HEALTHSTREAM:EMTALA+HIPPA+PR
OFESSIONAL COMPLIANCE
03)/Emergency/Department/Personnel/Responsibilities.
EMTALA/specifically/prohibits/delaying/a/medical/screening/examination/due/to/./-/
ans✔B./the/patient's/ability/to/pay,/diagnosis,/race,/color,/national/origin/or/disability
EMTALA/permits/contacting/the/patient's/regular/physician/for/information/relevant/to/
treating/the/patient./However,/this/cannot/delay/a/medical/screening/examination/(MSE)/
and/stabilizing/treatment.
What/else/is/permitted,/as/long/it/does/not/delay/an/MSE/or/stabilizing/treatment?/-/
ans✔C./Conducting/a/reasonable/registration/process
Federal/regulations/do/not/require/Emergency/Departments/to/post/signage/in/hospital/
public/entrances,/and/waiting,/registration/or/treatment/areas./-/ans✔B./False
Which/of/these/is/documentation/that/must/be/maintained/for/at/least/five/years/under/
EMTALA?/-/ans✔D./All/the/above
Which/of/the/following/Emergency/Department/employees/have/responsibilities/under/
EMTALA?/-/ans✔E./All/of/the/above
Medical/screening/examinations/(MSEs)/are/required/to/be/performed/for/every/patient/
presenting/in/a/dedicated/Emergency/Department/of/a/hospital./What/is/an/MSE?/-/
ans✔A./The/process/required/to/reach,/with/reasonable/clinical/confidence,/a/
determination/as/to/whether/or/not/a/patient/has/an/emergency/condition
The/Emergency/Department/Supervisor/of/a/local/hospital/approved/the/destruction/of/
the/physician/on-call/log/and/central/patient/log/containing/all/the/patients/who/have/
presented/to/the/ED/or/Labor/and/Delivery/Department/within/the/last/three/years.
This/would/be/a/considered/a/violation/of/the/EMTALA/requirement/that/states/this/type/
of/documentation/must/be/maintained/for/at/least/how/many/years?/-/ans✔B./Five
04:/Emergency/Department/Walkouts
, You/are/a/triage/nurse/in/the/Emergency/Department/(ED)./A/patient/is/refusing/initiation/
of/an/MSE/and/treatment./You/have/informed/the/patient/of/the/risks/of/leaving/and/the/
benefits/of/receiving/an/MSE/and/treatment./You/have/encouraged/the/patient/to/stay./
What/should/you/do/if/the/patient/still/refuses/the/MSE/and/treatment?/-/ans✔C./A/and/B
Which/type/of/vulnerable/patient/should/not/leave/the/hospital/Emergency/Department/
unless/authorized/by/an/appropriate/party?/-/ans✔D./All/of/the/above
A/patient/found/trying/to/harm/himself/leaves/the/Emergency/Department/prior/to/the/
completion/of/the/medical/screening/exam./When/this/type/of/vulnerable/patient/attempts/
to/leave,/Emergency/Department/staff/should/notify/hospital/security/immediately/upon/
discovery./-/ans✔A./True
If/a/patient/walks/out/during/a/medical/screening/examination/and/treatment/without/
informing/staff,/no/follow-up/steps/need/to/be/taken/by/the/Emergency/Department/nurse/
or/physician./-/ans✔B./False
A/patient/who/presented/at/your/Emergency/Department/(ED)/has/just/told/you/that/he/
intends/to/leave/before/the/completion/of/the/MSE/and/treatment/against/your/medical/
advice./You/have/informed/the/patient/of/his/rights,/the/risks/of/leaving/and/the/benefits/of/
completing/the/MSE/and/treatment,/and/encouraged/the/patient/to/stay./You/have/
documented/all/this/in/the/medical/record/and/requested/that/the/patient/sign/a/refusal/of/
medical/care/form./The/patient/refuses/to/sign/the/form/and/leaves./What/should/you/do/
now?/-/ans✔A./Document/the/patient's/refusal/to/sign/the/form/in/the/medical/record
What/should/you/do,/immediately/upon/discovery,/if/a/vulnerable/patient/walks/out/of/a/
dedicated/Emergency/Department/without/the/authorization/of/an/appropriate/party?/-/
ans✔B./Notify/hospital/security/upon/discovery
You/are/an/Emergency/Department/(ED)/physician/who/discovers/that/a/patient/has/
walked/out/during/an/MSE/without/informing/staff./What/should/you/do?/-/ans✔D./All/of/
the/above
05:/Transferring/and/Receiving/Patients
When/may/a/patient/who/is/not/completely/stable/be/transferred/to/another/hospital?/-/
ans✔D./All/of/the/above
According/to/the/EMTALA/regulation,/a/transfer/must/be/accepted/regardless/of/the/
patient's/./-/ans✔E./All/of/the/above
The/EMTALA/regulation/states/that/a/transfer/cannot/be/refused/based/on/a/patient's/
instability/or/stability./-/ans✔A./True
OFESSIONAL COMPLIANCE
03)/Emergency/Department/Personnel/Responsibilities.
