5101:2-18-15 Requirements for health care and medication administration in approved child day camps.

(A) The approved child day camp shall have on site and readily available at all times, at least one camp staff member for every seventy-five children on the camp site who has completed a course in first aid, cardiac pulmonary resuscitation (CPR) and in prevention, recognition, and management of communicable diseases as outlined in rule 5101:2-18-11 of the Administrative Code.

(B) The child day camp shall designate a camp health manager who is on site when children are present and has primary responsibility for the implementation of the health care plan as outlined in this rule.

(1) The camp health manager shall be currently certified in first aid, CPR, prevention, recognition, and management of communicable disease and child abuse recognition and prevention and shall complete the preservice training requirements outlined in rule 5101:2-18-11 of the Administrative Code, unless the health care manager is a registered nurse or physician.

(2) The camp health manager shall supervise any camper isolated due to an illness until the camper is discharged.

(C) A written health record for each child shall be secured from the parent or guardian of the child on or before the first day of camp as required in rule 5101:2-18-20 of the Administrative Code.

(D) The child day camp shall store the JFS 8087 "Communicable Disease Chart" (rev. 4/2006) with the first aid supplies and make it available at all times to program staff.

(E) The camp shall have a written health plan which includes procedures concerning the management of communicable disease and first aid.

(1) The health care plan shall be available to all parents or guardians of the children in the camp as required by rule 5101:2-18-19 of the Administrative Code and reviewed with camp personnel during preservice training as required in rule 5101:2-18-11 of the Administrative Code.

(2) The health care plan shall be reviewed every year by a physician or advance practice nurse (APN). Written documentation of such review shall be on file at the camp for review by the Ohio department of job and family services (ODJFS).

(3) The health care plan shall include at least the following information:

(a) The responsibilities of the health care manager and all other camp staff providing health care or first aid to children.

(b) The list of symptoms for which a child shall be isolated or discharged from the camp.

(c) Procedures for isolating and discharging an ill child.

(d) The camp's procedures for readmitting a child who has recovered from illness.

(e) Location of the JFS 08087.

(f) Procedures for administering medications to a child at the camp as outlined in rule 5101: 2-18-16 of the Administrative Code.

(g) A list of all camp personnel trained in first aid, CPR, communicable disease and child abuse recognition and prevention.

(h) Agreements with medical personnel, hospitals and providers of medical care.

(i) Location of first aid supplies and other medical equipment and a plan for periodic review of these items.

(j) Procedures for protection from occupational exposure to blood or other potentially infectious materials.

(4) The written health plan shall be on file at the camp for review by ODJFS.

(F) Medication administration.

(1) Medication means any substance or preparation which is used to prevent or treat a wound, injury, infection, infirmity or disease. This includes medication that is over the counter, or prescribed or recommended by a physician or advance practice nurse (APN) certified to prescribe medication, and permitted for administration or application by the parent.

(2) The approved child day camp shall set its own policy regarding the administration of medication.

(3) Prescription medications and nonprescription medications requiring physician or dentist instructions shall only be self-administered by children with the supervision of camp staff in accordance with the camp's written health care procedures and with the signed, written instructions from the child's parent or guardian.

(4) In order to administer prescription medication, nonprescription medication which requires physician or dentist instructions, any other nonprescription medications or nonprescription topical ointments, creams or lotions, the camp shall have written instructions from the child's parent or guardian. These instructions shall include at least the following information:

(a) The child's name.

(b) The date of the instructions.

(c) The name of the medication.

(d) The amount of the dosage.

(e) The time the medication shall be administered.

(5) All written instructions shall be valid for no longer than six months. These written instructions shall be maintained on file at the camp for a period of one year and shall be available for review by ODJFS.

(6) The camp shall not administer a dosage which exceeds the manufacturer's recommended dosage without written instructions from a physician or a certified nurse practitioner.

(7) Nonprescription and prescription medication shall be in the original container with the original label attached and labeled with the child's name.

(8) Medication shall be kept in a safe location and shall be inaccessible to children. A medication requiring refrigeration shall be refrigerated and safely stored, separate from food items, immediately upon arrival at the camp.

(9) The camp shall maintain a written record of the date, time and amount of each prescription or nonprescription medication given to each child.

(G) Any error made in the administration of medication shall be reported to the parent and to ODJFS on the JFS 01299 "Incident/Injury Report" (rev. 6/2007).

Effective: 04/01/2009
R.C. 119.032 review dates: 11/26/2008 and 04/01/2014
Promulgated Under: 119.03
Statutory Authority: 5104.22
Rule Amplifies: 5014.22
Prior Effective Dates: 9/1/93, 4/1/03