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Educating the Athletic Community about MRSA. Presentation for Hawaii Athletic Trainers’ Association August 2009. Why bother?. BOC STANDARDS OF PROFESSIONAL PRACTICE STATE:

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educating the athletic community about mrsa

Educating the Athletic Community about MRSA

Presentation for Hawaii Athletic Trainers’ Association

August 2009

why bother
Why bother?
  • BOC STANDARDS OF PROFESSIONAL PRACTICE STATE:
  • The BOC does not express an opinion on the competence or warrant job performance of credential holders; however, every Athletic Trainer and applicant must agree to comply with the Standards at all times.
  • Standard 1: Direction
  • The Athletic Trainer renders service or treatment under the direction of a physician.
  • Standard 2: Prevention
  • The Athletic Trainer understands and uses preventive measures to ensure the highest quality of care for
  • every patient.
because
Because…
  • 17 year old wrestler Noah A. Developed flu like symptoms following wrestling camp in Lake Arrowhead, CA June 2008
  • PMD suspected chicken pox
  • Noah developed pneumonia
  • Died July 20, 2008
slide6
Saleen Jones, 17 year old cornerback at Martin Luther King High school in Philadelphia died Sept 27, 2008 from MRSA
  • No visible signs of MRSA infection
  • Went to hospital with neck pain, initially ER staff suspected head injury
other newsmakers
Other newsmakers
  • Ryan Robinson, junior soccer player Jessamine High School Ky Died 2008
  • Alonzo Smith, senior Liberty HS Florida went to ER with back spasms, quad contraction and rash died Oct 2008
  • An entire county in Wisconsin suspended wrestling for one month in 2007 due to “widespread MRSA”
why bother8
Why bother?
  • 2007—6 out of 59 high school football players diagnosed with MRSA infection after spending 4 nights sleeping in school gym for football camp.
  • Although athletes were offered laundry service most never washed the towels they brought into camp.
  • Athletes shared towels, soap, and razors
why bother9
Why bother…
  • Infectious Disease News reported in May 2007 that 53% of Certified Athletic Trainers surveyed, reported treating a MRSA infection within the past year.
  • 21 schools were closed in Virginia after a Bedford high school senior died from MRSA complication in 2008
prevention through education
PREVENTION THROUGH EDUCATION
  • “It is much easier to cure what you never had in the first place”

Sam the flim flam man

who to educate
Who to educate
  • Student Athletes
  • Coaches
  • Administrators
  • Parents
  • Equipment Managers
  • Janitorial/custodial staff
slide12
How?
  • Know your audience; know what appeals to them and what their attention span is.
  • Know where you present
    • At practice field, gym, court
    • Classrooms, auditoriums etc
  • Today’s Students are visual learners, your medium for presenting depends on your site
who do you think has the shortest attention span
Who do you think has the shortest attention span?
  • Students?
  • Parents?
  • Coaches?
  • Administrators?
  • Staff?
educating students
Educating students
  • SCARE THEM!!!
  • Put posters in Athletic Training Room, locker rooms, bulletin boards
  • Show them pictures, power points, videos
  • Tell them there is a podcast
  • Tell them how to clean and to keep wounds covered
  • Make sure they clean equipment and personal items like knee/elbow pads
  • Teach them to STOP SHARING
educating parents
EDUCATING PARENTS
  • TAP THEIR EMOTIONS
  • I start with picture of Saleen Jones
  • Tell them what they can do at home
  • Tell them signs and symptoms that warrant MD visit
  • Reassure them what you, your employer do to prevent and control MRSA
educating administrators
EDUCATING ADMINISTRATORS
  • REASSURE THEM
  • Tell them the steps you and your athletic staff take to prevent infection ie.
    • Disinfection controls :Mop floors, disinfect treatment tables (often), disinfectant in whirlpools, wash towels and uniforms in hottest water safe for fabric, wash hands
    • Cleanse and bandage all wounds daily
    • Refer to MD when any symptoms arise
    • Tell them you are trying to educate your coaches,students, and parents
    • Communicate with school nurse/health center
educating coaches
EDUCATING COACHES
  • SHOCK THEM!!
  • Put Newspaper clippings in their locker room, mailbox, or clipboard
  • Highlight the part where the coaches are quoted
  • Make sure they know all skin wounds have high risk
  • Make sure they have first aid supplies at practice
  • Tell them to encourage players to shower immediately after practice and not to share soap or towels
educating school staff
EDUCATING SCHOOL STAFF
  • MATTER OF FACT
  • TELL THEM EXACTLY WHAT THEY NEED TO DO TO PREVENT OR MINIMIZE OUTBREAK
  • Give them CDC guidelines
  • Make sure coaches and equipment staff wear gloves while handling laundry
great resources
Great Resources
  • CDC www.cdc.gov Click on MRSA education materials
  • They have lots of downloads, posters, handouts, powerpoints, podcasts.
  • All are reproducible and free. You may also order full size posters. The power point is from 2004 and can be edited.
cdc handouts
CDC handouts:
  • There are differing headers to this handout
mrsa implications in sports medicine
MRSA:Implications in Sports Medicine
  • Staphylococcus aureus, often referred to as “staph”, are bacteria commonly carried on the skin or in the nose of healthy people
resources
Resources
  • Hibicleans
  • They have posters, handouts, video/DVDs
resources28
Resources
  • NATA www.nata.org
  • Best practices statement
resources29
Resources
  • Hawaii State Department of Health
  • www.hawaii.gov/health
  • There is one handout but not much else
resources31
Resources
  • www.mrsaresouces.com
  • They have a printable, customizable, tri-fold brochure written at student level
summary
Summary
  • Use a variety of materials
  • Leave a handout after you finish speaking
  • Try to keep to 15 minutes or less
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