Peninsula Surgery Center - Patient Rights

PATIENT RIGHTS AND RESPONSIBILITIES

As a patient at Peninsula Surgery Center, you have certain rights. You also have obligations to yourself, your doctor and the medical facility.

Rights - All patients have the right:

To know by name the physicians and nurses responsible for coordinating and providing your care.
To hear from your primary physician, in language that you can understand, your diagnosis, the treatment prescribed or you and the prognosis of your illness. When your physician determines that it is not medically advisable to give such information to you, the information should be available to an appropriate person on your behalf.
To know the reason why you are given various tests or treatments and who the persons are who give them to you.
To considerate care that respects your personal values and cultural, religious and ethical beliefs.
To know the general nature and inherent risk of any procedure or treatment that is prescribed for you.
To change your mind about any procedure for which you have given your consent, provided that you let your physician know of your decision before you have been medicated.
To refuse to sign a consent form if you do not feel that everything has been satisfactorily explained to you.
To cross out any part of the consent form that you do not want applied to your care.
To refuse treatment to the extent permitted by law and to be informed of the medical consequences of this action.
To request that a person of the same sex be present during an examination by someone of the opposite sex.
To limit those persons who visit you from outside the facility and who are not involved in your general care and welfare. To ask family and friends to conduct themselves as responsible visitors.
To expect that your personal privacy and confidentiality will be respected to the fullest extent consistent with the care prescribed for you within the limits of the law.
To request, either directly or through your own physician, a consultation from another or additional physicians, if you so desire.
To change physicians.
To change hospitals.
To examine your bill and receive an explanation of it.
To refuse to participate in medical training programs or research projects.
To formulate advance directives and to appoint a surrogate to make healthcare decisions on your behalf to the extent permitted by law.
To participate in the consideration of ethical issues that arise in your care.
To impartial access to medical resources without regard to race, color, creed, national origin or the source of payment for your care.
To appropriate assessment and management of pain.
To be free from seclusion and restraint, of any form, that are not medically necessary.

Responsibilities - All patients have the responsibility:

To provide accurate and complete information, to the best of your knowledge, about matters relating to your health. All patients and families are responsible for reporting perceived risks in their care and unexpected changes in the patient's condition.
To notify your physician or the nurse manager when you do not understand and need further explanation concerning your diagnosis, treatment and prognosis.
To let your physician or nurse know if you are receiving too many visitors from outside the facility.
To respect the privacy of other patients.
To abide by the smoking policy of the facility in which you are a patient.
To cooperate and follow the care prescribed for you.
To let us know if you are dissatisfied with any aspect of your care or if you feel that any of your rights have been violated. You may do this through your physician, nurse manager or by calling the telephone number designated for this purpose at the facility in which you are a patient.
To meet your financial obligations to Peninsula Surgery Center, realizing that your insurance is a contract between you and the insurance carrier. Peninsula Surgery Center depends upon income from patient accounts to maintain its financial stability and meet its obligations. Representatives from our Business Office are available to answer questions about your financial responsibility.
To let us know if you are in pain.

Patient Rights and Responsibilities for Kids and their Parents/Guardians

Rights - As a child (newborn to age 17), I have the right:

To expect the nurses and doctors to take care of me when my parents can't stay with me.
To expect the nurses and doctors to talk to me about why I am sick and teach me how to stay well after I go home.
To have someone help me with my schoolwork if I am sick for a long time.
To have the people taking care of me understand that I may really miss all of the activities I like to do everyday at home and let me do these things in the hospital if possible.
To have my parents, sisters, brothers, friends and family visit me in the hospital.
To have toys, books, games, puzzles and movies available that are OK for kids my age.
To have a bed, chairs, and tables just my size that I can use.
To be cared for in a safe area so I will not hurt myself.
To wear my pajamas and keep some of my own toys and things in my room.
To talk to my doctors and nurses.
To learn how to take care of myself in the hospital like I do at home.
To have the nurses and doctors tell me what is going to be done to me before they do it and if it will hurt.
To have the doctors and nurses let me play, watch TV and do the things I do with my family at home.
To tell the nurses and doctors if I hurt.
To not be kept in my room or my bed where I can't get out unless my nurse or doctor tells me why.

Rights - As a Parent or Guardian of a Pediatric Patient (newborn to age 17), I have the right:

To be recognized as the primary caregiver of your child and be allowed to assume as much or as little care for your child as you feel comfortable, and as is consonant with sound medical practice.
To be able to visit your child and remain with your child as much as possible.
To participate in the development, implementation and evaluation of the plan of care for your child.
To have an ongoing free exchange of information with the medical and nursing staff regarding your child's condition, plan of care and response to care and treatment.
To have all procedures explained and have time and privacy provided to assimilate medical information.
To have emotional and educational support in dealing with your feelings about your child's treatment and illness.
To expect that your child will have appropriate assessment and management of pain.
To expect that your child will be free from seclusion or restraint, of any form, that is not medically necessary.

Responsibilities for children (newborn to age 17):
As a child, these are the things I should do:

Tell the nurses and doctors if someone has hurt, upset or touched me in a way I did not like. The nurses and doctors will listen to me and help me.
Tell the nurses and doctors if I do not like what my parents or other grown-ups are doing to me.
Tell the nurses and doctors if I hurt.

As a child, if I have a problem coming to the hospital, getting care or going home from the hospital, I should ask for help by:

Telling my mom and/or dad what happened and why I am unhappy.
Telling the nurse what happened and why I am unhappy.
Telling my doctor what happened and why I am unhappy.

Responsibilities for Parents/Guardians of a Pediatric Patient
(newborn to age 17):

To provide information about your child's health history, routines and activities of daily living, and fears and anxieties.
To report perceived risks in the care of your child and unexpected changes in their condition.
To respect the privacy of other children and their families.
To notify us if you are dissatisfied with the care provided for your child or family. You may do this through your physician, nurse manager or by calling the telephone number designated for this purpose at the facility in which you are a patient.
To meet the financial obligations secondary to your child's treatment.