GRAND HAVEN HIGH SCHOOL

ATHLETIC TRAINING
GHHS 1

ADVOCACY PROPOSAL TABLE OF CONTENTS

Introduction 3 Cover Letter 4 Mission and Vision.. 5 Rationales Page 7 Budget.. Page 8 Facilit !esign.. Page "8 Conclusion Page 3# $%%endi& $ 4' Initial Budget.. 4" First (ear Budget.. Page 48 Page Page Page Page Page

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)econd (ear Budget.. Page 5" $%%endi& B 5* Relations+i% C+art.. 57 Bu,,le !iagra-.. Page 5# Facilit !esign.. *' Re.erences Page *3 Page Page

Page

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I/0R1!2C0I1/

Board of Directors Grand Haven High School 17001 Ferris St. Grand Haven, MI 49417 o !ho" it Ma# $oncern% he &'r&ose of the enclosed &ro&osal eval'ates ho( the c'rrent state of the Grand Haven High School athletic training &rogra" aligns (ith esta)lished &rofessional standards. !e have o'tlined (hat Grand Haven High School has c'rrentl# invested into the s&orts "edicine &rogra" as (ell as (hat can )e done to i"&rove it. !ith the gro(ing n'")er of athletes, the strain is increasing on the c'rrent athletic trainer. Standards )ased on the vol'"e of st'dent athletes sho(s the need for a second staff "e")er. * second staff "e")er (o'ld alleviate so"e of the strain on the c'rrent athletic trainer and allo( for o&ti"al care of the st'dent athletes and co""'nit# of Grand Haven. !e have &rovided a co"&rehensive assess"ent designed to assist in develo&ing an athletic training &rogra" that (ill )etter serve the athletes and co""'nit# of Grand Haven High School. his doc'"ent o'tlines the "ission and vision, )'dget, and facilit# design that

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are necessar# to i"&rove '&on the c'rrent athletic training services. !ithin the enclosed infor"ation, rationale has )een &rovided for e+&lanation of i"&ortance. he follo(ing doc'"ent sho(s (here Grand Haven High School is saving f'nds for athletes and the co""'nit# as (ell as o'tlines the need for f'rther invest"ents to i"&rove services rendered. ,roviding the highest -'alit# of healthcare to the athletes and the co""'nit# of Grand Haven is of 't"ost i"&ortance. his doc'"ent &rovides s')stantial infor"ation on (hat can )e done to i"&rove health care for &resent and f't're athletic training s'ccess at Grand Haven High School. *n# -'estions regarding the f'rther develo&"ent of athletic training services can )e directed to the a'thors )elo( or the c'rrent athletic trainer, ,atric. !#.es. han. #o' for #o'r ti"e,

,atric. !#.es Head *thletic rainer (#.es&0gvs'.ed' 346267821097 $olleen 9evinson *thletic raining St'dent levinsoc0"ail.gvs'.ed' 346267728771

4ason $astle"an *thletic raining St'dent castle"50"ail.gvs'.ed' 346299027787 :icole $ron *thletic raining St'dent cronni0"ail.gvs'.ed' 111281029167

/#le Schiller *thletic raining St'dent shille.0"ail.gvs'.ed' 774247621604 #ler /oo&s *thletic raining St'dent .oo&st0"ail.gvs'.ed' 111299020341

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MI))I1/ 3 VI)I1/

Vision )tate-ent
he vision of Shoreline S&ort and S&ine ,h#sical hera&# ;'treach ,rogra" is to &rovide the highest -'alit# of healthcare services to "aintain and i"&rove the "edical (ell )eing of the st'dent2athletes and co""'nit# of Grand Haven. In coordination (ith Grand Haven High School (e (ill &rovide an e+e"&lar# "odel of &ersonal and &rofessional e+cellence for the local co""'nit#, st'dent athletes and state. !e (ill contin'e to e"&hasi<e safe, evidence2)ased, non2 discri"inator#, and ethical &atient care. $ontin'ing ed'cation and &rofessional develo&"ent are the "eans )# (hich o'r e+e"&lar# clinical &ractice e+ceeds standard &atient care. *t the Shoreline S&ort and S&ine ,h#sical hera&# ;'treach ,rogra" (e ai" to )eco"e the leading, via)le health care o&tion for )oth the school s#ste" and the co""'nit#.

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Mission )tate-ent
The Shoreline Sport and Spine Phy i!al Therapy O"trea!h Pro#ra$ i dedi!ated to pro%idin# a!!e i&le health!are to the t"dent'athlete and the !o$$"nity o( Grand

Ha%en) Thi *ill &e !ond"!ted *ithin the (i%e do$ain o( athleti! trainin# a de(ined &y the National Athleti! Trainer + A o!iation, in-"ry.illne pre%ention and *ellne

prote!tion/ !lini!al e%al"ation and dia#no i / i$$ediate and e$er#en!y !are/ treat$ent and reha&ilitation/ and or#ani0ation and pro(e 1e e$&ody the "t$o t pro(e A ional health and *ell'&ein#)

ionali $ a #"ided &y the National Athleti! Trainer +

o!iation Code o( Ethi! a *ell a the Board o( Certi(i!ation Standard o( Pra!ti!e) The health and *ell &ein# o( o"r patient i o"r top priority) The "ni2"e pre en!e

o( o"r on ite phy i!al therapy !lini! *ithin Grand Ha%en Hi#h S!hool ena&le " to "tili0e additional re o"r!e that (a!ilitate o"r !o$prehen i%e approa!h to health!are) The e re o"r!e pro%ide a hi#her 2"ality o( !are not only to o"r t"dent athlete / &"t the "rro"ndin# !o$$"nity) To $eet the !o$ple3 need o( o"r t"dent athlete and the Grand Ha%en !o$$"nity the ta(( at Shoreline Sport and Spine Phy i!al Therapy O"trea!h Pro#ra$ adapt and i$pro%e their !lini!al approa!h &a ed on el( and patient re%ie* o( the e((e!ti%ene and 2"ality o( the er%i!e pro%ided)

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R$0I1/$L4)

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B2!540 R$0I1/$L4

Introduction
he s&orts "edicine staff, (ith s&ecific e"&hasis on the athletic trainer, is an integral &art of an# athletic &rogra". he :ational *thletic rainers *ssociation =:* *> has stated the athletic trainer &rovides st'dents, staff, and &arents &iece of "ind (ith their 'ni-'e s.ill2set and the health care services the# can &rovide =:* *, 3009>. hese services ho(ever, re-'ire &ro&er f'nding and allocation of that f'nding in order for the athletic

GHHS 9

trainer to &rovide care in accordance to the Standards of ,rofessional ,ractice esta)lished )# the Board of $ertification =B;$>. he standards set in &lace )# the B;$ are intended to aid the &')lic in 'nderstanding the role an athletic trainer &la#s (ithin an athletic &rogra", assist the athletic trainer in eval'ating the -'alit# of the care )eing given, and in 'nderstanding the o)ligations i"&osed )# the virt'e of holding the * $ credential =:* *, 3010>. *thletic trainers are also considered healthcare &rofessionals (hich re-'ire that the# co"&l# (ith the :* *?s do"ains of &rofessional &ractice. @tili<ing the do"ains of athletic training% &revention, clinical eval'ation and diagnosis, treat"ent, reha)ilitation, conditioning, organi<ation, ad"inistration, and &rofessional res&onsi)ilit# allo(s the athletic trainer to &ro&erl# "anage a variet# of health care settings =:* *, 3010>. he a)ilit# to &rovide these services is de&endent '&on having the &ro&er e-'i&"ent at their dis&osal (hether it is cons'"a)les, non2cons'"a)les, ca&ital e-'i&"ent, or &rogra" o&erations.

Initial Investment
*s Grand Haven High School alread# has an athletic trainer on staff and facilities to acco""odate, an initial invest"ent has )een "ade. *ltho'gh this has )een a costl# endeavor the services rendered save athletes costl# &h#sical thera&# a&&oint"ents and &h#sician a&&oint"ents. his t#&e of savings ho(ever, onl# incl'des a fraction of (hat the athletic trainer reall# offers in regards to the Grand Haven High School athletic &rogra". *ltho'gh thera&e'tic services are a large &ortion, a great deal of other services do not co"e (ith a co"&ara)le &rice tag s'ch as ta&ing, )racing, e-'i&"ent fitting, and all of the in5'r# "onitoring that &revents f'rther iss'es and lia)ilit# s'its against the athletic &rogra". o 5'stif# the needs of the &revio'sl# o(ned e-'i&"ent, the follo(ing rational has )een

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&rovided.

Consumables
Tape/Taping Accessories *ccording to the :* *?s G'ide to *thletic raining Services, the first do"ain of the *thletic rainer is In5'r#Aillness &revention =:* *, 3010>. @nder this do"ain, it states that *thletic rainers (ill, BSelect, a&&l#, eval'ate, and "odif# &ro&h#lactic and &rotective e-'i&"ent and other c'sto" devices for &atientsAclients to "ini"i<e the ris. of in5'r# or re2 in5'r#.C =:* *, 3010>. :ot ever# athlete is going to )e a)le to afford a )race for ever# in5'r# the# s'stain and there are "an# in5'ries for (hich there is no &'rchasa)le )race. In these instances the *thletic rainer &la#s a "a5or role. hro'gh the 'se of ta&e and other accessories s'ch as &re2(ra& andAor heel and lace &ads, the *thletic rainer is a)le to "a.e c'sto" )races for a "'ltit'de of in5'ries. hese )races s'&&l# the s'&&ort that the athlete needs in order to co"&ete at their highest level. It has )een fo'nd that the an.le gets in5'red the second "ost of an# )od# &art, and an.le s&rains are the n'")er one in5'r# to the an.le =Hol"es D Delah'nt, 3009>. he &revention of these in5'ries, as (ell as &ro&er )racing after occ'rrence is cr'cial in .ee&ing athletes on the field. In a research st'd# done )# ricia 4. H'))ard and Mitchell $ordova, the# fo'nd that athletes (ho s'ffered fro" chronic an.le insta)ilit# significantl# )enefited fro" having their an.les ta&ed and (ere less li.el# to s'ffer an in5'r# or re2in5'r# =H'))ard D $ordova, 3010>. It is for these reasons that ta&e and ta&ing accessories are vitall# i"&ortant to the *thletic rainer and are an a)sol'te necessit# in the athletic training roo". First Aid/Emergency Supplies *nother do"ain o'tlined )# the :* * is I""ediate and E"ergenc# $are =:* *,

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3010>. his do"ain states, B*thletic trainers are ed'cated and trained to &rovide standard i""ediate and e"ergenc# care &roced'res to &atients and clients. *thletic trainers also recogni<e (hen cons'ltation (ith other health care &roviders is necessar# and refer accordingl#.C =:* *, 3010>. his "eans that if an athlete )eco"es in5'red in an# (a#, the *thletic rainer is going to &rovide i""ediate care and it is i"&ortant for )oth the safet# of the athlete, as (ell as the *thletic rainer, that the &ro&er s'&&lies are availa)le. he *"erican Fed $ross? =*F$> ,artici&ant Man'al o'tlines disease trans"ission and &revention. It states that diseases are co""onl# s&read thro'gh direct contact and that &ro&er safet# e-'i&"ent s'ch as gloves sho'ld )e 'sed to &revent this trans"ission =*F$, 3010>. his "echanis" of trans"ission also gives reason for the need of &ro&er )andaging s'&&lies. /ee&ing (o'nds clean and &ro&erl# )andaged (ill aid in the )od#?s a)ilit# to recover -'ic.l# and safel#. hese are 5'st a co'&le e+a"&les of the i"&ortance of first aid and e"ergenc# s'&&lies )'t the list is endless and this sho(s that the need for these s'&&lies is a)sol'tel# cr'cial to the *thletic rainer and the athletes.

Non-Consumables
Treatment & Re abilitation :on2cons'"a)le ite"s are s'&&lies 'sed in the athletic training roo" that are intended for "ore than one 'se. hese ite"s are 'sed 'ntil )ro.en or o'tdated and are then re&laced or fi+ed. For athletic trainers to design &atient s&ecific reha)ilitation &rotocols a variet# of non2cons'"a)le ite"s for reha)ilitation are re-'ired. @tili<ation of indicated &rotocols and e-'i&"ent are inval'a)le for an athlete?s safe ret'rn to &la#. he :ational *thletic rainers *ssociation recogni<es that disease oriented &ractices have )een historicall# do"inant (ithin the &rofession, )'t advocate an evidence2)ased &atient oriented a&&roach =Sn#der et

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al., 3006>. Feha)ilitation ite"s designed for strengthening = hera)ands, c'ff (eights> and &ro&rioce&tive i"&rove"ents =*ire+ &ad> are ite"s co""onl# fo'nd in reha)ilitation settings. he &orta)ilit# and versatilit# of these ite"s &rovide athletic trainers (ith the )asic e-'i&"ent necessar# for i"&le"entation of &atient s&ecific treat"ent. *nother .e# contri)'tor to s'ccessf'l reha)ilitation is the athlete?s adherence to the &rotocol. *s s'&&orted )# research, creating a variet# of reha)ilitation e+ercises is a"ong the to& three "ost i"&actf'l &s#chosocial strategies =$le"ent, Gran-'ist, D*rvinen2Barro(, 3017>. *thletes are "ore li.el# to re"ain engaged and co"&liant (ith their reha)ilitation &rotocol (hen treat"ent is less re&etitive. In accordance (ith these findings, Select ech d'"))ells, .ettle )ells =6 D 11 .g>, (eight training vest =30 l)s.>, and an *ird#ne e+ercise )i.e has )een re-'ested. he &'rchase of these additional ite"s (ill &rovide the varia)ilit# in reha)ilitative o&tions necessar# for the athletic training staff to develo& treat"ent &rotocols that foster athlete adherence and effectiveness. Before a reha)ilitation &rotocol can )e designed, an athletic trainer "'st first "anage the ac'te infla""ator# &rocess and eval'ate res'lting f'nctional restrictions. he co""on &ractice for "anage"ent of the ac'te infla""ator# &rocess is to rest, ice, co"&ress, elevate, and sta)ili<e =FI$ES>. he :* * recogni<es that, (hen indicated, FI$ES red'ces the ris. of secondar# in5'r# and &rovides an o&ti"al environ"ent for the healing &rocess =/i"ins.i, 3017>. Ite"s 'sed to "anage infla""ation incl'de% Ga"e Fead# c'ffs and sleeves, *$E )andages, cr'tches, )races, and slings. Managing ac'te infla""ation is the first ste& in the reha)ilitation &rocess and vital to safe and efficient ret'rn to &la#. Ma.ing the ret'rn to &la# decision for athletes (ho have s'ffered a s&ort2related conc'ssion is diffic'lt. ,atient re&orted s#"&to"s and visi)le f'nctional i"&air"ents are

