LML131

I see this is an old post.. but such a super topic. I have usually always worked level 1, inner city and really never thought too much about our EMTALA/ 250 yd rule. But I'm now at a level 3, inner city ED and we are seeing an increase in gang related "dumps". Haven't stopped to think about it, until I saw your post. Ty reading up and following

~WORD ?

Don't beat yourself up.. I know, easy to say but from what I read. You did all the right things. You acknowledged your mistake, went to the provider and took accountability. Followed your hospital policy about med error etc. You are a great nurse!! We have ALL had med errors.. I've been an ED nurse for over 20 yrs and can without a doubt tell you... if someone says "oh I've NEVER made a med error" they are either lying, didn't even know they had done it or haven't done it yet!! Take time for yourself and then move on.. If you are in a facility that does support self reporting errors, have a non punitive culture?? GTFO and go elsewhere ~does *NOT support

So I think you are asking, is this legal for an ED to do?? Not have full lab services, blood bank available 24/7?? Well, It all depends upon what kind of ED your facility is designated and licensed as. Critical Access, stand alone ED or trauma designation. Even as a critical access ED it's all about "stabilization & transport", So, Joe blow gets dropped off at your ED door step after being stabbed multiple times. However, you are an 8 bed, critical access ED with limited services and no blood bank. Or, a vag bleed has a hgb of 5 that you ran as a POCT but have no blood bank. Your hospital will have a transfer plan for a pt needing a higher level of care. Ask your mgr/director what kind of ED you are designated and licensed as. My guess would be you are a critical access or stand alone ED. Which do not have to have 24hr lab. You would simply follow EMTALA/COBRA and stabilize & transfer.