Health Care Staff at HOC

**Health Care Staff Manual**

**(Sample only- full manual will be provided upon arrival)**
Table of Contents 1. Professional Standards and Practice Guidelines for Camp Nursing 2. Job Description 3. Emergency Procedures and Signals 4. Clinic Information 5. Medical Directives – Standing Order 6. Policy and Procedures A. Serious Allergic Reactions B. Heat Stroke/Heat Exhaustion C. Safe Delivery/Storage of Medications D. Camper Policy/Medical Waiver E. Incident Reporting/Log Book F. Parent Communication 7. Crisis Management 8. HOC Camp Schedule - Meal schedule for medication administration 9. Saturday Schedule 10. Sunday Registration Day 11. Daily Schedule: Monday – Saturday 12. Health Care Forms – Copies for Photocopying 1. PROFESSIONAL STANDARDS AND PRACTICE GUIDELINES FOR CAMP NURSING - Hard Copy 2. HEALTH CARE STAFF JOB DESCRIPTION - Hard Copy 3. EMERGENCY PROCEDURES AND SIGNALS - Hard Copy 4. CLINIC/HOSPITAL INFORMATION In-Town Clinic Times/Procedures - Hockey Opportunity Camp has set clinic days/times that are exclusive to our campers only (see times below) for non-emergency medical situations. - In the event that a camper may be required to see a local doctor during one of these clinic times, the nurse must inform the Director prior to 10:00 am on the day of the clinic time. Burk’s Falls Walk-In Clinic Procedures: - In the event that a camper is required to see a doctor but cannot wait until the next clinic visit scheduled, the Burk’s Falls Walk-In Clinic is available (limited day time hours). In addition to taking care of camper’s immediate medical needs, the clinic also has x-ray facilities and can cast broken bones. 911/Hospital Visit Procedures: - In the event of a life threatening emergency medical situation, Emergency 911 is available immediately. The closest ambulance station is 12 minutes away. 5. MEDICAL DIRECTIVES - Hard Copy 6. POLICIES AND PROCEDURES A. Serious Allergic Reactions Upon reviewing all camper health forms, the nurse is obligated to identify any campers who are susceptible to a serious allergic reaction to food (peanuts), insects (bee), medications (penicillin), etc. Campers who fall into this category are asked to bring their own personal epi-pen with them and carry it with them at all times in a fanny pack. In addition to personal epi-pens, you can find spare epi-pens in the health centre (2 total -1 to be used for out trips), ice rink (1), archery pit (1). Upon check in and meeting with the camper/parents, the nurse is to review the camper’s medical condition with the camper/parent and give the camper a white elastic band. This band is to remain on the camper for the duration of camp in order to easily identify him/her to the camp community in the event of an allergic reaction. For more information on common symptoms and treatment strategies for serious allergic reactions see attached handout. For more information on Insect Sting Allergies see attached handout. We would also like to make our Health Care staff aware Sabrina’s Law – effective January 2006 (see attached handout). The bill provides that “no action for damages shall be instituted respecting any act done in good faith in response to an anaphylactic reaction, unless the damages are the result of an employee’s gross negligence.” B. Heat Stroke/Heat Exhaustion Given our camp environment and camper activity levels, we as directors, staff and health care professionals need to ensure that all our campers are educated on heat related illness and prevention. In addition, we need to ensure that those who are taken care of campers are educated on signs and symptoms and treatment. See attached handout on Sun Safety and Heat Exhaustion: The Impact on Campers, Staff and Your Camp. C. Safe Delivery/Storage of Medications All general medications as well as camper medications are to remain locked in a cupboard in the health centre unless they are being administered and are under the direct supervision of the nurse. Only the nurse and director are to have restricted access to these locked cupboards. Certain medications require specific storage requirements (eg. Fridge). Please see attached handout for storage guidelines. All medications that require refrigeration must be kept in Nurse’s cabin refrigerator or Director’s home refrigerator. They should not be left in refrigerator in Health Centre. When delivering any general medications, please use the HOC Medical Directives – Standing Order as your guide. When delivering any personal medications, please review the bottle for specific administration requirements. All medical health forms are signed by the camper parent/guardian ensuring that the proper authority is given to the camp nurse/director administer common, non-prescription medications (as specified in the HOC Medical Directives). D. Camper Privacy Policy/Medical