You have rights and are protected as a patient under state and federal laws.
These laws help promote the quality and safety of your hospital health care.
You have the right to receive medical care with respect and dignity, regardless of your age, sex, nationality, religion, sexual orientation, or of any disability you may have.
You have the right to receive medical care in an environment free from any form of abuse, neglect, or abuse.
You have the right to be called by your own name and treated in an environment that maintains your dignity and self-esteem.
You have the right to be informed of the names of your doctors, nurses, and all team members who directly or indirectly provide medical care.
You have the right to have a family member or person of your choice, and also your own doctor, be promptly informed of your hospital admission.
You have the right to have someone accompany you during your stay in the hospital for your emotional support, unless the presence of this person compromises the fulfillment of your rights, your safety, your health, or that of other people.
You have the right to deny visits at any time you wish. You have the right to have your doctor tell you about your diagnosis and possible prognosis, the benefits and risks of treatment, and what is expected from such treatment, including unexpected problems.
You have the right to have the pain you feel assessed and to participate in decisions about the treatment of it.
You have the right to be free from restraints and seclusion in any way, when it is not medically necessary. You have the right to full consideration of your privacy and confidentiality when dealing with issues regarding your medical care, exams, and treatments.
You can request to have a companion during any type of exam. You have the right to have access to protection and defense services in cases of abuse or neglect.
You, your family, and your friends, with your permission, have the right to participate in decisions about your medical care, treatment, and services.
This includes the right to refuse treatment to the extent permitted by law.
If you leave the hospital against the advice of your doctor, the hospital and doctors are not responsible for the medical consequences that may occur. You have the right to receive communication that you can understand. The hospital will provide sign language interpreters and foreign language interpreters as necessary.
The information provided will be appropriate to your age, your understanding, and your language.
If you have visual, speech, hearing and/or other disabilities, you will receive additional help to ensure that your health care needs are met.
You have the right to give advance instructions naming someone to make medical decisions in the event you cannot do so.
If you do not have a document with instructions in advance, you can be provided with information and help in order to complete the document.
You have the right to participate in your discharge plan. It is expected that you will be informed in a timely manner about the need to plan your discharge or your transfer to another medical facility, or of a change in the level of medical care.
Before your discharge, you will receive information about care after discharge that you may need. You can expect that all records about your care are confidential, unless disclosure is permitted by law.
You have the right to see or get a copy of your medical records. You can add information to your medical record by contacting the Patient Service Department.
You have the right to request a list of people to whom your personal medical information was disclosed.
You have the right to give or refuse your consent for recordings, photographs, films, or other images that are generated or used for internal or external purposes other than for identification, diagnosis, or treatment. You have the right to withdraw your consent for a reasonable period of time before the material is used. You have the right to spiritual services. Chaplains are available to help you. Ask the Patient Services staff to contact them.
If you have a problem or a complaint, you can talk to your doctor, the head nurse, or to the Medical Director.
You can also contact the Patient Services Department at 888 4090504 from the United States or by email at email@example.com.
This Statement of Patient Responsibilities is designed to show that mutual respect and cooperation are fundamental to providing quality health care.
You are responsible for: Providing, to the best of your knowledge and understanding, accurate and complete information about your current discomforts, past illnesses, hospitalizations, medications, and other matters related to your health.
Tell your doctor or nurse if you have recently taken any of the following medications: vitamins, minerals, both prescription and over-the-counter medications, and nutritional supplements. By letting them know what you are taking, you can take steps to avoid possible problems with the medications and treatments you will receive during your stay in the hospital.
Telling your nurse if someone brings you food from outside the hospital.
We need to make sure that the food is stored safely and does not interfere with your special diet or with your treatment.
Reporting any unexpected changes in your health status to your healthcare provider.
Reporting if you clearly understand each proposed course of action for your medical care and what is expected of you.
Following the treatment plan recommended by the healthcare team responsible for your care.
This group may include doctors, nurses, and medical personnel who perform coordinated medical care. You are also responsible for the execution of your doctor’s orders, compliance with hospital rules, and applicable regulations.
Being responsible for your actions if you refuse treatment or do not follow the directions of your healthcare provider.
Following the rules and regulations of the hospital that affect patients’ medical care and behavior.
Being considerate of the rights of other patients and hospital staff, especially in terms of minimizing noise, not smoking, and ensuring the proper behavior of your visitors.
Being respectful of the property of others.
Making sure that the financial obligations of your medical care are met as soon as possible.