CAMPHORIZONPage 1
Health Care Services Manual
CAMPHORIZON
HEALTH CARE SERVICES MANUAL
CAMPHORIZON
7369 Sunnyside Drive
Leesburg, Florida34748
(904) 728-5822
CAMPHORIZONPage 1
Health Care Services Manual
CAMPHORIZON
HEALTH CARE SERVICES MANUAL
TABLE OF CONTENTS
TOPIC...... PAGE
Cover Page...... i
Table of Contents...... ii
Welcome To Camp...... 1
Qualifications of Camp Nurses...... 1
Statement of Faith...... 2
Camper Registration...... 3
Primary Responsibilities [General guidelines]...... 4
Medication Administration
Infirmary Visits / First Aid
Contacting Parents About Injury or Illness
Leaving the campgrounds
Summary of Documentation...... 5,6
Allergies-Potential Problems Record
Routine Medication Record
Camper Sign-in Sheet
CampHealth Record
In-Patient Record
Nurses Insurance Activity Report
Additional Responsibilities...... 7
Cabin Inspection
Ear Drops
First Aid Box for excursions
Cabin Cleanup Points...... 8
Suggested Remedies...... 9,10,11
Getting A Prescription Filled...... 12
Infection Control / Universal Precautions...... 13
Arranging Health Care - General...... 14
Leesburg Family Medicine...... 15
Leesburg Regional Medical Center...... 16
Dental Care...... 17
A "Typical Day"...... 18
Sample Forms
Cabin Cleanup Point Sheet...... 19
Camper Sign-In Sheet...... 20
CampHealth Record...... 21
Routine Medications...... 22
Allergies-Potential Problems...... 23
Nurses Insurance Activity Report...... 24
CAMPHORIZONPage 1
Health Care Services Manual
WELCOME TO CAMP HORIZON
Thank you for giving of yourself and your time to this ministry. It is the hope of the leadership of CampHorizon that you will receive in blessing as much or more than you give in service. As the Health Care officer, you will interact with every camper and staff member during your week(s) of service. This provides you with opportunities to show the Love of Christ. "Counselors" are not the only ones who "counsel." Bible Teachers are not the only ones who teach. You may have the privilege of leading a camper to Christ. You may lead a straying or stagnate Christian back into fellowship with God. Evangelism, Guidance, and Leadership Development are the major ministries of CampHorizon. May God be pleased to use you to your fullest for His glory.
We encourage you to participate in the spiritual program of Camp, to pray for campers and staff daily, and to prepare for the activities for which you are responsible.
QUALIFICATIONS OF CAMPNURSES / CAMPMEDIC
The term CampNurse will be used in this manual, but the campers and staff will denote any non-nursing person as CampMedic(i.e. EMT, Paramedic, Medical Student/Resident). The CampNurse is a Registered Nurse (RN) or Licensed Practical/Vocational Nurse (LPN/LVN). The CampMedic is an Emergency Medical Technician (EMT), Paramedic, or Medical Student/Resident who has the education and experience to provide and recommend Health Care, administer prescribed medications, and administer first aid to the Campers and Staff of Camp Horizon. While the professional skills listed above are important, the spiritual requirements are essential.
The CampNurse must have experienced a relationship with Christ by faith leading to certain salvation. "For it is by free grace (God's unmerited favor) that you are saved (delivered from judgment and made partakers of Christ's salvation) through [your] FAITH. And this [salvation] is not of yourselves - of your own doing, it came not through your own striving - but it is the gift of God;" Ephesians 2:8 [Amplified Bible]
The CampNurse must demonstrate to others a life that bears testimony to the working of Christ in their heart. "Teaching us that, denying ungodliness and worldly lusts, we should live soberly, righteously, and godly, in this present world;" Titus 2:12. Thus, letters of reference are requested from those who have the responsibility for "watching for your souls." "Obey them that have the rule over you, and submit yourselves: for they watch for your souls, as they that must give account, that they may do it with joy, and not with grief: ..." Hebrews 13:17a
The CampNurse must be experiencing a relationship with other Christians of similar faith. This relationship should be evidenced by regular gathering for Bible study, fellowship, worship, and prayer. "Then they that gladly received his word were baptized: and the same day there were added unto them about three thousand souls. And they continued steadfastly in the apostles' doctrine and fellowship, and breaking of bread, and in prayers." Acts 2:41-42
The CampNurse must embrace the Directional Philosophy (Statement of Faith) of CampHorizon. While the physical needs of the campers and staff are tended to, the opportunity to share ones faith is also afforded. It is important that all who serve at CampHorizon give the same answers regarding the content and intent of the Directional Philosophy.
