Table of Contents
COVID 19 POLICIES
PARTICIPATION & GUIDELINES
MISSION & VISION STATEMENT
Belhaven University prepares students academically and spiritually to serve Christ Jesus in their careers, in human relationships, and in the world of ideas.
Belhaven University affirms the Lordship of Christ over all aspects of life, acknowledges the Bible as the foundational authority for the development of a personal worldview, and recognizes each individual’s career as a calling from God. Each academic department is committed to high academic goals for its students and clarifies the implications of biblical truth for its discipline. Belhaven upholds these commitments in offering undergraduate and graduate programs, by conventional or technological delivery modes, and in local, national, and international venues. The University requires a liberal arts foundation in each undergraduate degree program, in order to best prepare students to contribute to a diverse, complex and fast-changing world.
By developing servant leaders who value integrity, compassion, and justice in all aspects of their lives, the University prepares people to serve, not to be served.
STATEMENT OF FAITH
We believe that there is only one God, eternally existent in three persons: Father, Son, and Holy Spirit.
We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory.
We believe the Bible to be the inspired, inerrant, and only infallible, authoritative Word of God, which exercises ultimate authority over the individual, the Church, and human reason.
We believe that justification through Christ is received by repentant sinners through faith alone, without works.
We believe that God, by his Spirit, progressively transforms the lives of those who are justified by God.
We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation.
The purpose of this manual is to inform the Belhaven University staff, faculty, and students about the policies and procedures of the Belhaven University Dance Clinic.
HOURS OF OPERATION
Clinic Hours: Monday-Friday | 8:30 a.m. - 4:30 p.m.
All school holidays will be observed and the dance clinic will be closed during those times. The dance clinic will also be closed during Dance Department Soul Days.
These hours are subject to change based on the Dance Athletic Trainer’s (AT) availability.
The Dance Clinic is located in Room 129 of the Bitsy Irby Visual Arts and Dance Center. The number for the clinic is 601-965-7003, or campus ext 8134.
Victoria Fauntroy, MS, LAT, ATC.
- BOC certified and member of the National Athletic Trainers’ Association (NATA)
- Licensed by the State of Mississippi
- CPR/First aid/AED certified
- Mental Health First Aid certified
- Selective Functional Movement Assessment (SFMA) Level 1 Certified
- American Heart Association BLS/Heartsaver Instructor
The dance athletic trainer (AT) is in charge of running the dance clinic and all its entities. She covers dance department classes, rehearsals, and performances.
The Belhaven University Dance Department has established the need for an athletic trainer to be on-site during class times, rehearsals, and performances to provide the dancers and staff with the correct care needed in prevention, evaluation, treatment, conditioning, and rehabilitation of dance-related injuries. The athletic trainer is responsible for providing medical coverage of all dancers with dance-related injuries at Belhaven University. The athletic trainer must maintain and adhere to the regulations of the Board of Certification, State of Mississippi Licensure Laws, and all Belhaven University policies and procedures, like those of regular staff/faculty.
ETHICAL CODES OF CONDUCT
PERSONAL/ SOCIAL CONDUCT
The dance athletic trainer should conduct herself with professionalism. She is a representative of the Belhaven University Dance Department and should present herself in good standing and respect for herself and the university.
Every Dance Department student, faculty, and/or staff member that comes into the dance clinic at Belhaven University will be treated no matter their race, gender, ethnicity, way of living, and/or disability.
Any unwanted sexual advances, jokes, remarks, gestures, etc., will not be permitted in the dance clinic. If such actions occur by any employee, immediate expulsion and investigation will occur.
All paper work and patient information is to be kept confidential and is only to be used within the Dance Department for student care purposes.
COVID 19 POLICIES
COVID 19 Policies
The Dance Department at Belhaven University is committed to the health and safety of students, faculty, staff, and campus guests. In response to the ever-changing status of the Covid-19 pandemic, this policy has been developed using guidelines from the city, state, and federal government as well as The Task Force on Dance Health and NCAA.
Dance students are expected to follow the Campus Safety Requirements outlined by the University. These additional guidelines must also be adhered to in order to participate in dance. It is important to remember that everyone is responsible for their own personal health and safety.
Any vulnerable dance student or personnel should consult with their primary care physician to determine the safety of return to work, campus, and dance. Vulnerable populations include individuals with underlying health conditions such as high blood pressure, chronic lung disease, diabetes, obesity, asthma, and those whose immune system is compromised.
DANCE DEPARTMENT PROTOCOLS
- Proper handwashing/sanitizing should be practiced in the studios and off-campus.
- Consider wearing a mask around others if you contract a respiratory illness.
- Daily cleaning protocols are in place for high-touch surfaces and floors.
