RE: [Philmont]: Medication information and privacy

WHY IS ANY PERSON IN THE BSA REVIEWING MEDICAL RECORDS?

The reason why the BSA only uses a 1 page medical questionnaire is because
to ask for any more information creates liability.

Unless you are an MD, what medical training do you have to review a medical
record? (That question is self answering so don't try!)

Sorry folks, but this one sends me through the roof. You are not stopping
liability by reviewing someone's medical history, you are creating
liability.

The BSA has more of a history on this than any other subject. If they wanted
you to review someone's medical history, they would have given you a form to
do it!

Let me repeat IF YOU ARE REVIEWING MEDICAL HISTORY OTHER THAN WHAT IS ON THE
BSA MEDICAL'S YOU ARE CREATING A LAWSUIT FOR YOURSELF.

Jim Moss

-----Original Message-----
From: owner-philmont@troop47.com [mailto:owner-philmont@troop47.com] On
Behalf Of robertktuck@cox.net
Sent: Sunday, December 04, 2005 2:27 PM
To: Multiple recipients of list philmont
Subject: 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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Send listserv commands to: listserv@troop47.com
Send postings to: philmont@troop47.com
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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.
-------------------------------------------------------

-------------------------------------------------------
Scouting E-mail Discussion Lists @ usscouts.org
Subscribe/Unsubscribe at http://usscouts.org/lists/
Listserv Commands at http://usscouts.org/lists/lc.asp
-------------------------------------------------------
Send listserv commands to: listserv@troop47.com
Send postings to: philmont@troop47.com
List FAQ found at: http://usscouts.org/lists/faq.asp
List Administrator: philmont_owner@troop47.com
-------------------------------------------------------
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 16:12:55 2005