<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.16.07.03" title_num="10" subtitle_num="16" chapter_num="07" heading="Health Program.">
  <paragraph num="A.">
    <text>An operator shall prepare and implement a written health program that:</text>
    <paragraph num="(1)">
      <text>Is approved annually, in writing, by a physician, certified nurse practitioner, or registered nurse licensed to practice in the State;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is on file in the headquarters or office of the camp and is available to the camp staff members;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Includes the name, title, and license number of the health supervisor;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Includes procedures for the camp staff members to:</text>
      <paragraph num="(a)">
        <text>Obtain camper, staff, and volunteer health information;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Notify the camp health supervisor when a camper has an identified medical problem to ensure that there is a plan of action at the camp in case of a medical emergency;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Disseminate information to staff members that work with a camper having a health problem;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Care for a camper with an identified medical problem;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Maintain confidentiality regarding all health information on campers and staff members;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Observe campers each day for easily discernible signs of injury or illness;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Handle health emergencies and accidents;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Use emergency ambulance services and 911 services;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Care for and supervise an injured or ill camper until the camper is returned to the parent, guardian, or the parent’s or guardian’s designee;</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Notify a parent, guardian, or the parent’s or guardian’s designee when a camper is observed to be injured or ill;</text>
      </paragraph>
      <paragraph num="(k)">
        <text>Report health situations in accordance with Regulations .06 and .07 of this chapter; and</text>
      </paragraph>
      <paragraph num="(l)">
        <text>Prevent the spread of an infectious disease using:</text>
        <paragraph num="(i)">
          <text>Hand washing procedures;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Personal protective equipment;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Personal hygiene; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>An exposure control plan;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Includes procedures for handling medication at camp in accordance with Regulation .14 of this chapter; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>If using electronic records, includes procedures for, in the event that a power or server outage prevents access to the electronic record:</text>
      <paragraph num="(a)">
        <text>Accessing camper, staff, and volunteer health information;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Documenting injuries, illnesses, and other reportable diseases and conditions in a paper health log; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Documenting medication administration on a paper form.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>An operator shall ensure and document that, not more than 30 calendar days before working at the camp, each staff member or volunteer:</text>
    <paragraph num="(1)">
      <text>Is trained in the health program;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Demonstrates knowledge of the health program procedures; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Is provided with the opportunity to discuss the procedures and have any questions answered by a supervisor.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A staff member or volunteer shall conduct health procedures according to the health program.</text>
  </paragraph>
</regulation>