GHHS 13

considered (hen an athlete is s's&ected to have s'ffered a conc'ssion. hese s')5ective "eas'res do not reflect all of the ne'ro&athologic effects for athletic trainers to "a.e safe ret'rn to &la# decisions. o &rovide an o)5ective "eas're of the ne'ro&athologic effects, the :.*. .*. s'&&orts the 'se of co"&'teri<ed ne'ro&s#chological tests =I",*$ > as relia)le and valid assess"ent tools =G's.ie(ic<, 3004>. he i"&le"entation of co"&'teri<ed testing (ill assist the athletic training staff in "a.ing safe and a&&ro&riate decisions (hen "anaging s&ort2related conc'ssions. he 'se of this soft(are is vital for the &ro&er diagnosis of athletes (ith conc'ssions. Michigan recentl# enacted a la( that o'tlines conc'ssion "anage"ent and the 'se of soft(are s'ch as I",*$ can greatl# assist the athletic trainer in adherence (ith this la(. he la( states that an athlete "'st )e cleared )# a licensed health care &rofessional (hose sco&e of &ractice incl'des the recognition, treat"ent, and "anage"ent of conc'ssions. *thletic trainers fall 'nder this categor# and th's are a'thori<ed to cond'ct a grad'ated ret'rn to &la# &lan. he g'idelines that are o'tlined for a grad'ated ret'rn to &la# &lan can )e fo'nd in the Consensus Statement on Concussion in Sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008. It is stated that a grad'ated ret'rn to &la# &rotocol sho'ld ta.e a&&ro+i"atel# one (ee., starting once the athlete is co"&letel# as#"&to"atic =Mc$ror#, Mee'(isse, 4ohnston, Dvora., *')r#, Mollo, D $ant', 3009.>. If the diagnosis is "ade off of "ostl# s')5ective infor"ation, it "a# res'lt in -'estioning of the athletic trainer )# coaches, &arents, and the athlete?s tea""ates. B# 'sing a soft(are &rogra" s'ch as I",*$ , it allo(s the athletic trainer to have o)5ective data that sho(s the athlete?s areas of deficienc#. his aids the athletic trainer in the diagnosis of a conc'ssion and avoids (ithholding athletes fro" &artici&ation (hen it is

GHHS 14

'nnecessar#. !ith the &ro&er 'se of this soft(are, athletic trainers are "ore e-'i&&ed to "a.e the &ro&er diagnosis regarding conc'ssions and th's can avoid -'estioning, and adhere to the ne( state la( &ro&erl#. Administrative *s stated )# the Board of $ertification in the Standards of ,rofessional ,ractice, all services and details of &atient health stat's are to )e doc'"ented and .e&t as &art of the &atient?s &er"anent record =Board of $ertification, 3001>>. o facilitate doc'"entation and record .ee&ing, an office s&ace e-'i&&ed (ith a (or.station, co"&'ter, and records ca)inet is re-'ired. hese ite"s are i"&ortant to the athletic training setting not onl# for organi<ational &'r&oses )'t to follo( standards for the Health Ins'rance ,orta)ilit# and *cco'nta)ilit# *ct =HI,**> and the Fa"il# Ed'cational Fights and ,rivac# *ct =FEF,*>. Emergency Care *s set forth )# the B;$ Standards for ,rofessional ,ractice, athletic trainers are e+&ected to &rovide standard i""ediate care 'sing e"ergenc# &roced'res =Board of $ertification, 3001>. *s stated in o'r "ission, the health and (ell2)eing of o'r &atients is o'r to& &riorit#. o &'t o'r "ission state"ent into &ractice, s'ita)le e"ergenc# care e-'i&"ent is re-'ired. Ite"s 'sed d'ring e"ergenc# care cover a vast arra# of conditions ste""ing fro" collision2related to environ"ent2related e"ergencies. $ardiovasc'lar e"ergencies a"ong athletes re-'ired to (ear &rotective headgear, &artic'larl# those (ith face"as.s, garner s&ecific consideration. !hen catastro&hic in5'r# occ'rs to a hel"eted athlete, face"as. re"oval "a# )e re-'ired to "aintain an o&en air(a#. If cardio&'l"onar# res'scitation =$,F> is necessar#, it is advised that the face"as. )e re"oval )e carried o't in less than 10 seconds to li"it the ris. for h#&o+ic in5'r# =Bradne#D Bo("an, 3017>. o

GHHS 15

"itigate this ris., a $,F Micro.e#, Sch'tt Faceg'ard re"oval 'nit, and )ac. '& electric handheld drill have )een re-'ested. Environ"ental conditions and related e"ergenc# care sit'ations are another s')division re-'iring s&ecific non2cons'"a)le e-'i&"ent. Hot, cold, andAor stor"# conditions elevate the ris. for environ"ental2related e"ergenc# sit'ations. Fro" 3001 to 3011, e+ertional heat stro.e (as identified as the leading ca'se of death a"ong athletes =Ma<erolle et al., 3011>. a.ing &reca'tionar# ste&s to avoid e+&os're to these conditions is considered the )est &ractice. o eval'ate and &redict relevant environ"ental factors, stationar# and &orta)le (eather "onitoring e-'i&"ent is needed. ,orta)le s#ste"s are generall# si"&lified versions of stationar# s#ste"s, )'t are 'sef'l for receiving '&dates o'tside of the athletic training facilit#. In the event that an e"ergenc# sit'ation (as to occ'r, &ro&er eval'ation of vital signs and in5'r#2related s#"&to"s is cr'cial in deter"ining &ro&er treat"ent. For "onitoring e+ertional heat stro.e, rectal ther"o"etr# devices &rovide the "ost acc'rate and &ractical )od# te"&erat're "eas'res regardless of environ"ental conditions =Ma<erolle et al., 3011>. Meas're"ent of vital signs thro'gh the 'se of a stethosco&e, )lood &ress're c'ff, and other "eas're"ent tools (o'ld &rovide additional o)5ective "eas'res 'sed in deter"ining &ro&er treat"ent for heat e+ha'stion and other "edical conditions. ;rtho&edic in5'r# involving the cervical s&ine and e+tre"ities ca'ses concern for life threatening str'ct'ral, vasc'lar, and ne'rological da"age. If handled i"&ro&erl#, a dis&laced fract're "a# da"age s'rro'nding tiss'es and lead to &er"anent disa)ilit# or death. S&orts &artici&ation is the fo'rth leading ca'se of s&inal cord in5'r# =7.4G> and res'lts in a #earl# average of 1 -'adri&legic events in foot)all alone =S(art< et al., 3009>. he :* * reco""ends that e+ternal sta)ili<ing devices =s&ine )oard, cervical collar> )e

GHHS 16

'sed (hen &roviding e"ergenc# care and trans&ortation to an athlete (ith a s's&ected cervical s&ine in5'r# =S(art< et al, 3009>. Si"ilarl#, fract'res and dislocations to the e+tre"ities 5eo&ardi<e s'rro'nding vasc'lar and ne'rological str'ct'res. Dis&lace"ent of the in5'red str'ct're correlates (ith an increase in &ain and re-'ires i""o)ili<ation =S*M s&lint, vac''" s&lint>. B# i""o)ili<ing the involved str'ct'res f'rther da"age to s'rro'nding tiss'es and an increase in &ain res&onse is "ini"i<ed =Miller, D Berr#, 3011>. *ccessing the site of in5'r# "a# )e diffic'lt and re-'ire the 'se of other tools =scissors, ta&e shar., electric hand drill> to re"ove clothing, e-'i&"ent, or ta&e to facilitate effective i""o)ili<ation. *ccess to the location of in5'r# is re-'ired for &ro&er eval'ation and effective treat"ent.

Capital E!uipment
$a&ital e-'i&"ent generall# consists of high &riced ite"s that are 'sed on a dail# )asis and th's are an inval'a)le asset to the athletic trainer. his e-'i&"ent is co"&rised of "odalit# tools, reha)ilitation tools, and life saving devices. Emergency E!uipment *'to"ated E"ergenc# Deli)erators =*ED> is one of the "ost i"&ortant &ieces of e-'i&"ent needed in the athletic training roo". *ccording to the *F$ s'dden cardiac arrest is the one of the leading ca'ses of death in the @nited States =*F$, 3010>=Defi)rillator, 3011>. In the event of s'dden cardiac arrest, *ED is the onl# treat"ent that is a)le to restore a reg'lar heart rh#th" =Defi)rillator, 3011>. he *F$ reco""ends that ever#one sho'ld )e (ithin fo'r "in'tes of an *ED )ased on st'dies that sho( for ever# "in'te that *ED 'se is dela#ed the chance of s'rvival red'ced )# a)o't 10G. *ltho'gh first res&onders carr# these life saving devices, on average it ta.es 6213 "in'tes for the" to get to the scene. B# having

GHHS 17

three devices &laced thro'gho't the s&ort facilities at Grand Haven High School, there is a greater chance of saving the life of an athlete, coach, s&ectator, ad"inistrator, or an# individ'al at the school =*F$, 3010>. "odalities $r#othera&# is an essential "odalit# 'tili<ed )# the athletic trainer and a great deal of other healthcare &rofessionals. *n ice "achine is a 'ni-'e &iece of ca&ital e-'i&"ent )eca'se it is )oth a "odalit# for cr#othera&# and 'sed in other sit'ations. Ice is a "a5or &ortion of the in5'r# treat"ent &rocess )eca'se it controls s(elling, li"its secondar# in5'r#, and &rovides &ain relief. It is the standard of treat"ent follo(ing al"ost all ac'te ortho&edic in5'ries as (ell as the "ost effective treat"ent for "'scle soreness and "'scle s&as". *ll thera&e'tic "odalities are 'sed d'ring reha)ilitation to &ro"ote in5'r# healing, hel& relieve &ain, and regain f'll range of "otion. ;ther for"s of cr#othera&# that can )e 'tili<ed (ith the ca&ital e-'i&"ent are cold (hirl&ool and Ga"eFead#. Ga"eFead# &rovides )oth cr#othera&# and co"&ression to the in5'red area. B# doing so not onl# is the s(elling controlled, &ain relief &rovided, and secondar# in5'r# li"ited, )'t also, the co"&ression ede"a for"ation is &revented. he (hirl&ool can )e 'sed )oth for cr#othera&# and ther"othera&#H it &rovides a )eneficial s&ace for athletes to ice )ath in order to get the lactic acid o't of their legs follo(ing e+ercise as (ell as a (ar" (hirl&ool to heat their "'scles &rior to &artici&ation. he Sti"'lator is necessar# in order to &rovide electrothera&#, (hich is 'sed to red'ce &ain, ede"a, s&as", as (ell as heal (o'nds, and reed'cate or strengthen "'sc'lat're =/night D Dra&er, 3006>. *s sho(n )# a "'ltit'de of c'rrent st'dies, having these ite"s availa)le is an i"&ortant &art of the s'ccess of the &rogra" in healing in5'red athletes.

GHHS 18

It is (ell .no(n that non2restricted range of "otion has direct correlation to &ain free dail# living =,rentice, 3011>. he r'e Stretch, &ro"oted )# the Gra# Instit'te, is one of the "ost innovative ne( technologies in f'nctional stretching. his state of the art device allo(s s')5ects to stretch in a nat'ral (eight2)earing &osition (hile giving the 'ser the a)ilit# to stretch in all three &lanes of "ove"ent. In an# setting an athletic trainer (ill s&end a great deal of ti"e assisting athletes (ith stretching techni-'es, and in so"e cases the athletic trainer (ill assist the athlete in &assive stretches. !ith the &resence of a r'e Stretch an athletic trainer has the a)ilit# to de"onstrate the desired stretches to an athlete and then "onitor the" (hile &roficienc# is gained. his hands off a&&roach allo(s the athletic trainer to activel# &arta.e in other activities and res&onsi)ilities, "a.ing the r'e Stretch a necessar# tool for an# reha)ilitation setting. Treatment reat"ent ta)les are re-'ired in ever# health care setting fro" hos&itals to &ediatric clinics. hese ta)les are 'sed do<ens of ti"es a da# &ending the site and are one of the "ost 'tili<ed &ieces of e-'i&"ent an athletic trainer can have. In5'r# eval'ations, thera&e'tic "odalit# a&&lication, reha)ilitation e+ercises, and "ore are cond'cted ever# da# 'sing treat"ent ta)les. hese are an i"&ortant necessit# in order to "aintain flo( and &rod'ctivit# in the healthcare &rovided to the athletes at Grand Haven High School.

