MORAL DILEMMAS AND ETHICAL DECISIONS 2Moral Dilemmas and Ethical DecisionsWorking in an emergency department (ED) can be a physically and mentally demanding job that is filled with ethical and moral dilemma that staff must work through every shift. Every day we strive at Ascension to provide the best care possible using properly trained staff guided by policies and procedures put in place to ensure patient safety and satisfaction. Today we will bereviewing those policies and procedures put in place along with federal and state laws used to guide decisions made in the emergency department. Health Care Policies That Can Affect Emergency Care There are policies that have been put into place over the years in response to the practice of some hospitals transferring the poor and uninsured to other facilities for emergency treatment. Emergency Medical Treatment and Active Labor Act (EMTALA) created patient screening, stabilization and transfer requirements for hospitals that provide emergency care and participate in the Medicare Program. Under the EMTALA law hospitals must post signs in regards to rights to a medical screening examination and stabilizing treatment. Regardless of the patients finical and insurance status the hospital must exam the patient to determine if there is an emergency medical condition. If there is an emergency medical condition the hospital must treat the patient to the best of their ability, if the patient needs to be transferred the patient must first be stabalized. Hospitals cannot turn down transfers from other hospitals that are unable to treat a patient due to the patient’s financial or insurance status (Emergency Medical Treatment and Labor Act, n.d.). Since enacting the EMTALA law in 1986 people no longer have to fear being denied lifesaving treatment at a hospital due to their insurance status. This law allows for all people to be treated and receive potentially lifesaving medical care that all people deserve.