Transcript
Girl Scouts of Eastern Oklahoma HEALTH SUPERVISOR FOR DAY CAMPS
PRINCIPAL DUTIES A.
1. Gives first aid according to American Red Cross & “Standing Orders”. Standing Orders can be used to check a camper for signs of illness. 2. Dispenses medication only as indicated on health history by parents and/or guardians. Not even aspirin may be given unless sent from home with written instructions from a physician. Adult volunteers must keep personal medication in vehicles, with the first aider, or in a fanny pack on their person. Adult volunteers may not administer any medications to campers, including their own children. Camper medications should be collected at the beginning of the week/each day and kept in the lock box unless the camper has a letter from her physician giving her permission to keep it with her at all times. Form #584T may be used to record medications for the week and then attached to camper’s health card. 3.
Takes campers to physicians – decision to be made by health supervisor. Camper’s health card, insurance claim form and #629F, Accident/Incident Report Form, should be taken to the medical facility and returned to council office within 24 hours. #629F should be filled out by physician and health supervisor.
4.
Notifies parents – advises day camp director who is responsible for contacting parents.
5.
Records all treatment in camp medical log. Records name of health supervisor, date, and camp. Do not skip lines or remove page(s). Each entry in the log should include the following: a. b. c. d.
Camper’s name Date of injury Where on site How it happened
e. f. g. h.
Witnesses Exact location of injury on body Exact description of injury Treatment given/action taken
#609F (Volunteer Staff Agreement/Health History) must be on file for all volunteer staff. 6. Compiles list of girls for each unit leader indicating campers with medical problems and/or if medication is needed during the day. Do this by reviewing camper Health Histories within 24 hours of the first arrival at camp. B.
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1. Equipment and Supplies – request additional equipment or supplies as needed from the business manager. At the end of day camp, please inventory first aid kit. Leave list in kit.
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2.
Maintains first aid kit equipment for units. a. Have hiking or off-site first aid kits available for checkout by units. Band-Aids Towelettes Alcohol Swabs
Mole skin Needle Tweezers
Cards & Pen (to record treatment) CPR Micro-shield Non-sterile disposable gloves
b. Sanitized whistles should be available for campers who forgot to bring one from home. To sanitize them: wash with soap and water, rinse in bleach solution (one part chlorine bleach to ten parts water). c. Needles and tweezers should be sanitized in the same way. Gloves should be worn when using these items. Keep all needles/safety-pins/tweezers in sealed containers in first aid kit. c. Use throwaway protective cover when using digital thermometers. d. Wear gloves when removing a tick. Place tick in small envelope provided and write camper’s name, date and area of body tick was removed from. C. 1. Supervises Sanitation and Safety Practices – use #630T to check and regular visits for checking the following: a.
b. c.
d. e. f. g. h. i.
j.
Latrines - dug properly (depth of 22 inches) and a proper distance from cooking area (50 feet away). Seats should be sanitized daily with Lysol spray. Hand washing units should be located by cooking areas and by latrine areas (each unit should have two if cooking is done in the unit). Waste disposal- all garbage and other waste should be bagged and taken from the site daily. Grease should be disposed of by draining around edge of fireplace (not directly on fire or coals). Instructions for making newspaper bags for waste disposal are included in First Aid Level II handbook. Lunches – sack lunches properly hung. (check for perishable items) Refrigeration – check to see that all perishable items are kept refrigerated – 42°F or below. Utensils – (for cooking, eating and drinking) Properly cleaned before and after use. Hazards- all natural and man-made hazards should be marked if they cannot be eliminated. Buddy System – Staff should remind campers to use buddy system at all times. Prevent dehydration – Encourage all campers to drink fluids, go to the bathroom, wear sun hats, pace activities and wear wet bandanna around neck. Poisonous/Flammable Materials – Must be kept in closed containers in a safe place with contents labeled.
2. Initiates health education and safety practices – Be available to instruct any unit on health and safety related to specific program activities (i.e., hiking, dish washing, latrine construction, etc.). 3. Advises staff in first aid procedures – Review first aid procedures and prevention of disease transmission, including blood-borne pathogens.
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D.
Completes necessary reports on daily treatment and insurance forms and submits to director at close of camp. 1. Entries of treatment should be made in the log book as soon as they occur. 2. ALL camper cards and staff health histories must be returned to the Girl Scout Service Center. Any health checklists (#627T), medication records (#584T), or Accident/Incident Report Forms (#629F) should be attached to the camper’s health card and placed in the log book and returned to the director of program services. (These records must be kept on file until a girl reaches the age of 21.)
