The following conditions require consulting with either an on-call nurse/doctor, quick pick up by parent/guardian or appropriate transport for an adult, calling 911, or transport to an emergency room or urgent care medical facility:

• Musculoskeletal injuries such as sprained ankles/wrists

• Headache that lasts an hour or longer after taking medication

• Dizziness that does not resolve after eating something or recurs

• Vomiting more than once

• Burns that cause blistering

• Complaints of pain or discomfort that is not eased by medication or that does not appear to have a direct cause

• Fever of more than 102

For programs with an on-call nurse/doctor treatment may include remaining on site with over the counter medication given on the advice of the nurse/doctor.

The following require quarantine, consulting with the parent/guardian for youth, and consulting with the on-call nurse/doctor if the program has one:

• Fever: quarantine, until a youth is picked up or symptoms require transport to ER/urgent care

• Vomiting: quarantine until a youth is picked up, symptoms require transport to ER/urgent care, or after an hour if the vomiting doesn’t reoccur, the youth doesn’t have a fever, and the youth has no other symptoms

Programs with an on call doctor or nurse must establish procedures for handling communication between on site first aid staff and the on call doctor or nurse when such non-life threatening emergency medical needs arise.

If adult sponsors transport the youth to the ER/urgent care, two adults will accompany the youth. Such adults will accompany them until they are released back to the program or their parents arrive.

See Sample Medical Procedures in Appendix.