In which of the following answers is the hospital in compliance with the Consolidated Omnibus Budget Reconciliation Act and Emergency Medical Treatment and Active Labor Act of 1986 (EMTALA)?

a. The emergency department staff asks a patient to stay in the waiting room until the patients with insurance are treated.
b. The emergency registration personnel explain to a patient that they must have proper identification to receive treatment.
c. A patient with chest pain is triaged directly to a room for evaluation and registration information is obtained after the patient is stabilized.
d. The emergency department physician discharges and instructs a patient who is actively suicidal to go the neighbor facility that has psychiatric services.


ANS: C
EMTALA requires that any hospital that operates an emergency department and receives Medicare funds provide an appropriate screening exam to anyone who presented and stabilize any emergency medical condition prior to transfer to another facility. The other choices are in conflict with EMTALA because a medical screening exam must be provided without consideration of the patient's insurance, whether the patient has identification, or the facility's services.

Nursing

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