The skill sets and knowledge required to successfully lifeguard and supervise aquatics activities are often vastly different than those required to pass a lifeguarding certification class. While certification serves as a foundation, it is up to the camp operator to provide additional training, mentoring, and skills development in order to build lifeguards with competent abilities.
There are times when general camp staff respond to injury-illness events. These staff are not the camp's officially designated healthcare providers, but rather the staff who, by happenstance, are closest when an incident occurs. They must "do something." There are also times when general staff make decisions about seemingly minor injuries and illnesses that campers may show or talk about: a scraped knee, a scratchy throat, a bruise from a fall.