ATCP 78.27 Note
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.
ATCP 78.27(1)(b)2.
2. The physician shall review, sign and date the standing orders annually.
P
ATCP 78.27(1)(c)
(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
ATCP 78.27(1)(d)1.1. 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:
ATCP 78.27(1)(d)1.d.
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
ATCP 78.27(1)(d)1.e.
e. Any special health and behavioral considerations, including mental, emotional, social and developmental needs or restrictions of the camper.
Pf
ATCP 78.27(1)(d)1.f.
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
ATCP 78.27(1)(d)2.
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
ATCP 78.27(1)(d)3.
3. Parent or legal guardian's written consent to treat camper in case of an emergency.
Pf
ATCP 78.27(1)(d)4.
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
ATCP 78.27 Note
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.
ATCP 78.27(1)(e)1.1. 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:
ATCP 78.27(1)(e)1.d.
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
ATCP 78.27(1)(e)1.e.
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
ATCP 78.27(1)(e)1.g.
g. Immunization status as determined by the consulting physician and camp health supervisor.
P
ATCP 78.27(1)(e)2.
2. For camp staff under
18
years
of
age,
the
written
health
history
shall
be provided as required pursuant to par.
(d).
P
ATCP 78.27(1)(f)
(f)
Health center. A camp shall have written procedures and space for the temporary isolation of sick or injured campers and staff members.
P
ATCP 78.27 Note
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.
ATCP 78.27(1)(g)
(g)
First-aid supplies. A camp shall have first-aid supplies as determined by the staff physician or consulting physician standing orders.
Pf
ATCP 78.27(1)(h)1.1. A telephone capable of connecting with 911 or emergency dispatch services shall be accessible at all times during camp operation.
P
ATCP 78.27(1)(h)2.
2. Other telephone technology may be used that has continuous power backup and a reliable service connection.
P
ATCP 78.27(1)(h)3.
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
ATCP 78.27(1)(h)4.
4. A current list of emergency numbers, including 911, and the facility's location shall be attached to or posted near the telephone.
P
ATCP 78.27(1)(i)
(i)
AED. If provided, the camp shall ensure the AED meets all of the following:
ATCP 78.27(1)(i)1.
1. Maintained in operational condition in accordance with manufacturer guidelines.
P
ATCP 78.27(1)(i)2.
2. Tested in accordance with any operational guidelines of the manufacturer.
Pf
ATCP 78.27 Note
Note: Camp administration is encouraged to consider placement of multiple AED(s) based on the population served and activities conducted.
ATCP 78.27(2)
(2)
Health staff requirements for a camp or rental group operating for 3 nights or more. ATCP 78.27(2)(a)1.
1. Except as provided pursuant to sub.
(3), a camp shall have an
adult camp health supervisor who shall be responsible for routine and urgent health care supervision at the
camp and meet the requirements pursuant to par.
(b) 1.to
5.
P
ATCP 78.27(2)(a)2.
2. The camp health supervisor shall inform appropriate camp staff of any specific needs, as identified in the camper health history, of a camper whom they are responsible.
Pf
ATCP 78.27(2)(b)1.g.
g. A person currently certified as completing the American Red Cross responding to emergencies course or equivalent and meeting subd.
4. ATCP 78.27(2)(b)1.h.
h. A person currently certified as completing a wilderness first aid course as approved by the department and meeting subd.
4. ATCP 78.27(2)(b)2.
2. Health
services
staff
at
a
camp
shall
hold
current certification from
the
American
Red Cross
or American Heart Association for
basic CPR and AED.
P A camp shall follow the staffing requirement for CPR and AED as follows:
ATCP 78.27(2)(b)2.a.
a. If the local ambulance service provider or emergency medical services states in writing that there is a target response time of 30 minutes or less to the camp, the camp shall meet the requirements pursuant to s. ATCP Table 78.27, for all programs going to a physical location.
