emtala question

This is a little complicated, so bear with me!

I recently transferred (by BLS ambulance) a pt from our ER to a sister facility (the hospitals are owned by the same company). The pt. was transferred to the intake and assessment area of the behavioral health unit for evaluation to determine if he qualified to be admitted to the detox unit. This was not a Dr. to Dr. transfer. The pt. signed discharge paperwork from our ER, with the instructions that he go to detox. All of his paperwork, labs, etc. from our ER were faxed to the Intake and Assessment RN at the other facility. She then called and told our secretary that they would accept him. The secretary then called for transport and I was told the BLS ambulance would arrive in 15 minutes. I immediately called the other facility to give report to the RN (the ONLY RN there). I was told she was with a client, and they would have her call me back. Well...........the ambulance arrived before she called me back. I figured I'd send him, because I expected to be able to give report before he got there, and they were expecting him anyway. There really wasn't anything to give her report about, because supposedly that is why the entire chart was faxed to her in the first place. I just wanted to let her know I'd given one add'l dose of Ativan before he left. Long story short, on my third call to her, she was finally done with the client, and I gave her my brief little update. She then states she thinks that the patient is already there, and it was an emtala violation for me not to have given her report before he arrived. I don't think she will actually report me, she was sort of laughing, but you never know.

One of the other docs said, don't worry. The guy was actually DISCHARGED from the ER, and told to get to detox. We just arranged the transportation, and just fill out the Cobra forms on everything, even though this was not a doc to doc.

Any help? I'm just hoping she lets it slide, but think I can defend myself if she doesn't.

What a pain in the puttooty. If I hadn't had to call 3 times to give report, none of this would matter. Geuss next time, I'll just have to make the ambulance wait if they will).