Write a 1,000-1,250 wordpaper in which you analyze a scenario using the Emergency Medical Treatment andActive Labor Act (EMTALA).

You are the administratoron call for Hospital A and are responsible for accepting and rejectingpatients. You receive a call at 2:00 a.m. from Health Hospital B regarding apatient with a severed ear.

The ED physician iscalling to arrange an EMTALA-qualified transfer from his hospital to yours, butthe ENT physician on call at your hospital is refusing to accept the transfer,stating that the patient does not need a higher level of care.

You call your ENT on call,and he admits he has just had three glasses of wine and will not be availablefor about 6 hours. You electronically send him the record that HealthHospital B would send with the patient. The ENT physician advises that theear looks salvageable and could easily be sutured in any ED. The ED physicianat Health Hospital B is very nervous about the possibility of an EMTALAviolation.

  1. If you decide to reject the patient, is this a violation of EMTALA? Explain.
  2. What decision will you make as the administrator? Explain.
  3. Based on this scenario, what could be implemented to prevent this type of situation from occurring in the future?
  4. Under what scenario would the Hospital A physician be concerned about an EMTALA situation?

 


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