P
ATCP 78.27(2)(b)2.b.
b. If the
local
ambulance
service
provider
or
emergency
medical service response is greater than 30 minutes, the camp shall meet the requirements pursuant to s. ATCP Table 78.27.
P
ATCP 78.27(2)(b)3.
3. Health
services
staff
at
a
camp
shall
hold a
current
certificate
for
the
completion
of the
American
Red Cross
or American Heart Association
first-aid
course
or equivalent.
P
ATCP 78.27(2)(b)4.
4. Health services staff administering medication and only meeting the requirements pursuant to subds.
2. and
3., shall annually take the Wisconsin department of public instruction online course, Medication Administration Principles and shall maintain documentation of the assessment test and passing grade.
P
ATCP 78.27(2)(b)5.
5. If a camp is prescribed an epinephrine auto-injector or pre-filled syringe as an authorized entity that is not patient-specific or the camp plans to have health services staff help administer epinephrine to a camper, health services staff shall complete an anaphylaxis training program required pursuant to s.
255.07 (5), Stats., and meet all of the following:
ATCP 78.27(2)(b)5.a.
a. The health services staff member shall complete a training program conducted by a nationally recognized organization experienced in training laypersons in emergency health treatment or an organization approved by the Wisconsin department of health services.
P
ATCP 78.27(2)(b)5.c.
c. The training certificate shall be made available to the department or its agent upon request.
ATCP 78.27(2)(c)
(c)
Health services coverage. A camp shall meet the requirements pursuant to s. ATCP Table 78.27, for health service staff coverage at the camp at all times during camp operations.
P
ATCP 78.27(2)(d)
(d)
Health services staff coverage for off-premises trips and primitive camping. ATCP 78.27(2)(d)1.
1. If the local ambulance service provider or emergency medical services states in writing that there is a target response time of 30 minutes or less to the camp, the camp shall meet the requirements pursuant to s. ATCP Table 78.27, for all off-premises trips and primitive camping.
P
ATCP 78.27(2)(d)2.
2. If the
local
ambulance
service
provider
or
emergency
medical service response time is greater than 30 minutes, the camp shall meet the requirements pursuant to s. ATCP Table 78.27, for all off-premises trips and primitive camping.
P
ATCP 78.27(3)
(3)
Alternative health services requirements for a rental group that operates for a period of 3 nights or less. A rental group, such as a school class, a church group, or a scout troop that provides their own health services staff shall meet the requirements pursuant to s. ATCP Table 78.27.
P
ATCP 78.27(4)(a)1.1. Except as specified in subd.
2., all medications brought to camp by a camper or staff member shall be properly labeled with all of the following:
ATCP 78.27(4)(a)2.
2. A prepackaged pill pack provided by a pharmacy service accompanied by paperwork meeting the requirements as specified pursuant to subd.
1. P
ATCP 78.27(4)(b)
(b)
Additional information. Information regarding possible adverse reactions, the specific conditions when contact should be made with the physician and other special instructions shall be documented in the camper health history.
P
ATCP 78.27(4)(c)
(c)
OTC medications including vitamins, supplements and natural remedies. All OTC medications brought to camp by a camper or staff member shall meet all of the following:
ATCP 78.27(4)(c)2.
2. In a container labeled with the name of the medication and directions for use.
P
ATCP 78.27(4)(d)
(d)
Medication administration and storage. Except as allowed in pars.
(e) and
(f), all medication brought to camp by
a
camper
or
staff
member
under
18
years
of
age
shall
meet all of the following:
ATCP 78.27(4)(d)2.
2. Administered
by
health
services staff
qualified
pursuant to
sub.
(2) (b),
except
that
epinephrine auto-injector, pre-filled syringe, inhaler, and
insulin
or
other
medication
or
device
used
in the event
of
life-threatening
situations
may
be
carried
by
a
camper or staff member. Each camper or staff member 18 years of age or older may
take
responsibility
for
the
security
of
their
personal medication.
P
ATCP 78.27(4)(d)3.
3. Administered by a parent or legal guardian who is serving as camp staff member that:
