Graduated return to play following concussion
Name………………………………………………………….Date of concussion……………….
Symptoms displayed……………………………………………………………………………………………………….
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All players must be medically cleared to play if concussion has been noted
This applies to all clubs/school sides a player belongs to and is their/parents responsibility to advise other school/clubs
of concussion
The earliest a player can return at U19 level is 23 days
6 stage
GRTP
Date
to be
checked
Recommendation
Date
completed
Completed questions from
matron satisfactorily
Signature of matron
Start date
Stage 5
Assessed by GP/A&E
Doctor
No activity
14 days
Report to School Nurse
Light aerobic exercise
48 hours symptom free
Sport specific exercise
48 hours symptom free
Non-contact training
48 hours symptom free
Assessed by GP/A&E
Doctor
Full contact practice
48 hours symptom free
Stage 6
Report to School Nurse
Return to play
Stage 1
Stage 2
Stage 3
Stage 4
Provided the player remains symptom free the above process will take 23 days. 14 days (level 1) of no activity followed by 48
hours at each stage (levels 2-5) with Level 6 occurring on the 23rd day.
GRTP Questions for the School Nurse
Have you experienced any vomiting today?
Have you had any dizziness or loss of balance today?
Have you had any visual problems, not being able to focus, blurred vision, not being able to see out of part of your eye today?
Have you had any headaches today?
If answer to any of these is yes then the pupil has to be referred to their Doctor
If the answer is no then the GRTP sheet may be signed off
……………………………………… has completed a program of GRTP
Signature of concussed player……………………………………………………..
Healthcare Professional…………………………………………………………………date………