<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.16.07.06" title_num="10" subtitle_num="16" chapter_num="07" heading="Required Health Reports.">
  <text>For all campers, staff members, and volunteers, an operator shall ensure that:</text>
  <paragraph num="A.">
    <text>An injury or illness that results in death or that requires resuscitation or admission to a hospital is reported:</text>
    <paragraph num="(1)">
      <text>Immediately to the health supervisor and, in the case of a minor, to the minor’s parent or guardian;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Verbally to the Department within 24 hours; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>To the Department within 1 week of the incident, on a form that meets the requirements of Regulation .07 of this chapter;</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>An injury that is treated at an off-site medical facility and that results in a positive diagnosis through clinical examination, laboratory test, or X-ray is reported:</text>
    <paragraph num="(1)">
      <text>Immediately to the health supervisor and, in the case of a minor, to the minor’s parent or guardian; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>To the Department within 4 weeks of the end of camp on a form that meets the requirements of Regulation .07 of this chapter;</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>When a camp health supervisor is on duty at the camp, an accident with no apparent injury, such as a fall from a horse, a fall from equipment, or impact from sports equipment, is reported immediately to the health supervisor;</text>
  </paragraph>
  <paragraph num="D.">
    <text>When a camp health supervisor is only available for consultation and not on duty at the camp, the minor’s parent or guardian is notified as soon as possible and before the end of the camp day, verbally or in writing, of:</text>
    <paragraph num="(1)">
      <text>An illness or injury that is not included in §A or B of this regulation; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An accident with no apparent injury, such as:</text>
      <paragraph num="(a)">
        <text>A fall from a horse;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A fall from equipment; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Impact from sports equipment;</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>An outbreak of a disease or a condition that is required to be reported pursuant to COMAR 10.06.01 is reported:</text>
    <paragraph num="(1)">
      <text>Immediately to the health supervisor and in the case of a minor, to the minor’s parent or guardian;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Verbally to the Department within 24 hours; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>To the Department within 1 week of the incident on a form that meets the requirements of Regulation .07 of this chapter;</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>A medication error or incident that required the administration of emergency use epinephrine is reported:</text>
    <paragraph num="(1)">
      <text>Immediately to the health supervisor and, in the case of a minor, to the minor’s parent or guardian; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>To the Department within 4 weeks of the end of camp on a form that meets the requirements of Regulation .07 of this chapter; and</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>A camp health supervisor and camp director shall:</text>
    <paragraph num="(1)">
      <text>Annually review all health log records and identify opportunities to reduce incidents, accidents, injuries, and medication errors; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Make available to the Department for review written documentation of the findings of the review of health log records.</text>
    </paragraph>
  </paragraph>
</regulation>