Build Your Team


Step 1: Adopt school concussion management protocol and post on website; include:

Step 2: Form your Concussion Management Team (clinical Monitor and Academic Monitor)

Step 3: Provide educational sessions for school staff, parents, students

Step 4: Post educational links on website

Step 5: School Policy requires that Parent or Health Care provider  and/or Athletic  Trainer (ATC form) notify
school nurse of child’s injury before re-entry (Form A)

Step 6: Confirm receipt of parental permission to share information: (use your schools release form)

Step 7: Nurse emails Academic Monitor and all teachers/gym/athletics/substitutes of injury; include initial recommendations for academic adjustments (“trigger reduction”)

  • If student has visual or cognitive deficits: Teachers will reduce volume of reading for first week; designate which assignments will need to be made up, which will be graded, and which will not be. (Form F)
  • Assignments are reduced to core concepts
  • Audio books are suggested if available (free Public Library audiobooks on “Overdrive”)
  • Math is reduced to every other problem if possible

Step 8: Academic monitor checks in with child while at home and relays class requirements to student (Form I)

Step 9: Upon school re-entry, child and parent meet first with nurse

  • If initial “Return to School Guidelines” have not been provided by Health Care provider, then nurse faxes form to provider, as per school policy: (Form A)
  • Nurse determines if the Health Care provider needs to send any permission forms for medication
  • Nurse does initial intake: ACE; symptom score (Form C, Form D, and Form E)  and  DHI ; measure convergence; tandem stanceKing Devick (KD Means).
  • Nurse relays information to Academic Monitor

Step 10: Nurse re-evaluates student within 1-2 days of re-entry; then again at the end of first week (Form J)

Step 11: Academic monitor checks with teachers within 1-2 days of re-entry, then again at the end of first week (Form I)

Step 12: Nurse and Academic monitors meet within 1-2 days of re-entry; consult with Health Care provider, and make any necessary adjustments to school environment and academic plan; repeat at end of first week, and then weekly through recovery (Click for resources)

Step 13: Nurse sends Health Care provider weekly progress notes (Form G and Form J)

Step 14: Aerobic activities (sub-symptom exercise therapy) when allowed by Health Care Provider; Supervised Return To Play Protocol when allowed by PCP and cleared by CMT Academic Monitor (Form K)

Step 15: Health Care provider sends nurse follow-ups of visits (Form H when cleared)

Step 16: If student has not recovered within 1 month, school team meets to evaluate for more detailed academic adjustments or modifications (504 or IEP)