1. (a) The availability, use, and possession of epinephrine auto-injectors and asthma inhalers shall be as specified in RSA 485-A:25-b through RSA 485-A:25-g, as reprinted in Appendix B.
2. (b) Prescription medications other than those listed in (a), above, and non-prescription medications other than topical substances shall be administered to campers only by authorized staff and only in accordance with the applicable medication order.
3. (c) If a camper’s parent or legal guardian provides written permission, YRC staff who have not been trained as specified in Env-Wq 907.12(a) may administer non-prescription topical substances to the camper.
4. (d) Authorized staff shall administer only those prescription medications for which there is a prescription label or written directions provided by a physician or APRN who is legally authorized to write the prescription and written permission from the camper’s parent or legal guardian.
5. (e) Medication orders shall be valid for no more than one year.

6. (f) Each medication order shall legibly display the following information:

   1. (1) The camper’s name;
   2. (2) The name, strength, prescribed dose, and method of administration of the medication;
   3. (3) The frequency of administration of the medication, or if the medication is to be used on an as-needed basis, the information specified in (g), below; and
   4. (4) The dated signature of the camper’s parent or legal guardian or a licensed health care practitioner for orders other than as shown on the prescription label.

7. (g) A medication order from a parent or legal guardian or a licensed health care practitioner regarding any medication that is to be administered as needed shall include:

   1. (1) The indications and any special precautions or limitations regarding administration of the medication;
   2. (2) The maximum dosage allowed in a 24-hour period;
   3. (3) The dated signature of the parent or legal guardian for topical substances and non-prescription medication; and
   4. (4) For orders other than as shown on the prescription label, the dated signature of the licensed health care practitioner for prescription medication.
8. (h) A written order regarding prescription medication shall not be changed except by a physician or a licensed health care practitioner having legal authority to prescribe.

9. (i) All prescription medications, including physician medication samples, shall:

   1. (1) Bear a label that legibly displays the information described in (f)(1)-(3), above; and

   2. (2) Be stored, dispensed, and administered in accordance with:

      1. a. RSA 318 and requirements adopted pursuant thereto by the New Hampshire board of pharmacy; and
      2. b. RSA 326-B and requirements adopted pursuant thereto by the New Hampshire board of nursing.
10. (j) All non-prescription medication and topical substances shall be kept in the original containers and properly closed after each use.
11. (k) The YRC may provide age-appropriate non-prescription topical substances, such as sunscreen, insect repellent, and over-the-counter anti-itch or anti-bacterial creams or ointments, and common non-prescription medications such as over-the-counter pain relievers and gastro-intestinal calming agents to a camper with the written permission of the camper’s parent or legal guardian.
12. (l) Any items provided pursuant to (k), above, shall be stored and administered as specified in this section.
13. (m) The director shall return any remaining medication and topical substances provided by a camper’s parent or legal guardian to the parent or legal guardian when the camper departs the YRC.

Source. (See Revision Note #1 and Revision Note #2 at chapter heading for Env-Wq 900) #12364, eff 9-1-17