Camp Nursing: Choosing a Camp

A summer at camp can keep you young. It can be a long term career or a break from your regular job. Avoid Camp nursing pitfalls that can ruin your summer. The goodness of fit is critical in Camp nursing. Pick the right camp with this guide for new and veteran nurses. Specialties Camp Article

Updated:  

I've been meaning to write this for some time. Spring will be here before we know it, and many nurses are looking for camps to work at this Summer.

I hope this will be seen as an open-ended thread. I am eager to read the additions our brother and sister nurses make. Each camp has its own unique identity, so my experiences may not apply to you. My motivation is to help nurses avoid some of the mistakes I made when I was new at Camp nursing. If you and your job are the right fit, the Summer is over before you know it. If you are nursing at the wrong camp, the Summer is endless.

The first thing to do is to decide what you are looking for. The American Camp Association (ACA) reports there are over 14,000 day and resident camps in the USA, so the choices can be daunting. Narrow it down.

What Do You Want?

  • Traditional sleep away camp?
  • Day camp?
  • Wilderness camp?
  • Dirty Dancing" kind of resort?
  • Healthy campers?
  • Special needs?
  • Music?
  • Sports?
  • Religious?

Non-profit and for-profit camps have different corporate cultures. You get the idea.

Define Your Personal Needs

What kind of salary do you require? Some camps ask for volunteer nurses. Others pay really well, some hardly at all, with most camps being somewhere in the middle. Some camps "trade for tuition," that is, they will allow your children to come to camp for no charge in exchange for your services. Some will offer a salary on top of it. Room and board, of course, is offered at every camp I've ever heard of. You should be able to find a suitable compensation package with a little hunting. However ...

FACT: If, "How much does it pay?", is your first thought, Camp nursing is probably not for you.

What Does it Mean to You?

It is good to ask yourself what Camp nursing means to you. If you have a picture in your mind of idyllic days patching the occasional boo-boo and making s'mores, you are clinging to a stereotype. Camp nursing, while it does have some downtime, is hard work! Expect long days and nights. I always need a week to rest at the end of the Summer. Many people come to work at camp hoping to relive the magic of their childhood at camp. As a nurse, you will be disappointed if you have that hope.

The Camp Nurse is usually one of the older members of the staff, in my case, over 30 years, LOL! While you are an important part of camp life, you should expect some isolation.

Why do you want to be a Camp Nurse?

Find the answer in your heart, because you will be asked that question a lot.

What's Your Family Situation?

Single? You are good to go. Not single? If your family is not on board, you should probably put off the idea of Camp nursing for another Summer. It just can't work if your family does not want you to go. If single, are you good with leaving your home or apartment vacant for the Summer? Maybe you can work out a house-sitter or sub-lease for that time. There are companies that can help with these arrangements. Who's going to mow the grass? Some camps let you bring your pet, some do not. Don't forget to think about your cable, phone, utilities, and other bills that will have to be paid, whether you are there or not.

Think about Your Job Situation

If you are a new grad or between jobs, this is no problem. Getting a leave from your hospital job can be a problem. It often seems that HR has not gotten the memo there is a nursing shortage. I have heard from nurses over and over they could not camp without quitting their jobs. That was true in my case also, back when I was working med-surg. I solved my problem by going to the DON and covering her desk with the cards and letters I had gotten over the years. "What are you doing?", she said. I told her, "I am showing you the kind of nurse you are letting walk out the door." She told me to go to camp and she would take care of HR. I found out after the Summer she simply put me on the schedule every two weeks and called me in sick. It's a shame, but you are going to have to get creative here. I solved this problem for good by going full time as a Camp Nurse, a rare job.

Now You Are Ready to Start Your Search

The American Camp Association (ACA) and the Association of Camp Nursing (ACN) organizations are good places to start. I just Googled "Camp Nurse jobs," and tons of good information popped up.

Narrow the Search

Keeping the above in mind, narrow it down to 3 or 4 camps. Go to their website. Google them and see what people are saying about them. Google the Camp Director, or Head Nurse and see if there is anything wacky. If things are good, send a resume, then, later that same day, call the Camp Director or other decision-maker.

Sell Yourself

Listen closely during the phone call. Remember there is a nursing shortage. Chances are the camp really wants to hire you. Here is your chance to make this work for you. You are selling yourself to the camp, but the camp needs to sell itself to you, as well. Listen to the camp director. You should get a "warm fuzzy" from this person.

