STEPHANIE NEATON, RN BSN

NURSING DIRECTOR HH RANCH

PEDIATRIC STAT NURSE-ALBANY MEDICAL

CENTER
 /
MEDICALLY SAFE FUN
C: Chug and Clean
A: Always aware and ASK
M: Mmmmm warm
P: PLAY
If you aren’t healthy, you can put our campers at risk
for SERIOUS problems

• Feeling ill?
• Fever
• Sore Throat
• Nausea, Vomiting, Diarrhea

…We love seeing you but please don’t come if feeling ill,
even if you test negative for COVID-19.

• Latex/Nuts
• We are a latex free and “nut aware” camp

• Lead By Example
Congenital heart
defects are the
most common
birth defect

There are more

than 35 well-
recognized heart
defects with
varying severity
Medications

Cardiac Catheterizations

Cardiac Surgery
Energy Levels

Dizziness

Shortness of Breath

Blood Thinner Precautions

Fluids

Pacemaker
Know Activity Restrictions

Fluids

Bruising, Bleeding-Blood thinners?

Watch Pacemaker!

Communicate concerns with guardians

A TERM FOR
DISEASES IN
WHICH
ABNORMAL CELLS
DIVIDE WITHOUT
CONTROL AND
CAN INVADE
NEARBY TISSUES
• Leukemia
• Brain and spinal cord tumors
• Neuroblastoma
• Wilms tumor
• Lymphoma (including both Hodgkin and non-Hodgkin)
• Rhabdomyosarcoma
• Retinoblastoma
• Bone cancer (including osteosarcoma and Ewing sarcoma)
Chemotherapy

Radiation

Surgical Interventions

Bone Marrow Transplant

Sun

Nausea/Vomiting

Bleeding (due to low platelets)

Pain

Fatigue

Central Lines (PICC, Hickman, Port)

Fever
Sunscreen

Fluids

Infection Prevention

Watch that Line!

Fever
IMMUNE-
MEDIATED
INFLAMMATORY
DISEASES THAT
OFTEN AFFECT
COLLAGEN-
CONTAINING
TISSUES
• Lupus
• Juvenile Arthritis
• Ehlers Danlos Syndrome
• Scleroderma
• Osteogenesis Imperfecta (OI)
Corticosteroids

Immunosuppressants

Physical Therapy

Pain Control
Sun

Swollen Joints

Pain

Fatigue

Infection

Fever
Sunscreen

Fluids

Infection Prevention

Pain Control

Fever
A GROUP OF
CONDITIONS
THAT RESULT
WHEN THE BLOOD
CANNOT CLOT
PROPERLY
• Von Willebrand's
• 1-2 % of the population
• Most common
• Hemophilia A
• Factor VIII
• 80% of all Hemophilia
• Hemophilia B
• Factor IX
DDAVP/Stimate

Infusions of Factor

Risk Reduction

Transfusions of Platelet Products

No Contact sports

Bumps and Bruises

Target Joint

Bleeding

Head Bonks
Be proactive and avoid injuries
UMBRELLA TERM
USED TO DESCRIBE
DISORDERS THAT
INVOLVE CHRONIC
INFLAMMATION OF
THE DIGESTIVE TRACT
• Ulcerative colitis. This condition
involves inflammation and sores (ulcers)
along the superficial lining of your large
intestine (colon) and rectum.

• Crohn's disease. This type of IBD is

characterized by inflammation of the
lining of your digestive tract, which often
can involve the deeper layers of the
digestive tract.
Medications

• Anti-inflammatory
• Antibiotics
• Biologics
• Corticosteroids
• Immunosuppressants

Diet

Surgical Interventions
Abdominal Pain

Diarrhea, Constipation,
Bowel Urgency

Fever
Diet Restrictions

Bathroom locations and needs

Pain

Infection Prevention

Fever!
• M IT O C HONDRIAL D IS E A S ES
O C C U R W HE N
M IT O C HONDRIA FA IL T O
PR O D U C E E NO U G H E NE R G Y
FO R T HE BO D Y
• INHE R IT ED M E T A BOLIC
D IS O R DE RS A R E G E NE T IC
C O ND IT IONS T HA T R E S U LT
IN M E T A BOLISM PR O BLE MS
• 100’s of types

• Mitochondrial disorders directly affect

the amount of energy available to cells

• Metabolic Disorders involve alteration in

enzymes needed to maintain
homeostasis in the body
Vitamins and Supplements

Diet

Enzymes

Infusions of Fluids or TPN (Total

Parenteral Nutrition)

Supplemental Nutrition (Feeding Tubes)

Energy Conservation
Fatigue

Heat/Cold Stressors

Seizures

Fluids

Nutrition/Snacks

Nausea / Vomiting
Rest

Diet / Snacks

Infection Prevention

Temperature

Fluids

Fever and Emergency Plans

DISORDERS THAT
CAN AFFECT
MOVEMENT,
MUSCLE TONE,
POSTURE, AND
NERVES
• Muscular Dystrophy
• Progressive

• Shunt Dependent Hydrocephalus

• Spina Bifida
• Neural Birth Defect
• Not Progressive

• Cerebral Palsy
• Caused by damage to the immature brain before or during
birth
Surgical Repair

Supportive Care

• PT/OT
• Bowel / Urinary
• Feeding
• Mobility

VP Shunt

Seizure Management

Palliative Care
Pressure Points / Positioning

Seizures

Headaches, Nausea, Vomiting / Do they have a VP

shunt?

Watch that Line!

Catheterization schedule

NO LATEX
Falls

Catheterization Schedule

Communication

Fluids

Seizure Plan and Precautions

A GROUP OF
DISORDERS THAT
CAUSE RED BLOOD
CELLS TO BECOME
MISSHAPEN AND
BREAK DOWN
• In sickle cell disease, red blood cells can
change shape and form a sickle, or
crescent. The cells become stiff and sticky,
causing them to block blood flow and
break down inside the blood vessels.

• Vaso-occlusive crisis

• Anywhere blood flows can be affected

Medications

• Infection Prevention
• Pain Control

Blood Transfusion

Bone Marrow Transplants

Pain

Temperature / Keep Warm!

Fluids

Neurological Changes (Stroke)

Fever
Keep Warm

Fluids

Pain

Fever
SEIZURES
ANAPHYLAXIS
ASTHMA
How do you handle it?
◦ For many this is a common occurrence
◦ Keep calm
◦ Time Them!!

Priorities
◦ Safety
◦ Airway

Plan
◦ Seizure / Fall Precautions
◦ Harness for campers at risk of seizure
or sudden loss of muscular tone
 • Early Intervention is Key
• Communicate with Parents / Guardians
• Avoid Triggers
• Smoke
• Allergens

This Photo by Unknown Author is licensed under CC BY-SA

• Know your campers' allergies

• Nut aware camp

• Campers aren’t the only ones with

severe allergies

• EpiPen-Where are they?

Common
✓Balloons
✓Band-Aids
Can be LIFE ✓Toys
THREATENGING
THINK first
HYPOTHERMIA FROSTBITE
Ski Patrol / Nurse

HH Staff

Parents/Guardians

And don’t forget your camper!!!!!!!