Quote from melina
i know you couldn't possibly have meant to this to sound the way it does
oh, i understand exactly what she is saying.
i agree -- it is
a good idea to come up with some way to get the non-emergent stuff out of the er
however, like other posters have said, it is an emtala violation to turn a patient that presents to the er for treatment away without a medical screening exam. emtala seems to be very clear that triage is not a medical screening exam.
(though, with my understanding, some of that is facility-dependent on which personnel the facility desginates as qualified to do the screeing exam. for example, some facilities designate rns -- mostly l/d, as qualfied to r/o labor on a presenting patient.)
there is a facility in florida that is doing the mse, and if the exam doesn't meet "emergency" criteria, they are telling them they can stay and be treated for an up-front fee, or they get a list of local clinics to go to.
so i guess i'm wondering if your facility is putting mid-levels in triagel. that is the only way i can think of that they will be able to get away with it.