  • Did he or she respond to your call or email in a reasonable time?
  • Were they distracted?
  • Did they have time for you?

If you do not feel good about the initial contact, move on. These traits will only get worse during a busy Summer.

The Interview

Write your questions down before the interview. Better a short pencil than a long memory.

In-Person

If the initial short phone call goes well, arrange an interview. INTERVIEW AND TOUR THE CAMP PERSONALLY IF AT ALL POSSIBLE. This is very important. Your idyllic cabin could turn out to be a tar-paper shack. Your "wifi access" could be a half-mile hike.

"Access to all camp activities" might mean only during downtime that doesn't exist. The only way to find out is to go. Make the tour as part of an out-of-town weekend with your family. This makes the long drive not so bad. A personal tour and interview is your chance to see if the website or the initial phone call was deceptive. It happens. If you sense deception, move on. It might be part of the camp culture, and will only get worse.

Phone

It may be impossible to visit due to a long distance. In that case, rely on how you are treated in your communication. Quick, respectful response to your calls and emails is a good clue. Your phone interview should leave you with good feelings. You would hate to get to Denali, Alaska, to find out this is not the place for you. But, far away does appeal to our sense of adventure.

The Camp Tour

Your tour may come before or after the interview. You should be looking to see if they are cutting any corners.

  • Is the camp clean and well maintained?
  • How does the health center look?
  • Was the health center used as a storage area during the offseason?
  • Literally sniff around your quarters and look for signs of vermin
  • Look for safety issues such as broken pavement

Do not worry or be nervous about the interview, even if you are a new grad. The camp director or head nurse will be interviewing you ... and you should be interviewing them. I believe you will leave a great impression by asking appropriate questions. It lets your decision maker know they are talking to a professional.

Just a Few Questions to Ask

  • Are you ACA accredited? (that does not guarantee a good fit, but it is a start)
  • What are my hours?
  • What are my duties?
  • When are my days off?
  • Do you have standing orders or protocols?
  • How far away is the camp physician?
  • How far away is the ER?
  • Who transports sick or injured campers to the ER or Doctor, if/when needed?
  • What are your medication rules?
    • Blister pack or roll packs (easiest)?
    • Prescription bottles (okay)?
    • No rules? (Run!)
  • Who does incontinent camper laundry?
  • Who does the infirmary laundry?
  • What is the supply budget?
  • Do you have a flu and a disaster plan?
  • How is cell reception and internet access? (if that is important)
  • Do you pay for my travel, or out of state license?
  • When can my family or friends visit?
  • What is your policy regarding sick campers at check-in?
  • What about campers who come with incomplete or no documentation?
  • Who deals with behavioral issues?
  • Who handles homesickness?
  • Do you have ? (recommend you get your own)

More Questions

Another good question is, "Can I meet with the camp physician?". This is a big red flag if you are discouraged from meeting with the physician. I like to bring a cake or doughnuts to the office staff in the Spring so they know me and will put my calls through quickly.

Also, ask if the camp has Medication Administration Records (MAR). Who creates them? Are they electronic? Try to avoid camps where you create MARs at check-in. It can take hours and hours, and leave you exhausted on the first day of camp. It is not a good sign if the camp director does not know what MARs are.

And, Even MORE Questions

How long will I have for orientation? I think a week is the minimum. You will have to do a hundred things during your orientation to get ready for camp. I'll write a separate article about that.

Try to get a feel for if the camp has a culture of safety. Some camps seem to think it is okay if someone gets sick or injured because "we have a nurse to patch them up." Other camps believe it is more important to do everything possible to prevent illness or injury. Some camps think the health center is a hospital.

After the Interview

At the end of the interview, if you have a good feeling, it is time to talk pay.

  • How will you pay me?
  • How often?
  • How much?

FACT: If pay is the only deal-breaker you find, tell the camp director. They may respond positively.

You may want to read the the details of the offer at home at your leisure.

Decision Time

At this point, you are ready to decide. It seems like a lot of trouble, but it will help you find a good match. Do not ignore any gut feelings you have. Do not ignore any red flags.

I want to close by emphasizing most camps are wonderful places filled with good people. A little due diligence will help you discover the rare camp that is not as good or one that is not a good fit for your disposition.

