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Re: What do you do?From: ainsron@msn.comFri Jan 19 10:36:35 2001
>From my view, the entent of EMTALA was to prevent the ob patient who is seen in one facility from being "dumped" to another facility, not to the more common scenario of the ob patient who is being evaluated in her planned place of delivery, determined not to be in active labor then sent home. The qualifications of the medical personel needed to evaluate a patient prior to discharge is not specifically defined by the law. As long as medical staff bylaws/rules and regulations/nursing protocols allow L&D RNs to be the triage person, we should be covered and not violate EMTLA/COBRA laws. The problem is when something terrible happens to the person evaluated and discharged, the more removed the physician is from the initial evaluation and discharge, the more liability is placed on whoever made the decision.
>I would like to do (a) but usually do (b).
-- Ronald E. Ainsworth, MD
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