1. (1) Additional health care requirements for youth on expedition include the following:

   1. (a) Each youth's hydration, skin condition, extremities and general physical condition must be monitored and documented by field staff on a daily basis.

   2. (b) Each youth's physical condition must be assessed by a staff member trained as a wilderness first responder at least every seven days while on expedition. The assessments must be documented and must at a minimum include:

      1. (i) blood pressure, if deemed necessary by a licensed health care professional;
      2. (ii) heart rate;
      3. (iii) check of extremities;
      4. (iv) condition of skin;
      5. (v) hydration level;
      6. (vi) allergies if any;
      7. (vii) general physical condition;
      8. (viii) provision of appropriate medical treatment if needed; and
      9. (ix) emotional well being.

   3. (c) A written plan for handling unanticipated allergic reactions while on expedition must be developed. The plan must include:

      1. (i) training and consultation with regard to possible allergic reactions or reactions to snake and insect bites;
      2. (ii) notations in youth records about any medication which might result in allergic reactions or other side effects; and
      3. (iii) identification for all expedition staff about youth needing special precautions.

2. (2) Copies of the following documentation for each youth must be carried by the staff in a waterproof container when the youth is away from the field office:

   1. (a) physical examination completed as part of the program admission process and any subsequent physical exams;
   2. (b) medical treatment authorization;
   3. (c) list of current medications taken by the youth;
   4. (d) identifying marks of the youth such as scars, tattoos and piercings;
   5. (e) health insurance information; and
   6. (f) list of contact persons in case of emergencies.

Authorizing statute(s): Sec. 50-5-220, MCA

Implementing statute(s): Sec. 50-5-220, MCA

History: NEW, 2004 MAR p. 1960, Eff. 8/6/04.