#rogram $perations
Emergency "edical Coverage Foot)all is associated (ith the largest n'")er of catastro&hic s&inal in5'ries of all s&orts in the @nited States =M'eller D $ant', 3006>. Grand Haven High School has a longstanding relationshi& (ith :orth ;tto(a $o""'nit# Hos&ital and it is thro'gh this relationshi& that

GHHS 19

the hos&ital donates e"ergenc# "edical services =EMS> for ever# ho"e foot)all ga"e. *long (ith EMS coverage, the &resence of an overseeing &h#sician is also &rovided &ro2)ono. hese t(o services )eing donated )# the co""'nit# saves Grand Haven a&&ro+i"atel# I7300.00. he B;$ re-'ires that ever# &racticing athletic trainer (or. 'nder the direct s'&ervision of a &h#sician =B;$, 3001>. he donation of these t(o services &rovides a great financial lenienc# to allocate f'nding to(ards other f'nctions. Clot ing !hile it "a# see" 'nnecessar#, official athletic training clothing is fairl# i"&ortant. his clothing allo(s athletes, coaches, officials and &arents to easil# identif# the athletic trainer. It also gives the athletic trainer a "ore &rofessional a&&earance (hich hel&s to foster the re&'tation of the athletic trainer as a res&ected health care &rovider. $lothing "'st )e a&&ro&riate for all cli"ates as the athletic trainer (ill cover events in an# .ind of (eather &er"itting it is safe to &artici&ate, (hich leads to n'"ero's t#&es of clothing )eing re-'ired. *s this fee does not co"e o't of the )'dget, it is donated )# tea" coaching staff?s. his allo(s for f'nding to )e allocated else(here. "iscellaneous It is i"&ortant for athletic trainers to have the a)ilit# to reach selected event fields in a ti"el# "anner and have the ca&a)ilit# to trans&ort h#dration e-'i&"ent, in5'red athletes, and "edical e-'i&"ent to and fro" a range of locations. o acco"&lish this tas. a vehicle s'ch as a 4ohn Deere Gator is re-'ired. Jehicles of this nat're are re-'ired for the dail# de&lo#"ent and retrieval of e-'i&"ent, and are i"&erative to the res&onse of life2 threatening e"ergencies =*nderson, 3006>. he second standard of &rofessional &ractice as defined )# the :* * is &revention

GHHS 20

=B;$, 3001>. *ll certified athletic trainers g'arantee -'alit# health care deliver# thro'gh the 'nderstanding and 'se of a&&ro&riate &reventative "eas'res. * large co"&onent of &revention is &ro&er h#dration. *t Grand Haven High School, a"&le (ater is &rovided for all &ractices and ho"e co"&etitions. !ith over 30 varsit#, 5'nior varsit# and fresh"an tea"s, a large n'")er of coolers are re-'ired to ens're &ro&er h#dration of all athletes. !e are fort'nate eno'gh to have a contract (ith the $oca $ola $or&oration in (hich 1, 102 gallon and 7, 8 gallon Gatorade coolers (ere donated to the athletic training de&art"ent. his donation saved a&&ro+i"atel# I667. Michigan ;cc'&ational Safet# and Health *d"inistration re-'ire that "edical (aste "'st )e dis&osed of )# a third &art# co"&an# ever# 90 da#s. his service is ad"inistered at ever# school (ithin the Grand Haven district and a l'"& s'" is &aid for the entire district. he safe and &ro&er "anage"ent of "edical (aste is i"&erative to an# health2care setting, as "edical (aste can )e har"f'l (hen handled i"&ro&erl#. Electrical o'tlets and "odalit# e-'i&"ent s'ch as the electronic sti"'lation 'nit re-'ires ann'al ins&ection and cali)ration to ens're &ro&er f'nctionalit# =Daniel D F'&ert, 3007>. !hen e-'i&"ent s'ch as an electronic sti"'lation 'nit is (or.ing i"&ro&erl# it can have adverse effects on the &atient receiving treat"ent )# "alf'nctioning. Malf'nctioning e-'i&"ent can lead to electrical shoc.ing of a &atient, or &otential har" fro" )'rns. It is of the '&"ost i"&ortance that all e-'i&"ent )e cali)rated ann'all#. $ertified athletic trainers "'st rene( "e")ershi&s ann'all# (ith the :* *, co"&lete contin'ing ed'cation, and "aintain certification =:* *, 3011> =B;$, 3001>. hese re-'ire"ents allo( the athletic trainer to )e '& to date (ith the highest -'alit# of health care &ractices, as (ell as learn ne( "ethods for treat"ent. * stagnant state of ed'cation

GHHS 21

co'ld &revent the athletic trainer fro" e+&anding their .no(ledge )ase and th's leave the" )ehind in regards to treating &atients.

First %ear &udget

Consumables Based on initial invest"ent, a first #ear )'dget is necessar# to e+cel the athletic &rogra" in contin'ing to &rovide essential care to the athletes. he cons'"a)les 'sed in the &revio's #ear "'st )e re2stoc.ed to "aintain the &ro&h#lactic a&&lication, as (ell as the "anage"ent and care for ac'te and e"ergenc# in5'ries. E!uipment ;ver ti"e e-'i&"ent )eco"es 'n'sa)le d'e to de&reciation. Jario's ite"s are lost in transition to e"ergenc# facilities or in sit'ations (here the# are over'sed and no longer f'nctional. ;ther ite"s can )e re-'isitioned d'e to the i"&le"entation of ne( fo'nd standards of &ractice, or advance"ent in treat"ent &rotocols for vario's &athologies. !ith this in "ind it is i"&ortant to re2stoc. e-'i&"ent on an ann'al )asis to re&lace ite"s, and gather ite"s to increase the -'alit# of care )eing &rovided at Grand Haven High School. #rogram $perations he &rogra" o&erational costs need to )e rene(ed on a #earl# )asis in order to .ee& the &rogra" r'nning s'ccessf'll#. !hile Grand Haven High School is fort'nate eno'gh to have a "'ltit'de of these e+&enses donated, s'ch as overseeing &h#sicians and e"ergenc# "edical services, there is still the need to "aintain the contract (ith Shoreline S&ort and S&ine for the athletic training services that are )eing &rovided to the". @&on the "aintenance of this relationshi&, Grand Haven High School can )e ass'red that the# (ill contin'e to )e a leading health care &rovider for the co""'nit# as (ell as the st'dent

GHHS 22

athletes. Additional 'esired Items

In addition to the ca&ital e-'i&"ent alread# &resent at Grand Haven High School, to reach the highest standards of health care and e"&lo# the "ost recent technolog# to(ards the (ell2)eing of o'r athletes (e (o'ld li.e to advocate for several ite"s% Graston echni-'e Instr'"ent Set, a Star rac. read"ill, FK s's&ension training e-'i&"ent, rectal ther"o"eter, and a scoo& s&ine2)oard. he Graston instr'"ent2assisted soft2tiss'e "o)ili<ation =GIS M> has )een sho(n to &ro"ote locali<ed healing to vario's connective tiss'es =Schaefer 3013>. GIS M has also )een 'sed to address h#&er2"o)ilit#, adhesions, and other soft2tiss'e restrictions =Shaefer, 3013>. his t#&e of asset (o'ld allo( the athletic trainer the a)ilit# to i"&le"ent GIS M in the reha)ilitation of an assort"ent of &athologies. D'e to the high cost of GIS M tools, (e have fo'nd s'ita)le s')stit'tes for a "'ch lo(er &rice, the M#o2Bar clinic set for onl# I838.00 co"&ared to the GIS M I37880.00. *s a diagnostic or reha)ilitation tool, the tread"ill is a great reso'rce. *s a diagnostic tool the tread"ill allo(s the athletic trainer the a)ilit# to anal#<e a s')5ects gait for a)nor"al "ove"ent &atterns that co'ld &redis&ose the" to in5'r#, or assess a s')5ect to deter"ine a ret'rn to &la# stat's. ;)5ective gait anal#sis &rovides athletic trainer an assess"ent tool for deter"ining treat"ent effectiveness, and the effects of disease &rogression =$hester, 3008>. *s stated in the initial invest"ent )'dget for non2cons'"a)les% creating a variet# of reha)ilitation e+ercises is a"ong the to& three "ost i"&actf'l &s#chosocial strategies. !ith this in "ind the tread"ill and the addition of the FK s's&ension training e-'i&"ent (ill add greater varia)ilit# to reha)ilitation. hese ite"s (ill also aid the athletic trainer in '&holding not onl# the standards of &ractice, )'t ade-'atel# "anage the do"ains of the &rofession in regards to reha)ilitation. he final t(o additions, rectal ther"o"eter and scoo& s&ine2)oard sho'ld )e ac-'ired for the "anage"ent of e"ergenc# sit'ations. *s &er the :* * &osition state"ent on e+ertional heat illness the rectal ther"o"eter is the gold standard (hen attaining )od# te"&erat're d'e to its a)ilit# to )e

GHHS 23

reflective of the s')5ect?s core te"&erat're =3003>. $ore te"&erat're is the tr'e te"&erat're re-'ired to deter"ine if the athlete needs to )e i""ediatel# dis&atched to an e"ergenc# facilit#, or if the# sho'ld )e ra&idl# cooled )efore transit. Having this tool on hand can "ean the difference )et(een an athlete?s d#eing in ro'te to the hos&ital, and living to &la# another ga"e. *long the sa"e lines, a scoo& s&ine2)oard is a great asset to the e"ergenc# sit'ation. In the &resence of cervical s&ine in5'r# the scoo& s&ine2)oard allo(s for the sa"e li"itations in regards to s&inal "ove"ent as the gold standard 12&erson lift, )'t can )e 'sed (ith fe(er individ'als. his allo(s for the athletic trainer to &ro&erl# set the athlete &rior to EMS arrival (ith fe( hands availa)le for assistance.

Second %ear &udget(

*fter attaining the &revio'sl# "entioned ite"s (ithin the first #ear )'dget it is the reco""endation of this &ro&osal to contin'e to restoc. the cons'"a)le ite"s that are re-'ired, as (ell as the e-'i&"ent that is )e#ond re&air. *ll of the ite"s listed are )ased on &revio'sl# ac-'ired "aterials that have )een needed in the &ast at Grand Haven High School, and can )e seen not onl# in the second #ear )'dget a&&endi+, )'t also in the attached "aterials invoice fro" Shore 9ine Medical S'&&lies. he contin'ance of stoc.ing the athletic training facilities is i"&erative to the athletic trainers f'nction.

At letic Trainer and Additional Support Sta)) Rational

Based on e"ergenc# "edical services, &h#sician services, clothing, and h#dration s'&&lies )eing donated, "ore f'nding sho'ld )e allocated for the salar# of a second, &art ti"e athletic trainer. hese services co")ined allot for a&&ro+i"atel# I1971.94 in initial savings fro" the h#dration and clothing, and I7300.00 on a #earl# )asis for e"ergenc# "edical services and &h#sician services. Grand Haven High School serves a&&ro+i"atel#

GHHS 24

1,600 st'dents (ith 400 of those st'dents &artici&ating in school s&onsored athletics. D'ring &ea. ho'rs, a&&ro+i"atel# 10 athletes need to )e seen for ta&ing, treat"ent, reha)ilitation or in5'r# eval'ation. his co'ld easil# t'rn into an over(hel"ing load for a single athletic trainer. !ith so "an# athletes )eing cared for )# a one &erson, the chances for a &otentiall# serio's in5'r# to sli& thro'gh the crac.s is increased. Miss2"anage"ent of serio's in5'ries s'ch as conc'ssions can ca'se severe co"&lications for the athlete as (ell as the instit'tion. his is de"onstrated )# the recent conc'ssion la(s'it against the :F9 that settled o't of co'rt for 718 "illion dollars. It is not diffic'lt to i"agine these t#&es of iss'es tric.ling do(n into the secondar# school setting. he addition of a second athletic trainer is the first ste& that sho'ld )e ta.en in order to )oth ens're the health and safet# of athletes and &rotect the instit'tion against la(s'its. Shoreline S&ort and S&ine?s Jision State"ent clearl# states an ai" to )eco"e a leading health care &rovider in the area. It is stated in the Mission State"ent that the -'alit# of care given to &atients is the to& &riorit#. It is not &ossi)le to )e a leader in health care or &rovide high -'alit# care (itho't a second athletic trainer. Schools in the area (ith co"&ara)le st'dent and athlete &o&'lations s'ch as !est ;tta(a High School and East /ent(ood High School e"&lo# "'lti&le athletic trainers. Grand Haven High School can?t )e considered a leading health care &rovider if it cannot co"&ete (ith si"ilar schools in this area. It is also not &ossi)le for a single athletic trainer to give each &atient the individ'al ti"e and foc's that is needed for the" to receive the highest level of care &ossi)le. he &resence of another athletic trainer (ill eli"inate so"e of the ti"e constraints on the c'rrent athletic trainer, res'lting in increased care -'alit# for &atients.

GHHS 25

he :* * classifies s&orts into ris. categories and "ade reco""endations for "edical coverage for each categor#. hree s&orts offered at Grand Haven High School fall into the increased ris. categor#. he :* * reco""ends that a certified athletic trainer )e &resent at all &ractices for these s&orts =:* *, 3007>. (o of these s&orts ="en?s )as.et)all and (restling> are in season at the sa"e ti"e. It is not &ossi)le for one athletic trainer to )e &resent at t(o different &ractices at the sa"e ti"e, f'rther highlighting the need to hire a second athletic trainer. he reco""endations )ased on intercollegiate athletic &o&'lation state that Grand Haven sho'ld have 7.81 athletic trainers on staff d'e to s&ort coverage de"and as seen in the Feco""endations for *&&ro&riate Medical $overage ta)le in the a&&endicesH altho'gh these reco""endations are for collegiate &rogra"s, the "edical needs for high school athletics is no less i"&ortant. he Mission dis&la#ed earlier in this advocac# &ro&osal, states that Shoreline S&ort and S&ine (ill &rovide the highest -'alit# care &ossi)le and that can onl# )e done )# follo(ing the highest reco""endations availa)le. In order to have high -'alit# individ'als interested in this &osition, (e "'st offer a co"&etitive salar#. he :* * Salar# S'rve# sho(ed that the average athletic trainer (or.ing f'll2ti"e thro'gh a clinic in a secondar# school "a.es I41,797 a #ear =:* *, 3011>. he &osition that (e are offering is &art2ti"e =a&&ro+i"atel# 30238 ho'rs &er (ee.>. It is reco""ended that I38,000 &er #ear to )e allocated for the salar# for this &osition. B# offering slightl# "ore than half of an average salar# the goal is to attract a good n'")er of highl# -'alified a&&licants.

