A nurse is assisting with teaching a class about the interlocking principles of shared governance. Which of the following principles should the nurse include? (select all that apply)

Choice A reason: This statement is false and should not be included in the educational session. TJC is not a for profit organization, but rather an independent, not-for-profit organization that accredits and certifies more than 21,000 health care organizations and programs in the United States.

Choice B reason: This statement is false and should not be included in the educational session. TJC is not an organization that monitors insurance claims, but rather an organization that evaluates health care organizations and inspires them to excel in providing safe and effective care of the highest quality and value.

Choice C reason: This statement is false and should not be included in the educational session. TJC does not provide licensure for health care providers, but rather accreditation and certification for health care organizations and programs. Licensure is the process by which a governmental authority grants permission to individuals or entities to engage in a regulated activity or profession.

Choice D reason: This statement is true and should be included in the educational session. TJC provides accreditation to facilities, which is a voluntary process that involves an external review of an organization's compliance with certain standards and criteria. Accreditation is recognized nationwide as a symbol of quality that reflects an organization's commitment to meeting certain performance standards.

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