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Physicians are often held solely accountable for providing an appropriate medical screening examination and accurate documentation. However, 20% of EMTALA violations are attributable to emergency department nurses; these violations can range from incorrect transfer documentation to innocuous advice on where to obtain faster care. While nurses cannot be held liable under EMTALA, they are held accountable under their states' Nurse Practice Act, and they can also be named in medical malpractice lawsuits.[20][21] Other hospital care staff, such as pharmacists and physical therapists, are unlikely to be the cause of EMTALA violations. However, all care staff should ensure that every patient receives appropriate care regardless of insurance status or ability to pay.