A patient without insurance arrives at the ED with chest pai… | MyMerci
NCLEX-RN MOC
Question

A patient without insurance arrives at the ED with chest pain. The triage nurse confirms the patient is uninsured. Which action reflects compliance with EMTALA?

Explanation
EMTALA (Emergency Medical Treatment and Active Labor Act) requires Medicare-participating hospitals with EDs to provide a medical screening examination to ANYONE who comes to the ED, regardless of ability to pay or insurance status, and to stabilize any emergency medical condition before any transfer. Choices 1, 3, 4 are explicitly EMTALA violations carrying federal penalties.

In-depth explanation

The two EMTALA pillars are MSE for everyone and stabilization before transfer. Demanding payment first or denying screening based on insurance is the most-tested EMTALA violation. Hospitals can collect insurance information AFTER stabilization, never before MSE.

Clinical scenario

Adult uninsured patient walks into the ED with chest pain. The triage nurse must determine the EMTALA-compliant first action.

Key concepts

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For study reference only. Always follow current clinical guidelines and your institution’s protocols.