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OREGON HEALTH AUTHORITY, HEALTH LICENSING OFFICE

 

DIVISION 160
PRACTICE STANDARDS
331-160-0005
Scope of
Practice
The scope of practice
of athletic training by a registered athletic trainer shall consist of the following:
(1) The education,
instruction, application and monitoring of facts and circumstances required to protect
the athlete from athletic injury, including but not limited to:
(a) The identification,
through physical examinations or screening processes, of conditions that may pose
a risk of injury, illness or disease to an athlete.
(b) The supervision
and maintenance of athletic equipment to assure safety.
(2) The recognition,
evaluation and care of injuries and illness occurring during athletic events or
in the practice for athletic events including but not limited to the following;
(a) Performance
of strength testing using mechanical devices or other standard techniques;
(b) Application
of tape, braces and protective devices to prevent or treat injury;
(c) Administration
of standard techniques of first aid;
(d) Use of
emergency care equipment to aid the injured athlete by facilitating safe transportation
to an appropriate medical facility;
(e) Determination
of the level of functional capacity of an injured athlete in order to establish
the extent of an injury; and
(f) Determination
of the level of functional capacity of an injured or ill athlete to participate.
(3) The gathering
and accurate recording of all information required in the assessment of athletic
injuries.
(4) The development
and implementation of an appropriate course of rehabilitation or reconditioning
by the use of therapeutic modalities, including but not limited to: water, cold,
heat, electrical, mechanical and acoustical devices, massage, manual techniques,
gait training exercise, and physical capacity functional programs which are determined
to be needed to facilitate recovery, restore athletic function or performance;
(5) Dispensation
of non-prescription medication and application of topical non-prescription medication;
(6) The determination
and implementation of a plan for appropriate health care administration.
(7) Referral
of an athlete to appropriate health care provider as needed.
(8) Organization
of a medical care service delivery system for athletes when needed.
(9) Establishment
of plans to manage an athlete's medical emergencies;
(10) The
education or providing of athletic training guidance to athletes for the purpose
of facilitating recovery, function and performance of the athlete.
Stat. Auth.: ORS
676.615, 688.709, 688.715,

Stats. Implemented:
ORS 688.715, 688.718, 688.720

Hist.: HLA
12-2012, f. 8-16-12, cert. ef. 8-17-12
331-160-0010
Standards
of Practice
Athletic trainers
shall adhere to the following standards of professional conduct:
(1) Physician
Collaboration: Athletic trainers are required to collaborate with a physician in
the treatment of an athletic injury as provided in OAR 331-160-0015.
(2) Registered
Athletic Trainers shall be responsible for the conduct and performance of student
assistants under their supervision.
(3) Documentation:
All services are documented in writing by the Athletic Trainer and are part of the
Athletic Trainer’s record for the athlete. The Athletic Trainer accepts responsibility
for chronologically recording details of the patient’s health status and treatment,
signing and dating each entry.
(4) The patient’s
record shall include, but not be limited to:
(a) Athlete’s
name and any other identifying information;
(b) Referral
source, as applicable;
(c) Initial
and subsequent assessments;
(d) Treatment
plan, including methods used, results and plan revisions;
(e) Documentation
of discontinuation of treatment and final summary.
(5) Records
must be maintained for no less than seven years after discharge. All records are
subject to review by the agency.
(6) All records
must be legibly written or typed, dated and signed.
(7) Confidentiality:
Athletic trainers are required to maintain confidentiality in accordance with all
applicable laws.
(8) Initial
Assessment: Prior to treatment, athletic trainers are required to assess the athlete's
status, history, and level of functioning.
(9) Treatment
Program Planning: The treatment program objectives must include goals, expectations
and measures to determine the effectiveness of the program.
(10) Athletic
trainers are required to observe the Occupational Safety and Health Act Blood Borne
Pathogens Standards under 29 CFR 1910:1030 when providing services.
(11) Practicing
athletic training or offering to perform services beyond the scope of practice permitted
by law and defined in ORS 688.701, is prohibited.
(12) Performing
services that have not been authorized by the athlete or the athlete’s legal
representative is prohibited.
Stat. Auth.: ORS
676.615, 688.709, 688.715,

Stats. Implemented:
ORS 688.715, 688.718, 688.720

Hist.: HLA
12-2012, f. 8-16-12, cert. ef. 8-17-12
331-160-0015
Collaboration
of Athletic Trainers and Physicians
(1) "Collaboration"
as used in this section means consultation, correspondence, or referral between
an athletic trainer and a physician. Collaboration may be initiated by the athletic
trainer or physician, and consists of oral or written communication between the
parties or an appropriate representative of the physician. "Collaboration" as used
in OAR 331-160-0010 and this section, does not mean providing care on behalf of,
jointly, or in concert with one another.
(2) "Consultation"
as used in this section means discussing or sharing information with another health
care provider that is consistent with the requirements of state and federal law
regarding confidentiality for the purposes of obtaining information or recommendations
for the provision of care to the athlete.
(3) "Referral"
as used in this section means directing the athlete to other resources for purposes
of care, treatment, assessment or intervention.
(4) An athletic
trainer must collaborate with a physician when the athletic injury is beyond the
athletic trainer's scope of practice or expertise, or in those instances where the
injury is not responding to treatment.
(5) The athletic
trainer must appropriately record collaboration with a physician regarding an athlete
or athletic injury in an acceptable manner, such as notation on injury reports,
medical records, or progress reports.
(6) Nothing
in this section or these rules shall be construed to prevent a physician from employing,
directing, supervising, establishing protocols for, or otherwise assisting a registered
athletic trainer in the practice of athletic training consistent with the scope
of practice and professional standards of each practitioner.
Stat. Auth.: ORS
676.615, 688.709, 688.715,

Stats. Implemented:
ORS 688.715, 688.718, 688.720

Hist.: HLA
12-2012, f. 8-16-12, cert. ef. 8-17-12

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