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Patient Rights and Responsibilities

Rights

We are concerned with your basic rights for independence of expression, decision and action. Because of our concern for your personal dignity and human relationships during illness, the following apply:

You shall:

A. Have the right to be accorded access to medically indicated treatment and accommodations regardless of race, creed, sex, national origin, religion or source of payment;

B. Have the right to considerate respectful care at all times and under all circumstances, with the recognition of your personal dignity; (This care includes consideration of the psychosocial, spiritual and cultural variables that influence the perceptions of illness. This also includes optimizing care for the dying patient with comfort and dignity through treating symptoms as desired by the patient or decision maker, effectively managing pain and acknowledging the emotional and spiritual concerns of the patient and family.)

C. Have the right, within the law, to personal and information privacy;

D. Have the right, in collaborations with your physician, to make decisions involving your healthcare, including the right to accept medical care or to refuse treatment to the extent permitted by law and to be informed of the medical consequences of such refusal; (When refusal of treatment by you or your legally authorized representative prevents provision of appropriate care in accordance with ethical and professional standards, the relationship between physician, the hospital and the patient may be terminated.)

E. Have the right to formulate advance directives and appoint a surrogate to make healthcare decisions on your behalf to the extent permitted by law;

F. Have the right to reasonable informed participation in decisions involving your healthcare and, to the degree possible, an explanation of your condition, proposed procedures, risks and probability of success;

G. Have the right to obtain complete information concerning your diagnosis, treatment and any known condition in terms you can understand;

H. Have the right to participate in the consideration of ethical issues that arise during your hospital stay;

I. Have the right to expect reasonable safety in hospital practices and environment;

J. Have the right to know the identity and professional status of those providing your services and to know which physician or other practitioner is primarily responsible for your care;

K. Have the right to be informed of any human experimentation or other research/educational projects affecting your care or treatment;

L. Have the right not to be transferred to another facility without a complete explanation of the need for transfer and the alternatives. In addition, the transfer must be acceptable to the other facility;

M. Have the right to be informed by the practitioner responsible for your case, or his designee, of any post-hospital discharge continuing healthcare requirements;

N. Have the right, regardless of source of payment, to request and obtain an itemized and detailed explanation of the total bill;

O. Have the right, within law, to review and obtain a copy of your medical record;

P. Have the right to file a complaint, express a concern or discuss a problem concerning your care and receive a copy of the hospital's grievance resolution process.

You may --

Contact your nurse, or

Dial the hospital operator (dial 0) using any hospital telephone and ask for the house supervisor or hospital administrator on call, or

Ask your nurse for a Patient Communication Form to write a comment, a concern or a grievance to the hospital administrator, or

If you are outside the hospital, call the main hospital at (903) 597-0351 and ask for the house supervisor or hospital administrator on call.

You may also contact the Texas Department of Health by calling 1-888-973-0022 or by writing to the following address, 1100 W. 49th Street, Austin, Texas 78756.

Q. Have the right of access to communication with people outside the hospital;

R. Have the right to freedom from restraints that are not medically necessary; restraints include physical restraint and drugs;

S. Have the right, at your own expense, to consult with another physician of your choosing.

T. Have the right to appropriate assessment and management of pain; Employees or non-employees reporting a violation in the law regarding patient's rights are protected from discrimination or restriction by the East Texas Medical Center Regional Healthcare System.

Responsibilities

We want you, your relatives and friends to understand that ETMC Regional Healthcare System has a right to expect reasonable and responsible behavior from you (the patient), your family and friends. You (the patient) or the family member responsible for your care, is responsible for:

A. Providing, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters related to health;

B. Reporting unexpected changes in your condition to the responsible practitioner;

C. Making it known whether you clearly comprehend a contemplated course of action and what is expected of you;

D. Following the treatment plan recommended by the practitioner primarily responsible for your care. This may include following instructions of nurses and applied health personnel as they carry out the coordinated plan of care and implement the responsible practitioner's orders, and as they enforce the applicable hospital rules and regulations.

E. Assisting the responsible practitioner and assistants with carrying out the planned course of care;

F. Keeping appointments, and when you are unable to do so, for any reason, for notifying the responsible practitioner or the hospital;

G. Actions involving refusal of treatment for not following the practitioner's instructions;

H. Assuring that financial obligations for care are fulfilled as promptly as possible;

I. Following ETMC rules and regulations affecting patient care and conduct;

J. Being considerate of the rights of other patients and hospital staff and assisting with the control of noise and number of visitors; and

K. Respecting the property of other persons and ETMC.

L. Following ETMC's tobacco-free policy, which prohibits the use of tobacco products on campus.