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Healthstream:EMTALA+HIPPA+Profession al Compliance Questions And Answers

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Healthstream:EMTALA+HIPPA+Profession al Compliance Questions And Answers Which of these is documentation that must be maintained for at least five years under EMTALA? D. All the above Which of the following Emergency Department employees have responsibilities under EMTALA? 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? A. The process required to reach, with reasonable clinical confidence, a determination as to whether or not a patient has an emergency condition

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Healthstream:EMTALA+HIPPA+Profession
al Compliance Questions And Answers

Which of these is documentation that must be maintained for at least five years under EMTALA?

D. All the above




Which of the following Emergency Department employees have responsibilities under

EMTALA? 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? 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? B. Five




04: Emergency Department Walkouts

, Healthstream:EMTALA+HIPPA+Profession
al Compliance Questions And Answers

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? C. A and B




Which type of vulnerable patient should not leave the hospital Emergency Department unless

authorized by an appropriate party? 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.

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.

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

, Healthstream:EMTALA+HIPPA+Profession
al Compliance Questions And Answers
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? 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? 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? D. All of the above




05: Transferring and Receiving Patients




When may a patient who is not completely stable be transferred to another hospital? D.

All of the above

, Healthstream:EMTALA+HIPPA+Profession
al Compliance Questions And Answers
According to the EMTALA regulation, a transfer must be accepted regardless of the patient's .

E. All of the above




The EMTALA regulation states that a transfer cannot be refused based on a patient's instability

or stability. A. True




Once a patient with a psychiatric illness is medically screened and cleared, which of the

following is the next appropriate action to take under the EMTALA regulation? E. A and

C




Generally, the transfer of a stabilized patient to another hospital is permitted . C. when

your hospital does not have the capability and capacity to provide the best care for the patient




Your hospital has a duty under EMTALA to accept a transfer if it . A. has the specialized

capability that the patient requires and the capacity to accept the transfer




Which of these is a step to take when transferring a patient to another facility? B. Obtain

agreement from the receiving facility that it has the capability and capacity to receive the patient

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