Healthstream:EMTALA+HIPPA+Professiona
l Compliance exam /172 Questions and
Answers.
03) Emergency Department Personnel Responsibilities.
EMTALA specifically prohibits delaying a medical screening examination due to . - -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? - -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. - -B. False
-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
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 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
-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
l Compliance exam /172 Questions and
Answers.
03) Emergency Department Personnel Responsibilities.
EMTALA specifically prohibits delaying a medical screening examination due to . - -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? - -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. - -B. False
-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
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 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
-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
