Staff and Volunteer Handbook (part 1)

Staff and Volunteer Handbook (part 1)

Last updated 12/10

Table of Contents

Mission Statement
Goals
Objectives
Expectations of Staff
Extra Efforts of Staff
Staff Job Descriptions
Background Check Authorization
Staffing Ratio
Scheduling and Time Off
Camp Curfew
Termination of Service
Dress Code
Camper Information
Camp Communication System
Emergency Guidelines
Seizure Response
Health Services
Health Facilities
General Health Care
 

 

Mission Statement

Camp Discovery provides a safe and enriching experience that helps campers with epilepsy to gain the skills and confidence to successfully manage their conditions, their health, and their lives.
 
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Goals

  1. To increase self-esteem.
  2. To increase social skills.
  3. To increase knowledge of seizure control methods.
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Objectives

  1. To provide a unique, exciting, and fun-filled growth experience to every camper who attends Camp Discovery.
  2. To convey to each camper the feeling that he or she is a unique and worthwhile human being.
  3. To emphasize the fact that everyone has something positive to offer. Each camper is a winner if he or she does the best they can with the abilities they have.
  4. To provide a camping experience which provides for individual reflection, cooperation with others and a close relationship with a counselor.
  5. To provide a caring community of people (staff and campers) working together and enjoying each new day and experience.
  6. To teach campers the skills associated with a wide range of activities that may not be practiced in their normal living situation (nature study, arts and crafts, sports, swimming, high adventure activities, etc.).
  7. To offer a wide range of quality activities, at an individual, small group, and large group level, which are skillfully taught and thoroughly organized.
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Expectations of Staff*

*Throughout this Handbook the term “staff” refers to paid employees and volunteers working at Camp Discovery
 
Each staff member is expected to function in a professional manner at all times.
 
Each person works with the total camp team of staff and volunteers to carry out his/her responsibilities in accordance with established policies and procedures to provide the highest quality experience for all participants.
 
All staff and volunteer positions require that each person:
 
Be a positive role model.
  1. Set a good leadership example and act as a positive role model for co-workers and campers.
  2. Be friendly to all. Treat everyone as a valued individual. Treat others as you wish to be treated.
  3. Maintain good interpersonal skills. Maintain healthy relationships with staff and all campers.
  4. Demonstrate willingness to be a team player. Eagerly work with ALL people.
  5. Do not gossip.
  6. Be flexible.
  7. Maintain good health, maturity, moral character, and vitality.
  8. Keep an open mind and maintain an optimistic attitude.
Care for others
  1. Maintain the health and safety of campers as the #1 priority at all times. Immediately report all safety incidents and concerns to immediate supervisor.
  2. Ensure campers’ satisfaction in all activities.
  3. Positively guide all campers.
  4. Know that words can and often do hurt people as much as physical abuse; remember to always be careful of what you say.
  5. Assist participants in increasing their understanding of their natural and social environment.
  6. Understand that each person has a significant impact on the success of camp regardless of position or title.
  7. Make campers, volunteers and staff feel important.
Do your best at your job
  1. Take pride in your work.
  2. Have the physical and mental ability to do the specific task or job assigned to you.
  3. Manage multiple tasks.
  4. Pay strict attention to detail.
  5. Help keep the campground clean and looking nice at all times – pick up areas before leaving, deposit any and all trash in the proper place.
  6. Carry out additional responsibilities as directed by supervisor.
We lead by doing. Touch, smiles, and other non-verbal actions speak as profoundly as words. Care, love, concern, and forgiveness are the keys to fulfilling the camp goals.
 
Staff should be guided by concern for the health and safety of the CAMPER, above and beyond all else.
 
Staff is assigned with this in mind, and no staff person is of greater importance than another. Each person’s job is to help give the camper an effective and enjoyable experience. No staff person shall expect special considerations based on staff position. All jobs are interchangeable. At times, counselors may help out with support staff functions, or medical and support staff may perform counseling functions. Any staff member may be assigned to work any task where they meet Camp Discovery standards. This transfer is made after conversation between the Camp Director, Camp Coordinator and/or staff involved.
 
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Extra Efforts of Staff

Perhaps the most memorable experience a camper may have involves those special moments of extra effort on the part of counselors, program and support staff. Most of these items are a routine and daily part of camp but can easily be overlooked for the great importance they play.
 
Quiet Times: Quiet times are extremely valuable moments. The evening bedtime is excellent for stories, sharing experiences, exploring basic values, talks and more. These moments offer counselors a great opportunity to build and nurture positive feelings, values, and character. It may sometimes take a little preparation or thought, but it is well worth the extra effort.
 
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Staff Job Descriptions

All volunteers must be 18 years or older.

Camp Director

  • Serve as immediate supervisor of Camp Coordinator and Medical Staff Coordinator.
  • Oversee general operations to make sure all camp participants are safe and enjoying themselves.
  • Provide leadership role in conflict resolution (including any dismissals of campers/staff).
  • Coordinate all activities of contracted activity leaders.
  • Assign duties to support staff as needed.
  • Work with Medical Staff Coordinator, Pediatric Neurologists, and parents to make decisions regarding the need for further medical care for a camper (outside of Camp Discovery) and changes in a camper’s activities or seizure management.
  • Supervise all pre-camp preparations, trainings and communications with all stakeholders, including parents, staff and Medical Staff.
  • Prepare camp itinerary, menu, policies and procedures, and other documents and update as needed.
  • Recruit campers, staff, volunteers and contractors.

Medical Staff Coordinator

  • Provide supervision over all medical staff.
  • Contact campers’ parents when appropriate concerning medical issues.
  • Respond promptly to all emergencies.
  • Perform minor medical procedures/treatments.
  • House all medications.
  • House all medical records for campers and staff.
  • Supervise the dispensing and documentation of all camper and staff medications.
  • Monitor campers’ seizure activity and, if necessary, consult with Pediatric Neurologist and parents regarding possible changes in activities, supervision, seizure management, or medical care.

Pediatric Neurologist

  • Provide medical consultation to Medical Staff Coordinator as needed.
  • Perform minor medical procedures, diagnostic procedures, and neurological exams as needed and as allowed by camp facilities and resources.
  • Work with Medical Staff Coordinator, Camp Director and parents to make decisions regarding the need for further medical care for a camper (outside of Camp Discovery) and changes in a camper’s activities or seizure management.
  • If requested to do so by Camp Director, facilitate one or more hour-long discussions with campers (in groups of five to eighteen) on epilepsy self-management, and answer campers’ questions.
  • If necessary, provide one-on-one counseling to campers about epilepsy-related concerns.

Camp Coordinator

  • Provide supervision over all camp staff.
  • Provide guidance and support to camp staff.
  • Contact campers’ parents when necessary regarding behavior issues.
  • Respond promptly to all emergencies.
  • Assign duties to support staff as needed.
  • Assist with pre-camp preparations.
  • Assist Camp Director in all duties.

Camp Counselor

  • Physically able to keep up with and manage a group of 8-17 year olds including, but not limited to, walking long distances, running at times; assisting with personal hygiene needs; and participating in activities.
  • Read Staff Handbook and follow Camp Discovery policies and procedures at all times.
  • Read camper information and become familiar with campers prior to attending camp.
  • Implement Five Finger Contract and Three Strike Policy.
  • Facilitate a fun, educational and safe summer camp experience for campers.
  • Live in and help maintain a clean, safe and organized cabin area.
  • Responsible for the campers they are assigned to 24 hours a day throughout the week of camp.
  • Accompany campers to scheduled activities.
  • Ensure campers have what they need for each activity and are dressed appropriately.
  • See to care and needs of assigned campers.
  • Facilitate activities during free time.
  • Bring health related issues immediately to Medical Staff.
  • Bring behavior related issues immediately to Behavioral Specialist.
  • Promote safety in every possible way.
  • Participate with campers in all activities, including, but not limited to, canoeing, kayaking and swimming.
  • Complete evaluations at the end of camp and turn them in.
  • Continuously monitor campers to ensure that their needs are met.
  • Be constantly vigilant for potential physical or mental health problems among campers, particularly seizures, anxiety, depression, transient cognitive difficulties, fatigue, and medication side effects.
  • Be flexible and assist in any and all areas of Camp as needed and directed.
Please note: Camp is unpredictable. There will be times when you will be requested to help in addition to your primary responsibilities.
Best suitable for individuals available for entire week of camp.

One on One

Ideal for student or professional in Special Education, Occupational Therapy, Physical Therapy, Speech Therapy, Nursing, Recreational Therapy or Social Work.
  • Attend to one camper with special needs.
  • Assist assigned camper with Activities of Daily Living Skills.
  • Read Staff Handbooks and follow Camp Discovery policies and procedures at all times.
  • Read camper information and become familiar with camper prior to attending camp.
  • Implement Five Finger Contract and Three Strike Policy.
  • Physically able to keep up with and manage a group of 8-17 year olds including, but not limited to, walking long distances, running at times; assisting with personal hygiene needs; and participating in activities.
  • Facilitate a fun, educational and safe summer camp experience for campers.
  • Live in and help maintain a clean, safe and organized cabin area.
  • Accompany camper to scheduled activities.
  • Ensure camper has what they need for each activity and is dressed appropriately.
  • See to care and needs of assigned camper.
  • Facilitate activities during free time.
  • Bring health related issues immediately to Medical Staff.
  • Promote safety in every possible way.
  • Participate with camper in all activities, including, but not limited to, canoeing and swimming.
  • Complete evaluations at the end of camp and turn them in.
  • Continuously monitor camper to ensure that their needs are met.
  • Be constantly vigilant for potential physical or mental health problems among campers, particularly seizures, anxiety, depression, transient cognitive difficulties, fatigue, and medication side effects.
  • Be flexible in any and all areas of Camp as needed and directed.
Please note: Camp is unpredictable. There will be times when you will be requested to help in addition to your primary responsibilities.
Best suitable for individuals available for entire week of camp.

Recreation Specialist

  • Physically able to keep up with and manage a group of 8-17 year olds including, but not limited to, walking long distances, running at times; assisting with personal hygiene needs; and participating in activities.
  • Read Staff Handbook and follow Camp Discovery policies and procedures at all times.
  • Read camper information and become familiar with campers prior to attending camp.
  • Implement Five Finger Contract and Three Strike Policy.
  • Assist cabin staff as needed by request of Camp Coordinator.
  • Cover posted counselor breaks as assigned by Camp Director.
  • Provide guidance and assistance to campers as directed by Camp Counselor.
  • Accompany campers of your assigned activity group to scheduled activities.
  • Promote safety in every possible way.
  • Participate with campers in all activities, including, but not limited to, canoeing, kayaking and swimming.
  • Continuously monitor campers to ensure that their needs are met.
  • Be constantly vigilant for potential physical or mental health problems among campers, particularly seizures, anxiety, depression, transient cognitive difficulties, fatigue, and medication side effects.
  • Be flexible and assist in any and all areas of Camp as needed and directed.
Please note: Camp is unpredictable. There will be times when you will be requested to help in addition to your primary responsibilities.
Best suitable for individuals available for entire week of camp.

Medical Staff (Registered Nurse, Resident Physician, Certified Med. Tech.)

  • Dispense and document camper medications as directed by Medical Team Coordinator.
  • Physically able to keep up with a group of 8-17 year olds including, but not limited to, walking long distances, running at times; assisting with personal hygiene needs; and participating in activities.
  • Read Staff Handbook and follow Camp Discovery policies and procedures at all times.
  • Read camper information and become familiar with campers prior to attending camp.
  • Implement Five Finger Contract and Three Strike Policy.
  • Accompany assigned campers to scheduled activities.
  • Participate in camp activities when possible, and, when doing so, monitor campers for potential seizure activity and health problems; report such problems to Medical Team Coordinator.
  • If necessary, help staff members who witness a seizure to complete the Seizure Record form.
  • Provide first aid in an emergency if the Medical Team Coordinator is temporarily unavailable.
  • Be flexible and assist in any and all areas of Camp as needed and directed.
Please note: Camp is unpredictable. There will be times when you will be requested to help in addition to your primary responsibilities.
Best suitable for individuals available for entire week of camp.

Infirmary Aide (medical training not necessary, but desirable)

  • Stay in the infirmary during daytime hours (8 am until lights out).
  • Monitor and care for campers that have been brought to the infirmary.
  • Communicate regularly with Medical Team Coordinator on status of campers in infirmary.
  • Perform additional duties as requested by the Medical Team Coordinator.
  • Read Staff Handbook and follow Camp Discovery policies and procedures at all times.
  • Be flexible and assist in any and all areas of Camp as needed and directed.
Please note: Camp is unpredictable. There will be times when you will be requested to help in addition to your primary responsibilities.
Best suitable for individuals who are only available for a portion of the week.

Behavior Specialist

  • Physically able to keep up with and manage a group of 8-17 year olds including, but not limited to, walking long distances, running at times; assisting with personal hygiene needs; and participating in activities.
  • Read Staff Handbook and follow Camp Discovery policies and procedures at all times.
  • Read camper information and become familiar with campers prior to attending camp.
  • Implement Five Finger Contract and Three Strike Policy.
  • Provide guidance and assistance to Camp Counselors regarding behavior issues.
  • Work directly with campers experiencing behavior issues to correct behavior.
  • Communicate with Camp Coordinator and/or Camp Director regarding severe behavior issues.
  • Be flexible and assist in any and all areas of Camp as needed and directed.
Please note: Camp is unpredictable. There will be times when you will be requested to help in addition to your primary responsibilities.
Best suitable for individuals available for the entire week of camp.

Dietary Specialist

  • Implement special diets and monitor allergies as directed by camper parent/Doctor.
  • Prepare/cook meals and snacks for campers on special diets (ketogenic, modified atkins, etc.).
  • Perform additional duties as requested by the Camp Director or Camp Coordinator.
  • Read Staff Handbook and follow Camp Discovery policies and procedures at all times.
  • Be flexible and assist in any and all areas of Camp as needed and directed.
Please note: Camp is unpredictable. There will be times when you will be requested to help in addition to your primary responsibilities.
Best suitable for individuals available for the entire week of camp.

