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This document collects health and medical history information for staff and counselors at Mt. Hood Kiwanis Camp to ensure proper care and safety during camp activities.
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How to fill out 2013 Staff & Counselor Health History

01
Begin by gathering all necessary personal information, including your full name and date of birth.
02
Provide your contact information, such as address, phone number, and email.
03
Fill out the section on current health conditions, detailing any existing medical issues or concerns.
04
Include information about any medications you are currently taking, including dosages and frequency.
05
List any allergies or sensitivities, noting any specific reactions you have experienced.
06
Answer questions regarding your medical history, including surgeries or serious illnesses.
07
Fill in emergency contact information, specifying who to reach out to in case of an emergency.
08
Review your information carefully before submitting to ensure accuracy and completeness.

Who needs 2013 Staff & Counselor Health History?

01
Any staff member or counselor who will be working with children in camp or school settings needs to complete the 2013 Staff & Counselor Health History.
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Components of a Good Medical History Patient Identification and Demographics. Chief Complaint and Presenting Symptoms. Past Medical History (PMH) Family History (FH) Social History (SH) and Lifestyle Factors. Medications and Allergies. Review of Systems (ROS)
The primary goal of a healthcare team is to provide quality patient care, however we must recognize what feeds into the goals that determine a team actions. Patient Goals.
Health care is a fundamental human good because it affects our opportunity to pursue life goals, reduces our pain and suffering, helps prevent premature loss of life, and provides information needed to plan for our lives.
Under federal regulations, a "health care provider" is defined as: a doctor of medicine or osteopathy, podiatrist, dentist, chiropractor, clinical psychologist, optometrist, nurse practitioner, nurse-midwife, or a clinical social worker who is authorized to practice by the State and performing within the scope of their
The purpose of a clinical care team is to diagnose and treat conditions that put your health or life at risk. Hospital care teams are prepared to manage everything from seasonal infections to long-term (chronic) conditions.
The Importance of Interprofessional Teams This collaborative approach not only enhances the quality of care but also can reduce medical errors, decrease hospital readmissions, and lower healthcare costs​​​​. Each team member brings their unique expertise and perspectives ensuring comprehensive and collaborative care.
Effective teams not only protect patients from risks and improve outcomes — they also create a more positive, engaging, and resilient workplace.
AONE has guiding principles on safety and patient engagement. Health care teams that communicate effectively and work collaboratively reduce the potential for error, resulting in enhanced patient safety and improved clinical performance.

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The 2013 Staff & Counselor Health History is a document used to collect health-related information from staff and counselors to ensure their wellness and suitability for working with youth.
All staff members and counselors involved in youth programs are required to file the 2013 Staff & Counselor Health History.
To fill out the 2013 Staff & Counselor Health History, individuals should complete the form by providing accurate and truthful information regarding their health history, including any medications, previous illnesses, and general physical condition.
The purpose of the 2013 Staff & Counselor Health History is to assess the health and well-being of staff and counselors to ensure they are fit for their roles, to manage any health risks, and to provide proper support when necessary.
The information that must be reported includes personal health history, any significant medical conditions, allergies, medications currently being taken, and details about any recent illnesses or injuries.
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