- If you do not feel comfortable with dance partnering or tactile correction, please inform the Chair of Dance Department via email.
GENERAL GUIDELINES FOR THE DANCE CLINIC
- The dance athletic trainer will determine the number of individuals that can safely be in the dance clinic at one time. Please do not enter the clinic without permission.
- The dance AT will be responsible for sanitizing equipment in the Dance Clinic.
- Dance students may be in the clinic only during appointments, office hours, or an emergency situation.
COVID-19 Symptoms may be experienced by people of all age groups, yet many people who have the virus do not exhibit symptoms.
SYMPTOMS MAY INCLUDE
- Shortness of breath or difficulty breathing
- Sore Throat
- Congestion or Runny nose
- Nausea or Vomiting
- Changes to smell or taste
COVID-19 CAMPUS SAFETY REQUIREMENTS
- Students who experience COVID-19 symptoms should not come to campus or leave their residence hall room until you have been tested and received your test results.
- If you are experiencing symptoms, complete the COVID-19 Symptomatic Form on Blazenet under “Quick Links”.
- If you select that a test appointment should be made for you, a member of the Office of Student Development will contact you with an appointment time at the MEA Clinic (5606 Old Canton Rd.).
- Please remain in your residence hall room/home until you receive your test results
These guidelines are subject to change as additional information becomes available.
- If found positive, you may be required to quarantine off campus. Those testing positive must quarantine for at least 5 days from the onset of symptoms and may only return on Day 6 if fever-free for the previous 24 hours (without the use of fever-reducing medication) and if symptoms are resolving
- Upon returning to campus, a mask must be worn at all times for an additional 5 days.
- Please send the results of your positive test to email@example.com so professors can be notified of your COVID absences.
- Contact your professors about assignments as soon as you are able.
FREE COVID-19 TEST FACILITIES
The Families First Coronavirus Response Act ensures that free COVID-19 testing is available to anyone in the US, including the uninsured.
The US Department of Health & Human Services has provided a listing of Free Testing Facilities by State. Please visit this website to look up free testing facilities by state: https://www.hhs.gov/coronavirus/community-based-testing-sites/index.html.
Health Centers are a vital component of the national response to COVID-19. To find a health center near you available for COVID-19 screening and testing, see the link: https://findahealthcenter.hrsa.gov/.
Pharmacies are coordinating with state and local governments to provide testing to communities around the United States. The following pharmacies are providing free testing to individuals. Please check each company’s website because all pharmacy locations are not offering testing and you have to schedule an online appointment.
- CVS: here
- Rite Aid: here
- Walgreens: here
- Walmart (in partnership with Quest Diagnostics): here.
BLOOD BORNE PATHOGENS (BBP)
By OSHA standards, all fluids considered to have BBP should be managed and disposed of with caution. Procedures include:
- Latex or surgical gloves should be worn anytime contact with blood, mucous membranes or non-intact skin takes place (for example: abrasion, bloody noses or lacerations). Gloves should be changed immediately after use on each individual and placed in the biohazard containers in the first aid room or in the individual biohazard bag in the dance clinic.
- Hands should be washed after gloves are removed.
- Existing wounds, abrasions or cuts which may begin to bleed during a class, rehearsal, or performance should be covered with a protective dressing to avoid the wound from reopening, and require removal from the practice or competition to care for the wound.
- Sharp items such as needles, scalpels, or syringes must be disposed of after use in the SHARPS containers in the dance clinic.
- Wounds that are bleeding must be covered by a dressing that will prevent blood from oozing through the Band-Aid or gauze that is applied.
BODILY FLUID CLEANUP
Surfaces contaminated with blood should be cleaned using the solution in the spray/foam can or sanitizing wipe located in each studio’s blood kit. Wipe up the blood with the sanitizing wipe and place it in the biohazard waste bag or trash bag. Make sure gloves are worn.
- Put on gloves
- Deposit all waste in the biohazard containers or trash can
EMERGENCY ACTION PLAN
Each facility on campus has their own Emergency Action Plan. Injury-related emergencies will be managed by the dance AT in collaboration with the Chair of Dance. The University Emergency Action Plan can be accessed at http://www.belhaven.edu/pdfs/campus-operations/Security-Report.pdf.
The Belhaven University Dance Department will provide and maintain all necessary personal protective equipment (PPE), engineering controls (e.g., sharps containers), and labels as required.
Personal Protective Equipment
- Disinfectant spray & sanitizing wipes
Spine Boards/ AED
In case of emergencies, a spine board and AED are on site with easy access. This equipment will be tested periodically to ensure proper function.
The AED is located in the First Aid room on the second floor of the Bitsy Irby Visual Arts and Dance Center.
EMS may be contacted in an emergency situation by request of the dance athletic trainer or staff/faculty member in charge. If an ambulance is required, Campus Security will also be notified.
