Transcript P.L.2013, c.71: SCHOLASTIC STUDENT

P.L.2013, c.71:
SCHOLASTIC STUDENTATHLETE SAFETY ACT
WEBINAR
September 2015
New Jersey Department of Education
Office of Student Support Services
Nancy Curry, Director
Christene DeWitt-Parker, MSN, CSN, RN
School Health Coordinator
Requirements of P.L. 2013, c.71
• The Scholastic Student-Athlete Safety Act may
be accessed at:
http://www.njleg.state.nj.us/2012/Bills/PL13/71_.
HTM.
• The first NJDOE Broadcast memo outlining the
provisions of the law may be accessed at:
http://education.state.nj.us/broadcasts
by clicking on September 10, 2013 then
scrolling down to Scholastic Student-Athlete
Safety Act.
Purpose of the Webinar
P.L. 2013, c. 71, was passed by the New Jersey
Legislature and signed by Governor Christie on
June 27, 2013. The law includes several new
requirements regarding school-sponsored
interscholastic sports and intramurals, as well as
the development of new forms. Therefore, the
purpose of this webinar is to assist school district
and nonpublic school staff in implementing each of
its requirements and corresponding materials.
Objectives
Following participation in this webinar
attendees should be able to:
1. Understand the intent of the legislation;
2. Recognize the regulatory requirements
included in the law; and
3. Successfully implement the new forms.
Sudden Cardiac Death in Young Athletes
• United States - approximately 100 deaths are
reported each year. This is tragic for the family,
fellow athletes, friends, coaches, and everyone in the
school community.
• Causes:
It is due, in most cases, to the sudden onset of
ventricular tachycardia or ventricular fibrillation
which is not compatible with the adequate pumping
function of the heart and leads to sudden collapse
and loss of consciousness, ultimately resulting in
death unless normal heart rhythm is restored using
an automated external defibrillator (AED).
6
Warning Signs
• Prodromal symptoms (warning signs) that
precede cardiac death are documented in
36% of sudden cardiac deaths (Gomez,
Lantry & Saathoff, 1999).
• These symptoms include chest pain; fatigue;
syncope (fainting); indigestion or heartburn;
excessive shortness of breath; ear or neck
pain; upper respiratory infection;
palpitations; and severe headaches.
(Thompson, et al., 2007).
The Purpose of Screening
• Pre-participation physical examinations
(PPE) were created to ensure that
prospective athletes were healthy enough to
safely participate in activity without
significant risk of injury, illness or
catastrophic outcomes due to existing
detectable underlying medical conditions.
• It is important to note that some medical
conditions do not develop until an individual
is older.
Pre-Participation Physical
Evaluation
• This PPE, released on April 29, 2014, is the form
mandated by the New Jersey Legislature.
• Developed by sports medicine experts.
• The first component is the History Form (page 1).
Student medical history
Family medical history
To be completed by parent or guardian
The date of the EXAM is at the top of the page – not the
date the parent completes the history
 Signed at the bottom by both the student and the parent or
guardian
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Supplemental History for
Athletes With Special Needs
• This is the second component of the
PPE (page 2).
• It is for students with disabilities.
• This is to be completed by the parent
or guardian of a student with
disabilities.
The Physical Examination Form
• The third component of the PPE (page 3).
• The physician, advanced practice nurse(APN) or
physician assistant (PA) who performs the actual
medical examination must review the answers on
the History Form and discuss the responses with
the student and parent or guardian (if present) prior
to beginning the examination.
• If there are any abnormal findings and a referral to a
specialist is warranted, the appropriate box must be
checked under “Not cleared” and the reason and
recommendations must be provided.
• The physician, APN, or PA then signs and dates the
page.
Clearance Form
• This is the fourth component of the PPE (page 4).
• It offers significantly more room for the physician,
APN or PA to write their comments and
recommendations.
• Many students will have an unremarkable
examination and the space will not be needed,
however, there will be students whose health care
provider will need the room for documentation.
