Patient Rights & Responsibilities

PATIENT RIGHTS

  •  Become informed of his/her rights as a patient in advance of, or when discontinuing, the provision of care.  The patient may appoint a representative to receive this information should he/she so desire.  Receive right to appeal premature discharge.
  •  Exercise these rights without regard to sex or cultural, economic, educational or religious background or the source of payment for care.
  •  Considerate, dignified and respectful care, provided in a safe environment, free from all forms of abuse, neglect, harassment and/or exploitation.
  •  Have his/her cultural, psychosocial, spiritual and personal values, beliefs and preferences respected.  A discussion will be included during the initial nursing admission assessment.
  •  Be informed about his/her visitation rights.  Visitation rights include the right to receive visitors chosen by the patient, including, but not limited to, the patient’s spouse, domestic partner (including a same-sex domestic partner), another family member or a friend.  The patient may withdraw or deny such consent at any time.
  •  Access protective and advocacy services or have these services accessed on the patient’s behalf.
  •  Have access and accommodation for religious and spiritual services attendance.
  •  Appropriate assessment and management of pain.
  •  Remain free from restraint and seclusion of any form that are not medically necessary or are used as a means of coercion, discipline, convenience or retaliation by staff.
  •  Knowledge of the name of the physician who has primary responsibility for coordinating his/her care and the names and professional relationships of other physicians and health care providers who will see him/her.
  •  Receive information from his/her physician about his/her illness, health status, diagnosis, course of treatment, outcomes of care (including unanticipated outcomes), and his/her prospects for recovery in terms that he/she or the patient’s representative can understand.
  •  Receive information about any proposed treatment or procedure he/she may need in order to participate in the development of the plan of care, give informed consent or to refuse the course of treatment and to participate in planning for care after discharge.
  • ◘  Except in emergencies, this information shall include a description of the procedure or treatment, the medically significant risks involved  in the treatment, alternate courses of treatment or non-treatment and the risks involved in each the name of the person who will carry out the procedure or treatment.
  •  Obtain information on disclosure of protected health information, in accordance with federal, state and local law.
  •  Formulate advance directives regarding his/her healthcare, and to have hospital staff and practitioners who provide care in the hospital comply with these directives (to the extent provided by state laws and regulations).
  •  Have a family member or representative of his/her choice notified promptly of his/her admission to the hospital.
  •  Have a family member, friend or other individual be present for emotional support throughout the course of stay.
  •  Have his/her personal physician notified promptly of his/her admission to the hospital.
  •  Full consideration of privacy concerning his/her medical care program.  Case discussion, consultation, examination and treatment are confidential and should be conducted discreetly.  The patient has the right to be advised as to the reason for the presence of any individual involved in his/her healthcare.
  •  Confidential treatment of all communications and records pertaining to his/her care and his/her stay in the hospital.  His/her written permission will be obtained before his/her medical records can be made available to anyone not directly concerned with his/her care.
  •  Receive information in a manner that he/she understands.  Communications with the patient will be effective and provided in a manner that facilitates understanding by the patient.  Written information provided will be appropriate to the age, understanding and, as appropriate, the language of the patient.  As appropriate, communications specific to the vision, speech, hearing cognitive and language-impaired patient will be appropriate to the impairment.
  •  Access information contained in his/her medical record within a reasonable time frame.
  •  Reasonable responses to any reasonable request he/she may make for service.
  •  Leave the hospital even against the advice of his/her physician.
  •  Reasonable continuity of care.
  •  Be advised of the hospital grievance process, should he/she wish to communicate a concern regarding the quality of the care he/she receives or if he/she feels the determined discharge date is premature.  Notification of the grievance process includes: whom to contact to file a grievance, and that he/she will be provided with a written notice of the grievance determination that contains the name of the hospital contact person, the steps taken on his/her behalf to investigate the grievance, the results of the grievance and the grievance completion date.
  •  Be advised if hospital/personal physician proposes to engage in or perform human experimentation affecting his/her care or treatment.  The patient has the right to refuse to participate in such research projects.  Refusal to participate or discontinuation of participation will not compromise the patient’s right to access care, treatment or services.
  •  Full support and respect of all patient rights should the patient choose to participate in research, investigation and/or clinical trials.  This includes the patient’s right to a full informed consent process as it relates to the research, investigation and/or clinical trial.  All information provided to subjects will be contained in the medical record or research file, along with the consent form(s).
  •  Be informed by his/her physician or a delegate of his/her physician of the continuing healthcare requirements following his/her discharge from the hospital.
  •  Examine and receive an explanation of his/her bill regardless of source of payment.
  •  Know which hospital rules and policies apply to his/her conduct while a patient.
  •  Have all patient's rights apply to the person who may have legal responsibility to make decisions regarding medical care on behalf of the patient.
  •  Available without charge, upon request, interpretive services for vision, speech, hearing or cognitive impairments.
  • PATIENT RESPONSIBILITIES
  •  The care a patient receives depends partially on the patient himself.  Therefore, in addition to these rights, a patient has certain responsibilities as well.  These responsibilities should be presented to the patient in the spirit of mutual trust and respect:
  •  The patient has the responsibility to provide accurate and complete information concerning his/her present complaints, past illnesses, hospitalizations, medications and other matters relating to his/her health.
  •  The patient is responsible for reporting perceived risks in his/her care and unexpected changes in his/her condition to the responsible practitioner. The patient and family are responsible for asking questions about the patient’s condition, treatments, procedures, Clinical Laboratory and other diagnostic test results.
  •  The patient and family are responsible for asking questions when they do not understand what they have been told about the patient’s care or what they are expected to do.
  •  The patient and family are responsible for immediately reporting any concerns or errors they may observe.
  •  The patient is responsible for following the treatment plan established by his/her physician, including the instructions of nurses and other health professionals as they carry out the physician's orders.
  •  The patient is responsible for keeping appointments and for notifying the hospital or physician when he/she is unable to do so.
  •  The patient is responsible for his/her actions should he/she refuses treatment or not follow his/her physician's orders.
  •  The patient is responsible for assuring that the financial obligations of his/her hospital care are fulfilled as promptly as possible.
  •  The patient is responsible for following hospital policies and procedures.
  •  The patient is responsible for being considerate of the rights of other patients and hospital staff.
  •  The patient is responsible for being respectful of his/her personal property and that of other persons in the hospital.

