South Carolina Code of Regulations
Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Subchapter 61-96 - Athletic Trainers
Sec2 61-96.700 - PATIENT CARE AND RECORDS. (II)

Universal Citation: SC Code Regs 61-96.700

Current through Register Vol. 48, No. 9, September 27, 2024

A. The Athletic Trainer shall render services and treatment under the advice and consent of a licensed Physician including general written or oral standing orders and/or protocols signed by a licensed Physician. (I)

B. The Athletic Trainer shall be responsible for recording details of the Patient's health care status. The Athletic Trainer shall maintain an organized permanent record for each Patient that contains written documentation of all care, treatment, and services provided to the Patient including:

1. Injury and Illness Prevention and Wellness Promotion. The Athletic Trainer shall promote healthy lifestyle behaviors with effective education and communication to enhance wellness and minimize the risk of injury and illness for every Patient to assure the highest quality of care.

2. Immediate and Emergency Care. The Athletic Trainer shall provide immediate and emergency care integrating best practices for optimal outcomes.

3. Examination, Assessment, and Diagnosis. The Athletic Trainer shall assess the Patient's level of function prior to treatment. The Athletic Trainer shall consider the Patient's input as an integral part of the initial assessment. The Athletic Trainer shall implement systematic, evidence-based examinations and assessments to formulate valid clinical diagnoses and determine each Patients' plan of care.

4. Therapeutic Intervention. The Athletic Trainer shall develop the treatment program and determine the appropriate treatment, rehabilitation, and/or reconditioning strategies for each Patient's injuries, illnesses, and general medical conditions. The Athletic Trainer shall ensure the treatment program objectives include long-term and short-term goals and appraisal with the goal of the Patient achieving optimal activity level based on athletic training core concepts using the applications of therapeutic exercise, modality devices, and manual techniques. The Athletic Trainer shall incorporate and utilize the assessment measure to determine the effectiveness of the treatment program. The Athletic Trainer shall integrate best practices in policy construction and implementation, documentation, and basic business practices to promote optimal Patient care.

C. Program Discontinuation. The Athletic Trainer, with advice and consent of a licensed Physician, shall recommend discontinuation of athletic training services when the Patient has received optimal benefit of the treatment program. The Athletic Trainer shall document and maintain documentation of the final assessment of the Patient's status and the date the Patient was discontinued from the treatment program.

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