EMTALA (Actual) Exam 2023 Graded A+

What is EMTALA? - ANSWER-Emergency Medical Treatment and Labor Act Federal law that requires anyone coming to an ED to be __________ and ________, *regardless* of their insurance status or ability to pay. - ANSWER-EMTALA *stabilized and treated* EMTALA is also known as _________. - ANSWER-anti-dumping law Goal of EMTALA: - ANSWER-ensure adequate first response to a medical crisis for all patients Rules for transferring to the ED - ANSWER-1. *Medically screen* patients to determine whether a *medical emergency* exists regardless of insurance. This goes *beyond* a triage assessment 2. *Stabilize patients* with medical emergencies to reasonably ensure that no deterioration will result from a transfer. 3. Restrict transfer of non-stabilized patients to 2 circumstances What are the two circumstances in which you are allowed to transfer patients from an ED who are NOT stabilized? - ANSWER-1. Patient requests a *transfer in writing* after being *informed* of the risks involved and the hospital's duty to treat under EMTALA 2. A *physician certifies* that the medical *benefits expected from transfer outweigh the risks* involved in the transfer When pregnant woman is having contraction, an emergency medical condition exists when: - ANSWER--inadequate time for *safe transfer* to another hospital before delivery AND -transfer may pose a threat to the health/safety of patient or unborn child Steps when Transferring a Patient: - ANSWER-1. *Provide* medical treatment to minimize the risk of transfer 2. *Obtain* patient's written consent for transfer 3. *Provide* signed certificate of transfer 4. *Assure* that the transfer takes place with qualified personnel and equipment 5. *Send copies* of medical records related to the emergency condition T/F regional referral centers and hospitals with specialized capabilities cannot refuse to accept an appropriate transfer if they have the capacity - ANSWER-TRUE IF have __________ and qualified personnel for treating a patient in the ED, you must receive them. - ANSWER-available space and qualified personnel