To student/athletes and parents or guardians of student/athletes -

The state requires that every student/athlete and the parent or guardian of the student/athlete receive information on health & safety. To satisfy this mandate, student/athletes and parents or guardians may access the attached link to a UIL powerpoint presentation on safety training. Once veiwed, the student/athlete and their parent or guardian must document that they have received this information by signing the 'Student/athlete & Parent or Guardian Safety Training and Concussion Protocol Acknowledgement Form' that can be accessed on a seperate page. This signed form must be returned and kept on file with the Stacey Athletic Department along with other required UIL forms.

House Bill No. 2038

Health, Safety & Concussion Protocol


Below is a statement from House Bill No. 2038 which was signed into law in May, 2011.


  Sec. 38.155.  REQUIRED ANNUAL FORM ACKNOWLEDGING CONCUSSION INFORMATION.  A student may not participate in an interscholastic athletic activity for a school year until both the student and the student’s parent or guardian or another person with legal authority to make a medical decisions for the student have signed a form for that school year that acknowledges receiving and reading written information that explains concussion prevention, symptoms, treatment, and oversight and that includes quidelines for safely resuming participation in an athletic activity following a concussion.


Again, to be in compliance with this state mandate, a brief video on health and safety can be accessed by going to our district webpage ( > Schools > Stacey Web Page > Stacey Athletics > University Interscholastic League > UIL Safety Training Powerpoint Presentation) or by going to the link below:


In addition, LISD is required to provide a written description of steps that will be taken in the event that a student/athlete sustains a concussion or is suspected of having a concussion. Below is the LISD/San Antonio Stacey Concussion Management Protocol. This document is also listed on a subsequent page and the required form that can be printed and signed by the student/athlete and/or parent/s or guardians is located on the next page. Forms may also be obtained from the Stacey Athletic Department. This form must be completed and on file with Stacey Athletic Department along with other required UIL forms.






Purpose:  The following concussion management protocol is designed to inform parents/guardians/coaches and physicians of the mandatory LISD procedures in concussion management. The protocol is in response to House Bill 2038 and the University Interscholastic League regulations.


Removal from participation

In the event that an athlete is subjected to a mild jolt or a blow to the head or body, the athlete will be immediately examined by the coach/es of the sport or by other qualified school personnel. These individuals will check for the following symptoms or signs:

·   headache

·   nausea

·   balance problems or dizziness

·   double or fuzzy vision

·   sensitivity to light or noise

·   feeling sluggish

·   feeling foggy or groggy

·   concentration or memory problems

·   confusion

·   appears dazed or stunned

·   is confused about what to do

·   is unsure of game, score, or opponent

·   moves clumsily

·   answers questions slowly

·   loses consciousness

·   shows behavior or personality changes

·   can’t recall events prior to hit

·   can’t recall events after hit


If there is the slightest concern or suspicion about observed symptoms or signs that an athlete is exhibiting, the LISD coach should not hesitate in removing the individual from further activity and take appropriate steps to seek additional medical treatment. The LISD coach or staff will call 911 (on LAFB the emergency number is 671-0911) any time an athlete has a loss of consciousness for any duration of time or exhibits any of the following: decreasing levels of consciousness, drowsy or lethargic manner, cannot be awakened, difficulty getting his or her attention, irregularity in breathing, severe or worsening headaches, persistent vomiting, or any subsequent seizures.


A student may also be removed from play or competition by a physician, a licensed health care professional, the student’s parent or guardian if any one of these individuals believes the student might have sustained a concussion during the practice or competition.


If, a LISD coach is making the decision to remove an athlete from participation, his or her decision shall not be refuted by the athlete or by the athlete’s parent/s or guardian/s and the athlete will not be allowed to continue participation in any LISD sponsored practice or competition until the return-to-play criterion has been satisfied.

In the event that a physician, a licensed health care professional, or the student’s parent/s or guardian/s make the decision to have a student removed from participation for reason/s that are believed or suspected to be related to a possible concussion, this decision shall not be refuted by a LISD coach or other LISD staff. 

Follow-up care for an athlete who has been removed from participation

When an athlete is participating in a school sponsored event such as a practice or a competition, and if an athlete is removed from participation for reason/s that are believed or suspected to be related to a possible concussion, and if a LISD coach is making the decision to remove an athlete from participation, this coach will:

1.   Ensure that the athlete is evaluated by an appropriate health-care professional as soon as necessary depending upon the severity of the observed symptoms and signs. If deemed necessary, emergency medical services will be called and the athlete should be taken to an emergency room as soon as possible or at the recommendation of the emergency medical staff and/or parent/s or guardian/s of the athlete.

2.   Inform the athlete’s parent/s or guardian/s about the possible concussion and give them information on concussion severity and the required steps that they must take prior to return-to-play.



A LISD athlete who is removed from play or competition for reasons related to a suspected concussion will only be allowed to return to play or competition when that athlete has fulfilled all return-to-play requirements as noted in House Bill No. 2038.

The LISD coach or other LISD staff will not authorize a student/athlete’s return-to-play. The LISD coach or other LISD staff will keep the athlete out of all LISD sponsored play or competitions the day of the injury and future play or competitions until an appropriate health-care professional documents that he or she is symptom-free and gives the release for return to activity.

Progressive Physical Activity Program

When an athlete has fulfilled these return-to-play requirements, the athlete will begin a progressive physical activity program as specified below. This progressive physical activity program will be followed by the LISD coach unless he or she is given medical clearance to forego these activities or given other additional prescribed activities from the athlete’s treating physician or a licensed health care professional supervising their care.

  • Light aerobic exercise (5 to 10 minutes) on an exercise bike, or similar stationary exercise machine, or light jog; no weight lifting, resistance training, or other exercises.
  • Moderate aerobic exercise (15 to 20 minutes) of running at moderate intensity in the gym or on the field without equipment.
  • Non contact training drills in full motion. The athlete may begin weight lifting, resistance training, and other exercises.
  • Full participation in practice and training.
  • Full game play.


If symptoms of a concussion re-occur, or if concussion signs and/or behaviors are observed at any time during the return to activity program, the athlete will be required by the LISD coach or LISD staff to discontinue all activity and be re-evaluated by their health care provider.