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My husband and I have volunteered these types of consultations for a camp for many years. We primarily help the on-site staff with decisions like what could be safely monitored first and what should be seen more urgently. There are always a lot of ‘what do you think this might be?’ questions, and of course, how to manage a particular issue in the camp environment (what activities to adjust, infection control, etc). Since the health center staff is typically new to camp health each year, this allows us to offer a consistent experience to the process.
Traditionally as RNs, we couldn’t diagnose, only help brainstorm differentials and general things to consider when making decisions. Once I became an NP, I volunteered diagnostic and treatment services for simple conditions that could be easily assessed via telehealth. This method has allowed campers and staff to remain on campus and often lets campers start treatment earlier, which gets them back to enjoying camp faster. Before any formal treatment, I do require verbal permission from the parents, even though they’ve signed the general consent forms. I always want them to have the option to request an in-person visit elsewhere, if they prefer.
An important thing to consider is how you will manage camper health privacy concerns with telehealth. We do not involve camper names or other identifying information in our communication, unless I need to provide formal care. That allows them to text simple questions without needing wifi or secure communication services. Anything sensitive must go through a secure outlet, like Doximity or an encrypted messenger service. The camp has provided me access to their electronic health forms, which lets me securely see any additional information on the camper. Of course, I maintain documentation of any specific services, and the on-site staff are reminded to document when they consult with us, as well. States have varying rules on telehealth, so it would be important for any provider you use to be aware of them. The camp and the provider will also need to consider liability coverage and concerns before committing to the process.
This method has worked very well for us over the years. Most parents appreciate having the option for quick, on-site care for their camper, and the staff appreciate having lifelines to call when they have situations that don’t fall neatly into the treatment protocols. I will say that this camp includes several families that attended over generations and the campers often attend the same schools. Many of the parents know us from when they were campers, so they trust our involvement. The closer-knit relationship may be what allows our situation to work well and may not apply as easily for camps with a wider population net. Keep that in mind. I hope this is helpful!