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AFAA Camp 2012A Camp for Food Allergic Kids and Their Families
VOLUNTEER ORIENTATION
ORIENTATION
INTRODUCTION
PART 1 – BASIC INFORMATION
PART 2 – MEDICAL INFORMATION
PART 3 – MEALS & SNACKTIMES
PART 4 – CAMPERS’ RESPONSIBILITES
INTRODUCTION
HISTORY
No safe camp for kids with food allergies
2004 Planning Discussions began
Site visits Camp Fire organization’s Camp Ojikita
other Minnesota camps
2009 Voyageur Environmental Center (Boys & Girls Club)
AFAA IS THE FIRST FOOD ALLERGY CAMP IN THE U.S. – AND IS THE ONLY OVERNIGHT CAMP IN THE COUNTRY
MISSION
The purpose of AFAA Camp is to provide a camp experience for children, who - because of their food allergies - might otherwise be unable to safely participate in a mainstream camp program.
OBJECTIVES1. Provide a safe camp experience for children with food allergies.
2. Provide leadership training for food allergic teenagers & young adults.
3. Provide food allergy & anaphylaxis education for children, their siblings and their parents.
4. Promote improved self-care, self-image and independence for children with food allergies.
5. Normalize food allergies among a group of peers.
6. Reduce anxiety in parents.
7. Provide respite from social & medical stressors involved in participating in group functions.
8. Provide an opportunity for parents to network with each other to gain mutual emotional and social support.
9. Interact with nature and gain appreciation of the environment.
10.Engage in traditional camp experiences.
UNIQUENESS – INCLUSIVENESS & SAFETY
Age Range
All Allergens (not just “Major 8”)
Day-camp & Overnight Options
Parents Encouraged to Participate (family camping or volunteering)
Physicians on-site 24-Hours; EMS Prepared to Respond
Certified Food Managers
Food Safety Inspections Score
Food Safety Trainer Walk-Through
Dietitian Review
Specified Products & Companies Used
Staff & Volunteers Trained
WHEN & WHERE
June 9, 10 (Saturday – Sunday)
Voyageur Environmental Center
7000 County Road 15; Mound, Minnesota 55364
(just west of Minnetrista)
http://www.campvec.org/Contact_Us.html
PART 1 – BASIC INFORMATION
LAYOUT
Facilities AFAA Camp uses: lodge, amphitheatre, parking lot, cabins, lake & waterfront & beach, archery range, trails, campfire pit, volleyball court & frisbee golf, field, etc.
REGISTRATION UPDATE
Projected attendance 2012 19 children
13 adult campers
4 Medical staff
Numerous Activity Volunteers
Cabin/group assignments (roster will be distributed June 9) Girls’ cabin
Boys’ cabin
Additional Staff cabin
STAFF ROLES
Activity Leaders & Assistants
Cabin Leaders & Assistants
Physicians
Medical Staff assisting physicians
Camp Director, AFAA Directors
General Volunteers
2012 STAFF Sadie Atkinson, FEEDS Facilitator & Health Intern
Dr. Ramalingham Arumugam, MN Gastroenterology*
Lynn Gabriel, Celiac Disease Foundation Twin Cities President
Lars Johnson, FoodSafetyGuy Food Safety Trainer
Terry Justin, L.P.N.
Anne McLellan, AFAA Camp Director
Nona Narvaez, AFAA Executive Director˚
Dr. Mee Lee Nelson, Southdale Pediatrics
Dr. Jennifer Oldham, Healthpartners
Dr. Nancy Ott, Southdale Pediatrics*˚
Jeff Schaefer, AFAA Co-Founder˚
Kristi Winkels, R.D., L.D., Eating With Food Allergies*
Numerous Activity Volunteers
*AFAA Medical Advisory Board Member ˚ AFAA Board of Directors Member
SCHEDULE - SATURDAYTime Activity
8-8:45am Camper check-in
8:45-9am Ice breaker string game
9-9:30am Group welcome & orientation
9:30-10:15am Special speaker & group interaction
10:15-10:30am Snack break
10:30-10:45am Camp cheers
10:45-11:45am Archery
11:45am-1pm Lunch & preparations/cleanup
1-2pm Music or alternative
2-2:15pm Prep for water activities
2:15-3:15pm Canoeing
3:15-4:15pm Snack; Swimming
4:15--5pm Cabins to change
5-6pm Dinner & preparations/cleanup
6-7pm Hike
7-8:45pm Campfire: marshmallows, singing, stories
8-8:30pm Day campers check-out
8:45pm- Cabins for bedtime prep
SCHEDULE - SUNDAY
Time Activity
7-8am Wake, clean up, packup
8-8:15 Flag raising
8:15-9:30am Breakfast
9:30-10:15am Music or alternative
10:15-10:45am Field Games
10:45-11:15am Thank-you craft
11:15-11:30am Snack
11:30-11:45am Closing Program
11:45am Evaluations & check-out
12:15pm Staff clean-up
RAINY DAY ALTERNATIVES
Indoor group games
Yoga
Nature Activities
Indoor campfire
STATIONS
Campers, upon arrival or departure visit these stations:
Check-in/Check-out
Health/Medical
Cabins (or lodge for day campers)
Lodge Area for first activity
FORMS
Communication Chart/Emergency Numbers
Cabin Roster
Incident Forms
Behavior Forms
Special Considerations noted on Camper’s registration
Teen Document of Services Form
Others
available at www.minnesotafoodallergy.org/camp/forms
Please read before arriving at camp!