- Locate a responsible person to stay with the injured patient.
- Contact the Dance Athletic Trainer (571-354-0853) and/or EMS (911).
- If EMS is called, notify Campus Security (601-968-5900).
- Once the dance athletic trainer or EMS has responded, they can make the appropriate decisions regarding patient care.
- The dance athletic trainer, student, faculty, or staff will designate an individual to call EMS.
- If a dancer is injured during class time or faculty-led rehearsal, the faculty member/teacher should send someone into the dance clinic or call the dance clinic. If the athletic trainer is not available, the faculty should call EMS at 911.
- The individual who calls the EMS unit will provide the following information:
- Primary survey status (i.e. conscious or unconscious; extensive and/or uncontrolled bleeding; fractured bone or dislocated joint)
- Detailed information of the emergency
- EXACT location of the injured person
- EXACT location of where EMS should arrive
- The staff or dance athletic trainer will designate an individual to wait for the EMS unit at the entrance to the Bitsy Irby Building.
- The dance athletic trainer should be called immediately if not present.
- The parents of the injured/ill student-athlete will be called and notified of the injury/illness.
- An EMS unit will be called if needed according to the plan under Emergency Communication.
- An AED and spine board are located in the first aid room on the second floor of the Bitsy Irby building.
In the event of a non-emergent situation, the dance athletic trainer will be notified and provide all necessary medical coverage either upon the day of injury or next working day in the clinic. If the dance athletic trainer is not present, the staff/faculty present will make the proper decision for treatment and care to the best of their knowledge and will contact the dance athletic trainer.
PARTICIPATION AGREEMENTS & DOCUMENTATION
Participation and Guidelines
CONSENT, ASSUMPTION OF RISK, AND MEDICAL RELEASE FORM
The consent to treat, assumption of risk, and medical release form is to provide awareness to the individual and his/her parents about the role of the dance athletic trainer, risks of dance, and confidentiality policy.
MEDICAL HISTORY AND EMERGENCY CONTACT
Prior to participation, a medical history and emergency contact form must be completed with the dance student’s current information. This form will stay in the dance clinic or with the dance athletic trainer at all times.
A complete physical exam by a Licensed Physician (MD, DO, NP, PA-C) with the completed abovementioned forms must be completed prior to participation in any classroom, rehearsal, or performance. These forms will be kept in the dance clinic in a file cabinet.
All new, incoming students must participate in a dance screening completed by the Dance Athletic Trainer during the first couple of weeks of the fall semester. A sign-up sheet will be sent to dancers to make an appointment for the screening. This screening is an assessment of the dancer’s movement, alignment, strength, and flexibility.
All medical care provided by the dance AT will be documented each day. The AT manages records of supplies, treatment, SOAP notes, referrals, and injury reports.
DANCE INJURY FORMS
Injury information will be kept with each dancer’s file using an electronic injury database system.
INJURY AND PROGRESS NOTES
Injury and progress notes will be completed daily. Rehabilitation logs will be kept in an online database.
Due to liability issues, the dance athletic trainer only provides treatment to Belhaven University Dance Department students and faculty. She will make appropriate referrals as necessary.
DANCE CLINIC POLICIES & PROCEDURES
Participation and Guidelines
The Belhaven University Dance Clinic policies and procedures are designed to encourage students to become active participants in the care and, in the case of injury, rehabilitation of their bodies when working with healthcare practitioners and dance faculty. The dance athletic trainer and dance faculty equip students to make wise decisions about the well-being of their bodies when injured. We endeavor to be good stewards of the students’ bodies and encourage students to be good stewards as well.
- All dance majors, minors, and apprentices are required to have a physical evaluation by a licensed physician (MD, DO, NP, PA-C) and complete the necessary Pre-Participation Medical History Evaluation, Consent/Assumption of Risk/Medical Release forms prior to arriving on campus. The forms can be found on the BU Dance Department website. The dance athletic trainer cannot provide evaluation or treatment until all forms are completed and submitted. Additionally, the dance student may not participate in dance classes or rehearsals until all forms are completed and submitted.
- Incoming dance majors, minors, and apprentices will meet with the dance athletic trainer during the first couple of weeks in the semester for a dance screening to discuss and review physical health records and any concerns related to injury care and prevention in preparation for the upcoming school year. A sign-up sheet will be sent to dancers to make an appointment for the screening.
- Dance faculty and staff take preventative measures for students’ physical well-being throughout the dance curriculum at Belhaven University. However, as a dance major/minor/apprentice in a physically demanding discipline, injuries may occur. It is highly recommended that students have reliable health insurance coverage in the event of emergency. If health insurance is needed, student coverage options are available through Transamerica underwritten by E. J. Smith and Associates at www.ejsmith.com.
