Get the free SCAT3 Modified Child Form - Primary Care Update

Page 1 Sports Concussion Assessment Tool 3 (modified) Name: Children ages 512 DOB: The following should be performed and documented: Comprehensive neurological examination, including cranial nerve

How to fill out scat3 modified child form

Who needs scat3 modified child form?

1. The scat3 modified child form is typically used by healthcare professionals, such as pediatricians, athletic trainers, and school nurses, who are responsible for assessing and managing concussions in children.
2. It is also important for coaches, parents, and caregivers to have a basic understanding of the form as they may be involved in the initial assessment or reporting of a head injury in a child.

How to fill out scat3 modified child form:

1. Start by carefully reading the instructions provided on the form. It is crucial to understand the purpose of each section and how to accurately complete it.
2. Begin with the demographic information section, where you will provide basic details about the child, including their name, date of birth, and contact information.
3. Move on to the injury information section, where you will record details about the specific incident that led to the suspicion of a concussion. This includes the date and time of the injury, the location, and a brief description of what happened.
4. Next, complete the symptom checklist. This section requires you to evaluate and rate the presence and severity of various symptoms commonly associated with concussions, such as headaches, nausea, dizziness, and memory problems.
5. Proceed to the cognitive assessment section, which involves evaluating the child's mental status and cognitive function. This may include tasks like counting backwards, naming months of the year in reverse order, or remembering words or objects.
6. The physical signs section focuses on observable signs of a concussion, such as balance issues, abnormal eye movements, or changes in coordination. Carefully observe the child and note any relevant findings.
7. Finally, complete the medical history section, taking into account any pre-existing conditions or factors that may impact the assessment and management of the concussion.
8. Remember to sign and date the form once you have completed all the necessary sections. It is important to accurately document who filled out the form and when it was done.
9. Make sure to keep a copy of the completed form for your records and provide a copy to the appropriate healthcare professional involved in the child's care.

By following these step-by-step instructions, healthcare professionals and other individuals involved in the care of a concussed child can effectively fill out the scat3 modified child form and ensure that the necessary information is accurately documented.

For pdfFiller’s FAQs

What is scat3 modified child form?

The scat3 modified child form is a modified version of the Standardized Assessment of Concussion (SCAT3) tool specifically designed for children.

Who is required to file scat3 modified child form?

Parents, guardians, or healthcare professionals may be required to file the scat3 modified child form for children who have experienced a concussion.

How to fill out scat3 modified child form?

The scat3 modified child form should be filled out by providing detailed information about the child's concussion symptoms, medical history, and relevant information about the injury.

What is the purpose of scat3 modified child form?

The purpose of the scat3 modified child form is to assist healthcare professionals in evaluating and managing concussions in children.

What information must be reported on scat3 modified child form?

Information such as the child's symptoms, medical history, date and cause of injury, and any previous concussions should be reported on the scat3 modified child form.

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