update from the athletic trainers section

Update From the Athletic Trainers Section

Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board

March 29, 2010 Ohio OTPTAT Board 2

Topics

Ohio Licensure RequirementRecent/Upcoming Rules ChangesOther Common Questions/Issues


Ohio Licensure Requirement

Per ORC 4755.62 (A): No person shall claim to the public to be an

athletic trainer or imply by words, actions, or letters that the person is an athletic trainer unless the person is licensed as an athletic trainer, or otherwise engage in the practice of athletic training.


What Does ORC 4755.62 Mean?

Unlicensed persons cannot: Refer to themselves as an “athletic trainer” Represent themselves as an “athletic trainer” Engage in the practice of athletic training

These restrictions apply to individuals licensed/certified as ATs in another state but not currently licensed in Ohio

There is no grace period that allows a certified AT to work pending the Ohio license


Licensure vs. Certification

It is illegal to practice as an AT in Ohio without valid Ohio license

The Ohio license must be issued prior to practicing athletic training in Ohio

BOC certification alone does not authorize an athletic trainer to practice in Ohio


Approval of an Event

Based on change made in HB 403 Allows ATs not tied to a traveling team to

temporarily provide services w/o Ohio license. Non-Ohio licensed services may only be

provided at an event approved by the AT Section. Ex: U.S. Track and Field Championships Not: AT from LSU traveling with and providing

services to the AT’s visiting athletes.


Approval of an Event

OAC 4755-43-11 Organizer of an event at which non-Ohio

licensed ATs will provide athletic training services must apply to AT Section for approval of the event

Approval form on Board’s website


Exemptions from Licensure

Exemptions specified in ORC 4755.65 Non-Ohio licensed AT traveling with visiting

team/organization for purpose of only providing athletic training to the visiting team/organization

Providing services at an approved AT event Students in CAATE programs completing

clinical education requirements


How Rules Are Changed

Rule review is a public process. Board seeks input on initial draft before rule

language is filed. Information on proposed changes sent to

listserv and posted on the Board’s website. Once filed, full text of the rules is available at:

http://www.registerofohio.state.oh.us Public hearing on proposed changes required.

Board’s goal is new rules go into effect on May 1.


Substantive 2009-10 Rules Changes

4755-41-01 - Code of Ethical Conduct Added provisions related to verbal and sexual

harassment Reworded informed consent language Reworded prohibition on practicing while

impaired by drugs, alcohol, and/or physical/mental disability

Added provisions dealing with billing and other conflicts of interest

Added requirement for licensees to report to Board any illegal/unethical practice by other licensees



4755-45-01 - Continuing Education Reduce amount needed from 50 hours to 25

hours Makes appropriate adjustments to category limits Grants credit for NATA accredited post-

professional AT education program Eliminates credit for CPR/First Aid Still requires at least 1 hours of ethics each

renewal Eliminate category limits for postgraduate

coursework CE category



4755-43-06 – License Reinstatement Alters the CE requirement for reinstatement Any reinstatement apps submitted w/in 1

month of expiration Amt of CE needed to renew = amt for

reinstatement 4755-43-10 – Reconsideration of Revoked or

Denied License Specifies parameters used by Section when

reviewing licensure application from revoked or denied license applicant


Pocket ID Cards

Amendments to rules 4755-44-02 & 4755-47-01 – elimination of pocket ID cards

As of May 1, 2010, the Board will no longer issue pocket ID cards Recent increase in # of doctored ID cards Enhancement of currency of information on, and

acceptance of, online license verification Rule 4755-44-02 will require licensees to have

available current license information from Ohio e-License Center (https://license.ohio.gov/lookup)

Availability can be printed page, smartphone access, client’s home computer, etc.


Renewal Cycle Change

All AT’s will renew in even-numbered years. New expiration date… September 30. If you last renewed on 5/15/08.

Renewed thru 9/30/10. Will pay $80 in 2010. Do 25 hrs of CE between 5/16/08 and 9/30/10.

If you last renewed on 5/15/09. Renewed thru 9/30/10. Will pay $40 in 2010.

Do 12 hrs of CE between 5/16/09 and 9/30/10. Licensees will get 4 free months due to

change.


Things To Keep In Mind….

After you renew your license, verify your expiration date online prior to practicing after your expiration date.

As healthcare professionals, you have an ethical obligation to report any behavior you believe is unethical and/or illegal.

Disciplinary actions are public record and are permanent; be aware of your practice act and any changes that occur over the years.


Other Common Questions/ Issues

OTPTAT v. BOC v. OATA?

What is the mission of the AT Section? Is there a licensure grace period? Can AT’s bill For services? Will I be subjected to a criminal records

check? What is the role of the team physician? Standard Operating Procedures?


Other Common Questions/ Issues

What is the role of the AT for visiting teams Injury, RTP, pre-game taping/treatments,

documentation What is the role of the coach in taping injuries

What happens when a team arrives and needs athletes taped, but has no referral from their AT or physician – can we legally tape them?

Role of AT’s in Clinic


OTPTAT v. BOC v. OATAThe Alphabet Soup of the Profession

OTPTAT is your state regulatory agency. It licenses individuals and enforces the practice act.

BOC is a certification entity. Certification allows a practitioner to use the credentials ATC. It is not mandatory that you hold certification.

OATA is the state professional association. Along with the NATA, it advocates on the state/federal level for the profession.


Mission of the AT Section

The Mission of the AT Section is to Protect the

Public, NOT the Licensee


Licensure Grace Period

There is NO licensure grace period. Between graduation and receiving a license,

a new graduate is an UNLICENSED SUPPORT PERSON.

