PATIENT BILL OF RIGHTS
A patient has the right to:
• Respectful care given by competent workers.
• Know the names and the jobs of his or her care givers.
• Privacy and access of medical information as described in Novant’s Notice of Privacy Practices.
• Privacy with regard to his or her medical condition. A patient's care and treatment will be discussed only with those who need to know.
• Have his or her medical records treated as confidential and read only by people with a need to know. Information about a patient only will be released with permission from the patient or if permitted by law.
• Have a family member or representative and his or her doctor notified promptly of his or her admission to the hospital.
• Know what facility rules and regulations apply to his or her conduct as a patient.
• Have emergency procedures done without unnecessary delay.
• Good quality care and high professional standards that are continually maintained and reviewed.
• Make decisions regarding his or her care and has the right to include family members in those decisions.
• Information from his or her doctor in order to make informed decisions about his or her care. This means that patients will be given information about their diagnosis, prognosis and different treatment choices. This information will be given in terms that the patient can understand. This may not be possible in an emergency.
• Be informed about the outcomes of care, including unanticipated outcomes.
• Participate in the development and implementation of their plan of care.
• Full information about any research studies in which he or she has been given the option to participate. A patient may refuse to participate in any research study. A patient who chooses to participate has the right to stop at any time. Any refusal to participate in a research program will not affect the patient's access to care.
• Refuse any drugs, treatment or procedures, to the extent permitted by law, after hearing the medical consequences of refusing the drug, treatment or procedure.
• Have help getting another doctor's opinion at his or her request and expense.
• Care without
regard to race, color, national
origin, religion, disability, sex, veteran’s status, sexual orientation, gender
identity, age or source of payment.
• Be given information in a manner that he or she can understand. A patient who does not speak English or is hearing or speech impaired has the right to an interpreter, when possible, at no cost to the patient.
• Upon request, to access all information contained in the patient’s medical records within a reasonable time frame. This right may be restricted as allowed by law.
• Have information in the medical record explained to him or her.
• Not be awakened by staff unless it is medically necessary.
• Be free from needless duplication of medical and nursing procedures.
• Treatment that avoids unnecessary discomfort.
• Be transferred to another facility only after care and arrangements have been made and the patient has been given complete information about the hospital's obligations under law.
• A copy of his or her bills. A patient also has the right to have the bill explained.
• Request help in finding ways to pay his or her medical bills.
• Help in planning for his or her discharge so that he or she will know about continuing health care needs after discharge and how to meet them.
• Access people or agencies to act on the patient's behalf or to protect the patient's rights under law. A patient has the right to have protective services contacted when he or she or the patient's family members are concerned about safety.
• Be informed of his or her rights at the earliest possible time in the course of his or her treatment.
• Make advance directives (such as a living will, health care power of attorney and advance instruction for mental health treatment) and to have those directives followed to the extent permitted by law.
• Personal privacy and to receive care in a safe and secure setting.
• Be free from all forms of abuse or harassment.
• Be free from the use of seclusion or restraint, of any form, as a means of coercion, discipline, convenience or retaliation by staff. Restraints and seclusion may only be used to protect the immediate safety of the patient or others. They must be removed or ended at the earliest possible time. Patients have the right to safe implementation of restraints or seclusion by trained staff.
• Appropriate assessment and management of pain.
• See visitors of his or her choice. This includes the right to designate visitors who shall receive the same visitation privileges as the patient’s immediate family members, regardless of whether the visitors are legally related to the patient.
• Pastoral care and other spiritual services.
• Be involved in resolving dilemmas about care decisions.
• Have his or her complaints or grievances about care resolved.
• A patient and his or her family have the right to contact a Novant Health ethics committee to ask for help about ethical issues, such as starting or stopping treatments to keep the patient alive, differences of opinion or when advance directives cannot be honored.
Children & Adolescents
• The family/guardian of a child or adolescent patient generally has the right and responsibility to be involved in decisions about the care of the child. A child or adolescent has the right to have his or her wishes considered in the decision making as limited by law.
• A child or adolescent patient has the right to expect that care and the physical environment will be appropriate to his or her age, size, and needs.
• A child or adolescent patient whose treatment requires a long absence from school has the right to educational services. These services will be arranged with the local school system.
Patient Responsibilities Patients are responsible for:
• Providing correct and complete information about their health and past medical history.
• Reporting changes in their general health condition, symptoms or allergies to the responsible care giver.
• Reporting if they do not understand the planned treatment or their part in the plan.
• Following the recommended treatment plan they have agreed to, including instructions from nurses and other health personnel.
• Keeping appointments.
• Treating others with respect.
• Following facility rules regarding smoking, noise and use of electrical equipment.
• Consequences of refusing planned treatments.
• Paying for their care.
• Respecting the property and rights of others.
• Assisting in the control of noise and the number of visitors in their rooms.
• Notifying their doctor or nurse if they change their advance directive. • Communicating with staff regarding pain management.
• Sending their valuables home or asking staff for help in securing their valuables.
The North Carolina Department of Facilities Services can be reached at 1-800-624-3004, Mental Health Branch can be reached at 1-919-855-3795. Address: 2701 Mail Service Center, Raleigh, NC 27699-2701
CONCERNS ABOUT SAFETY OR QUALITY OF CARE
You may contact the Administrator on-call by one of the following:
• From a Hospital Phone, Dial "0" and ask to speak to the Administrator on-call.
• From outside the Hospital, please dial (919-496-5131 and ask for the Administrator on-call.
• By mail attention: Administration at P.O. Box 609, Louisburg, NC 27549
All members of the general public and any individual have the right to contact the Joint Commission on Accreditation of Healthcare Facilities directly if they have a patient safety or quality of care concern that the hospital has not addressed. You may send your complaint by email, fax or mail at the below addresses:
Email: complaint@jcaho.org
Fax: Office of Quality Monitoring, (630) 792-5636
Mail: Office of Quality Monitoring
Joint Commission on Accreditation of Healthcare Organizations
One Renaissance Boulevard, Oakbrook Terrace, IL 60181
If you have any questions about how to file your complaint, you may contact the Joint Commission at this toll free U.S. telephone number, 8:30 a.m. to 5:00 p.m. Central Times, weekdays, (1-800-994-6610).
The North Carolina Department of Facilities Services can be reached at (1-800-624-3004). The Mental Health Branch can be reached at (919) 855-3795. The address is: 2701 Mail Service Center, Raleigh, NC 27699-2701