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
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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
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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
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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