Appendix E3 - School Concussion Management Plan
Student Return to School Reference Guide
After successfully completing the following stages of Appendix E1: Stage 2 of the
Return to School Plan and Stage 2b of the Return to Physical Activity Plan. The
student will now return to school and gradually progress through the following RTS and RTPA Stages.

Appendix E3 - School Concussion Management Plan

Student Return to School Reference Guide

After successfully completing the following stages of Appendix E1: Stage 2 of the

Return to School Plan and Stage 2b of the Return to Physical Activity Plan. The

student will now return to school and gradually progress through the following RTS and RTPA Stages.

Return to School (RTS) Stages
Return to Physical Activity (RTPA) Stages
Each stage must last a minimum of 24 hours. Each stage must last a minimum of 24 hours.
RTS Stage 3a –Return to school for 2 hours
Student begins with an initial length of time at school of 2 hours.

The individual RTS Plan is developed by Collaborative Team following the student conference and assessment of the student’s individual needs determining possible strategies and/or approaches for student learning.
RTPA –Stage 3
Simple locomotor activities/sport-specific exercise to add movement.
RTS - Stage 3b – Return to school Half-time
Student continues attending school half time with gradual increase in school attendance time, increased school work, and decrease in learning strategies and/or approaches.

RTS– Stage 4 a – Full day return to school
Full day school, minimal adaptation of learning strategies and/or approaches.
Nearly normal workload.
RTPA –Stage 4
Progressively increase physical activity. Noncontact training drills to add coordination and increased thinking.
RTS - Stage 4b – Full day return to School
At school: full day, without adaptation of learning strategies and/or approaches.
Before progressing to RTPA Stage 5, the student must:
   have completed RTS Stage 4a and 4b (full day
   at school without adaptation of learning
   strategies and/or approaches have completed
RTPA Stage 4 and be symptom-free, and
   obtain signed Medical
   Clearance from a medical doctor or nurse
   practitioner. (Appendix F)

RTPA–Stage 5
Following medical clearance, full participation in all non-contact physical activities (i.e., non- intentional body contact) and full contact

training/practice in contact sports.

( Appendix F )

RTPA - Stage 6

Unrestricted return to contact sports

Return to School (RTS) Stages	Return to Physical Activity (RTPA) Stages
Each stage must last a minimum of 24 hours.	Each stage must last a minimum of 24 hours.
RTS Stage 3a –Return to school for 2 hours Student begins with an initial length of time at school of 2 hours. The individual RTS Plan is developed by Collaborative Team following the student conference and assessment of the student’s individual needs determining possible strategies and/or approaches for student learning.	RTPA –Stage 3 Simple locomotor activities/sport-specific exercise to add movement.
RTS - Stage 3b – Return to school Half-time Student continues attending school half time with gradual increase in school attendance time, increased school work, and decrease in learning strategies and/or approaches.
RTS– Stage 4 a – Full day return to school Full day school, minimal adaptation of learning strategies and/or approaches. Nearly normal workload.	RTPA –Stage 4 Progressively increase physical activity. Noncontact training drills to add coordination and increased thinking.
RTS - Stage 4b – Full day return to School At school: full day, without adaptation of learning strategies and/or approaches.	Before progressing to RTPA Stage 5, the student must: have completed RTS Stage 4a and 4b (full day at school without adaptation of learning strategies and/or approaches have completed RTPA Stage 4 and be symptom-free, and obtain signed Medical Clearance from a medical doctor or nurse practitioner. (Appendix F)
	RTPA–Stage 5 Following medical clearance, full participation in all non-contact physical activities (i.e., non- intentional body contact) and full contact training/practice in contact sports. ( Appendix F )
	RTPA - Stage 6 Unrestricted return to contact sports