Waiver Following the privacy requirement guidelines as outlined by the College of Nurses of Ontario (see attached handout) and the HOC Privacy Practices, nurses must take reasonable steps to protect all camper personal health information against theft, loss, unauthorized use, disclosure, copying, modification or disposal. All staff and camper health forms must remain locked in a cupboard in the health centre unless they are under the direct supervision of the nurse, senior staff member (during clinic visits) or director. All medical health forms are signed by the camper parent/guardian ensuring that the proper authority is given to the camp nurse/director to share such personal health information with the appropriate camp staff and outside medical personnel as required. E. Incident Reporting/Log Book All detailed camper/staff medical attention/incident in which the nurse treats a camper is logged in the Health Care Log Book. The nurse is required to provide all pertinent details, including date/time of attention/incident, camper name/cabin number, problem/treatment and nurse signature/initials. Please ensure information is clearly scribed/dated in the log book and the book is locked (to ensure privacy) while not under the supervision of the nurse. All campers sent on clinic visits/hospital should be recorded in daily log book. Upon returning from the clinic/hospital, the nurse is to follow up with the camper to reassess the situation and record it in the log book. F. Parent Communication In the event that a medical situation arises where a parent/guardian should be contacted, the nurse is to contact the camp director immediately. The nurse should use his/her reasonable judgement/professional opinion to assess the need for a parent/guardian to be contacted. If there is any doubt, the nurse should contact the camp director to assess the situation together. 7. CRISIS MANAGEMENT Camp Communication All coordinators have been assigned a walkie talkie to be turned on and kept with them at all times (while on duty). This is the first line of defense and communication in the event of a camp crisis/emergency. Walkies have been assigned to (list provided in manual); Emergency Response Team An Emergency Response Team has been assigned consisting of approx. 10 staff members who are mature and qualified in Emergency First Aid and CPR or Swimming Qualifications Bronze Cross or higher. Under the guidance of a Senior Coordinator, the team meets the nurse on duty at Sunday Brunch for a quick “get to know” meeting. In the event of an emergency, the response team is called to attend the scene of the accident. Once the nurse arrives on the scene, he/she is to take control (and delegate directions) of the situation with the support of the response team. Spinal Team A Spinal Team has been assigned consisting of approx 10 staff members who are mature and qualified in NLS (National Lifesaving Society) and Ski Staff (minimum Bronze Cross certification). Under the guidance of a Senior Coordinator, the team meets the nurse on duty at Sunday Brunch for a quick “get to know” meeting. The Spinal Team meets every other week to perform a full “deep water spinal” removal. In the event of a deep water spinal and the horn is blown/flag is raised, all coordinators are to be alerted on walkie talkie and the one coordinator closest to the office is to call EMS right away. The response team is fully responsible for ensuring the safe removal of the camper out of the water and on to land. Once secured on the spinal board on land and the nurse arrives on the scene, he/she is briefed on the victim’s vitals/conditions by the spinal team. Then he/she is to take control (and delegate directions) of the situation with the support of the spinal team/emergency response team. Crisis Response Team A Crisis Response Team has been assigned consisting of approx. 30 people, each playing very specific roles based on the nature of the crisis. The team includes; Director/Asst Director, Nurse, Coordinators, Emergency Response Team and Spinal Team. A Crisis is “an unstable or crucial time or state of affairs, an emotional significant event, a radical change of status in a person’s life or a serious endangerment to property.” Examples include; - A death or a fatal accident (vehicle, drowning) - An event resulting in multiple person injuries - A missing camper involving the police - A major fire - A natural disaster - Food poisoning involving large numbers - A serious wild animal attack In the event of a camp crisis, the first line of defense is to ensure Emergency Signals and Procedures are followed thoroughly by the assigned team/staff. Once the situation has been initially managed, the Crisis Response Team is to meet at the designated Crisis Headquarters - Main Office where specific tasks and responsibilities are to be divided out. See HOC Crisis Manual for further specific details – kept in the Main Office. 