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Use this checklist developed by Stephen A. Frew, JD, president of the Rockford, IL-based Frew Consulting Group, which specializes in compliance with the Emergency Medical Treatment and Active Labor Act (EMTALA), to comply with new EMTALA regulations for hospital outpatient facilities:
• Determine 250-yard zone or marked campus, whichever is larger.
• Create site map.
• Visually mark the perimeter to help in planning.
• Evaluate private locations within that zone.
— Include streets, parking areas, and similar public areas.
— Include areas that the public would consider hospital services.
• Evaluate emergency notification options for all areas.
Evaluate physical obstacles:
• response time of EMS to scene;
• obstacles to movement of equipment;
• complications created by adverse weather situations;
• ask EMS to help in this assessment.
Determine who will be included in a "Zone" response:
• unknown situation.
Determine what equipment will be needed to respond:
• location of equipment for response;
• who is responsible for getting the equipment to the scene;
• what communication capability you will provide;
• >ensure that all equipment is field-capable;
• consider EMS consulting assistance;
• order all necessary equipment STAT.
• Determine how to alert personnel and identify location.
• Create policies and procedures to support plan.
• Post plan outlines in all involved areas.
• Train all personnel in their respective roles.
• Field-test the plan several times before finalizing.
• Revise plan based on findings of tests.