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Purpose: The purpose of this study was to identify and describe the status of P&P practices of secondary school athletic trainers. Methods: Following an online informed consent confirmation, participants completed a Policies and Procedures Status questionnaire, including demographics. This was distributed to certified athletic trainers currently employed in the secondary school setting in the United States. The survey consisted of 49 questions about the status of P&Ps using one of the following responses: the practice is in operation and it appears in written form; the practice is in operation but does not appear in written form; the practice is not in operation but does appear in written form; and the practice is not in operation and it does not appear in written form. This study utilized descriptive statistics, consisting of means, frequencies, and percentages, to report results that described the current status of policies and procedures Results: There was a total of 232 participants. 72.6% of secondary school athletic trainers had existing P&P manuals and 37.9% reported the P&P manual existed when they acquired the position. 31.9% who did not have an existing P&P manual upon starting their position never developed a manual. 45.7% of all P&Ps were reported to exist in both written and operational form and 25.9% reported having neither written nor operational forms of P&Ps. 54.5% used the BOC Guiding Principles for AT Policy and Procedure Development and 45.2% used the BOC Facility Principles document. Conclusion: The results revealed almost half of participants reported the risk management practices in the P&P manual were in operational and written form. P&Ps that have been described in NATA Position Statements were more likely to be in both written and operational form when compared to those that were not. Secondary school athletic trainers may have limited guidance and training in risk management, with even less guidance on resources specifically for developing and reviewing P&Ps.

Purpose: The purpose of this study was to identify the policy and procedure practices of secondary school athletic trainers based on employment models. Methods: Following an online informed consent confirmation, participants completed a Policies and procedures status questionnaire, including demographics. This was distributed to certified athletic trainers currently employed in the secondary school setting in the United States. The survey consisted of 49 questions about the status of policies and procedures being in operation and/or written form. Results from the policies and procedures questionnaire were combined with the recorded employment model type to compare the status of policies and procedures between employment models. This study utilized descriptive and inferential statistics consisting of means, frequencies, percentages, and chi square analyses to report results that described and compared the current status of policies and procedures based on employment model. Results: There was a total of 232 participants. Fifty-nine percent (59.9%) of participants were directly employed athletic trainers and 40.1% were outreach employed athletic trainers. Policy and procedure manuals were in existence according to 72% of the participants. A total of 49 variables were inquired about. Of the 26 clinically significant (pConclusion: The results revealed that athletic trainers who identified the outreach employment model were more likely to have policies in both operation and in written form over those identifying with the directly employed model.