For Parents/Guardians

Reporting of Injuries

High School
  1. Athletes must report all injuries to the athletic trainer at the time of the injury or as soon as possible. The athletic trainer will activate the medical referral system.
  2. Athletes who are injured or who are experiencing pain should seek out the athletic trainer before practice, if possible. Athletes should not wait until the middle of practice to report pain that has existed for a few days.
  3. In the absence of the athletic trainer, the coach will initiate first-aid care. The coach must notify the athletic trainer of all injuries within 24 hours of the injury.
  4. Injured athletes are expected to continue to attend treatment and rehab until discharged by Athletic Trainer. Consult with your coach about practice and game attendance expectations while you are injured.
  5. Parents are encouraged to contact the athletic trainer at any time with any questions or concerns related to the athlete’s injury.
Middle School
  1. BMS athletes should report injuries to their coach.
  2. BMS athletes will be seen for evaluations and re-evaluations only at MS Injury Check or when athletic trainers are covering BMS events.
    1. BMS Injury check is Thursdays, from 2:25-3:15pm in the Nurse’s office. 
    2. All athletes attending injury check should sign up in the BMS Office prior to 1:30pm on the day of. 
  3. Athletic Trainers cover all home Bexley Middle School football games and other events as able/determined by the Athletic Director.

Medical Referral for Injury

  1. Upon injury, the athletic trainer will perform an evaluation to determine a treatment plan including whether a referral to another medical provider is indicated.
  2. The Athletic Trainer will communicate findings and treatment recommendations with parents of the injured athlete.
  3. In the event of self-referral to a physician, the athlete must provide a note from the physician stating the injury, treatment recommendations, and participation status. 
  4. Athletes who experience signs or symptoms of a concussion may not return to practice and/or competition the same day of the injury. All head injuries must be evaluated by the athletic trainer prior to the athlete returning to participation.
  5. The final choice of healthcare provider is determined by the parents. Athletic trainers are able to provide guidance as needed, and encourage parents to seek care with the provider they are most comfortable with.
  6. As employees of Nationwide Children’s Hospital, the Athletic Trainer can directly schedule with Nationwide Children’s Sports Medicine physicians within 24-48 hours. If AT is unavailable to schedule, parents may call central scheduling at 614-355-6000
  7. Sports Medicine Locations are here.

Role of Team Physician

Dr. MacDonald is in attendance of all home and away varsity football games. Bexley athletic trainers work in collaboration with Dr. MacDonald and often consult with him regarding medical questions and treatment plans.

Taping/Bracing

  1. Tape is a medical treatment tool with a specific therapeutic purpose. The athletic trainer will direct the appropriate use of tape for injury care.
  2. Taping will be made available to athletes who have either a documented injury as evaluated by the athletic trainer or as prescribed by a physician. The athletic trainer will only apply tape when it is deemed appropriate. Tape will not be made available for non-injury use.
  3. The athletic trainer can advise and direct parents, coaches, and athletes in the purchase and use of bracing, splinting and supportive devices that will be beneficial in the care and prevention of injuries.

Physicals

All physicals are to be turned in to the Athletic Office.
This NCH web site explains why students need sports physicals and this NCH website explains by they should be done in a doctor's office.

Baseline Neuro-cognitive Testing

Baseline neuro-cognitive (concussion) testing is an important aspect of concussion management. The baseline test is provided through Nationwide Children’s Hospital Sports Medicine free of charge to high school athletes. The test takes approximately 10-15 minutes per athlete and is completed on the computer before or during pre-season. It measures things such as memory, reaction speed, and cognitive processing so that we have normative values for each athlete. If an athlete sustains a concussion, a post-injury test can be administered and compared with the baseline test by a physician. This ensures that the athlete has returned to baseline neuro-cognitive function so he/she can safely return to school and sports. The test needs to be updated once every 2 years. Dates and times for testing will be communicated via coaches once scheduled on a seasonal basis.

Testing sessions are arranged for the following high concussion risk sports.

Fall Winter Spring
Football Wrestling Boys & Girls Lacrosse
Boys & Girls Soccer Boys & Girls Basketball Baseball
Field Hockey Cheerleading Softball
Volleyball
Cheerleading

Testing is not mandatory; however, all athletes in the sports listed above must submit a consent form either accepting or declining the testing. This form is good for the student-athlete’s entire athletic career at BHS unless rescinded by the parent/guardian in writing. The parent of a student-athlete in a sport not listed here who wishes to have the athlete tested should contact the athletic trainer to arrange testing.

Research

Nationwide Children’s Hospital is a research hospital and is currently recruiting participants for the following research studies:

OHSAA Concussion Return to Play Policy

  1. Ohio law and NFHS rules and OHSAA policy require a student who exhibits signs, symptoms or behaviors associated with concussion to be removed from a practice or contest and not permitted to reenter practice or competition on the same day as the removal.
  2. Thereafter, written medical authorization from a physician (M.D. or D.O.) or another qualified licensed medical provider, who works in consultation with, collaboration with or under the supervision of an M.D. or D.O. or who is working pursuant to the referral by an M.D. or D.O., AND is authorized by the Board or Education or other governing board, is required to grant clearance for the student to return to participation.
    1. In Bexley City Schools, Athletic Trainers are board approved, qualified licensed medical providers to clear concussions for return to play.
  3. The physician or licensed medical professional must complete the form below and submit to a school administrator prior to the student’s resumption of participation in practice and/or a contest.
    1. This form shall serve as the authorization that the physician or licensed medical professional has examined the student, and has cleared the student to return to participation.
  4. To reiterate, this student is not permitted to reenter practice or competition on the same day as the removal.
In most cases, the steps of the graduated Return to Play Protocol are as follows, however this protocol may be extended or altered as determined by the AT or physician. Steps are not to be self-initiated and are to be followed under physician or AT directive.
  1. No activity until symptom free for at least 24 hours, off of medications started for concussion and attending full days of school.
  2. Step 1: Low Level Activity. Light aerobic exercise such as walking or stationary cycling.
  3. Step 2: Moderate Level Activity. Sport–specific training (for example, skating in hockey, running in soccer)
  4. Step 3: Heavy Non-contact Activity. Non-contact training drills to include light resistance training.
  5. Step 4: Full contact practice
  6. Step 5: Return to competition; game play
For more information please visit ohsaa.org or one of the resources below.