Activities Policies and Forms
Physical Form
Concussion and Head Injury Information
A sports related concussion is a traumatic brain injury, caused by a direct blow to the head, neck, or body resulting in an impulsive force being transmitted to the brain that occurs in sports and exercise related activity. Symptoms and signs may present immediately or evolve over minutes to days. Sports related concussions commonly resolve within days but may be prolonged. All concussions are potentially serious and may result in complications including prolonged brain damage and death if not recognized and managed properly. If a student reports any symptoms of concussion, or if you notice the symptoms or signs of concussion yourself, seek medical attention right away.
Symptoms may include one or more of the following:
- Headaches/“Pressure in head”
- Nausea or vomiting
- Neck pain
- Balance problems or dizziness
- Blurred, double, or fuzzy vision
- Sensitivity to light or noise
- Feeling sluggish or slowed down
- Feeling foggy or groggy
- Drowsiness
- Change in sleep patterns
- “Don’t feel right”
- Unexplained nervousness, anxiety, irritability, sadness
- Confusion
- Concentration or memory problems (forgetting sport assignments)
- Repeating the same question/comment
Signs observed by teammates, parents, and coaches include:
- Actual or suspected loss of consciousness
- Seizure
- Tonic posturing
- Ataxia (clumsy voluntary movements)
- Poor balance
- Appears dazed
- Vacant facial expression
- Confusion
- Forgets sport plays/assignments
- Is unsure of game, score, or opponent
- Answers questions slowly
- Slurred speech
- Shows behavior or personality changes
- Can’t recall events prior to injury
- Can’t recall events after injury
RED FLAGS: Call an Ambulance
- Neck pain or tenderness
- Seizure, ‘fits’, or convulsion
- Loss of vision or double vision
- Loss of consciousness
- Increased confusion or deteriorating conscious state (becoming less responsive, drowsy)
- Weakness or numbness/tingling in more than one arm or leg
- Repeated vomiting
- Severe or increasing headache
- Increasingly restless, agitated or combative
- Visible deformity of the skull
Athletes with the signs and symptoms of concussion should be removed from play immediately. Continuing to play with the signs and symptoms of a concussion leaves the young athlete especially vulnerable to greater injury. There is an increased risk of significant damage from a concussion for a period of time after that concussion occurs, particularly if the athlete suffers another concussion before completely recovering from the first one (second impact syndrome). This can lead to prolonged recovery, or even to severe brain swelling with devastating and even fatal consequences. It is well known that adolescent or teenage athletes will often under report symptoms of injuries, and concussions are no different. As a result, education of administrators, coaches, parents and students is the key for student-athlete’s safety.
If you think your child has suffered a concussion
Any athlete even suspected of suffering a concussion should be removed from the game or practice immediately and an urgent referral to a health care provider should be arranged (if not already onsite). No athlete may return to activity after sustaining a concussion, regardless of how mild it seems or how quickly symptoms clear, without written medical clearance from a Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO). Close observation of the athlete should continue for several hours. You should also inform your child’s coach if you think that your child may have a concussion. Remember it is better to miss one game than miss the whole season. When in doubt, the athlete sits out!
Cognitive Rest & Return to Learn
The first step in concussion recovery is relative rest for the first 24-48 hours. During this time students may
participate in activities of daily living and may perform light physical activity, such as walking, provided symptoms are not more than mildly exacerbated for only a brief (less than an hour) period of time. Reduced screen time is also recommended during the first day or two after injury. Students should be encouraged to return back to a normal routine as quickly as possible, tolerating a mild exacerbation of symptoms with mental activity.
Students may need adjustments to their academic workload for a short period of time while recovering from a concussion. Trying to meet all academic requirements too soon after sustaining a concussion may more than mildly exacerbate symptoms and delay recovery. Any academic modifications should be coordinated jointly between the student’s medical providers and school personnel. To minimize academic and social disruptions, in most cases it is recommended students not be completely isolated, even for a short period of time. Rather students should continue to participate in activities of daily living that do not more than mildly exacerbate concussion symptoms.
Return to Practice and Competition
The Kansas School Sports Head Injury Prevention Act (72-7119) provides that if an athlete suffers, or is suspected of having suffered, a concussion or head injury during a competition or practice, the athlete must be immediately removed from the competition or practice and cannot return to practice or competition until a Health Care Professional has evaluated the athlete and provided a written authorization to return to practice and competition. The KSHSAA recommends that an athlete not return to practice or competition the same day the athlete suffers or is suspected of suffering a concussion. The KSHSAA also recommends that an athlete’s return to practice and competition should follow a graduated protocol under the supervision of the health care provider (MD or DO).
For current and up-to-date information on concussions you can go to:
http://www.cdc.gov/headsup/index.html
For concussion information and educational resources collected by the KSHSAA, go to:
http://www.kshsaa.org/Public/SportsMedicine/ConcussionGuidelines.cfm
High School and Middle School Activity / Athletic / Field Trip Participation
We/I understand that our/my student may be injured while participating in activities, interscholastic athletic practices or contests and/or field trips as a McPherson High School or McPherson Middle School Student. Injuries in interscholastic athletics have been known to range from a slight bruise or scratch to broken bones, injuries to teeth and jaws, strains, sprains, cuts requiring stitches, torn ligaments, head injuries that could cause brain damage or paralysis, injuries to the vertebral column that may cause quadriplegia and/or injuries that may even cause death.
We know that participation in sports activities requires an acceptance of the risk of possible injury and that the player can make the contest safer for all by not intentionally using techniques which are illegal and which can cause serious injury to themselves or others. We further acknowledge that we, the parent/student, are responsible for any medical bills that might be incurred. The school district does not have insurance to cover initial medical expenses of students injured in accidents while participating in school activities. The district does purchase through KSHSAA a catastrophic medical insurance policy for students participating in interscholastic activity programs to cover excess medical costs. This policy has a $25,000 deductible and pays a limited amount of costs not covered by a primary insurance policy. For further information, contact KSHSAA (1-785-273-5329) or McPherson High School.
With the knowledge of the above information we/I do allow our student to participate in McPherson High School or McPherson Middle School activities, athletic programs, and/or field trips for the current school year.