Support Staff

  • Physically able to keep up with and manage a group of 8-17 year olds including, but not limited to, walking long distances, running at times; assisting with personal hygiene needs; and participating in activities.
  • Assist cabin staff as needed by request of Camp Coordinator.
  • Perform additional duties as requested by the Camp Director or Camp Coordinator.
  • Read Staff Handbook and follow Camp Discovery policies and procedures at all times.
  • Be flexible and assist in any and all areas of Camp as needed and directed.
Please note: Camp is unpredictable. There will be times when you will be requested to help in addition to your primary responsibilities.
Best suitable for individuals who are only available for a portion of the week.

Quarter Master

  • Wash t-shirts daily, and linens and clothing as needed.
  • Shop for supplies.
  • Make update phone calls to campers’ parents.
  • Perform additional duties as requested by the Camp Director or Camp Coordinator.
  • Read Staff Handbook and follow Camp Discovery policies and procedures at all times.
  • Be flexible and assist in any and all areas of Camp as needed and directed.
Please note: Camp is unpredictable. There will be times when you will be requested to help in addition to your primary responsibilities.
Best suitable for individual available for the entire week of camp.
 
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Background Check Authorization

In accordance with state law and Camp Discovery policy, each volunteer and employee is required to complete an authorization form that allows Camp Discovery to request a criminal background check on each employee for non-misdemeanor criminal records. This check will be completed for each staff member. The Camp Director will hold findings confidential.
 
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Staffing Ratio

State of Michigan staff to camper ratio:
Day time hours are from 7 a.m. until 10 p.m.
Night time hours are from 10 p.m. until 7 a.m.
 
At Camp Discovery, we strive to have an overall ratio of 1 adult staff member for every 3 campers as often as possible. This is expected to fluctuate, however, at different times during the day and as part-time staff leave and arrive. During sleeping hours, the minimum ratio will be 1 adult staff member to every 4 campers.
 
For campers with disabilities that require assistance that is considered more extensive than the assistance a camper of that chronological age would need, the minimum ratio is 1 adult staff member to every 2 campers during the waking hours and 1 adult staff member to every 4 campers during sleeping hours.
 
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Scheduling and Time Off

Staff breaks will be pre-scheduled by the Camp Director to ensure maximum camper benefit and safety. Support Staff and/or Recreation Staff will be scheduled to cover Camp Counselor/Counselor in Training breaks. Each staff member will have at least 1 hour of mandatory scheduled time off per day. The Camp Director will inform you which areas have been made available for staff breaks at the mandatory staff training sessions. If a Counselor feels a break is needed at a time when one is not scheduled, that Counselor should approach the Camp Coordinator. The Camp Coordinator will then arrange a break if it is deemed both feasible and necessary.
 
Attendance at the staff training sessions is mandatory for all staff and volunteers, except those who will not be volunteering for the entire week of camp. If a volunteer is unable to attend the staff training session, he or she needs to arrange for alternative training with the Camp Director.
 
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Camp Curfew

Staff members are subject to a 10:00 p.m. curfew and earlier if imposed by the Camp Director.
 
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Termination of Service

Employees/Volunteers may be discharged at any time, without notice, and without cause. The following list is not inclusive, but gives examples of reasons for immediate dismissal:
  1. Unauthorized or excessive absences or tardiness.
  2. Unauthorized time away from work area.
  3. Unsatisfactory work performance.
  4. Failure to follow supervisor's instructions.
  5. Insubordination.
  6. Failure to comply with Camp Discovery policies and procedures.
  7. Obscene, abusive, or disruptive language or behavior.
  8. Reporting to work under the influence of drugs or alcohol.
  9. Using or possessing alcohol, tobacco or illegal drugs on camp property.
  10. Unauthorized use or destruction of camp property.
  11. Falsification of camp records.
  12. Theft.
  13. Violation of any government rules applicable to Camp Discovery.
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Dress Code

Personal appearance and clothing should be in good taste and appropriate for the various activities. Please use the following as a guideline:
 
Appropriate for camp
Shorts
Sweatshirts
Modest one-piece swimwear
Modest tankini that covers midriff
Closed-toe shoes when not in cabins
 
Inappropriate for camp
Very short shorts or skirts
Sweatshirts depicting adult subject
matter, profanity or alcohol
Transparent clothing
Bikinis or Thong swimwear
 
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Camper Information

Prior to camp, the Medical Staff Coordinator will review each camper’s application and call the parents for further detail and clarification regarding seizure management and other health concerns. Once all of these calls are complete, camper information will be distributed to camp staff. Camp Counselors, Behavior Specialists, Recreation Specialist and Medical Staff will receive this information for the cabins to which they are assigned.
 