8. HOC CAMP SCHEDULE - Hard Copy 9. SATURDAY SCHEDULE (first Saturday of Summer) 1. Set up Infirmary 2. Check supplies, discard outdated supplies and place supplies due to expire near the front to use first 3. Familiarize yourself with the Emergency Land and Water Procedures - review Emergency Procedures and Signals 4. Place all medication in a locked cupboard and other products on shelf (i.e. sunscreen and deep ice) 5. Prepare emergency fanny pack (with epi-pen) 6. Prepare all other first aid kits o 2 Mountain Biking o 2 Outdoor Adventure o 1 Ski Shed o 1 Waterfront Shed o 1 Archery o 1 Kitchen o 7. Get hockey first aid box organized o Sunscreen o Peroxide o Band-Aids o Gauze pads o Polysporin tape o Epi-pen o Deep cold o Gauze wrap o Tensors o Slings o Box of baggies for ice packs o Benadryl o Tylenol 1ST SATURDAY OF WEEK ONE CONTINUES AND ALL OTHER SATURDAYS START FROM HERE… 8. Set up bunk beds with linens and sleeping bag 9. Make up one box of baggies with masking tape for campers’ medication on Sunday 10. Find all medical bracelets (white). 11. Review the following health care forms o Health History Forms o Camper Health Summary o Counsellor Care Sheets o Medication Summary o Health Centre Log Summary o Birthday sheets o Parent health follow up o Incident report form o Clinic visit chart 12. Collect pens, permanent markers and post it notes for Sunday. Pens for parents to fill out med forms or to change emergency contact numbers. 13. Get Kleenex, paper towel, toilet paper, dry erase pen, etc. from Kevin – It is less busy than trying to get things on Sunday 14. Make Ice packs with baggies and ice cubes and store in health centre fridge. 15. Go through all campers’ health forms for Week #1 and check mark them off on the Camper Sunday Health List, making notes of medical issues or camper concerns. Indicate pertinent info – ADD, asthma inhalers, dietary restrictions, bedwetters, etc. Additional Notes: - Ask parent to identifying the camper’s cabin number. This is very important to locate the campers. This information can also be obtained from the master cabin assignment list if you are missing any. - Highlight the check mark beside the camper’s name (indicating health forms) if you need to speak to a parent to verify/clarify something or to ensure form gets signed. A signature is needed for all camper health forms. - For those campers who are not check marked, highlight the name with a different colour and make sure to have parents fill out a form at registration. 16. If the nurse’s children are at camp, they can store their stuff and stay/sleep in the infirmary Saturday night. 10. SUNDAY REGISTRATION DAY 9:00 am Optional breakfast – holdover campers may require medication - Be prepared – families show up early and often come for Band-Aids, etc. - Find out your children(s) bunk location and move their stuff down from the infirmary to their cabin. Their hockey equipment will go in the main house garage according to camper’s section - Senior staff are also around and can usually answer any questions you have 10:00 am Organize Registration Table - Bring down to registration table the following o Sunday Health List o Extra Pens, permanent markers and post it notes o Box of Baggies o Masking Tape o Health Forms (completed forms gets sorted alpha in accordian folder – have helper assist) o Health Forms (blank forms) o Empty boxes to hold medicine baggies. 11:45 am Buffet Lunch for staff - Nurse’s children can go to Mikisew with the Holdovers - Nurse gets introduced to all staff by Director at this meal. - Meet with Emergency Response Team and Spinal Team - Check dinner menu with the kitchen staff to know if you will have dietary issues at supper 12:45 pm Registration begins – yes, it’s true… You are about to discuss every medical form with every parent and every camper - Put white bracelets on campers and instruct re: epi-pens - Try to change meds for meal times and not bedtime - Update comments on Sunday Health List with any additional information provided by parents. - On the tape attached to the plastic baggies indicate camper's name, section, cabin # and list of meds per meal -- and anything else you may need to have to dispense medication. - Often medication is in the campers’ luggage. Make the bag up and have parents return it to your helper. - Most campers are only on one medication. They may keep inhalers with them unless parents want them at specific times and want to ensure campers take them. - Note: the girls’ cabins can often hold 2 or 3 sections so it is important to get their section. As well as the room # on medication baggies. - Place these full baggies in a box to sort later. Your helper can file the new forms that come through and locate others that parents may need to change (contact #’s, etc). 