Maryland State Department Of Education Concussion Awareness Parent/student-Athlete Acknowledgement Statement Page 11

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Team Members
Role(s)
Responsibilities
• Evaluate student-athletes for signs and symptoms of a concussion
concussion and evaluate
the student diagnosed with
when present at athletic events.
• Observe for late onset of signs and symptoms, and refer as
TBI/concussion in progress
of return to athletic
appropriate.
• Evaluate the student to determine if injury warrants emergency
activities based on private
medical provider orders
transport per district policy.
and/or district protocol.
• Refer parents/guardians of student athletes believed to have
sustained a concussion to their medical provider.
• Provide parents/guardians with oral and/or written instructions on
observing the student for concussive complications that warrant
immediate emergency care.
• Assist in implementation of accommodations for the student-
athlete.
• Monitor the student’s return to school activities and communicate
with the supervising medical director, school nurse,
parent/guardian, and appropriate school staff.
• Recognize signs and symptoms of TBI/concussion and remove
Provide appropriate
Physical Education Teacher
instruction and supports for
student from activities immediately if student presents with signs
student’s transition back to
and symptoms.
• Contact the school nurse or certified athletic trainer (if available)
school and during physical
education class activities
for assistance with any student injury (thus transferring
responsibility of treatment and parent notification…).
• Communicate with school administrator and school nurse
regarding suspected TBI/concussion and any head injuries
occurring in physical education class and complete required
school incident report form.
• Verify written authorization for student to participate in physical
education activities post-TBI/concussion.
• Adhere to the school’s gradual return to play protocol.
• Adhere to the local school system’s policies regarding concussion
Provides leadership and
Coaches
supervision of the
management and ensure coaching staff, assistant coaches,
interscholastic sport team
parents/guardians, and students are educated about concussions
to which he/she is
and local policies/procedures.

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