Certain standards of social behavior are expected of all students. However, since students in athletics, activities, and on field trips are more visible representative of their school and community they will be expected to meet higher standards of conduct and discipline. The following rules apply to all students participating in athletics, activities, or field trips at McPherson High School or McPherson Middle School.
- There will be no possession and/or use of unauthorized drugs, steroids, alcoholic beverages, or any form of tobacco. Any student who is suspended from school attendance, or who is convicted by the civil authorities for the possession and/or use of these substances, or who is observed by any coach, sponsor, teacher, or administrator in the possession and/or use of these substances, or if the student admits to the possession and/or use of any of these substances, the student will be suspended from the respective team or club until a hearing is held.
- Any action by the student that is perceived by the coach, instructor, sponsor and/or administration to bring discredit upon the school, or community may result in the student being suspended from the team or club until a hearing is held. A hearing for suspected violation of (1.)3. 4. and/or (2.) above will be held and due process will be followed. The coach/instructor/sponsor, parent, student, and accuser (if applicable) will be notified as to the time and location. The principal, or assistant principal, will serve as hearing officer. The penalty will be determined at the hearing and may result in suspension or expulsion from the club, activity, or athletic team.
- The student may not practice or participate in a contest, activity, or field trip on a day they miss any part of the school day unless they are given prior approval by the assistant principal/activities director. When calling the school to make arrangements, the parent should be sure to call the office of the assistant principal/activities director at 241-9510. If for any reason the student’s absence is not detected and the student takes part in the day’s activities, they will be held out of the next corresponding activity, athletic contest or practice held immediately after the absence is detected.
- A student becomes a member of a school-sponsored team or club at the time he/she begins practice with that team or enrolls. At that time, the student is considered to have made a commitment to complete that season of sport, club or activity.
Participation in the required number of practices must be completed prior to travel and/or interscholastic competition with the new team. An appeal process is available if a student is not satisfied with the original decision of the two coaches and activities director. Each individual coach, sponsor, or instructor may implement additional rules. These rules, approved by the high school activities director, may cover such areas as follows:
- Missing practice
- Being late for practice
- Care of equipment
- Swearing/vulgar language
- Disrespect to staff and/or team
- Sportsmanship
Informed Consent for Urinalysis
READ INFORMED CONSENT AGREEMENT BELOW. IN ORDER TO PARTICIPATE IN KSHSAA ACTIVITIES, STUDENTS/PARENTS MUST SIGN PRIOR TO PARTICIPATION, OR BY OCTOBER 1ST, WHICHEVER COMES FIRST.
We hereby consent to allow the student named on the top of this form to undergo urinalysis testing for the presence of illicit drugs or banned substances in accordance with the Policy for Random Urine Drug Testing of USD 418 Students Involved in KSHSAA Activities Grades 7-12 (policy can be read below as approved by the McPherson Unified School District Board of Education). We understand that a qualified vendor will oversee the collection process. We understand that any urine samples will be sent only to a certified medical laboratory for actual testing, and that the samples will be coded to provide confidentiality.
We hereby give our consent to the medical vendor selected by the McPherson USD 418 Board of Education, their laboratory, doctors, employees, or agents, together with any clinic, hospital, or laboratory designated by the selected medical vendor to perform urinalysis testing for the detection of illicit drugs or banned substances.
We further give permission to the medical vendor selected by the McPherson USD 418 Board of Education, its doctors, employees, or agents, to release all results of these tests to the Medical Review Officer (MRO) working for the medical vendor. We understand these results will be forwarded to the Building Principal and will also be made available to us. We understand that consent pursuant to this Informed Consent Agreement will be effective for all activities as defined by board policy in which this student might participate during the current school year.
AS A STUDENT:
- I understand and agree that participation in KSHSAA-sponsored school activities is a privilege that may be withdrawn for violations of the Policy for Random Urine Drug Testing of USD 418 Students Involved in KSHSAA Activities Grades 7-12.
- I have read the Policy for Random Urine Drug Testing of USD 418 Students Involved in KSHSAA Activities Grades 7-12 and understand the consequences that I will face if I am selected for a random drug test and have a positive test result.
- I understand and realize that there is risk of injury in participating in athletic activities.
- I understand that when I participate in any KSHSAA sponsored extracurricular activity as defined in Board Policy, I may be subjected to initial drug testing and will be subject to random urine drug testing, and if I refuse, I will not be allowed to practice, or participate in any KSHSAA-sponsored extracurricular activity. I have read the consent on the top of this form and agree to its terms.
- I understand this is binding while a student in USD 418.
[Placeholder for Student Signature and Date]
AS A PARENT/GUARDIAN/CUSTODIAN:
- I have read the Policy for Random Urine Drug Testing of USD 418 Students Involved in KSHSAA Activities Grades 7-12 and understand the responsibilities of my son/daughter/ward as a participant in KSHSAA sponsored extracurricular activities in USD 418.
- I understand and realize that there is an assumed risk of injury involved for my son/daughter/ward as a participant in athletic activities.
- I understand that my son/daughter/ward, when participating in KSHSAA sponsored extracurricular activities as defined in Board Policy, may be subjected to initial and random urine drug testing, and if they refuse, will not be allowed to practice or participate in any extracurricular activities. I have read the consent on the top of this form and agree to its terms.
- I understand this is binding while my son/daughter/ward is a student in USD 418.
[Placeholder for Parent/Guardian Signature, Phone Number and Date]
RELEASE OF INFORMATION FORM FOR MEDICAL REVIEW OFFICER
(TOP PORTION MUST BE FILLED OUT PRIOR TO PARTICIPATION OR BY OCT. 1ST, WHICH EVER COMES FIRST.
[Placeholder for Student Name and Student Number]
I understand I am submitting to a urine drug screen for USD 418 school system. If needed, I give permission for the Medical Review Officer to contact my parent/guardian/custodian regarding results and verify any prescription medicine I may be taking at the time of the drug screen collection. Contact information listed below.
