Health Care Policy

O’Brien Farm will have the following information on site for all campers and staff: medical concerns, allergy information, current immunization record, emergency phone numbers, physician signature and/or parent signature pertaining to the camper’s ability to participate in camp. No camper will be admitted to camp without a completed health form, current physical and certificate of immunizations.

All emergency phone numbers will be posted next to the phone of each camp. Those phone numbers include the number of the Camp Health Care Consultant, Police, Ambulance, Fire Department and MA Poison Info. Center.

All staff working with children are professionally trained and certified in Community CPR and Standard First Aid, or their equivalents and shall complete the Heads Up online head injury safety training program.h

O’Brien Farm has measures in place to prevent the spread of communicable diseases. We follow exclusion policies for serious illnesses, contagious diseases and reportable diseases. No camper may attend camp if they are sick. All communicable diseases must be reported to the Camp Director. All campers with fevers over 100°F and/or vomiting must leave the property as soon as possible and not return for 24 hours of being symptom free. In the event of a serious contagious or reportable disease, the Camp Director will notify all parents, in accordance with the Department of Public Health recommendation.

No medication will be administered without a written consent form from BOTH the parent/guardian AND the Camp Health Care Consultant. We will have one heath care supervisor on site at all times. The Health Care Supervisor shall be trained or instructed by the Health Care Consultant to administer oral or topical medications. All prescription medication must be provided in the original prescription container with the pharmacy labels. For prescribed medicine, camp staff will not vary from the prescribed dose, appearing on the original label of the medication, without prior approval from the prescribing physician. All over the counter medications must be kept in the original containers, which shall include direction for use.

All medication will be kept out of reach of the children in a locked container. In the case of anaphylactic allergies, be sure that any necessary treatments are left at O’Brien Farm and any EpiPens are left with the Counselors or Camp Director. Campers shall self-administer and carry their EpiPens if the camper is capable of self-administration and the Health Care Consultant and the campers parent/guardian have provided written approval. The Health Care Supervisors and Counselors will be trained in the administration of EPI Pens under the direction of the Health Care Consultant. Medications that require refrigeration or to be frozen will be kept in a locked container in the refrigerator or freezer. All medications, with the exception of EPI Pens which are time critical, shall be administered by the health supervisor under the supervision of the health care consultant or a licensed health care professional. When no longer needed, medications shall be returned to a parent or guardian whenever possible. Outdated or unused medication will be properly disposed of. A medical disposal log shall be maintained for at least three years, documenting any medication that could not be returned to the parent or guardian. Needles and Syringes will be disposed of in accordance with 105CMR480.000. (CMR430.160)

A Medical Log is kept for all medications given and disposed of and for the documentation of all first aid administered by camp staff and reported injuries. Staff will not perform first aid beyond the certified knowledge (CMR 430.155).

The camp office has a fully stocked First Aid kit on hand. In addition, the Counselors will carry First Aid packs wherever they go. The first aid kits shall meet the American National Standards Institute Z308.1-2015 requirements, including at minimum one Class B Kit and one or more Class A kits as necessary.(CMR 430.161)

In the event of a major accident, injury or death during a program or trip, the following steps should be followed:

Call 911 for medical/police assistance. The Orange Fire Department Ambulance Service will dispatch an ambulance if needed.

Attend to all serious/life threatening injuries immediately and administer First Aid/CPR as needed. Under no circumstances will the victim or other children be left unsupervised.

When help arrives, call the barm for further assistance. Whether you reach a staff person or our voice mail system it is imperative that you leave a complete message with your name, the victim’s name and injury, your location, cell phone number, and the nature of the accident.

The Camp Director will notify a parent/guardian or a parent alternate from the child’s form if unable to reach a parent.

A Camper Injury Report Form will be completed by day’s end and sent to the Massachusetts Department of Public Health and the Board of Health no later than seven calendar days from the date of injury (CMR430.154).

When off site, at least one of the Counselors will carry a cellular phone.

Copies of the health forms for each camper are kept in the truck for emergency uses.

Tick checks will be done when returning from being on the trails prior to entering the building. The Counselors will teach campers how to do tick checks. We encourage parents to perform thorough tick checks on their child at the end of each day.