Conclusion
*thletic trainers covering high school athletic &rogra"s are &'lled in ever# direction )# a large n'")er of athletes and s&orts. he de"ands of the high school athletic &rogra" are

GHHS 26

n'"ero's and e+ha'stive, (hich can i"&ede the athletic trainer fro" consistentl# iss'ing the highest level of health care &ossi)le (hich contradicts not onl# the :* *?s do"ains of &ractice )'t the B;$ standards of &rofessional &ractice =:* *, 3010>. *ccording to 9#<nic.i, Figgs D $ha"&ion, one in five of a&&ro+i"atel# si+ "illion adolescents (ho &artici&ate in high school s&orts ever# #ear s'stain a s&ort2related in5'r#, and "ost of these in5'ries are "inor and occ'r d'ring &ractices rather than co"&etitions =1999>. *ccording to the *"erican Medical *ssociation =*M*>, a&&ro+i"atel# one of ever# 100,000 high school athletes (ill s'stain a catastro&hic in5'r# =9#<nic.i, Figgs D $ha"&ion, 1999>. It is for these reasons that athletic trainers re-'ire not onl# relia)le and '& to date e-'i&"ent and facilities, )'t the a)ilit# to )e &resent at as "an# athletic events as &ossi)le (hether the# )e &ractices or ga"es. *s a single athletic trainer the a)ilit# to )e at ever# event or &ractice (o'ld "ost ass'redl# lead to )'rno't, as (ell as de&reciate the co"&ensation the# are receiving greatl#. In these cases there are several (a#s to facilitate e+tra coverage for athletic events. In so"e cases athletic events can )e contracted to free2lance athletic trainers (hich (o'ld red'ce the )'rden on the f'll ti"e athletic trainer. his o&tion is 'sed (hen athletic trainers re-'ire ti"e off for an# n'")er of life circ'"stances. *ltho'gh this &rovides so"e lee2(a# for the athletic trainer to receive ti"e off and "anage coverage a&&ro&riatel# it is onl# 'sed for event coverage (hich still leaves &ractices 'nattended, as (ell as the "anage"ent of the athletic training roo". * second o&tion (o'ld )e to hire a s&lit2&osition athletic trainer. his t#&e of &osition is generall# 'tili<ed (hen an instit'tion doesn?t &ossess the f'nding to f'll# co"&ensate an athletic trainer for health care services s&ecificall#, so the# are given a secondar# 5o) title

GHHS 27

s'ch as s')stit'te teacher, sec'rit#, activities director, or strength coach =Secondar# School *thletic rainersL $o""ittee, 3003>. *ltho'gh this is not a co"&rehensive list, as long as the athletic trainer has the a&&ro&riate training and ed'cation the# can fit a variet# of roles re-'ired (ithin the ed'cational facilit#. *ltho'gh this o&tion does not co"&letel# fill the void it "a# facilitate the needs of the athletic &rogra". 9astl#, a &art2ti"e athletic trainer can )e hired. his o&tion is generall# 'sed in sit'ations (here the athletic &rogra" cannot 5'stif# the f'nding for a f'll ti"e athletic trainer and no s&lit &osition can )e offered, )'t dee" the health care &rovided to )e of the 't"ost i"&ortance =Secondar# School *thletic rainersL $o""ittee, 3003>. his t#&e of &osition allo(s consistent e+tra coverage of athletic events, (hich (o'ld free '& ti"e for the f'll ti"e staff to allocate ti"e else(here s'ch as &roviding reha)ilitation and treat"ent to athletes a(a# fro" ongoing events. In schools that c'rrentl# e"&lo# certified athletic trainers a cost savings of as "'ch as I70,0002I60,000A#ear to st'dent2athletes and their fa"ilies (as re&orted )# &roviding on ca"&'s athletic training services =Berr#, 1997>. hese services can )e greatl# neglected (hen an athletic trainer is re-'ired to facilitate a "a5orit# of their ti"e (ith event coverage as o&&osed to treating in5'ries (ithin the athletic training roo". !ith the addition of a &art2 ti"e athletic trainer the cost savings for the Grand Haven High School athletic &rogra" (o'ld increase a)ove the &')lished nor"s and th's the level of health care )eing &rovided (o'ld )e consistent (ith those desired )# the "ission and vision for the facilities.

GHHS 28

GHHS 29

F$CILI0( R$0I1/$L4

Introduction An athleti! trainin# (a!ility re2"ire a #reat deal o( %er atility and pa!e to ade2"ately "pport the ta(( and athlete *ho "tili0e it) E%ery a pe!t o( the (a!ility $" t &e thoro"#hly e3a$ined to pro%ide the opti$al en%iron$ent (or the daily ta 4 o( the athleti! trainer) E3a$ination re#ardin# the i0e/ lo!ation/ and layo"t o( the (a!ility are i$perati%e to !reatin# the ideal "rro"ndin# to (it the athleti! trainer+ need ) Spe!ial !are $" t al o &e ta4en in re pe!t to the pl"$&in#/ ele!tri!al/ and li#htin# y te$ (or the (a!ility) Thi (a!ility *ill &e the h"& (or not only the athleti! trainer/ &"t the &a i (or all port $edi!ine operation at Grand Ha%en Hi#h S!hool) 1itho"t the proper (a!ility the athleti!

GHHS 30

trainer *o"ld &e in!apa&le o( per(or$in# the re pon i&ilitie and (ollo*in# the pro(e )i6e Deter$inin# the a$o"nt o( pa!e re2"ired (or pro%idin# opti$al athleti! trainin# er%i!e depend on the n"$&er o( athlete to &e er%ed/ type o( athlete er%ed/ type o( er%i!e o((ered/ e2"ip$ent needed/ n"$&er and 2"ali(i!ation o( ta((/ and the pro-e!ted #ro*th o( the pro#ra$ 5Ray : ;onin/ 67889) O"r propo ed athleti! trainin# (a!ility $ea "re 6< 3 =7 (eet/ (or a total i0e o( >87 2) (t) A"thor and re ear!her ha%e !o$e to !on(li!tin# !on!l" ion re#ardin# *hat i0e an ade2"ate (a!ility ho"ld &e) Pen$en 58?<<9 "##e ted the $ini$"$ a$o"nt o( pa!e (or a &are'&one athleti! trainin# roo$ i =77 2) (t) 5Ray : ;onin/ 67889) @ore reali ti!ally/ !on en " a$on# literat"re re!o$$end an athleti! trainin# roo$ o( 8/A77 2) (t) 5National Athleti! Trainer + A Athleti! Trainer + A o!iation/ 67769) The National ional tandard o( pra!ti!e et (orth &y the BOC 5NATA 67879)

o!iation 5NATA9 p"&li hed a re!o$$ended $ethod (or

deter$inin# the appropriate i0e (or an athleti! trainin# (a!ility in their 6776 relea e o( the Position Proposal Guide for Certified Athletic Trainers in Secondary School Athletics Programs) The propo ed $ethod ta4e into !on ideration the %ol"$e o( athlete to &e er%ed and the n"$&er o( treat$ent ta&le a%aila&le *hen deter$inin# ne!e ary 2"are (oota#e) Thi $ethod pro%ide an o&-e!ti%e pe!i(i! to indi%id"al in tit"tion ) The

$ea "re$ent o( the pa!e re2"ired and i (or$"la i a (ollo* B

5C o( St"dent at Pea4 3 8779 . 567 Athlete . C o( Treat$ent Ta&le 9 D TOTAL SE) FT)

GHHS 31

O( the 8<7? t"dent enrolled at Grand Ha%en Hi#h S!hool <A7 are t"dent athlete ) D"rin# pea4 ho"r the athleti! trainin# (a!ility !"rrently er%e appro3i$ately ?7 per ho"r) O"r ne* (a!ility de i#n !all (or 6 treat$ent ta&le ) The treat$ent ta&le lo!ated in the $ain o((i!e i not a!!o"nted (or &e!a" e it i (or pri%ate e3a$ination only) 1hen applied to the NATA re!o$$ended (or$"la/ the re2"ired 2"are (eet (or o"r opti$al athleti! trainin# (a!ility i a (ollo* B 5?7 St"dent Per Ho"r 3 8779 . 567 Athlete . 6 Treat$ent Ta&le 9 D ?77 2) (t) The athleti! trainin# (a!ility *e propo e i ?7 2) (t) $aller than the NATA re!o$$endation) Fallin# hort o( the NATA re!o$$ended i0e and (a!in# potential #ro*th in the n"$&er o( t"dent athlete $ay rai e !a" e (or !on!ern) To $eet t"dent athlete need and pro%ide an opti$al treat$ent en%iron$ent/ !on ideration (or the lo!ation o( o"r (a!ility and other a%aila&le pa!e i re2"ired) The propo ed ne* (a!ility i lo!ated dire!tly a!ro (ro$ the #y$na i"$)

Tran ition (ro$ o"r athleti! trainin# (a!ility to the lar#er #y$na i"$ pa!e i only a (e* tep a*ay) Additionally/ Grand Ha%en Hi#h S!hool ha a "ni2"e

partner hip *ith a lo!al phy i!al therapy !lini!) A a re "lt/ a ("lly e2"ipped phy i!al therapy o((i!e i lo!ated on ite) Sta((ed and "pported &y Shoreline Sport : Spine/ thi additional treat$ent and reha&ilitation pa!e i open (or athleti! trainin# " e) The !lini! in !o$&ination *ith the pri$ary athleti! trainin# (a!ility and #y$na i"$ pro%ide $ore than ade2"ate pa!e to $eet the !"rrent and ("t"re need o( o"r t"dent athlete )

Location

GHHS 32

The (a!ility i lo!ated on the #ro"nd (loor/ dire!tly a!ro

the hall (ro$ the

$ain #y$na i"$ *here all &a 4et&all and %olley&all pra!ti!e and #a$e are held) Thi pro%ide 2"i!4 and !on%enient a!!e any o( tho e e%ent (or the

athleti! trainer) Gro"nd (loor lo!ation i i$portant (or i$pli(yin# tran port o( an in-"red athlete &y eli$inatin# the need (or tair or ele%ator ) Ea y a!!e $ale and (e$ale athlete i e (or &oth

ential (or $a3i$al e((i!ien!y o( an athleti! trainin# eparate door to &oth the $ale and to !are)

(a!ility 5Prenti!e/ 67889) O"r (a!ility !ontain (e$ale lo!4er roo$ to (a!ilitate athlete a!!e 0ra..ic Flo78La out

The (lo* o( tra((i! i tre$endo" ly i$portant to the ("n!tion o( an athleti! trainin# roo$) The &e t *ay to en "re e((i!ient tra((i! (lo* i to identi(y and -" ti(y the pa!e needed (or %ario" "&("n!tion " in# a relation hip !hart, "##e ted

&y @"ther and 1heeler 5Ray : ;onin/ 67889) F in# the pro3i$ity (a!tor e ta&li hed in the relation hip !hart/ a &"&&le dia#ra$ *a then !on tr"!ted *hi!h ho* the patial a o!iation &et*een "&("n!tion area ) The e t*o

!hart *ere then " ed to !reate the layo"t o( o"r athleti! trainin# (a!ility) The relation hip !hart and &"&&le dia#ra$ a *ell a a ("ll layo"t de i#n !an &e (o"nd in Appendi3 8) La out Relations+i%s Office- The o((i!e *ithin the athleti! trainin# roo$ er%e $any ("n!tion and ho"ld &e lar#e eno"#h to a!!o$$odate all ta(( athleti! trainer 5Ray : ;onin/ 67889) The pa!e allotted (or the o((i!e *ithin o"r (a!ility de i#n i "((i!ient (or

the !"rrent athleti! trainer a *ell a a e!ond athleti! trainer) 1indo*

GHHS 33

en!o$pa

$o t o( the *all that (or$ the o((i!e to allo* (or a !lear %ie* into the door pro%ide e3!ellent

athleti! trainin# roo$) The e *indo* alon# *ith a #la

%ie* o( the entire athleti! trainin# roo$ allo*in# (or "per%i ion o( athlete in all area ) The o((i!e i po itioned in relation to the hydrotherapy/ treat$ent/ and reha&ilitation area to en "re #ood %i i&ility in order to $onitor the roo$ at all ti$e ) Taping Area- The tapin# area o( the athleti! trainin# roo$ i 4no*n to &e one o( the &" ie t portion o( the (a!ility 5Ray : ;onin/ 67889) A a re "lt o( the !ro*din# that !an o!!"r/ *e ha%e po itioned the area eparate (ro$ other area to en "re the o%er(lo* *ill not inhi&it other ("n!tion o( the roo$ "!h a reha&ilitation) Hydrotherapy-The hydrotherapy po itionin# *ithin the (a!ility de i#n i an i$portant part to a!!o"nt (or) A a re "lt o( the lar#e a$o"nt o( noi e and *ater pill that a!!o$pany thi area it i i$portant (or it to &e po itioned a*ay (ro$ other "&("n!tion area o( the roo$ 5Ray : ;onin/ 67889) In the !"rrent de i#n it i po itioned in "!h a *ay that the area !an &e $onitored (ro$ the o((i!e (or !on tant "per%i ion o( athlete / &"t i not !lo e eno"#h (or the noi e to i$pa!t the o((i!e) Additionally/ it ha &een pla!ed a*ay (ro$ the tora#e *ithin the roo$ to en "re that "pplie tay in a !ool/ dry en%iron$ent)

Treatment and Rehabilitation- Thi portion o( the roo$ i the lar#e t pa!e in order to a!!o$$odate ne!e ary e2"ip$ent that i 4ept here) It i i$portant that

*e pla!ed thi area a*ay (ro$ the tapin# o athlete *aitin# to &e taped do not o%er !ro*d it 5Ray : ;onin/ 67889) A *ell/ it i in the line o( ite (ro$ the o((i!e

GHHS 34

o the athleti! trainer ha #ood %i i&ility to athlete "tili0in# thi

pa!e)

Private !amination Room-The pri%ate e3a$ination roo$ *ithin a (a!ility i ne!e ary in order to ha%e an area that i a%aila&le to e%al"ate an athlete *hen "e i pri%ate) It ena&le the athleti! trainer to $aintain $ode ty in

the in-"ry to i

a !al$ en%iron$ent that i !o$(orta&le (or the athlete and athleti! trainer ali4e 5Ray : ;onin/ 67889) 1ithin o"r de i#n *e ha%e in!l"ded the pri%ate e3a$ination roo$ a a ("n!tion o( the o((i!e (or pri%a!y rea on ) The o((i!e i eparated (ro$

the re t o( the (a!ility/ $a4in# it ideal (or a pri%ate e3a$ination roo$) Storage-There are $"ltiple a%en"e o( tora#e *ithin the (a!ility de i#n in order to &e $ore !on%enient (or the athleti! trainin# ta(() There are tora#e !a&inet *ithin the tapin# tation to allo* (or ea y re to!4in# *hen "pplie ha%e &een depleted) Al o/ there i tora#e in the reha&ilitation portion o( the *hen athlete are in

roo$ (or reha&ilitation e2"ip$ent to allo* (or ea y a!!e thi portion o( the roo$) All tora#e en%iron$ent order to pre er%e "pplie 5Ray : ;onin/ 67889) )%eci.ic92se $reas

ho"ld &e 4ept dry and !ool in

Office- Ea!h o( the t*o o((i!e *all (a!in# into the athleti! trainin# roo$ (eat"re lar#e/ three pane *indo* ) The o((i!e in!l"de t*o de 4 to a!!o$$odate (or the e!ond athleti! trainer that *e *ill &e hirin#) A lo!4ed (ilin# !a&inet i al o lo!ated in the o((i!e i ne!e ary to $eet $edi!al re!ord e!"rity re2"ire$ent

5Ray : ;onin/ 67889) The o((i!e do"&le a a pri%ate e3a$ination roo$ *hen ne!e ary) A treat$ent ta&le and tool are tored in the &a!4 !orner (or *hen

pri%ate e3a$ination are needed) The *indo* and door ha%e *indo* !o%erin#

GHHS 35

to allo* (or pri%a!y o( the athlete) Taping Area- The tapin# area ho" e t*o/ t*o' tation tapin# ta&le ) D"rin# $o t o( the !hool year there are *ill &e t*o !erti(ied athleti! trainer and t*o athleti! trainin# t"dent *or4in#) The e ta&le allo* (or $a3i$al tapin# e((i!ien!y &y pro%idin# a tation (or ea!h o( the *or4er ) The ta&le al o pro%ide tora#e "nderneath #i%in# ea y a!!e to $ore tapin# "pplie *hen needed)

