nd visit is most
likely necessary. No pupils will
be allowed to resume athletic activity (graduated return to play phase
process – listed below) until they have been symptom free for 24 hours
and have been evaluated by and received written and signed authorization
from a LICENSED PHYSICIAN.
COACH/PE TEACHER will inform the Athletic/PE Director, certified athletic
trainer, and the school nurse of the student’s potential concussion. This is necessary to ensure that the student
does not engage in activities at school that may complicate the student’s
condition prior to having written clearance by a medical provider.
o Students who have been diagnosed with a
concussion require both physical and cognitive rest. The SCHOOL NURSE/HEALTH OFFICE will inform
the PE teachers, classroom teachers, coach, the building principal, and
Athletic Director, regarding all restrictions, accommodations, and signs to
look for when working with a student that suffered from a concussion. NYSED’s “Guidelines for Concussion Management
in the School Setting” includes detailed information on post-concussion
management on pages 9-10. Additional
information on accommodations that can be used by the classroom teacher can be
found on page 25 and 26 of NYSED’s “Guidelines for Concussion Management in the
o The COACH/PE TEACHER will ensure that any student
diagnosed with a concussion does not participate in any athletic activities
until, in conjunction with the STUDENT’S LICENSED PHYSICIAN, the PE teacher/coach has received written authorization from the HEALTH
OFFICE that the student has been cleared to participate by the SCHOOL
o Once a student diagnosed with a concussion has
been symptom free at rest for at least 24 hours, a LICENSED PHYSICIAN may
choose to clear the student to begin a graduated return to activities. If a district has concerns or questions about
the physician’s orders, the SCHOOL DOCTOR should contact that provider to
discuss and clarify. Additionally, the SCHOOL
DOCTOR has the final authority to clear students to participate in or return to
extra-class physical activities in accordance with 8NYCRR 135.4(c)(7)(i). The
SCHOOL NURSE will inform the parents if the school doctor does not approve a
return to play. The SCHOOL DOCTOR will
consider all of the information (incident report, concussion checklist, school
nurse or school doctor’s evaluation, ImPACT Concussion baseline if available)
prior to clearing an athlete return to play.
o The COACH/PE TEACHER will ensure that students
diagnosed with a concussion do not substitute mental activities for physical
activities unless the medical provider clears the student to do so (e.g. Due to the need for cognitive rest, a student
should not be required to write a report if they are not permitted to participate
in PE class by their medical provider).
ALL OF THE EVENTS LISTED ABOVE MUST TAKE
PLACE PRIOR TO PHASE 1
GRADUATED PHASES TO RETURN TO FULL PLAY
must be monitored by DISTRICT STAFF daily following each progressive challenge,
physical or cognitive, for any return of signs and symptoms of concussion. STAFF MEMBERS need to report any observed
return of signs and symptoms to the school nurse. A student can only move to the next level of
activity if they remain symptom free at the current level. Return to activity occurs with the
introduction of one new activity each 24 hours.
If any post concussion symptoms return, the student must drop back to
the previous level of activity, then re-attempt the new activity after another
24 hours have passed A more gradual
progression should be considered based on individual circumstances and a
private medical provider’s or other specialist’s orders and recommendations.
a symptom does return, the person who discovered or received information about
the symptom must report this to the Athletic Director, School Nurse, and
Coach. The SCHOOL NURSE will inform the
parent regarding the return of a symptom.
student cannot progress to the next step (Phases 2-5) without approval from the
SCHOOL NURSE. In the absence of the
school nurse the SCHOOL ATHLETIC TRAINER can approve the progression of Phases
2-5. If neither the school nurse nor
athletic trainer is available then the student will remain on their current
SCHOOL NURSE will set up an appointment with the STUDENT each day. After evaluating the student each day
throughout the graduated phase process, the SCHOOL NURSE will inform (verbal,
written, or email) the COACH/PE TEACHER if the student is allowed to progress
to the next phase. THE COACH/PE TEACHER
is to assume that the student DID NOT progress to the next phase if he/she did
not hear from the school nurse.