CONFIDENTIALITY
Volunteers may not discuss or share campers’: Medical information
Educational, demographic, religious information
Volunteers may share information with M.D.s , Camp Director, AFAA Directors
Campers may share their own information independently or in discussion group. This is okay.
EDUCATION FOR CAMPERS
Food allergy reaction symptoms
Autoinjector use (when/how)
Meal Line with Meal Cards, Snack time Make asking about ingredients routine
Teach questions to ask (specific to each camper)
Familiarize campers to label reading (ingredient lists & warning statements)
Expand understanding of cross-contamination
Train about management of allergens through allergen (not camper!) segregation, cleaning procedures, discussion
COMMUNICATION
Medical Emergency on-site M.D. 911 Nona/Jeff and Keith; M.D. parent (if applicable)
Medical Need M.D. Anne or Nona/Jeff or Keith if ice bag or other first aid supplies are needed
Medical QuestionM.D.
Cabin IssueNona/Jeff/Anne Keith
Food QuestionNona/Cook
Weather Monitoring: Voyageur StaffNona/JeffAnneCabin Leadercampers
General QuestionNona/Jeff/Anne
PART 2 – MEDICAL INFORMATION
HEALTH ISSUES FOOD ALLERGY TRIGGERS 2012 Campers –
Milk, Egg, Peanut, Treenut, Fish, Shellfish, Soy, Wheat, Rye, Barley, Oats, Sesame, Sunflower, Lentil, Pea, Artichoke, Garlic, Eggplant, Millet, Vinegar, Lamb, Pork, Beef
ADDITIONAL DIETARY RESTRICTIONS 2012
Vegan, Vegetarian, Kosher
REACTIONS SYMPTONS (Note: child may not have ability to verbalize sensations!)
Abdominal pain, Vomiting, Diarrhea, Swelling (edema), Itching (hives), Coughing, Throat tightness, Breathing Difficulties, Lightheadedness, Skin redness & Nasal discharge/watery eyes (the latter symptoms are less common)
MEDICATION
Reviewed and recorded by M.D.
Distributed by M.D. with/without nurse’s or Directors’ assistance M.D. quizzes campers on knowledge of medications each
distribution time
Stored in carrying container with camper’s medical information Exception: when campers carry own medication per parent
authorization
Kept with M.D. - near campers - at all times, day/night
EPINEPHRINE AUTOINJECTORS
Brands: Epi-Pen, Twinject, Adrenaclick
Athough M.D.s are with campers at all times and will administer all routine and emergency medications, AFAA Camp staff and volunteers must know when and how to use epinephrine autoinjectors as well.
HEALTH CHECK-IN PROCEDURE1. Greet and confirm name of camper
2. Match camper with their registration forms
3. Check that these forms are present and completed (if applicable to camper):
1. Anaphylaxis Form (if applicable)
2. Asthma Form (if applicable)
3. Medical History Form (pages 4-5 of registration forms)
4. Emergency Medication Form (page 6 of registration form)
4. Check that medications with camper match medications listed on Medical History Form
1. Note time of administration on Daily Administration Forms
2. Check expiration dates
3. Discuss with camper importance of taking medications (i.e. teaching “why”)
4. Confirm camper’s ability to self-carry (if applicable per p. 6 of registration forms)
1. Note self-carry container/bag and its location
5. Place medications in bag labeled with camper’s name & content list; file in box
HEALTH CHECK-IN PROCEDURE
5. Listen to lung function:
5. Campers with compromised lung function should be medically treated as appropriate (e.g. albuterol)
6. If necessary, camper’s guardian/parent should be directed to seek further medical help immediately
6. Check for highly communicable condition:
5. Lice
6. Ringworm
7. impetigo
7. If highly communicable condition is present:
5. camper must be given instructions for OTC treatment (and bedding/personal item care, if applicable)
6. camper must return home for same-day treatment if camp or camper does not have the means to treat condition
7. camper can return to camp after same-day treatment has been administered
8. discussion should be discreet between M.D. and camper’s guardian/parent
8. Check for cuts or bruises that may need care or observation
HEALTH CHECK-OUT PROCEDURE
Greet and confirm name of camper
Match camper with their medical forms
Check that medications match medication list on bag
Confirm guardian/parent identification
Return medications to camper’s guardian/parent
Provide follow-up advice if applicable
Invite camper to return to AFAA Camp next year
M.D. RESPONSIBILITIES
Medical Check-in when campers arrive
Administration of medications throughout the day
Possession of camper medications and medical files During activities
In cabin at nighttime
Locked whenever possible
Within appropriate temperature parameters
Respond to medical needs as they arise, including emergencies
