(1) Additional health care requirements for youth on expedition include the following:

(a) Each youth's hydration, skin condition, extremities and general physical condition must be monitored and documented by field staff on a daily basis.

(b) Each youth's physical condition must be assessed by a staff member trained as a wilderness first responder at least every seven days while on expedition. The assessments must be documented and must at a minimum include:

(i) blood pressure, if deemed necessary by a licensed health care professional;

(ii) heart rate;

(iii) check of extremities;

(iv) condition of skin;

(v) hydration level;

(vi) allergies if any;

(vii) general physical condition;

(viii) provision of appropriate medical treatment if needed; and

(ix) emotional well being.

(c) A written plan for handling unanticipated allergic reactions while on expedition must be developed. The plan must include:

(i) training and consultation with regard to possible allergic reactions or reactions to snake and insect bites;

(ii) notations in youth records about any medication which might result in allergic reactions or other side effects; and

(iii) identification for all expedition staff about youth needing special precautions.

(2) Copies of the following documentation for each youth must be carried by the staff in a waterproof container when the youth is away from the field office:

(a) physical examination completed as part of the program admission process and any subsequent physical exams;

(b) medical treatment authorization;

(c) list of current medications taken by the youth;

(d) identifying marks of the youth such as scars, tattoos and piercings;

(e) health insurance information; and

(f) list of contact persons in case of emergencies.