Patient Forms and Documents
The following list of rights and
responsibilities does not presume to be all-inclusive, but is intended to show
our concern for you and to emphasize the need for observance of these rights
As a patient you have the right to . . .
- Considerate and respectful care provided in a safe
environment, free from all forms of abuse, harassment or discrimination.
in the development and implementation of your plan of care and actively
participate in decisions regarding your medical care. To the extent permitted
by law, this includes the right to request and/or refuse treatment.
- Be well
informed about your illness, possible treatments, and likely outcomes of care
(including unanticipated outcomes) and to discuss this information with your
doctor. In an emergency, when you lack decision-making capacity and the need
for treatment is urgent, the information is made available to another person on
- Have an advance directive (such as health care proxy, organ
donation or living will) and the expectation that Iberia Medical Center will
honor the intent of the directive to the extent permitted by law and hospital
- Upon your
request, have a family member, chosen representative and/or your own physician
notified promptly of your admission to the hospital.
people outside the hospital by means of visitors and by verbal or written
Expect effective pain management to
include the following:
- Express your pain and have that
expression accepted and respected as the most reliable indicator
- Have your pain assessed
systematically and thoroughly,
- Have your pain managed according
to the most currently accepted methods,
- Receive a prompt response to
unrelieved pain, and
- Be informed and involved in all
decisions regarding all aspects of your pain care.
- Not undergo any procedure unless you or your legally
authorized representative gives voluntary, competent and understanding consent.
- Remain free from seclusion or restraints of any
form that are not medically necessary or are used as a means of coercion,
discipline, convenience or retaliation by staff.
- Expect that those providing care will
protect your privacy and support your personal dignity.
- Have your cultural, psychosocial,
spiritual and personal values, beliefs and preferences respected.
- Have access upon request to
- Expect that treatment records are confidential unless you
have given permission to release information or reporting is required or
permitted by law. When the hospital releases your records to others, such as
insurers, it emphasizes that the records are confidential.
- Review your own medical record and to
have the information explained within a reasonable amount of time, except when
restricted by law.
- Expect that Iberia Medical Center
will make a reasonable response (to the best of its ability) to a patientís
request for medically indicated care.
Treatment, referral or transfer may be recommended. If transfer is recommended
or requested, you will be informed of risks, benefits and alternatives. You
will not be transferred until the other institution agrees to accept.
- Leave the hospital even against the
advice of your physician.
- Know the name of the physician who
has primary responsibility for coordinating your care and if Iberia Medical
Center has relationships with outside parties that may influence your treatment
- Be told of alternatives when hospital
care is no longer appropriate.
- Be informed by your physician of the
continuing healthcare requirements following your discharge from the hospital.
- Know about hospital rules that affect
your treatment and about hospital charges and payment methods.
- An itemized and detailed explanation
of your complete hospital bill, regardless of the source of payment for your
- Communicate concerns/grievances
regarding your care to a patient representative.
- Receive answers to ethical questions
that may arise in the course of your care or access the Ethics Committee.
- Receive assistance in accessing
- Access to an interpreter or
translator if necessary.
- Expect that medical information
disclosed about you and your rights and our obligations regarding the use and
disclosure of your medical information is done in accordance with our Notice of
- Access, request amendment to and
receive an accounting of disclosures regarding his/her own health information
as permitted under applicable law.