Author Question: In which of the following answers is the hospital in compliance with the Consolidated Omnibus Budget ... (Read 31 times)

arivle123 · **on:** Jul 22, 2018

In which of the following answers is the hospital in compliance with the Consolidated Omnibus Budget Reconciliation Act and Emergency Medical Treatment and Active Labor Act of 1986 (EMTALA)?

a. The emergency department staff asks a patient to stay in the waiting room until the patients with insurance are treated.
b. The emergency registration personnel explain to a patient that they must have proper identification to receive treatment.
c. A patient with chest pain is triaged directly to a room for evaluation and registration information is obtained after the patient is stabilized.
d. The emergency department physician discharges and instructs a patient who is actively suicidal to go the neighbor facility that has psychiatric services.

Question 2

Which of the following is an example of a nurse violating the Health Insurance Portability and Accountability Act (HIPAA) of 1996?

a. The nurse asks the unit clerk to look up lab values for her relative recently admitted to the hospital.
b. A group of fellow employees are discussing a patient's clinical status in a public place. The nurse manager requests that they step into private room to complete the discussion.
c. After entering the progress notes on a patient's electronic medical record, the nurse logs off the computer to allow her coworker to use the terminal.
d. As a family approaches the nursing desk, the nurse removes the patient census sheet from view on the counter.

Expo · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: C
EMTALA requires that any hospital that operates an emergency department and receives Medicare funds provide an appropriate screening exam to anyone who presented and stabilize any emergency medical condition prior to transfer to another facility. The other choices are in conflict with EMTALA because a medical screening exam must be provided without consideration of the patient's insurance, whether the patient has identification, or the facility's services.

Answer to Question 2

ANS: A
When the nurse asks the unit clerk to look up lab values for her relative recently admitted to the hospital, the nurse is accessing protected health information not required for the nurse to perform his or her job. This is a violation of privacy even if it is a relative. The other choices are all actions that are consistent with protecting a patient's privacy right as defined by HIPAA.