Depending on the camp setting, some state first aiders/nurses are using a medication log similar to the the one Boy Scouts of America(BSA) sale in their stores(or adopted the BSA log since it meets legal requirements related to documentation).
The BSA log provides guidance for how to use the log and prompts for documentation by using the following headers: name of camper/staff, time and date of first aid station visit, reason for visit, medication /first aid care, follow up( isolate, contact parents for pickup, call parents and advise of need for MD visit emergent/non-emergent) and signature of person completing the documentation.
GSUSA has offered guidance first aiders which follows training requirements.
The basis of that guidance is that First Aiders must hold current certification and then follow that training guidance.
The RN/LPN functions according the Nurse Practice Act in regards to medication administration, management , first aid support, and advising camp director.
Nurses functioning in the camp setting are advised to review their state nursing regulations specific to nurse practice . Generally, the Nurse Practice Act does not allow for prescriptive authority, unless the RN is advanced practice (i.e. CRNP, midwife...)
Because by definition nurses do not prescribe. Doctors (MD) prescribe.
Based on that information if a camp does not have MD prescriptive authority(written blanket order to administer medication within the camp setting) then there is no authorization to "dispense meds" in the traditional sense of store meds brought from home in first aid setting,pour, and administer the medication, which includes OTC(over the counter)meds (i.e. suntan lotion, antibacterial ointments....)
Doctors, in general, have moved away from prescriptive authority for
"patients they have not conducted assessment and have a clinical baseline from which to grant authority to administer medications. The reason has been the increase and allergic responses/reactions to an ever increasing range of foods and medications ( peanut butter, gluten, suntan lotion, antibacterials, and medical conditions that more campers are presenting for camp experience.
Approaches that I have experienced are :
1. Have campers continue bring meds in original packaging. The medications are held in first aid setting to ensure temperature control and the camper is observed to take the medication, at the prescribed time on the packaging and that is what is documented.
The distinct difference is that the camper is taking medication.
2. Meds are retained by campers and if used in camper unit setting that is reported by unit leader to first aider/nurse who documents occurrence.
3. Inhalers are retained by campers who have had patient discharge teaching specific to inhaler use.
4. Family MD writes order that camp nurse can dispense medications to individual camper
Summary, depends on :
state nurse practice act
type of setting primitive, community center, school, day, resident camp
are all volunteers functioning under the position description/role of first aiders and nurses serving in first aid capacity as level II first aiders
Recommendation: American Camp Nurses has been helpful , current, and state specific reference