A charge nurse is assisting in providing an in-service to a group of nurses about the benefits of an interprofessional team. Which of the following information should the nurse include in the teaching?

Choice A reason: If client is uninsured the ED can decline to render services is not an information that the nurse should include in the teaching. This is a false statement that contradicts the purpose and the provision of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must provide an appropriate medical screening examination to anyone who requests it, regardless of their insurance status or ability to pay.
Choice B reason: The ED has the right to refuse to provide client services is not an information that the nurse should include in the teaching. This is a false statement that violates the principle and the requirement of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department has a duty to provide stabilizing treatment to any individual who has an emergency medical condition or is in active labor, unless an appropriate transfer is arranged.

Choice C reason: The ED can transfer medically unstable clients to other facilities is not an information that the nurse should include in the teaching. This is a false statement that breaches the rule and the regulation of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must not transfer an individual who has an emergency medical condition or is in active labor, unless the transfer is requested by the individual or their representative, or the transfer meets certain criteria, such as the benefits outweigh the risks, the receiving facility has agreed to accept the transfer, and the transfer is effected by qualified personnel and equipment.
Choice D reason: Clients must receive a medical screening evaluation (MSE) is an information that the nurse should include in the teaching. This is a true statement that reflects the essence and the standard of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must provide an appropriate medical screening examination to anyone who comes to the emergency department and requests examination or treatment for a medical condition, to determine whether or not an emergency medical condition exists

Choice A reason: This statement is incorrect because a nurse cannot access the records of any client in the healthcare facility, unless they have a legitimate need to do so. Accessing the records of clients who are not under their care is a violation of the client's privacy and confidentiality, and may result in legal or disciplinary actions.
Choice B reason: This statement is correct because a nurse can only access the records of clients they are actively caring for, as part of their professional duty and responsibility. Accessing the records of clients they are caring for is necessary to provide safe and effective care, and to communicate with other members of the healthcare team.
Choice C reason: This statement is incorrect because a nurse cannot share information from the client’s medical record with immediate family members, unless the client has given consent, or the disclosure is authorized by law. Sharing information from the client's medical record with family members without the client's permission is a breach of the client's privacy and confidentiality, and may cause harm or distress to the client or the family.
Choice D reason: This statement is incorrect because a nurse cannot share information about a client with clients who have a similar diagnosis, unless the client has given consent or the disclosure is authorized by law. Sharing information about a client with other clients without the client's permission is a breach of the client's privacy and confidentiality, and may compromise the client's dignity or safety.