- Injuries sustained within the Dance Department must be reported by the student to dance faculty, and seen by the dance athletic trainer for evaluation and treatment. An appointment should be scheduled with the dance AT in a timely manner following injury. Clinic appointments can be made at www.budanceclinic.skedda.com under the individual student’s account. Injuries sustained outside of the Dance Department should be reported to the dance AT in case of modifications needed in dance classes and rehearsals. The dance AT will work with the student to find appropriate medical care for the injury.
- After initial evaluation by the dance AT, the student will be given an appropriate care regimen and follow-up instructions. At each follow-up clinic visit, the student will be given further treatment, rehabilitation instructions, and necessary limitations as determined by the dance AT. As part of treatment, the student may be required to either participate with restrictions or refrain from participation in classes and rehearsals. In any case, the student must attend dance classes and rehearsals, and/or report to the clinic when necessary for treatments. If class activity is limited, the dance AT will give the student a red slip (no activity) or a yellow slip (restricted activity) to present to dance faculty at the beginning of each class period. Students who are restricted from full activity in a dance class will also be restricted from participation in rehearsals.
- If a dance student is under a red or yellow slip, the dance AT will determine the time frame in which to return to activity. If a student receives a red slip from the dance AT, the AT in collaboration with the dance faculty will direct the student to either observe class or to use class time to work toward rehabilitation. If a student with a red slip observes class, she/he will not be counted absent if:
- The student follows rehabilitation instructions provided by the athletic trainer.
- The student uses class time as instructed by the faculty member. This could include required observation, note-taking, conditioning exercises, appointment(s) with the AT, etc.
- The student sends an email to their dance technique instructor(s) and cc’s the dance athletic trainer at the end of each week of missed classes (by Friday at 4:30pm) which includes:
- The course name and the dates of classes when the student was unable to physically participate
- The dates of appointments with the athletic trainer
- A summary of activities to be considered as a substitution for participation in class.
The above Red Slip Attendance Policy applies to students taking dance technique classes for credit, audit, and zero credit. Students with a Red Slip will be marked absent if they do not follow the above protocol.
If a student is unable to participate in class for more than two weeks due to an injury/red slip, the student will need a medical drop for all affected courses. If limitations in class through a yellow slip reach a total of four weeks, the student will also need a medical drop for those corresponding courses. Dance faculty will be in close communication with the dance AT and the injured student throughout this process to determine the best possible plan of action.
- The dance AT works with specific medical professionals in the Jackson area. These relationships give the AT critical involvement in the outside care of the dancer, which is imperative in decision-making regarding class participation. Please consult the dance AT before seeking outside medical assistance. If the dance AT deems an injury severe or is not responding well to treatment, then she will make referral to necessary outside medical professionals: orthopedics, general practitioners, chiropractors, counselors, etc. The dance AT will either arrange or give the student specific details to set up outside appointments.
- The dance AT will maintain communication with the Dance Chair and Dance faculty regarding care and injury status of each dancer.
OTHER POLICIES & INFORMATION
Participation and Guidelines
STUDENTS CHOOSING TO SEEK OUTSIDE MEDICAL CARE
- If a student chooses to seek outside medical care, the student must stay in communication with the dance athletic trainer about:
- Any/all injury restrictions and updates on these restrictions
- Treatment being received
- Injury timeline and physician clearance
- Following injury, if the student is restricted from participation in dance classes and rehearsals per the guidelines of a physician, the student must present a doctor’s note to the dance athletic trainer with the following information:
- Date of appointment
- Doctor’s signature
- Specific restrictions in dance classes and rehearsals
- Time frame for specific restrictions
- Follow-up appointment date
- Students should have weekly appointment(s) for rehabilitation and/or treatment.
- Students must submit any follow-up visit reports and a signed doctor’s release letter for full participation to the dance athletic trainer and Chair of the Dance Department.
STUDENTS WHO DO NOT COMPLY WITH THESE GUIDELINES MAY BE ASKED TO WITHDRAW FROM DANCE COURSES.
Please refer to the University’s list of suggested local medical clinics for care of illness or other medical issues.
STUDENT HEALTH INSURANCE
All students should be insured with accident and/or health insurance at all times during attendance at Belhaven University. Belhaven does not automatically provide student health insurance; however, as an optional service, a Student Accident and Sickness Insurance Program is available. Brochures on the policy are in the Office of Student Development. For international students, a medical insurance plan is required. As part of your acceptance to Belhaven University, you have agreed either to purchase student insurance to provide proof that you are already covered by an adequate insurance policy. Insurance is available at registration or in the Office of Student Development.