3:15 pm Registration ends - When registration is complete, confirm any cabin #’s you may have missed or for late arrivals (holdovers may have moved). Check with counsellor coordinator at cabin reg. table. - Return to your cabin. - Sort medication in sections and locate any you will need for dinnertime. Lock all medications in cabinet. 3:30 pm Prepare All Camper Medical Sheets 1. Complete Camper Health Concerns Sheet - The Camper Health Concerns Sheet is completed based on the information notes from the Sunday Health List and additional information from parents at registration. - These forms are a comprehensive review of all campers in the week. Day Camp Sheets - All medical forms are kept in the infirmary (locked) - The Day Camp Coordinator is responsible for developing camper health concerns sheet and reviewing it with the nurse (if necessary). - Although the coordinator is responsible for documenting concerns, the nurse is responsible for recording any treatment given (in the log book) except small band-aid issues. 2. Complete Counsellor Care Sheets - From your master Camper Health Concerns Sheet, prepare all the Counsellor Care Sheets. These sheets will ensure that all staff on camp are adequately informed of concerns, medications and allergies specific to their cabin. - In addition to medical concerns, counsellors are also told about birthdays. 5:00 pm Dinner Begins (At Cookout) - Give counsellor care sheets (if ready) to Section Heads and they will hand them out. - Be sure any acute allergies or dietary restrictions are looked after by the chef. Give meds to the 5:00 and 5:15 sections if there are any. - If you have not completed the counsellor care sheets, return and complete, then go to the 5:45 and 6:00 supper with them and meds if necessary. Do this again at 6:30 and 6:45 supper. 6:45 pm Evening Begins - Return to your cabin and continue to organize for the week - Hand out your Camper Concern Sheets to the appropriate areas. - Walkie talkie the Counsellor Coordinator to come pick up/distribute the remaining Counsellor Care Sheets - During this time you will probably see a few homesick campers and treat their tummy troubles as well as any injuries that come up. - If a bedtime medication does not show up, send a message via walkie talkie to the Counsellor Coordinator to contact the cabin counsellor. The little ones go to bed about 8:30 pm. Complete Birthday Sheet - Hand in to the kitchen (baker) in the morning - Baker will have a cake prepared for each birthday campers. Cakes will be handed out during dinners only (unless dinner is cookout and then it will be lunch). - Birthday hats are kept in the infirmary. Please ensure it is brought down for the birthday meal and stored safety back after. - Nurse should complete a Birthday Sheet for every camper (photocopy on bright paper) and post in the lodge on the day of the birthday. - Staff are to get their cakes on Thursday night at the staff meeting. Complete the Medication Summary Forms - If you don’t have time to complete these you can do it on Monday - Go to bed and and hope to sleep! 11. DAILY SCHEDULE – MONDAY TO FRIDAY Miscellaneous - Attend all meals and administer medication (see master, intermediate and senior schedule for times). Carry med cups and band-aids. You will usually know the campers taking meds after one day. - During the day campers will come with all kinds of things – document any treatment in the Daily Log sheet. - If campers require medical attention there are a couple of options based on the day and urgency of care required (see clinic visits section). - If you are enjoying any of the areas of the camp, indicate on the white board where you have gone (It is fun to be the spotter in a ski class!) - Nurses are to carry their walkie talkie throughout the day. Thursday Night 10:15 - Staff Meeting in the Lodge Friday- - Make a list of names of campers who need to pick up medication and put a post-it note stating “MEDS PICKUP” on their file folder. - Complete and place any Camper Follow Up notes that parents may need (usually for campers who have been sick, seen the doctor, have been put on a prescription or who have had a significant injury). Saturday Morning - Attend breakfast and take medication with folder notes and “MEDS PICKUP” reminder post-its to the Jr. Rec hall for campers who are leaving. - You will receive a list of campers who are holdovers (staying the next week). Return any Holdover medication to your cabin. - Pull Holdover med sheets and if necessary, write out any instruction for the next nurse regarding holdover concerns. - Pack up and clean your room. - Tidy up the infirmary. - Try to meet with the nurse who is arriving. - Go to the game and cheer for your child(ren)!!! 13. HEALTH CARE FORMS – COPIES FOR PHOTOCOPYING - Hard Copy