Individuals licensed as AT’s in a state other than Ohio can only work as unlicensed support personnel until the Board issues an Ohio AT license.

Help keep prospective licensees out of trouble!


Criminal Records Checks

HB 104 requires the Board to receive results of FBI and BCI records checks before issuing license.

Only applies for initial applications. Not a requirement for license renewal.

Ink rolled fingerprints for out of state applicants can take 3-4 months. Be aware of this time frame if you’re hiring from out of

state. No license issued until Board receives the criminal

records check results.


Role of the Team Physician

Referral relationship must exist between AT and team physician for care of that team’s athletes. Revised Code section 4755.60 and

Administrative Code rule 4755-42-02. ATs employed by colleges, universities, high

schools, other scholastic institutions, and professional organizations/clubs function under this referral relationship.



This relationship should consist of: A protocol of care communicated between the

team physician and the athletic trainer This relationship should include procedures

for: Prevention, recognition, assessment,

management, treatment, disposition, and reconditioning of athletic injuries.



A referral relationship between a team physician and an athletic trainer requires interaction by both parties. In general practice, athletic trainers administer

first aid and team physicians initiate referrals for continued treatment.

This relationship is maintained by on-going verbal and written communication.


Standard Operating Procedures

AT’s professional responsibility to have written policies and procedures.

AT’s encouraged to review current policies and procedures with their employers to determine if the existing policies are within the scope of athletic training practice. AT Section has no guidelines re: policy and

procedure content. AT Section does advocate that all AT’s have

written policies and procedures to guide the day-to-day operations of athletic training care.


Standard Operating Procedures

If no athletic training policies and procedures exist, please establish them and put them in writing.

Standard operating policies and procedures should be reviewed and approved by a team physician or an organization’s medical director.


The Three Types of Treatment

First Aid – basic, immediate care given on site to stabilize & prepare for evacuation and referral, as needed.

Routine – maintenance & preventative measurers commonly used by ATs (e.g.: pre-event warm-ups) Intent of routine treatment is maintenance of

normal function during participation Restorative – patient specific instructions for use

with diagnosed injury or as prescribed by referral source


The Three Types of Treatment

Referral NOT required for: First aid treatment Routine treatment

Referral REQUIRED for: Restorative treatment


Role of the AT for Visiting Teams

Athletic trainers may provide visiting teams, traveling without an athletic trainer or a team physician, with first aid and emergency coverage only.

They should not provide treatments without an appropriate referral or make return to participation decisions for visiting athletes.


Role of the Coach in Taping Injuries

Taping an athlete can be accomplished by many different individuals, such as athletic trainers, physical therapists, physicians, coaches, and even other athletes.

Athletes sometimes request to be taped by a prophylactic measure or as a ritual for participation.

Prophylactic taping is not care of an injury It does not call for the degree of skill in selection

of taping method or application, as might be used by a licensed health care practitioner.


Role of the Coach in Taping Injuries

Why an individual is being taped is determining factor in deciding who is permitted to tape an athlete.

If a taping or strapping/wrapping procedure or application is necessary as part of a regime of the care of an injury, this is only to be done by a licensed health care practitioner.

With increasing the standards of care for athletes, there are situations that call for taping as care of an injury, as required to participate, as determined by a referral source. Such a directive or prescribed method of care should only be applied by a licensed health care practitioner.


How may an AT function in the Clinic Setting? Under an AT Referral from an accepted

practitioner, the AT functions independently and is responsible for documentation

Provide athletic training services (evaluation and treatment) based upon physician referral


How may an AT function in the Clinic Setting? Under a PT Referral, the athletic trainer

functions as “Other Licensed Personnel” AT cannot be assigned own physical therapy

caseload without supervising PT having direct contact with each patient each visit.

Under a PT referral, “Other Licensed Personnel” have limits on making adjustments to the established plan of care


Billing For Services

Billing is not within the Board’s jurisdiction, unless billing fraud is suspected.

Nothing in the practice act prevents AT’s from billing for services.

Contact the OATA, or the NATA, or refer to the CPT codes listed under physical medicine for billing advice.


Billing, Medicare and BWC

The Board has no jurisdiction over billing/Medicare/BWC matters, unless fraud is suspected.

The Board cannot assist in clarification of Medicare/BWC issues.

The Board does not give billing advice.


Change of Address

Ohio law requires all licensees to notify the Board, in writing, of a change of address within THIRTY days of the change.

Failure to notify the Board, could result in the delay of the processing of your renewal application.


Listserv

Used to notify licensees & interest parties of: Website changes Public hearings Laws/Rules changes

Timely and Cost-effective

To join, send an email to: [email protected]

Or go to http://otptat.ohio.gov and select “Join a Board Listserv” link on the homepage


Board Composition – AT Section

Member City Term Expires Term

Vince O’BrienAT Section Chair

Columbus 2009 2nd

Rebekah BowerAT Section Secretary

Centerville 2011 1st

Aaron Galpert Wadsworth 2010 1st

Brian Hortz Pataskala 2011 1st

Jason Dapore Columbus 2010 1st

All terms expire on Aug. 27 of designated year. Pursuant to ORC 4755.01, members shall not serve for more than 3 consecutive terms.


Board Composition

The Board also has a public member who represents the interests of consumers. Genevieve Dennison – New Richmond. 1st

term expires in 2011 To seek an appointment to the Board, you

need to contact the Governor’s Office and download the application.

http://governor.ohio.gov


Contacting the Board

Email: [email protected] Internet: http://otptat.ohio.gov Phone: 614-466-3774 Fax: 614-995-0816 Mail:

Ohio OTPTAT Board

77 S. High Street, 16th Floor

Columbus, OH 43215-6108

update from the athletic trainers section

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