Name of Parent/Guardian/Custodian:
Relationship (Mother/Father/Guardian Etc):
Identification (last 4 of parents SSN - will be used by MRO for verification process):
Daytime phone:
Evening phone:
Student Consent (To be filled out at the time of drug screening):
[Date - Signature - Witness]
MHS/MMS KSHSAA SPONSORED EXTRACURRICULAR ACTIVITIES
Athletic:
- Boys/Girls Cross Country
- Football
- Boys/Girls Soccer
- Boys/Girls Tennis
- Boys/Girls Basketball
- Boys/Girls Golf
- Wrestling
- Baseball
- Volleyball
- Softball
- Track & Field
- Boys/Girls SwimmingBoys/Girls Bowling
- Cheerleading
- Hi-Stepper Dance Squad
Activities:
- Debate
- Forensics
- Band
- Orchestra
- Vocal Music
- National Honor Society
- Student Council
- KAY
- Scholar’s Bowl
- Other BOE-approved activities or athletics
Policy for Urine Drug Testing of McPherson USD 418 Students Involved in KSHSAA Sponsored Activities Grades 7-12
Policy for Urine Drug Testing of McPherson USD 418 Students Involved in KSHSAA Sponsored Activities Grades 7-12
OVERVIEW
The USD 418 Board of Education, in an effort to protect the health and safety of its students involved in KSHSAA sponsored extracurricular activities from illegal drug and alcohol use and abuse or injuries resulting from the use of illegal drugs and or alcohol adopts this policy for drug testing of students participating in KSHSAA sponsored extracurricular activities. The procedure for random and possible initial drug testing of middle school and high school students participating in KSHSAA sponsored extracurricular activities as defined in this policy is accomplished in conjunction with an independent drug-testing Vendor selected by the USD 418 Board of Education. To facilitate random testing, the Designated Official will provide the Vendor with a list of eligible students and in turn the Vendor will randomly select up to ten percent (10%) of the eligible high school and up to five prevent (5%) of the eligible middle school students for random drug testing at each testing period. The number of students selected for each test will be determined by the Designated Official. In the event the USD 418 Board of Education requires initial drug testing, each student electing to participate in any extracurricular activity will be required to submit to a urine drug test at the beginning of each school year or if a student is new to the district, within 30 days of enrollment in USD 418. The Vendor will send qualified collectors to the school to oversee the collection of all specimens as outlined in this policy and procedure. The Vendor will provide Medical Review Officer (MRO) services for interpretation and verification of results. Results are reported to the Building Principal or Designated Official by the MRO.
Specimens are collected as split specimens.
Recognizing that observed and suspected use of tobacco, alcohol and illicit drugs by USD 418 students (Grades 7 through 12) is a serious concern; a program of deterrence will be instituted as a pro-active approach to promote a drug free school. Likewise, students using illegal drugs pose a threat to their own safety, as well as to the safety of other students. According to a recent survey of 51 students at MHS involved in activities, over 50% believe drug use is a problem, and in the Pride National survey in 2008-09, over 1/3 of HS seniors admitted to having used drugs.
The purpose of this program is fourfold:
- to provide for the safety of all Students;
- to undermine the effects of peer pressure by providing a legitimate reason for students to refuse to use illegal drugs;
- to encourage Students who use drugs to participate in drug treatment programs; and
- to promote achievement of Students full academic potential by preventing the impact drug and alcohol use has on the learning centers of the brain.
The random drug testing program is academically non-punitive. This policy is designed to create a safe, drug free, environment for students and assist them in getting help when needed. However, to the extent a violation of this policy would also constitute a violation of the District’s policy for Illegal and Controlled Substances (JCDAB), the sanctions of Policy JCDAB will also apply, as will the policies concerning substance abuse in the McPherson Middle and High School handbooks.
Participation in KSHSAA sponsored school extracurricular activities is a privilege. Accordingly, students in extracurricular activities carry a responsibility to themselves, their fellow students, their parents, and their school to set the highest possible examples of conduct, which includes avoiding the use or possession of illegal drugs and alcohol.
Random urine drug testing in a public school is legal as determined by the United States Supreme Court in the case of Vernonia School District 47J (Oregon) v. Wayne and Judy Acton and Pottawatomie v. Earls.
3. DEFINITIONS
Vendor – The medical office or company selected by the Board of Education to carry out the policy and procedure.
Designated Official – The individual hired by the school or district to oversee the drug testing program of the school or district.
KSHSAA – Kansas State High School Activities Association
KSHSAA Sponsored Extracurricular Activities – School-sponsored activities, including:
a. Grades 7-12 competitive athletic teams, including, but not limited to: boys/girls cross country, football, boys/girls soccer, boys/girls tennis, boys/girls basketball, boys/girls golf, wrestling, baseball, volleyball, softball, boys/girls track & field, boys/girls swimming, boys/girls bowling, and other athletics as specified by the Board of Education.
b. Grades 7-12 noncompetitive extracurricular activities including, but not limited to, cheerleading, Hi-Steppers/dance squads, debate, forensics, band, orchestra, vocal music, National Honor Society, Student Council, KAY, scholar’s bowl, and other activities as specified by the Board of Education.
An information list of KSHSAA sponsored extracurricular activities will be prepared by the building principal and may be modified as determined by the building principal.
Medical Review Officer (MRO) – A licensed physician trained and certified in the process and interpretation of drug testing results.
Illicit Substance – A drug classified by the Drug Enforcement Administration (DEA) as being available only by prescription from a physician or classified as being controlled and having no therapeutic use.
Banned Substance – A substance defined by School policy as being banned from use by students.
Student Participant – A USD 418 student participating on a KSHSAA sanctioned athletic team, or any other KSHSAA sponsored extracurricular activity as defined by this policy.
SAMSHA – The Substance Abuse and Mental Health Services Administration is a governmental agency that certifies toxicology laboratories that perform drug testing following strict guidelines and constant quality assurance programs.
GC/MS – Gas Chromatography/Mass Spectroscopy; a scientific process to identify specific chemical compounds. A molecular fingerprint is obtained that identifies a chemical compound with 100% accuracy.
Quantitative Levels – The measurement levels of specific chemicals in the urine reported usually in nanograms per milliliter (ng/ml).
Chain-of-Custody Form – A preprinted form provided by the testing laboratory that records all contact with the provided specimen. The form is initiated by the collector and donor then follows with the specimen until the results are certified by the testing scientist and forwarded to the MRO for final certification.