The North Carolina Division of Health Service Regulation can be reached at 1-800-624-3004 (within NC) or 919-855-4500 or write them at: 2711 Mail Service Center, Raleigh, NC 27699-2711; or The Joint Commission can be written to by: going to their website www.jointcommission.org, using the Report a Safety Event Link in the Action Center, fax at 630-792-5636, or mail at Office of Quality Monitoring, Oakbrook Terrace, Ill.  60181

 

Los Derechos y Responsabilidades del Paciente

Un paciente tiene derecho a …

  • s Atención médica segura, de alta calidad, sin discriminación basada en la edad, raza, color, religión, cultura, idioma, discapacidad física o mental, estado socioeconómico, identidad de género, sexo, preferencia sexual, país de origen o fuente de pago, que sea compasiva y respete la dignidad personal, valores y creencias.
  • s Atención de buena calidad y altos estándares profesionales que son mantenidos y revisados continuamente.
  • s Recibir información relativa a sus directrices anticipadas, (testamento vital, poder notarial de salud, o instrucciones anticipadas de salud mental), y que sus directrices o voluntades anticipadas sean respetadas en la medida permitida por la ley.
  • s No ser despertado por el personal a menos que sea médicamente necesario.
  • s Estar libre de la duplicación innecesaria de procedimientos médicos o de enfermería.
  • s Tratamiento médico y de enfermería que evite el malestar físico y mental innecesario.
  • s Participar y tomar decisiones sobre su atención y manejo del dolor, incluyendo negarse a la atención en la medida permitida por la ley. Su proveedor de atención (por ejemplo, su médico o enfermera) le explicará las consecuencias médicas de rechazar el tratamiento recomendado.
  • s Hacer que todos estos derechos se apliquen a la persona que tenga la responsabilidad legal de tomar decisiones respecto a la atención médica en su nombre.
  • Un paciente, y cuando sea apropiado, el  representante del paciente tiene derecho a…
  • s Privacidad con respecto a su propio programa de atención médica. La discusión de la atención, consulta, examen y tratamiento son considerados confidenciales y se llevarán a cabo con discreción.
  • s Que se le explique su enfermedad, tratamiento, dolor, alternativas, y resultados de una forma que usted pueda entender.
  • s Servicios de interpretación gratuitos, si son necesarios.
  • s Solicitar que se le dé el nombre de su proveedor a cargo, los nombres de otros proveedores que participan directamente en su atención y los nombres y funciones de otras personas de la salud que tienen contacto directo con usted.
  • s Asistencia para obtener una consulta con otro médico.
  • s Esperar que los procedimientos de emergencia se implementen sin demora innecesaria.
  • s Ser informado acerca de traslados a otro centro u organización y recibir con una explicación completa incluyendo alternativas a un traslado.
  • s Recibir información acerca de la continuación de su atención médica después del alta y los medios para su cumplimiento.
  • s Saber qué reglas y reglamentos del centro se aplican a su conducta como paciente.
  • s Saber cuando algo sale mal con su atención.
  • s Participar en la investigación o negarse a participar en la investigación. Usted puede rechazarla en cualquier momento sin poner en peligro su acceso a la atención, tratamiento y servicios.
