Health Care Staff to be Provided

The operator of each recreational camp for children shall provide: (A) A designated camp health care consultant. The consultant shall: (1) Assist in the development of the camp's health care policy as described in 105 CMR 430.159(B); (2) Review and approve the policy initially and at least annually thereafter; (3) Approve any changes in the policy; (4) Review and approve the first aid training of staff; (5) Be available for consultation at all times; (6) Develop and sign written orders, including for prescription medication administration, to be followed by the on-site camp health care supervisor in the administration of his or her health related duties; and (7) Provide trainings as required by 105 CMR 430.160 to the health care supervisor(s) and other camp staff. (B) A written camp health care policy, approved by the Board of Health and by the camp health care consultant. Such policy shall include, but not be limited to: (1) Daily health supervision; (2) Infection control; (3) Medication storage and administration, including self-administration when appropriate, pursuant to the requirements of 105 CMR 430.160; (4) Procedures for using insect repellant and conducting tick checks; (5) Promoting allergy awareness; (6) Handling health emergencies and accidents, including parental/guardian notifications; (7) Available ambulance services; (8) Provision for medical, nursing and first aid services; (9) The name of the designated on-site camp health care supervisor; (10) The name, address, and phone number of the camp health care consultant required by 105 CMR 430.159(A); and (11) The name of the health care supervisor(s) required by 105 CMR 430.159(E), if applicable. (C) At least one health care supervisor, or more as determined by the camp operator based on camp size and ability to provide for the needs of the camp must be present at the camp at all times. Primitive, travel, and trip camps shall have at least one individual who possesses a current CPR and first aid certificate in addition to the health care supervisor accompanying the campers. (D) In residential camps in which the total number of on-site campers and staff is less than 150 and in all day camps, the health care supervisor may have additional non-health related duties but shall at all times be available at the camp to render emergency first aid. (E) Except as otherwise provided in 105 CMR 430.159(F), in camps operated specifically for children with mild or severe disabilities, medical specialty camps, residential camps for children where the total number of on-site campers and staff is 150 or greater, and at any other camp when so advised by the health care consultant, the health care supervisor shall be: (1) A nurse licensed to practice in the Commonwealth; (2) A physician licensed to practice in the Commonwealth; or (3) A physician assistant licensed to practice in the Commonwealth. (F) In a medical specialty camp, an individual that administers medications for diabetes care shall be a health care provider listed in 105 CMR 430.159(E) or, when under direct supervision of a health care provider listed in 105 CMR 430.159(E), shall be an individual 18 years of age or older who is: (1) A student nurse or a nursing school graduate who is not yet licensed; (2) A staff person trained by the health care consultant to administer medications for diabetes care; or (3) A Certified Diabetes Care and Education Specialist in good standing with the Certification Board for Diabetes Care and Education.