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Camp Communication System

Due to the nature of the facilities and the medical conditions of our campers, Camp Discovery provides two way radios to staff to be used to communicate the need for assistance in medical, behavior and seizure emergencies. Radios are NOT to be used for any other purpose. In the instance that you have an emergency that requires assistance, the codes listed below should be used in the following manner.
 
For example, if a camper is having a tonic-clonic seizure, call a Seizure Code 1 to your location with the cabin number of the camper –
“Seizure Code 1 to North Village Bathhouse for cabin 14.”
The medical staff will immediately proceed to your location, and will respond that they are on their way.
 
Radio Codes
Code Purple – Missing Camper. (See Emergency Guidelines)

Seizure Code 1 – Seizure needs immediate attention.
Seizure Code 2 – Seizure activity that should be evaluated.
Seizure Code 3 – Seizure over – please check in.

Medical Code 1 – Major accident – needs immediate attention.
Medical Code 2 – Minor accident – please check in.
Medical Code 3 – Minor complaints (headache, over-heated, etc.)

Behavior Code 1 – Behavior needs immediate attention by administration (safety of camper/staff in immediate danger)
Behavior Code 2 – Behavior needs immediate attention by Behavior Specialist (Three strike rule)
Behavior Code 3 – Please check – advice needed
 
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Emergency Guidelines

Missing Camper
In the event a camper becomes missing, call a Code Purple with the name of the camper, a brief description and last known location –
“Code Purple, Sam Jones, light green shirt, 14 years old with brown curly hair, last seen at amphitheatre.”
All staff stops what they are doing, gathers their campers and does a head count. One staff member should stay with their campers. All other staff report to last known location of missing camper to begin search. Nobody moves until camper is found and all clear is called on radio.
 
Fire
  1. Immediately report any fire to the Retreat Services Director or host on duty for Sherman Lake YMCA Outdoor Center via the camp communication system. “Fire emergency, (announce the location).” If a staff person is not immediately available, please call 9-911 from the nearest telephone.
  2. The Retreat Services Director or assigned staff member will assign a person to meet the fire department at the main entrance. This person will give directional instructions to the arriving public safety officials.
  3. All retreat center guests shall gather at Kellogg Hall. In the event the fire is in Kellogg Hall, all guests will report to the gym in the Recreation Building.
  4. Guests will remain seated until further instructions are given for possible evacuation.
  5. The Retreat Services Director will announce an all clear when appropriate.
Severe Weather and/or Tornado Warning
  1. In the event of any predicted change in weather, Sherman Lake staff will continuously monitor the camp weather radio. Staff and guests will be continuously updated on the weather and make appropriate decisions regarding guests safety.
  2. If, during an outdoor program, thunder is heard or lightning is seen, the participants are removed from the activity and taken to shelter for 20 minutes of no thunder or lightning. If a 20-minute period passes with no thunder or lightning, the participants will be allowed to return to the outdoor activity.
  3. In the event of severe weather, verbal directions will be given by Sherman Lake staff to guests. If the severity of the weather calls for people to seek shelter, then all staff and guests will proceed to the lower level of Kellogg Hall by stairs.
  4. If guests are in the Recreation Building and the severity of the weather calls for immediate shelter, Sherman Lake staff will direct guests to the Northeast corner of the gym.
  5. Guests are to remain seated in the shelter areas until further instructions are given.
  6. Guests staying on the property in cabins will be notified and asked to immediately seek shelter in Kellogg Hall building in the event of severe weather at night.
Total Site Evacuation
  1. In the event of an emergency that requires a total site evacuation, all guests will gather in Kellogg Hall. Once there Sherman Lake staff will follow the site evacuation plans as stated and inform guests of necessary procedures.
 
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Seizure Response

Seizure First Aid and Aftercare
Absence, Myoclonic, Simple Partial, and Drop Seizures
Brief staring spells (absence seizures), body jerks (myoclonic seizures), sudden falls or head bobs without shaking (drop seizures), and simple partial seizures (seizures that don’t impair consciousness and may include body movements, hallucinations, unusual feelings, sensory distortions, or other changes) generally don’t require any first aid.

If an absence seizure is noticed by a staff person, any information that the camper missed should be repeated. If a camper reports having a simple partial seizure or shows signs of having one (e.g. the camper is suddenly distressed), the camper should be reassured and monitored closely in case the seizure progresses into a tonic clonic or complex partial seizure. If a myoclonic or drop seizure causes a camper to fall, a staff person should simply let the camper know what happened, and ask if he or she is hurt. In the event that a camper is hurt, standard first aid procedure for that injury should be followed.
 
