A 50-year-old man was receiving antibiotic therapy as an inpatient at the Milo Regional Medical Center, but required a transfer when his condition changed dramatically. He developed a
subdural hematoma, a life-threatening situation. This requires immediate neurosurgical evaluation, something Milo does not have.
Unfortunately, the Minneapolis hospital which normally accepts Milo’s neurosurgery transfers was at capacity, with several people waiting in the emergency room to be admitted to ICU rooms.
Milo personnel spent eight hours calling 17 different hospitals, in-state and out, to see, first, if they had neurosurgery capabilities and, secondly, if they had a room. Peach Hospital had a bed and
had a neurosurgery service, but refused to take the patient
because the patient was uninsured.
Which of the following are EMTALA violations?
Milo’s attempt to transfer the patient.
Milo’s failure to stabilize the patient’s emergency medical condition.
Peach’s refusal to accept the patient despite having specialized capabilities and capacity
More than one of the above.
None of the above.
Ans) Peach's refusal to accept the patient despite having specialized capabilities and capacity.
Explaination:
Receiving facility has space and qualified personnel and agrees to accept the transfer (scrutiny on this!)—If not accept patients=EMTALA Violation
PA can order transfer of emergency, PA can certify transfer of an unstable patient to another ED but MUST first consult with a physician before ordering transfer, Physician MUST co-sign order by time in hospital policy
A 50-year-old man was receiving antibiotic therapy as an inpatient at the Milo Regional Medical Center,...
K.B. is a 21-year-old man with a past medical history (PMH) of seizure disorder controlled with carbamazepine (Tegretol). He was accidentally struck in the head by a pitched baseball while batting in a baseball game. He was unconscious for about 5 seconds, then awakened and was alert and responsive. After a few hours, K.B. returned home with complaints of a "splitting" headache, drowsiness, slight confusion, and some nausea. K.B. was taken to the local hospital emergency department (ED), where a...
Please help Case study A 23-year old woman with no significant prior medical history presented to the emergency room with complaints of generalized body ache of two weeks duration and a fever of 102.6. Following laboratory testing and an abnormal CT scan of the chest she was diagnosed with pneumonia, elevated white blood count, abnormal liver function tests and an abnormal coagulation profile. She was admitted to the intensive care unit (ICU) under the care of an assigned attending physician....