- (a) A physician licensed to practice in Texas shall be on call at all times for medical service and to advise health service personnel on all first aid and nursing services provided by the camp.
- (b) A written arrangement shall be made with a hospital, clinic, or doctor's office, as close as possible to the camp, for emergency medical treatment in case of serious illness or injury to a child. Also, emergency transportation must be available at all times to transport any sick or injured camper.
- (c) A physician, registered nurse, LVN, or a person with an American Red Cross advanced first aid certificate or its equivalent shall be in the camp at all times.
- (d) The physician that is on call shall issue written standing orders to the person or persons that are responsible for health service care concerning first aid to be followed in the absence of the physician.
- (e) An infirmary or first aid facility to handle health and emergency cases shall be so designated as being such. It will be suitably equipped and utilized for no other purpose.
- (f) A child ill with a communicable disease or suspected of such illness shall be isolated to insure both safety to other children and quiet to the patient. Any child that is isolated shall have adult supervision provided.
- (g) A bound medical log listing date, name of the patient, ailment, and the treatment prescribed shall be kept in the infirmary. In the event of serious injury or illness, the camp physician shall be consulted immediately and the parents or guardians notified as soon as possible. Any serious accident, illness, or death involving any camper must be reported to the Texas Department of Health Resources Youth Camp Program within 10 days. Diseases which may be water borne or food borne such as cholera, dysentery, typhoid, salmonellosis, shigellosis, or infectious hepatitis, shall be reported to the department immediately.
- (h) The infirmary shall keep a health card on each child with the child's name, allergies, immunizations, parent's name and address with telephone number, and parent or guardian authorization for emergency medical care if the need arises.
- (i) The camp shall have a telephone, preferably in the infirmary, for emergency use when such service is available.
- (j) A written plan of procedures to be implemented in the case of a disaster, serious accident, epidemic, or fatality shall be formulated and posted in the infirmary. This plan is to be made available to all camp staff during the staff training program.
- (k) If a child is taking a prescription medication when he reports to camp, the medical staff shall place that medication along with the child's name, dosage, and frequency in a lockable cabinet or other secure location which is not accessible to campers. The medication shall be administered by the medical staff only, and at no time will the child be allowed to self-administer the medication.
- (l) First aid kits shall be taken on all out-of-camp trips.
Source Note:The provisions of this §265.15 adopted to be effective January 1, 1976.