day in the life - industrial - ed marchall

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Day in the Life of an Athletic Trainer

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A Day in the Life of an Athletic Trainer…:

Industrial Setting - Distribution Center for a National Retailer A Day in the Life of an Athletic Trainer…

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© 2011 National Athletic Trainers’ Association www.nata.org (800)TRY-NATA Athletic trainers are a natural fit for working with workers in light industrial and other commercial locations. Their educational background, clinical experiences and knowledge of musculoskeletal injuries and illnesses make them ideal for controlling costs and increasing productivity. Industrial workers– sometimes referred to as industrial athletes — benefit from working with athletic trainers because the physical nature of their jobs—such as lifting, squatting and repetitive overhead motions—makes them susceptible to musculoskeletal injuries. As unique healthcare professionals specializing in the assessment, treatment and rehabilitation of such injuries, athletic trainers help keep workers healthy and on the job. This presentation will show you how one company has decreased the number of workplace injuries, decreased the number of sick days taken by employees and improved their bottom line by hiring an athletic trainer.

I am an On-site Industrial Athletic Trainer:

I am an On-site Industrial Athletic Trainer NAME: Ed Marchall CREDENTIALS: Certified Athletic Trainer (ATC) JOB TITLE: Athletic Trainer EMPLOYED BY : Concentra Health Services, Inc. JOB LOCATION: Addison, TX (Headquarters) Moreno Valley, CA (My location) Ed Marchall, ATC Industrial Athletic Trainer NATA Note: As of October 2007, there were more than 260 NATA members working in the Occupational or Industrial setting.

Concentra Health Services: Overview:

Concentra Health Services: Overview Privately held corporation Consists of more than 312 occupational health centers and more than 265 on-site medical/therapy programs Concentra provides specialized injury and occupational health care services to employers through a network of health centers. Concentra has been providing occupational health care services since 1979 and on-site programs since 1994. Nationally, Concentra employs more than 7,000 employees dedicated to providing occupational healthcare to employers throughout the country. Concentra currently provides services to more than 110,000 clients.

National Distribution Center : Overview:

National Distribution Center : Overview ABOUT THE DISTRIBUTION CENTER 600 employees in my location (Working two large shifts & two smaller shifts, seven days a week) 9,300 employees in 14 distribution centers 200,000 employees total Implemented on-site athletic training program in July 2005 with two athletic trainers Currently we have six athletic trainers five distribution centers and are expanding

On-site Distribution Center: My Patients:

On-site Distribution Center: My Patients PATIENT AGE RANGE: 18 – 60 years old PRIMARY PATIENT POPULATION: Warehouse workers MOST COMMON INJURIES: Muscle strains Tendonitis (overuse) Cuts

A Day in the Life of an On-site Industrial Athletic Trainer :

A Day in the Life of an On-site Industrial Athletic Trainer TYPICAL SCHEDULE FOR MY JOB: Hours per week: 40 – 45 Shift: Day shift: Monday – Friday Night shift: Sunday – Thursday Typical schedule: Days: 6 a.m. – 2 p.m. Nights: 9 p.m. – 5 a.m.

Educational Background:

Educational Background MY ATHLETIC TRAINING EXPERIENCE LEVEL: I am a mid-level athletic trainer with seven years experience working in college, high schools and now the industrial setting Requirements for this job are two years experience This job is a good fit for those with ample experience and confidence to manage the medical program for a large group of employees DEGREE TYPE: Bachelor’s Kinesiology & Athletic Training SCHOOL: California State University Long Beach

A Day in the Life of an On-Site Industrial Athletic Trainer:

A Day in the Life of an On-Site Industrial Athletic Trainer SALARY RANGE : Competitive EMPLOYEE BENEFITS: Medical Dental Vision 401k Paid time off (vacation, personal, sick time combined) Disability Tuition reimbursement Continuing education and professional certification is paid by company Medical malpractice is paid by company NATA Note: This average salary for an NATA member working in the Industrial/Occupational setting: Industrial/Occupational – Clinic $47,371 Industrial/Occupational – Ergonomics $43,714 Industrial/Occupational - Health/Wellness/Fitness $38,750 Industrial/Occupational - Other Capacity $49,940

Employer Testimonial:

