Rules and Regulations 2013 - North Florida Regional Medical Center

North Florida Regional Medical Center
Rules And Regulations
patient care 24 hours per day, seven (7) days per week.
B.6.
B.7.
Designation of Those Performing Screening Examinations - Medical screening
examinations will be performed by the emergency department physicians, the
patient’s private physician (if they intend to provide the medical screening exam
in the emergency department), emergency department physician extender or a
qualified LDRP RN (in the LDRP area). Emergency department triage personnel
are responsible for determining the order in which emergency department patients
receive the screening examination.
Screening of Individuals Who Present to Hospital - Any patient that comes to an
NFRMC facility requesting emergency services is entitled to, and will receive a
medical screening examination performed by individuals qualified to perform
such an examination to determine whether an emergency medical condition
exists.
In general, when an individual comes by him or herself or with another person
and is not technically in the Emergency Department, but on NFRMC hospital
property, or owned or operated NFRMC premises, and requests emergency care,
he or she must receive a medical screening examination within the capabilities of
that facility or, if necessary, execute an appropriate transfer according to the
guidelines of EMTALA and NFRMC policies.
B. 8. Calling Private Practitioner of Patients - When appropriate, as determined by the
emergency service physician on duty, the patient's private practitioner shall be
called in accordance with the emergency service policies and procedures.
B.9.
Policies/Procedures Regarding Medical Screening and Triage - Emergency
service policies and procedures related to the medical screening examination and
triage shall be approved by the Board of Trustees.
B.10. Admission of Emergency Department Patient - If a patient needs to be admitted to
the Hospital as an inpatient, in the judgment of the emergency physician or
physician extender, either for observation or for further treatment, the patient shall
be admitted in the name of the patient's practitioner or the practitioner on-call.
a. With the consent of attending physicians and within the guidelines
maintained in the Emergency Department, the emergency physician may
write admission orders with the following stipulations:
(1) Emergency physician admission orders shall be considered to be
temporary holding orders written with the purpose of expediting
the movement of admitted patients from the Emergency
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