1. PROFESSIONAL STANDARDS AND PRACTICE GUIDELINES FOR CAMP NURSING
- Hard Copy

2. HEALTH CARE STAFF JOB DESCRIPTION
- Hard Copy

3. EMERGENCY PROCEDURES AND SIGNALS
- Hard Copy

4. CLINIC/HOSPITAL INFORMATION

In-Town Clinic Times/Procedures
- Hockey Opportunity Camp has set clinic days/times that are exclusive to our campers only (see times below) for non-emergency medical situations.
- In the event that a camper may be required to see a local doctor during one of these clinic times, the nurse must inform the Director prior to 10:00 am on the day of the clinic time.

Burk’s Falls Walk-In Clinic Procedures:
- In the event that a camper is required to see a doctor but cannot wait until the next clinic visit scheduled, the Burk’s Falls Walk-In Clinic is available (limited day time hours). In addition to taking care of camper’s immediate medical needs, the clinic also has x-ray facilities and can cast broken bones.

911/Hospital Visit Procedures:
- In the event of a life threatening emergency medical situation, Emergency 911 is available immediately. The closest ambulance station is 12 minutes away.

5. MEDICAL DIRECTIVES
- Hard Copy

6. POLICIES AND PROCEDURES

A. Serious Allergic Reactions

Upon reviewing all camper health forms, the nurse is obligated to identify any campers who are susceptible to a serious allergic reaction to food (peanuts), insects (bee), medications (penicillin), etc.

Campers who fall into this category are asked to bring their own personal epi-pen with them and carry it with them at all times in a fanny pack. In addition to personal epi-pens, you can find spare epi-pens in the health centre (2 total -1 to be used for out trips), ice rink (1), archery pit (1).

Upon check in and meeting with the camper/parents, the nurse is to review the camper’s medical condition with the camper/parent and give the camper a white elastic band. This band is to remain on the camper for the duration of camp in order to easily identify him/her to the camp community in the event of an allergic reaction.

For more information on common symptoms and treatment strategies for serious allergic reactions see attached handout. For more information on Insect Sting Allergies see attached handout.

We would also like to make our Health Care staff aware Sabrina’s Law – effective January 2006 (see attached handout). The bill provides that “no action for damages shall be instituted respecting any act done in good faith in response to an anaphylactic reaction, unless the damages are the result of an employee’s gross negligence.”

B. Heat Stroke/Heat Exhaustion

Given our camp environment and camper activity levels, we as directors, staff and health care professionals need to ensure that all our campers are educated on heat related illness and prevention. In addition, we need to ensure that those who are taken care of campers are educated on signs and symptoms and treatment. See attached handout on Sun Safety and Heat Exhaustion: The Impact on Campers, Staff and Your Camp.

C. Safe Delivery/Storage of Medications

All general medications as well as camper medications are to remain locked in a cupboard in the health centre unless they are being administered and are under the direct supervision of the nurse. Only the nurse and director are to have restricted access to these locked cupboards.

Certain medications require specific storage requirements (eg. Fridge). Please see attached handout for storage guidelines. All medications that require refrigeration must be kept in Nurse’s cabin refrigerator or Director’s home refrigerator. They should not be left in refrigerator in Health Centre.

When delivering any general medications, please use the HOC Medical Directives – Standing Order as your guide. When delivering any personal medications, please review the bottle for specific administration requirements.

All medical health forms are signed by the camper parent/guardian ensuring that the proper authority is given to the camp nurse/director administer common, non-prescription medications (as specified in the HOC Medical Directives).

D. Camper Privacy Policy/Medical Waiver

Following the privacy requirement guidelines as outlined by the College of Nurses of Ontario (see attached handout) and the HOC Privacy Practices, nurses must take reasonable steps to protect all camper personal health information against theft, loss, unauthorized use, disclosure, copying, modification or disposal.

All staff and camper health forms must remain locked in a cupboard in the health centre unless they are under the direct supervision of the nurse, senior staff member (during clinic visits) or director.