Employer Testimonial WHY IS THERE A NEED FOR ATHLETIC TRAINERS IN INDUSTRY/DISTRIBUTION CENTERS? “The need is clear.  More than 70% of our injuries are ergonomic related and the athletic trainer can help reduce the number of injuries and illnesses in our distribution centers.” PLEASE EXPLAIN HOW AN ATHLETIC TRAINER IS BENEFITING YOUR ORGANIZATION. “The athletic trainers have established a good rapport with our team members.  Our employees will come to our athletic trainer when a musculoskeletal symptom arises and before it becomes a claim or injury.  With coaching, therapy and follow-up our team members get back on the job quickly and injury-free with minimal lost time, medical costs and pain to the employee.” WHAT IMPROVEMENTS HAVE YOU SEEN SINCE AN ATHLETIC TRAINER JOINED YOUR TEAM? “Our athletic trainers have helped improve morale, reduce OSHA rates and reduce workers’ comp costs.” HOW IS THE ATHLETIC TRAINER SKILL SET A GOOD FIT WITH YOUR COMPANY? “Athletic trainers are trained to function in a team-oriented environment.  Their mindset is to get the ‘player back in the game,’ and athletic trainers see where they fit into our overall operations and safety culture.” James P. Kaletta, CSP President, Safety Management Solutions

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PATIENT TESTIMONIALS “I started seeing Ed for back pain and now seek treatment every two months or so. The athletic trainer is able to examine the point of pain, explain the pain, massage, ice, tape and recommend exercises. Since working with him I have felt great. He is an immediate help and has LOADS of knowledge.” -Jonathan, Distribution Center Team Member “I have needed treatment for lower back pain, a stiff neck and also for random aches and pains. I do not have a schedule of treatments but seek treatment about once a month. I ask for advice very often. I have had great results from my treatments. Having a pain-free body and good health, I believe, are the cornerstones of our overall well being. Athletic trainers help you to achieve this. The benefits of having an athletic trainer on staff are too numerous to list. The greatest benefit is having access anytime to someone who can help you with any type of physical impairment.” -Tony, Team Member © 2011 National Athletic Trainers’ Association

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PATIENT TESTIMONIALS CONTINUED… “After stretching, I am able to move more freely and am able to do my job better. Having an athletic trainer on staff is a great benefit. If there was no athletic trainer I would have gone home early a couple of times. Instead I was able to workout with some stretches and stay and finish out the day.” – Pam, Distribution Center Team Member “The athletic trainer made the pain go away – he made it better without having to miss work or go to a clinic.” –Kevin, Shipping Team Member “All my experiences with the athletic trainer have been very good. He is always concerned about how I feel and how my injury is doing. Having an athletic trainer here [on-site] is good because every time someone gets hurt they do not have to go to a doctor. The athletic trainer will be able to patch them up and they can go back to work safely.” -Marcelino, Distribution Center Team Member © 2011 National Athletic Trainers’ Association

A Typical Day…:

A Typical Day… Attend various department start-up meetings to observe beginning of shift stretching Answer team member questions Follow-up with current patients by: Engaging in informal conversations with the team member to see how they are feeling Taking note of how the team member reacted to the previous day’s treatment Assess how the team member is following the prescribed home care program Ensure team members are following-up on their doctor appointments Follow-ups last about 5 minutes Information documented in the team member’s file

A Typical Day Continued….:

A Typical Day Continued…. Attend daily manager meetings to give updates on current projects or relay health/safety issues such as: Unsafe work practices Twisting at the waist Not bending from the knees when picking low-level items Not keeping loads within the PowerZone Address team member concerns Track injury trends so we can search for a root cause and solution Attend weekly upper management safety meetings to report on team member injuries and offer input on distribution center health/safety issues

A Typical Day Continued…:

A Typical Day Continued… THE REST OF THE DAY CAN INVOLVE: Evaluating team member complaints/injuries First aid of acute injuries Treatment sessions for existing patients 30 minutes maximum treatment time to minimize workday disruptions Arranging referrals for team members requiring medical or specialist intervention Review patient treatment plans with clinic MDs

A Typical Day Continued…:

