A flight nurse arrives at a rural hospital to transport a patient suffering from a myocardial infarction to a tertiary care facility. The hospital's physician refuses to provide a medical screening examination for the patient, stating they are not equipped to handle cardiac emergencies and the flight crew should take the patient. According to EMTALA regulations, what should the flight nurse do next?
Document the refusal of the medical screening examination and proceed with transporting the patient.
Contact the receiving tertiary care facility for guidance on the transport.
Transport the patient to the tertiary care facility as directed by the rural hospital physician.
Request that the hospital's physician conduct a medical screening examination and provide stabilizing treatment before transfer.
EMTALA mandates that every hospital with an emergency department must provide a medical screening examination and stabilizing treatment to any patient with an emergency medical condition before any transfer. Refusing to do so can result in severe penalties for the hospital and medical staff. In this scenario, the flight nurse should request that the rural hospital's physician performs the medical screening examination and provides stabilizing treatment before patient transfer. Ensuring compliance with EMTALA protects the patient's rights and safety during the transfer process.
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BCEN CFRN
General Principles of Flight Transport Nursing Practice
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