All medical health forms are signed by the camper parent/guardian ensuring that the proper authority is given to the camp nurse/director to share such personal health information with the appropriate camp staff and outside medical personnel as required.

E. Incident Reporting/Log Book

All detailed camper/staff medical attention/incident in which the nurse treats a camper is logged in the Health Care Log Book. The nurse is required to provide all pertinent details, including date/time of attention/incident, camper name/cabin number, problem/treatment and nurse signature/initials.

Please ensure information is clearly scribed/dated in the log book and the book is locked (to ensure privacy) while not under the supervision of the nurse.

All campers sent on clinic visits/hospital should be recorded in daily log book. Upon returning from the clinic/hospital, the nurse is to follow up with the camper to reassess the situation and record it in the log book.

F. Parent Communication

In the event that a medical situation arises where a parent/guardian should be contacted, the nurse is to contact the camp director immediately. The nurse should use his/her reasonable judgement/professional opinion to assess the need for a parent/guardian to be contacted. If there is any doubt, the nurse should contact the camp director to assess the situation together.

7. CRISIS MANAGEMENT

Camp Communication

All coordinators have been assigned a walkie talkie to be turned on and kept with them at all times (while on duty). This is the first line of defense and communication in the event of a camp crisis/emergency. Walkies have been assigned to (list provided in manual);

Emergency Response Team

An Emergency Response Team has been assigned consisting of approx. 10 staff members who are mature and qualified in Emergency First Aid and CPR or Swimming Qualifications Bronze Cross or higher. Under the guidance of a Senior Coordinator, the team meets the nurse on duty at Sunday Brunch for a quick “get to know” meeting.

In the event of an emergency, the response team is called to attend the scene of the accident. Once the nurse arrives on the scene, he/she is to take control (and delegate directions) of the situation with the support of the response team.

Spinal Team

A Spinal Team has been assigned consisting of approx 10 staff members who are mature and qualified in NLS (National Lifesaving Society) and Ski Staff (minimum Bronze Cross certification). Under the guidance of a Senior Coordinator, the team meets the nurse on duty at Sunday Brunch for a quick “get to know” meeting. The Spinal Team meets every other week to perform a full “deep water spinal” removal.

In the event of a deep water spinal and the horn is blown/flag is raised, all coordinators are to be alerted on walkie talkie and the one coordinator closest to the office is to call EMS right away.

The response team is fully responsible for ensuring the safe removal of the camper out of the water and on to land. Once secured on the spinal board on land and the nurse arrives on the scene, he/she is briefed on the victim’s vitals/conditions by the spinal team. Then he/she is to take control (and delegate directions) of the situation with the support of the spinal team/emergency response team.

Crisis Response Team

A Crisis Response Team has been assigned consisting of approx. 30 people, each playing very specific roles based on the nature of the crisis. The team includes; Director/Asst Director, Nurse, Coordinators, Emergency Response Team and Spinal Team.

A Crisis is “an unstable or crucial time or state of affairs, an emotional significant event, a radical change of status in a person’s life or a serious endangerment to property.” Examples include;
- A death or a fatal accident (vehicle, drowning)
- An event resulting in multiple person injuries
- A missing camper involving the police
- A major fire
- A natural disaster
- Food poisoning involving large numbers
- A serious wild animal attack

In the event of a camp crisis, the first line of defense is to ensure Emergency Signals and Procedures are followed thoroughly by the assigned team/staff. Once the situation has been initially managed, the Crisis Response Team is to meet at the designated Crisis Headquarters - Main Office where specific tasks and responsibilities are to be divided out.

See HOC Crisis Manual for further specific details – kept in the Main Office.