Adulterant/Adulteration – Any attempt to alter the outcome of a urine drug test by adding a substance to the sample, attempting to switch the sample, or otherwise interfere with the detection of illicit or banned substances in the urine, or purposefully overhydrating oneself in an attempt to dilute the urine to decrease possible detection of illicit or banned substances.
4. PROCEDURES FOR STUDENTS
a. Informed Consent for Testing
At the beginning of each school year, students and parent/guardian/custodian will complete and sign the Informed Consent Agreement (Exhibit A) and Release of Information Form for Medical Review Officer (Exhibit C). No student may participate in any extracurricular activity, as defined by this policy, until this form is properly executed and on file with the school. If a student wished to participate at any point during the school year, these forms must be filed prior to beginning the KSHSAA sponsored activity, or by October 1st. Transfer students wanting to participate must complete forms upon arrival if wanting to participate in
KSHSAA activities that school year.
b. Urine Drug Testing Frequency
All students wishing to participate in KSHSAA sponsored extracurricular activities as defined by this policy may be subject to urine testing for illegal or banned substances as specified in Paragraph 9 below. Up to ten percent (10%) of eligible students in grades 9-12, and up to five percent (5%) of eligible student in grades 7-8 will be randomly tested on up to a biweekly basis anytime during the school year. Any student who refuses to submit to urine drug testing will not be allowed to participate in extracurricular activities as defined by this policy. The refusal to submit to a urine drug test will be considered the same as a positive drug test result.
c. Sample Collection
Samples will be collected as outlined under Vendor Requirements, Paragraph 6 below.
Any eligible student randomly selected for urine drug testing who is not in school on the day of testing will be tested at the next available testing time. Students not able to provide an adequate urine specimen at the testing time will be unable to participate in KSHSAA sponsored extracurricular activities and the failure will be considered the same as a positive drug test result. Arrangements may be made for special collections at a Vendor Collection site with prior approval of the Building Principal or Designated Official.
d. Tests for Alcohol
Students attending extracurricular activities as may be randomly required to submit to an alcohol breath analyzer test to determine the presence of alcohol.
5. CONFIDENTIALITY RESULTS
All drug test results are considered confidential information and will be handled accordingly.
6. VENDOR REQUIREMENTS
At a minimum, the Vendor must be able to provide the following services:
a. Random Selection of Eligible Students
Once provided a list of eligible students, the Vendor must select the required number of students in a random and confidential manner. Up to biweekly, the Vendor will arrange with the Designated Official a day and time to do the collection of specimens. The schedule will not follow any recognizable pattern. The selected student names will be given to the Designated Official, who will arrange for these students to report to the collection area.
b. Collection of Urine Specimens
The Vendor will oversee the collection of urine specimens as outlined in the Procedure for Random Urine Drug Testing of McPherson USD 418 Students Involved in KSHSAA Sponsored Activities Grades 7-12. Chain of Custody forms will be provided by the Vendor that meets the criteria of this policy and that of the testing laboratory. Students will be given as much privacy as possible in the obtaining of the specimen.
c. Testing of Urine Specimens
The Vendor will have all specimens tested for the specified illicit or banned substances by a qualified laboratory certified by the Substance Abuse and Mental Health Services Administration (SAMSHA) following the guidelines of the Department of Health and Human Services (HHS). The testing laboratory should have greater than 10 years experience in toxicology testing and chain-of-custody procedures. All specimens must be initially tested using a highly accurate immuno-assay technique, with all presumptive positive results then confirmed by a Gas Chromatography/Mass Spectroscopy (GC/MS) confirmatory test (understanding that no current GC/MS test is available for LSD).
The testing laboratory must be able to test for the following drug classes, substances or their metabolites in collected urine specimens. The building principal may specify specific classes or substances to be tested and advise the Vendor prior to random testing.
- Alcohol
- Amphetamines/Methamphetamine
- Anabolic Steroids
- Barbiturates
- Benzodiazepines
- Cocaine Metabolites
- LSD
- Marijuana (THC) Metabolites
- Methadone
- MDMA (Ecstasy)
- Nicotine (Cotinine)
- Opiates
- Phencyclidine (PCP)
- Propoxyphene
d. Medical Review Officer (MRO) Services
The Vendor will provide MRO services by a licensed physician who is certified by the Medical Review Officer Certification Council (MROCC) or the American Association of Medical Review Officers as having proven by examination to have had the appropriate medical training to interpret and evaluate drug test results and thus qualified for certification as a Medical Review Officer. Additionally, the MRO must demonstrate a willingness to abide by the Procedure for Random Urine Drug Testing of McPherson USD 418 Students Involved in KSHSAA Sponsored Activities Grades 7-12 as to the evaluation of positive drug
tests and reporting findings in a timely and confidential manner.
e. Reporting of Random Urine Test Results by Vendor
The MRO will certify all urine drug screens as negative or positive and report positive findings in a confidential manner to the parent and then the building principal by a secure e-mail system.
f. Statistical Reporting and Confidentiality of Urine Drug Test Results
The Vendor, testing laboratory, or MRO may not release any statistics on the rate of positive drug tests to any person, organization, news publication or media without expressed written consent of the McPherson USD 418 Superintendent of Schools. However, the Vendor will provide the building principal with an annual report showing the number of tests performed, rate of positive and negative tests, and what substances were found in the positive urine specimens.
7. PROCEDURES IN THE EVENT OF A POSITIVE RESULT
a. Whenever a student’s test result indicates the presence of illegal drugs or banned substances or adulteration, the following will occur after the MRO notifies the parent:
(1) The building principal, within 24 hours, will notify the parent/
guardian/custodian first, then the student and Designated Official of any positive results. A written notification from the building principal, by form letter, will be sent to the parent/guardian/custodian by certified mail. The building principal may keep all test results for a period up to two years or 30 days after the student graduates, whichever is shorter.
(2) The student will be notified and be required to submit to five periodical urine tests throughout the next 12-month period at their own expense to retain activity participation eligibility.
(3) If the parent/guardian/custodian or student wishes to contest the results, the Vendor will arrange for the split portion of the specimen to be submitted to another laboratory approved by the Board of Education for testing. This is done at parent/guardian/custodian or student expense. Such a request
must be made to the building principal in writing within five working days from first notification of positive test results.