NOTE:
• The last line on the Clearance Form is a statement
for the physician, APN, or PA to attest to completion
of the Student-Athlete Cardiac Assessment module.
Health History Update
Questionnaire
• The requirement for a Health History Update is not
new. However, this law changed the length of time
from 60 days to 90 days.
• Includes the specific questions articulated in the
legislation.
• These questions are recommended by the American
Heart Association and the American Academy of
Cardiology.
• Provides current information which may impact
participation.
• Allows acquisition of necessary “return to practice”
HCP orders.
Health History Update
Questionnaire
• Must be signed by the parent or guardian.
• Review by school nurse is required.
• If the school has an athletic trainer, he/she shall
also review the update.
• The update questionnaire must be maintained in
the student’s health record in the school nurse’s
office.
• N.J.A.C. 6A:16-2.2(h)1iii will be amended to
include this change from 60 to 90 days
www.state.nj.us/education/code/current/title6a/
chap16.pdf
Cardiac Assessment Professional
Development Module
• The law required the New Jersey Department of
Education (NJDOE) and the New Jersey
Department of Health (NJDOH), and in
consultation with the New Jersey Chapter of the
American Academy of Pediatrics, the New
Jersey Academy of Family Physicians, the
American Heart Association, and the New
Jersey Chapter of the American College of
Cardiology to develop the module “to increase
the assessment skills of those health care
practitioners who perform student-athlete
physical examinations and screenings.”
PD Module
•
A health care provider (i.e., physician, advanced practice nurse, or physician
assistant) who performs a student-athlete’s annual physical examination prior
to the student’s participation in a school-sponsored interscholastic or
intramural athletic team or squad shall first complete the PD module.
•
Upon performing the physical examination, a health care provider shall sign
the certification statement on the Preparticipation Physical Evaluation form
attesting to the completion of the PD module.
•
Upon completion of the PD module, the physician, APN or PA will be able to
download and print a Certificate of Completion of the PD module. The
physician, APN or PA should retain the Certificate of Completion for his/her
files, but is not required to submit a copy of his/her Certificate of Completion
to any public school district or nonpublic school.
•
The board of education of a public school district and the governing board or
chief school administrator of a nonpublic school shall retain the original
signed statement on the Preparticipation Physical Evaluation Form to attest to
the qualification of the health care provider to perform the physical
examination.
http://www.state.nj.us/education/students/safety/health/athlete/PDModule.sht
ml.
•
Sudden Cardiac Death in Young
Athletes Pamphlet (Brochure)
• The original pamphlet was developed by the
members of the Student-Athlete Cardiac Screening
Task Force between 2010 and 2011.
• Distributed by the NJDOE via broadcast
memorandum in March 2011.
• The Scholastic Student-Athlete Safety Act
legislation required the same criteria to be included
but with updated information.
• The section regarding the use of automated
external defibrillators (AED) was revised pursuant to
P.L. 2013, c.71.
• The pamphlet may be accessed at
http://www.state.nj.us/education/students/safety/he
alth/services/cardiac.pdf
Pamphlet Sign-Off Sheet
 A school district and nonpublic school shall distribute the
pamphlet to each student-athlete and to the parents or
guardian of the student-athlete as part of the student’s preparticipation physical examination and completion of
athletic permission forms.
 For the 2013-2014 school year and in each subsequent
school year.
 The student-athlete and the parent or guardian of the
student-athlete shall certify in writing that they received
and reviewed the pamphlet.
 The Sign-Off sheet may be accessed at the link shown here
http://www.state.nj.us/education/students/safety/health/ser
vices/SuddenCardiacDeathSignOffSheet.pdf
***The school district can choose to develop their own signoff sheet as long as it collects the same information.
Webinar Recording
• This webinar has been recorded and may be
accessed on the NJDOE website at:
http://www.state.nj.us/education/students/safety/he
alth/services/athlete/webinar.shtml.
• The Scholastic Student-Athlete Safety Act
Frequently Asked Questions (FAQ) may be accessed
at:
http://www.state.nj.us/education/students/safety/he
alth/services/athlete/faq.pdf.