MENTAL HEALTH POLICIES & PROCEDURES
The Belhaven University Dance Department and Dance Athletic Trainer assist in the overall healthcare of the dance majors, minors, and apprentices. The purpose of this mental health guideline is to define mental health, identify specific members of the healthcare team who will oversee potential incidences, and to outline the necessary steps to manage an acute or chronic mental/behavioral health situation.
Guidelines for the identification, management, and treatment of mental health issues of students have been provided through the Best Practices for Understanding and Supporting Student-Athlete Mental Health Best Practices derived from the NATA and NCAA.
Mental health is defined as the emotional, psychological, and social well-being of a person. For the purpose of these guidelines, mental health issues will be categorized as acute or chronic. Acute emergencies are defined as sudden changes in mental conditions (i.e. perceived suicide attempt or changes in mental status). These conditions may require hospitalization. Chronic conditions include: depression, anxiety disorders, or other previously diagnosed mental conditions.
MENTAL HEALTHCARE TEAM
MENTAL HEALTH PREVENTION
The BU Dance Department takes a proactive approach to mental health concerns by adding the mental health questionnaire to the new and returning dancers’ pre-participation documentation. At risk dance students identified through the PPE MH screening may be provided an additionally detailed questionnaire. The dance athletic trainer will determine the need for further evaluation by a member of the Mental Healthcare Team.
Belhaven University and the Dance Department seek to meet the needs of students by fostering a warm environment of personal connection between students, faculty, and staff members. Students should feel free to visit the Dance Office, the Dance Clinic, the Campus Counselor, the Office of Student Development, or the Think Center to discuss concerns. A qualified, professional counselor is on-campus and visits are free for traditional, undergraduate students.
Appointments may be scheduled directly with the Campus Counselor by emailing firstname.lastname@example.org.
MENTAL HEALTH PROTOCOLS
If a student reports a mental health emergency (including but not limited to harming him/herself or others, obvious severe changes in mental status, or other destructive behaviors), the dance AT or supervising staff/faculty will notify the Dean of Students to develop a plan of care.
Should any student exhibit any symptoms of depression, anxiety, sleep disturbances, or substance abuse, an additional survey from the Mental Health Best Practices Manual may need to be completed by the student and then followed up with the dance athletic trainer. At which point, the AT will make the recommendation for follow-up with the appropriate mental healthcare provider.
Upon a student seeking treatment in a mental healthcare crisis, the dance AT will follow-up with involved mental healthcare providers to ensure proper treatment and smooth transition upon return to classes and rehearsals. Dance faculty will be notified of any and all updates.
In the event a student reports any disturbances to the dance AT or if the AT becomes concerned, an appointment will be set up between the student and the athletic trainer. The dance athletic trainer will then contact the appropriate member of the Mental Healthcare Team to establish the best plan of care for the involved student.
In the event of a student’s teacher or friend becoming seriously concerned of a mental health condition or crisis, the concerned person should make immediate referral to the dance athletic trainer. From there, the appropriate member of the Mental Healthcare Team will be contacted to establish the best plan of care for the involved dancer.
CLASS ABSENCES DUE TO MENTAL HEALTH CONDITION
Class participation is important, and students missing more than 20% of classes will fail the course and receive an F (except in the case of unique medical or family extenuating circumstances to be considered in consultation with the Registrar).
- 8 absences for a class that meets 3 times a week
- 6 absences for a class that meets 2 times a week
- 3 absences for a class that meets once per week
- Persistently arriving late or leaving early may impact a student’s grade.
Mental health conditions that result in missed classes need to be communicated to dance professors. Students should demonstrate that they are receiving appropriate treatment and report consistent follow-up care to the dance department by the mental healthcare professional. Mental health issues resulting in more than 20% of missed classes will be addressed on a case-by-cases basis, to be considered in consultation with any treating health care professionals, Department Chair, Provost, and Registrar.
PANIC ATTACK DESCRIPTION
A panic attack is often a reaction to fear (either conscious or unconscious), and some of the strange physical reactions you experience during one are the result of your body reacting to this fear. Common catalysts of panic attacks include:
- Anticipatory anxiety. You become mentally anxious over a past, traumatic event, and your body responds as if it will happen again right away. Catalysts can include photographs, conversations, or anything that triggers the bad memory.
- Self-defeating visualization. You may not only picture yourself re-experiencing a traumatic event, but you may also fear losing control of a current situation and not being able to handle it. You interpret the situation as potentially dangerous, and your body secretes adrenaline to prepare for crisis.
SIGNS AND SYMPTOMS
Because anxiety appears in so many different conditions, it can look very different from person to person. Some people express their anxiety emotionally, while others show signs of physical distress. The unifying factor, however, is a sense of overwhelming, irrational fear. Here are some signs that someone is experiencing anxiety:
- Excessive worry with an inability to control it
- Intense episodes of fear or panic
- Difficulty concentrating
- Physical symptoms such as nausea, stomach pain, rapid heart rate, muscle tension, sweating, shaking, dizziness, numbness, or difficulty breathing
IN THE CASE OF A PANIC ATTACK DURING CLASS OR REHEARSAL
- Designate a student that will notify the dance athletic trainer.