Generalized Tonic Clonic Seizures
For tonic clonic seizures (falling and shaking), the Person in Charge (according to the Medical Emergency Chain of Command) should check his or her watch or a clock once the seizure starts (to time the duration of the seizure), and direct another staff person to contact the Medical Staff Coordinator or highest available medical staff person. If the camper is in a chair when the seizure starts, s/he should be lowered gently to the floor to prevent injuries. Gently turn the camper onto one side to keep the airway open. Place a soft object under the camper’s head (e.g. a sweater or pillow) or cradle the head with your hand. Gently loosen any restrictive clothing and remove glasses. Move any potentially dangerous objects in the immediate area. When the seizure ends, the Person in Charge should ask the camper his or her name and location and help to reorient. The camper should be monitored and allowed to rest, if necessary, until a medical staff person arrives.

Once a medical staff person arrives, the camper should be assessed in terms of breathing, level of consciousness, alertness and comprehension, injury status (e.g. head, tongue, limbs, etc.), and the need for sleep or rest. If the camper needs to rest, the medical staff person should allow him or her to do so if it’s comfortable enough at the current location or escort the camper to a more appropriate location. Unless the medical staff person feels the camper needs continued monitoring by medical staff, another staff person can be appointed to stay with the camper until s/he is fully rested.
 
Complex Partial Seizures
If it is determined that a camper is having a complex partial seizure (wandering, unresponsiveness, mumbling, chewing or lip smacking, repetitive movements, or other unusual behaviors), the Person in Charge (according to the Medical Emergency Chain of Command) should check his or her watch or a clock once the seizure starts (to time the duration of the seizure). S/he should then direct another staff person to contact the Medical Staff Coordinator or highest available medical staff person. During the seizure, the person in charge should gently redirect the camper from hazards or, if possible, block access to or remove such hazards. The camper should not be restrained forcefully. If the camper is agitated, interaction should be kept to a minimum until the agitation has subsided.

Once the seizure is over, the person in charge should help to reorient the camper, explain to the camper what happened and stay with the camper until s/he is fully alert and reoriented. A medical staff person can determine whether any additional aftercare is required (e.g. rest, monitoring, etc.).
 
Seizure Reporting and Documentation
Absence, Myoclonic, Simple Partial, and Drop Seizures
In general, the camper’s Camp Counselor should give a summary report of these seizures near the end of each day to the Medical Staff Member assigned to their cabin (e.g. “this camper had probably 20-30 absence seizures today, mostly in the afternoon,” “she had two myoclonic seizures and a drop seizure today with no injuries; I wasn’t aware of any possible triggers,” or “a couple of times today, he said he smelled a bad smell and then it went away; I’m guessing they were simple partial seizures”). The Medical Staff Member will determine whether any of this activity needs to be documented, whether medical follow-up is needed, and whether parents need to be called. Any seizures that result in injury or are followed by a tonic clonic or complex partial seizure should be documented on a Seizure Record form.
 
Generalized Tonic Clonic and Complex Partial Seizures
These seizures should be reported immediately via the camp’s communication system to the Medical Staff Coordinator or next available medical staff person. Each seizure should be documented on a Seizure Record form by the staff person who witnessed the seizure.
 
Seizure-Like Activity or Seizures of Unknown Type
Because of the nature of epilepsy, it is possible that a staff person will witness unusual behavior that may not fit clearly into a particular category of seizure or may not even be a seizure. If such behavior is isolated, it should be reported and documented on a Seizure Record form. If it is recurrent and does not interfere significantly with the camper’s participation in activities, the staff person witnessing it can simply mention it to the Medical Staff Coordinator, who will then decide if any intervention or documentation is needed.
 
When to Call 911
The Person in Charge should call 911 (or direct another staff person to do so) if the Medical Staff Coordinator is not available and any of the following situations occur:
  • a seizure lasts for more than 5 minutes
  • a seizure stops and is followed by another seizure without the person fully regaining consciousness
  • the seizure takes place in water and the camper’s head or face was under or in the water at any point during the seizure
  • the person is seriously injured during the seizure
  • normal breathing or complexion does not return after the seizure has stopped
Please Note: The Medical Staff Coordinator has the final say as to whether or not 911 will be called. There may be occasion when the Medical Staff Coordinator deems it necessary to call 911 even after Diastat has been administered.
 
Diastat
For campers who do not have a prescription for Diastat but whose parents have given permission to use it, Diastat will be administered by a camp medical staff person under the following circumstances:
  • a seizure lasts for more than 5 minutes
  • a seizure stops and is followed by another seizure without the person fully regaining consciousness
For campers who have a prescription, Diastat will be administered by a camp medical staff person according to the directions given by the camper’s physician.
 
