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ConcussionManagementIncidentReport
Date/TimeofIncident______am/pm
LocationofIncident___
Nameofplayer___Team:BU/GU___
NameofCoach___
NameofReportPreparer(ifnotCoach)___
1. InjuryDescription:
a. Causeofinjuryandforceofhitorblowtohead(director
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How to fill out concussion management incident report
How to fill out concussion management incident report
01
Gather all relevant information about the concussion incident, including date, time, location, individuals involved, and details of the injury.
02
Obtain witness statements if available to provide additional context to the incident.
03
Fill out the required sections of the concussion management incident report form, including the symptoms observed, initial assessment, and any follow-up actions taken.
04
Review and verify all information in the report for accuracy before submitting the form.
05
Submit the completed concussion management incident report to the appropriate supervisor or medical professional for further review and action.
Who needs concussion management incident report?
01
Athletic trainers
02
Coaches
03
Medical professionals
04
School administrators
05
Parents or guardians of the individual involved in the concussion incident
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What is concussion management incident report?
The concussion management incident report is a document that details any incidents or suspected concussions that occur within a sports team or organization.
Who is required to file concussion management incident report?
Coaches, team trainers, or any other medical personnel involved in the sports team are required to file the concussion management incident report.
How to fill out concussion management incident report?
The report should be filled out with details of the incident, including information about the individual involved, the symptoms observed, and any actions taken.
What is the purpose of concussion management incident report?
The purpose of the report is to promote transparency and ensure proper management of concussions within sports teams to protect the health and safety of the athletes.
What information must be reported on concussion management incident report?
The report should include details such as the date and time of the incident, the individuals involved, any symptoms observed, and any actions taken in response.
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