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Sun, 18 May 2003 13:37:37 -0700

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You are mistaken about HIPPA -

Quality Assurance and Quality Improvement activities and Training using =
Case studies are quite legal as well as desirable.

Have a long talk with your hospitals HIPPA focal point and see if you =
can arrange some sort of system agreeable to your service and the =
hospital.

I suggest taking a HIPPA course from a professional like, Gene Gandy.  =
who trained the services in my local area.  HIPPA is not the nightmare =
it is being portrayed as, at least from the EMS standpoint.

Regards-

Terry Dinerman EMTP
  ----- Original Message -----=20
  From: Brenna Primrose=20
  To: trauma-list@trauma.org=20
  Sent: Sunday, May 18, 2003 12:56 PM
  Subject: RE: Trauma in pregnancy question... ( UPDATE )

  Unfortunately, with these new HIPAA regulations, I am not even =
*supposed* to
  ask how one of my former patients is doing on the floor..and I *do* =
work at
  a teaching hospital.

  AIM - absolutxpsycho
  YIM - absolut_contagion
  ICQ - 1363187
  MSN - r00t@creighton.edu=20
  -----Original Message-----
  From: trauma-list-admin@trauma.org =
[mailto:trauma-list-admin@trauma.org] On
  Behalf Of Equine Guy
  Sent: Friday, May 16, 2003 6:57 PM
  To: trauma-list@trauma.org
  Subject: Re: Trauma in pregnancy question... ( UPDATE )

  Well, after a short talk with nurse hatchet and 'patient =
confidentiality vs
  a learning experience', I learned that the pregnant gal was sent home =
after
  a day of observation. The explanation of the happenings as told to me =
were
  "Due to excitation from the traumatic experience", and unrelated to an =
L&D
  problem. She was transferred back to the ER for further eval, and the
  possibility of a cardiac related problem was investigated. Not sure if
  anything else was found. But, unless if she contacts me, I may not =
know any
  further follow up situations.

  Hmmmm... bummer.

  On the lighter side of learning, we did have a mid aged lady fall =
suddenly
  unconscious with no known history, cheyne-stokes breathing, pin-point
  pupils, incontinance and all vitals WNL - just short of the HR, which =
was
  anywhere from 60-140 bpm. ( NSR/sinus tach on monitor ). Accucheck
  166mg/dL. Gave 2.0mg Narcan with no response. So we figured maybe =
seizure
  or a stroke.
  She was flown to a trauma center, and as expected... the trauma center
  called a couple hours later with a full update.... Diagnosis : =
sub-arachnoid
  hemorrhage.=20

  Once again.... I do like teaching hospitals, they are so much more =
friendly
  to us pre-hospital folks.

  Thanks everyone for all your input. As a first time forum user, this =
is a
  great site!
  ( I may stick around a bit, might learn something )

  :-p
  DST

  --
  trauma-list : TRAUMA.ORG
  To change your settings or unsubscribe visit:
  http://www.trauma.org/traumalist.html

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<STYLE></STYLE>
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<BODY bgColor=3D#ffffff>
<DIV><FONT face=3D"Comic Sans MS">You are mistaken about HIPPA =
-</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">Quality Assurance and Quality =
Improvement=20
activities and Training using Case studies are quite legal as well as=20
desirable.</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">Have a long talk with your hospitals =
HIPPA focal=20
point and see if you can arrange some sort of system agreeable to your =
service=20
and the hospital.</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">I suggest taking a HIPPA course from a =

professional like, Gene Gandy.&nbsp; who trained the services in my =
local=20
area.&nbsp; HIPPA is not the nightmare it is being portrayed as, at =
least from=20
the EMS standpoint.</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">Regards-</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">Terry Dinerman EMTP</FONT></DIV>
<BLOCKQUOTE=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A title=3Dc0ntagion@spamcop.net =
href=3D"mailto:c0ntagion@spamcop.net">Brenna=20
  Primrose</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
title=3Dtrauma-list@trauma.org=20
  href=3D"mailto:trauma-list@trauma.org">trauma-list@trauma.org</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Sunday, May 18, 2003 =
12:56 PM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> RE: Trauma in =
pregnancy=20
  question... ( UPDATE )</DIV>
  <DIV><BR></DIV>Unfortunately, with these new HIPAA regulations, I am =
not even=20
  *supposed* to<BR>ask how one of my former patients is doing on the =
floor..and=20
  I *do* work at<BR>a teaching hospital.<BR><BR><BR><BR><BR>AIM -=20
  absolutxpsycho<BR>YIM - absolut_contagion<BR>ICQ - 1363187<BR>MSN - <A =

  href=3D"mailto:r00t@creighton.edu">r00t@creighton.edu</A> =
<BR>-----Original=20
  Message-----<BR>From: <A=20
  =
href=3D"mailto:trauma-list-admin@trauma.org">trauma-list-admin@trauma.org=
</A>=20
  [mailto:trauma-list-admin@trauma.org] On<BR>Behalf Of Equine =
Guy<BR>Sent:=20
  Friday, May 16, 2003 6:57 PM<BR>To: <A=20
  =
href=3D"mailto:trauma-list@trauma.org">trauma-list@trauma.org</A><BR>Subj=
ect:=20
  Re: Trauma in pregnancy question... ( UPDATE )<BR><BR><BR>Well, after =
a short=20
  talk with nurse hatchet and 'patient confidentiality vs<BR>a learning=20
  experience', I learned that the pregnant gal was sent home after<BR>a =
day of=20
  observation. The explanation of the happenings as told to me =
were<BR>"Due to=20
  excitation from the traumatic experience", and unrelated to an=20
  L&amp;D<BR>problem. She was transferred back to the ER for further =
eval, and=20
  the<BR>possibility of a cardiac related problem was investigated. Not =
sure=20
  if<BR>anything else was found. But, unless if she contacts me, I may =
not know=20
  any<BR>further follow up situations.<BR><BR>Hmmmm... bummer.<BR><BR>On =
the=20
  lighter side of learning, we did have a mid aged lady fall=20
  suddenly<BR>unconscious with no known history, cheyne-stokes =
breathing,=20
  pin-point<BR>pupils, incontinance and all vitals WNL - just short of =
the HR,=20
  which was<BR>anywhere from 60-140 bpm. ( NSR/sinus tach on monitor ).=20
  Accucheck<BR>166mg/dL. Gave 2.0mg Narcan with no response. So we =
figured maybe=20
  seizure<BR>or a stroke.<BR>She was flown to a trauma center, and as=20
  expected... the trauma center<BR>called a couple hours later with a =
full=20
  update.... Diagnosis : sub-arachnoid<BR>hemorrhage. <BR><BR>Once =
again.... I=20
  do like teaching hospitals, they are so much more friendly<BR>to us=20
  pre-hospital folks.<BR><BR><BR>Thanks everyone for all your input. As =
a first=20
  time forum user, this is a<BR>great site!<BR>( I may stick around a =
bit, might=20
  learn something =
)<BR><BR>:-p<BR>DST<BR><BR><BR><BR><BR>--<BR>trauma-list :=20
  TRAUMA.ORG<BR>To change your settings or unsubscribe visit:<BR><A=20
  =
href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2003-May/3D"http://www.trauma.org/traumalist.html">http://www.trauma.org/trau=
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Trauma in pregnancy question... ( UPDATE )