Transcript Camp Odayin Medical Training

Camp Odayin
Medical Training
2015
Objectives
 Roles and responsibilities of camp medical staff
 Common camper diagnoses and their implications
 Common camper concerns
Roles and Responsibilities
Doctor
Lead Nurse
Cabin Nurse
Camp Doctors
 There will be 2-3 pediatric cardiologists or intensivists
every week at camp.
 Doctors are available 24/7 by walkie talkie.
 At least one doctor will be present at horseback
riding and water front each day.
Lead Nurse
 There will be one lead nurse at each camp session.
 The lead nurse is available by walkie talkie 24/7.
 Responsible for overseeing all health care aspects at
camp including doctor and cabin nurse staffing and
camper/volunteer health and safety.
Cabin Nurses
 There will be one cabin nurse for every 1-2 cabins.
 Cabin nurses are responsible for the health and safety
of their campers.
 They will attend all camper activities and report any
concerns to leadership staff.
 They will administer medications to campers each
day.
Common Camper Diagnoses
Congenital Heart Defects (CHD)
Implantable Pacemaker/Defibrillators
Heart Transplants
Normal Heart Function
The Plumbing:
• In normal heart function
blood travels through a
series of blood vessels,
valves, and heart
chambers.
• The heart pumps
deoxygenated blood
from the body to the
lungs.
• It then pumps
oxygenated blood from
the lungs back to the
body.
Normal Heart Function
The Electricity:
 An electrical
current travels
from the top of
the heart to the
bottom.
 The electricity
causes the
heart muscle to
contract,
squeezing the
blood forward.
Congenital Heart Defects (CHD)
 Most of our campers have CHD, which is a defect in the
“plumbing” of their hearts.
 CHD is the number one birth defect in the United States.
 The defect can be simple, such as a small hole between
two of the heart chambers or a valve missing one leaflet.
 Defects can also be complex, such as a chamber that is too
small or valves that are completely closed off.
 Some campers may have multiple, very complex defects.
Congenital Heart Defects (CHD)
 Many campers have had multiple open heart
surgeries to correct their CHD. Some of our campers
have had their chests cracked open 5-6 times by the
time they are a teenager.
 Sometimes the surgeries work well. Other times the
campers continue to have trouble. They may have
blue lips and nail beds. They may also tire more easily
than other campers.
Congenital Heart Defects (CHD)
 Most campers know how to listen to their bodies.
They may need to take a break sometimes.
 There is a one hour rest hour after lunch each day.
This allows campers (and staff) some time to reboot.
 It is very important for campers to stay well hydrated,
especially campers who have had a Fontan
procedure. These campers need enough fluid in their
blood system to get blood to their lungs.
Congenital Heart Defects (CHD)
 If you would like more information on common
defects our campers may have, look up with these
diagnoses:
 Fontan procedure and ventricular hypertrophy
 Tetralogy of Fallot
 Septal defects
Pacemakers and Defibrillators
 Some campers have trouble with the electrical system
in their heart. They may have an implanted device
under their skin. This device sends electrical currents
to their heart muscle if it goes out of rhythm.
 Pacemakers are used to speed the heart up if it gets
too slow.
 Defibrillators are used to slow the heart down if it
goes too fast.
Pacemakers and Defibrillators
Pacemakers and
defibrillators are
implanted under
the skin, usually
under the left
collar bone.
Pacemakers and Defibrillators
 If your camper’s defibrillator gives a shock:
 The shock will likely knock the person to the ground. They
may pass out before the shock happens.
 People often say it feels like being kicked in the chest by a
horse. Ouch!
 Remember, the defibrillator went off for a good reason!
 Try to remain calm. Call for help on the nurse’s walkie talkie.
 Avoid any rough play. Trauma to the device can cause
malfunction.
Heart Transplants
 Some of our campers have
been given the most precious
gift, a heart transplant.
 Some campers may have they
contracted a virus which made
their hearts weak.
 Some campers had congenital
defects which were too
complex to survive without a
transplant.
Heart Transplants
 Campers who have had a heart transplant are on
antirejection medications. These medications make it more
difficult to fight off infections.
