Connecticut Administrative Code › Title 19a - Public Health and Well-being › 428 - Youth Camp Licensing Regulations › Section 19a-428-5 - Health Care

Current through July 10, 2024
(a) A physician or
			 advanced practice registered nurse shall be on call and shall be responsible
			 for all health care including first aid. Annually the physician or advanced
			 practice registered nurse shall sign and date standing orders to be carried out
			 in the physician's or advanced practice registered nurse's absence by the youth
			 camp nurse, or first aid instructions to be carried out by a person at least
			 twenty-one years of age who holds current certification in first aid by the
			 American Red Cross, the American Heart Association, the National Safety
			 Council, American Safety and Health Institute or Medic First Aid International,
			 Inc. Additional aides under age twenty-one may be employed to provide first aid
			 if they hold current certification in first aid by the American Red Cross, the
			 American Heart Association, the National Safety Council, American Safety and
			 Health Institute or Medic First Aid International, Inc., but shall not be in
			 charge of or provide health care. Any first aid course approved by the Office
			 prior to January 6, 2016, shall continue to be acceptable for purposes of this
			 subsection. All youth camp health care personnel shall hold current
			 certification in cardiopulmonary resuscitation appropriate to the population
			 served by the youth camp and issued by an organization identified in section
			 19a-79 of the Connecticut General Statutes. Acceptable first aid and
			 cardiopulmonary resuscitation certifications shall be based on a hands-on
			 demonstration of the individual's ability to provide first aid and
			 cardiopulmonary resuscitation. For residential youth camps having two hundred
			 fifty or more campers or staff in residence, a registered nurse shall be in
			 charge of first aid and emergency medical care activities. First aid equipment
			 and supplies shall be specified by the youth camp physician or advanced
			 practice registered nurse in the first aid instructions. Only nonprescription
			 drugs shall be available in stock containers in youth camps. Prescription drugs
			 shall be available only on individual prescription unless locked and in the
			 sole custody of an authorized prescriber. The physician or registered nurse
			 shall maintain proof of use records as required under section 21a-254 of the
			 Connecticut General Statutes.
(b)
			 Communicable disease control shall meet the requirements of sections 19a-36-A3
			 and 19a-36-A4 of the Regulations of Connecticut State Agencies.
(c) There shall be on file a memorandum of
			 understanding with the on-call or resident physician or advanced practice
			 registered nurse concerning the provision of medical care for emergencies and
			 of routine care to be carried out at the youth camp, including standing orders
			 for the nurse, if there is one, and instructions for the provision of first aid
			 in lieu of a resident physician or nurse, for both day and residential youth
			 camps.
(d) There shall be a working
			 telephone available to the first aid area for the use of the first aid staff,
			 with posting of the telephone numbers of the youth camp physician or advanced
			 practice registered nurse, youth camp director, youth camp nurse, nearest
			 hospital, local director of health in whose jurisdiction the youth camp falls,
			 local fire department in whose jurisdiction the youth camp falls, local police
			 department in whose jurisdiction the youth camp falls, the poison control
			 center, and ambulance services.
(e)
			 An abstract record of all cases treated at the youth camp shall be kept in a
			 manner that prevents alteration of the information contained in the record such
			 as a bound volume. The abstract record shall include the date, time,
			 circumstances that resulted in the case, the condition, treatment provided and
			 persons responsible for the care. At least once a week these cases shall be
			 reviewed by the youth camp physician or advanced practice registered nurse who
			 shall sign and date the abstract record indicating the physician or advanced
			 practice registered nurse's review of cases.
(f) There shall be available a defined area
			 where ill or injured individuals may rest and receive care until they are
			 either removed from the youth camp or recovered. This area shall be adequate to
			 provide for the temporary isolation of any suspected communicable diseases and
			 shall have its own toilet facilities not used for other purposes within the
			 youth camp.
(g) Any (1) fatality
			 that occurs at the youth camp or results from camping activities, or (2) injury
			 that occurs at the youth camp or results from camping activities that result in
			 a camper being admitted to a hospital or diagnosed with a fracture, concussion
			 or second or third degree burn, shall be reported in writing to the Office not
			 later than the next business day.