Good luck, and feel free to contact me.

Specializes in Med-Surg, Ortho, Camp.

I wish you the very best of luck. You might get hooked! Let us know how your adventure turns out.

So is there a forum where you can go and find out from nurses that worked at camps before to see how they rate a camp. I am not in the position to check out a camp (live in Honduras). I can only visit the web sites and talk to the managers. I would love to know what other folks thought of the camps

I think the whole idea is very interesting. From the time I was probably 6 or so all the way up till I was 16, I went to various summer camps. I went to Christian camp, 4H camp and a WHOLE lot of Boy Scout camp. I just recently decided that I wanted to become an RN because of the different types of jobs that are available. I've been in security for the last decade or so and just need a change to something more challenging. I start prereqs at community college in just a couple of months. I think it would be kind of cool to pick up an RN job at a summer camp. I always enjoyed those days very much. How do men fare in these types of jobs? Whenever I was at camp, I always remember the nurses happened to be females, so I guess I never thought of it much. Anyway, OP, very interesting article, and thanks for posting.

Specializes in CVICU, TSBICU, PACU.

Which camps will let you bring pets? Dogs? I'm having a tough time doing some google searches on it

Specializes in Pediatric Private Duty; Camp Nursing.

We're bringing my daughters' bunny rabbits this summer, but they do have an Animal Care program and an available hutch. I've seen dogs at camps. You just have to ask around!

Specializes in CVICU, TSBICU, PACU.
CloudySue said:
We're bringing my daughters' bunny rabbits this Summer, but they do have an Animal Care program and an available hutch. I've seen dogs at camps. You just have to ask around!

Which camps have you seen them at if you don't mind me asking? I will bring it up for any interview I have, but it's nice to know before hand what expectations are.

Specializes in CVICU, TSBICU, PACU.

Has anyone had experience with the website greatcampjobs.com? Are they legit? The description of the camps in their system sound promising... I'm just always skeptical of things that seem too pretty on-line or things that seem too good to be true. Thanks

Specializes in Family Medicine, Tele/Cardiac, Camp.

Hey everyone! I just wanted to check in (it's intersession right now so I have a few - wonderful - days off to rest before the next 3 1/2 week session starts). So yeah, I've been working at a camp since the end of June and as another poster predicted, I've become hooked. I absolutely love it. I seriously did not think I would love it as much as I do and I really do believe that I would not have had such a wonderful time if I didn't have the kind of experience I've had as a nurse.

It's a fine and manual arts camp, so we definitely get some pretty intense injuries. Nothing super super bad yet, but the camp has powertools and there are sessions on whittling, welding, and things like that. So in addition to the normal cuts and scrapes I've seen some 2nd degree burns, bad whittling cuts, a really bad rib injury (thankfully they weren't broken) and a counselor who got his pinky nail ripped off trying to move some boards. Ouch!

But there's also been some other interesting ones I didn't expect. 2 ruptured eardrums, 2 ear infections, 2 strep-throats, lots of viral pharyngitis, a pneumonia, a Lyme Disease, food poisoning in a counselor, a panic attack lasting an hour, a hyperextension injury, a few infected abscesses, a sprained ankle, and - by far the coolest - a porcupine quill stuck in a camper's knee! She was crawling on the ground and knelt on a porcupine quill. Definitely a first in my nursing career.

I've also come to realize that this is tremendous practice for me as I enter the clinical year of my NP program. We do have a camp doctor who I met for the first time a few days ago, but I really don't consult with him and I'm the only nurse working. 90% of my "diagnoses" have been accurate and I've successfully diagnosed pneumonia, bronchitis, strep, and ear infections in kids and counselors before sending them off to urgent care for it to be confirmed and for them to receive a prescription. I feel so much more confident in my nursing abilities and adore being in the middle of the woods. Not to mention all the love and hugs and thank yous and little gifts I've gotten from the campers and the friends I'm making with the counselors and leadership staff.

It's fantastic. I hope I can come back next year, but let's see how the rest of the summer goes and what this coming year will bring. :) Thanks so much to all of you.

Specializes in Med-Surg, Ortho, Camp.

SnowShoeRN, I am glad you are enjoying your summer. Camp nursing is pretty amazing, to say the least. Come and work for me next year, lol.

