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Athletics
Tabor Athletics

Athletics COVID Policies

Athletics COVID-19 Policies

List of 5 items.

  • Tabor COVID-19 Athletics Protocols Disclaimer

    As the pandemic evolves, Tabor Academy reserves the right to update and potentially tighten our athletics protocols. Thank you for your cooperation as we strive to keep our community, and all competing athletes, as safe as possible. 
  • Tabor Vaccination Policy

    All students and coaches must be vaccinated. Unvaccinated (those with medical or religious exemptions) or partially vaccinated (those who have received at least one dose of an approved vaccine) students must produce a negative PCR test within 48 hours of competition in order to be eligible to compete or travel with their team.

    Unvaccinated students who have tested positive for COVID-19 and have completed their quarantine will be treated as vaccinated students for 90-days from the date of their positive test-status. After 90-days, unvaccinated students who have tested positive will once again be treated as unvaccinated students.  
  • Booster Recommendation

    Tabor Academy urges all teams' players to receive a COVID-19 booster vaccine.
  • Competition Against Teams with Unvaccinated Players

    Tabor Academy will compete against teams with unvaccinated players if those players have a negative PCR test within 72hrs of competition. 
  • Gradual Return to Play Protocol

    A Gradual Return to Play (GRTP) Protocol is a progressive program that introduces physical activity and sport in a stepwise fashion after a positive COVID-19 diagnosis.

    The following guidelines must be followed and completed prior to the start of the GRTP:
    • Per the American Academy of Pediatrics’ recommendations, clearance from the student-athlete’s primary care or school physician is required before exercise and sports may resume in any capacity.
    • The student-athlete must be able to complete activities of daily living and walk the recommended 500 m on a flat surface without excessive fatigue or breathlessness.
    • The student-athlete should have at least 10 days rest and be 7 days symptom-free before starting the GRTP.
    • Less aerobically intense sports like golf may progress quicker. Experience suggests that some athletes may take over 3 weeks to recover.
    • Mildly symptomatic cases are defined as less than 4 days of fever >100.4*F, <1 week of myalgia, chills, and lethargy.
      • Begin GRTP after completing 5-day isolation, must be fever free, off all fever-reducing medication and have improving symptoms for a minimum of 1 day prior.
    • Moderately symptomatic cases are defined as 4 or more days of fever >100.4*F, 1 week or more of myalgia, chills, or lethargy; OR non-ICU hospital stay and no evidence of of multisystem inflammatory syndrome in children [MIS-C].
      • Individuals who have moderate symptoms may not exit their isolation until a minimum of 5 days have passed, symptoms are improving, and they are fever free off all fever-reducing medication for a minimum of 1 day. 
      • Physician clearance is required prior to beginning a return to physical activity progression, and a minimum of 1 day of being fever free, off fever-reducing medication and improving symptoms is recommended prior to starting a return to physical activity progression. 
      • The PCP will review the American Heart Association 14-element screening evaluation with special emphasis on cardiac symptoms including chest pain, shortness of breath out of proportion for upper respiratory tract infection, new-onset palpitations or syncope and perform a complete physical examination and an EKG. 
      • If cardiac workup is negative, gradual return to physical activity may be initiated after 10 days have passed from the date of the positive test result, and a minimum of 1 day of symptom resolution (excluding loss of taste/smell) has occurred off fever-reducing medicine.
      • If cardiac sign/symptom screening is positive or EKG is abnormal, referral to a cardiologist is recommended.
    • For children and adolescents with severe COVID-19 symptoms (ICU stay and/or intubation) or MIS-C, it is recommended they be restricted from exercise for a minimum of 3 to 6 months and obtain cardiology clearance prior to resuming training or competition. Coordination of follow-up cardiology care should be arranged prior to hospital discharge. Other testing may be ordered based on the child or adolescent’s signs and symptoms.

    Further assessments

    Recent literature has reported a much lower incidence of myocarditis, 0.5% to 3%, than earlier in the pandemic. However, myocarditis has been documented even in people with COVID-19 who were asymptomatic or had mild infections. The assessment should include appropriate questions about chest pain, shortness of breath out of proportion for upper respiratory tract infection, new-onset palpitations or syncope. Any child or adolescent who reports these signs/symptoms should have an in-office visit that includes a complete physical examination, and consideration for an EKG should be given prior to clearance to return to physical activity.

    Mild symptomatic or asymptomatic cases can begin the GRTP detailed below after receiving an assessment by their primary care physician, or the school physician if necessary. Phone, telemedicine, or in person consultations are acceptable. Mild or asymptomatic cases with comorbidities, such as but not limited to, diabetes, cardiovascular disease, renal disease, or are immunocompromised due to another condition not listed, or an abnormal 14-point screening will most likely be required to seek further medical advice and investigation prior to the start of a GRTP.

    For those with moderate symptoms of COVID-19, an evaluation by their primary care physician (PCP) is recommended. People who test positive for SARS-CoV-2 should not exercise until they are cleared by a physician. PCP evaluation is currently recommended after symptom resolution and completion of isolation. The PCP will review the American Heart Association 14-element screening evaluation with special emphasis on cardiac symptoms including chest pain, shortness of breath out of proportion for upper respiratory tract infection, new-onset palpitations or syncope and perform a complete physical examination and an EKG. If cardiac workup is negative, gradual return to physical activity may be initiated after 10 days have passed from the date of the positive test result, and a minimum of 1 day of symptom resolution (excluding loss of taste/smell) has occurred off fever-reducing medicine. If cardiac sign/symptom screening is positive or EKG is abnormal, referral to a cardiologist is recommended. The cardiologist may consider ordering a troponin test and an echocardiogram at the time of acute infection. Depending on the patient’s symptoms and their duration, additional testing including a Holter monitor, exercise stress testing, or cardiac magnetic resonance imaging (MRI) may be considered.