Phase 1- low
impact, non-strenuous, light aerobic activity such as walking or riding a
stationary bike. If tolerated without return
of symptoms over a 24 hour period proceed to;
Phase 2- higher
impact, higher exertion, and moderate aerobic activity such as running or
jumping rope. No resistance training. If
tolerated without return of symptoms over a 24 hour period proceed to;
Phase 3- Sport
specific non-contact activity. Low resistance weight training with a spotter.
If tolerated without return of symptoms over a 24 hour period proceed to;
Phase 4- Sport
specific activity, non-contact drills. Higher resistance weight training with a
spotter. If tolerated without return of symptoms over a 24 hour period proceed
Phase 5- Full
contact training drills and intense aerobic activity. If tolerated without
return of symptoms over a 24 hour period proceed to;
PRIOR TO PHASE 6 – THE FOLLOWING MUST BE COMPLETED:
o Once a student diagnosed with a concussion has
successfully completed all 5 phases, a LICENSED PHYSICIAN must provide written,
signed and completed clearance in order for the student to begin full
activities without restrictions. If the
school doctor has concerns or questions about the physician’s orders, the
SCHOOL DOCTOR should contact that provider to discuss and clarify. Additionally, the SCHOOL DOCTOR has the final
authority to clear students to participate in or return to extra-class physical
activities in accordance with 8NYCRR 135.4(c)(7)(i). The SCHOOL NURSE will
inform the parents if the school doctor does not approve a return to play. The SCHOOL DOCTOR will consider all of the
information (incident report, concussion checklist, physician’s orders, and
school nurse or school doctor’s evaluations) prior to clearing an athlete
return to play.
the SCHOOL DOCTOR approves the student to return to full activities without
restriction, the SCHOOL NURSE/HEALTH OFFICE will inform the PE teachers,
classroom teachers, coach, and Athletic Director in writing that the student
may fully participate in athletic activities.
Phase 6- Return
to full activities without restrictions.
o It cannot be emphasized enough that any student
suspected of having a concussion – either based on the disclosure of a head
injury, observed or reported symptoms, or by sustaining a significant blow to
the head or body – must be removed
from athletic activity and/or physical activities (e.g. PE class, recess), and
observed until an evaluation can be completed by a medical provider. For example, if a student comes to school
with a symptom of a concussion as a result of a head injury that occurred at
home, the student must be immediately removed from all athletic activities and
the Concussion Management Plan must be enacted.
staff members who observe a student displaying signs and/or symptoms of a
concussion, or learn of a head injury from the student, should have the student
accompanied to the school nurse.
Information on concussions will be shared with teachers at the first
faculty meeting of the year.
o The Centers for Disease Control and Prevention
(CDC) recommends that physicians, nurse practitioners, and physician assistants
use the Acute Concussion Evaluation Form (ACE) to conduct an initial
o The Health Office must maintain any record of a
head injury in the student’s folder.
whose symptoms worsen or generally show no reduction after 7-14 days, or sooner
depending on symptom severity, should be considered for referral to a
neuropsychologist, neurologist, physiatrist, or other medical specialist in
traumatic brain injury.
o Coaches and PE teachers are required to complete
a NYSED approved concussion course every two years. NYSED has approved the course Heads Up, Concussion in Youth Sports for
these professions, which is a free
web-based course that has been developed by the CDC. It is available at http://www.cdc.gov/concussion/HeadsUp/online_training.html.
The Director of Physical Education and Athletics will keep this information on
file in the Athletic Office as is done with all other coaching certification
nurses and athletic trainers must complete a NYSED approved concussion course
every two (2) years. NYSED has approved
the course Heads Up to Clinicians for
these professions, which is a free
web-based course developed by the CDC.
It is available at http://preventingconcussions.org/. The Director of Physical Education and
Athletics will keep this information on file in the Athletic Office.
o The Concussion Management Team consists of the
Director of Physical Education and Athletics, the School Nurse, the School
Doctor, and a coach. There will be an
ongoing review of the Concussion Management Plan. Revisions to the Concussion Management Plan
will occur on an annual basis.