Connecticut General Statutes 20-65h – Referral to licensed health care provider
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(a) Each person who practices athletic training under standing orders shall make a written or oral referral to a licensed health care provider of any physically active individual who has an athletic injury whose symptoms have not improved for a period of four days from the day of onset, or who has any physical or medical condition that would constitute a medical contraindication for athletic training or that may require evaluation or treatment beyond the scope of athletic training.
Terms Used In Connecticut General Statutes 20-65h
- Athletic injury: means any injury sustained as a result of participation in an exercise, a sport, a game, a recreational activity or any other activity that requires a level of strength, flexibility or agility that is comparable to the level of strength, flexibility or agility required for an exercise, a sport, a game or a recreational activity. See Connecticut General Statutes 20-65f
- Athletic training: means (A) the application, with the consent and under the direction of a health care provider, of care for an athletic injury, including the application or provision of (i) principles, methods and procedures of clinical evaluation, prevention, management, emergency care, treatment, disposition and rehabilitation of athletic injuries, (ii) appropriate preventative and supportive devices, (iii) physical agents, including, but not limited to, heat, cold, light, electric stimulation, manual therapy techniques, aquatic therapy, sound and therapeutic exercise, and (iv) any other physical agent prescribed by a health care provider, (B) the recognition of potential illness and referrals to a health care provider for diagnosis and treatment, (C) the organization and administration of athletic training programs, (D) education and counseling to physically active individuals, coaches, medical personnel and the community in the area of the prevention and care of athletic injuries, and (E) the provision of wellness care services developed for physically active individuals who are free of any underlying pathologies that are beyond the scope of practice of a person who practices athletic training. See Connecticut General Statutes 20-65f
- Health care provider: means any person licensed to practice medicine or surgery under chapter 370, chiropractic under chapter 372, podiatry under chapter 375, naturopathy under chapter 373 or nursing under section 20-94a. See Connecticut General Statutes 20-65f
- Illness: means any disease, disorder, sickness or affliction that arises from or is a manifestation of a physically active individual's participation in an exercise, a sport, a game, a recreational activity or other activity, or any other condition, that may require immediate intervention by an athletic trainer, acting with the consent and under the direction of a health care provider, during, prior to or following the physically active individual's participation in such exercise, a sport, a game, a recreational activity or other activity, including, but not limited to, the emergent and acute manifestations of exertion related illness, including an affliction of the physically active individual's cardiorespiratory, thermoregulation, musculoskeletal, neurovascular or endocrine system. See Connecticut General Statutes 20-65f
- Physically active individual: means any person who is (A) (i) a member of any professional, amateur, school, collegiate or other sports organization, (ii) a regular participant in a sports activity, or (iii) a participant in an exercise, recreational or employment activity that requires strength, agility, flexibility, range of motion, speed or stamina that is comparable to the strength, agility, flexibility, range of motion, speed or stamina required of a regular participant in a sports activity, and (B) deemed healthy by a health care provider. See Connecticut General Statutes 20-65f
- Standing orders: means written protocols, recommendations or guidelines for treatment and care of a physically active individual who is a member of a professional, amateur, school, collegiate or other sports organization, or of a physically active individual who requires treatment, first aid or care in an emergency situation, that (A) are furnished and signed by a health care provider, (B) are followed by an athletic trainer while performing athletic training with the consent and under the direction of a health care provider, (C) are annually reviewed and renewed by the health care provider and athletic trainer to ensure quality care of a physically active individual, (D) require the availability of ongoing communication between the health care provider and the athletic trainer, and (E) include (i) a plan for emergency situations, (ii) appropriate treatments for specific injuries or illnesses, (iii) instructions for the treatment and management of concussions, (iv) a list of conditions necessitating the immediate referral of a physically active individual to a health care provider under section 20-65h, and (v) a list of conditions that are beyond the scope of practice, education or training of the athletic trainer. See Connecticut General Statutes 20-65f
(b) Each person who practices athletic training, but not under standing orders, may perform initial evaluation, immediate injury management and emergency care of any physically active individual suffering an acute athletic injury or illness and shall, without delay, make a written or oral referral of such physically active individual to a licensed health care provider. The limitations on the practice of athletic training set forth in this subsection shall not apply in the case of any physically active individual that is referred to such person by a licensed health care provider, provided such practice shall be limited to the scope of such referral.