Ea!h ta&le *ill &e =G in!he tall/ a i re!o$$ended 5Sa&o/ 67769) The tapin# ta&le *ill &e $ade o( For$i!a (or ea y !leanin# and $eet A$eri!an Di a&ilitie A!t 5ADA9 re2"ire$ent &y ha%in# ad-" ta&le le# 5ADA 8??79) Hydrotherapy- The t*o *all o( the *et roo$ that (a!e into the athleti! trainin# (a!ility !ontain lar#e *indo* lo!ated =6 in!he o(( o( the (loor *hi!h allo* (or proper "per%i ion o( the area and al o !ontain$ent o( noi e and $oi t"re) Thi (ollo* the re!o$$endation $entioned &y the NATA in their Po ition Propo al G"ide 5NATA/ 67769) All *all in thi area *ill &e $oi t"re proo( to pre%ent any *ater da$a#e) The (loorin# *ill !on i t o( non' lip r"&&er tile (loorin# to pre%ent any lip and (all in!ident ) The *et roo$ ho" e t*o *hirlpool " ed (or !ryo' or ther$otherapy) An i!e $a!hine i pla!ed near the entran!e to the *et roo$ (or ea y a!!e / a it i " ed o(ten) 1ire hel%in# i e!"red to one

o( the ("ll i0e *all (or !on%enient tora#e o( *ater !ooler ) A (a"!et *ith ho e atta!hed i pla!ed on a *all at a hei#ht o( t*o (eet (or *ater !ooler (illin#) A drain i pla!ed at a li#htly lo*er ele%ation than the re t o( the (loorin# to (a!ilitate drainin# o( any *ater that $ay pill onto the (loor) Re(er to pl"$&in# e!tion (or $ore detail on (a"!et and drain )

GHHS 36

Treatment and Rehabilitation- The treat$ent and reha&ilitation area i eparated (ro$ the tapin# area &y a !o"nter *hi!h ho" e the athlete i#n in heet/ a in4/ one o%erhead !a&inet and tora#e "nderneath) The #i%e the athleti! trainer ea y a!!e to !o$$only " ed ite$ ) There are t*o treat$ent

ta&le pla!ed near the ele!tri!al ti$"lation $a!hine and Ga$eReady (or !on%enien!e) A tationary &i4e i on the other ide o( the area/ *hi!h allo* the athleti! trainer to "per%i e any !ardio *or4 that they $ay re2"ire o( the athlete) A lar#e !a&inet pro%ide tora#e (or all therape"ti! e3er!i e e2"ip$ent) The area

al o !ontain a re&o"nd tra$poline) The *all eparatin# thi area (ro$ the o((i!e !ontain a lar#e *indo*/ allo*in# (or "per%i ion o( athlete (ro$ the o((i!e) Plu-,ing The pl"$&in# y te$ in the athleti! trainin# roo$ !an play a $a-or role in the type o( $odalitie a%aila&le) Cryotherapy and ther$otherapy are the t*o $odalitie that re2"ire proper pl"$&in# to &e e((e!ti%e) 1hirlpool and i!e $a!hine are i$ply pri!ey pie!e o( ("rnit"re *itho"t ade2"ate *ater) 1ith proper *ater "pply the e t*o $a!hine !an &e e((e!ti%e in the treatin# o( in-"rie (ro$ a reha&ilitati%e or a!"te $ana#e$ent per pe!ti%e and th" allo* the athleti! trainer to treat athlete properly) It i i$portant to a!!o$$odate (or ("t"re e3pan ion *hen initially de i#nin# pl"$&in#/ a !han#in# it later on !an &e e3pen i%e 5Sa&o/ 67769 In addition to the $odality ide o( thin# it i i$portant to ha%e an en!lo ed "tility in4 *ithin the (a!ility) A in4 allo* hydration e2"ip$ent to &e (illed and !leaned ro"tinely to pre%ent !onta$ination) Pro$otin# proper hydration *ith the

GHHS 37

pre en!e o( Gatorade or *ater d"rin# pra!ti!e and e%ent i a pi%otal re pon i&ility a an athleti! trainer) Ha%in# a in4 al o allo* the athleti! trainer to *a h their hand a(ter dealin# *ith &odily (l"id / or potentially !onta#io" $aterial ) La tly/ o(ten ti$e proper drain pla!e$ent (or pl"$&in# are o%erloo4ed/ it i %ital to ha%e (loor drain pla!ed near &oth the *hirlpool and i!e $a!hine/ or to pla!e the e ite$ in !lo e eno"#h pro3i$ity that a in#le drain !an &e " ed (or &oth) Pla!e$ent in thi $anner/ or in eparate area / *ill re2"ire that the #ro"nd not only &e tiled to pre%ent a!!"$"lation o( $oi t"re and the de%elop$ent o( $old/ &"t ho"ld &e pit!hed o the *ater (lo* to*ard the drain ) Proper pla!e$ent o( drain li$it tandin# *ater and allo* (or draina#e to pro$ote a "e in the (a!ility)

!lean en%iron$ent li$itin# anitation i 1utlets84lectricit

The ele!tri!al y te$ in o"r (a!ility (ollo* the re!o$$endation (or a $edi!al (a!ility) All o( o"r o"tlet are pa!ed a $a3i$"$ o( (o"r (eet apart and are three (eet o(( the #ro"nd) Thi i i$portant o ele!tri!al !ord re$ain o(( the (loor and o"t o( the *ay o( (oot tra((i!) It i al o i$portant that the o"tlet are no ("rther than (o"r (eet apart o that there are plenty o( o"tlet a%aila&le (or all !"rrent $edi!al e2"ip$ent a *ell a any additional e2"ip$ent that $ay &e added to the (a!ility in the ("t"re 5Ray : ;onin/ 67889) All o"tlet are e2"ipped *ith #ro"nd (a"lt interr"pter 5GFI9 in order to pre%ent a "r#e o( ele!tri!ity #reater than (i%e $illia$p ) The e are re2"ired in &"ildin# *here *ater i pre ent and in!e *ater i not olely !on(ined to the *et roo$ in an athleti!

GHHS 38

trainin# (a!ility/ they are a ne!e Lig+ting

ity (or all o"tlet 5Ray : ;onin/ 67889)

Ade2"ate li#htin# in an athleti! trainin# (a!ility i e

ential) Proper li#htin#

en "re that in-"rie or *o"nd do not #et o%erloo4ed &e!a" e they are not a&le to &e een ea ily) The li#htin# o( the Grand Ha%en athleti! trainin# roo$ i de i#ned to allo* proper %i i&ility *here%er it i needed) All o( the li#ht *it!he *ill &e e2"ipped *ith a di$$er to ad-" t (or $ore or le li#htin#) 1hen the

di$$er i at it lo*e t point/ the a$o"nt o( a%aila&le li#ht *ill &e =7 (oot !andle / (o"r (eet o(( the #ro"nd) I( $ore li#ht i needed (or e%al"ation/ tapin# or treat$ent/ the di$$er *it!h *ill &e a&le to &e t"rned "p to a $a3i$"$ o( A7 (oot !andle o( a%aila&le li#ht/ (o"r (eet o(( the #ro"nd) Thi (ollo* the re!o$$endation (or the tandard o( li#htin# in an athleti! trainin# (a!ility 5Ray : ;onin/ 67889) Follo*in# the e re!o$$endation *ill en "re that there i proper ill"$ination thro"#ho"t the (a!ility *hile &ein# $ind("l o( ele!tri!al !o t &y not ha%in# the li#ht a &ri#ht *hen it i not needed) Ventilation It i i$portant that there i proper !ontrol o( &oth te$perat"re and h"$idity thro"#ho"t the (a!ility) Sin!e athlete are !o$in# in &oth &e(ore and a(ter pra!ti!e/ it *ill not ta4e lon# (or the (a!ility to &e#in $ellin# li4e a lo!4er roo$ i( there i not proper %entilation) A ther$o tat ha &een pla!ed in the o((i!e "nder a !lear/ lo!4a&le !o%er a i re!o$$ended 5Sa&o/ 67769) Proper air (lo* i a ne!e ity to pre%ent the a!!"$"lation o( e3!e $oi t"re *hi!h !an lead to the

#ro*th o( har$("l $old and &a!teria) 5Ray : ;onin/ 67889) The %entilation y te$

GHHS 39

*ill (ollo* !"rrent re!o$$endation &y !y!lin# the air at a rate o( 7)<A (eet per e!ond *ith appro3i$ately ? total air !han#e in the roo$ d"rin# the ho"r o( pea4 operation 5Ray : ;onin/ 67889) Thi *ill en "re that h"$idity and te$perat"re re$ain !on tant/ allo*in# (or a !o$(orta&le and a(e en%iron$ent (or &oth the athlete and athleti! trainer ) $ccessi,ilit O"r (a!ility i de i#ned to &e ("lly a!!e i&le to tho e *ith and *itho"t

di a&ilitie ) O"r door *ill !o$ply *ith the A$eri!an Di a&ilitie A!t 5ADA9 &y &ein# =6H *ide *ith handle pla!ed at I>H 5A$eri!an *ith Di a&ilitie A!t/ 67769) Thi *ill allo* (or ea y a!!e (or tho e *ith di a&ilitie a *ell a e$er#en!y ential to a!!o$$odate the lar#e i0e o(

$edi!al er%i!e ) 1ide door are e

o$e e$er#en!y $edi!al e2"ip$ent) The (a!ility i lo!ated on the $ain (loor o( the &"ildin#/ eli$inatin# an a!!e i&ility i "e !reated &y &ein# pla!ed on a

hi#her (loor or in the &a e$ent) Ea!h door *ill &e la&eled in traditional *ritin# a *ell a Braille to a!!o$$odate tho e *ith i#ht di a&ilitie ) Another i$portant a pe!t o( a!!e i&ility i the a!!e i&ility o( the treat$ent ta&le ) O"r (a!ility *ill

!ontain ad-" ta&le hei#ht treat$ent ta&le in order to &e !o$pliant *ith ADA tandard 5A$eri!an *ith Di a&ilitie A!t/ 67769) Funding @"ltiple a%en"e to pro%ide ("ndin# (or o"r propo ed athleti! trainin# (a!ility reno%ation ha%e &een !on idered in!l"din#B o&tainin# #rant / initiatin# a !apital !a$pai#n/ and ta4in# o"t a !o$$er!ial loan) D"e to the re!ent addition o( ne* port (a!ilitie and the i$ple$entation o( a ta3 e3e$pt &ond (or !hool

GHHS 40

reno%ation / dra*in# (ro$ the !hool endo*$ent *o"ld not eli!it p"&li! "pport and potentially p"t the !hool at "nde ira&le (inan!ial ri 4) O&tainin# #rant and initiatin# a !apitol !a$pai#n are o"r pre(erred $ethod (or rai in# the ne!e ary

("nd (or the athleti! trainin# (a!ility reno%ation) Applyin# the e approa!he in !o$&ination *ill re "lt in a de!rea ed *ait ti$e (or the ne* (a!ility) N"$ero" or#ani0ation e3i t *ith initiati%e e$pha i0in# the i$portan!e o( a(e phy i!al a!ti%ity a$on# yo"th / parti!"larly in the p"&li! ed"!ation ettin#) I( the reno%ated (a!ility *a pre ented a an ad-"n!t to a(e parti!ipation in phy i!al a!ti%ity/ ("ndin# !o"ld &e attained) @any o( the e or#ani0ation / a *ell a tate

and (ederally ("nded #ro"p / o((er #rant ) A #rant i a "$ o( $oney #i%en &y an or#ani0ation or entity (or a pe!i(i! p"rpo e/ and i not e3pe!ted to &e re!o"ped) The #rant o((ered %ary in a$o"nt and re2"ire$ent (or attain$ent) For e3a$ple/ the Carol @) 1hite Phy i!al Ed"!ation Pro#ra$ #rant o((er 877/777 to <A7/777 dollar (or the e3pan ion o( phy i!al ed"!ation pro#ra$ and (a!ilitie 5National A o!iation (or Sport and Phy i!al Ed"!ation 678=9) Additional #rant in!l"de the

Head Start Body Start #rant and the Ni4e Phy i!al A!ti%ity (or Yo"th #rant 5National A o!iation (or Sport and Phy i!al Ed"!ation 678=9) In(or$ation

re#ardin# the e and n"$ero" other a%aila&le #rant !an &e #ained &y !onta!tin# the National A o!iation (or Sport and Phy i!al Ed"!ation) In !on-"n!tion *ith

o&tainin# #rant / a !apitol !a$pai#n *o"ld &e initiated) A !apitol !a$pai#n i a $ethod o( ("nd rai in# that "tili0e al"$ni/ ta((/ (o"ndation / and other a((iliated or#ani0ation (or pled#e .donation 5Ray : ;onin/ 67889) Thi $ethod !an al o &e " ed (or lar#er pro-e!t li4e (a!ility reno%ation) Poolin# to#ether lo!al re o"r!e (or

GHHS 41

additional (inan!ial "pport *o"ld in!l"de o&tainin# donation (ro$ al"$ni and rai in# ("nd thro"#h the Grand Ha%en Sport Boo ter ) Thi type o( "pport i li4ely d"e to the olid relation hip that *e ha%e &"ild *ith the lo!al !o$$"nity/ a tated in o"r @i ion and Vi ion tate$ent ) Partner hip *ith Shoreline Sport and

Spine/ in!e they too *o"ld &ene(it (ro$ the ne* (a!ility/ i anti!ipated) In the e%ent that the ("ndin# i not !o$pletely rai ed/ a !o$$er!ial loan *o"ld &e dra*n to $a4e "p the di((eren!e)

GHHS 42

C1/CL2)I1/

In concl'sion, this &ro&osal (as an eval'ation of the athletic training services &rovided at Grand Haven High School as the# co"&are to esta)lished &rofessional standards. *s de"onstrated, an ade-'atel# staffed, f'nded, and e-'i&&ed s&orts "edicine &rogra" &rovides inval'a)le s'&&ort to a co""'nit# and it?s school s#ste". Shoreline S&ort and S&ine ,h#sical hera&# ;'treach ,rogra" is c'rrentl# o&erating in an environ"ent that is not cond'cive to the high standards of care set forth in the &rogra"s vision and "ission state"ents. Significant financial and staffing ad5'st"ents are necessar# to '&hold &rofessional and &rogra" standards. D'e to the rising n'")er

GHHS 43

of st'dent athletes the c'rrent staff athletic trainer is 'na)le to "a+i"i<e the availa)le reso'rces for st'dent athlete reha)ilitation. his is an 'nfort'nate circ'"stance as the onsite &h#sical thera&# clinic is an asset desired )# "an# school s#ste"s )'t 'ni-'e to Grand Haven. F'rther"ore, a &ro&erl# staffed s&orts "edicine &rogra" ens'res safe, ethical, and efficient &atient care. *s &revio'sl# stated, financial li"itations are 'nder"ining the athletic training &rogra"s a)ilit# to &'rchase essential s'&&lies and e-'i&"ent. * (ell2s'&&lied and facilitated staff has the necessar# reso'rces to eval'ate, treat, and reha)ilitate st'dent athlete and co""'nit# "e")er in5'ries. !hen s'&&lies and facilities do not "eet &rofessional standards, -'alit# of care )eco"es a concern. :o a"o'nt of training, e+&erience, or ed'cation can overco"e these shortco"ings. $o""itting the necessar# reso'rces for the s'ccess of the Shoreline S&ort and S&ine ,h#sical hera&# ;'treach ,rogra" is an invest"ent that (ill sec're the (ell)eing and s'ccess of st'dent athletes and co""'nit# "e")ers toda# and for f't're generations.