8. HOC CAMP SCHEDULE
- Hard Copy

9. SATURDAY SCHEDULE (first Saturday of Summer)

1. Set up Infirmary
2. Check supplies, discard outdated supplies and place supplies due to expire near the front to use first
3. Familiarize yourself with the Emergency Land and Water Procedures
- review Emergency Procedures and Signals
4. Place all medication in a locked cupboard and other products on shelf (i.e. sunscreen and deep ice)
5. Prepare emergency fanny pack (with epi-pen)
6. Prepare all other first aid kits
o 2 Mountain Biking
o 2 Outdoor Adventure
o 1 Ski Shed
o 1 Waterfront Shed
o 1 Archery
o 1 Kitchen
o
7. Get hockey first aid box organized
o Sunscreen
o Peroxide
o Band-Aids
o Gauze pads
o Polysporin tape
o Epi-pen
o Deep cold
o Gauze wrap
o Tensors
o Slings
o Box of baggies for ice packs
o Benadryl
o Tylenol

1ST SATURDAY OF WEEK ONE CONTINUES AND ALL OTHER SATURDAYS START FROM HERE…

8. Set up bunk beds with linens and sleeping bag
9. Make up one box of baggies with masking tape for campers’ medication on Sunday
10. Find all medical bracelets (white).
11. Review the following health care forms
o Health History Forms
o Camper Health Summary
o Counsellor Care Sheets
o Medication Summary
o Health Centre Log Summary
o Birthday sheets
o Parent health follow up
o Incident report form
o Clinic visit chart
12. Collect pens, permanent markers and post it notes for Sunday. Pens for parents to fill out med forms or to change emergency contact numbers.
13. Get Kleenex, paper towel, toilet paper, dry erase pen, etc. from Kevin – It is less busy than trying to get things on Sunday
14. Make Ice packs with baggies and ice cubes and store in health centre fridge.
15. Go through all campers’ health forms for Week #1 and check mark them off on the Camper Sunday Health List, making notes of medical issues or camper concerns. Indicate pertinent info – ADD, asthma inhalers, dietary restrictions, bedwetters, etc.

Additional Notes:
- Ask parent to identifying the camper’s cabin number. This is very important to locate the campers. This information can also be obtained from the master cabin assignment list if you are missing any.
- Highlight the check mark beside the camper’s name (indicating health forms) if you need to speak to a parent to verify/clarify something or to ensure form gets signed. A signature is needed for all camper health forms.
- For those campers who are not check marked, highlight the name with a different colour and make sure to have parents fill out a form at registration.

16. If the nurse’s children are at camp, they can store their stuff and stay/sleep in the infirmary Saturday night.

10. SUNDAY REGISTRATION DAY

9:00 am Optional breakfast – holdover campers may require medication
- Be prepared – families show up early and often come for Band-Aids, etc.
- Find out your children(s) bunk location and move their stuff down from the infirmary to their cabin. Their hockey equipment will go in the main house garage according to camper’s section
- Senior staff are also around and can usually answer any questions you have

10:00 am Organize Registration Table
- Bring down to registration table the following
o Sunday Health List
o Extra Pens, permanent markers and post it notes
o Box of Baggies
o Masking Tape
o Health Forms (completed forms gets sorted alpha in accordian folder – have helper assist)
o Health Forms (blank forms)
o Empty boxes to hold medicine baggies.

11:45 am Buffet Lunch for staff
- Nurse’s children can go to Mikisew with the Holdovers
- Nurse gets introduced to all staff by Director at this meal.
- Meet with Emergency Response Team and Spinal Team
- Check dinner menu with the kitchen staff to know if you will have dietary issues at supper

12:45 pm Registration begins – yes, it’s true… You are about to discuss every medical form with every parent and every camper

- Put white bracelets on campers and instruct re: epi-pens
- Try to change meds for meal times and not bedtime
- Update comments on Sunday Health List with any additional information provided by parents.
- On the tape attached to the plastic baggies indicate camper's name, section, cabin # and list of meds per meal -- and anything else you may need to have to dispense medication.
- Often medication is in the campers’ luggage. Make the bag up and have parents return it to your helper.
- Most campers are only on one medication. They may keep inhalers with them unless parents want them at specific times and want to ensure campers take them.

- Note: the girls’ cabins can often hold 2 or 3 sections so it is important to get their section. As well as the room # on medication baggies.

- Place these full baggies in a box to sort later. Your helper can file the new forms that come through and locate others that parents may need to change (contact #’s, etc).

3:15 pm Registration ends

- When registration is complete, confirm any cabin #’s you may have missed or for late arrivals (holdovers may have moved). Check with counsellor coordinator at cabin reg. table.