Determine if & when a camper’s medical situation requires them to return home or seek additional off-site medical care
Medical Rounds
Bedtime Assessments and Care
Medical Check-out when campers depart
Evaluate procedures and forms for subsequent AFAA camp sessions
MEDICAL INCIDENTS
In the event of a minor medical situation: M.D. will be alerted by one Leader while other Leader stays
with kids and keeps activities flowing
Medical incident report will be filed
MEDICAL EMERGENCIES
In the event of a major medical situation: M.D. will be alerted by one Leader while other Leader stays with kids and:
keeps activities flowing OR
removes kids to another location & activity (to distract, calm kids & be away from emergency attention)
AFAA Camp Directors will be alerted (Nona, Jeff, Anne)
Voyageur Director will be alerted (Keith)
911 will be called if necessary
Situation will be conveyed as clearly as possible (e.g. “Camper is experiencing anaphylaxis.”)
Designated camp Director will accompany camper (with parents, if applicable) to medical facility
Medical Incident report will be filled out by medical staff as soon as possible
Staff will talk with campers to calm, reassure, & address concerns
MEDICAL EMERGENCIES CONT’D
All Minnesota ambulances are equipped with epinephrine, oxygen, and defibrillators.
Campers would be transported to Ridgeview Medical Center, which is 11.44 miles (16 minutes) from the camp.
In the event of needing to transport a patient upon doctor’s orders, the hospital is also equipped with medical helicopters for patient transport to Children’s Hospitals in Minneapolis or St. Paul, or to Hennepin County Medical Center.
PART 3 – MEALTIMES & SNACKS
MEALTIME OVERVIEW
Allergen Cue CardsBuffet-line teachingWaiting line distractions/activities2 adults at each table!M.D. & Volunteer Staff supervise at all timesTables segregate allergens – not campers!Clean-up procedures
MEALTIME SAFETY: Adult Supervision Assignments
Buffet line escort-educators for every child
adults per table (2)
room overview (2)
Monitor garbage re cross contact of food & paper towels (1)
Monitor scraping (1)
Monitor that everyone takes new plate for seconds (1)
Monitor allergen table (1)
Bathroom/hand washing (2 minimum, more depending on #)
Gather and take children needing post-meal medication to physician (2)
MEALTIME PROCEDURES - Handwashing
1. Cabin and Activity Leaders take campers to lodge bathrooms (basement level) for handwashing 15 minutes before mealtime
1. Handwashing
1. includes soap
2. includes hands under running water for 30 seconds
3. includes thorough drying
4. includes care in keeping hands clean in interval between washing & eating
5. Dry floor with paper towels if floor gets wet (Wash hands again after wiping floor)
MEALTIME PROCEDURES – Waiting in Line
2. Campers and Leaders line up by cabin group in lodge hallway outside of dining room (do not enter dining room until invited in)
3. Campers sing & do hand clapping games while waiting to go through buffet line
4. Campers will be invited to go through buffet line 2 at a time with one Leader (midway through the buffet line, the next 2 campers may start the buffet line)
1. Based on camper’s cue card allergen list, Leader will cue camper to:
1. habitually ask “Is [specify allergen] in this food?”
2. look at labels for allergenic ingredients
2. Leader will encourage camper to taste a variety of foods (even if a small amount)
1. for a balanced diet
2. to try new things
MEALTIME PROCEDURES – Buffet Line
ALLERGEN CUE CARD
MEALTIME PROCEDURES CONT’D
5. Parents who have more than one child will need Leaders to assist them
6. Remember that no-one except on-duty certified FSM are allowed in kitchen
7. Campers will sit at any eating table (but not activity tables) with the exception of tables that allow their allergens (indicated by tent cards or other signs)
8. Two adults will sit at each table
9. Two children can visit the restroom at a time (no-one is to go alone), supervised by an adult
10.Campers may have 2nd & 3rd helpings USING A CLEAN PLATE
11.Campers follow Clean-Up procedures (separate sheet)
12.Campers will wash hands after Clean-Up tasks are completed
MEALTIME CLEAN-UP PROCEDURES
Scrape scraps into garbage can
Put dirty dishes appropriate locations
Put garbage & recycling in appropriate locations
Wipe tables with paper towels and cleaning spray
Sweep floor
WASH HANDS
MEALTIME CLEANERS
Sweepers (depends on # of brooms)
2-3 table sanitizer sprayers (spray towels not tables)
Chair movers and chair/table wipers the rest)
MEALTIME CLEAN-UP PROCEDURES CONTINUED
Clean table first. Spray sanitizer onto paper towels (2-3 campers will be designated per to
do this task).
