Concussion Management Team
Roles and Responsibilities
FAMILY TEAM (student and parents)
- Inform school of concussion
- Create home environment conducive for concussion recovery
- Enforce cognitive and physical rest week 1 of concussion
- Reduce stimulation
- Assess symptoms and increase/decrease demands accordingly
- Help student understand that he/she must be an “honest partner” in the reporting and rating of symptoms.
- Parent ultimately makes decision when student should return to school based on guidance from physician
- Communicate ongoing medical information from treating physician with school and designated case manager at least once a month
- Student checks in with case manager weekly
- Follow medical provider recommendations for return to activities at home and school.
- Provides clearance note from physician to school to return to full academic, PE and/or sports
Emergency department Concussion specialist
Primary care physician Neuropsychologist
- Assess and diagnose concussion
- Educate student and family on typical course of concussion
- Provide medical documentation indicating diagnosis, physical adjustments, cognitive/academic adjustments and ultimate clearances.
- Collect data regarding recovery to decide on progression to increased activity
- Consult with school and home teams
- Follow up visits
SCHOOL ACADEMIC TEAM
Guidance counselor Social worker
School nurse School psychologist
Teachers (Gen Ed, & Spec. Ed. if needed) IST coordinator
Administrator 504 Coordinator (if needed)
- Designate case manager(s) and notify the family and student
- Case manager (IST Coordinator, Guidance Counselor, or Special Education Teacher) collects and disseminates academic adjustment information prescribed by health care provider and facilitates educational interventions, accommodations and progress monitoring.
- School nurse will serve as liaison between the student’s medical team, including parents, and the school team.
- Coordinate return to cognitive exertion
- Facilitate academic adjustments necessary to reduce or eliminate symptoms
- Meet with student weekly to evaluate academic adjustment plan
- Observe which classes exacerbate symptoms
- Reassess academic progress weekly
- Communicate with athletic trainer regarding head injuries sustained outside school athletics, if the student is a school athlete.
- Doctor’s recommendations will be taken under advisement while developing the student’s academic plan.
SCHOOL PHYSICAL ACTIVITY TEAM
School nurse PE teacher
Athletic trainer Playground supervisor
- Safeguard from further injury
- Removal from play/physical activities until cleared by physician
- School nurse assesses symptoms 2x week or more
- School nurse monitors visits and contacts parents if symptoms are significant
- Athletic trainer communicates with school nurse head injuries sustained during school athletics
- School nurse communicates with athletic trainer about head injuries sustained during school hours, if the student is a school athlete
- Athletic trainer administers post-injury ImPACT tests for student-athletes
- Athletic trainer oversees Gradual Return to Play process for student-athletes
- Athletic trainer communicates with academic case manager to safeguard against return to play protocol if academic adjustments are in place for student-athletes
**If a student is still receiving academic adjustments of any kind DUE TO THE PRESENCE OF SYMPTOMS, he/she cannot be considered symptom-free. Per the American Academy of Pediatrics guidelines, “students should be performing at their academic ‘baseline’ before returning to sports, full physical activity, or other extracurricular activities following a concussion.” Therefore, successful return-to-learn is necessary before approval to return to play.