(4) The MRO may use quantitative results to determine if positive results on repeat testing indicate recent use of illicit or banned substances or the natural decline of levels of the illicit or banned substance from the body. If the MRO feels the quantitative levels determined to be above the established cutoffs do not reflect current use but natural decay, then a negative result may be reported.
b. First Positive Result
A positive result from the MRO or an altered sample will constitute a first positive. The student participant will be ineligible for next 20% of scheduled competitions/performances, or remainder of season (whichever is shorter), in each KSHSAA activity they are currently involved in, or in the next activity in which they plan to participate. The specific coach or sponsors individual team/group policy may supersede the requirements of this policy based on prior behavior, but cannot be less than the provisions of this paragraph. Additionally, student participants who have a first positive result will be required to submit to five follow-up drug tests during the next twelve (12) month period and will be required to participate in a chemical assessment program to determine the extent of their drug/alcohol use. The student will be required to follow the recommendations of the chemical assessment. The cost of the follow up drug tests, chemical assessment and follow-up plan will be the responsibility of the student or student’s parents or guardian if under age 18.
c. Second Positive Result
A second positive result by MRO ruling or adulteration will result in the student participant being declared ineligible from all KSHSAA sponsored extracurricular activities as defined in this policy in which he/she is currently participating and denied participation in future KSHSAA sponsored extracurricular activities for a period of 18 weeks, when school is in session (weeks during summer would not apply, so these 18 weeks can carry over into the next school year). In addition, the student must complete a comprehensive substance abuse program recommended by a certified substance abuse professional. The student will continue or repeat the five necessary follow-up drug screens. The cost of the substance abuse program and follow up drug tests will be the responsibility of the student or student’s parent or guardian if under age 18.
d. Third Positive Result
A third positive result will result in the student participant being barred from participation in any KSHSAA sponsored extracurricular activities as defined in this policy for a minimum of one calendar year. In addition, the student must participate in a chemical assessment program and successfully complete a substance abuse program recommended by a certified substance abuse professional at the expense of he student or student’s parents or guardian. (The substance abuse program can not be the same program
for the Second Positive Result). At the end of the one calendar year and successful completion of the substance abuse program, the student must complete another drug screen at the student’s expense, with negative results. Upon return to participation in KSHSAA sponsored extracurricular activities, the student will continue or repeat the five necessary follow-up drug screens at their own expense. The period of exclusion from extracurricular activities may continue into the following school year.
e. Additional Positive Result After 3rd Positive
If a student participant would have additional positive results by MRO ruling or adulteration, that student would be barred from participation in KSHSSA sponsored extracurricular activities for an additional one calendar year for each positive result.
8. NON-PUNITIVE NATURE OF POLICY
No student will be penalized academically for testing positive for illegal drugs or banned substances. The results of drug tests pursuant to this policy will not be documented in any student’s academic records. Information regarding the results of drug tests will not be disclosed to criminal or juvenile authorities, including the school SRO, unless required to do so by a court order, by a valid and binding subpoena or other legal process. In the event of service of any such court order, subpoena or legal process, the student and the student’s custodial parent, legal guardian, or custodian will be notified at least 72 hours before response is made by the McPherson USD 418 Board of Education, if such notice is allowed by law. However, to the extent a violation of this policy would also constitute a violation of the District’s policy for Illegal and Controlled Substances (JCDAB), the sanctions of Policy JCDAB will also apply.
9. ILLICIT OR BANNED SUBSTANCES
For the purpose of this policy, the following drug classes, substances or their metabolites that can be tested for are considered illicit or banned for McPherson Unified School District 418 Students:
- Alcohol
- Amphetamines/Methamphetamine
- Anabolic Steroids
- Barbiturates
- Benzodiazepines
- Cocaine Metabolites
- LSD
- Marijuana (THC) Metabolites
- Methadone
- MDMA (Ecstasy)
- Nicotine (Cotinine)
- Opiates
- Phencyclidine (PCP)
- Propoxyphene
10. REMOVAL OF TEST RECORDS
a. The school district shall remove all records of urine testing and the results thereof from its records within 30 days after the graduation of any student from the USD 418 high school.
b. The school district shall remove from its records all records of any testing and results thereof within 36 months after the withdrawal of any student from the USD 418 school system.
Procedures for Random Urine Drug Testing of McPherson USD 418 Students 7-12 Involved in KSHSAA Sponsored Activities
1. LIST OF ELIGIBLE STUDENTS
The Designated Official will prepare a list of eligible students. This list will be forwarded to the Vendor for the random selection of students who will submit urine specimens for testing. The Designated Official is responsible for seeing that all students and their parent/guardian/custodian properly sign the Informed
Consent Agreement (Policy Exhibit A) and the Release of Information Form for Medical Review Officer (Exhibit C) prior to testing.
2. RANDOM SELECTION OF STUDENTS FOR TESTING
The Vendor will use a system to assure that students are selected in a random fashion. This system will utilize a computer system designed specifically for the purpose of randomly selecting individuals for drug testing.
3. SCHEDULING OF URINE DRUG TESTING
Urine drug testing is unannounced. The day and time are selected by the Designated Official and confirmed with the Vendor. Random testing may be done up to bi-weekly, but not during holidays and spring break.
4. INITIAL TESTING
At the beginning of the year, all eligible students may be subject to urine drug testing as determined by the Board of Education. This testing will be accomplished on a date and time coordinated with the testing Vendor. Any student moving into the District may be tested prior to participation in any extracurricular activities. A student is only required to take one initial test per year to participate in extracurricular activities.
5. TESTING YEAR
The testing year begins the date the first activity for the upcoming school year commences and continues for 365 days thereafter. Those students wanting to participate in a KSHSAA activity anytime during a testing year must have proper forms completed prior to starting the activity or no later than October 1st.
6. FORM COMPLETION
The Vendor is responsible for seeing that proper drug testing custody and control forms are used that satisfy the needs of the Policy for Random Urine Drug Testing of McPherson USD 418 Students Involved in KSHSAA Sponsored Activities Grades 7-12 and the testing laboratory. A student number will be used for
identification with the student’s name only appearing on the copies that go to the donor, MRO, and School Official.
