Re: stable neonate transports

["Jeff Brosius" <reno316@hotmail.com>]

>The way this was explained to me by our Hospital's legal people is that 
>when
>a patient is retrieved from another facility using a hospital-based 
>transport
>service, whether it be ground or air, it is an EMTALA violation to provide 
>a
>level of care less than what the patient was receiving at the sending
>hospital, or will receive at the receiving hospital.


I certainly hope this is not the case.  I've taken many many patients from 
one ICU to another and not had an RN along.  Now while it is possible that 
the 'level of care' referrs only to the meds/interventions available and not 
the education/training level (i.e. as long as the medic can monitor the 
Nitro, Heparin, and Aggrastat drips, keep the EKG monitor going, and etc.) 
then there is no EMTALA violation.  However, if the 'level of care' 
requirement implies that education/training level must also be the same, 
then I've been party to more violations than I can remember.

For services taking a patinet from one ER to another...  You'd fall into 
this as well, wouldn't you?

Check out  http://www.medlaw.com  for a good resource.


------------
JRB

Jeff Brosius,
Paramedic, etc.
Atlanta, GA
www.prehospital-perspective.com
LET'S GO HOOSIERS!!!!!!!!!!!!!!


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