Concussion Information
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PEWITT CISD
STUDENT CONCUSSION INFORMATION FOR PARENTS & GUARDIANS
Pewitt CISD is committed to protecting the health and safety of every student. District concussion procedures apply to ALL students with a suspected concussion or head injury, whether the injury occurs at school, during extracurricular activities, at home, or in the community. This includes both UIL student-athletes and students participating in non-UIL activities.
What Is a Concussion?
A concussion is a traumatic brain injury caused by a bump, blow, or jolt to the head or body that disrupts normal brain function. Symptoms may appear immediately or develop over several hours or days.
Common Signs and Symptoms
- Headache
- Dizziness
- Nausea or vomiting
- Balance problems
- Blurred vision
- Sensitivity to light or noise
- Confusion
- Difficulty concentrating
- Memory problems
- Fatigue
- Behavior changes
A student does not have to lose consciousness to have a concussion.
If Your Child Has a Suspected Concussion
- Notify the school nurse or campus administration as soon as possible.
- Have your child evaluated by a healthcare provider when appropriate.
- Follow your healthcare provider's recommendations.
- Provide the school with requested medical documentation.
- Monitor your child for worsening or recurring symptoms.
- Keep the school informed throughout your child's recovery.
How Pewitt CISD Supports Recovery
Every student with a concussion is monitored and supported through a gradual return to normal activities.
- Return-to-Learn (RTL): All students may receive temporary academic accommodations while recovering.
- Return-to-Activity (RTA): Students who are not participating in UIL athletics follow the District's stepwise Return-to-Activity process before resuming unrestricted physical activity.
- Return-to-Play (RTP): Students participating in UIL athletics must complete the District's Concussion Oversight Team-established Return-to-Play process before returning to unrestricted athletic participation.
Concussion Oversight Team (COT)
The Pewitt CISD Board-approved Concussion Oversight Team establishes the District's Return-to-Play protocol for UIL student-athletes.
- Dr. Griffin, MD – Concussion Oversight Team Physician
- Dustin Colby Barron, LAT/ATC – Licensed Athletic Trainer
- CiCi Edmonson, RN – District Concussion Protocol Coordinator
Parent Responsibilities
- Report known concussions or head injuries to the school.
- Provide physician documentation when required.
- Follow activity restrictions and recovery recommendations.
- Complete required UIL or District forms, when applicable.
- Notify the school if symptoms recur or worsen.
School Responsibilities
Whether a concussion occurs at school, during a school-sponsored activity, or outside of school and is reported to the District, Pewitt CISD is committed to supporting the student's recovery.
When the District becomes aware of a suspected concussion, the District will:
- Promptly evaluate the situation and respond according to District concussion procedures.
- Remove the student from physical activity when a concussion is suspected.
- Notify the parent or guardian as soon as practical.
- Document the injury and monitor the student's recovery.
- Coordinate with the student's healthcare provider and family, as appropriate.
- Implement temporary academic accommodations through the District's Return-to-Learn (RTL) process when needed.
- Follow the District's Return-to-Activity (RTA) procedures for non-UIL students or the District's Concussion Oversight Team (COT)-established Return-to-Play (RTP) protocol for UIL student-athletes.
- Communicate with teachers, coaches, and other appropriate staff to support the student's recovery while protecting the student's privacy.
- Monitor the student's progress and adjust supports as recovery continues.
Questions?
For questions about concussion management, please contact CiCi Edmonson, RN, District Concussion Coordinator, campus nurse, or your child's campus office.
Pewitt Elementary
CiCi Edmonson, RN
(903) 844-2404
Toni Latham, LVN
Pewitt JH and HS
Pewitt Junior High
(903) 884-2866
Pewitt High School
(903) 884-2293
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PEWITT CISD
Return-to-Learn (RTL) and Return-to-Play (RTP)
Information for Parents & GuardiansAfter a concussion, students recover at different rates. Pewitt CISD follows a gradual process to help students safely return to learning and physical activity. Academic recovery is prioritized, and parents are encouraged to work closely with the school throughout the recovery process.
Return-to-Learn (RTL) – All Students
Return-to-Learn is a gradual return to normal academic activities. Temporary accommodations may be provided until the student can fully participate without concussion-related symptoms.
- Level 1: Relative Cognitive Rest – Limited schoolwork and cognitive activity.
- Level 2: Light Cognitive Activity – Short periods of reading or schoolwork with frequent breaks.
- Level 3: Partial School Attendance – Reduced schedule or workload with accommodations as needed.
- Level 4: Full School Day with Supports – Full attendance with temporary academic supports.
- Level 5: Full Academic Return – Normal assignments, testing, and classroom participation.
Return-to-Activity (RTA) – Non-UIL Students
Students who are not participating in UIL athletics gradually return to physical activity through the District's Return-to-Activity process.
- Step 1: Light Activity
- Step 2: Moderate Activity
- Step 3: Increased Activity
- Step 4: Full Activity Practice
- Step 5: Full Return to Activity
Return-to-Play (RTP) – UIL Student-Athletes
Students participating in UIL athletics must complete the District's Concussion Oversight Team-established Return-to-Play process before returning to unrestricted athletic participation.
Important: A treating physician's written statement allows the student-athlete to BEGIN the District's Return-to-Play progression. It does not authorize immediate return to practice or competition.
- Level 1: Light Aerobic Activity
- Level 2: Moderate Aerobic Activity
- Level 3: Non-Contact Training
- Level 4: Full-Contact Practice
- Level 5: Return to Competition
Important Reminders
- Progression through each level is based on symptom resolution.
- Students should not return to unrestricted physical activity until District requirements have been met.
- Full Return-to-Learn is expected before unrestricted Return-to-Play unless otherwise directed by the treating physician and consistent with District protocol.
- Parents should notify the school immediately if symptoms return or worsen.
Questions?
For questions about Return-to-Learn, Return-to-Activity, or Return-to-Play, please contact CiCi Edmonson, RN, District Concussion Protocol Coordinator.
Pewitt Elementary
CiCi Edmonson, RN
(903) 844-2404
Toni Latham, LVN
Pewitt JH and HS
Pewitt Junior High
(903) 884-2866
Pewitt High School
(903) 884-2293
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