7. COLLECTION PROCESS
Selected students are escorted from class to the collection site. A specimen of urine is collected following this process:
- No purses, bags or containers may be taken into the collection area with the student. All extra coats, vests, jackets, sweaters, etc., are to be removed before entering the collection area.
- The collector adds a bluing agent (food coloring) to the water in the urinal or toilet.
- The Student is asked to rinse their hands and dry them. If no water is easily accessible, a non-alcoholic wipe may be used instead.
- The drug testing custody and control form is completed by the Student and collector.
- The student is told to urinate directly into the provided container and should provide a sufficient amount or urine (at least 30ml) in one attempt. The student is also told they are to hand the container of urine to the collector. If a student is unable to provide a urine sample, the student may drink up to 40 oz. of water and wait 1.5 hours from the initial attempt. The student is not to leave the test area. If unable to provide a urine sample after 1.5 hours, the failure is treated as a refusal to test.
- The student enters a closed stall to collect the specimen, and then hands the container to the collector.
- The collector checks the volume, reads and records the temperature within four minutes of collection, and looks for evidence of tampering. If tampering is suspected, a second specimen will be requested. A second suspected tampered specimen will be considered refusal to test and the Designated Official notified.
- With the student watching, the collector will pour the specimen into the two bottles and recap the specimen bottles tightly.
- The collector takes the properly signed and initialed bottle seals and places them over the caps and sides of the bottles.
- The sealed bottles are placed inside the transport bag.
- The top lab copies of the drug testing custody and control form are folded with the top portion visible to the outside and placed in the Requisition Pouch. The transport bag and pouch are sealed as indicated. The student is given the donor copy of the form.
- The Student may wash their hands and is then sent back to class.
- The collector distributes the remaining copies of the form as required, being responsible for getting the appropriate copy of the form to the MRO in a timely manner.
- The Designated Official will be notified immediately of any student who refuses to give a urine sample or is suspected of adulteration.
The MRO will review all results of urine drug testing. Any urine specimen testing positive for illicit drugs, banned substances, or adulteration will be handled in the following manner:
- The MRO determines if any discrepancies have occurred in the Chain of Custody.
- Depending on the substances found in the urine, if necessary the MRO will contact the parent/guardian/custodian to determine if the student is on any prescribed medication from a physician.
- If the student is on medication, the parent/guardian/custodian will be asked to obtain a letter from the prescribing physician within five working days to document what medications the student is currently taking. Failure to provide such requested information will be considered a positive result.
- The MRO will then determine if any of the prescribed medications resulted in the positive drug screen.
- Finally, the MRO, based on the information given, will certify the drug test results as positive or negative and report this to the building principal. The MRO will also notify the Prevention Coordinator that a drug test returned positive giving only the dates of the collection and reporting.
- For example, a drug screen positive for codeine may be ruled negative by the MRO when he receives a letter from the treating physician that the student has been prescribed Tylenol© with codeine as a pain medication following tooth extraction.
- Or, if the student has a positive drug screen for codeine and has no documented physician order for the medication (maybe a parent gave the student one of their pills), this would likely be ruled a positive drug test by the MRO.
- Drug screens positive for illicit drugs (marijuana, heroin, cocaine or alcohol, etc.) would automatically be considered positive by the MRO.
- The MRO may use quantitative results to determine if positive results on repeat tests indicate recent use of illicit or banned substances or the natural decline of levels of the illicit or banned substance from the body. If the MRO feels the quantitative levels determined to be above the established cutoffs do not reflect current use but natural decay, then a negative result may be reported.
9. PICK-UP PROCESS
The Vendor is responsible for seeing that specimens are delivered to or picked up by the testing laboratory and the Chain of Custody form properly annotated.
10. PROCEDURES IN THE EVENT OF A POSITIVE RESULT
a. Whenever a student’s test result indicates the presence of illegal drugs or banned substances or adulteration, the following will occur after the MRO notifies the parent:
- The building principal, within 24 hours, will notify the parent/guardian/custodian first, then the student and Designated Official of any positive results. A written notification from the building principal, by form letter, will be sent to the parent/guardian/custodian by certified mail. The building principal may keep all test results for a period up to two years or 30 days after the student graduates, whichever is shorter.
- The student will be notified and be required to submit to five periodical urine tests throughout the next 12-month period at their own expense to retain activity participation eligibility.
- If the parent/guardian/custodian or student wishes to contest the results, the Vendor will arrange for the split portion of the specimen to be submitted to another laboratory approved by the Board of Education for testing. This is done at parent/guardian/custodian or student expense. Such a request must be made to the building principal in writing within five working days from first notification of positive test results.
- The MRO may use quantitative results to determine if positive results on repeat testing indicate recent use of illicit or banned substances or the natural decline of levels of the illicit or banned substance from the body. If the MRO feels the quantitative levels determined to be above the established cutoffs do not reflect current use but natural decay, then a negative result may be reported.
A positive result from the MRO or an altered sample will constitute a first positive. The student participant will be ineligible for next 20% of scheduled competitions/performances or remainder of season (which ever is shorter) in each KSHSAA activity they are currently involved in, or in the next activity in which they plan to participate. The specific coach or sponsors individual team/group policy may supersede the requirements of this policy based on prior behavior, but can not be less than the provisions of this paragraph. Additionally, student participants who have a first positive result will be required to submit to five follow-up drug tests during the next twelve (12) month period and will be required to participate in a chemical assessment program to determine the extent of their drug/alcohol use. The cost of the follow up drug tests and chemical assessment will be the responsibility of the student or student’s parents or guardian if under age 18.
Second Positive Result
A second positive result by MRO ruling or adulteration will result in the student participant being declared ineligible from all KSHSAA sponsored extracurricular activities as defined in this policy in which he/she is currently participating and denied participation in future KSHSAA sponsored extracurricular activities for a period of 18 weeks, when school is in session (weeks during summer would not apply, so these 18 weeks can carry over into the next school year). In addition, the student must complete a comprehensive substance abuse program recommended by a certified substance abuse professional. The student will continue or repeat the five necessary follow-up drug screens. The cost of the substance abuse program and follow up drug tests will be the responsibility of the student or student’s parent or guardian if under age 18.
