Step I Ethics, HIPPA, Behavorial Sci Question

[fuzzywuz]

Are we responsible for knowing the details of HIPPA?

I had a question from Uworld that ask about how to handle a pt with mono that insists on resuming contact sport despite warnings of the risk of splenic rupture.

I thought I was certain when I decided that it was proper to allow the athlete to resume whatever he pleases as long as I warned him of the risk and consequences. But no, apparently, I can forcibly tell him to not play (<-- Correct answer too.) Doesn't this contradict everything we learned about pt autonomy?

Ideas and suggestions?

 

[bobsagat]

Are we responsible for knowing the details of HIPPA?

I had a question from Uworld that ask about how to handle a pt with mono that insists on resuming contact sport despite warnings of the risk of splenic rupture.

I thought I was certain when I decided that it was proper to allow the athlete to resume whatever he pleases as long as I warned him of the risk and consequences. But no, apparently, I can forcibly tell him to not play (<-- Correct answer too.) Doesn't this contradict everything we learned about pt autonomy?

Ideas and suggestions?

I'm pretty sure the exception here occurs because you're an employee of the team, and professional and NCAA athletes sign releases to allow the coaches/university/etc. know about their medical conditions. In this situation you're the gatekeeper, and it's what they hire you to do.

I don't think it's within HIPAA rules to go and share what this kid has with the media, I think that's up to the player and the team. But the team definitely has to know.

 

[fuzzywuz]

Cool. Just gotta keep that in the back of my head now. Thanks!