Patient Rights and Responsibilities
A Patient's Rights to Receive Care
You will be provided access to treatment or accommodations that are available or medically indicated-regardless of race, creed, sex, age, national origin, disability or sources of payment for care. You have the right to the same standard of care regardless of the presence or absence of a Living Will/Durable Power of Attorney.
To speak with a chaplain, dial "O" for the hospital operator and the on-call chaplain will be paged to come see you.
You have the right to communicate with people outside the hospital by means of visitors, and by verbal and written communication. If you do not speak or understand English, the hospital will try to find an interpreter as quickly as possible. If you require special assistance with hearing and/or speaking problems, the hospital will attempt to accommodate you in the most effective and timely manner possible.
You have the right to report any concerns or conflicts concerning your care to the physician, nurse, department manager, chaplaincy service, and/or hospital ethics committee. A response to the reported concern/conflict should be received in a timely manner appropriate to the situation. You or your legally authorized representative may also write a letter to the Executive and Chief Operating Officer, CHI St. Vincent Infirmary Health System, Two St. Vincent Circle, Little Rock, AR 72205-5499. All correspondence will receive prompt and personal attention.
You have the right to know who is responsible for authorizing and performing any procedure or treatment.
You have the right to be informed if the hospital engages in re-search/educational/non-FDA approved projects affecting your care or treatment, and you have the right to refuse to participate in any such activity.
You have the responsibility to ask your physicians whether they propose to engage in research, educational, and/or non-FDA approved projects affecting your care or treatment, and you have the right to refuse to participate in any such activity.
It is your responsibility to ask questions about the papers to be signed or request information about your diagnosis and its treatment.
You have the responsibility to be honest with the physicians providing your care and with hospital staff about your medications, changes in your health status, needs and worries, and any special religious, cultural or learning needs.
You have the right to consult any physician of your choice, if you so desire. You have the responsibility to determine whether that physician's services are covered by your insurance provider.
It is important to plan ahead for whatever medical care is necessary for you upon your discharge from a CHI St. Vincent hospital. Your doctor, nurses and other healthcare staff will help you assess your need for continued care and our discharge planning staff will assist you in making the necessary arrangements. Your doctor can answer questions about how long you will be in the hospital and if you need continued medical care after discharge. Let your physician know about any special circumstances that may affect your discharge plans. We want to help you and your family plan the best way to meet your ongoing healthcare needs.
Health Care Team
CHI St. Vincent Infirmary Medical Center, CHI St. Vincent Doctors Hospital, and CHI St. Vincent North, as well as our home care agencies, (Visiting Nurse Association and CHI St. Vincent Homecare) are accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), a voluntary accrediting agency sponsored by the American College of Surgeons, American Hospital Association and the American Medical Association. During extensive on-site visits, the JCAHO evaluates our performance and gives accreditation based on our strict compliance with standards developed by leaders in the healthcare field.
During your stay at any one of our hospitals, you will be cared for by a group of highly trained staff dedicated to the delivery and management of your care. These caregivers are organized into patient management teams. In addition to your physicians and a registered nurses (RN), your management team may consist of the following professionals: licensed practical nurses (LPN), physical therapists, occupational therapists, speech therapists, social workers, discharge planners, respiratory therapists, pharmacists, and dieticians. Your physicians and your needs will determine the best healthcare team for you.
A home care representative is assigned to each unit of the hospital. To speak with the home care representative notify your nurse. These representatives can answer questions about home health services. They will assist you, your physician and family design a plan of care which might be necessary after you go home.
Hospital Rules and Regulations
You have the right to be reasonably informed of hospital policies and practices that relate to your care, treatment and rights. You and/ or your family are responsible for following the rules and regulations established by the hospital to protect you, your family and staff members.
You have the right to know the identity and professional status of individuals providing service to you, and to know which physician is primarily responsible for your care. This includes the right to know of the existence of any professional relationship among individuals treating you, as well as the relationship to any other healthcare or educational institutions involved in your care. Participation by you in clinical training programs or in the gathering of data for research purposes will be voluntary.
You have the right to obtain, from your physician, complete and current information concerning your diagnosis (to the degree known), treatment, and any known prognosis. This information should be communicated in terms which can be reasonably under-stood. When it is not medically advisable to give such information, the information should be made available to a legally authorized individual. You should let your nurse/physician know immediately if you do not understand any matter relating to your diagnosis, care and/or treatment. You should also let your nurse/physician known if there are instructions which you cannot follow for any reason.
