Healthstream EMTALA+HIPPA+Professional Compliance
1. 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 treat- ment?: C.
Conducting a reasonable registration process
2. Federal regulations do not require Emergency Departmentsto postsignagein hospital public
entrances, and waiting, registration or treatment areas.: B.False
3. Which of these is documentation that must be maintained for at least fiveyears under
EMTALA?: D. All the above
4. Which of the following Emergency Department employees have responsi-bilities under
EMTALA?: E. All of the above
5. 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
6. The Emergency Department Supervisor of a local hospital approved the destruction of the
physician on-call log and central patient log containing allthe patients who have presented to
the ED or Labor and Delivery Departmentwithin 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 manyyears?: B. Five
7. 04: Emergency Department Walkouts
You are a triage nurse in the Emergency Department (ED).A patient isrefusinginitiation of an
MSE and treatment.You have informed the patient of the risksof 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 refusesthe MSE and treatment?: C. A and B
8. Which type of vulnerable patient should not leave the hospital EmergencyDepartment
unless authorized by an appropriate party?: D. All of the above
9. A patient found trying to harm himself leaves the Emergency Departmentprior to the
completion of the medical screening exam. When this type of
vulnerable patient attempts to leave, Emergency Department staff shouldnotify hospital
security immediately upon discovery.: A.True
10. If a patient walks out during a medical screening examination and treat-ment without
informing staff, no follow-up steps need to be taken by the Emergency Department nurse or
physician.: B. False
11. A patient who presented at your Emergency Department (ED) has just toldyou 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