GHHS 44

$PP4/!I: $

GHHS 45

Initial Invest-ent

CONSF@ABLES
Fir t Aid.E$er#en!y S"pplie
ITEM
Triple Anti&ioti! Oint$ent 8.=6 o0 ' 8II.p4# Co%erlet Fa&ri! Banda#e' 6J 3 =J/ A7.&o3 Co%erlet Fa&ri! Banda#e' 8J 3 =J/ 877.&o3 Co%erlet Fa&ri! Banda#e' ;n"!4le 8)AJ 3 =J/ 877.&o3 Co%erlet Fa&ri! Banda#e' Lar#e Fin#er Tip/ A7.&o3 Co%erlet Fa&ri! Banda#e' I 1in# =J 3 =J/ A7.&o3 =@ Steri'Strip 8.IJ 3 =J/ =.en%elope 5A7.p4#9 Anti epti! 1ipe *.Ben0al4oni"$ Chloride' 877.p4#

UNIT QUANTITY PRICE ($) TOTAL ($)

A)77 A)77 87)77 A)77 I)77 A)77 I)77 87)77 ?)6A A)6A I)A7 G)A7 G)A7 >)6A I6)A7 =)6A IG)6A 6G)6A IA)77 =6)A7 6G)77 I8)6A 8<7)77 =6)A7

GHHS 46

Cypre In tant Cold Pa!4 ' AJ 3 <J/ 6I.!a e A$&ra LeRoy' IJ 3 87 yd / 87.&3' Val"e'La ti! Ela ti! Banda#e A$&ra LeRoy' GJ 3 87 yd / 87.&3' Val"e'La ti! Ela ti! Banda#e A$&ra LeRoy' IJ 3 A yd / 87.&3' Val"e'La ti! Ela ti! Banda#e A$&ra LeRoy' GJ 3 A yd / 87.&3' Val"e'La ti! Ela ti! Banda#e D"4al 86 Ply Sterile Ga"0e Pad ' IJ 3 IJ/ 877.&o3 D"4al 86 Ply Sterile Ga"0e Pad ' =J 3 =J/ 877.&o3 D"4al 86 Ply Non' terile Ga"0e Spon#e' =J 3 =J/ 677.&a# Hydro!orti one Crea$ 8K ' 8o0 E@T Tooth a%er Hydro#enpero3ide 8#al) Pre!i e Foa$ Cleaner Di in(e!tant' Go0 pray Pre!i e Foa$ !leaner Di in(e!tant' 67o0 Bio(ree0e Gel P"$p' =6o0 Cra$er Fle3i'*rap' GJ Roll *.o"t handle G.!a e Cra$er Fle3i'*rap' IJ Roll *.o"t handle G.!a e Cra$er Hea%y D"ty I!e &a# ' 8/A77.roll Cypre Synthe i Vinyl #lo%e *.Satin Stret!h ' Si0e @edi"$/ 877.Bo3 Cypre Synthe i Vinyl #lo%e *. atin tret!h ' Si0e Lar#e/ 877.Bo3 D"4al Non Adherent Pad 5Sterile9 ' =J 3 IJ/ 877.&o3 Spen!o 6nd 4in' 8J 3 8J S2"are / 677.-ar

A)77 A)77 A)77 A)77 A)77 A)77 A)77 87)77 A)77 6)77 6)77 =)77 =)77 =)77 6)77 6)77 6)77 A)77 A)77 I)77 I)77

?)A7 8A)?A 66)77 >)?A 88)A7 G)6A I)6A =)6A =)6A 8A)67 ?)?A A)<A A)?A 6I)?A 6?)?A 6G)?A A?)77 I)A7 G)<7 <)6A 8I)?A

I<)A7 <?)<A 887)77 II)<A A<)A7 =8)6A 68)6A =6)A7 8G)6A =7)I7 ?)?A 8<)6A 8<)>A <I)>A A?)?7 A=)?7 88>)77 66)A7 ==)A7 6?)77 A?)>7 '387.4;

0otal

CONSF@ABLES CONT)
Tapin#/ Tapin# A!!e
ITEM
Cra$er S4in L"&e' 8l&) Lar Co%er'Roll Stret!h' 6J3 87 yd / 8.&o3 Le"4otape P Ri#id Strappin# Tape' 8)AJ 3 8A yd / 8 roll Cra$er Tape Fnder*rap 5Bl"e9' 6)<AJ 3 =7 yd / I>.! Cra$er Tape Fnder*rap 5Yello*9' 6)<AJ 3 =7 yd / I> roll .!

orie
QUANTITY
6)77 A)77 A)77 A)77 A)77

UNIT PRICE ($)

A)6A <)A7 G)6A 6>)<A 6>)<A

TOTAL ($)
87)A7 =<)A7 =8)6A 8I=)<A 8I=)<A

GHHS 47

Cra$er T"('S4in 5Colorle 9 ' 87o0) Spray L:L !oa!h Poro" Athleti! Tape' 8)AJ 3 8A yd / =6.! L:L Ela ti4on' 6J 3 ?7J 56)A yd 9/ 6Iroll .!a e Po*erFle3 Color 5Yello*9' 6J 3 G yd / 6I.!a e Po*er(le3 Color 5Bl"e9' 6J 3 G yd / 6I.!a e L:L Coa!h Sea$ : Spli!e Athleti! Tape' 8)AJ 3 8A yd / 877roll .!a e Cra$er S4in L"&e' Al& Lar Cra$er Heel and La!e Pad ' Bo3 o( 6/777/ 6 roll .&o3 @on elM Stip'Ti4 6A.pa!4 Na al on#e A.p4# D"ra'Sti!4 Pl" Ele!trode 6J36J 2"are I.pa!4 Foa$ Ca t Co%er Sheet B 8.6J/ 86J38>J/ 6.p4# Adhe i%e Felt Roll B GJ3 6 8.6 yd / 8.IJ A Gallon/ 67.roll Bioha0ard 1a te &a#

A)77 6A)77 I)77 87)77 87)77 87)77 6)77 6)77 I)77 A)77 87)77 A)77 A)77 =)77

<)<A I6)<A A6)6A =8)77 =8)77 >>)77 8?)A7 8I)?A IG)8A 8?)?A A)A7 =8)=7 66)AA G)?7

=>)<A >AA)77 67?)77 =87)77 =87)77 >>7)77 =?)77 6?)?7 8>I)G7 ??)<A AA)77 8AG)A7 886)<A 67)<7 3**7.7 ;

0otal

CONSF@ABLES TOTALB NA/7AA)87

NON'CONSF@ABLES
Capital E2"ip$ent
ITEM
1hitehall '887 $o&ile *hirlpool Ho hi0a4i i!e $a4er Intele!t Le#end Sti$"lator 5I Channel9 Ga$eReady Heart tart FR3 AED T*o'Per on Ta&le.Con%erti&le Treat$ent Ta&le 5PROTEA@9 Tr"e Stret!h

QUANTITY
6 6 8 8 = 8 8

UNIT PRICE ($)

I6=A)77 G=?A)66 6?76)IA 6=A7)77 66>?)77 8G?=)A7 67??)77

TOTAL ($)
>I<7)77 86<?7)I 7 6?76)IA 6=A7)77 66>?)77 8G?=)A7 67??)77
3"5#4.3 5

0otal

E$er#en!y Care E2"ip$ent

ITEM
Oral Di#ital Ther$o$eter Sa$ Splint' I)6AJ 3 =GJ 5Grey9 CPR @i!ro4ey' Bla!4 Po"!h

QUANTITY
8)77 =)77 I)77

UNIT PRICE ($)

>)6A 88)77 G)A7

TOTAL ($)
>)6A ==)77 6G)77

GHHS 48

Del"3 ar$ lin# *ith padde trap 5$edi"$9 Va!!"$e Splint all in one etB Va!""$ Splint ' Cra$er Bra P"$p Va!""$ Splint ' Cra$er Ho e A e$&ly Va!""$ Splint ' Cra$er Rapid For$ Ar$ Va!""$ Splint ' Cra$er Rapid For$ Le# Re" a&le Penli#ht *ith 6 AAA &atterie E!ono$y @odel ' G7J Tape/ Pla ti!B 1hite Late3 Free E!ono$y Aneroid Sphy#o$o$ano$eter 5BP !"((9 Le#a!y Spra#"e Rappaport'Type Stetho !opeB Bl"e PRO'LITE Spine &oard *. trap Head#ear.Cranial I$$o&ili0er

A)77 8)77 6)77 8)77 6)77 8)77 8)77 8)77

I)?A IA7)77 =)67 6)?A 8?)?A 8=)?A =?6)77 8=6)I?

6I)<A IA7)77 G)I7 6)?A =?)?7 8=)?A =?6)77 8=6)I? ''"#.* #

0otal

@i !ellaneo"
ITEM
Di#ital Po!4et Heat Inde3 @onitor S!h"tt Fa!e#"ard re$o%al "nit All in one t*ee0er Bioha0ard tep'on !ontainer A #allon Cra$er Shar4 Tape C"tter' 8.p4# Li ter Banda#e S!i or ' <)6AJ Li ter Banda#e S!i or ' A)AJ @e"ller lin# &a# Bla!4 : De!4er Hand'Held S!re*dri%er

QUANTITY
8)77 8)77 8)77 8)77 I)77 6)77 8)77 6)77 8)77

UNIT PRICE ($)

??)?A 6G)6A 8?)77 86<)77 <)6A 6)A7 6)6A =?)?A =A)77

TOTAL ($)
??)?A 6G)6A 8?)77 86<)77 6?)77 A)77 6)6A <?)?7 =A)77 4"3.35

0otal

Ad$ini trati%e
ITEM
I$PACT 5A77 Ba eline *ith 8A7 Po t In-"ry Te t 95Yearly9 Co$(ort prod"!t !o$p"ter de 4 *ith (ilin# !a&inet Gate*ay De 4top *ith @onitor

UNIT QUANTITY PRICE ($)

8)77 8)77 8)77 <A7)77 87>)>> =??)?>

TOTAL ($)
<A7)77 87>)>> =??)?>

GHHS 49

T*o door .one dra*er !a&inet = hel( Poly Cart

6)77 =)77

I>>)IA 87=)?A

0otal

?<G)77 =88)>A "54*.7'

Reha&ilitation.Treat$ent
ITEM
Airdyne E3er!i e Bi4e Thera'Band G yard Red.@edi"$ Thera'Band G yard Green.Hea%y Thera'Band Gy$ Ball B Bl"e Bo " Balan!e Trainer @a#i! Roller Aire3 Balan!e Pad 67J38G)IJ36)AJ Therap"tty GreenB@edi"$ C"(( 1ei#ht 6l& C"(( 1ei#ht Il& C"(( 1ei#ht Gl& Ga$e Ready ' An4le Repla!e$ent Slee%e 5Lar#e9 Ga$e Ready ' An4le 1rap *ith Co%er 5Lar#e9 Ga$e Ready ' Conne!tor Ho e Ga$e Ready ' D"al Conne!tor Ho e Ga$e Ready ' ;nee Repla!e$ent Slee%e Ga$e Ready ' ;nee 1rap *ith Co%er Orthopla t Splint 8>J36IJ3 8.>J A!e 1rap =J3Ayd A!e 1rap IJ3Ayd Cra$er Fle3i'1rap Di pen er Handle Cypre Fna'Body P" h B"tton Al"$in"$ Cr"t!he ' Lar#e Cypre Fna'Body P" h B"tton Al"$in"$ Cr"t!he ' @edi"$ Cypre Fna'Body P" h B"tton Al"$in"$ Cr"t!he ' S$all Oa4*or4 6<J Flat top treat$ent ta&le Sport @edi! ' @edpa! Cr"t!hPa! Lite 5Bla!49

QUANTIT Y
8)77 8)77 8)77 8)77 8)77 6)77 8)77 8)77 8)77 8)77 8)77 8)77 6)77 8)77 8)77 8)77 6)77 6)77 I)77 I)77 6)77 6)77 6)77 6)77 6)77 6)77

PRICE ($)
>??)?A 87)IA 88)IA 6>)IA 8=?)?A I?)?A A6)?A =)GA ?)A7 86)AA 8I)<A 6A)77 =<7)77 8G7)77 =?A)77 6A)77 =77)77 8<?)A7 8)<? 6)8= I)?A =8)?7 =8)?7 =8)?7 ==7)77 ?8)G7

TOTAL ($)
>??)?A 87)IA 88)IA 6>)IA 8=?)?A ??)?? A6)?A =)GA ?)A7 86)AA 8I)<A 6A)77 <I7)77 8G7)77 =?A)77 6A)77 G77)77 =A?)77 <)8G >)A6 ?)?7 G=)>7 G=)>7 G=)>7 GG7)77 8>=)67 4*47.8"

0otal

EEFIP@ENT TOTALB N>/<I<)A< E$er#en!y @edi!al Co%era#e

ITEM
E@S E%ent Co%era#e

QUANTITY
8>)77

UNIT PRICE ($)

677)77

TOTAL ($)
7

GHHS 50

Phy i!ian Ser%i!e

=G)77

877)77

0otal

7 ;

Clothin#
ITEM
Adi Pi2"O Polo Shirt Cli$a!ool Tee Adida Ba i! Rain La!4et Adida Ba i! Rain Pant

QUANTITY
> > 6 6

UNIT PRICE ($)

IA)77 I7)77 =?)?? =I)??

