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Survey & Certification - General Information

Title
Emergency Medical Screening in Critical Access Hospitals
Memo #
07-27
Posting Date
07/13/2007
Fiscal Year
2007
Summary
Critical Access Hospital (CAH) regulations at 42 CFR 485.618(d)were amended on November 24, 2006. The regulations now permit a CAH to include a registered nurse (RN), who has training and experience in emergency care and is on site at the CAH, among the qualified medical personnel available to conduct emergency medical screening examinations of individuals who present to the CAH emergency department. If the nature of the individual's medical condition falls outside the RN's scope of practice, then other CAH qualified medical personnel must see the patient within specified timeframes.