Re: [Philmont]: Medication information and privacy

Great information! Great questions to ask!

Thanks Charles.

Shane
----- Original Message -----
From: "Charles Goodwin" <doc236@woh.rr.com>
To: "Multiple recipients of list philmont" <philmont@troop47.com>
Sent: Sunday, December 04, 2005 4:21 PM
Subject: Re: [Philmont]: Medication information and privacy

> Some of the questions about the significant problems that can get a
> scout in trouble in a hurry require additional questioning to have any
> meaning if we are to be prepared to take care of that person should a
> crisis occur. For instance with bee sting allergy, is there a history
> of breathing problems (very significant) or just significant swelling
> which is not that important? Do they carry a bee sting kit with them
> at all times. With seizures, are they well controlled with medication?
> With asthma, is it well controlled? When was the last asthma attack?
> Do they have an inhaler and carry it with them at all times? Do they
> require an electric nebulizer to deliver the medication? With
> diabetes, are they able to maintain good control or is it very labile?
> The real reason for having the medical forms in the first place is to
> make it safe for all scouts. I am a physician not a lawyer, but it
> seems that their must be an implied consent to get sufficient
> information to keep the scouts safe and healthy. We certainly want to
> provide the scouting experience to all scouts.
>
> Charles Goodwin, Scoutmaster Troop 236
> Kettering, OH
>
> On Dec 4, 2005, at 4:58 PM, James H. Moss wrote:
>
>> 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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>>>> courteous, kind, obedient, cheerful, thrifty, brave, clean and
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>>>> -------------------------------------------------------
>>>>
>>>>
>>>>
>>>>
>>>>
>>>>
>>>>
>>>
>>>
>>>
>>>
>>>
>>>
>>>
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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.
>> -------------------------------------------------------
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
>> -------------------------------------------------------
>> Scouting E-mail Discussion Lists @ usscouts.org
>> Subscribe/Unsubscribe at http://usscouts.org/lists/
>> Listserv Commands at http://usscouts.org/lists/lc.asp
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>> 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.
>> -------------------------------------------------------
>>
>>
>>
>>
>>
>>
>
>
>
>
>
>
> -------------------------------------------------------
> Scouting E-mail Discussion Lists @ usscouts.org
> Subscribe/Unsubscribe at http://usscouts.org/lists/
> Listserv Commands at http://usscouts.org/lists/lc.asp
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> Send listserv commands to: listserv@troop47.com
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> 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.
> -------------------------------------------------------
>
>
>
>
>
>
>

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Send listserv commands to: listserv@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.
-------------------------------------------------------

 
Received on Sun Dec 4 20:26:15 2005