Chapter ATCP 78

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) (h) Emergency Phone.

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(1)(i)3. 3. Continually available on camp premises when camp is in session.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) (a) Camp health services supervisor.

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) (b) Health services qualifications.

ATCP 78.27(2)(b)1. 1. The health staff shall include at least one of the following: P

ATCP 78.27(2)(b)1.a. a. A physician licensed in Wisconsin pursuant to s. 448.033, Stats.

ATCP 78.27(2)(b)1.b. b. A registered nurse licensed in Wisconsin pursuant to s. 441.115 (3), Stats.

ATCP 78.27(2)(b)1.c. c. A physician assistant licensed in Wisconsin.

ATCP 78.27(2)(b)1.d. d. A practical nurse licensed in Wisconsin.

ATCP 78.27(2)(b)1.e. e. A national athletic trainers association certified trainer and meeting subd. 4.

ATCP 78.27(2)(b)1.f. f. An emergency medical services practitioner as defined in s. 256.01 (5), Stats., and meeting subd. 4.

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 Note Note: The Wisconsin department of public instruction course Medication Administration Principles can be found at the following link. https://media.dpi.wi.gov/sspw/av/bmap/story_html5.html.

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.b. b. The training certificate shall be maintained on the camp premises.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 Table 78.27 Health Staff Coverage and Training Requirements

- See PDF for table

ATCP 78.27(4) (4) Medications brought to camp.

ATCP 78.27(4)(a) (a) Prescription medication.

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)1.a. a. The name of the camper or staff member. P

ATCP 78.27(4)(a)1.b. b. The name of the medication. P

ATCP 78.27(4)(a)1.c. c. The dosage. P

ATCP 78.27(4)(a)1.d. d. The frequency of administration. P

ATCP 78.27(4)(a)1.e. e. The route of administration. P

ATCP 78.27(4)(a)1.f. f. Name of the prescribing physician. P

ATCP 78.27(4)(a)1.g. g. The prescription number. P

ATCP 78.27(4)(a)1.h. h. The date prescribed. P

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)1. 1. Clearly labeled with the name of the camper. P

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)1. 1. Kept in a locked unit. P

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:

ATCP 78.27(4)(d)3.a. a. Retains and administers their own child’s medications as long as this information is included in the camps medication record. Pf

ATCP 78.27(4)(d)3.b. b. Takes responsibility for the security of their child’s personal medication. Pf

ATCP 78.27(4)(e) (e) Delegation for administration of medication. For a camp that lasts longer than 3 days, the department shall allow qualified health services staff to designate an individual at the camp to administer, to a camper or staff member who is under 18 years of age, medications brought to the camp by that camper or staff member, other than medications that a camper or staff member may carry themselves pursuant to s. 97.67 (5m) (b), Stats. Any individual designated by health services staff to administer medication brought to camp by campers, not meeting the qualifications pursuant to sub. (2) (b) 1., shall meet the requirement pursuant to sub. (2) (b) 4., for completion of the Wisconsin department of public instruction course, Medication Administration Principles. P

ATCP 78.27 Note Note: The Wisconsin department of public instruction course Medication Administration Principles can be found at the following link. https://media.dpi.wi.gov/sspw/av/bmap/story_html5.html.

ATCP 78.27(4)(f) (f) Rental group administration of medication. When a camp’s facilities are used by a rental group for 3 nights or less, an adult leader of the group shall meet all of the following:

ATCP 78.27(4)(f)1. 1. Keep all medications brought to camp by a camper or staff member under 18 years of age in a locked unit. P

ATCP 78.27(4)(f)2. 2. Meet the requirements pursuant to s. ATCP Table 78.27.P

ATCP 78.27(4)(f)3. 3. Administered by a parent or legal guardian who is serving as camp staff pursuant to par. (d) 3. Pf

ATCP 78.27(5) (5) Health and treatment records.

ATCP 78.27(5)(a) (a) Health history records. A camp’s health services supervisor shall keep available, the health history required pursuant to sub. (1) (d) and (e), for each camper and staff member. Pf

ATCP 78.27(5)(b) (b) Medication and treatment log. When a medication is administered or treatment provided to a camper or staff member, health services staff shall, as soon as possible, make a record of the action using any one of the following:

ATCP 78.27(5)(b)1. 1. In a bound book with preprinted page numbers. P

ATCP 78.27(5)(b)2. 2. By electronic entry into a software program that documents each change to the health record and that does not allow previous changes to the health record to be edited or deleted. P

ATCP 78.27(5)(b)3. 3. By making an electronic medication administration record, printed with the date and time stamp, from a health software program pursuant to subd. 2., to be used for manual recording with a signature on the form of the individual making entries. P

ATCP 78.27(5)(c) (c) Medication and treatment record requirements. The record shall indicate all of the following information:

ATCP 78.27(5)(c)1. 1. Legal name of the person receiving the medication or treatment. Pf

ATCP 78.27(5)(c)2. 2. Ailment. Pf

ATCP 78.27(5)(c)3. 3. Name of the medication or treatment. Pf

ATCP 78.27(5)(c)4. 4. Quantity given. Pf

ATCP 78.27(5)(c)5. 5. Date and time administered. Pf

ATCP 78.27(5)(c)6. 6. Initials of the person administering the medication or providing treatment. Pf

ATCP 78.27(5)(c)7. 7. Comments.

ATCP 78.27(5)(d) (d) Medication and treatment record storage.

ATCP 78.27(5)(d)1. 1. The logging of medication and other treatment administered shall support accurate medication and treatment administration in a clear, complete and organized manner. Pf

ATCP 78.27(5)(d)2. 2. Health history and treatment records shall be accessible, upon request, to the department or its agent.

ATCP 78.27(5)(e) (e) Record retention. The camp shall retain health history and treatment records for at least 3 calendar years.

ATCP 78.27(5)(f) (f) Rental group health history, medication and treatment records.