An operator shall ensure that: Except for medication covered by standing orders as described in §I of this regulation, before administration of a medication, written authorization is provided on a Medication Administration Authorization Form meeting the requirements of §F of this regulation; Except for a primitive camp as defined in COMAR 10.16.06.02, emergency medication, or while a medication is being administered, medication is kept in a locked storage compartment; A prescription medication is kept in the original container bearing a pharmacy label that includes the: Prescription number; Date filled; Authorized prescriber’s name; Patient’s name; Name of the medication; Dose of the medication; Route of administration for the medication; Time or frequency of administration for the medication; and Expiration date; A nonprescription medication is kept in the original container that includes the directions for use; Medication is given to the camper from the original container; The directions provided in the prescriptive order for the medication found on the Medication Administration Authorization Form or the standing order is followed; The staff member or designated volunteer administering the medication or supervising a camper who is self-administering medication knows the side effects and toxic effects of the medication; Medication is kept in a secure manner; Emergency medications are handled according to §D of this regulation; Medication is stored according to the manufacturer’s directions; A staff member or designated volunteer documents medication administration on a Medication Administration Form meeting the requirements of §G of this regulation; A staff member or designated volunteer documents the final disposition of the medication on a Medication Final Disposition Form meeting the requirements of §H of this regulation; Except as allowed in §A(14) of this regulation, within 2 weeks after the end of the camping session or when the medication is discontinued, medication is: Returned to: The parent; The guardian; or An individual designated by the parent or guardian who has authorization to pick-up the camper and the medication; or Destroyed; and If authorized by the parent or guardian, a camper may take their medication with them at the end of the camping session. Staff Administration — Routine Medication. Except as allowed in §E of this regulation, an operator shall ensure that a routine medication, other than insulin, is administered by: A licensed or certified professional: Who is authorized to practice in Maryland; and Whose scope of practice includes medication administration; or An adult staff member or a volunteer who: Is designated by the operator; and On an annual basis successfully completes a training course approved annually by the Department. Staff Administration — Insulin. Except as allowed in §E of this regulation, an operator shall ensure that insulin is administered by a licensed or certified professional: Who is authorized to practice in Maryland; and Whose scope of practice includes medication administration. Staff Administration — Emergency Medication. Except as allowed in Regulation .15 of this chapter, an operator shall ensure that: Emergency medication is: Carried by the camper needing the medication if authorized according to §E(2) of this regulation; Carried by an adult staff member or volunteer directly supervising the camper; or Stored at a designated easily accessible location; and Emergency medication is administered by: The camper so long as the camper is capable and authorized to self-administer according to §E of this regulation; An adult staff member or volunteer meeting the requirements of §B of this regulation; or An adult staff member or volunteer trained by a health supervisor. An operator may allow a camper to self-carry an emergency medication if both the parent or guardian and a licensed or authorized prescriber have provided written consent for the camper to self-carry the emergency medication. Self-Administration. An operator may allow a camper to self-administer medication, including insulin, if: Both the parent or guardian and a licensed or authorized prescriber have provided written consent for the camper to self-administer the medication; The health supervisor has designated an adult staff member or volunteer to supervise the camper while the camper is self-administering medication; and The designated adult staff member or volunteer supervises the camper while the camper is self-administering medication. Medication Administration Authorization Form. A Medication Administration Authorization Form shall include: The written prescriptive order for the medication that includes: The child’s name; The child’s date of birth; The condition for which the medication is being administered; Whether or not the medication is an emergency medication; The name of the medication; The dose of the medication; The route of administration for the medication; The time or frequency of administration for the medication; If PRN, the frequency and for what symptoms the medication should be administered; The known side effects of the medication specific to the camper; The date medication administration shall begin; The date medication administration shall end, not to exceed 1 year from the beginning date; The authorized prescriber’s name; The authorized prescriber’s title; The authorized prescriber’s telephone number; The authorized prescriber’s fax number; The authorized prescriber’s address; The authorized prescriber’s signature; and The date the form is signed by the authorized prescriber; The following statement: “I request the authorized youth camp operator, staff member or volunteer to administer the medication or to supervise the camper in self-administration as prescribed by the above authorized prescriber. I certify that I have legal authority to consent to medical treatment for the child named above, including the administration of medication at the facility. I understand that at the end of the authorized period an authorized individual must pick up the medication; otherwise, it will be discarded. I authorize camp personnel and the authorized prescriber indicated on this form to communicate in compliance with HIPAA”; The parent’s or guardian’s signature; The date the parent or guardian signed the form; The parent’s or guardian’s primary phone number; The parent’s or guardian’s alternative phone number; If a camp allows a camper to self-administer medication, authorization to self-administer medication that includes: The following statement: “I authorize self-administration of the above listed medication for the child named above under the supervision of the youth camp operator, a designated staff member or volunteer”; The signature of the authorized prescriber and the date the form is signed under the statement in §F(7)(a) of this regulation; and The signature of the parent or guardian and the date the form is signed under the statement in §F(7)(a) of this regulation; and If a camp allows a camper to self-carry emergency medication, authorization to self-carry emergency medication that includes whether the: Authorized prescriber gives permission for the child to self-carry emergency medication; and Parent or guardian gives permission for the child to self-carry emergency medication. Medication Administration Form. A Medication Administration Form shall include the: Child’s name; Child’s date of birth; Name of the medication; Dose of the medication; Route of administration for the medication; Time or frequency of administration for the medication; Amount of medication administered; Date and time of administration; and Name of the individual who: Administered the medication to the child; or Supervised self-administration if the child self-administered the medication. Medication Final Disposition Form. A Medication Final Disposition Form shall include: The child’s name; The child’s date of birth; The name of the medication; The final disposition of the medication; Documentation that the medication is returned to the parent or guardian, or authorized individual, including the: Name of the individual to whom the medication was returned; and Signature of the staff member or volunteer who returned the medication; and A section for documenting that the medication was destroyed that includes the: Signature of the individual responsible for destroying the medication; Signature of the individual witnessing the destruction of the medication; and Dates each individual signed the form. Standing Orders. When standing orders from a licensed or certified professional authorized to prescribe medication are used in place of the Medication Administration Authorization Form required in §A(1) of this regulation, an operator shall ensure that: Written permission is obtained from the child’s parent or guardian to administer the medication; and The medication is administered by a staff member or volunteer who meets the requirements in §B of this regulation. Medications at Primitive Camps. Except for emergency medication that the camper is authorized to self-carry according to §E(2) of this regulation, in a primitive camp as defined in COMAR 10.16.06.02, medication is kept inaccessible to the camper. Staff Member or Volunteer Medication. An operator shall: Provide a means to secure medication for a staff member or volunteer when a medication is brought to camp; and Ensure that all staff member or volunteer medications are maintained in a secure manner at all times. Except when a staff member or volunteer is self-administering a medication, an operator shall: Ensure that a staff member or volunteer: Provides written authorization on a Medication Administration Authorization Form meeting the requirements of §F of this regulation for each medication brought to camp; and Who is an adult, signs the Medication Administration Authorization Form in lieu of a parent or guardian; and For a staff member or volunteer taking medication, have on file for each medication: A Medication Administration Authorization Form; A Medication Administration Form; and A Medication Final Disposition Form. Form Retention. An operator shall retain for 3 years and make available to the Department the completed: Medication Administration Authorization Form; Medication Administration Form; Medication Final Disposition Form; and Record of successful training for each staff member or volunteer who is trained to administer medication under §B(2) of this regulation.