Current through Register 1531, September 27, 2024
(A)
Medication prescribed for campers shall be kept in original containers bearing
the pharmacy label, which shows the date of filling, the pharmacy name and
address, the filling pharmacist's initials, the serial number of the
prescription, the name of the patient, the name of the prescribing
practitioner, the name of the prescribed medication, directions for use and
cautionary statements, if any, contained in such prescription or required by
law, and if tablets or capsules, the number in the container. All over the
counter medications for campers shall be kept in the original containers
containing the original label, which shall include the directions for use.
(M.G.L. c. 94C, § 21).
(B) All
medication prescribed for campers shall be kept in a secure manner
(e.g., locked storage or in the controlled possession of the
individual responsible for administering them, according to American
Camp Association Accreditation Process Guide). Medications requiring
refrigeration shall be stored at temperatures of 36°F to 46°F in
accordance with Massachusetts Board of Registration in Pharmacy guidance
regarding proper storage of refrigerated and frozen medications.
(C) Except as otherwise provided in 105 CMR
430.160(D), (E), and (H), medication shall only be administered by the health
care supervisor or by a licensed health care provider authorized to administer
prescription medications under M.G.L. c. 94C, § 9. If the health care
supervisor is not a licensed health care professional authorized to administer
prescription medications, the administration of medications shall be under the
professional oversight of the health care consultant. The health care
consultant shall acknowledge in writing a list of all medications administered
at the camp. Medication prescribed for campers brought from home shall only be
administered if it is from the original container, and there is written
permission from the parent/guardian.
(D) For medical specialty camps:
(1) The administration of medication for
diabetes care shall be conducted or be under the direct supervision of a health
care provider listed in
105
CMR 430.159(E);
and
(2) Medical specialty camps
authorized to administer medications for diabetes care pursuant to M.G.L. c.
94C shall comply with all registration requirements set forth in
105 CMR
700.000: Implementation of M.G.L. c.
94C and maintain documentation of current registration for the
duration of the camp season.
(E)
Policy on Administration of
Medications. All camps shall have a written policy for the
administration of medications at the camp. This policy shall:
(1) List individuals at the camp who are:
(a) Health care consultants or designated
health care supervisors authorized by scope of practice to administer
medications;
(b) Qualified health
care supervisors who are properly trained and designated to administer oral or
topical medications by the health care consultant;
(c) Authorized to administer epinephrine
auto-injectors by the health care consultant; and
(d) Authorized to administer medications for
diabetes care at a medical specialty camp pursuant to
105
CMR 430.159(F).
(2) Require health care
supervisors designated to administer prescription medications to be trained by
the health care consultant to administer oral or topical medications in
accordance with 105 CMR 430.160(I).
(3) Require individuals who are authorized to
administer epinephrine auto-injectors under 105 CMR 430.160(F) to be
specifically trained to administer epinephrine auto-injectors under the
direction of the health care consultant in accordance with 105 CMR
430.160(I).
(4) Require individuals
who are authorized to administer medications for diabetes care at a medical
specialty camp under
105
CMR 430.159(F) to be
specifically trained by the health care consultant to administer medications
for diabetes care and shall only be administered under the direct supervision
of a health care provider listed in
105
CMR 430.159(E).
(F)
Policy on
Administration of Epinephrine Auto-injectors. A camp may allow a
camper who has a prescription for an epinephrine auto-injector for a known
allergy or pre-existing medical condition to:
(1) Self-administer and possess an
epinephrine auto-injector at all times for the purposes of self-administration
if:
(a) the camper is capable of
self-administration; and
(b) the
health care consultant and camper's parent/guardian have given written
approval.
(2) Receive an
epinephrine auto-injection by the health care consultant, the health care
supervisor, or any other camp staff if:
(a)
the health care consultant and camper's parent/guardian have given written
approval and, for any health care supervisor or other camp staff who are not a
licensed health care provider, the camper's parent/guardian has given written
informed consent for unlicensed staff to administer an epinephrine
auto-injector to the camper as needed; and
(b) the unlicensed health care supervisor and
other camp staff who may administer epinephrine auto-injectors have completed a
training developed by the camp's health care consultant in accordance with the
requirements in 105 CMR 430.160(I).
