| |
Notice of Rights and Responsibility as an Inpatient and Grievance Procedure
You Have the Right to:
- Make decision regarding your own healthcare.
- Considerate and respectful care and to be treated with honesty and dignity.
- Discuss with your primary physician your diagnosis, the treatment prescribed for you, the prognosis of your illness, and any instructions required for follow-up care.
- Receive from your physician information necessary to give informed consent prior to the start of any procedures and/or treatments.
- Refuse treatment to the extent permitted by law and be informed of the medical consequences of your decisions.
- Expect your personal privacy to be respected and your individual dignity to be preserved.
- Expect that all communications and records pertaining to your care be treated as confidential.
- Access the information contained in your medical record.
- Expect the hospital to provide reasonable access to care within its capacity, without regard to race, color, creed, national origin, diagnosis, age, sex, handicap or ability to pay.
- Know by name the physician, nurses and staff responsible for your care and their professional status.
- Obtain information about any relationship Pender Community Hospital and your physicians have with other institutions and physicians as far as your care is concerned.
- Refuse to participate in research projects.
- Expect reasonable continuity of care.
- Examine and receive an explanation of your bill.
- Know what hospital rules and regulations apply to you as a patient.
- Request a consultation or second opinion from another physician or specialist at your expense.
- Change physicians.
- Change hospitals.
- Have a family member, other representative, and your family physician notified when you are admitted to the hospital.
- Grant or refuse immediate access and visitation by immediate family, other relative, and non-family visitors.
- Expect reasonable safety as far as the hospital practice and environment are concerned.
- Be free from physical restraint, seclusion and drugs used as a restraint, unless your medical condition warrants such use and other less restrictive interventions have been deemed to be ineffective.
- Be free of any restraint used as a means of coercion, discipline, convenience or retaliation by staff.
- File a grievance with Pender Community Hospital.
- File a grievance with the Nebraska Health and Human Services System-Regulation and Licensure-Medical Facilities Credentialing.
Mail to:
P.O. Box 95007,
Lincoln, NE 68509-5001.
Phone: (402) 471-7278.
- In the case of a complaint of discrimination on the basis of handicap with the US Department of Health and Human Services-Office of Civil Rights.
Address:
601 E. 12th Street, Room 248
Kansas City, Missouri, 64106.
Phone:
(816) 426-7278.
You have the Responsibility to:
- Accept the consequences of your actions if you refuse treatment or do not follow the instructions of your caregivers.
- Give cooperation and follow the care prescribed or recommended for you by your physician, nurses, or allied health professionals.
- Provide your caretakers with accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to your health.
- Notify your physician or nurse if you do not understand your diagnosis, treatment, or prognosis.
- Accept financial obligations associated with your care and fulfill them as promptly as possible.
- Know and follow rules and regulations.
- Inform hospital personnel of your Advance Directive.
- Advise your nurse, physician, or Patient Representative of any dissatisfaction you may have in regard to your care at the hospital.
- Be considerate of the rights of other patients and hospital personnel and assist in the control of noise and the number of visitors you receive.
- Respect the privacy of your roommate.
- Grant immediate access to any representative of the Secretary of the Department of Health and Human Services.
|
|
