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<regulation prefix="Regulation" num=".02" citation="COMAR 10.16.07.02" title_num="10" subtitle_num="16" chapter_num="07" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Acute illness” means an abnormal condition of the body with rapid onset associated with recognizable symptoms and signs, such as chicken pox, gastroenteritis, influenza, or streptococcal sore throat, which has a short course of duration, as opposed to a chronic illness of long duration lasting 30 calendar days or more.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Administer Medication.</text>
      <paragraph num="(a)">
        <text>“Administer medication” means the act of providing, preparing, or applying a medication.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Administer medication” does not include:</text>
        <paragraph num="(i)">
          <text>Reminding a camper to take a medication; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Providing physical assistance with opening and removing a medication from the container or locked storage.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>“Adult” has the meaning stated in COMAR 10.16.06.02.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Agent” means an individual who:</text>
      <paragraph num="(a)">
        <text>Is at least 18 years old;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Has successfully completed, at the expense of an applicant, an emergency epinephrine educational training program approved by the Department; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Is appointed by a certificate for emergency epinephrine holder to administer emergency use epinephrine in an emergency situation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>“Anaphylaxis” means a sudden, severe, and potentially life-threatening allergic reaction that occurs when an individual is exposed to an allergen.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Applicant” means an individual applying for a Certificate for Emergency Epinephrine.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Camp” means a youth camp as defined in COMAR 10.16.06.02.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Camper” has the meaning stated in COMAR 10.16.06.02.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Certificate” means a document showing the authority to operate a youth camp, issued by the Maryland Department of Health pursuant to COMAR 10.16.06 and Health-General Article, §14-403, Annotated Code of Maryland, which displays the name of the person granted the authority.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Certificate for emergency epinephrine” means a certificate or an endorsement on the operating certificate of a youth camp issued by the Maryland Department of Health to an individual who operates a youth camp under COMAR 10.16.06 to obtain, store, and administer emergency use epinephrine.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Certificate for emergency epinephrine holder” means an individual who is authorized by the Maryland Department of Health to obtain, store, and administer emergency use epinephrine to be used in an emergency situation.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Day” has the meaning stated in COMAR 10.16.06.02.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Department” has the meaning stated in COMAR 10.16.06.02.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Director” has the meaning stated in COMAR 10.16.06.02.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Emergency medication” means a medication, identified by a camper’s plan of action for use in case of a medical emergency, for a camper with an identified medical problem.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Emergency use epinephrine” means a portable, disposable drug delivery device or product approved by the federal Food and Drug Administration  that contains a premeasured single dose of epinephrine that is used to treat anaphylaxis in an emergency situation.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Health supervisor” means an individual who:</text>
      <paragraph num="(a)">
        <text>Provides health services for a camp; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is licensed by the State as a:</text>
        <paragraph num="(i)">
          <text>Physician;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Certified nurse practitioner; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Registered nurse.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(18)">
      <text>Identified Medical Problem.</text>
      <paragraph num="(a)">
        <text>“Identified medical problem” means a chronic physical condition diagnosed by a licensed health care professional that:</text>
        <paragraph num="(i)">
          <text>Requires specific medical treatment and supervision; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>If untreated, can adversely affect the general health of the camper.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Identified medical problem” includes, but is not limited to:</text>
        <paragraph num="(i)">
          <text>Asthma;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Cancer;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Diabetes; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Epilepsy.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>“Identified medical problem” does not include a chronic physical condition, which does not typically cause other medical problems or have an adverse effect on the general health of the camper, such as:</text>
        <paragraph num="(i)">
          <text>Blindness;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Deafness; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>A developmental disability.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(19)">
      <text>“Medication” means any nonprescription or prescription medication present at camp.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“Operate” means to supervise, control, conduct, or manage a youth camp as:</text>
      <paragraph num="(a)">
        <text>An owner;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An agent of the owner;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A lessee of the owner;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A director; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>An independent contractor.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(21)">
      <text>“Operator” has the meaning stated in COMAR 10.16.06.02.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“Person” has the meaning stated in COMAR 10.16.06.02.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“Secretary” has the meaning stated in COMAR 10.16.06.02.</text>
    </paragraph>
    <paragraph num="(24)">
      <text>“Self-administer medication” means the act of an individual’s ingesting, injecting, or applying the individual’s own medication when the individual:</text>
      <paragraph num="(a)">
        <text>Identifies the individual’s own medication; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Follows the directions for use, including the correct route, dose, and frequency.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(25)">
      <text>“Successfully completed” means to pass a written examination with a grade of 75 percent or higher.</text>
    </paragraph>
  </paragraph>
</regulation>