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ADA Camp Sealth

2012
by

Karlie Hailstone

on 5 April 2015

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Transcript of ADA Camp Sealth

2014
Staff Training
To prevent and cure diabetes and to improve the lives of all people affected by diabetes
ADA Mission
Agenda
ADA
Diabetes basics
A day at camp
Staff expectations
Camper behavior
Pods
Position break-out groups
Camp Philosophy
FUN !!!
Hypoglycemia
Diabetes
Safety
Type One Diabetes
Autoimmune disease that affects the pancreas
Requires insulin to use CHO
Who gets type 1 diabetes?
Type Two Diabetes
Insulin resistance
Risk factors
Treatment options
Management
Blood glucose checks
CGM
Diet
Exercise
Insulin
injections
pumps
Caused by:
15/15 Rule
Treating Lows at Camp
Severe Hypoglycemia
Hyperglycemia
Can occur when:
Ketones
Risk Management
Staff
Camper Behavior
A Day at Camp
Rovers / Breaks
The Pod
Meet in
Break Out Sessions

Arrivals and departures
Arrive day-9:00am
night-7:00pm
Depart day-1:00pm
night-9:00pm
Glucagon
Unable to eat/drink, unconscious, seizing
Call provider
if provider is unreachable call 911
Lay camper down and roll onto side
Administer glucose
Natural hormone which causes glucose stored in the liver to be released into the blood
Inject medication into thigh
When there is not enough insulin in the body to make use of all the glucose available, it starts to breakdown fat to use for energy instead
The use of fat creates ketones which can build up in the blood and cause DKA
Check ketones if camper meets criteria or seems sick
If a camper has ketones give water then contact provider
Forms
Incident forms
Medical log
Behavior reports
Accidental needle sticks
Who can do what at camp
Crisis communication plan
Blood Glucose Field Log
(look at medical management manual)
Name: Date:


1.Time: BG: Time: BG: Time: BG:
CHO: CHO: CHO:
Notes: Notes: Notes:




2.Time: BG: Time: BG: Time: BG:
CHO: CHO: CHO:
Notes: Notes: Notes:




3.Time: BG: Time: BG: Time: BG:
CHO: CHO: CHO:
Notes: Notes: Notes:

Expectations
camp names
dress code
cell phones
Appropriate Camper and Camp Personnel Relationships
Paperwork
Relationship with Host Camp Staff
If there are any concerns about your interactions with ADA staff or Sealth staff and they are not resolvable by discussing them with the parties involved, please address them with Karlie or Carebear
(review in staff manual)
(review in staff manual)
Potential behavior issues that may be faced
non-diabetes related behavior: Camp Sealth Staff
medical or diabetes related behavior: ADA Staff
Shakiness
Sweating
Hunger
Pale and/or clammy skin
Confusion/disorientation
Headache
Dizziness
Sudden moodiness or behavior changes, such as crying for no apparent reason
Clumsy or jerky movements
Tingling sensations around mouth
Seizure
Too much insulin, too little food, too much exercise
Symptoms:
•Check blood glucose
If camper is on a pump, check for active insulin: call provider if more than 1 unit
Blood glucose <60: call provider and treat with 15/15 rule
• Blood glucose <70: 15/15 rule
• Blood glucose 71-100 with symptoms of hypoglycemia:15/15 rule
• Blood glucose 71-100 with NO symptoms of hypoglycemia: 15 CHO (don’t have to wait 15 min)
• Blood glucose must be >70 and clinically well to continue with activities
Every one will take a 2 hour break every day
When counselors take their breaks they will be replaced by Rovers (Pod Staff)
Sign Up Board

Symptoms
1.  The body gets too little insulin, too much food, or too little exercise.
2.  The body is under stress from a cold, sore throat, or other illness.
Excessive thirst
Fatigue, weakness
Increase in number of trips to the bathroom
Blurry vision
"Lows"
"Highs"
Give 15 grams of CHO
Wait 15 minutes
Recheck & Repeat if necessary
(look at medical management manual)
(look at medical management manual)
Don't let campers get to attached to you
Homesickness
Contacting parents
Full transcript