EMTALA/specifically/prohibits/delaying/a/medical/screening/examination/due/to/./-/
ans✔B./the/patient's/ability/to/pay,/diagnosis,/race,/color,/national/origin/or/disability
EMTALA/permits/contacting/the/patient's/regular/physician/for/information/relevant/to/
treating/the/patient./However,/this/cannot/delay/a/medical/screening/examination/(MSE)/
and/stabilizing/treatment.
What/else/is/permitted,/as/long/it/does/not/delay/an/MSE/or/stabilizing/treatment?/-/
ans✔C./Conducting/a/reasonable/registration/process
Federal/regulations/do/not/require/Emergency/Departments/to/post/signage/in/hospital/
public/entrances,/and/waiting,/registration/or/treatment/areas./-/ans✔B./False
Which/of/these/is/documentation/that/must/be/maintained/for/at/least/five/years/under/
EMTALA?/-/ans✔D./All/the/above
Which/of/the/following/Emergency/Department/employees/have/responsibilities/under/
EMTALA?/-/ans✔E./All/of/the/above
Medical/screening/examinations/(MSEs)/are/required/to/be/performed/for/every/patient/
presenting/in/a/dedicated/Emergency/Department/of/a/hospital./What/is/an/MSE?/-/
ans✔A./The/process/required/to/reach,/with/reasonable/clinical/confidence,/a/
determination/as/to/whether/or/not/a/patient/has/an/emergency/condition
The/Emergency/Department/Supervisor/of/a/local/hospital/approved/the/destruction/of/
the/physician/on-call/log/and/central/patient/log/containing/all/the/patients/who/have/
presented/to/the/ED/or/Labor/and/Delivery/Department/within/the/last/three/years.
This/would/be/a/considered/a/violation/of/the/EMTALA/requirement/that/states/this/type/
of/documentation/must/be/maintained/for/at/least/how/many/years?/-/ans✔B./Five
04:/Emergency/Department/Walkouts
, You/are/a/triage/nurse/in/the/Emergency/Department/(ED)./A/patient/is/refusing/initiation/
of/an/MSE/and/treatment./You/have/informed/the/patient/of/the/risks/of/leaving/and/the/
benefits/of/receiving/an/MSE/and/treatment./You/have/encouraged/the/patient/to/stay./
What/should/you/do/if/the/patient/still/refuses/the/MSE/and/treatment?/-/ans✔C./A/and/B
Which/type/of/vulnerable/patient/should/not/leave/the/hospital/Emergency/Department/
unless/authorized/by/an/appropriate/party?/-/ans✔D./All/of/the/above
A/patient/found/trying/to/harm/himself/leaves/the/Emergency/Department/prior/to/the/
completion/of/the/medical/screening/exam./When/this/type/of/vulnerable/patient/attempts/
to/leave,/Emergency/Department/staff/should/notify/hospital/security/immediately/upon/
discovery./-/ans✔A./True
If/a/patient/walks/out/during/a/medical/screening/examination/and/treatment/without/
informing/staff,/no/follow-up/steps/need/to/be/taken/by/the/Emergency/Department/nurse/
or/physician./-/ans✔B./False
A/patient/who/presented/at/your/Emergency/Department/(ED)/has/just/told/you/that/he/
intends/to/leave/before/the/completion/of/the/MSE/and/treatment/against/your/medical/
advice./You/have/informed/the/patient/of/his/rights,/the/risks/of/leaving/and/the/benefits/of/
completing/the/MSE/and/treatment,/and/encouraged/the/patient/to/stay./You/have/
documented/all/this/in/the/medical/record/and/requested/that/the/patient/sign/a/refusal/of/
medical/care/form./The/patient/refuses/to/sign/the/form/and/leaves./What/should/you/do/
now?/-/ans✔A./Document/the/patient's/refusal/to/sign/the/form/in/the/medical/record
What/should/you/do,/immediately/upon/discovery,/if/a/vulnerable/patient/walks/out/of/a/
dedicated/Emergency/Department/without/the/authorization/of/an/appropriate/party?/-/
ans✔B./Notify/hospital/security/upon/discovery
You/are/an/Emergency/Department/(ED)/physician/who/discovers/that/a/patient/has/
walked/out/during/an/MSE/without/informing/staff./What/should/you/do?/-/ans✔D./All/of/
the/above
05:/Transferring/and/Receiving/Patients
When/may/a/patient/who/is/not/completely/stable/be/transferred/to/another/hospital?/-/
ans✔D./All/of/the/above
According/to/the/EMTALA/regulation,/a/transfer/must/be/accepted/regardless/of/the/
patient's/./-/ans✔E./All/of/the/above
The/EMTALA/regulation/states/that/a/transfer/cannot/be/refused/based/on/a/patient's/
instability/or/stability./-/ans✔A./True