O’Brien Farm requests that if Campers need insect repellent it is applied prior to the beginning of the camp day. Campers are requested to bring their own insect repellent. If given permission, Counselors can apply the insect repellent provided. All applications of insect repellent must be done outside.

All camp staff shall complete a Covid-19 Self Screening Certification prior to starting work each day.

In the event of a mild injury i.e. sprained ankle or wrist:

 

The child will be given ice and a place to rest to keep the area elevated.

If the child is unable to return to the camp activities the parent will be notified.

The Camp Director will notify a parent/guardian or a parent alternate from the child’s form if unable to reach a parent.

In the case of a mild sickness i.e. upset stomach:

 

The child will be given a place to rest.

The parent will be notified.

The Camp Director will notify a parent/guardian or a parent alternate from the child’s form if unable to reach a parent.

If the sickness warrants, the parents will be requested to pick up the child.

In the case of a head injury or suspected concussion:

 

The child will be given a place to rest.

The parent will be notified.

The Camp Director will notify a parent/guardian or a parent alternate from the child’s form if unable to reach a parent.

The parents will be provided a Heads Up – Concussion Fact Sheet for Parents, and will require a note from a healthcare professional to ensure that a camper can return to camp, if any symptoms of a concussion were observed.

 

Life Threatening Allergy Guidelines

O’Brien Farm provides a safe and healthy environment for our campers and staff to the extent reasonably possible. Campers identified with life-threatening allergies will be provided for as medically necessary. These guidelines will help reduce exposure to allergens to the best of our ability, knowing that we can be allergen-aware, not allergen free, and to follow established procedures to treat allergic reactions. 

 

A camper identified as having a life-threatening allergy must have a written statement clearly documenting the allergy from his/her health care provider/allergy specialist along with a written medication order, parent/guardian consent for required interventions and medication.  will provide training to educate Counselors in the management of life threatening allergies. 

 

If there is a camper with a severe peanut or tree nut allergy, or other life-threatening allergy in a session, families and campers for that group and session are respectfully asked to refrain from bringing nuts or foods processed with nuts in lunches and snacks (or the relevant allergen). At the end of each snack and lunch and at the end of the day, tables are cleaned and students will be asked to wash their hands before and after eating.

 

Camp’s Responsibility 

 

The Health Care Supervisor will be available for campers who have a life-threatening allergy. A back-up plan will be in place when the Health Care Supervisor is not available on-site.

Counselors will have cell phones to maintain contact with the Health Care Supervisor and/or other camp staff in case of a medical emergency. 

The camp’s emergency response plan will include a written plan that outlines the management of life threatening emergencies. 

In the event of an allergen exposure, policies and procedures will be reviewed. 

Camp personnel will receive appropriate training in allergic response recognition and response as needed. 

After reviewing the health records provided by the parent/guardian, the camp Health Care Supervisor in conjunction with the Health Care Consultant will develop an individual health care plan. 

If the camper is carrying their epinephrine auto-injector, the counselor will check in with the camper to ensure that they have the epinephrine auto-injector at the beginning of the camp session.

Recommendations for Campers 

 

Based on the camper’s age and developmental level, campers are encouraged to be proactive in the care and management of their allergies and reactions. All guidelines below are considered recommendations but it will not be assumed that any child can take full responsibility for their own allergy management. 

 

Wash hands with soap and water before and after eating (hand sanitizer is not effective). 

Learn to recognize symptoms of an allergic reaction. 

Promptly inform an adult as soon as possible exposure occurs or symptoms appear. 

Do not trade or share food. 

Do not eat anything with unknown ingredients or known to contain any allergen. 

Develop a relationship with the camp Health Care Supervisor and other adults in the camp to help identify issues related to managing the allergy in camp. 

Notify an adult immediately if feeling threatened or bullied as it relates to their life threatening allergy. 

Camper may carry epinephrine auto-injector on self if camp Health Care Supervisor, parent or guardian and licensed prescriber are in agreement. 

Health Care Consultant: Dr. Rebecca Jackson

 

Health Care Supervisors: Andrea O’Brien and Riri Vrong.

Our Summer Camp must comply with regulations of the Massachusetts Department of Public Health and be licensed by the local Board of Health.