If you were the caregiver of an elderly parent in Florida, you would be able to pick up prescription drugs and administer them to your mother or father as ordered by their physician. You also would be allowed to discuss their medical conditions and treatments with their healthcare providers.
A caregiver, according to state statute, is someone who is âentrusted with or has assumed responsibility for the care or the property of an elderly person or disabled adult. âCaregiverâ includes, but is not limited to, relatives, court-appointed or voluntary guardians, adult household members, neighbors, health care providers, etc.
In other words, a lot of adults â18 or older â can consider themselves caregivers, and the state doesnât require them to undergo training or earn any certifications to be âentrustedâ with this responsibility.
But when it comes to overseeing the healthcare of someone being treated with medical marijuanaâ even your own child â the State of Florida takes a much stricter approach to the caregiver-patient relationship. The Florida Department of Health has issued rules on who can and cannot be caregivers of medical marijuana patients.
âThey have to actually receive a Medical Marijuana Use Registry Identification Card, just as the patient does, in exactly the same way,â says Donna Sachse, a certified nursing assistant and officer manager of Compassionate Cannabis Clinic, one of the largest medical marijuana treatment facilities in Florida.
Thatâs just for starters.
Founded by Chief Medical Officer Dr. Barry Gordon, Compassionate Cannabis Clinic has served more than 5,000 patients at its Venice and Fort Myers office locations. Dr. Gordon is a leading advocate of patient and caregiver education on all things medical cannabis, including the endocannabinoid system.
Caregivers, he says, âneed to have as much, if not more, education than the patient themselves in order to be a success in the program.â
While Dr. Gordon sees the value in governing caregivers of medical marijuana patients as Florida does, he says the DOH rules donât ensure a thorough introduction to cannabis as medicine.
âEven in the test for caregivers, thereâs nothing that discusses the endocannabinoid system or the caregiverâs knowledge of cannabis,â he says, referring to the âcaregiver certification courseâ DOH requires would-be caregivers to complete.
To become a registered caregiver of a medical marijuana patient (only one caregiver per patient, with some exceptions, such as parents or guardians of a minor), you have to be at least 21 years old, a resident of the state and fill out an application with DOHâs Office of Medical Marijuana Use. Applicants who arenât a close relative of the patient must pass a background check.
The rules also state that âa caregiver must not be a qualified physician and not be employed by or have an economic interest in a medical marijuana treatment center or a marijuana testing laboratory.â
âBecause thatâs a conflict of interest,â explains Sachse.
Dr. Gordon says one of the biggest challenges caregivers face is the âavailability and the consistency of a productâ a qualified physician recommended for the patient. âThey want to be able to get that same product every single time. Percocet is the same Percocet whether at a CVS or Walgreens pharmacy, but thatâs not quite so for a cannabis cultivar. Itâs a plant.â
A possible solution to this problem could be to allow for the private cultivation of cannabis plants. Some states already do, but not Florida. However, a proposed state constitutional amendment seeks to change that as well as make marijuana use and possession legal for adults 21 or older. The initiative, which could go before voters in November 2022, would permit âcultivating nine live marijuana plants per adult with eighteen plants maximum per household.â
When a product is out of stock at a dispensary, whatever is recommended to replace it could have a different effect on the patient. Sachse says she fields a lot of calls from caregivers and patients who are concerned about having to change medical marijuana drugs because of inventory shortages.
On a different but related point about caregivers, Dr. Gordon says he wants to see job protections for healthcare workers, including first responders, who use medical cannabis to treat post-traumatic stress disorder (PTSD). He says the COVID-19 pandemic forced healthcare workers to take care of too many patients at a time and comfort many of them in their dying hours because family members werenât allowed at their bedside.
âNo healthcare worker is prepared for that,â he says. âThey donât want alcohol, Ambien or Xanax or Wellbutrin or Prozac to help them. Many of our healthcare workers are going to carry this period of time with them for a long time. Theyâre using cannabis already because they donât want the other substances.â
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Visit https://bit.ly/3Bub12k to watch MMERIâs Conversations on Cannabis Virtual Forum featuring Dr. Barry Gordon, chief medical officer and founder of Compassionate Cannabis Clinic, and Donna Sachse, a certified nursing assistant and officer manager of Compassionate Cannabis Clinic, on YouTube.  Â
For more information on medical marijuana and to sign up for the MMERI newsletter, go to http://mmeri.famu.edu.
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