(G)
Administration of Medications
for Diabetes Care. A camp may allow a camper or individual
authorized under
105
CMR 430.159(F), to monitor
blood sugar or administer medication for diabetes care, including insulin
injections. If a diabetic camper requires their blood sugar be monitored, or
requires medication for diabetes care, the camp may:
(1) Allow a camper, if capable, to
self-monitor and/or self-administer provided that:
(a) Blood monitoring activities such as
insulin pump calibration, etc. and self-administration must
take place in the presence of the properly trained health care supervisor or
individual authorized under
105
CMR 430.159(F) who may
support the camper's process of self-administration; and
(b) The health care consultant and camper's
parent/guardian have given written informed consent for the camper to
self-administer and self-monitor.
(2) Allow an individual authorized under
105
CMR 430.159(F) to monitor a
camper's blood sugar or administer medications for diabetes care if:
(a) the health care consultant and camper's
parent/guardian have given written informed consent for an unlicensed
individual authorized under
105
CMR 430.159(F) to monitor
the camper's blood sugar and administer medications for diabetes care;
and
(b) the unlicensed individual
authorized under
105
CMR 430.159(F) has
completed training by the health care consultant in accordance with 105 CMR
430.160(I) to administer medications for diabetes care and monitor blood sugar
and are under the direct supervision of a health care provider listed in
105
CMR 430.159(E).
(H)
Policy
on Use of Inhalers. A camp may allow a camper who has a
prescription for an inhaler for a pre-existing medical condition to
self-administer and possess an inhaler at all times for the purposes of
self-administration if:
(1) the camper is
capable of self-administration; and
(2) the health care consultant and camper's
parent/guardian have given written approval.
(I)
Required Training for
Medication Administration.
(1)
The required training for unlicensed health care supervisors designated to
administer oral and topical prescription medications pursuant to 105 CMR
430.160(E)(2) shall:
(a) be provided by the
health care consultant; and
(b) at
a minimum, include content standards and test of competency developed and
approved by the Department.
(2) The required training for unlicensed
health care supervisors and other camp staff designated to administer an
epinephrine auto-injector pursuant to 105 CMR 430.160(F)(2)(b) shall:
(a) be provided under the direction of the
health care consultant; and
(b) at
a minimum, include content standards and a test of competency developed and
approved by the Department.
(3) The required training for unlicensed
health care supervisors supporting a child's process of self-monitoring and/or
self-administering medications for diabetes care shall:
(a) be provided by the health care
consultant; and
(b) include the
signs and symptoms of hypo- or hyperglycemia, and appropriate diabetic plan
management.
(4) The
required training for unlicensed individuals authorized to administer
medications for diabetes care at a medical specialty camp pursuant to
105
CMR 430.159(F) shall:
(a) be provided by the health care
consultant; and
(b) at a minimum,
include content standards and a test of competency developed and approved by
the Department.
(J) The health care consultant shall:
(1) document the training and test of
competency of unlicensed health care supervisor(s) designated to assume the
responsibility for prescription medication administration; and
(2) provide a training review and
informational updates at least annually for those camp staff authorized to
administer an epinephrine auto-injector pursuant to 105 CMR 430.160(F);
and
(3) document the training and
test of competency of unlicensed individuals authorized under
105
CMR 430.159(F) to
administer medications for diabetes care at a medical specialty camp.
(K) When no longer needed,
medications shall be returned to a parent or guardian whenever possible. If the
medication cannot be returned, it shall be disposed of as follows:
(1) Prescription medication shall be properly
disposed of in accordance with state and federal laws and such disposal shall
be documented in writing in a medication disposal log.
(2) The medication disposal log shall be
maintained for at least three years following the date of the last
entry.
(L) Any hypodermic
needles and syringes or any other medical waste shall be disposed of in
accordance with
105 CMR
480.000: Minimum Requirements for the
Management of Medical or Biological Waste.
