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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

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Educating the Athletic Community about MRSA

Presentation for Hawaii Athletic Trainers’ Association

August 2009


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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.


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WHY BOTHER?


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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


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Because….


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  • 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


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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”


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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


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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


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PREVENTION THROUGH EDUCATION

  • “It is much easier to cure what you never had in the first place”

    Sam the flim flam man


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Who to educate

  • Student Athletes

  • Coaches

  • Administrators

  • Parents

  • Equipment Managers

  • Janitorial/custodial staff


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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


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Who do you think has the shortest attention span?

  • Students?

  • Parents?

  • Coaches?

  • Administrators?

  • Staff?


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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


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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


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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


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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


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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


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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.


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CDC handouts:

  • There are differing headers to this handout


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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


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Resources

  • Hibicleans

  • They have posters, handouts, video/DVDs


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Resources

  • NATA www.nata.org

  • Best practices statement


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Resources

  • Hawaii State Department of Health

  • www.hawaii.gov/health

  • There is one handout but not much else


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Poster from State Department of Health


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Resources

  • www.mrsaresouces.com

  • They have a printable, customizable, tri-fold brochure written at student level


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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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Questions?????????????

Mahalo


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