If Diastat has been administered, the camper will be monitored by camp medical staff until the seizure ends, respiratory function has been deemed normal, and the camper is fully recovered. Because of the on-site presence of medical personnel, calling 911 as a preventive measure is unnecessary. Please Note: The Medical Staff Coordinator has the final say as to whether or not 911 will be called. There may be occasion when the Medical Staff Coordinator deems it necessary to call 911 even after Diastat has been administered.
 
At the discretion of the Medical Staff Coordinator, non-medical staff who have been properly trained in the use of Diastat may be allowed to administer it in certain circumstances.
 
VNS Magnet Protocol
Camp Counselors who have a camper with a VNS in their group will be given a VNS magnet (to keep with them at all times) and trained in its use. The Medical Staff Coordinator will provide the training and the specific protocol for each camper who has a VNS. This protocol will be established through discussion with the camper’s parents and, if necessary, physician.
 
Dealing with Other Campers During and After a Seizure
For minor seizures that don’t require first aid, other campers should be encouraged to continue with normal activities and should only be told what is happening if they ask or if they are distracted or disturbed by the seizure (in which case they should be simply told that the other camper had or is having a seizure, s/he is ok, and everyone should continue with their activity).

For seizures that require first aid and/or Diastat, the other campers will be redirected away from the camper having the seizure to allow staff the space to take care of the camper and privacy for the camper. If it is possible to continue the activity in which the campers were engaged when the seizure started, that should be done; if not, the activity should be resumed when the person in charge of handling the seizure says it’s ok to do so.

Some campers may be upset after witnessing a seizure (particularly those who have never seen a seizure before or who are unfamiliar with this particular type of seizure). Acknowledge their feelings by saying that seizures can be scary to watch, but the person having the seizure rarely gets hurt, and s/he doesn’t want to be treated any differently after the seizure. Other campers might be curious and have questions. Answer any questions in an honest and straightforward manner, while being sure to respect the privacy of the camper who had the seizure.
 
Seizures in Special Circumstances
While Swimming
The medical staff person or other staff person who notices the seizure will inform the Waterfront Director immediately, and assist in removing the camper from the water, if necessary, under the instruction of the Waterfront Director. If the camper’s head or face went in or under the water at any point during the seizure, 911 will be called immediately and medical emergency procedure will be followed. If the camper shows no signs of injury, s/he will be allowed back into the water at the discretion of the Medical Staff Director.
 
On a Boat
The lifeguard leading the boating excursion will move his or her boat to the boat in which the camper is having a seizure and provide appropriate first aid, taking precautions to prevent the camper from falling out of the boat. If the camper falls out of the boat before the lifeguard can get his or her boat to the camper’s boat, the lifeguard will jump into the water and lift the camper back into the boat. If the camper’s head or face went in or under the water at any point during the seizure, 911 will be called immediately and medical emergency procedure will be followed. If the camper shows no signs of injury, s/he will be allowed back into the water at the discretion of the Medical Staff Director.
 
In the Shower
If a tonic clonic seizure is suspected by a staff person, s/he will call the camper’s name through the shower curtain. If the camper does not respond, the staff person will enter the shower stall. The water should immediately be turned off, and standard first aid should be provided. If the camper shows signs that s/he may have aspirated water (e.g. face was in a puddle of water or shower was spraying directly into mouth), 911 will be called immediately and medical emergency procedure will be followed.
 
On the Toilet
If a tonic clonic seizure is suspected by a staff person, s/he will call the camper’s name through the stall door. If the camper does not respond, the staff person will enter the stall. If the camper has not already fallen to the floor, s/he should be kept in a sitting position by gently slipping your arms under the camper’s arms from behind to support the body in a sitting position and supporting the camper’s chin in a neutral position to facilitate breathing. If this is not feasible, the camper should be gently lowered to the floor and onto his or her side.
 
In Bed
Standard seizure response procedure will be followed with the following special provisions:
  • The Person in Charge will take precautions (not including restraint) to ensure that the camper does not fall out of bed. In the case of a complex partial seizure, the camper will be allowed to get out of bed but will be watched carefully.
  • Other campers will not be taken out of the cabin, and efforts should be made to avoid waking them up. Those that do wake up will be informed that everything’s ok and asked to go back to sleep.
  • Camp Counselors will inform campers on the first day of camp that if they notice another camper having a seizure during sleep time, they should wake up the camp counselor.
While Eating
In the case of a tonic clonic seizure, if the camper has not already fallen to the floor, s/he should be gently lowered to the floor and onto his or her side. At that point, standard first aid should be used. Special attention should be paid to the camper’s airway, particularly after the seizure is over. If normal breathing does not resume, the airway should be checked for blockage, which, if present, should be removed according to first aid protocol for choking.
 