A Typical Day Continued… Record keeping – updating daily, weekly and monthly reports Working with safety manager on various projects Working with safety manager and HR to manage workers’ compensation cases Facilitating the transfer of information between the medical clinic, insurance carrier, team member and company (HR and department manager) to ensure the case is handled as efficiently as possible Assist with first aid/CPR training for First Responder Team

A Typical Day Continued…:

A Typical Day Continued… Walk through the distribution center to perform safety audits – making the safety manager aware of any unsafe situations Observe team member work habits Offer suggestions to correct improper ergonomics or work practices Put together informational posters on work and non-work related health issues for team member education

Other Duties As Assigned:

Other Duties As Assigned I provide training and orientation for the new athletic trainers who are assigned to new clients or locations. They travel to our facility to learn processes, procedures and how to work with industrial athletes. I travel to our client’s corporate headquarters for an annual meeting of Safety and Operations Managers. I provide an update on the program, present implemented programs and answer questions. This is a good time to promote the athletic training program to distribution centers that have not yet adopted it.

Essential Skill Sets:

Essential Skill Sets Assessment and rehab Communication Time management Record keeping, data collection and data analysis Self-management and motivation

Helpful Continuing Education::

Helpful Continuing Education: Self-management and self-motivation are essential While we work under the direction of a supervising physician, we are on-site with the client’s company, so there is no immediate supervision of daily activity. The athletic trainer has to be able to manage his/her day efficiently, act professionally and be motivated enough to continue to work on improving the programs. Knowledge in ergonomics and proper biomechanical techniques are key To identify and correct improper or unsafe work habits Good communication skills are a must To succeed in this setting, the athletic trainer must be able to effectively communicate his/her message to a varied audience This begins with educating the medical clinic, insurance carrier, managers and employees on the qualifications of the athletic trainer and their role in the medical management process The athletic trainer must also be able to coach team members on ergonomics The athletic trainer must effectively discuss medical issues and treatment plans without making the team member feel intimidated by jargon Communication skills are important when reporting to management The athletic trainer will provide updates on the programs’ activities and health/safety issues Must be knowledgeable about HIPPA and team members’ right to privacy

Helpful Continuing Education Continued::

Helpful Continuing Education Continued: WHAT: Ergonomics Job Task Analysis Familiarity with workers’ compensation processes

The Learning Curve:

The Learning Curve If an athletic trainer has experience running a program in another setting, such as high school or clinic, then it’s a minimal learning curve. It does take time to become acquainted with the workers’ compensation system, the medical clinic and the inner workings of the client’s medical management system. There are a variety of additional duties in this non-athletic setting that may, initially, challenge an individual. However, with the athletic trainer's strong educational foundation, adaptability, enthusiasm and work ethic, these challenges are easy to overcome. With dedication and willingness to learn on the job or from other industrial athletic trainers, a job like mine provides an incredible opportunity to demonstrate one’s skills and value to the client and healthcare system as a whole .

Working Outside of the Box:

Working Outside of the Box “ When I was an athletic training student, I thought I would be working in a successful high school or collegiate setting as an athletic trainer/instructor.” “I ended up working in this setting because an opportunity presented itself that would allow me to work in a new and challenging setting while still being able to spend quality time with my family.”

Why I like Working in Industry::

Why I like Working in Industry: For the energetic and motivated athletic trainer, industry offers the opportunity to be at the forefront of the athletic training profession. You have the ability to create and develop programs from the ground up, and oftentimes you’re setting industry standards. I chose this setting because it is new and unfamiliar territory for me, and I liked the idea of developing a new model of occupational health care. My work (the athletic training program) benefits thousands of employees for a national corporation. Through success with this client, I hope to demonstrate that the athletic training model can hugely benefit other companies as well. I am at the forefront of my profession. By developing the athletic training model into a successful program for industrial workers and expanding to more companies, my goal is to make the industrial setting a viable and attractive option for other athletic trainers.

