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Steps and Responsibilities for Medically Diagnosed Concussions

Steps and Responsibilities for Medically Diagnosed Concussions

When a student is diagnosed by a medical doctor/nurse practitioner with a concussion, a number of documented stages must be completed before the student is permitted to return to full participation in all physical activities and contact sports. There are six phases to the return to learn and return to play process. The student must remain at each step in the process for a minimum of 24/48 hours before proceeding to the next step in the concussion recovery process.

Medically Diagnosed Concussion Injury

The following information describes each step in the return to learn and return to play process.

Please note that if symptoms return, the student is required to return to a previous step(s)
Return to Learn/Return to Physical Activity Plan

Return to Learn/Return to Physical Activity Plan

AT HOME (Return to Learn)

Step 1 (Return to Learn)
Completed at home. Includes cognitive rest that limits activities requiring concentration and attention. For example, reading, texting, watching TV/video/electronic monitors/screens, texting and playing video games should be avoided. Physical recreational activities and all physical contact activities should also be avoided.

Step 2A (Return to Learn)
Student returns to school. Contact with the school is required at this step. Student may require individualized classroom strategies/approaches to learning that will assist the student to gradually increase cognitive skills and tasks requiring concentration. Physical recreational activities and all physical contact activities should be avoided.

Step 2B (Return to Learn)
Student returns to regular learning activities at the school. Physical recreational activities and all physical contact activities should be avoided.

*** Return to Learn (Steps 1&2) MUST be completed prior to Return to Physical Activity (Step 3).
If the student has returned to full physical activity (ie. games), the learning accommodations will cease.



AT SCHOOL (Return to Physical Activity)

Step 3 (Return to light/aerobic activity)
Student can participate in non-contact physical activities, e.g. aerobic exercise. A signed Diagnosed Concussion Injury Form 1 - Completion of Step 2A: Clearance for Return to Learn Step 2B/Return to Physical Activity Step 3 by parent/guardian is required before the student can proceed to this step. (see Appendices).

Step 4 (Return to light/moderate physical activity)
Student may begin individual sport-specific activities. No activities permitted where there is physical contact. Contact with the school is required at this step. Student may participate in physical activities, non-contact sports and non-contact sport training drills.

Step 5 (Return to full contact physical activities)
Student may resume regular physical activity, physical education/intramural activities and league games for non-contact sports and training for contact sport. A signed Diagnosed Concussion Injury Form 2 - Completion of Step 4: Clearance for Return to Physical Activity (Step 5) by parent/guardian, which includes signed medical permission, is required before the student can proceed to this step. (see Appendices)

Step 6 (Return to full contact activities)
Student may resume full participation in all physical activities including contact sports games.

Concussion Protocol, Awareness & Education, Identification & Management

Concussion Protocol, Awareness & Education, Identification & Management