 Please encourage your campers to wash their hands before
meals/snacks, after using the bathroom, and after activities.
 Notify medical staff if your camper develops a fever or chills.
 For more information on organ transplantation visit
www.unos.org
Common Camper Concerns
What should I be prepared for?
 Most of what we see at camp are your typical “kid things”:
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Bumps and bruises….and a few broken bones….
Bug bites and stings
Headaches
Slivers
 If you notice your campers looking more pale, blue, short
of breath, tired, or swollen (especially their abdomen,
ankles, or feet) please report it to the medical staff right
away.
Do we ever have emergencies at
camp?
 We do our best to keep campers safe. Kids with
heart disorders can be at a higher risk for having a
sudden cardiac event.
 We are prepared for emergencies
 We are well staffed, with one nurse for every 1-2 cabins, at
least two doctors on duty every camp session, and a lead
nurse available at all times.
 AEDs and emergency medications are readily available.
 Local hospitals and EMS are aware that we are in the area.
Walkie Talkies
 All nurses have a Walkie Talkie with them (but turned off)
at all time.
 Lead nurse, doctors, and/or other leadership staff have
their Walkie Talkies turned on at ALL times.
 The lead nurse is always on-call. There will be a Walkie
Talkie in your cabin for use at night. We will talk more
about this at staff meeting the first and second nights of
camp.
 If you need help use your nurse’s Walkie Talkie to reach
other staff.
ALL INJURIES AND ILLNESS MUST BE
REPORTED TO THE LEAD NURSE!
 That means you!
 We need to know if campers AND volunteers are getting
hurt.
 We need to know if campers AND volunteers are not feeling
well.
 All injuries and illness MUST be recorded in the health
center log by a member of the health care team.
Water!
 Please remember to keep yourself and your campers
hydrated!
 If your camper is more tired they might be
dehydrated.
 Campers will follow your lead. Even the teenagers!
 Make a game of it if you have to.
Sunscreen
 Please remember to put sunscreen on your campers
and yourself in the morning. Reapply throughout the
day.
 There is sunscreen in your cabin bag. Bring it with
you! If you run out leadership staff have TONS of it,
ask for more.
 Just because it’s cloudy doesn’t mean you can’t get
sun damage.
 Once again, those kiddos will follow your lead…. Even
the teenagers!
Coumadin and Aspirin
 A lot of our campers need to be on blood thinners.
They will be more prone to bleeding and bruising.
 Avoid contact sports and rough housing
 We try to have activities that are appropriate for all
campers. If you think an activity is too rough please
tell a Camp K or an Odayin staff member.
Handwashing
 Infection control is VERY important, especially with
our heart transplant kiddos.
 Please remind your campers to wash their hands
before they eat, after they use the bathroom, and
after activities.
Bedwetting
 Two nurses will look through cabins every morning
and choose the winner of the clean cabin awards!
(Secret confession: they are also looking for wet
beds. Shhhh….)
 If you notice a camper with a wet bed please let your
cabin nurse or lead nurse know. We will wash bedding
every day.
 Please be discrete if you notice a camper has wet his
or her bed. It is very embarrassing.
Swimmers Itch
 Itchy, small, red bites caused by a bug that lives in the
shallow waters of Trout Lake
 Some people are more allergic and reactive than others.
 What can you do?
 Stay out of the shallow water if possible.
 Dry off with a towel right away. Do not allow yourself to air
dry.
 We have some topical remedies to try if you do get swimmers
itch.
Staff Medications
 It is very important that we keep ALL medications out
of the cabins. Medications are locked inside the
health center, with the exception of Epi pens and
rescue inhalers (albuterol).
 On Monday morning there will be a bin for staff to
put their medications in. We will provide brown paper
bags for your privacy.
Staff Medications
 You may come to the health center for your
medications after breakfast, before the nightly staff
meeting, and as needed. Just ask a member of the
health care team to let you in the medication room!
 Cabin nurses often have over-the-counter
medications (Tylenol, ibuprofen, Neosporin, etc) in
their backpacks. Just ask!
Thank you!
 If you have any questions or concerns please feel free to ask
the health care staff
 Thank you for helping us make camp a safe, healthy, and fun
place to be!