Students who experience one or more of the signs and symptoms listed below after a bump, blow or jolt to the head or body should be referred to a health care professional experienced in evaluating for concussion.

The following are signs (observed by others) of a concussion:

The following are symptoms (reported by the student) of a concussion:





Parents will be informed that if their son or daughter sustains a concussion/head injury and they will be given a Concussion Facts Sheet (see attachment 1: Wisconsin Fact Sheet for Parents). When requested, special accommodations for the student will be made when diagnosed by a medical professional.

Teachers, academic staff and administrators will be required to attend yearly training on concussion facts, recognition, assessment procedures, academic load adjustment and return to school procedures.

Once a head injury is suspected during normal school hours the appropriate school staff will fill out the Incident Report Form (see attachment 2: Incident Report Form).

All students suspected of a concussion need to be seen by the school nurse or health aide before they return to class. The school nurse or health aide will evaluate the severity of the head injury and determine if a concussion is suspected. If a concussion is suspected, the student should not return to the classroom and should be sent home. The school nurse or health aide may recommend that the student be referred to the appropriate health care provider. In the case of a concussion requiring immediate medical attention, 911 should be called.

The student with a head injury should be monitored regularly for changes in signs and symptoms. Should symptoms worsen, the student needs to get prompt medical care. A parent will be contacted and advised per the school nurse recommendation's to get medical or emergency room treatment.

In order for a student to return to any school activity, written clearance from a health care provider trained in the management of concussions will be needed. A "Return to Play" clearance form will be required for all sports.

Attachment 1: Wisconsin Fact Sheet for Parents
Attachment 2: Incident Report Form
Attachment 3 Wisconsin Fact Sheet for Athletes
Attachment 4: Coaches' Fact Sheet

First Reading:  August 21, 2012
Second Reading: August 21, 2012
Date Approved:  August 21, 2012
For the Board:  Tom Steiner, President; Lynn Jaeger, Vice President; Cole Marshall, Clerk; Bill Barhyte, Treasurer; Dean Troyer, Member