TOTAL ($)
7)77 7)77 7)77 7)77 ;.;;

0otal

@i !ellaneo"
ITEM
Gator CP Ftility Vehi!le *ith LS Tire E!olote! Bioha0ard 1a te Re$o%al Cali&ration o( @odality E2"ip$ent

QUANTIT Y
8 1 8

UNIT PRICE ($)

A/GI?)77 6>A)77

TOTAL ($)
A/GI?)77 877)77 6>A)77 *;34.;;

0otal

Additional S"pport
ITEM
NATA @e$&er hip BOC Re!erti(i!ation Fee Contin"in# Ed"!ation

QUANTITY
8 8 8

UNIT PRICE ($)

6=?)77 =I)77 8777)77

TOTAL ($)
6=?)77 =I)77 8777)77 '"73.;;

0otal

NON'CO@SF@ABLES TOTALB N>8=G)?G )alar

ITEM
AT F"ll Ti$e Salary

QUANTITY
8

UNIT PRICE ($)

IA/777)77

TOTAL ($)
IA/777)77

Initial In%entory TotalB N?>/GA<)?<

GHHS 51

First (ear Budget

GHHS 52

Con "$a&le
Fir t Aid.E$er#en!y S"pplie / Tapin# : A!!e
ITEM
Triple Anti&ioti! Oint$ent 8.=6 o0 ' 8II.p4# Co%erlet Fa&ri! Banda#e' 6J 3 =J/ A7.&o3 Co%erlet Fa&ri! Banda#e' 8J 3 =J/ 877.&o3 Co%erlet Fa&ri! Banda#e' ;n"!4le 8)AJ 3 =J/ 877.&o3 Co%erlet Fa&ri! Banda#e' Lar#e Fin#er Tip/ A7.&o3 =@ Steri'Strip 8.IJ 3 =J/ =.en%elope 5A7.p4#9 Anti epti! 1ipe *.Ben0al4oni"$ Chloride' 877.p4# Cypre In tant Cold Pa!4 ' AJ 3 <J/ 6I.!a e A$&ra LeRoy' IJ 3 87 yd / 87.&3' Val"e'La ti! Ela ti! Banda#e A$&ra LeRoy' GJ 3 87 yd / 87.&3' Val"e'La ti! Ela ti! Banda#e A$&ra LeRoy' IJ 3 A yd / 87.&3' Val"e'La ti! Ela ti! Banda#e A$&ra LeRoy' GJ 3 A yd / 87.&3' Val"e'La ti! Ela ti! Banda#e D"4al 86 Ply Sterile Ga"0e Pad ' IJ 3 IJ/ 877.&o3 D"4al 86 Ply Sterile Ga"0e Pad ' =J 3 =J/ 877.&o3 D"4al 86 Ply Non' terile Ga"0e Spon#e' =J 3 =J/ 677.&a# Hydro!orti one Crea$ 8K ' 8o0 Cra$er Hea%y D"ty I!e &a# ' 8/A77.roll Cypre Synthe i Vinyl #lo%e *.Satin Stret!h ' Si0e @edi"$/ 877.Bo3 D"4al Non Adherent Pad 5Sterile9 ' =J 3 IJ/ 877.&o3 Spen!o 6nd 4in' 8J 3 8J S2"are / 677.-ar Cra$er S4in L"&e' 8l&) Lar Co%er'Roll Stret!h' 6J3 87 yd / 8.&o3 Le"4otape P Ri#id Strappin# Tape' 8)AJ 3 8A yd / 8 roll Cra$er Tape Fnder*rap 5Bl"e9' 6)<AJ 3 =7 yd / I>.! Cra$er Tape Fnder*rap 5Yello*9' 6)<AJ 3 =7 yd / I> roll .! Cra$er T"('S4in 5Colorle 9 ' 87o0) Spray L:L !oa!h Poro" Athleti! Tape' 8)AJ 3 8A yd / =6.! L:L Ela ti4on' 6J 3 ?7J 56)A yd 9/ 6Iroll .!a e Po*erFle3 Color 5Yello*9' 6J 3 G yd / 6I.!a e Po*er(le3 Color 5Bl"e9' 6J 3 G yd / 6I.!a e Pre!i e Foa$ Cleaner Di in(e!tant' Go0 pray Pre!i e Foa$ !leaner Di in(e!tant' 67o0

orie
UNIT PRICE ($)
?)6A A)6A I)A7 G)A7 G)A7 I6)A7 =)6A ?)A7 8A)?A 66)77 >)?A 88)A7 G)6A I)6A =)6A =)6A A?)77 I)A7 <)6A 8I)?A A)6A <)A7 G)6A 6>)<A 6>)<A <)<A I6)<A A6)6A =8)77 =8)77 A)<A A)?A

QUANTITY
6)77 I)77 ?)77 I)77 8)77 8)77 A)77 6)77 6)77 =)77 6)77 6)77 8)77 6)77 A)77 8)77 8)77 I)77 6)77 6)77 8)77 I)77 =)77 6)77 8)77 =)77 67)77 6)77 <)77 <)77 =)77 6)77

TOTAL ($)
8>)6A 68)77 I7)A7 6G)77 G)A7 I6)A7 8G)6A 8?)77 =8)?7 GG)77 8<)?7 6=)77 G)6A >)A7 8G)6A =)6A A?)77 8>)77 8I)A7 6?)?7 A)6A =7)77 8>)<A A<)A7 6>)<A 6=)6A >AA)77 87I)A7 68<)77 68<)77 8<)6A 88)?7

GHHS 53

CONSF@ABLES CONT) Fir t Aid.E$er#en!y S"pplie / Tapin# : A!!e

ITEM
Bio(ree0e Gel P"$p' =6o0 Cra$er Fle3i'*rap' GJ Roll *.o"t handle G.!a e Cra$er Fle3i'*rap' IJ Roll *.o"t handle G.!a e Co%erlet Fa&ri! Banda#e' I 1in# =J 3 =J/ A7.&o3 L:L Coa!h Sea$ : Spli!e Athleti! Tape' 8)AJ 3 8A yd / 877roll .!a e Cra$er S4in L"&e' Al& Lar Cra$er Heel and La!e Pad ' Bo3 o( 6/777/ 6 roll .&o3

orie
UNIT PRICE ($)
6I)?A 6?)?A 6G)?A >)6A >>)77 8?)A7 8I)?A

QUANTITY
8)77 8)77 6)77 A)77 >)77 8)77 8)77

TOTAL ($)
6I)?A 6?)?A A=)?7 I8)6A <7I)77 8?)A7 8I)?A "#5#.';

0otal

NON'CONSF@ABLES
E2"ip$ent
ITEM TRX s s!"#s$%# &'($#$#) *$& MTR s,%%! s!$#"-%('. M/%-0(' C1$#$, s"&
Re" a&le ad"lt e opha#eal.re!tal te$p) pro&e Sa$ Splint' I)6AJ 3 =GJ 5Grey9 CPR @i!ro4ey' Bla!4 Po"!h Cra$er Fle3i'1rap Di pen er Handle Cypre Fna'Body P" h B"tton Al"$in"$ Cr"t!he ' Ad"lt AM6 to AM87 Del"3 ar$ lin# *ith padde trap 5$edi"$9 Li ter Banda#e S!i Li ter Banda#e S!i or ' <)6AJ or ' A)AJ

QUANTITY 1+00 1+00 1+00

8)77 =)77 I)77 6)77 6)77 A)77 6)77 8)77 8)77

UNIT PRICE ($) 199+95 347+95 525+00

AA)77 88)77 G)A7 I)?A 8A)77 I)?A 6)A7 6)6A <)6A

TOTAL ($) 199+95 347+95 525+00

AA)77 ==)77 6G)77 ?)?7 =7)77 6I)<A A)77 6)6A <)6A '"**.; 5

Cra$er Shar4 Tape C"tter' 8.p4#

0otal

E$er#en!y @edi!al Co%era#e

ITEM QUANTITY UNIT PRICE ($) TOTAL ($)

GHHS 54

E@S E%ent Co%era#e Phy i!ian Ser%i!e

8>)77 =G)77

677)77 877)77

0otal

7)77 7)77 ;.;;

Clothin#
ITEM
Adi Pi2"O Polo Shirt Adida Ba i! Rain La!4et Adida Ba i! Rain Pant

QUANTITY
I)77 8)77 8)77

UNIT PRICE ($)

IA)77 =?)?? =I)??

TOTAL ($)
7)77 7)77 7)77 ;.;;

0otal

@i !ellaneo"
ITEM
E!olote! Bioha0ard 1a te Re$o%al Cali&ration o( @odality E2"ip$ent

QUANTITY
8)77 8)77

UNIT PRICE ($)

877)77 6>A)77

TOTAL ($)
877)77 6>A)77 385.;;

0otal

Additional S"pport
ITEM
NATA @e$&er hip BOC Re!erti(i!ation Fee Contin"in# Ed"!ation

UNIT QUANTITY PRICE ($)

6)77 6)77 6)77 6=?)77 =I)77 8777)77

TOTAL ($)
I<>)77 G>)77 6777)77 "54*.;;

0otal

Fir t Year B"d#et TotalB N</8AG)8A

GHHS 55

)econd (ear Budget

GHHS 56

Con "$a&le
Fir t Aid.E$er#en!y S"pplie / Tapin# : A!!e
ITEM
Triple Anti&ioti! Oint$ent 8.=6 o0 ' 8II.p4# Co%erlet Fa&ri! Banda#e' 6J 3 =J/ A7.&o3 Co%erlet Fa&ri! Banda#e' 8J 3 =J/ 877.&o3 Co%erlet Fa&ri! Banda#e' ;n"!4le 8)AJ 3 =J/ 877.&o3 Co%erlet Fa&ri! Banda#e' Lar#e Fin#er Tip/ A7.&o3 =@ Steri'Strip 8.IJ 3 =J/ =.en%elope 5A7.p4#9 Anti epti! 1ipe *.Ben0al4oni"$ Chloride' 877.p4# Cypre In tant Cold Pa!4 ' AJ 3 <J/ 6I.!a e A$&ra LeRoy' IJ 3 87 yd / 87.&3' Val"e'La ti! Ela ti! Banda#e A$&ra LeRoy' GJ 3 87 yd / 87.&3' Val"e'La ti! Ela ti! Banda#e A$&ra LeRoy' IJ 3 A yd / 87.&3' Val"e'La ti! Ela ti! Banda#e A$&ra LeRoy' GJ 3 A yd / 87.&3' Val"e'La ti! Ela ti! Banda#e D"4al 86 Ply Sterile Ga"0e Pad ' IJ 3 IJ/ 877.&o3 D"4al 86 Ply Sterile Ga"0e Pad ' =J 3 =J/ 877.&o3 D"4al 86 Ply Non' terile Ga"0e Spon#e' =J 3 =J/ 677.&a# Hydro!orti one Crea$ 8K ' 8o0 Cra$er Hea%y D"ty I!e &a# ' 8/A77.roll Cypre Synthe i Vinyl #lo%e *.Satin Stret!h ' Si0e @edi"$/ 877.Bo3 D"4al Non Adherent Pad 5Sterile9 ' =J 3 IJ/ 877.&o3 Spen!o 6nd 4in' 8J 3 8J S2"are / 677.-ar Cra$er S4in L"&e' 8l&) Lar Co%er'Roll Stret!h' 6J3 87 yd / 8.&o3 Le"4otape P Ri#id Strappin# Tape' 8)AJ 3 8A yd / 8 roll Cra$er Tape Fnder*rap 5Bl"e9' 6)<AJ 3 =7 yd / I>.! Cra$er Tape Fnder*rap 5Yello*9' 6)<AJ 3 =7 yd / I> roll .! Cra$er T"('S4in 5Colorle 9 ' 87o0) Spray L:L !oa!h Poro" Athleti! Tape' 8)AJ 3 8A yd / =6.!

orie
UNIT PRICE ($)
?)6A A)6A I)A7 G)A7 G)A7 I6)A7 =)6A ?)A7 8A)?A 66)77 >)?A 88)A7 G)6A I)6A =)6A =)6A A?)77 I)A7 <)6A 8I)?A A)6A <)A7 G)6A 6>)<A 6>)<A <)<A I6)<A

QUANTITY
6)77 I)77 ?)77 I)77 8)77 8)77 A)77 6)77 6)77 =)77 6)77 6)77 8)77 6)77 A)77 8)77 8)77 I)77 6)77 6)77 8)77 I)77 =)77 6)77 8)77 =)77 67)77

TOTAL ($)
8>)6A 68)77 I7)A7 6G)77 G)A7 I6)A7 8G)6A 8?)77 =8)?7 GG)77 8<)?7 6=)77 G)6A >)A7 8G)6A =)6A A?)77 8>)77 8I)A7 6?)?7 A)6A =7)77 8>)<A A<)A7 6>)<A 6=)6A >AA)77

GHHS 57

L:L Ela ti4on' 6J 3 ?7J 56)A yd 9/ 6Iroll .!a e Po*erFle3 Color 5Yello*9' 6J 3 G yd / 6I.!a e Po*er(le3 Color 5Bl"e9' 6J 3 G yd / 6I.!a e Pre!i e Foa$ Cleaner Di in(e!tant' Go0 pray Pre!i e Foa$ !leaner Di in(e!tant' 67o0

6)77 <)77 <)77 =)77 6)77

A6)6A =8)77 =8)77 A)<A A)?A

87I)A7 68<)77 68<)77 8<)6A 88)?7

CONSF@ABLES CONT) Fir t Aid.E$er#en!y S"pplie / Tapin# : A!!e

ITEM
Bio(ree0e Gel P"$p' =6o0 Cra$er Fle3i'*rap' GJ Roll *.o"t handle G.!a e Cra$er Fle3i'*rap' IJ Roll *.o"t handle G.!a e Co%erlet Fa&ri! Banda#e' I 1in# =J 3 =J/ A7.&o3 L:L Coa!h Sea$ : Spli!e Athleti! Tape' 8)AJ 3 8A yd / 877roll .!a e Cra$er S4in L"&e' Al& Lar Cra$er Heel and La!e Pad ' Bo3 o( 6/777/ 6 roll .&o3

orie
UNIT PRICE ($)
6I)?A 6?)?A 6G)?A >)6A >>)77 8?)A7 8I)?A

QUANTITY
8)77 8)77 6)77 A)77 >)77 8)77 8)77

TOTAL ($)
6I)?A 6?)?A A=)?7 I8)6A <7I)77 8?)A7 8I)?A "#5#.';

0otal

NON'CONSF@ABLES
E2"ip$ent
ITEM
Oral Di#ital Ther$o$eter Sa$ Splint' I)6AJ 3 =GJ 5Grey9 CPR @i!ro4ey' Bla!4 Po"!h Cra$er Fle3i'1rap Di pen er Handle Cypre Fna'Body P" h B"tton Al"$in"$ Cr"t!he ' Ad"lt AM6 to AM87 Del"3 ar$ lin# *ith padde trap 5$edi"$9 Li ter Banda#e S!i or ' <)6AJ Li ter Banda#e S!i or ' A)AJ Cra$er Shar4 Tape C"tter' 8.p4#

