Patient RIGHTS & RESPONSIBILITIES

LIST OF PATIENT RIGHTS OF CALIFORNIA

IN ACCORDANCE WITH SECTION 70707 OF THE CALIFORNIA HEALTH AND SARETY CODE, THE FACILITY AND MEDICAL STAFF HAVE ADOPTED THE FOLLOWING LIST OF PATIENT RIGHTS:

1. Exercise these rights without regard to sex or cultural, economic, educational, or religious background or the source of payment for his/her care.
2. Treated with respect, consideration, and dignity.
3. Provided appropriate privacy and safety.
4. Knowledge of the name of the physician who has primary responsibility for coordinating his/her care and the names and professional relationships of other physicians who will see him/her.
5. Receive information from his/her physician about his illness, his/her course of treatment and his prospects for recovery in terms that he/she can understand.
6. Receive as much information from his/her physician about any proposed treatment or procedure as he/she may need in order to give informed consent or to refuse this course of treatment. Except in emergencies this information shall include a description of the procedure or treatment, the medically significant risks involved in each, and to know the name of the person who will carry out the procedure or treatment.
7. Actively participate in decisions regarding his/her medical care to the extent permitted by law, this includes the right to refuse treatment or change his/her primary physician.
8. Full consideration for privacy concerning his/her medical care program. Case discussion , consultation, examination and treatment are confidential and should be conducted discreetly. The patient has the right to be advised as to the reason for the presence of any individual.
9. Confidential treatment of all communication and records pertaining to his/her care and his/her stay in the Sequoia Surgical Pavilion. His/her written permission shall be obtained before his/her medical record can be made available to anyone not directly concerned with his/her care.
10. Reasonable responses to any reasonable request he/she may make for service.
11. Availability of methods for expressing grievances or suggestions through direct communication or patient satisfaction surveys.
12. Leave the Sequoia Surgical Pavilion even against the advice of his/her physician.
13. Reasonable continuity of care and to know in advance the time and location of appointment as well as the physician providing the care.
14. Be advised if Sequoia Surgical Pavilion/personal physician proposes to engage in or perform human experimentation affecting his/her care of treatment; the patient has the right to refuse to participate in such research projects.
15. Be informed by his/her physician or a delegate of his physician of his continuing health care requirements following his discharge from the surgery center.
16. Receive an explanation of fees for service and payment policies.
17. Know which Sequoia Surgical Pavilion rules and policies apply to his/her conduct and responsibilities as a patient.
18. Have all patient rights apply to the person who may have legal responsibility to make decisions regarding medical care on behalf of the patient.
19. Be advised of the services available at Sequoia Surgical Pavilion include ambulatory surgical services, capability of 23 hour care, and minimal lab studies.
20. Knowledge of provisions for 23 hour care and extended post-anesthesia care arranged in advance for patientshaving surgical procedures.

YOUR RESPONSIBILITY AS A PATIENT

• To read and understand all permits and/or consents you sign. If you do not understand, it is your responsibility to ask the nurse or physician for clarification.
• To provide, to the best of your knowledge, accurate and complete information regarding your health, medications (including over the counter products and dietary supplements) any allergies or sensitivities, and past treatments.
• To follow any pre-operative written or oral instructions, and treatment plan from your physician provider and surgical center.
• To notify the physician or surgical center if these instructions have not been followed.
• To provide an adult to transport you home after surgery if you have received medications and/or anesthesia.
• To provide for someone to be responsible for your care for the first 24 hours after your procedure.
• Inform your physician provider about any living will, medical power of attorney or other directive that could affect your care.
• To follow carefully any written or verbal post-op instructions from your physician(s) or nurse.
• To contact your physician regarding any post-operative question or problem.
• Be respectful of all the health care providers and staff as well as other patients.
• To assure all financial obligations for services are fulfilled as promptly as and assume ultimate responsibility for payment regardless of insurance coverage.
• To notify the surgical center if you feel any rights have been violated, or if you have a complaint or a suggestion for improvement by contacting the Administrator, or by returning your patient satisfaction survey form.

updated 7/08

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