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Based on a review of facility policies, documentation, and staff interviews (EMP), it was determined the facility failed to provide an appropriate medical screening examination within the capability of the hospital's Emergency Department.

Findings include:

Review of the facility ' s policy "EMTALA - Definitions and General Requirements" dated April 1, 2011, revealed "The Facility with an emergency department must provide to any individual, every infant who is born alive, at any stage of development who "comes to the emergency department" an appropriate Medical Screening Examination (MSE) within the emergency department, to determine whether or not an emergency medical condition (EMC) exists regardless of the individual's ability to pay."

1. Review of facility documentation revealed that Emergency Medical Service (EMS) contacted the facility and requested to transport a sexual assault victim to their Emergency Department (ED). The ED physician was consulted and requested that the ambulance take the patient to another local hospital because the facility did not have a SANE (Sexual Assault Nurse Examiner) on duty. The ambulance service requested to come to the ED due to the hospital being the prearranged meeting place with the Pennsylvania State Police. The ambulance service arrived at the facility. The patient was never taken out of the ambulance nor did the patient receive a medical screening examination.

2. Interview on July 17, 2014, revealed that ED physician EMP14 was informed that a sexual assault victim was being transported to the facility. EMP14 informed the ED Technician EMP15 that since there was not a SANE on duty the patient should be transported to a another local hospital. EMP14 stated, "I was not aware the ambulance came to the facility until after the fact."

3. Review of facility documentation, audio recordings, and visual tapes of the ED on 7/10/14, revealed no evidence that the patient received an emergency medical screening after the ambulance arrived at the facility.

4. A interview with EMP12 on July 11, 2014, at approximately 1:00 PM confirmed the above findings and revealed "Last night [July 10, 2014] ... EMS called [the facility] and stated a sexual assault victim was coming to our facility and [EMP14] felt since we didn't have a SANE, it would be better to go to [another local hospital]. The EMS pulls into our bay, came in, and said to inform [another local hospital] we are coming. They left before patient was seen."

Based on a review of facility policies, documentation, and staff interviews (EMP), it was determined the facility failed to provide an appropriate medical screening examination within the capability of the hospital's Emergency Department.

Findings include:

Review of the facility ' s policy "EMTALA - Definitions and General Requirements" dated April 1, 2011, revealed "The Facility with an emergency department must provide to any individual, every infant who is born alive, at any stage of development who "comes to the emergency department" an appropriate Medical Screening Examination (MSE) within the emergency department, to determine whether or not an emergency medical condition (EMC) exists regardless of the individual's ability to pay."

1. Review of facility documentation revealed that Emergency Medical Service (EMS) contacted the facility and requested to transport a sexual assault victim to their Emergency Department (ED). The ED physician was consulted and requested that the ambulance take the patient to another local hospital because the facility did not have a SANE (Sexual Assault Nurse Examiner) on duty. The ambulance service requested to come to the ED due to the hospital being the prearranged meeting place with the Pennsylvania State Police. The ambulance service arrived at the facility. The patient was never taken out of the ambulance nor did the patient receive a medical screening examination.

2. Interview on July 17, 2014, revealed that ED physician EMP14 was informed that a sexual assault victim was being transported to the facility. EMP14 informed the ED Technician EMP15 that since there was not a SANE on duty the patient should be transported to a another local hospital. EMP14 stated, "I was not aware the ambulance came to the facility until after the fact."

3. Review of facility documentation, audio recordings, and visual tapes of the ED on 7/10/14, revealed no evidence that the patient received an emergency medical screening after the ambulance arrived at the facility.

4. A interview with EMP12 on July 11, 2014, at approximately 1:00 PM confirmed the above findings and revealed "Last night [July 10, 2014] ... EMS called [the facility] and stated a sexual assault victim was coming to our facility and [EMP14] felt since we didn't have a SANE, it would be better to go to [another local hospital]. The EMS pulls into our bay, came in, and said to inform [another local hospital] we are coming. They left before patient was seen."