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Based on interview and record review, the facility failed to comply with the regulations at 489.24 by failing to provide an appropriate medical screening examination to determine whether a emergency medical condition existed for 1 of 20 sampled patients (Patient 10).

Findings include:

1) On May 3, 2010, Patient's 10's record was reviewed. During Patient 10's medical screening exam, Patient 10's urinalysis (the physical, chemical, and microscopic examination of urine) on March 10, 2010 at 11:41 P.M. revealed "Blood: Moderate". Patient 10's record stated "LMP (last menstrual period) 1/24/10 irreg (irregular)." There was no documentation that the result of Patient's 10 urinalysis was related to the irregular menses or any other etiology to determine whether or not there was a potential for an emergency medical condition existing. (Cross reference A2406)

Based on interview and record review, the hospital failed to provide an appropriate medical screening exam to 1 of 20 sampled patients (Patient 10). For Patient 10, the hospital failed to acknowledge an abnormal test result which had the potential to be part of the patient's diagnosis.

Findings include:

On May 3, 2010, Patient's 10's record was reviewed. Patient 10, a 22 year old female, arrived to the emergency department on March 10, 2010 at 08:39 P.M. with a chief complaint of "Back pain, my sciatica has gotten worse in the last couple of days..."During Patient 10's medical screening exam, Patient 10's urinalysis (the physical, chemical, and microscopic examination of urine) on March 10, 2010 at 11:41 P.M. revealed "Blood: Moderate". Patient 10's record stated "LMP (last menstrual period) 1/24/10 irreg (irregular)." There was no documentation that the result of Patient's 10 urinalysis was related to the irregular menses or any other etiology.