  • s Asegurarse de que su proveedor obtenga el consentimiento informado necesario antes del inicio de cualquier procedimiento o tratamiento, o ambos (con la excepción de casos de emergencia).
  • s A que se le respeten sus deseos en cuanto a la donación de órganos
  • s Tratamientos, comunicaciones y expedientes médicos privados y confidenciales, en la medida permitida por la ley.
  • s Tener acceso a su expediente médico en un plazo razonable, en la medida permitida por la ley.
  • s Ser informado de los cobros y recibir asesoramiento sobre la disponibilidad de recursos financieros conocidos para la atención de salud.
  • s Recibir un aviso de falta de cobertura y los derechos de alta del paciente si es un beneficiario de Medicare.
  • s Tener acceso a agencias de servicios de protección y el derecho a estar libre de abuso.
  • s Designar visitantes que recibirán los mismos privilegios de visita sin importar que los visitantes sean parientes legales o no. El paciente o persona de apoyo puede retirar o denegar el consentimiento de visitas en cualquier momento.
  • s Ser informado de sus derechos tan pronto como sea posible durante el curso de su hospitalización.
  • s Dar o negar su consentimiento informado para realizar o utilizar grabaciones, películas u otras imágenes del paciente para fines distintos a la prestación de atención.
  • s Tener acceso al personal y al Comité de Ética para asistencia en la resolución de conflictos sobre la atención.
  • s Que se reciban sus cumplidos y se aborden sus preocupaciones y quejas. El compartir sus inquietudes y quejas no pondrá en peligro su acceso a la atención, tratamiento y servicios. Por favor llame:
  • Risk Management Office/Oficina de Manejo de Riesgos  
  • 828-757-5456
  • Como paciente, usted tiene la responsabilidad de ...
  •  
  • s Proporcionar una historia médica completa y exacta y los cambios en su condición.
  • s Seguir el plan de tratamiento recomendado por su médico; compartir cualquier preocupación con los planes de tratamiento con su médico.
  • s Ser considerado y respetuoso con los demás pacientes y personal.
  • s Ser responsable por preguntar a su médico o enfermera qué debe esperar con respecto al cuidado y tratamiento, incluyendo el dolor y el manejo del dolor.
  • s Pedir alivio para el dolor y proporcionar información continua al personal respecto a su dolor.
  • s Ser responsable de sus acciones si rechaza el tratamiento o no sigue las órdenes de sus médicos.
  • s Dar información para el seguro y trabajar con Caldwell Memorial Hospital para hacer arreglo de pago cuando sea necesario.
  • s Seguir las reglas y regulaciones de Caldwell Memorial Hospital, incluyendo la política libre de tabaco.

Se puede comunicar con The North Carolina Division of Health Service Regulation al 1-800-624-3004 (dentro de C.del N.) o 919-855-4500 o escribirles a: 2711 Mail Service Center, Raleigh, NC 27699-2711; o escribirle a The Joint Commission (La Comisión Conjunta) visitando su página en la red: www.jointcommission.org, usando el enlace “Report a Safety Event” en el Action Center, fax al 630-792-5636, o correo postal a: “Office of Quality Monitoring”(Oficina de Monitoreo de Calidad), Oakbrook Terrace, Ill.  60181

 

 

Updated October 2018/Accreditation & Risk

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