Re: [Philmont]: Medication information and privacy

Get the consent of the parent, in writing, to review the medical history. This issue has come up dealing with COPE, where we are required to review medical records. If you have a release signed by the minors parents of guardians, then you will be able to legally review the records.

Robert Tuck
First Responder Instructor
COPE & Climbing Director

PS In Georgia, inhalers are available off the shelf at Walmart. (Their usage still requires a doctor)
>
> From: "Shane Hoffman" <mycales@comcast.net>
> Date: 2005/12/04 Sun PM 03:57:06 EST
> To: Multiple recipients of list philmont <philmont@troop47.com>
> Subject: [Philmont]: Medication information and privacy
>
> Roy,
>
> You raise a bit of a conundrum here. With the HIPPA privacy laws that
> medical professionals must now practice under it may be hard to get
> information about an individual's medical conditions and medications being
> taken. I am really surprised that this has not become an issue with the
> Philmont physical form yet.
>
> I would like to suggest getting your crew's physical forms together at least
> a month before departure, and then take the time to become familiar with
> each person's conditions (but if I suggested this I would be breaking HIPPA
> laws). Under HIPPA, unless you are a medical professional overlooking that
> patient's care, you aren't even allowed to look at the physicals.
>
> That being said, when I collected our contingent physical exams in May of
> this year, I crafted a little HIPPA release/signature form stating that
> parents/adults were aware that a medical professional (myself) would be
> reviewing their physical and medication history in order to properly prepare
> the advisors in the crews with possible medical/medication situations on the
> trail.
>
> I don't know if the little release I crafted would stand up, but all of the
> parents knew I was a pharmacist and trusted me with the information. As it
> turned out, one of our young men did not medicate properly for a couple of
> days on the trail and the knowledge passed on to the advisors about what to
> expect kept the young man on the trail instead of at the med shack back down
> at base camp.
>
> You have opened a VERY touchy subject concerning patient privacy. I would
> really like to know the BSA's stance on this issue.
>
> If you are given the medication information willingly, most of the questions
> you raised (symptoms of over or underuse, side effects, proper dosing times,
> etc.) can be found on reputable websites.
>
> Shane Hoffman, R.Ph.
> Advisor Crew 445 - www.crew445.org - SHoffman@crew445.org
> ASM Troop 445 - www.troop445.org - SHoffman@troop445.org
> "We should all realize that every right implies a responsibility, every
> opportunity an obligation, every position a duty, and that the most
> effective sermon is expressed in deeds instead of words." ~ Waite Phillips
>
>
> ----- Original Message -----
> From: "R Fisher" <ghotier@texas.net>
> To: "Multiple recipients of list philmont" <philmont@troop47.com>
> Sent: Sunday, December 04, 2005 1:51 PM
> Subject: RE: [Philmont]: Peanuts, EpiPens, and Anaphylaxis
>
>
> > Tom Lindtveit writes in part:
> >
> >> Shane made me think of something else too, Pharmacists can
> >> provide valuable information on medications and the effects
> >> they will have. If you have a youth or adult on your crew
> >> taking meds you know nothing about, you might want to ask
> >> your local Pharmacist what those drugs are, how they work,
> >> and what side effects they may have paying particular
> >> attention to their effects under heavy exertion.
> >
> > I forget who it was, I think it was T.W. Cook, that had a crew member at
> > Philmont that was taking a medication to control something that turned
> > out to be a diuretic and the crew member got severely dehydrated as a
> > result.
> >
> > I'm not a doctor or a pharmacist, but other questions I have on our med
> > sheet are:
> >
> > What are the symptoms that the indicated medication might not have been
> > taken?
> > What other known medications, prescription and OTC, are contra-indicated
> > or might have interaction problems?
> > What conditions should the medications be taken, i.e. with food, X
> > amount of time before/after meals, etc.
> >
> > Happy Trails,
> >
> > Roy Fisher
> >
> >
> >
> >
> >
> >
> >
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> > As you gather around this virtual campfire with fellow
> > Scouts and Scouters, do your best to be trustworthy,
> > loyal, helpful, friendly, courteous, kind, obedient,
> > cheerful, thrifty, brave, clean and reverent.
> > -------------------------------------------------------
> >
> >
> >
> >
> >
> >
> >
>
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> -------------------------------------------------------
> As you gather around this virtual campfire with fellow
> Scouts and Scouters, do your best to be trustworthy,
> loyal, helpful, friendly, courteous, kind, obedient,
> cheerful, thrifty, brave, clean and reverent.
> -------------------------------------------------------
>
>
>
>
>
>
>

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-------------------------------------------------------
As you gather around this virtual campfire with fellow
Scouts and Scouters, do your best to be trustworthy,
loyal, helpful, friendly, courteous, kind, obedient,
cheerful, thrifty, brave, clean and reverent.
-------------------------------------------------------

 
Received on Sun Dec 4 15:42:56 2005