Wipe tables in a single strokes for each side of paper towel (this prevents cross-contamination).
Throw out paper towels in garbage.
Remove chairs from under table before sweeping.
Sweep under table.
Wipe front, back, edges and seat of chairs as needed.
Return chairs to tables.
Sweepers finish around chairs, then walking areas (N /S/E/ W) starting together at one end of table area to opposite end of room.
MARSHMALLOWS/CAMPFIRE
1. Two hours prior to campfire, area will be sprayed with yard insect repellant
2. Campers at-risk for asthma should have albuterol administered prior to this activity.
3. Instruction on FIRE SAFETY will be given by staff prior to this activity.
4. Instruction on FOOD SAFETY will be given by staff prior to this activity.
5. Campers will be supervised at all times, and discouraged from rowdy behavior.
6. Campers should stand on side of campfire facing downwind.
MARSHMALLOWS/CAMPFIRE
7. Disposable gloves used by staff to hand out each type of marshmallow, with glove disposal between distribution of different types (marshmallows and forks may be color or shape-coded).
8. Campers will roast in groups according to dietary needs to prevent cross contamination.
9. Groups will be rotated.
10. All participants will wash hands after roasting/eating marshmallows
PART 4 – CAMPERS’ RESPONSIBILITIES
CAMPER RESPONSIBILITES Campers are responsible for their actions.
Campers must respect themselves, other campers and adults, camp equipment and facilities, and the environment.
Campers will demonstrate communication, cooperation, & caring.
The following is Not Permitted by campers:
Leaving an activity without permission or without adult supervision
Endangering the health & safety of children or staff in any manner
Smoking, alcohol or illegal or inappropriate drug use
Theft or destruction of property
Profanity or vulgar language (swearing)
Hostile language towards others (name calling, teasing, disparaging comments)
Weapons of any kind
Inappropriate physical behavior (i.e. in a sexual manner or threatening gestures or body language, fighting)
DISCIPLINE
When a camper does not follow the behavior guidelines, Parent Leaders or Staff or Volunteers will take the following action/steps:
Indirect redirecting behavior (changing camper’s focus)
Verbal redirecting of behavior (“please stop…” or “please do….”)
Require camper to stand or sit by an adult leader
Remove camper from activity
Initiation of formal evaluation of behavior for possible dismissal
Dismissal from camp (camper fees – including those of accompanying family members - are non-refundable if a camper is sent home for disciplinary reasons).
BEDS & BUNKBEDS Campers may choose their own bunkbeds
Family campers (mothers with daughters; fathers with sons) have first priority for beds in the lofts
Campers should not be allowed to leap from top bunk to top bunk
In case of severe weather, do not leave the cabin: instruct campers to take shelter under bunkbeds
CABIN LEADERS – TASKS FOR CAMPERS
Tidy your bed
Put your clothes and things away after use
Hang wet clothes and towels on clothesline
Wipe counters
Sweep floor
Turn off lights and fans when no-one is in cabin
Ask how you can help!
CAMPERS’ GOOD NIGHT ROUTINE
Did all campers in the cabin:
Brush teeth? Yes No
Use the toilet? Yes No
Was the volume of campers:
Soft
Medium
Loud
Were campers “reliable raccoons” (i.e. on task)?
No
“Sort-of”
You betcha!
What time did your cabin turn out the lights and lock the door?
CABIN LEADERS – NIGHT & DAY
Encourage campers to use toilet before bedtime (tired children sometimes do not wake at nighttime even when they need to relieve themselves)
Close cabin doors and set alarm (this is to alert cabin leaders if a sleepwalker opens a door)
Keep cell phones ON and FULL VOLUME (in case of medical situations, it may be necessary to communicate with individuals in other cabins)
Wake early enough for washing, dressing, and getting all campers to deliver their belongings to the lodge porch and then get to the flagpole on time for flag-raising
CONFIRMATION OF ORIENTATIONA Confirmation of Orientation form, and other forms referred to in this presentation are at www.minnesotafoodallergy.org/camp/forms
To verify that you have read and listened to AFAA Camp 2012 Orientation Presentation, please sign and send the verification form to AFAA office
By fax at 651 646-1421 or by scan to camp@minnesotafoodallergy.org
Because orientation precedes camp, AFAA Camp volunteers will hit the ground running once on-site! Thank you for taking the time to prepare for this important and exciting endeavor!
Narrator – Jeff Schaefer
Copyright 2012
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