Third Positive Result
A third positive result will result in the student participant being barred from participation in any KSHSAA sponsored extracurricular activities as defined in this policy for a minimum of one calendar year. In addition, the student must participate in a chemical assessment program and successfully complete a substance abuse program recommended by a certified substance abuse professional at the expense of he student or student’s parents or guardian (The substance abuse program can not be the same program for the Second Positive Result). At the end of the one calendar year and successful completion of the substance abuse program, the student must complete another drug screen at the student’s expense, with negative results. Upon return to participation in KSHSAA sponsored extracurricular activities, the student will continue or repeat the five necessary follow-up drug screens at their own expense. The period of exclusion from extracurricular activities may continue into the following school year.
Additional Positive Result After 3rd Positive
If a student participant would have additional positive results by MRO ruling or adulteration, that student would be barred from participation in KSHSSA sponsored extracurricular activities for an additional one calendar year for each positive result.
Formulario de examen físico previo a la participación
Conmoción y Lesión en la Cabeza
Una conmoción cerebral relacionada con los deportes es una lesión cerebral traumática causada por un golpe directo en la cabeza, el cuello o el cuerpo que resulta en una fuerza impulsiva que se transmite al cerebro y que ocurre en los deportes y actividades relacionadas con el ejercicio. Los síntomas y signos pueden presentarse inmediatamente o evolucionar en cuestión de minutos o días. Las conmociones cerebrales relacionadas con los deportes comúnmente se resuelven en unos días, pero pueden prolongarse. Todas las conmociones cerebrales son potencialmente graves y pueden provocar complicaciones, incluido daño cerebral prolongado y la muerte, si no se reconocen y tratan adecuadamente. Si un estudiante informa algún síntoma de conmoción cerebral, o si usted mismo nota los síntomas o signos de una conmoción cerebral, busque atención médica de inmediato.
Los síntomas pueden incluir uno o más de las siguientes:
- Dolor de cabeza/“Presión en la cabeza”
- Nausea o vomito
- Dolor en el cuello
- Problemas de balance o mareos
- Visión borrosa, doble, o confusa
- Sensibilidad a la luz o ruido
- Se siente débil o somnoliento
- Se siente confuso o mareado
- Somnoliento
-
Cambian los patrones del sueño
-
“No se siente bien”
-
Nerviosismo inexplicable, ansiedad, irritabilidad, tristeza
-
Confusión
-
Problemas de concentración o memoria (olvida las tareas deportivas)
- Repetir la misma pregunta/comentario
- Pérdida real o sospechada del conocimiento
- Ataques
- Postura tónica
- Ataxia (movimientos voluntarios torpes)
- Mal equilibrio
- Se ven confundidos
- Falta de expresiones faciales
- Confusió
- No está seguro del juego, el puntaje o el oponente.
- Contesta preguntas lentamente
- Dificultad para hablar
- Muestras cambios de comportamiento y de personalidad
- No recuerda acontecimientos anteriores a la lesión.
-
Olvida juegos/tareas deportivas
-
No recuerda acontecimientos posteriores a la lesión.
- Dolor o sensibilidad en el cuello
- Ataques, 'ataques' o convulsiones
- Pérdida de visión o visión doble.
- Pérdida de conciencia
- Aumento de la confusión o deterioro del estado de conciencia (cada vez menos receptivo, somnoliento)
- Debilidad o entumecimiento/hormigueo en más de un brazo o pierna
- Vómitos repetidos
- Dolor de cabeza intenso o creciente
- Cada vez más inquieto, agitado o combativo.
¿Qué puede suceder si mi hijo sigue jugando con una contusión o regresa demasiado pronto?
Los atletas con signos y síntomas de conmoción cerebral deben ser retirados inmediatamente del juego. Si continúan jugando con los signos y síntomas de una conmoción cerebral hace que el joven atleta este especialmente vulnerable a una mayor lesión. Hay un mayor riesgo de daño significativo de una conmoción cerebral durante un período de tiempo después de que se produzca esa conmoción, especialmente si el atleta sufre otra conmoción cerebral antes de recuperarse totalmente de la primera (síndrome del segundo impacto).
Esto puede conducir a una recuperación prolongada, o incluso inflamación cerebral grave con consecuencias devastadoras e incluso mortales. Es bien sabido que los adolescentes o atletas adolescentes a menudo no informan de síntomas de lesiones, y las conmociones cerebrales no son diferentes. Como resultado, administradores de la escuela, entrenadores, padres y estudiantes son la clave para la seguridad del estudiante atleta.
Si usted piensa que su hijo/a ha sufrido una concusión
Cualquier atleta aunque solo se sospeche de haber sufrido una conmoción cerebral debe retirarse del juego o práctica inmediatamente y se debe organizar una derivación urgente a un proveedor de atención médica (si no está alguna en el sitio). Ningún atleta puede regresar a la actividad después de sufrir una conmoción cerebral, independientemente de cómo leve se vea o qué tan rápido los síntomas desaparecieron, sin una autorización escrita por un Doctor (MD) o un Doctor en Medicina de Osteopatía (DO). Observación detallada del atleta debe continuar durante varias horas. También debe informar al entrenador de su hijo si cree que su hijo puede tener una conmoción recuerde es mejor perderse un partido que pierda toda la temporada. ¡En caso de duda, el atleta no juega!
Reposo Cognitivo & Regreso a Aprender
El primer paso en la recuperación de una conmoción cerebral es el reposo relativo durante las primeras 24 a 48 horas. Durante este tiempo, los estudiantes pueden participar en actividades de la vida diaria y realizar actividad física ligera, como caminar, siempre que los síntomas no se exacerben más que levemente durante un período breve (menos de una hora). También se recomienda reducir el tiempo frente a la pantalla durante el primer o segundo día después de la lesión. Se debe alentar a los estudiantes a regresar a una rutina normal lo más rápido posible, tolerando una leve exacerbación de los síntomas con la actividad mental.
