STANDING ORDERS FOR HEALTH SCREENING AND MEDICAL TREATMENT
I.
Health Screening
A.
The nurse is authorized to conduct screening of campers and staff and carry our the
health program at ______________ for the _____ camping season with the understanding
that he standing orders are reviewed and followed:
B.
The person responsible for the screening must have in-hand the individuals Health
History Report Form.
C.
The Health History Report Form should be checked to see if it has been signed by the
parent, guardian, or adult responsible for the individual.
D.
The screening shall occur within the first 24 hours of the camper’s arrival.
E.
The Health History Report Form shall be kept __________________ and available to the
nurse.
F.
In screening a camper, the nurse will identify any observable evidence of illness,
disability, or communicable disease, noting in appropriate place on the form.
G.
Review Health History Report Form and Medication Form for current medications and
/or treatment procedures, dietary restrictions, and physical limitations.
H.
Any evidence of illness, communicable disease, abuse or disability shall be referred to
the Director for evaluation.
II.
MEDICAL TREATMENT
A:
The Camp Consulting Physician should be called at once for diagnosis and treatment of
any condition not covered by the standing orders.
B.
The nurse has standing orders for the following treatments:
1.
Abrasions, scratches, cuts (that do not require suturing)
a. Clean with Betadine solution; water/Betadine (10:1)
b. Bacitracin ointment
c. Dressing
d. Tetanus if greater than 10 years since last immunization.
2.
Splinters
a.
b.
c.
d.
If portion above skin level, remove with forceps or tweezers
Clean with Betadine solution (water/Betadine)
Dressing
Tetanus if greater than 10 years since last immunization.
3.
Infections (minor)
a. Bacitracin ointment
b. If spreading or red streaks, contact physician.
4.
Sprains, Strains, Fractures
a. RICE: Rest, ice, compression, elevate affected area.
b. If obvious fracture, splint
c. Contact physician
5.
Head injuries
a. Ice
b. Any serious neck injury, immobilize patient.
c. Contact physician immediately.
d. Assess LOC, orientation
6.
Bruises and Bumps
a. Ice
b. Contact physician in question as to broken bones
c. If involves head, see head injuries.
7.
Foreign Body in Eye
a.
Flush eye with saline solution
b.
May remove with q-tip on lower lid
c.
Follow with Saline irrigation
d.
If upper lid or on eyeball, contact physician
8. Bleeding
a.
For minor bleeding, pressure with sterile gauze pads
b.
If 10 minutes pressure does not control bleeding, contact physician
9. Burns
a. First degree (no blister) – use Tylenol; 1-2 tablets every fours hours for discomfort
and apply ice pack.
b. Second degree (blister formation) – use Tylenol for discomfort, apply ice pack and
contact physician
10.
Sunburn
a. Tylenol for discomfort
b. May use Solarcane if not allergic to “canes”
c. May use Benadryl, 25-50 mg every 4 hours
11.
Swimming Accidents
a. Near drowning – CPR
b. Contact physician
c. Other accidents as per standing orders
12.
Insect Bites and Stings
a. Bites – apply Hydrocortisone cream 0.5% to area 4 times per day
b. If bites excoriated or infected use Bacitracin and should contact physician.
c. Stings – apply ice and administer Benedryl (one 25 mg capsule or two teaspoons of
liquid)
d. Contact physician immediately if generalized hives, hypertension, or difficulty
breathing. Give information on allergies from health history form.
e. Administer adrenalin as per bee sting kit if difficulty breathing or hives and call 911.
13.
Poisoning (oral)
a. Identify poison
b. Contact Poison Control Center (
and 911 for emergency.
c. Administer first aid as instructed
1. water
2. syrup of ipecac
3. activated charcoal
) for instructions if non-emergency
14.
Poison Ivy, Sumac or Oak
a. Apply Hydrocortisone cream 0.5% for a small area
b. If spreading or large areas, contact physician
c. If spreads to inside of nose or groin area contact physician
15.
Elevated Temperature
a.
Tylenol - 1 to 2 tablets every 4 hours or Robitussin
b.
Call parents if over 100 or temperature last 12 or more hours
c.
Contact physician if temperature is 103 or higher
16.
Athlete’s Foot
a. Apply Mycotin if skin is not broken
b. Should see physician if skin is broken
c. Keep open shoes on or cotton socks and sneakers
17.
Constipation
a. Milk of Magnesia – one tablespoon up to 4 times day as needed
b. Increase fluid intake
18.
Diarrhea
a. Clear liquids – no milk or milk products
b. May use Immondium AD; 2 tablespoons after loose stool and 2 tablespoons every 6
hours
c. If persists beyond 24 hours contact physician
19.
Sore Throat
a. Throat lozenges and or Tylenol for discomfort, 1-2 every 6 hours not to exceed 8 pills
in 24 hours.
b. If sore throat persists for 12 hours contact physician.
20.
Earaches and Swimmers Ear
a. Tylenol, 1-2 every 4-6 hours for discomfort
b. If persists for 12 hours contact physician
21.
Coughs
a. Robitussin for cough, 1 tablespoon every 6 hours
b. If associated with fever, contact physician
22.
Headaches
a. Tylenol, 1-2 every 4-6 hours; not to exceed 8 pills in 24 hours
b. If persists for 12 hours, contact physician
23.
Nasal Congestion
a. May use Sudafed (if not allergic to it, one 4X day
b. If associated with fever, contact physician
24.
Toothache
a. Tylenol for discomfort; 1-2 every 4-6 hours; not to exceed 8 pills in 24 hours
b. Toothache drops
c. If persists, should contact parents and take to family dentist
25.
Scabies, Impetigo, Ringworm, Pediculosis
a. Contact physician
26.
Snake bite (usually poisonous if immediate pain and swelling)
a. Immobilize area
b. May apply loose tourniquet
c. Transport immediately to nearest emergency room (Do not wait for Rescue Squad)
27. Tick Removal
a. Using forceps/tweezers gently grasp tick at head; gently try to remove
b. Cover area with Bacitracin
III.
Emergency Procedures
A.
First Aid may be administered in accordance with the current addition of the American
Red Cross First Aid.” With the following exceptions:
After first aid is given in an emergency, if it appears essential to the nurse or Director that the
individual needs moved to additional medical supervision, the individual will be transported to
______________________ Hospital Emergency Room.
IV.
Medical Treatment for Diabetic Camper with Insulin Pump
1.
Allow campers to carry with them Diabetic Supplies as listed in protocol provided by the
parents. This is the same protocol used at schools. When campers are not able to keep
the used supplies on his/her person they will be secured with by an adult.
2.
The nurse has met with the parents to discuss protocol and use of the equipment. The
parents have explained and demonstrated the use of the Glucagon injection.
3.
The camper is able to use all the equipment herself. The nurse will supervise the
camper’s use of the equipment and follow treatment as listed in the attached protocol.
4.
Should the camper need to change the insulin pump infusion set-up/injection, the parents
will be called and a parent will come to the camp to make the change.
5.
If the diabetic camper becomes unconscious or has a seizure the NURSE will administer
the Glucagon injection and call 911 for an ambulance.
6.
The camper’s activity schedule will be reviewed with the parents to make sure camper is
able to safely participate in activities. Restrictions will be noted on the camper’s health
form.
______________________
Camp physician Signature
Day Tel # or Home
______________
Date
______________________ _______
Director Signature
Date