Can a RN Perform A Medical Screening Exam?
The EMTALA guidelines and frequently asked questions (FAQs) indicate that a facility may credential specific registered nurses and develop bylaws specifying which RN nursing staff is considered to be “qualified medical personnel” and under what circumstances a physician must be consulted and/or must physically come to the unit/facility. In addition to being permitted by an employing facility, however, the RN must also be competent to carry out the assigned task in a manner that complies with the NPA and board Rules. A RN may be able to perform a medical screening exam if he/she possesses adequate knowledge and skills and there are adequate support systems and standing orders in place; however, the RN should always have telephonic access to a physician who is also capable of physically responding to do a hands-on evaluation if needed or requested by the RN. RNs who do not hold advanced practice authorization cannot independently engage in medical diagnosis or prescription of therapeutic
