Reply to Care manager at children’s shared details of child’s ER visit with school

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Reply to " Care manager at children’s shared details of child’s ER visit with school"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote]Does the HIPAA Privacy Rule allow a health care provider to disclose protected health information (PHI) about a student to a school nurse or physician?

Yes. The HIPAA Privacy Rule allows covered health care providers to disclose PHI about students to [b]s[u]chool nurses[[/u]/b], physicians, or other health care providers [b][u]for treatment purposes[/u],[/b] without the authorization of the student or student’s parent. [/quote]

You are assuming, by citing this provision, that the school nurse is treating the kid for the same condition.  [b]You don't have any facts to support that. [/b] it may be the case that the school nurse is going to "treat" the kid on the school property -- or might be called upon to do so. Or not.

If the kid went to the ER to have a raisin removed from his nose, then you cannot make a credible claim that school nurse will continue the plan of care when school resumes on Monday and continue to "treat" the now-removed nose raisin.  There's nothing to treat.

OP would have to be willing to divulge what the medical issue was that was treated in the ER to make a call on this.  [/quote]

The patient. In the case of a minor, the parent or legal guardian.

I am sure, because it’s my livelihood.

No school staff (and a contract nurse is school staff) is in the audience, legally.

Are you not familiar with what "return precautions" and a "discharge plan" are? Literally every ED discharge has them. It's standardized paperwork, usually. Sometimes modified but always present.

This is exactly why the DHHS made FAQ sheets.[/quote]

I can assure you, the discharge plan never includes the school nurse in its to-do list.

Take medication as directed.  Report to the lab in one week.  Change dressing when it is saturated or soiled.

Follow up with your provider [b]who is not the school nurse[/b] in 3 days.

Report any continued bleeding / dizziness / vomiting etc etc to your provider [b]who is not the school nurse[/b].

I write discharge plans.  The contract DCPS school nurse is not implicated, implicitly or explicitly, in discharge planning. [/quote]

I'm not sure who you think is looking at the dressing to see whether it is saturated or soiled, or to check if there is bleeding, or vomiting, or what have you, when the kid is at school. (?)[/quote][/quote]

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