(a) Physical Examination. - (i) At the time of admission, each child shall furnish evidence of a sports physical examination having been performed within the preceding thirty (30) days by a licensed physician, qualified licensed nurse practitioner, or physician's assistant; and
- (ii) The physical examination shall include:
- (A) Knowledge as to any physical problems which would limit the child's physical activity;
- (B) Any special care which the child will need;
- (C) A record of up-to-date immunizations which the child has had, including the date of the last tetanus shot;
- (D) A physical assessment based on the climate and temperature in which the child will be participating, given the participant's age, weight, and sex;
- (E) A history of communicable diseases and serious illnesses or operations the individual has had;
- (F) Any known drug reactions and allergies;
- (G) Medications being taken;
- (H) Any necessary special dietary requirements at the time of camp admission; and
- (I) Any heredity health issues that may affect the child.
- (iii) Prior to engaging in strenuous physical activity, the TWP shall review the child's health history and physical examination record.
- (iv) If a child is currently taking or has been receiving prescribed medication within the past six (6) months, a specific notation shall be made on the physical examination form, by the clearing medical professional, which shall include clearance for participation in an outdoor, high impact environment and a description of any possible special needs due to use of medication in said environment.
- (v) The health history and physical exam form and authorization to obtain medical care shall be copied and the original maintained at the base of operations and the copy carried by staff in a waterproof container when the child is away from the base of operations.
(b) Health and Safety Documentation. Written health and safety documentation shall be conducted by the TWP's intake worker within twenty four 24 hours of admission to the program, utilizing: - (i) A physical exam sheet from a physician; and
- (ii) A physical demand form (designed by the facility and completed by a physician) which clearly describes the physical demands and the environment to which the child will be subjected.
(c) Health Care. - (i) First aid treatment shall be provided in as prompt a manner as the location and circumstances allow;
- (ii) A child with an illness or physical complaint needing care or treatment beyond what can be provided in the field shall be seen as soon as possible by a physician, physician's assistant, or nurse practitioner;
- (iii) Complaints or reports by a child of illness and injuries shall be documented in a daily log along with any treatment provided;
- (iv) There shall be no negative consequence imposed on a child for reporting an injury or illness or for requesting to see a health care professional;
- (v) On a daily basis, children's hydration, skin condition, extremities, and general physical condition shall be monitored and documented by staff; and
- (vi) At least every seven (7) days, each child's physical condition shall be assessed by a Wilderness First Responder, an Emergency Medical Technician, or licensed medical professional. The assessment shall be documented and shall at a minimum include:
- (C) Check of extremities;
- (G) General physical condition; and
- (H) Provision of appropriate medical treatment if needed.
(d) Emergency Health and Dental Care. The provider shall develop, adopt, follow and maintain on file written policies and procedures governing emergency medical and dental care.
(e) Firearms/Weapons. - (i) Firearms shall be prohibited in all TWPs.
- (ii) The TWP shall inventory knives, hatchets, other edged tools or any item that might pose a danger to self or others and complete a daily count of these items against the inventory.
- (iii) The TWP shall supervise participant possession and use of knives, hatchets, other edged tools or any item that might post a danger to self or others.
049-12 Wyo. Code R. § 12-10