On the Climbing Wall
If a seizure other than an absence or simple partial seizure occurs while a camper is on the climbing wall, two adults will lower the camper to the ground as quickly as is safely possible. The sling line [the rope that attaches to the harness] will be removed and standard first aid will be used.
 
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Health Services

Each camper will be screened for lice during the first morning of camp.

Each camper’s prescription and non-prescription medications will be checked in with the Camp Discovery Medical Staff upon arrival at camp.

Campers and staff will generally be transported to the emergency center at Bronson Methodist Hospital. They are the closest facility, a Level One Trauma Center, as well as being recognized as a leading children's hospital. When possible, the Medical Staff Coordinator will read the injured person’s medical treatment consent form and health history form for documented preferences on treatment centers, hospitals, or doctors the injured person has requested we contact or seek out for treatment.

There is an infirmary located in each village. This is where the majority of first aid and health care supplies are kept. Each cabin will also have a first aid kit, which they may carry with them to all activities.

All prescription and non-prescription drugs and medications will be kept in locked cabinets. Refrigerated medications will be kept in a locked refrigerator or a locked box in the refrigerator. Medications will be given at breakfast, lunch, and shower/cleanup period before bedtime. If necessary, medications will be given at other designated times as determined by the camper’s family and physician. Medications that are needed for possible life-threatening emergencies will be kept by the counselor or other adult in charge of the camper (such as asthma medication, epipens, or bee sting kits).

Campers' physical and emotional states will be observed daily. Counselors, support staff, directors and the Medical Staff Coordinator all have a responsibility to make sure the camper is okay and, if anything is questioned, the camper will be brought to the infirmary to be checked out by the Medical Staff Coordinator and, if necessary, the Pediatric Neurologist. If serious health or wellness issues are observed, the Medical Staff Coordinator is contacted and the situation will be dealt with in the proper manner. When campers need to go to the doctor or emergency room, the camper's parents or legal guardian will be contacted by either the Camp Director or the Medical Staff Coordinator as soon as the situation allows. If the parent cannot be contacted, the emergency contact will be notified. If s/he cannot be contacted, we will keep trying to contact the parent/legal guardian and/or the emergency notification number until someone is reached and notified of the situation.
 
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Health Facilities

There is an infirmary located in each village. This is where both campers and staff will be treated for minor injuries, etc. The majority of first aid and health care supplies are stored in the infirmaries. Each cabin will also have a first aid kit, which they may carry with them to all activities.

The camp shall provide temporary isolation of any camper, staff member or other person in camp who comes in contact with campers and who is suspected of having a contagious disease. The place of isolation shall ensure privacy and quiet and will not be located in or directly adjacent to the food storage, preparation or serving areas.
 
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General Health Care

There are a variety of good health habits that can help us maintain good health throughout our camp community. The Medical Staff Coordinator recommends the following prevention methods to help prevent the spread of germs from one individual to another:
  1. Wash your hands frequently during the day and always following use of the bathroom.
  2. Cover your mouth and nose with your arm when you cough or sneeze.
  3. Eat foods from the 4 food groups on a daily basis with an emphasis on fruits and vegetables.
  4. Obtain an adequate amount of sleep. For the majority of people this means an average of at least 8 hours a night.
  5. Develop positive ways of coping with stressful situations.
  6. Don't share eating utensils, water bottles, cups, towels, toothbrushes, or other personal hygiene products with anyone else.
  7. Develop and maintain healthful personal hygiene habits. By preventing the spread of germs we improve our overall wellness and that in turn lowers the risk of contracting communicable disease of any type.
  8. Make sure your campers go to the bathroom regularly, this usually is a reason for a camper not feeling well or having a stomachache.
  9. Make sure everyone wears shoes at all times.
  10. Make sure your campers don't eat strange berries, mushrooms, or bugs. If this does occur, bring a sample and the camper to the infirmary immediately.
General Procedures
  1. Wear disposable gloves before making contact with body fluids during care, treatment and all clean-up procedures (i.e., vomit, urine, feces, blood, saliva).
  2. Wash hands after handling fluids and contaminated articles, whether or not gloves are worn.
  3. Do Not re-use plastic bags or gloves.
  4. Use paper towels to pick up and discard any solid waste materials such as vomit or feces.
Hand Washing
  1. Use soap and warm running water. Soap suspends easily removable, soil and microorganisms allowing them to be washed off.
  2. Rub hands together for at least 15 seconds to work up a lather.
  3. Scrub between fingers, knuckles, back of hands, and nails.
  4. Rinse hands under warm running water. Running water is necessary to carry away debris and dirt.
  5. Use paper towels to thoroughly dry hands.
  6. Discard paper towels.
 
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Go to Camp Discovery Staff and Volunteer Handbook (part 2)
 

 
Staff Code of Ethics: Staff and Volunteers are required to sign and return this form prior to camp.
 
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