The Issues and Opportunities Facing Me::

The Issues and Opportunities Facing Me: Issue: Individual state practice acts and workers’ comp laws dictate the major issues within the setting - Opportunity: Contacting my congressman and informing him/her on bills being presented pertaining to our profession. Issue: Not all states recognize the industrial athletic training model and may limit the athletic trainers’ ability to practice outside of the athletic setting - Opportunity: Allows me to educate them on the profession and practices, which in turn will benefit the company and its employees

Quality of Life:

Quality of Life As most distribution centers run day and night shifts, one issue would be having to work nights while the rest of your family is on a daytime schedule. If there are two athletic trainers working in a distribution center, it’s helpful to have a rotation schedule in place so that each athletic trainer can spend time working traditional hours.

Quality of Life Continued…:

Quality of Life Continued… Having set hours is a definite benefit to working in this setting. In the school setting, the athletic trainer’s schedule can vary depending on practice schedules and games times. The athletic trainer in the industrial setting has the benefit of a steady, predictable schedule which leaves more time for the important things in life — FAMILY. Adequate salary – Athletic training is an underappreciated profession, as a whole, pointing to a continuing need by the NATA to educate the public as to our value to the health care system.

Things I’ve Learned What I Wish I Knew Before This Job::

Things I’ve Learned What I Wish I Knew Before This Job: Experience I have gained: © 2011 National Athletic Trainers’ Association www.nata.org (800)TRY-NATA I gained a great deal of experience in handling workers’ compensation issues. As I gained experience, I was able to increase my role in case management and take some of the burden off the rest of the team.

WHAT EDUCATORS CAN DO TO PREPARE STUDENTS TO WORK IN A SETTING LIKE MINE…:

WHAT EDUCATORS CAN DO TO PREPARE STUDENTS TO WORK IN A SETTING LIKE MINE… In recent years, athletic training has made great inroads into many emerging settings such as: industrial, law enforcement, military and performing arts. While not the typical settings that many athletic trainers expect to work in, these are very viable options with the potential to benefit a large population. Athletic training educators will be doing students a huge disservice if they continue to ignore or downplay the non-athletic settings. In the same vein that students are required to spend time gaining football experience, educators should arrange for students to participate in non-traditional athletic training programs. This would expose students to employment opportunities that s/he was, most likely, unaware even existed. This has the potential to keep the student in the profession when his/her dream job in professional sports does not come to fruition.

Key Resources to Learn More!:

Key Resources to Learn More! COMMON WEBSITES I VISIT ARE: - NATA.org - FWATA.org - Wheelessonline.com - dir.ca.gov - WebMD ASSOCIATIONS/ORGANIZATIONS I AM INVOLVED WITH INCLUDE: - NATA - CATA - FWATA - American Red Cross CONFERENCES AND SYMPOSIUMS RELATING TO MY JOB INCLUDE: - District and National level Conferences (FWATA, NATA) - local sports medicine clinical symposiums

Key Resources to Learn More!:

Key Resources to Learn More! BOOKS I HAVE FOUND HELPFUL ARE: I continue to use my college textbooks as references Physicians’ Desk Reference Evaluation of Orthopedic and Athletic Injuries by Starkey and Ryan Therapeutic Exercise by Kisner and Colby Myofascial Pain and Dysfunction- The Trigger Point Manual by Travell and Simons OTHER REFERENCES I USE INCLUDE: - Discussions with colleagues or local MDs.

Learn more at www.nata.org:

Learn more at www.nata.org Visit Career Development Resources on NATA Web site and find: - Videos - Brochures - PowerPoint Presentations - Studies - Marketing Materials - Advisors to assist with your specific questions *NATA members only section http://www.nata.org/members1/CareerDevelopment/index.cfm Visit Career Development Resources TODAY © 2011 National Athletic Trainers’ Association www.nata.org (800)TRY-NATA

STILL NEED MORE INFORMATION ABOUT ATHLETIC TRAINERS IN INDUSTRY? :

STILL NEED MORE INFORMATION ABOUT ATHLETIC TRAINERS IN INDUSTRY? Contact the NATA National Office Staff: Kathryn Ayres, PR and Marketing Coordinator KathrynA@nata.org | 800-879-6282 ext. 138 Write to Ed Marchall: ed_marchall@concentra.com

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Looking for a JOB? Want to hire an athletic trainer? www.nata.org/careercenter Visit the NATA Career Center today and find resources to help you find a job or hire an athletic trainer. © 2011 National Athletic Trainers’ Association www.nata.org (800)TRY-NATA