    Individuals who have moderate symptoms may not exit their isolation until a minimum of 5 days have passed, symptoms are improving, and they are fever free off all fever-reducing medication for a minimum of 1 day. Physician clearance is required prior to beginning a return to physical activity progression, and a minimum of 1 day of being fever free, off fever-reducing medication and improving symptoms is recommended prior to starting a return to physical activity progression. All athletes and their parents should be provided with guidance to monitor for signs/symptoms concerning for myocarditis as they return to physical activity. This includes monitoring for any onset of chest pain, shortness of breath out of proportion for upper respiratory tract infection, new-onset palpitations, or syncope. These are indications for stopping physical activity and seeking immediate medical care; consultation with a pediatric cardiologist should be encouraged.

    Student-athletes who have a complicated or prolonged (severe symptomatic cases) COVID-19 illness will be required to seek further medical advice and investigation prior to the start of a GRTP. Referral to a specialist, such as a cardiologist, may be required for further medical assessments. 

    Gradual Return to Play
    Prior to returning to campus or release from the Health Center, documentation of physician clearance will be requested and obtained by the Health Center staff. The Health Center staff will communicate to the Sports Medicine staff a student-athlete’s date of diagnosis, severity of case, any hospitalizations or interventions related to Covid and any comorbidities, such as but not limited to, diabetes, cardiovascular disease, renal disease, or are immunocompromised due to another condition not listed in order for Sports Medicine to arrange for clearance by a specialist if needed. Once the student-athlete has returned to campus, they will be informed they are NOT cleared to return to sports and must start a gradual return to play with the Sports Medicine staff. 

    The GRTP will last 3-5 days, depending on the severity of symptoms, and is developed from guidelines provided by the AAP. For the purpose of this protocol, max heart rate will be calculated using the formula 220- student-athlete age= max heart rate. A heart rate monitor will be provided to the student so they can monitor their rate throughout exercise. A daily symptom checklist will be administered to the student-athlete. If any symptoms occur (including excessive fatigue) while going through GRTP, the athlete must return to the previous stage and progress again after a minimum of 24 hours of rest without symptoms.

    ***All children and adolescents and their parents/caregivers should be educated to monitor for chest pain, shortness of breath out of proportion for upper respiratory tract infection, new-onset palpitations, or syncope when returning to exercise. If any of these signs and/or symptoms occur, the AAP recommends immediately stopping exercise and the athlete should see their pediatrician for an in-person assessment. Consideration should be given for pediatric cardiology consultation.***


    TABOR ACADEMY STAGES OF GRADUAL RETURN TO PLAY POST COVID INFECTION
    (Adapted from the AAP COVID-19 Interim Guidance: Return to Sports and Physical Activity by Anna Zuckerman, MD, FAAP and Jonathan Flyer, MD, FAAP, FACC.)

    Asymptomatic/Mild Symptoms:

    Stage 0:  
    • Clearance obtained by physician to return to school; documentation provided to Tabor Academy Health Services
    • 1 day symptom free (excluding loss of taste/smell)
    Stage 1A: Day 1 
    • 60 minutes or less
    • Modified, light activity practice
    • Intensity no greater than 80% of maximum heart rate wearing heart rate monitor
    • No games or competition
    Stage 2A: Day 2
    • Full Practice
    • Intensity no greater than 100% of maximum heart rate wearing heart rate monitor
    • No games or competition
    Stage 3A: Day 3
    • Games allowed if no chest pain, shortness of breath out of proportion for upper respiratory tract infection, new-onset palpitations, or syncope during days 1 and 2
    • Heart rate monitor to be worn during practice, game, or competition
    • School physician clearance after Day 3 data is collected /analyzed and cleared of protocol
    Moderate Symptoms:

    Stage 0:  
    • Clearance obtained by physician to return to school; documentation provided to Tabor Academy Health Services
    • 1 day symptom free (excluding loss of taste/smell)
    Stage 1B: Day 1
    • Light workout on own
    • May be completed at home
    Stage 2B: Day 2
    • 60 minutes or less
    • Modified, light activity practice
    • Intensity no greater than 80% maximum heart rate wearing heart rate monitor
    • No games or competition
    Stage 3B: Day 3
    • 60 minutes or less
    • Modified, light activity practice
    • Intensity no greater than 80% of maximum heart rate wearing heart rate monitor
    • No games or competition
    Stage 4B: Day 4
    • Full Practice
    • Intensity no greater than 100% of maximum heart rate wearing heart rate monitor
    • No games or competition
    Stage 5B: Day 5
    • Games allowed if no chest pain, shortness of breath out of proportion for upper respiratory tract infection, new-onset palpitations, or syncope during days 1, 2, 3, and 4
    • Heart rate monitor to be worn during practice, game, or competition
    • School physician clearance after Day 5 data is collected /analyzed and cleared of protocol
    A mask is required for ALL physical activity, including games or scrimmages, until 10 full days from + test or symptom onset have passed. If the Primary Care Physician provides a stricter RTP guideline, the stricter guideline will be followed. 


     
     

TABOR ACADEMY

Admissions Office: 226 Front Street, Marion MA 02738 | Mail: 66 Spring Street, Marion MA 02738 | 508.748.2000 | info@taboracademy.org