Re: RE: [Philmont]: Medication information and privacy

From: <robertktuck@cox.net>
Date: Mon Dec 05 2005 - 22:14:20 CST

Because I am required, under COPE & Climbing National Standards to do so.

Robert Tuck
First Responder Instructor
COPE & Cliimbing Director

>
> From: "James H. Moss" <bsa.rec.law@gmail.com>
> Date: 2005/12/04 Sun PM 04:58:25 EST
> To: Multiple recipients of list philmont <philmont@troop47.com>
> Subject: 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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> > > 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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> -------------------------------------------------------
> Scouting E-mail Discussion Lists @ usscouts.org Subscribe/Unsubscribe at
> http://usscouts.org/lists/ Listserv Commands at
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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.
> -------------------------------------------------------
>
>
>
>
>
>
>
>
>
>
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> -------------------------------------------------------
> 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.
> -------------------------------------------------------
>
>
>
>
>
>
>

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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 Mon Dec 5 22:30:53 2005

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