JLCJ – Concussions And Head Injuries

The Contoocook Valley School District  is committed to ensuring the safety of students while at school and when participating in any school-sponsored events.  The Board is aware that head injuries, including concussions, can happen to any student, not just an athlete, and that the risk of catastrophic injuries or death is significant when a concussion or other head injury is not properly evaluated and managed.

  1. Definitions: For purposes of this policy, the terms below will have the ascribed meanings.
  • “Head injury” means injuries to the scalp, skull, or brain caused by trauma, and shall include a concussion which is the most common type of sports-related brain injury.
  • “Health care provider” means a person who is licensed, certified, or otherwise statutorily authorized by the state to provide medical treatment (physician, advanced registered nurse practitioner, licensed athletic trainer, licensed physician’s assistant, or dentist).
  • School property: all real property, physical plant, and equipment used for school purposes, including but not limited to school playgrounds and buses, whether public or private.
  • “Student-athlete” means a student involved in any intramural sports program conducted outside the regular teaching day or competitive student sports program between schools in grades 4 through 12.
  • “Sports” means intramural sports programs conducted outside the regular teaching day for students in grades 4 through 12 or competitive athletic programs between schools for students in grades 4 through 12, including, without limitation, all NHIAA sanctioned activities, including cheer/dance squads, or any other district-sponsored sports or activities as determined by the board or administration.
  1. Duty to Report. All District employees shall report any accident or incident which involves a student head injury.  The report should be filed in the same manner provided under Board policy EBBB as for that of any accident requiring first aid.  Additionally, Teachers should report to the school nurse (or administrator in charge if the nurse is unavailable) if the student appears to have any difficulty with academic tasks that the teacher believes may be related to concussion.   The school nurse will notify the student’s parents of guardians and treating health care providers.
  2. Return to Learning Protocols. After a student has suffered a concussion, whether in school or not, before full resumption of academic work, the building principal or their designee will work with the school nurse, a student’s parent/guardian, medical provider, teacher(s) and other appropriate district staff, to establish a graduated learning reentry plan.  The plan will support the student’s full return to academic activities, and ease the stress of making up past work while engaged in present work. The plan must include:
    • Step-by-step instructions and details for students, parents/guardians and school personnel;
    • Time frames for physical and cognitive rest within first few days post-injury and throughout the recovery as needed;
    • Guidance on graduated return to extracurricular athletic activities and classroom studies, including classroom accommodations or modifications;
    • Frequency of assessments by the school nurse, school physician if applicable, neuropsychologist or athletic trainer until full return to the classroom and extracurricular athletic activities are authorized;
    • Any provisions relative to “return-to-play” for student-athletes;
    • A plan for communication and coordination among school personnel and with the parents/caregivers and the student’s medical provider.
    • Section 504 or other such accommodations or modifications when appropriate will be developed in accordance with applicable law and Board policies.
  1. Concussion Awareness and Education. To the extent possible, the District will implement concussion awareness and education into physical education and/or health education curriculum.

Updating:

Each spring, the athletic director or other designee shall review any changes that have been made in procedures required for concussion and head injury management or other serious injury by consulting with the NHIAA or the District’s on-call physician, if applicable. If there are any updated procedures, they will be adopted and used for the upcoming school year.

Parent Information Sheet:

A concussion and head injury information sheet shall be distributed on an annual basis to the student athlete and the athlete’s parent or guardian prior to the student athlete’s initial practice or competition.

Administrator Responsibilities:

The Superintendent or their designee will keep abreast of both changes in standards regarding concussion management and head injuries, as well as professional development programs relative to concussions and head injuries.

Removal from Play:

A coach, school official, licensed athletic trainer, or health care provider who suspects that a student athlete has sustained a concussion or head injury in a practice or game shall remove the student athlete from play immediately. The coach, school official, licensed athletic trainer, or health care provider who removed the student from play shall notify the student’s parent or guardian, as well as the school principal of the removal and the reason for the removal.

Protocol for Return to Play:

Return to Learning Protocols.  After a student has suffered a concussion, whether in school or not, before full resumption of academic work, the building principal or their designee will work with the school nurse, a student’s parent/guardian, medical provider, teacher(s) and other appropriate district staff, to establish a graduated learning reentry plan consistent with paragraph three (3) of this policy.  The plan will support the student’s full return to academic activities, and ease the stress of making up past work while engaged in present work. The plan must include:

  • Step-by-step instructions and details for students, parents/guardians and school personnel;
  • Time frames for physical and cognitive rest within first few days post-injury and throughout the recovery as needed;
  • Guidance on graduated return to extracurricular athletic activities and classroom studies, including classroom accommodations or modifications;
  • Frequency of assessments by the school nurse, school physician if applicable, neuropsychologist or athletic trainer until full return to the classroom and extracurricular athletic activities are authorized;
  • Any provisions relative to “return-to-play” for student-athletes;
  • A plan for communication and coordination among school personnel and with the parents/caregivers and the student’s medical provider.

Section 504 or other such accommodations or modifications when appropriate will be developed in accordance with applicable law and Board policies.

Concussion Awareness and Education:

To the extent possible, the Board encourages the administration to implement concussion awareness and education into the district’s physical education and/or health education curriculum. The administrative decision shall take into account all relevant considerations, including time, resources, access to materials, and other pertinent factors.

Consistent with the recommendations from the National Federation of State High School (NFHS) and the New Hampshire Interscholastic Athletic Association (NHIAA), the District will utilize recommended guidelines, procedures and other pertinent information to inform and educate coaches, youth athletes, and parents/guardians of the nature and risk of concussions or head injuries, including the dangers associated with continuing to play after a concussion or head injury. Annually, the district will distribute a head injury and concussion information sheet to all parents/guardians of student athletes in student sports prior to the student-athlete’s initial practice or competition.

All coaches, including volunteers, will complete training on head injury and concussion management, as recommended and/or provided by the NFHS, NHIAA, New Hampshire Department of Education, and/or other pertinent organizations. Such training shall occur at least once every two years, through the viewing of the NHIAA’s (or similar sanctioning body) concussion clinic. Additionally, all coaches of student sports will comply with NHIAA recommended procedures for the management of head injuries and concussions.

Academic Issues in Concussed Students:

In the event a student is concussed, regardless of whether the concussion was a result of a school-related or non-school-related activity, school district staff should be mindful that the concussion may affect the student’s ability to learn. In the event a student has a concussion, that student’s teachers will be notified.

Teachers should report to the school nurse if the student appears to have any difficulty with academic tasks that the teacher believes may be related to the concussion. The school nurse will notify the student’s parents. Administrators and district staff shall work to establish a protocol and course of action to ensure the student is able to maintain their academic responsibilities while recovering from the concussion.

Student accommodations may be developed in accordance with applicable law and Board policies.

Legal Reference:

RSA 200:49-200:52, Head Injury Policies and Student Sports

Category: P

1st Read: July 16, 2013
2nd Read: July 30, 2013
Adopted: July 30, 2013

 

1st Read: May 17, 2022
2nd Read: June 7, 2022
Adopted: June 7, 2022