Directional Philosophy
(Statement of Faith)
We at CampHorizon believe that the Scriptures are of paramount importance, and as such, must be the foundation for all of our thinking and activities in our camping program.
We believe in the Scriptures of the Old and New Testaments as verbally inspired by God and inerrant in the original writing; they are of supreme and final authority in faith and life.
We believe in one God, eternally existing in three persons: Father, Son, and Holy Spirit.
We believe that Jesus Christ was begotten by the Holy Spirit, born of the Virgin Mary, and is true God and true man.
We believe that man was created in the image of God, that he sinned, and thereby incurred not only physical death but also that spiritual death which is separation from God; and that all human beings are born with a sinful nature, and, in the case of those who reach moral responsibility, become sinners in thought, word, and deed.
We believe that the Lord Jesus Christ died for our sins, according to the Scriptures, as a representative and substitutionary sacrifice, and that all who believe in Him are justified on the basis of His shed blood.
We believe that all who receive by faith the Lord Jesus Christ are born again of the Holy Spirit and thereby become children of God. We believe in the resurrection of the crucified body of our Lord, in His ascension into heaven, and in His present life there for us as High Priest and Advocate.
We believe that the Church began with the descent of the Holy Spirit at Pentecost and is composed of all true believers in the Lord Jesus Christ; and that the local church is composed of believers in a locality who gather together in Christ's name for worship, prayer, ministry, and testimony.
We believe that there are two Christian ordinances--baptism and the Lord's Supper; that baptism by immersion signifies that the believer, having died with Christ, is buried with Him in baptism and also is risen with Christ to walk in newness of life; and that the Lord's Supper is a remembrance feast instituted by the Lord Himself for His own, to show forth the Lord's death until He comes.
We believe in the imminent personal return of the Lord Jesus Christ to translate the Church; that this will be followed by the tribulation on earth, followed by the new heaven and new earth with God all in all.
We believe in the bodily resurrection of the just and unjust, and everlasting punishment of the lost.
CAMPER REGISTRATION
Your first official duty begins with camper registration. Camper registration begins
Sunday at 1:00pm.
Please plan to come early so that you can review the "Nurses Registration List." This list includes the name of each camper, their cabin assignment, guardian information, health insurance information, and health problems highlighted on their registration. Your lodge room will be available by noon Saturday.
Registration gives you the opportunity to meet each camper and their parent (or designate if they come with a group). You need to ask about health problems, medications, and allergies.
NOTES:
ASK QUESTIONS
If the child has a health problem, ask the parent how they want to handle episodes at camp. When do they want to be called? Should you call their home physician if the parent cannot be reached? Do they use "over the counter" medications? [Examples: Diabetics, Asthmatics, children with severe allergies, children with reported "frequent" ...... headaches, earaches, etc]
COLLECT ALL MEDICATIONS
Medications are to kept by the camp nurse and dispensed at prescribed times. You may make exceptions for asthmatics who require an inhaler "as needed."
INSTRUCT THE CAMPER
Routine medications are dispensed at meal times and BEFORE evening chapel (unless the evening order has been reversed for program). Tell them to go to you during the meal for their medications.
RECORD ALLERGIES - POTENTIAL PROBLEMS
This gives you a handy clipboard reference of potential situations. Report food allergies to the food service manager and report severe environmental allergies (i.e. bee stings) to the directors.