FIRST AID FOR DAY CAMPS
First Aid Station – At the first aid station, you need a table to put supplies on: American Red Cross First Aid Handbook, a hand washing unit, paper towels, blanket, cot or chaise lounge, extra folding chair, wash cloths, old newspapers, small lunch sacks, large towel, a few old but clean T-shirts/shorts, non-sterile disposable gloves and bleach water for spilled blood. Also a container to put your waste materials in. Site should be in shady area. If no shade is available, pitch a tent. A Red Cross sign should be displayed. I.
PREVENTING DISEASE TRANSMISSION A. Prevention of disease transmission practices. 1. Camp health supervisor is the designated health care giver. Staff and campers are expected to come to headquarters for all first aid. If a person must be transported to the health supervisor or the health supervisor is not immediately available, the camp staff will wear gloves to transport or to render life-saving first aid until the health supervisor is available. 2. Prevention or disease transmission must be taught to all camp staff. 3. Hand washing facilities are to be available throughout camp. 4. Soap and water or antiseptic towelettes should be provided for areas where hand-washing facilities are not immediately adjacent to the campsite. 5. Gloves/Ziploc bags should be available to all camp staff in all areas of camp including waterfront or swimming pool and vehicles used to transport staff/campers. All camp staff should be trained in the use of gloves and to wash their hands immediately after removing. 6. If gloves are used away from the headquarters first aid station, they should be put in a Ziploc baggie and brought to headquarters for disposal. 7. Staff should be taught to wash with soap and water if they do have any skin contact with body fluids from a staff or camper. 8. CPR micro-shields should be available at the headquarters first aid station, the waterfront or swimming pool, and in all vehicles used to transport staff and/or campers. 9. If a staff or camper requires first aid or a procedure which might cause a blood spatter, the camp health supervisor, using prevention of disease transmission procedures will attend the person until the local EMS responder arrives with their protective gear, or the person will be transported to the local physician or hospital for the procedure. 10. All injections will be given by the camp health supervisor (unless otherwise directed by camper/staff physician). Contaminated needles will not be recapped, but will be disposed of in the appropriate designated container.
B. Prevention of disease transmission procedures. #626aT
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1. To reduce the risk of disease transmission when controlling bleeding, you should: a. Place an effective barrier between you and the victim’s blood when you give first aid. Examples of such barriers are the victim’s hand, a piece of plastic wrap, rubber or disposable gloves, or even a clean, folded cloth. b. Wash your hands thoroughly with soap and water immediately after giving care, even if you wore gloves or used another barrier. Use a utility or restroom sink, not one in a food preparation area. c. Avoid eating, drinking, and touching your mouth, nose, or eyes while providing care or before washing your hands. Remove any clothing that has blood on it. Clothing with blood on it should be washed as soon as possible. A change of clothes should be available for a camper who needs to have clothing removed. II.
INFECTION CONTROL PROCEDURES A.
Preventing Infection – When an injury breaks the skin, germs can get into the wound and cause infection. The first best way to prevent infection is to clean the area thoroughly. If the wound is not bleeding severely, wash area with soap and water. Do not wash wounds that need medical attention because of tissue damage or heavy bleeding. They will be cleaned in the medical facility. It is more important for you to control the bleeding. Infected wounds can cause serious medical problems. Keep an up-to-date record of immunizations. The best way to prevent tetanus is to be immunized against it and to have a booster shot every 5-10 years or whenever a wound is contaminated by a dirty object such as a rusty nail.
B.
Signals of Infection – The early signals of infection are pain or tenderness to the wound, and redness, heat or swelling. Some wounds may have a pus discharge. With more serious infections, red streaks may develop that lead from the wound toward the heart. The infection also may cause the person to develop a fever and feel ill.
C.
Caring for the Infection – If you see the early signals of infection, care for the wound by keeping the area clean, elevating it, and applying warm, wet compresses and an antibiotic ointment. Change coverings over the wound daily. If a fever or red streaks develop, the infection is worsening. If the infection persists or worsens, seek medical care without delay.
