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The key to complying with the Emergency Treatment and Active Labor Act (EMTALA) 250-yard rule is to have a specific policy and to inservice staff on responding properly to these situations. Here are some suggestions from the experts:
"Do you have to run a gurney down the street in six feet of snow? Maybe not," Kadzielski says. "Let people know you don’t expect them to run 250 yards no matter what’s going on."
"If there’s a brawl in the bar across the street, call 911 and let them handle it. Someone’s going to be hurt, and it might be your people," West says. "Make sure your people are trained to avoid violence. They shouldn’t try to be medics on a battlefield."