Wisconsin Administrative Code › Department of Agriculture, Trade and Consumer Protection › ATCP 55-89 - Food, Lodging, and Recreation Safety › Chapter ATCP 78 - Recreational And Educational Camps › Subchapter V - General Provisions › Section ATCP 78.27 - Camp wellness and health staff

Current through June 24, 2024
(1) CAMP WELLNESS.
(a)
Physician on staff or consulting
				  physician.
Before a camp opens for the first time, and at least
				  annually thereafter, the camp operator shall make written arrangements for
				  medical care of campers and camp staff by a staff physician, consulting
				  physician or the consulting physician's practice. 
				  P
(b)
Staff physician or consulting
				  physician standing orders.
Health services staff shall work under the
				  delegation of a physician licensed pursuant to ch. 448, Stats., who is
				  available on-site during the camping season or for consultation services.
1. The staff physician or consulting
				  physician, in cooperation with the camp operator, shall develop standing
				  orders, signed by the physician, for the administration of medications, routine
				  health care and emergency medical care at the camp. 
				  P
Note:
Wisconsin is identified in a high
					 incidence category for Lyme disease, therefore it is recommended that a written
					 protocol should include tick bite identification and removal techniques, such
					 the following resource provided by the United States centers for disease
					 control and prevention:
https://www.cdc.gov/lyme/resources/FS-Guidance-for-Clinicians-Patients-after-TickBite-508.pdf
.
Note:
Bats are the leading rabies vector in
					 Wisconsin. It is recommended that camp staff are trained in bat education and
					 that a written protocol be developed that includes: how to prevent and
					 recognize a bat exposure, safe capture of a bat and what to do in the event a
					 bat is found in a room with sleeping campers. A copy of the rabies algorithm
					 can be found at the Wisconsin department of health services website at:
https://www.dhs.wisconsin.gov/rabies/algorithm/index.htm
.
2. The physician shall review,
				  sign and date the standing orders annually. 
				  P
(c)
Camp vehicle.
A camp
				  shall have a vehicle available at all times to transport a camper or staff
				  member requiring urgent medical services to a hospital or clinic when the camp
				  cannot provide the needed services or as approved by the department or its
				  agent. 
				  Pf
(d)
Camper health history.
1. Each camper upon arrival at the camp,
				  shall present to the health services staff or to the rental groups health
				  services staff as required pursuant to s. ATCP 78.16, an up-to-date written
				  health history. 
				  P Health histories shall include all
				  of the following:
a. Any physical condition
				  or limitations. 
				  P
b. Medications. 
				  P
c. Allergies. 
				  P
d. Immunization status or a signed document
				  by the legal guardian presented to the camp objecting to the immunization
				  requirements for a camper for reasons of health, religion or personal
				  conviction that meets the requirements pursuant to s.
				  252.04(3),
				  Stats. 
				  P
e. Any special health and behavioral
				  considerations, including mental, emotional, social and developmental needs or
				  restrictions of the camper. 
				  Pf
f. Permission from the family that allows for
				  a camper to self-carry and administer emergency medication, such as
				  epinephrine, inhalers, or insulin, if applicable. 
				  P
2. For a camper under 18 years of age, the
				  written health history shall be prepared and signed by a parent or legal
				  guardian. 
				  P
3. Parent or legal guardian's written consent
				  to treat camper in case of an emergency. 
				  Pf
4. Signed permission by the parent or legal
				  guardian for camp health services staff to provide routine healthcare
				  treatment, identifying over-the-counter medications that can be administered. 
				  Pf
Note:
It is recommended that each camper upon
					 arrival at the camp, also present to the health services staff a written report
					 of a physical examination performed within the preceding 24 months by a
					 physician, a physician assistant, or a nurse practitioner.
(e)
Camp staff
				  health history.
1. Each camp staff
				  member, upon arrival at the camp, shall present to the health services staff or
				  to the rental groups health services staff, as required pursuant to s. ATCP
				  78.16, an up-to-date written health history. 
				  P Health histories shall include all
				  of the following:
a. Any physical condition
				  or limitations. 
				  P
b. Medications. 
				  P
c. Allergies. 
				  P
d. Based on the staff member's job
				  description, clarification of any camp activities from which the staff member
				  should be exempted or limited for health reasons as indicated by qualified
				  medical personnel. 
				  Pf
e. A statement indicating if the staff member
				  requires any medication that might impair their ability to perform the
				  essential functions of their position. 
				  Pf
f. Who to contact in case of
				  emergency.
g. Immunization status
				  as determined by the consulting physician and camp health supervisor. 
				  P
2. For camp staff under 18 years of age, the
				  written health history shall be provided as required pursuant to par. (d). 
				  P
(f)
Health center.
A camp
				  shall have written procedures and space for the temporary isolation of sick or
				  injured campers and staff members. 
				  P
Note:
Reportable communicable diseases are
					 listed in appendix A to ch. DHS 145. Cases are to be reported to the local
					 health officer or the department pursuant to s.
					 252.05, Stats., and ch. DHS
					 145.
(g)
First-aid
				  supplies.
A camp shall have first-aid supplies as determined by the
				  staff physician or consulting physician standing orders. 
				  Pf
(h)
Emergency Phone.
1. A telephone capable of connecting with 911
				  or emergency dispatch services shall be accessible at all times during camp
				  operation. 
				  P
2. Other telephone technology may be used
				  that has continuous power backup and a reliable service connection. 
				  P
3. The installation and location of the
				  telephone shall be in close proximity to the camp buildings or lodging units
				  and the telephone shall be available to camp staff and campers. 
				  Pf
4. A current list of emergency numbers,
				  including 911, and the facility's location shall be attached to or posted near
				  the telephone. 
				  P
(i)
AED.
If provided, the
				  camp shall ensure the AED meets all of the following:
1. Maintained in operational condition in
				  accordance with manufacturer guidelines. 
				  P
2. Tested in accordance with any operational
				  guidelines of the manufacturer. 
				  Pf
3. Continually available on camp premises
				  when camp is in session. 
				  Pf
Note:
Camp administration is encouraged to
					 consider placement of multiple AED(s) based on the population served and
					 activities conducted.