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Center for Surgery of Encinitas observes and respects a patient’s rights and responsibilities without regard to age, race, color, sex, national origin, religion, culture, physical or mental disability, personal value or belief systems.

The patient has the right to:

  • Receive the care necessary to help regain or maintain his or her maximum state of health and if necessary, cope with death.
  • Expect personnel who care for the patient to be friendly, considerate, respectful and qualified through education and experience, as well as perform the services for which they are responsible with the highest quality of service.
  • Expect full recognition of individuality, including personal privacy in treatment and care. In addition, all communications and records will be kept confidential.
  • Complete information, to the extent known by the physician, regarding diagnosis, treatment, procedure, and prognosis, as well as alternative treatments or procedures and the possible risks and side effects associated with treatment and procedure.
  • Be fully informed of the scope of services available at the facility, provisions for after-hours and emergency care and related fees for services rendered.
  • Be a participant in decisions regarding the intensity and scope of treatment. If the patient is unable to participate in those decisions, the patient’s rights shall be exercised by the patient’s designated representative or other legally designated person.
  • Make informed decisions regarding his or her care.
  • Refuse treatment to the extent permitted by law and be informed of the medical consequences of such as refusal. The patient accepts responsibility for his or her actions should he or she refuse treatment or not follow the instruction of the physician or facility.
  • Approve or refuse the release of medical records to any individual outside the facility, except in the case of transfer to another health facility, or as required by law or third-party payment contract.
  • Be informed of any human experimentation or other research/educational projects affecting his or her care or treatment and can refuse participation in such experimentation or research without compromise to the patient’s usual care.
  • Express grievances/complaints and suggestions at any time.
  • Assistance in changing primary or specialty physicians or dentists if other qualified physicians or dentists are available.
  • Provide patient access to and /or copies of his or her individual medical records.
  • Be informed as to the facility’s policy regarding advance directives/ living wills.
  • Be fully informed before any transfer to another facility or organization and ensure the receiving facility has accepted the patient transfer.
  • Express those spiritual beliefs and cultural practices that do not harm or interfere with the planned course of medical therapy for the patient.
  • Expect the facility to agree to comply with Federal Civil Rights laws that assure it will provide interpretation for individuals who are not proficient in English. The facility presents information in manner and form, such as TDD, large print materials, Braille, audio tapes and interpreters, that can be understood by hearing and sight impaired individuals.
  • Have an initial assessment and regular reassessment of pain.
  • Education of patients and families, when appropriate, regarding their roles in managing pain, as well as potential limitations and side effects of pain treatment, if applicable.
  • Have their personal, cultural, spiritual and/or ethnic beliefs considered when communicating to them and their families about pain management and their overall care.

The patient is responsible for:

  • Being considerate of other patients and personnel and for assisting in the control of noise, smoking, and other distractions.
  • Respecting the property of others and the facility.
  • Reporting whether he or she clearly understands the planned course of treatment and what is expected of him or her.
  • Keeping appointments and, when unable to do so for any reason, notifying the facility and physician.
  • Providing caregivers with the most accurate and complete information regarding present complaints, past illnesses and hospitalizations, medications, unexpected changes in the patient’s condition or any other patient health matters.
  • Observing prescribed rules of the facility during his or her stay and treatment and if instructions are not followed, forfeiting the right to care at the facility and is responsible for the outcome.
  • Promptly fulfilling his or her financial obligations to the facility.
  • Payment to facility for copies of the medical records the patient may request.
  • Identifying any patient safety concerns.

ADVANCE DIRECTIVES

An advance directive is a legal document that states your wishes for medical care.  It can help doctors and family members determine your medical treatment if, for some reason, you can’t make decisions about it yourself.

There are three types of advance directives:

Living will-spells out the type and extent of care you want to receive.
Durable power of attorney-appoints someone you trust to make medical decisions for you.
Do-not resuscitate order-states that you don’t want to be given CPR if your heart stops or if you stop breathing.

You can create an advance directive in several ways:

Get and advance medical directive form from a health care professional.  Certain laws require health care facilities that receive Medicare and Medicaid funds to ask all patients at the time they are admitted if they have an advance directive.  You don’t need an advance directive to receive care.  But we are required by law to give you the chance to create one.

Ask for an advance directive form at state or local offices on aging, bar associations, legal service programs, or your local health department

Work with a lawyer to write an advance directive.

Create an advance directive using computer software designed for this purpose.

Advanced Directives and Do Not Resuscitate Orders. American Academy of Family Physicians, March 2005. (Available at http://familydoctor.org/003.xml?printxml)

Forms for preparing advanced directives may also be obtained at http://ag.ca.gov/consumers/general/adv_hc_dir.php
 

 

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