QUANTITY
8)77 =)77 I)77 6)77 6)77 A)77 6)77 8)77 8)77

UNIT PRICE ($)

>)6A 88)77 G)A7 I)?A 8A)77 I)?A 6)A7 6)6A <)6A

TOTAL ($)
>)6A ==)77 6G)77 ?)?7 =7)77 6I)<A A)77 6)6A <)6A '4*.4;

0otal

GHHS 58

E$er#en!y @edi!al Co%era#e

ITEM
E@S E%ent Co%era#e Phy i!ian Ser%i!e

QUANTITY
8>)77 =G)77

UNIT PRICE ($)

677)77 877)77

TOTAL ($)
7)77 7)77 ;.;;

0otal

@i !ellaneo"
ITEM
E!olote! Bioha0ard 1a te Re$o%al Cali&ration o( @odality E2"ip$ent

QUANTITY
8)77 8)77

UNIT PRICE ($)

877)77 6>A)77

TOTAL ($)
877)77 6>A)77 385.;;

0otal

Additional S"pport
ITEM
NATA @e$&er hip BOC Re!erti(i!ation Fee Contin"in# Ed"!ation

UNIT QUANTITY PRICE ($)

6)77 6)77 6)77 6=?)77 =I)77 8777)77

TOTAL ($)
I<>)77 G>)77 6777)77 "54*.;;

0otal

Se!ond Year B"d#et TotalB NG/7=G)A7

Salarie
ITEM
AT F"ll Ti$e Salary Part Ti$e AT Salary

QUANTIT Y
8 8

UNIT PRICE ($)

IA777)77 6A777)77

TOTAL ($)
IA777)77 6A777)77 7;<;;;.;;

0otal

GHHS 59

Fir t Year Salary TotalB N<7/777)77 Salarie

ITEM
AT F"ll Ti$e Salary Part Ti$e AT Salary

QUANTIT Y
8 8

UNIT PRICE ($)

IA777)77 6A777)77

TOTAL ($)
IA777)77 6A777)77 7;<;;;.;;

0otal

Se!ond Year Salary TotalB N<7/777)77

$PP4/!I: B
GHHS 60

R4L$0I1/)=IP C=$R0
GHHS 61

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GHHS 62

C%." 1 2 3 4 5 6 7 8 9

R"(s%# 8 !"'6$s$%# R"B $'". C%#6"#$"#," %: s&(:: I#6"#&%'/ C%#&'%1 P(&$"#& M%6"2"#& R$,* %: E1",&'$,(1 87%,* R$s* %: (,,$."#&(1 s!$11 C1$2(&" ,%#&'%1

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GHHS 63

B2BBL4 !I$5R$M

Bubble Diagram
Key A-s%1 &"1/ N","ss('/ Es!",$(11/ N","ss('/ I2!%'&(#& 4 1$#"s 3 1$#"s 2 1$#"s

GHHS 64

O'.$#('/ C1%s"#"ss U#."s$'(-1"

1 1$#" <(s7". 1$#"

GHHS 65

FL11R PL$/)

5eneral Floor%lan

GHHS 66

Lig+ting and Ventilation Floor%lan

GHHS 67

R4FR4/C4)

*"erican Fed $ross. =3017>. earn about automated e!ternal defibrillators . Fetrieved fro"

GHHS 68

htt&%AA(((.redcross.orgA&re&areAlocationA(or.&laceAeas#2as2aed *"erican Fed $ross. =3010>. First *idA$,FA*ED ,artici&antLs Man'el =&&. 821>. :.&.% Sta#!ell Health D Safet# Sol'tions. Fetrieved ;cto)er 11, 3017 *"ericanLs (ith Disa)ilities *ct. =3003, Se&te")er>. *ccessi)ilit# g'idelines for )'ildings and facilities. Fetrieved ;cto)er 34, 3017, fro" htt&%AA(((.access2 )oard.govAadaagAht"lAadaag.ht" *nderson, 4. $., $o'rson, F., /leiner, D., D Mc9oda, . =3006>. :ational *thletic rainersL *ssociation ,osition State"ent% E"ergenc# ,lanning in *thletics. Dallas, K% :ational *thletic rainerLs *ssociation. Berr#, 4. =1997> Sho(ing o'r Jal'e in Dollars and $ents. :* * :e(s, 4'ne 1997, &&. 6 2 10. Bin.le# H.M., Bec.ett 4., $asa D.4., /leiner D.M., ,l'""er ,.E., :ational *thletic rainersL *ssociation ,osition State"ent% E+ertional Heat Illnesses. 4o'rnal of *thletic raining. 3003 Se&H77=7>%7392747. Board of $ertification, =3001>. Boc standards of &rofessional &ractice. Fetrieved ;cto)er 1, 3017 fro"% htt&%AA(((.)otatc.org Bradne#, D.*., D Bo("an, .G. =3017>. 9acrosse hel"et face"as. re"oval. "ournal of #thletic $rainin%,46=1>, 47281. $hester, J. 9., Biden, E. :., D ingle#, M. =3008>. Gait anal#sis. Bio"edical Instr'"entation D echnolog#, 79=1>, 14274. Fetrieved fro" htt&%AAsearch.&ro-'est.co".e<&ro+#.gvs'.ed'Adocvie(A306190073Macco'ntidN79477 $le"ent, D., Gran-'ist, M.D., D*rvinen2Barro(, M.M. =3017>. ,s#chosocial as&ects of athletic in5'ries as &erceived )# athletic trainers."ournal of #thletic $rainin%, 46=4>, 8132831. Daniel, D., D F'&ert, F. =3007, March>. $ali)ration and electrical safet# stat's of thera&e'tic 'ltraso'nd 'sed )# chiro&ractic &h#sicians. 4o'rnal of Mani&'lative and ,h#siological hera&e'tics, 31=7>, 1712178. Fetrieved ;cto)er 13th, 3017. Defi)rillators *t Oo'r School. =3011>. $ardiac Science $or&oration, 124. G's.ie(ic<, /.M., Br'ce, S.9., $ant', F.$., Ferrara, M.S., /ell#, 4.,., Mc$rea, M., ,'t'.ian, M., Jalovich2Mc9eod, .$. =3004>. :ational athletic trainers? association &osition state"ent% "anage"ent of s&ort related conc'ssion. "ournal of athletic $rainin%, 79=7>, 3602397. Hol"es, *., D Delah'nt, E. =3009>. reat"ent of $o""on Deficits *ssociated (ith $hronic *n.le Insta)ilit#. S&orts Medicine, 79=7>, 3072334. Fetrieved ;cto)er 11, 3017 H'))ard, . 4., D $ordova, M. =3010, 4'ne 1>. Effect of a&ing on Mechanical 9a+it# in $hronic *n.le Insta)ilit#. Foot D *n.le International, 4992804. Fetrieved ;cto)er 11, 3017 /a"ins.i, .!., Hertel, 4., *"endola, :., Dochert#, $.9., Dolan, M.G., Ho&.ins, 4. ., :'ss)a'", E., ,o&&#, !., D Fichie, D. =3017>. :ational athletic trainers? association &osition state"ent% conservative "anage"ent and &revention of an.le s&rains in athletes. "ournal of #thletic $rainin%, 46=4>, 8362848. /night, /. 9., D Dra&er, D. ;. =3006>. hera&e'tic "odalities% the art and the science. Balti"ore, MD% 9i&&incott !illia"s D !il.ins. 9#<nic.i, 4., Figgs, 4., D $ha"&ion, H. =1999>. $ertified athletic trainers in secondar# schools% Fe&ort of the co'ncil on scientific affairs, a"erican "edical association. 4o'rnal of *thletic raining, 74=7>, 3732371. Ma<erolle, S.M., ,in.'s, D.E., $asa, D.4., McDer"ott, B.,., ,agnotta, /.D., F'i<, F.$., *r"strong, 9.E., DMaresh, $.M. =3011>. Evidence2)ased "edicine and the recognition

GHHS 69

and treat"ent of e+ertional heat stro.e, &art II% a &ers&ective fro" the clinical athletic trainer. "ournal of #thletic $rainin%, 41=8>, 8772843.Medco S&orts Medicine, ,atterson Medical Holdings, Inc. =3017>. ,rice 9istings Fetrieved fro"% htt&s%AA(((."edco2 athletics.co"AS'&&l#A,rod'ct.as&M9eafPIdN77031 Mc$ror#, ,., Mee'(isse, !., 4ohnston, /., Dvora., 4., *')r#, M., Mollo#, M., D $ant', F. =3009>. $onsens's State"ent on $onc'ssion in S&ort% the 7rd International $onference on $onc'ssion in S&ort held in Q'rich, :ove")er 3006. &ritish "ournal of Sports 'edicine, (3=i712i64>. Fetrieved :ove")er 17, 3017 Medco S&orts Medicine, ,atterson Medical Holdings, Inc. =3017>. ,rice 9istings Fetrieved fro"%htt&s%AA(((."edco2athletics.co"As'&&l#ADefa'lt.as&Mcategor#N18 Medco S&orts Medicine, ,atterson Medical Holdings, Inc. =3017>. ,rice 9istings Fetrieved fro"%htt&s%AA(((."edco2athletics.co"As'&&l#ADefa'lt.as&Mcategor#N70 Medco S&orts Medicine, ,atterson Medical Holdings, Inc. =3017>. ,rice 9istings Fetrieved fro"%htt&s%AA(((."edco2athletics.co"As'&&l#ADefa'lt.as&Mcategor#N10 Medco S&orts Medicine, ,atterson Medical Holdings, Inc. =3017>. ,rice 9istings Fetrieved fro"%htt&s%AA(((."edco2athletics.co"As'&&l#ADefa'lt.as&Mcategor#N13 Medco S&orts Medicine, ,atterson Medical Holdings, Inc. =3017>. ,rice 9istings Fetrieved fro"%htt&s%AA(((."edco2athletics.co"As'&&l#ADefa'lt.as&Mcategor#N11 Miller, M., D Berr#, D. =3011>. )mer%enc* response mana%ement for athletic trainers. =1st ed., &. 731>. Balti"ore% 9i&&incott !illia"s D !il.ins. M'eller F., $ant' F. =3006> :ational center for catastro&hic s&ort in5'r# research% (ent#2 fo'rth ann'al re&ort% Fall 1963Rs&ring 3001. :ational *ssociation for S&ort and ,h#sical Ed'cation. =3017>. :*S,E grants data)ase. Fetrieved fro" htt&%AA(((.aah&erd.orgAnas&eAgrantsAgrants. :ational *thletic rainer?s *ssociation. =3003>. ,osition &ro&osal g'ide for certified athletic trainers in secondar# schools athletic &rogra"s. Fetrieved fro" :ational *thletic rainers *ssociation. =3010>. *n ;vervie( of s.ills and services &erfor"ed )# certified athletic trainers. Fetrieved ;cto)er 10, 3017, htt&%AA(((.:ata.orgAsitesAdefa'ltAfilesAg'idetoathletictrainingservices.&df :ational *thletic rainers *ssociation . =3010, 4an'ar#>. *thletic raining Services% *n ;vervie( of S.ills and Services ,erfor"ed )# $ertified *thletic rainers. In :ational *thletic rainers *ssociation . Fetrieved ;cto)er 11, 3017, fro" htt&%AA(((.nata.orgAsitesAdefa'ltAfilesAG'ide o*thletic rainingServices.&df :ational *thletic rainer?s *ssociation. =3011>. Hire an athletic trainer to increase efficienc# in #o'r (or. setting% 3011 athletic training salar# s'rve# res'lts. Fetrieved ;cto)er 1, 3017 fro"% htt&%AA(((.nata.orgA :ational *thletic rainer?s *ssociation. =3007>. Feco""endations and g'idelines for a&&ro&riate "edical coverage of intercollegiate athletics. Fetrieved ;cto)er 1, 3017 fro"% htt&%AA(((.nata.orgA ,rentice, !.E. =3011>. ,rinci&les of athletic training% * co"&etenc# )ased a&&roach. :e( Oor.,
NYB@!Gra* Hill) htt&%AA(((.nata.orgAsitesAdefa'ltAfilesA&osition2&ro&osal2g'ide2for2certifiedathletictrainersin2 secondar#2school2athletics2&rogra"s.&df

,rentice, !. E., =3011>. Feha)ilitation techni-'es for s&orts "edicine and athletic training =8th Edition>. :e( Oor., :O% McGra( Hill. Fa#, F., /onin, 4. =3011>. Manage"ent strategies in athletic training. $ha"&aign, I9% H'"an

GHHS 70

/inetics. Sa)o, 4., =3003> Designs and constr'ction of an athletic training facilit#. :* *:e(s, 8=1>, 102 37. Schaefer, 4. 9., D Sandre#, M. *. =3013>. Effects of a 42!ee. D#na"ic2Balance2 raining ,rogra" S'&&le"ented !ith Graston Instr'"ent2*ssisted Soft2 iss'e Mo)ili<ation for $hronic *n.le Insta)ilit#. 4o'rnal of S&ort Feha)ilitation, 31=4>, 7172731. Secondar# School *thletic rainersL $o""ittee. =3003, 4an'ar#>. ,osition ,ro&osal G'ide for $ertified *thletic rainers in Secondar# School *thletic ,rogra"s. :ational *thletic rainersL *ssociation. Fetrieved ;cto)er 10, 3017 Sn#der, *.F., ,arsons, 4. ., Jalovich2Mc9eod, .$., Ba#, F.$., Michener, 9.*., DSa'ers, E.9. =3006>. @sing disa)le"ent "odels and clinical o'tco"es assess"ent to ena)le evidence2 )ased athletic training &ractice, &art I% disa)le"ent "odels. "ournal of #thletic $rainin%, 47=4>, 4362471. Sto&.a, $hristine, Shi"on, 4ane M, Horod#s.i, Mar#Beth, Deere, Fand#,Bolger, $hristine. =3003>. $ertified athletic trainers in o'r secondar# schools. Strategies, 11=3>, 70273. S(art<, E. E., Boden, B.,., $o'rson, F.!., Decoster, 9.$., Horod#s.i, M., :or.'s, S.*., !aninger, /.:. =3009>. :ational athletic trainer?s association &osition state"ent% *c'te "anage"ent of the cervical s&ine2in5'red athlete. "ournal of #thletic $rainin%. 44=7>, &. 7012771.

GHHS 71