333-030-0105 Health Services (1) EXCEPTIONS. Except as specified in subsections (a) and (b) of this section, the requirements of this rule do not apply when the camp is used by contract or rental groups. (a) The camp owner may delegate the responsibilities of this rule to a tenant for the term of the rental or lease agreement. (b) Rental groups shall ensure that at least one person who has a current first-aid with cardiopulmonary resuscitation (CPR) certification from a nationally recognized organization is present at the camp at all times and that first-aid supplies are provided as required in subsection (6)(f) of this rule. (2) HEALTH SERVICES – GENERAL. (a) All camp operators must have the applicable health and first aid services available whenever the camp is operating. (b) The camp health director is responsible to assure that: (A) Health services staff: (i) Are properly qualified and trained for their specific duties and responsibilities; (ii) Have the appropriate camper records, medications, and treatment logs, including information about special health needs or restrictions, as necessary for their duties; (iii) Have first aid supplies appropriate for their duties; and (iv) Have access to a means of communication to summon emergency help and to communicate with the camp health director. (B) Medical and emergency protocols are established and followed; (C) Records are maintained as required by this rule and camp policy; (D) The camp has a program to supervise the general health, safety and sanitation in the camp; and (E) Camp health staff are on the premises at all times while the camp is in operation. (c) An adult health services staff person with current wilderness first aid certification or equivalent training must be present at any camp or camp activity if the emergency medical services response time is more than 30 minutes. (3) HEALTH CARE POLICIES AND PROCEDURES. Before a camp opens for the first time, and at least annually thereafter, the camp operator must assure that written procedures are in place that specify: (a) Scope and limits of camp health services provided, including qualifications and locations of personnel. (b) Authority and responsibilities of the camp health services director and staff. (c) Treatment procedures including what is treated at camp, when and how to contact emergency medical services (EMS) and how to use the automatic external defibrillator (AED) present at the camp. (d) Procedures for non-EMS emergency transportation. (e) Notification to emergency medical services prior to the camp operating each year. (f) Parental or guardian notification process for illness or injury to a camper or minor staff. (g) Storage and administration of medications. (h) Equipment and supplies necessary for camp operation including maintenance and service schedules and procedures to verify adequate supply and the expiration dates of medications and supplies. (i) The program to supervise the general health, safety and sanitation in the camp. (4) STAFF QUALIFICATIONS AND TRAINING. (a) The camp health director must have access by phone to a physician or registered nurse licensed in Oregon with whom prior written arrangements have been made to provide prompt consultation and other healthcare support to the camp or be a physician or registered nurse licensed in Oregon. (b) All camp health services staff must hold current first-aid with cardiopulmonary resuscitation (CPR) certification from a nationally recognized organization. Camp health services staff that are a physician or registered nurse licensed in Oregon are only required to hold a current CPR certification. (5) HEALTH DISCLOSURE AND PERMISSION TO TREAT. (a) The camp must require a current signed health disclosure for each camper and staff member. Health services staff must review all health disclosures and notify the appropriate camp staff of campers or staff with special health concerns. The health disclosure shall include, at a minimum, special health issues, activity limitations, allergies, medications, dietary restrictions and a record of recent immunizations. (b) The camp must require signed permission from a parent or guardian to provide a camper with healthcare, administer medications and provide or seek emergency treatment. (c) A health disclosure and permission to treat are not required for family camps or camps serving only adults. (6) HEALTH CARE AREA AND EQUIPMENT. (a) Resident camps must have at least one AED that is centrally located for quick access, properly maintained according to manufacturer’s recommendations and the location indicated by signage. (b) The camp must have space for the temporary isolation of sick campers and staff members. Any person reasonably suspected of having a communicable disease must be isolated in accordance with OAR chapter 333, division 019. The isolation area must be in reasonable proximity to drinking water, bathing and toileting facilities. Bathing and toileting facilities must meet the requirements of OAR 333-030-0055. (c) The camp operator must develop written procedures for the temporary isolation of sick campers and staff. The procedures must include staffing requirements to provide care and continual supervision of sick or injured persons. (d) In lieu of an infirmary, the camp shall have a plan for providing isolation, privacy, toilet, drinking water and bathing facilities. Toilet and bathing facilities shall meet the requirements of these rules. (e) The requirement for an isolation area does not apply to day camps. (f) A camp must have adequate first-aid supplies on hand, suitable to the users and conditions under which they are expected to be used. (7) MEDICATIONS. (a) All medications brought by a camper or staff member must be kept in their original containers. (b) Except as specified in subsection (e) of this section, all medications must be stored in a locked unit or area except when in the controlled possession of the person responsible for administering them. (c) Prescription drugs must be administered in accordance with specific directions of a licensed prescribing health care professional. (d) Non-prescription drugs must be administered in accordance with the label instructions and the camp’s written procedures or under the signed instruction of the parent, guardian or prescribing health care professional. (e) Emergency allergy medications, rescue inhalers or other medications or devices used in the event of life-threatening situations may be carried by the camper or staff member. (8) HEALTH AND TREATMENT RECORDS. (a) The camp health staff must have access to the contact information and health disclosure of each camper and staff member. (b) When a medication is administered or treatment provided to a camper or staff member, health services staff must record the following information: (A) Name of the person receiving the medication or treatment; (B) Ailment or condition; (C) Name of the medication or description of treatment; (D) Quantity given; and (E) Date, time and staff who administered the medication or provided the care. (c) The camp operator must retain camper and staff health disclosures and treatment records for at least three years or as required by law. (9) REPORTING. The camp operator must report to the Division and local public health authority any illness outbreaks, fatalities or accidents that require treatment from emergency medical services that occur at the camp on a form approved by the Division. If possible, these incidents should be reported within 24 hours of occurring. Statutory/Other Authority: ORS 446.330 Statutes/Other Implemented: ORS 446.330 History: PH 19-2017, amend filed 12/21/2017, effective 01/01/2018 PH 2-2013, f. & cert. ef. 1-25-13 PH 9-2007, f. & cert. ef. 7-13-07 HD 7-1996, f. & cert. ef. 12-10-96 HD 25-1981, f. & ef. 11-25-81