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Systems-Based Practice

EMTALA: Ethics and the Law

 

Dr. Em & Dr. Taul's
Emergency Room Adventure

 

Case 2 answer

How does EMTALA regard this recommendation?

  1. (Correct) Because the nurse is a part of the healthcare team in the emergency room, and has made a recommendation, this can be regarded as a violation of EMTALA guidelines.  The receiving emergency facility has not been informed of the "transfer" or accepted the patient.

  2.  
  3. (Incorrect) Since the nurse is only informally advising the parent this cannot be construed as an actual transfer, and no EMTALA violation has occurred.

  4.  
  5. (Incorrect) An EMTALA violation would only occur if there were no physicians who have expertise with children at the receiving emergency room. 

    Even if there are "experts" available in the emergency room to which a patient is referred proper procedure requires that the facility accept the patient, all medical records be sent, and proper transportation be arranged.

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