Practice Quiz

Managed Care Nursing

Category - Patient Issues

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According to the Emergency Medical Treatment and Labor Act, which statement indicates that a new CMCN may have a misunderstanding about access or utilization of emergency room services?
  1. I am sure the emergency room would not see Mr. Green since he does not have insurance.
  2. We should recommend a patient be seen for primary care at their doctor’s office because the emergency room is so expensive.
  3. The triage nurse advised the patient to go to the ER, but I advised him that it was ok not to go because he told me he could not afford the copayment. The ER should not be able to deny care just because a patient does not have the money.
Explanation
Answer: C-If a CMCN believes a patient cannot go to the emergency room because they cannot afford the copayment, they may have a misunderstanding about access or utilization of the ER based on EMTALA.

The Emergency Medical Treatment and Labor Act (EMTALA) of 1986 ensures access and treatment in the ER even if unable to pay.
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