You have the right to have access to special services such as advocacy groups and child/adult protective services.
You have the responsibility to assist in your own care to the extent that you are able to participate. This includes following the directions of your physician and hospital staff learning what you can do to care for yourself.
On the Day of Discharge
To help make your return home as comfortable as possible, we offer the following suggestions and information:
In Advance try to make definite plans for your transportation home.
Discharge time is between 8:00 a.m. and 1:00 p.m. If you will not be able to leave during these hours, please notify your nurse as soon as possible.
Plan to send some of your belongings home in advance.
If you have secured valuables in the storage safe, please notify your nurse so you may obtain them upon discharge.
Prescriptions are not covered as a part of inpatient Medicare or by many insurance companies. (Please inform the nursing staff of which pharmacy you want to you want to have fill any prescriptions the doctor has directed you take after discharge.)
Your physician will notify you and the nursing staff when you are ready for discharge. Check with your nurse for assistance, once the doctor has told you that you may be discharged, you will receive information on when and how follow up care should be scheduled. If any aftercare services/agencies are involved in your care, you will be given the name of the service or agency and a contact number.
Patient Education services are available to you and your family to help you under-stand information about your illness and how to manage your care at home. Educational classes are available Monday - Friday. The Patient Education Department also provides bedside instruction and can help to locate additional resources for learning. You may contact your nurse to arrange these services. Patient Education channels, located on Channel 11 and 19 on the television in your room, are available for your viewing 24 hours a day.
You have the right to have the hospital strive to provide reasonable safety insofar as hospital practice and environment are concerned. You have the responsibility to ask about security measures and take action to secure your own personal safety and the safety of your property.
Privacy and Confidentiality
You have the right, within the law, to personal and informational privacy, as indicated by the following:
- To refuse to talk with or see anyone not officially connected with the hospital, including visitors or persons officially connected with the hospital but not directly involved in your care.
- To have visits, prayers, and sacramental ministries by chaplaincy care personnel and/or clergy of choice, and to refuse such visits if not desired.
- To wear appropriate personal clothing and religious or other symbolic items, as long as they do not interfere with diagnostic procedures or treatments.
- To be interviewed and examined in surroundings designed to assure reasonable privacy, including a physical examination, treatment or procedure performed by a health professional of the opposite sex; and the right not to remain disrobed any longer than is required for accomplishing the medical purpose for which disrobement was requested.
- To have persons officially connected with the hospital to announce their presence by knocking prior to entering your room.
- To expect that any discussions or consultations involving your case will be conducted discretely and that individuals not directly involved in your care are not present without your permission.
- To have medical records read only by individuals directly involved in the treatment or the monitoring of its quality, and by individuals only with written authorization by you or your legally authorized representative.
- To expect all communications and other records pertaining to your care, including the source of payment for treatment, to be treated confidentially.
- To request a transfer to another room if another patient or visitors in that room are unreasonably disturbing you.
- To be placed in protective privacy when considered necessary for your personal safety.
It is your and your family's responsibility to remind visitors to observe visiting hours and to be considerate of other patients and their families by respecting their right to privacy.
Refusal of Treatment
You may refuse treatment to the extent permitted by the law. If the refusal of treatment (or that of a legally authorized representative) prevents the provision of appropriate care in accordance with accepted professional standards, your relationship with the hospital may be terminated upon reasonable notice.
Respect and Dignity
You have the right to considerate and respectful care at all times and under all circumstances with recognition of your personal dignity.
A social worker is assigned to each unit of the hospital. To speak with the social worker contact your nurse or call the Social Services office. The social worker, along with your health care team, can assist in planning for your discharge (home health, home infusion, medical equipment, rehabilitation, transfer to another facility, community referrals, etc.).
Transfer and Continuity of Care
You may not be transferred to another facility unless you have received a complete explanation of the need for the transfer, the alternatives to such a transfer, and until the transfer is acceptable to the receiving facility. You have the right to request and make the necessary arrangements for a transfer to another facility if that facility is willing to accept you for care. You have the right to be informed by your physician, or his designee, of any continuing healthcare requirements following your discharge from the hospital.