- Upon arrival, the dance athletic trainer will take the dancer outside of class and escort the student to the first aid room to calm him/her down and tend to the situation.
- Following the recovery of the dancer, the dance athletic trainer will document the situation
- If necessary, the dance athletic trainer will measure the dancer’s oxygen saturation using a pulse oximeter.
- If the dancer’s oxygen saturation is below 90% or continues to drop, the dance athletic trainer will call EMS (911) for further evaluation
- After EMS is called, Campus Security will be notified
- If the dancer loses consciousness, the dance athletic trainer will.
- Check the dancer’s ABCs (airway, breathing, circulation) and will call for someone to retrieve the AED
- Call EMS (911) and notify Campus Security
- Document the situation
- If the dance athletic trainer is not present, the staff/faculty will work to calm the dancer and de-escalate the situation.
- Following the situation, the dance athletic trainer should be notified of the situation
- If the dancer loses consciousness and the dance athletic trainer is not present, the staff/faculty will.
- Check ABCs and retrieve the AED
- Call EMS (911) and notify Campus Security
- Call the dance athletic trainer and
- Report the situation
- If a dancer continues to experience panic attacks over the semester, s/he will be referred to a member of the Mental Healthcare Team for further evaluation and treatment.
GENERAL GUIDELINES WHEN TREATING SOMEONE EXPERIENCING A PANIC ATTACK
- Be calm
- Be patient
- Don’t be condescending
- Remind the student that they’re not crazy
- Sit with the dancer
- Ask the dancer to tighten and relax their muscles one by one
- Remind the dancer that they are breathing
- Engage the dancer in a discussion (if they can talk, then they can breathe)
- If the dancer is having trouble breathing, try getting them to exhale slowly or have them breathe through their nose
- Put their hands their stomach to feel each breath
A concussion is defined as a change in the brain’s function following any force to the head which may or may not involve a temporary loss of consciousness that leads to neurologic and cognitive dysfunction.1 Because concussions can vary widely in their severity, clinical trajectory, and duration, each case should be evaluated and treated on an individual basis, however this document will provide general guidelines for concussion management best practices.2
This policy has been formulated according to the best available evidence and adheres to all guidelines set by the NCAA and NATA. This policy will be reviewed and updated annually by the dance athletic trainer.
- Belhaven University maintains an up-to-date emergency action plan for the Bitsy Irby building to respond to emergency situations. If the head injury is deemed an emergency, the emergency action plan should be activated immediately. All of the following will constitute an emergency:1,2
- Glascow Coma Score less than 13
- Prolonged loss of consciousness (longer than one minute)
- Focal neurological deficit suggestive of intracranial trauma
- Repeated vomiting
- Persistently diminished or worsening mental status or other neurological signs or symptoms
- Associated cervical spine injury
- The Belhaven University dance AT will be empowered to determine management and return to play of any injured or ill dancer, as she seems appropriate. The dance athletic trainer will practice within the standards established by her professional practice.1
- Medical personnel with training in the diagnosis, treatment, and initial management of concussion will be present at all classes and performances.
- Initial Assessment
- Any dancer who is suspected of having a concussion should be immediately removed from participation. Suspicion may be based on a blow to the head, whiplash type mechanism, any signs and symptoms of concussion, or other reasonable evidence. If the dance athletic trainer is present, they will be assessed immediately on site. If the dance athletic trainer is not present, the faculty or staff member is responsible for holding the dancer from participation for the remainder of that day and contacting the dance athletic trainer to ensure the dancer is evaluated as soon as possible.1,2
- The initial assessment will be performed by the dance athletic trainer and will evaluate for possible concussion while ruling out more serious brain injury, skull fracture, or cervical spine injury that may warrant activation of the emergency action plan and/or referral to the hospital.1
- A brief initial assessment should take place that may include but is not limited to: a thorough history, symptom assessment, physical assessment of injured area, neurological assessment, cognitive assessment, and balance assessment.1
- If the dancer is suspected of having a concussion after the initial assessment, they should be moved to a more controlled environment when possible to perform the SCAT5 or modified sideline SCAT5.1,2
- Diagnosis of concussions will be the result of the clinical evaluation and will be supported with assessment tools including, but not limited to the SCAT5.
- Dancers that sustain a concussion during non-dance-related activities will be managed in the same manner as those that sustain them during dance-related activities.