All campers are given prophylactic vinegar/alcohol ear drops after each swim in the lake. Children with ear problems, tympanic tubes, etc should be screened and the parents asked about physician’s instructions regarding swimming and ear drops.
You have three forms to fill out during registration:
ROUTINE MEDICATIONS
PRN MEDICATIONS
ALLERGIES - POTENTIAL PROBLEMS
MEDICATION ADMINISTRATION
Routine medications should be dispensed at set times. It usually does not hurt to standardize medication times. Use your judgment and negotiate times with the camper and/or their parent during registration.
Standard Times for Medication Administration
BREAKFAST, LUNCH, SUPPER
Instruct the camper to come to your table during the meal to get their medications. Make it their responsibility to come to you. Have the director announce the names of those who have not seen you. Announcements are made following every meal by the Director, Program Director, or Assistant Program Director. Don't hesitate to utilize this announcement time.
BEFORE CAMPFIRE OR BEFORE CHAPEL
Instruct the camper to see you before chapel/campfire; usually in the back of the chapel. Again, don't hesitate to have the announcer remind those that need their medications to see you. Get them all done before the singing is over.
NOTE
The campers usually have the routine down by the second full day of camp. If you are still chasing a camper down on the second full day, speak with their counselor.
INFIRMARY VISITS AND FIRST AID
Campers are instructed during orientation that the CampNurse will be available after meals, and before chapel/campfire for non-urgent situations. A well stocked first-aid kit, kept in the dining hall will meet most needs. If a camper needs to be treated (i.e. large wound care) in the Infirmary, negotiate the time with their counselor. You should set a time or times during the day that you will be in the Infirmary. This time varies from camp to camp. Negotiate times with the director and have the times announced. Suggested times to choose from include: "rest hour", "cabin time", "free time", or "Snak Shak."
URGENT VISITS / FIRST AID
You are free to enjoy the camp facilities and observe in the craft areas during camp day. Post a note on the Infirmary door to outline your intended whereabouts. Keep your radio on all day – charge it while you sleep.
CONTACTING PARENTS - GENERAL
In general, never take a camper or minor staff member off the campgrounds without notifying their parent or guardian. If this is impossible, or the situation to urgent, continue trying to reach them from the hospital and document your attempts. Always let the Administrative and Summer Directors know when you are calling a parent. Utilize your radio. SEE PAGE 16 for detailed guidelines.
LEAVING THE CAMPGROUNDS - GENERAL
In general, it rarely helps for the camp nurse to accompany the camper to the Doctor's Office or Emergency Room. When possible, utilize another responsible adult. Use your best judgment. Never leave the grounds without notifying the Administrative and Summer Directors. They need to know who will handle your duties in your absence.
SUMMARY OF DOCUMENTATION
ALLERGIES - POTENTIAL PROBLEMS RECORD
This is a work-sheet for your convenience and is not a permanent record. This record is filled out during registration and kept on your clipboard for handy reference. Data for this record comes from: Nurses Registration List; Camper Health Forms; Camper/Parent Interview; or Report from the outgoing CampNurse.
NOTE
It may help to begin with separate records for boys, girls, and staff.
ROUTINE MEDICATION RECORD
This is a permanent part of the CampHorizon record. No medications are to be kept in the cabins. All medications are to be dispensed by the camp nurse. Collect all medications from campers during registration. Frequently, campers will tell you that their medications are in their suitcase. Tell them that their registration is not complete until you have their medications. Be firm.
All daily medications are to be noted on the medication sheet with the appropriate times written under the day. After the medication has been given, initial next to the time. If the dose is omitted, circle the time and record reason if applicable. If the medication is a prescription item, record the Dr.'s name and the prescription # on the Medication Record. Please put your full name and state license number at the top of this page.
NOTE
It may help to start separate records for boys, girls, and staff.