- Return to your cabin.

- Sort medication in sections and locate any you will need for dinnertime. Lock all medications in cabinet.

3:30 pm Prepare All Camper Medical Sheets

1. Complete Camper Health Concerns Sheet

- The Camper Health Concerns Sheet is completed based on the information notes from the Sunday Health List and additional information from parents at registration.
- These forms are a comprehensive review of all campers in the week.

Day Camp Sheets
- All medical forms are kept in the infirmary (locked)
- The Day Camp Coordinator is responsible for developing camper health concerns sheet and reviewing it with the nurse (if necessary).
- Although the coordinator is responsible for documenting concerns, the nurse is responsible for recording any treatment given (in the log book) except small band-aid issues.

2. Complete Counsellor Care Sheets

- From your master Camper Health Concerns Sheet, prepare all the Counsellor Care Sheets. These sheets will ensure that all staff on camp are adequately informed of concerns, medications and allergies specific to their cabin.
- In addition to medical concerns, counsellors are also told about birthdays.

5:00 pm Dinner Begins (At Cookout)

- Give counsellor care sheets (if ready) to Section Heads and they will hand them out.
- Be sure any acute allergies or dietary restrictions are looked after by the chef. Give meds to the 5:00 and 5:15 sections if there are any.
- If you have not completed the counsellor care sheets, return and complete, then go to the 5:45 and 6:00 supper with them and meds if necessary. Do this again at 6:30 and 6:45 supper.

6:45 pm Evening Begins

- Return to your cabin and continue to organize for the week
- Hand out your Camper Concern Sheets to the appropriate areas.
- Walkie talkie the Counsellor Coordinator to come pick up/distribute the remaining Counsellor Care Sheets
- During this time you will probably see a few homesick campers and treat their tummy troubles as well as any injuries that come up.
- If a bedtime medication does not show up, send a message via walkie talkie to the Counsellor Coordinator to contact the cabin counsellor. The little ones go to bed about 8:30 pm.

Complete Birthday Sheet
- Hand in to the kitchen (baker) in the morning
- Baker will have a cake prepared for each birthday campers. Cakes will be handed out during dinners only (unless dinner is cookout and then it will be lunch).
- Birthday hats are kept in the infirmary. Please ensure it is brought down for the birthday meal and stored safety back after.
- Nurse should complete a Birthday Sheet for every camper (photocopy on bright paper) and post in the lodge on the day of the birthday.

- Staff are to get their cakes on Thursday night at the staff meeting.

Complete the Medication Summary Forms
- If you don’t have time to complete these you can do it on Monday
- Go to bed and and hope to sleep!

11. DAILY SCHEDULE – MONDAY TO FRIDAY

Miscellaneous
- Attend all meals and administer medication (see master, intermediate and senior schedule for times). Carry med cups and band-aids. You will usually know the campers taking meds after one day.
- During the day campers will come with all kinds of things – document any treatment in the Daily Log sheet.
- If campers require medical attention there are a couple of options based on the day and urgency of care required (see clinic visits section).
- If you are enjoying any of the areas of the camp, indicate on the white board where you have gone (It is fun to be the spotter in a ski class!)
- Nurses are to carry their walkie talkie throughout the day.

Thursday Night 10:15
- Staff Meeting in the Lodge

Friday-
- Make a list of names of campers who need to pick up medication and put a post-it note stating “MEDS PICKUP” on their file folder.
- Complete and place any Camper Follow Up notes that parents may need (usually for campers who have been sick, seen the doctor, have been put on a prescription or who have had a significant injury).

Saturday Morning
- Attend breakfast and take medication with folder notes and “MEDS PICKUP” reminder post-its to the Jr. Rec hall for campers who are leaving.
- You will receive a list of campers who are holdovers (staying the next week). Return any Holdover medication to your cabin.
- Pull Holdover med sheets and if necessary, write out any instruction for the next nurse regarding holdover concerns.
- Pack up and clean your room.
- Tidy up the infirmary.
- Try to meet with the nurse who is arriving.
- Go to the game and cheer for your child(ren)!!!

13. HEALTH CARE FORMS – COPIES FOR PHOTOCOPYING
- Hard Copy