- After Diagnosis
- Dancers who are diagnosed with or suspected of having a concussion by the dance athletic trainer will be held from participation for the remainder of that day.1
- The dancer will be monitored for deterioration. Both oral and written instructions for monitoring will be provided to the dancer and a roommate, family member, or other responsible party.1,2 (Appendix C)
- The dancer should rest from physical exertion until cleared by the dance athletic trainer. Physical exertion includes, but is not limited to running, jumping, walking long distances, turning, or other forms of exercise.1,2
- The dancer should also rest from mental exertion until cleared by the dance athletic trainer. Examples may include reading, texting, video games, watching film, working on a computer, classroom work, or taking an exam. These activities should only be done as tolerated by the dancer.1,2
- The dancer should check-in with the dance athletic trainer each day after a concussion diagnosis. Serial re-assessment should be conducted appropriately throughout the student-athlete’s recovery process. This re-assessment includes daily progress notes and SCAT5 symptom checklists. The dance athletic trainer should pay special attention to signs of depression or other emotional responses to the injury.1,2
- The dance athletic trainer will appropriately document the initial injury as well as daily check-ins with the dancer following the injury. Documentation should include at minimum: mechanism of injury; initial signs and symptoms; state of consciousness; findings of the physical and neurological exam and results from neurocognitive and balance testing; instructions given to the patient and/or parent, guardian, or roommate; notes from Return to Play progression; and any notes regarding patient’s concussion history.2
- The dance athletic trainer will email professors for appropriate classroom accommodations and contact Dr. Shelley Smith. See guidelines for Return to Learn (Appendix F).
- Dancers should return to mental and physical exertion gradually and guided by their symptoms. See guidelines for Return to Learn (Appendix D) and Return to Dance.1,2 (Appendix E)
- Some dancers may experience symptoms for a prolonged period of time. These dancers may be allowed to participate in light, low-risk physical and cognitive activities as guided by their symptoms and at the discretion of the dance athletic trainer.1
- The dance athletic trainer should incorporate concussion rehab activities and pain management strategies into their treatment of concussions that are specific to the dancer’s clinical trajectory (vestibular, oculo-motor, cognitive, fatigue, migraine, cervicogenic, and anxiety/mood). Rehab activities may include, but are not limited to: gaze stability, proprioception, postural control, dynamic gait, and other vision and vestibular therapies. Activities should be progressed as guided by the dancer’s symptoms.1
- Prolonged Recovery
- All dancers who are diagnosed with a concussion will be seen by dance athletic trainer for evaluation before they are allowed to return to dance.
- Dancers who have especially severe, persisting, or worsening symptoms over two weeks will be referred to a physician for further evaluation. This determination will be made by the dance athletic trainer.1
- Dancers with a history of multiple concussions, who have increasing severity of injury with lessening of injuring forces should be referred to a physician for further evaluation.2
- Dancers with prolonged recovery will work closely with the dance athletic trainer for long-term academic accommodations.1
- SSI_ConcussionBestPractices_20170616.pdf. http://www.ncaa.org/sites/default/files/SSI_ConcussionBestPractices_20170616.pdf. Accessed April 2, 2020.
- Broglio SP, Cantu RC, Gioia GA, et al. National Athletic Trainers’ Association Position Statement: Management of Sport Concussion. Journal of Athletic Training. 2014;49(2):245-265. doi:10.4085/1062-6050-49.1.07.
- Sport concussion assessment tool - 5th edition. Br J Sports Med. April 2017:bjsports-2017-097506SCAT5. doi:10.1136/bjsports-2017-097506SCAT5.
APPENDIX A: CONCUSSION TAKE HOME CARE
CONCUSSION TAKE HOME CARE
You have been diagnosed with concussion and need to be monitored closely for the next 24-48 hours. This is a guide for your caregiver (family member, roommate, teammate, etc.) to monitor for worsening symptoms. Make sure you check in daily with the dance athletic trainer after being diagnosed with a concussion.
IT IS OK TO
- Use Tylenol for headaches
- Use ice pack on head/neck as needed
- Eat a normal diet
- Go to sleep
- Rest (minimize physical or mental activity)
- Use alcohol or illegal drugs
- Take Ibuprofen, Aspirin, Aleve, Motrin, or Advil
- Engage in mental or physical activity that makes symptoms worse
- Drive a car or operate machinery
If any of the following symptoms develop or get worse, contact the Dance Athletic Trainer and go to the emergency room.
- Decreased level of consciousness
- Increased confusion
- Increased irritability
- Numbness or weakness in the arms or legs
- Pupils becoming unequal in size
- Repeated vomiting
- Slurred speech or inability to speak
- Inability to recognize people or places
- Worsening/severe headache
**When in doubt, seek medical attention IMMEDIATELY**.
Victoria Fauntroy - Dance Athletic Trainer - (571) 354-0853.