NAME / CABIN / MEDICATION, TIME, _ #, Dr. / Sun / Mon / TueJohn Smith / 6 / Ampicillin tab i po bid / 8 / 8 / 8
Dr. J.Doe #18023 8a - 8p / 8 / 8 / 8
Jane Smith / 2 / Robitussin - grape flavor i tsp q.i.d. / B / L
Non-_ May skip if nose is clear / S / C
The four quadrants under each day make it easy to see at a glance which medications are due. You may use times as in example one, or use letters B (Breakfast); L (Lunch); S (Supper); C (evening Chapel) instead of actual times as in example 2 if you prefer.
CAMPER SIGN-IN SHEET
This sheet should be kept on a clipboard with a pencil. It is not part of the permanent record and can be discarded daily. When several campers arrive simultaneously, it helps you do your charting in the permanentHealth Record Log more accurately.
CAMP HEALTH RECORD
This is a permanent part of the CampHorizon record. This is a daily patient log and is a permanent record of all camper visits at camp. OSHA standards suggest that it be kept in a bound book. We are using the American Camping Association Log. The initial visit for an In-Patient should be charted here along with the vital signs and your rationale for admitting them to the infirmary. Chart follow up instructions in detail. On non-prescription drugs such as Tylenol and Pepto-Bismol be careful to ask the child if the parents give this at home, or if there are any allergies. Remember that school nurses in Florida are not allowed to give any medicine that is not directly ordered by a doctor.
IN-PATIENT RECORD
This is a permanent part of the CampHorizon record. Use this record for any camper that you admit to the infirmary or for campers whose illness is too complicated to chart in the abbreviated manner which is necessary on the Patient Log. Charting should be complete and done in such a way that it will refresh your memory nears from now should there be litigation.
NURSES INSURANCE ACTIVITY REPORT
This is a permanent part of the CampHorizon record. Use one record until it is full, even if it lasts all summer (wouldn't that be nice). This is a record of camper visits to medical facilities off the campgrounds.
CampWeek:J1, J2, Y1, Y2, V1, V2
Date:Complete date [including year]
Patient NameComplete name
ProblemPut reason for visit, and results of visit
Medical Facility
(LFM) Leesburg Family Medicine
(LRMC) Leesburg Regional Medical Center LRUC (Leesburg Regional Urgent Care)
(DMD/DDS) Dentist
Procedure
Office Charge LFM...... A1
Prescription from LFM [Note where filled]...... A2
ER Charge LRMC...... B1
Prescription from LRMC [Note where filled]...... B2
XRAY charge from LRMC...... B3
Dentist Office Charge...... B4
Prescription from Dentist...... B5
Pathologist lag (u/a or Blood work)...... PL
Claim In
This will be filled out by the office.
Amount of Bill
Fill this out if you know it.
Payment Received
This will be filled out by the office.
ADDITIONAL RESPONSIBILITIES OF THE CAMPNURSE
CABIN INSPECTION
This is now done by the Collegian staff beginning at Flag Raising.
EAR DROPS
It is the responsibility of the waterfront staff to bring empty bottles to you for refill as needed. Drops are also kept in the cabins. The ear drops rinse the warm, organism rich lake water out and replace it with a "clean" solution that evaporates readily and has a pH that inhibits organism growth. Experience has shown that consistent use of these drops after swimming decreases earaches from external otitis.
We keep refill solution in the office. Just keep one bottle in the office and the rest in the infirmary.
Formula
The standard ear drop formula is 50% vinegar/ 50% Isopropyl Alcohol (Rubbing) by volume.
FIRST AID BOX FOR EXCURSIONS
All excursions off the campgrounds should be provided with a first aid kit. These include canoe trips, skating outings, etc. The first aid kits are converted tackle boxes. The nurse verifies that the kit is complete. The nurse then gives the kit to the person on the excursion who is responsible for dispensing first aid supplies.
Contents of First Aid Box for Excursions
First Shelf
Anti-bite remedies (Chigger-Aid, Insect repellant);