I want to respectfully bring up an important point. I go to great lengths during orientation and during the summer to keep my nurses from getting outside their scope of practice. As nurses, we are getting onto dangerous ground when we diagnose and treat. Diagnosing is fine until the nurse is wrong; we've all been there. If you are wrong, no one will hesitate to throw you under the bus. Not the camp, not the staff, not the parents, not the patient. If a nursing diagnosis or standing orders won't serve, I at least consult our medical director. Stick to reporting signs and syms. As we used to say in the army, "Stay in your lane."

Lay people tend to think we nurses are "mini doctors." That's why they come into the health center and say things like, "I need an antibiotic!" I spend time every off-season gently educating our staff about the difference between medicine and nursing.

And while I am at it, don't give in to the wacky treatment suggestions the staff or Camp Director might give you. I remember setting up an Albuterol breathing treatment from an O2 tank, per standing order, on a wheezing camper with a sat of 97%. The counselor kept insisting I give the camper his rescue inhaler. I'm thinking I'll have this set up in about 30 seconds, and I did. The counselor, during the breathing treatment, pulled out his cell phone, called the camper's mother (his cousin), and shouted into the phone, "The nurse ain't doing right!" I took the phone, and listened to the mother screaming at me until I managed to explain what I was doing. The camper stabilized quickly and left. The scene between the counselor, the Camp Director, and me was not pretty.

Specializes in Family Medicine, Tele/Cardiac, Camp.

Hi campnurse1,

I didn't mean to imply that I diagnose in an official way or work outside my scope of practice. That's why I put "diagnose" in quotes. It's more like I assess a patient based on what they tell me, what I know from my experience as a nurse, as well as info learned in my advanced assessment classes, and just kind of say to myself (for example) "seems like they might have strep" before sending them off to urgent care to be evaluated by an MD, PA, or NP. I do the same thing when I know something serious is going on, but have no clue what it could be or just want to be on the safe side. Our camp doctor never visits the camp. He did once just prior to intersession and I've called him 3 times - once to ask his opinion on ranididine dosing for an 11 year old with gastritis, once to ask a question about 2nd degree burns, and once to ask if there was an appendicitis physical exam tactic I was forgetting aside from the psoas and obturator tests. (I didn't know about the standing on tiptoe and thumping down on the ground with your heels).

I'm just pleased that, so far, I've manged to be right in my assessments. I know I won't and can't be right 100% of the time, and I'm certainly very cautious. Like refusing to administer ear drops from a camper's brought-from-home mason jar labeled "boric acid" and distinguishing between asthma and panic. But my "success" (again, in quotes) makes me feel good and more confident about being a NP 9 months from now.

Thanks for your input. You're definitely the camp nurse guru around here and I've enjoyed reading your posts for many years. (:

Specializes in Med-Surg, Ortho, Camp.

You sound very wise, SnowShoe, and a good nurse. I was mostly speaking from my own experience; I have made my share of mistakes over the years. I do my best to only make them once, lol. Thanks for the compliment. This board is a great place for us to share our experiences and become better nurses.

Specializes in Pediatrics.

Great article.   There are many camps looking for camp nurses and I would recommend to interview with at least  3 or 4 camps before making a decision.   A good question to ask is what per cent of staff will be returning for the upcoming camp season.    A high percentage of returning employees is good as it is very important to have counselors with experience as the counselors will be the first to make the assessment that a camper needs to come to the Health Center.    Another way to assess if a camp is a good fit is to check on camp reviews by staff and campers and also check with the Better Business Bureau in that state if there are any grievances such as did the camp not fulfill the contract.    It is also important to consider the layout of the camp and how far is the closest ER.    Is the layout of the camp compact?    A camp that is spread out may make it difficult to get to emergencies quickly or if a camp does a lot of activities off site it may also be very difficult to get quickly to emergencies.    Also ask what is the nurse's role for off site emergencies.   It is important that two nurses are working the Health Center at all times to deal quickly with emergencies.    When viewing the layout of the camp consider how well kept the camp is & can one view the inside of the facilities entirely.    If not able to view the entire facility, one may want to consider another camp.   For instance a camp stated that they had a work out area but it was only a weight bench with some weights in a wet unkempt basement.   Be sure there is a camp orientation and ask who will be doing the camp orientation.