APPENDIX B: RETURN TO LEARN PROTOCOL
A concussion is an injury to the brain that can lead to a number of physical and cognitive symptoms. Concussions may cause headaches, difficulty remembering, difficulty concentrating, delayed reaction time, confusion, and a number of other symptoms that may hinder academic performance.1 This Return to Learn Protocol is designed to allow the brain time to heal and return to proper cognitive functioning. It aims to give dancers with a concussion a better chance at succeeding in the classroom after an injury.
Each dancer will respond to concussions differently, and some dancers may be symptomatic for a much longer period than others. It is important to take into account each individual case when dealing with concussions. The Return to Learn Protocol is designed to be a general guide through the process. Dancers may progress through the protocol at different speeds. It is important to allow the dancer the time they need based on their symptoms.1
- Each dancer that sustains a concussion will begin in Stage 1 for at least 24 hours.
- Once their symptoms are “mild” to “moderate” (measured on symptom scale), the dancer will be allowed to progress to Stage 2 as tolerated.
- In order to progress to Stage 3 and 4, the dancer must be able to complete Stage 2 with no increase in symptoms.
- If a dancer progresses to the next level and their symptoms worsen, they should return to the previous stage until symptoms subside.
- The dancer will go through a Return to Dance protocol around the same time as the Return to Learn Protocol. The dancer must fully return to learn before they can fully return to dance.
- Dancers may miss a significant amount of assignments, quizzes, and tests. It is important to communicate about a reasonable timeline for them to finish all missed work in order not to overload the brain too soon after an injury.
- The dance athletic trainer will communicate the stage the dancer should be in as well as possible accommodations with professors and Dr. Shelley Smith, who will provide the dancer with a letter to distribute to their professors. The dance athletic trainer will also cc the Department Chair on this email.
STAGE 1 - PHYSICAL AND COGNITIVE REST (AT LEAST 24 HOURS; MAY PROGRESS ONCE SYMPTOMS ARE “MILD” TO “MODERATE”)
- No class attendance
- No reading, homework, or tests
- Limited screen time (phone, computer, TV)
- Relatively quiet environment (avoid loud, crowded areas; no headphones)
STAGE 2 - GRADUAL RETURN TO CLASS WITH ACCOMMODATIONS (MAY PROGRESS WHEN 1-2 DAYS IS COMPLETED WITH NO INCREASE IN SYMPTOMS AND SYMPTOMS ARE “MILD”)
- Part-time class attendance
- No tests or quizzes
- Minimal or no assignments
- Limited screen time
- Provide extra assistance (i.e. peer note taking, reader for assignments)
STAGE 3 - FULL-TIME CLASS ATTENDANCE WITH ACCOMMODATIONS (MAY PROGRESS WHEN STUDENT-ATHLETE IS SYMPTOM-FREE OR AT DISCRETION OF THE DANCE ATHLETIC TRAINER)
- Full-time class attendance
- Gradually increase assignments (allow extensions, may require modifications)
- May begin quizzes/tests with accommodations if ready
- Extended testing time
- Testing in quiet room
- Assistance with computerized quizzes/tests
- Determine plan for completing remaining assignments, quizzes, and tests
STAGE 4 - FULL RETURN TO LEARN
- Full-time class attendance
- Full assignment load (allow time to make-up missed assignments)
- Quizzes/tests with accommodations if necessary
- Extended testing time
- Testing in quiet room.
APPENDIX C: RETURN TO DANCE PROTOCOL
- The Return to Dance Protocol is a supervised five step progression that begins only after the dance has returned to baseline levels on the SCAT5 and been asymptomatic for twenty-four hours or been cleared by the dance athletic trainer to do so.
- Only one step may be performed per twenty-four hour period and they must be completed in order.
- When a dancer completes a step with no return of symptoms for twenty-four hours, they may progress to the next step.
- If the dancer has any return of symptoms during the protocol, they must wait return to being asymptomatic for twenty-four hours before they begin the protocol again at step 1.
- The Return to Dance Protocol must be monitored by a member of the dance athletic trainer.
- The dancer must complete the Return to Learn Protocol before they can return to full participation.
|RETURN TO DANCE PROTOCOL1,2
||The dancer should perform light aerobic activity such as stationary bike riding, light barre work (pliés, relevés, etc.) for 10-15 minutes.
||The dancer should perform high intensity aerobic activity such as partial class with light jumping, but no turning. The dancer should also perform light resistance training exercises such as squats, lunges, push-ups, and sit-ups. Activity should last 15-20 minutes.
||The dancer should perform class with moderate to heavy jumping and turning. Activity should last 20-30 minutes.
||The dancer can return to full-class and rehearsals.
**Final determination for return to dance shall rest with the Dance Athletic Trainer**.