Problems can arise when the receiving hospital refuses to accept the patient, which sometimes occurs with physicians who are on-call for a specialty service. Generally, a screening will be considered appropriate if the same screening is done of all individuals regardless of ability to pay. Restricting Transfers Until Stabilization: Restricting Transfers Until Stabilization A hospital may not transfer an individual unless:. This is a different standard than stabilized for transfer. This is a potential challenge for hospitals that have developed referral networks.
A woman in labor is considered stabilized upon delivery of the child and the placenta, or, after a reasonable time of observation, is certified by a physician to be in false labor. Emergency Medical Condition: Emergency Medical Condition An emergency medical condition is defined as a medical condition manifesting itself by symptoms of sufficient severity such that the absence of immediate medical attention could reasonably be expected to result in 1. . When no material deterioration of the condition is likely, within reasonable medical probability, to result from or occur during the transfer of the individual from the facility. Also, make sure you understand the rules of behavioral health restraints, which are different than medical restraints. Whether you offer psychiatric care or not, psychiatric emergency services can get you in trouble. Emergency Medical Condition: Emergency Medical Condition An emergency medical condition is defined as a medical condition manifesting itself by symptoms of sufficient severity such that the absence of immediate medical attention could reasonably be expected to result in 2.
Remember, triage and medical screening exams have different meanings. Transfer does not include movement of an individual who 1 has been declared dead, or 2 leaves the facility without permission. In addition, medication should be therapeutic—it should not be administered to sedate the patient that would be a chemical restraint. Failure to report can result in termination of Medicare participation. Patient Decisions: Patient Decisions Refusal to Consent to Transfer Documentation must reflect if the patient refuses a transfer recommended by the physician after being informed of the risks and benefits of that transfer. Compliant practices can slip without notice, especially in the heat of trying to solve daily operating problems.
It is better to conduct one-to-one observations than to use restraints. Consequently, you should not delay treatment if the patient is potentially injurious to self or others. If you ever use seclusion, make sure that the patient is watched at all times, which means that the seclusion room has no blind spots. Placing the health of the individual or with respect to a pregnant woman, the health of the woman or her unborn child in serious jeopardy;. Both the accepting and transferring hospitals have to get it right. An emergency medical condition exists if a pregnant woman is having contractions and there is inadequate time to transfer before delivery. Now, things are back to the way they should be.
Whether you are right or wrong, an investigation can ruin your day. For the most part, hospitals have brought their practices into compliance with regulatory requirements e. Furthermore, the hospital's records must reflect quality assurance and disciplinary records regarding the incident. A long line is an inefficient means of managing triaging patients—every patient deserves to be stabilized as soon as possible. However, you cannot transfer a patient to a lower level of care because that benefits only the physician, not the patient. Like any other type of patient, psychiatric patients need to be stabilized before they are transferred.
This provision applies to on-call physician violations as well. Sometimes, on-call physicians want to see the patient in their office. This provision applies to on-call physician violations as well. In addition to being good customer service, it is a federal requirement that all patients who present to the emergency department should have a medical screening exam performed by a competent examiner. On-Call Physicians: On-Call Physicians Generally, on-call physicians are expected to attend the patient physically. Serious dysfunction of any bodily organ or part.
Instead, proactively ensure that referring hospitals know what needs to be done and what paperwork needs to be sent with the patient. Previously, delays in hospital admissions, patient complaints, long wait times, and an increasing number of patients leaving without treatment had become commonplace. Often, risks arise because of unfamiliarity with regulatory requirements as management, physicians, and staff try to improve efficiency. Restricting Transfers Until Stabilization: Restricting Transfers Until Stabilization A hospital may not transfer an individual unless:. Psychiatric patients will require monitoring that is unique to their care, and guidelines used for managing medical patients may be inappropriate.
You wonder how this could happen. Paperwork can get you in trouble. These types of complaints are less common than other patient care complaints. If the on-call physician refuses to attend to the patient or fails to appear within a reasonable time this fact must be reflected in the patient record and transfer materials. That patient is yours until you transfer the patient to another caregiver. Serious impairment of bodily functions; or 3.