Es posible que los estudiantes necesiten ajustes en su carga de trabajo académico durante un corto período de tiempo mientras se recuperan de una conmoción cerebral. Intentar cumplir con todos los requisitos académicos demasiado pronto después de sufrir una conmoción cerebral puede exacerbar más que levemente los síntomas y retrasar la recuperación. Cualquier modificación académica debe coordinarse conjuntamente entre los proveedores médicos del estudiante y el personal de la escuela. Para minimizar las perturbaciones académicas y sociales, en la mayoría de los casos se recomienda que los estudiantes no estén completamente aislados, ni siquiera por un período corto de tiempo. Más bien, los estudiantes deben continuar participando en actividades de la vida diaria que no exacerben más que levemente los síntomas de la conmoción cerebral.
Regreso a Práctica y Competencia
La ley de Prevención de Lesiones Deportivas en la Cabeza en las Escuelas de Kansas (72-7119) dice que si un estudiante sufrió, o que se sospecha que ha sufrido una conmoción cerebral o lesión en la cabeza durante una competencia o práctica, debe ser retirado inmediatamente de la competencia o práctica y no puede regresar a la práctica o competencia hasta que un Proveedor de Atención Medica lo ha evaluado y provee una autorización por escrito para que pueda regresar a practica o competencia.
El KSHSAA recomienda que un atleta no deba volver a la práctica o competencia el mismo día que el atleta sufre o se sospecha que sufre una conmoción cerebral. El KSHSAA también recomienda que el atleta regrese a la práctica o competencia debe seguir un protocolo de un regreso gradual bajo la supervisión de un proveedor de atención médica (MD o DO).
Para información reciente y al día acerca de conmociones cerebrales entre en:
http://www.cdc.gov/concussion/HeadsUp/youth.html
Para información conmociones cerebrales y recursos educativos recopilados por KSHSAA, entre en: http://www.kshsaa.org/Public/General/ConcussionGuidelines.cfm
Escuela Secundaria y Preparatoria Hoja de Participatión Para Actividad / Atletismo / Excursión
- No habrá posesión y/o uso de drogas no autorizadas, esteroides, bebidas alcohólicas, o cualquier forma de tabaco. Cualquier estudiante que sea suspendido de la escuela, o que haya sido sentenciado por las autoridades civiles por la posesión y/o uso de dichas sustancias, o que haya sido sorprendido por un entrenador, patrocinador, docente o administrador en posesión y/o usode dichas sustancias, o si el estudiante admite tener posesión y/o uso de alguna de dichas sustancias, dicho estudiante será suspendido del equipo correspondiente o club hasta que se lleve a cabo una audiencia.
- El estudiante no podrá practicar o participar en juegos, actividades o excursiones en días que pierdan pate del día al menos que se dé previa aprobación por parte del subdirector/director de actividades. Cuando se llame a la escuela para hacer arreglos, el padre deberá asegurarse de llamar a la oficina del subdirector/director de actividades al 241-9510. Si por alguna razón la ausencia del estudiante no se detecta y el estudiante participa en las actividades del día, dicho estudiante no podrá participar en la siguiente actividad atlética, actividad o práctica inmediatamente después de haberse detectado la ausencia.
- Un estudiante se hace miembro de un equipo patrocinado por la escuela o club al momento que él/ella empieza a practicar con dicho equipo o aplica. En ese momento, se considera que el estudiante se ha comprometido a completar la temporada de dicho deporte, club o actividad.
- Pérdida de entrenamiento
- Llegar tarde al entrenamiento
- Cuidado del equipo
- Lenguaje vulgar
- Falta de respeto hacia el staff y/u otro equipo
- espíritu deportivo
Consentimiento informado para análisis de orina
- Entiendo y acuerdo que la participación en las actividades académicas patrocinadas por KSHSAA es un privilegio que me puede ser retirado en caso de una violación a la Política de Análisis de Drogas Hecho al Azar para Estudiantes de USD 148 Involucrados en Actividades KSHSAA de Grados del 7-12
- He leído la Política de Análisis de Drogas Hecho al Azar para Estudiantes de USD 148 Involucrados en Actividades KSHSAA de Grados del 7-12 (la política puede ser leída en línea en www.mcpherson.com/ y entiendo las consecuencias a las que seré acreedor si soy seleccionado para una prueba de detección de drogas al azar y mis resultados son positivos.
- Entiendo y me doy cuenta que existe un riesgo de lesión al participar en actividades de atletismo.
- Entiendo que cuando participo en alguna actividad extracurricular patrocinada por KSHSAA definida en las Normas del Consejo Escolar, puedo estar sujeto a una prueba de detección de drogas inicial y que estaré sujeto a una prueba de detección de drogas al azar, y que, de negarme a esto, no se me permitirá practicar, o participar en actividades extracurriculares patrocinadas por KSHSAA. He leído el consentimiento al inicio de este formulario y estoy de acuerdo con sus términos.
- Entiendo que esto es de carácter obligatorio mientras sea estudiante en USD 418.
- He leído la Política de Análisis de Drogas Hecho al Azar para \Estudiantes de USD 148 Involucrados en Actividades KSHSAA de Grados del 7-12 (la política puede ser leída en línea en www.mcpherson.com/ y entiendo las responsabilidades que mi hijo/hija/pupilo tendrá como participante en actividades extracurriculares patrocinadas por KSHSAA en USD 418.
- Entiendo y me doy cuenta que existe un riesgo de lesión para mi hijo/hija/pupilo como participante en actividades de atletismo.
- Entiendo que cuando mi hijo/hija/pupilo participa en alguna actividad extracurricular patrocinada por KSHSAA definida en las Normas del Consejo Escolar, este puede estar sujeto a una prueba de detección de drogas inicial y que estará sujeto a una prueba de detección de drogas al azar, y que, de negarse a esto, no se le permitirá practicar, o participar en actividades extracurriculares patrocinadas por KSHSAA. He leído el consentimiento al inicio de este formulario y estoy de acuerdo con sus términos.
- Entiendo que esto es de carácter obligatorio mientras mi hijo/hija/pupilo sea estudiante en USD 418.
- Campo Traviesa Niños/Niñas
- Football
- Soccer Niños/Niñas
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- ucha grecorromana
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- Equipo de Animadoras
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- Debate
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- KAY
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- Otras actividades atléticas o aprobadas por el BOE