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Re: Preterm labor/transferFrom: RModugno@aol.comWed Jan 31 18:28:37 2001
In a message dated 1/30/01 11:49:53 PM Eastern Standard Time, islesannie@yahoo.com writes:
> At Tue, 30 Jan 2001, Richard Chudacoff, MD wrote: That's not quite correct - if the patient is stable - she may be transferred with her permission and the permission of a receiving physician: EMTALA establishes the following general requirements: 1)Medical Screening Examination. A hospital that operates an emergency department must provide a medical screening examination to anyone on whose behalf a request is made for examination or treatment. The purpose of the examination is to determine whether or not the individual is in an emergency medical condition 2)Necessary Stabilizing Treatment. If the individual has come to the hospital and the hospital has determined that he or she is in an emergency medical condition, the hospital must provide further medical examination and treatment to stabilize the medical condition. 3)Restricting Transfers Until Stabilization. A hospital may not transfer an individual unless: The individual requests transfer having been informed of the hospital's obligation to provide further examination and treatment and of the risks of transfer, or a physician certifies in writing that the benefits reasonably expected from treatment at another facility outweigh the increased risks to the individual and/or the unborn child from effecting the transfer (if the physician is not present in the emergency department, a "qualified medical person" may sign the certification if a physician consulting with that person has made the determination that the benefits of transfer outweigh the risks, and subsequently countersigns the certification); and The transfer is an appropriate transfer. 4)Appropriate Transfer. Transferring hospital provides medical treatment to minimize risks to the individual and/or unborn child. Receiving facility has available space and qualified personnel to treat the individual and has agreed to accept transfer of the individual. Transferring hospital sends all medical records related to the emergency condition, including emergency medical records, observations of signs and symptoms, preliminary diagnosis, treatment provided, results of any tests, the informed consent and/or certification provided under EMTALA and the name and address of any on-call physician who has refused or failed to appear within a reasonable time to provide necessary stabilizing treatment. Transfer is effected through qualified personnel and transportation equipment as required, including the use of necessary medically appropriate life support measures during transfer. 5)Meet other requirements imposed by the Secretary. (of HHS) This was taken from this website: <A HREF="http://www.acutecare.com/emtala.htm">EMTALA: The Emergency Medical Treatment and Active Labor Act</A> Robert Modugno MD MBA FACOG Marietta, GA
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