D. Bleeding – Persons performing first aid should wear protective gloves. Gloves are to be changed between campers. Gloves are to be disposed of in newspaper bag. It may be necessary to wear two gloves at once to prevent exposure to client’s blood. In the event that the gloves are punctured, they are to be discarded and hands washed thoroughly with soap and running water before re-gloving. Record in log that health supervisor was exposed. E. Spills – A 1:10 solution of bleach is to be used to clean up blood and other body fluids such as vomit or urine. (Note: Never pour undiluted bleach straight from the bottle directly onto spills of blood, urine, spectrum, or vomit. Dangerous levels of toxic chlorine and nitrous oxide gases could result.) Latex gloves should always be worn to avoid direct contact. Wipe up spills with disposable towels. Apply bleach solution and leave on area for 10 minutes. Wipe area after 10-minute contact with disinfectant. Discard clean up materials in newspaper bag or plastic sack. Remove and discard gloves. Wash hands. Dispose of bagged clean up materials according to directions below. F. Cleaning & Disinfecting Equipment – All camper equipment must be clean and free of #626aT
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obvious organic matter and other environmental contaminants. Latex gloves should be worn when handling equipment contaminated by blood or dirty equipment. Equipment that cannot be decontaminated on-site with 1:10 solution of bleach and disposable towels or gauze squares, should be cleaned and transported home in heavy plastic bags or be properly disinfected. G. Waste Disposal – Soft material, such as 2x2’s, 4x4’s, gloves and band-aids of all sizes should be placed in the newspaper bag. All other soft, non-penetrating waste such as alcohol wipes, towelettes, packaging materials and containers are to be collected in provided plastic trash bags in covered waste containers and taken from site daily. H. Clean-up – Prepare disinfectant solution by adding water to a 1 qt. plastic bottle containing ¼ cup of Clorox. This will be a 10% Hypochlorite Solution. Cap bottle and mix thoroughly. Discard solution in the bottle at the end of each day. (SOLUTION IS MADE FRESH EACH DAY)
Information on Universal Precautions As part of an overall exposure control plan, mandated by the OSHA Bloodborne Pathogens Standard, "universal precautions" are part of infection control practices. They are specific guidelines which must be followed to provide every person protection from diseases which are carried in the blood. Since blood can carry all types of infectious diseases even when a person does not look or feel ill, knowledge of universal precautions is essential for anyone who might come into contact with blood or other body fluids. The following are sample guidelines, recommended by the Centers for Disease Control, to prevent cross- contamination from blood-borne pathogens. 1.
All health care providers should use appropriate barrier precautions to prevent skin and mucous-membrane exposure when contact with blood or body fluid of any person is anticipated. Personal Protective equipment such as latex or vinyl disposable gloves should be readily available in health care, housekeeping and maintenance areas, in all first aid kits, and in vehicles.
2.
Any person giving first aid should always wear latex or vinyl disposable gloves if blood is visible on the skin, inside the mouth, or if there is an open cut on the victim. Gloves should be changed after contact with each person.
3
Gloves should always be worn when handling items or surfaces soiled with blood or bloody fluids. Such areas (floor, counter, etc.) should be flooded with bleach solution (1 part bleach to 10 parts water), alcohol, or a dry sanitary absorbent agent. However, routine cleaning practices are all that are needed if blood is not visible or likely to be present. As examples, gloves should always be worn when cleaning up blood from a counter after a cut finger, but gloves do not usually need to be worn to handle urine soaked bedding unless blood is obvious. Disposable towels and tissues or other contaminated materials should be disposed of in a trash container lined with plastic. Biohazard bags (“red bags”) are to be used for dressings or other materials used to soak up blood or other infectious waste.
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4.
Remove gloves properly – pulling inside out. Place gloves in bag with waste. Hands and other skin surfaces should be washed with soap and water immediately and thoroughly if contaminated with blood or other body fluids.
5.
Masks, protective eye wear, gowns or aprons should be worn during procedures that are likely to generate droplets or splashes of blood or other body fluids.
6.
Needles should NOT be re-capped, purposely bent or broken by hand, removed from disposable syringes, or otherwise manipulated by hand. After use, disposable syringes and needles, scalpel blades and other sharp items should be placed in puncture-resistant “sharps” containers for disposal.
7.
Mouthpieces, resuscitation bags, or other ventilation devices should be available for use in areas in which the need for resuscitation is predictable.
8.
Health care workers who have draining lesions or weeping dermatitis should refrain from all direct care and from handling equipment until the condition resolves.
All procedures should be specific to the staff and clientele served. All persons who might come into contact with blood or other body fluids must be trained to follow appropriate procedures.
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