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5530: Chapter 14
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5530: Chapter 14


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  • 1. Chapter 14Patient Rights & Responsibilities 2
  • 2. Patient Self-Determination Act• Protection of a patient’s right to make decisions.• Organizations required to observe, protect & promote patient rights. 3
  • 3. Patient Rights – I• Admission – Discrimination Prohibited – Government Facilities• Timely Response to Care Needs• Know One’s Rights – Bill of Rights 4
  • 4. Patient Rights – II• Ask Questions – Clarification of the caregiver’s instructions. – Interpretation of a caregiver’s illegible handwriting. – Instructions for medication usage (e.g., frequency, dosing, drug–drug or drug–food interactions, contraindications, side effects). – Clarification of the physician’s diet orders (e.g., “Does my iced tea contain sugar-free substitutes?”). – Explanation of the treatment plan. – A copy of the organization’s hand-washing policy. 5
  • 5. Patient Rights – III• A description of the hospital’s procedures to prevent wrong site surgery (e.g., the surgical site has been appropriately marked).• The surgeon to draw an arrow pointing to the surgical site if a surgical site cannot be directly marked.• The opportunity to provide the organization with a copy of any advance directives that may have been executed (e.g., living will). 6
  • 6. Patient Rights – IV• The right to appoint a surrogate decision maker should they become incapacitated.• A second opinion.• The opportunity to provide the organization with a copy of any advance directives that may have been executed (e.g., living will)
  • 7. Patient Rights – V• clarification of diet orders• explanation of treatment plan• organization’s hand-washing policy• know procedures to prevent wrong site surgery • surgical site has been marked 8
  • 8. Patient Rights – VI• Explanation of Rights• Know Hospital’s Adverse Events• Know Caregivers• Know 3rd Party Relationships• Participate in Care Decisions 9
  • 9. Patient Rights – VII• Informed Consent• Emergency Care• Have Special Needs Addressed• Compassionate Care• Timely Response to Care Needs 10
  • 10. Patient Rights – VIII• Pain Management – describe location & severity of pain – discuss pain relief treatment options – work with health care caregivers to develop treatment plans – discuss concerns about taking pain medication/s. – alert caregivers of any allergies 11
  • 11. Patient Rights – IX• Pain Management, cont. – learn side effects associated with pain management – maintain record of effects of medications or other pain relief measures – participate in setting pain control goals – provide caregivers with info about pain control methods that have worked, or not worke
  • 12. Patient Rights – X• Refuse Treatment – Right to Refuse Blood Transfusion• Access to Medical Records• Execute Advance Directives• Designate a Decision-Maker 13
  • 13. Patient Rights – XI• Privacy and Confidentiality – Phlebotomist Discloses Patient Information at a Public Tavern – Disclosures Permitted Without Patient Authorization – Limitations on Disclosures• Know Restrictions on Rights 14
  • 14. Patient Rights – XII• Discharge – Discharge Orders – Release from Hospital Contraindicated – Failure to Override a Physician’s Decision• Right to Transfer• Quality Care 15
  • 15. Patient Rights – XIII• Respect• Patient Advocacy• Help Prevent Medical Errors• 20 Tips to Help Prevent medical Errors 16
  • 16. Agency for Healthcare Research & Quality Preventing Medical Errors -I• Take responsibility for maximizing healthy habits – such exercising – not smoking – eating a healthy diet• Be involved in health care decisions• Work collaboratively with providers – developing & carrying out agreed-upon treatment plans 17
  • 17. Agency for Healthcare Research & Quality Preventing Medical Errors -II• Disclose relevant information• Clearly communicate wants & needs• Use the health plan’s internal complaint & appeal processes to address concerns that may arise• Avoid knowingly spreading disease• Recognize reality of risks & limits of the science of medical care & the human fallibility of the health care professional 18
  • 18. Agency for Healthcare Research & Quality Preventing Medical Errors -III• Be aware of a health care provider’s obligation to be reasonably efficient & equitable in providing care to other patients• Become knowledgeable about health plan coverage & health plan options• Show respect for other patients & health worker• Make effort to meet financial obligations 19
  • 19. Agency for Healthcare Research & Quality Preventing Medical Errors -IV• Abide by administrative & operational procedures of health plans, healthcare providers, & government health benefit programs• Report wrongdoing & fraud
  • 20. Patient Responsibilities – I• Recognize effect of lifestyle on one’s health• Maintain a record of medications & their effects• Keep appointments 21
  • 21. Patient Responsibilities – II• Provide full disclosure of all information relevant to one’s medical condition • Medical complaints • symptoms • past illnesses • treatments • surgical procedures • hospitalizations • medications 22
  • 22. Patient Responsibilities – III• Report unexpected changes in condition to caregivers• Make it known whether or not you understand the plan of care• Ask questions to seek clarification of concerns• Follow treatment plan agreed upon 23
  • 23. Patient Responsibilities – IV• Refrain from self-administration of medications• Accept responsibility for the consequences of refusing treatment or not following instructions• Be considerate of the rights of other – control of noise – smoking – limitation on number of visitors 24
  • 24. Patient Responsibilities – V• Be respectful of the property of others• Speak up & ask questions – “What is this medication for?” – “What diet am I on?” – “Since you are going to change my dressing, did you wash your hands?”• When in doubt, seek a second opinion. 25
  • 25. Patient Responsibilities – VI• Participate in marking the site of a surgical or other invasive procedure• Make sure that the staff are aware of your preferences for care, including who your decision maker will be in the event that you become incapacitated.• Understand caregiver instructions• Follow an organization’s rules & regulations 26
  • 26. REVIEW QUESTIONS - I1. Describe the significance of the Patient Self-Determination Act.2. Describe the rights of patients as reviewed in thischapter.3. Describe the responsibilities of patients asreviewed in this chapter.4. Should a competent person have a right to refusetreatment?5. Why do you think a patient’s responsibilities are asimportant as his or her rights? 27
  • 27. REVIEW QUESTIONS - II6. Should a hospital be able to assert whateverinterest the state itself may have in seeking to compelan unwilling patient to undergo a routine, lifesavingmedical procedure? Explain.7. Discuss the importance of the patient’sresponsibility to communicate to the staff anysymptoms he or she is experiencing. 28