ATCP 78.26(5)(d)2. 2. The camp shall separate the alleged perpetrator from campers until the incident is resolved, until the threat is removed, or as long as necessary to protect the safety and welfare of the campers. P

ATCP 78.26 History History: CR 21-109: cr. Register June 2023 No. 810, eff. 9-24-23; correction in (3) (a) 1., (c) 5., 7. b. made under s. 13.92 (4) (b) 4., Stats., correction in (3) (c) 7. a., b., (5) (c) 1., (d) 1. made under s. 35.17, Stats., Register June 2023 No. 810.

ATCP 78.27 ATCP 78.27 Camp wellness and health staff.

ATCP 78.27(1) (1) Camp wellness.

ATCP 78.27(1)(a) (a) Physician on staff or consulting physician. Before a camp opens for the first time, and at least annually thereafter, the camp operator shall make written arrangements for medical care of campers and camp staff by a staff physician, consulting physician or the consulting physician’s practice. P

ATCP 78.27(1)(b) (b) Staff physician or consulting physician standing orders. Health services staff shall work under the delegation of a physician licensed pursuant to ch. 448, Stats., who is available on-site during the camping season or for consultation services.

ATCP 78.27(1)(b)1. 1. The staff physician or consulting physician, in cooperation with the camp operator, shall develop standing orders, signed by the physician, for the administration of medications, routine health care and emergency medical care at the camp. P

ATCP 78.27 Note Note: Wisconsin is identified in a high incidence category for Lyme disease, therefore it is recommended that a written protocol should include tick bite identification and removal techniques, such the following resource provided by the United States centers for disease control and prevention: https://www.cdc.gov/lyme/resources/FS-Guidance-for-Clinicians-Patients-after-TickBite-508.pdf.

ATCP 78.27 Note Note: Bats are the leading rabies vector in Wisconsin. It is recommended that camp staff are trained in bat education and that a written protocol be developed that includes: how to prevent and recognize a bat exposure, safe capture of a bat and what to do in the event a bat is found in a room with sleeping campers. A copy of the rabies algorithm can be found at the Wisconsin department of health services website at: https://www.dhs.wisconsin.gov/rabies/algorithm/index.htm.

ATCP 78.27(1)(b)2. 2. The physician shall review, sign and date the standing orders annually. P

ATCP 78.27(1)(c) (c) Camp vehicle. A camp shall have a vehicle available at all times to transport a camper or staff member requiring urgent medical services to a hospital or clinic when the camp cannot provide the needed services or as approved by the department or its agent.Pf

ATCP 78.27(1)(d) (d) Camper health history.

ATCP 78.27(1)(d)1. 1. Each camper upon arrival at the camp, shall present to the health services staff or to the rental groups health services staff as required pursuant to s. ATCP 78.16, an up-to-date written health history. P Health histories shall include all of the following:

ATCP 78.27(1)(d)1.a. a. Any physical condition or limitations. P

ATCP 78.27(1)(d)1.b. b. Medications. P

ATCP 78.27(1)(d)1.c. c. Allergies. P

ATCP 78.27(1)(d)1.d. d. Immunization status or a signed document by the legal guardian presented to the camp objecting to the immunization requirements for a camper for reasons of health, religion or personal conviction that meets the requirements pursuant to s. 252.04 (3), Stats. P

ATCP 78.27(1)(d)1.e. e. Any special health and behavioral considerations, including mental, emotional, social and developmental needs or restrictions of the camper. Pf

ATCP 78.27(1)(d)1.f. f. Permission from the family that allows for a camper to self-carry and administer emergency medication, such as epinephrine, inhalers, or insulin, if applicable. P

ATCP 78.27(1)(d)2. 2. For a camper under 18 years of age, the written health history shall be prepared and signed by a parent or legal guardian. P

ATCP 78.27(1)(d)3. 3. Parent or legal guardian’s written consent to treat camper in case of an emergency. Pf

ATCP 78.27(1)(d)4. 4. Signed permission by the parent or legal guardian for camp health services staff to provide routine healthcare treatment, identifying over-the-counter medications that can be administered. Pf

ATCP 78.27 Note Note: It is recommended that each camper upon arrival at the camp, also present to the health services staff a written report of a physical examination performed within the preceding 24 months by a physician, a physician assistant, or a nurse practitioner.

ATCP 78.27(1)(e) (e) Camp staff health history.

ATCP 78.27(1)(e)1. 1. Each camp staff member, upon arrival at the camp, shall present to the health services staff or to the rental groups health services staff, as required pursuant to s. ATCP 78.16, an up-to-date written health history. P Health histories shall include all of the following:

ATCP 78.27(1)(e)1.a. a. Any physical condition or limitations. P

ATCP 78.27(1)(e)1.b. b. Medications. P

ATCP 78.27(1)(e)1.c. c. Allergies. P

ATCP 78.27(1)(e)1.d. d. Based on the staff member’s job description, clarification of any camp activities from which the staff member should be exempted or limited for health reasons as indicated by qualified medical personnel. Pf