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PATIENT RIGHTS & RESPONSIBILITIES Your Patient Rights hospital’s capacity, its stated mission, and 11. You have the right to the
applicable law and regulation. confidentiality of your medical record
You have rights and a role 6. You have the right to considerate and and information within legal limits.
regarding your treatment respectful care in a dignified manner, 12. You have the right to access
and care. Knowing your rights including the following: information contained in your medical
and role can help you make a) Care that considers psychosocial, record within a reasonable time frame
better decisions about your spiritual, cultural, personal values, and under conditions established by
health care. preferences, and other variables that hospital policy.
influence the perception of illness;
1. The hospital prohibits discrimination b) Care of the dying that optimizes comfort 13. You have the right to personal privacy.
and dignity:
to patients and visitors based on age,
race, ethnicity, national origin, religion, • By treating primary and secondary 14. You have the right to receive care in a
culture, language, physical or mental symptoms that respond to treatment safe setting.
disability, socioeconomic status, gender, according to individual wishes;
or sexual orientation. 15. You have the right to be free from
• By effectively managing pain; and all forms of abuse and harassment,
2. You have the right to receive • By recognizing psychosocial and including neglect, exploitation, verbal
information about your rights as a abuse, mental abuse, physical abuse and
patient and how to present a complaint spiritual concerns about dying and sexual abuse.
grief.
or grievance, including whom to contact 7. You have the right to work together 16. You have the right to be free from
with your complaint. with your physician to make decisions bodily punishment, including the right to
about your care and treatment: be free from restraint or seclusion of any
a) To learn more about the complaint- form that is used as a means of coercion,
handling process or to file a complaint, a) Receive information you need to make discipline, convenience or retaliation
ask your nurse or another member of the an informed decision about care and by the hospital workforce. Restraint or
hospital workforce, or call 832-534-5838 treatment that reflects your wishes; seclusion may only be used to ensure
to speak to a hospital representative at b) Receive information necessary to give your immediate physical safety or the
any time during your stay to report your your informed consent before certain safety of others, and must be ordered by
concern or complaint (grievance). procedures or treatments; your physician and discontinued at the
b) For grievances regarding civil rights c) Accept or refuse care, treatment, and/ earliest possible time.
discrimination, please submit your or services, to the extent permitted by law,
complaint in writing with your name, and receive information about the possible
your address, a description of the alleged effects of refusing care or treatment; 17. You have the right to be informed
discriminatory action, and the resolution d) Receive information about the outcomes of any human experiments, research or
sought to the following: of care or treatment that was provided, clinical education programs that affect
CHI St. Luke’s Health | Attn: Division including any unexpected outcomes; and your care, treatment, and/or services,
Corporate Responsibility Officer | PO e) Participate in the plan for your care, including the respect and protection of
Box 20269 | MC 3-121 treatment, and discharge, and manage your rights.
Houston, TX 77225-0269 | 832-355-2146 your pain.
18. Your guardian, next of kin or legally
c) If you feel that your concerns have not 8. You have the right to receive authorized person has the right to
been resolved by the hospital, you may information in a manner you understand. exercise, to the extent permitted by law,
contact one of the following: your rights if you are unable to express
• Texas Department of State Health 9. You have the right to participate in your wishes about care, treatment, and/
addressing ethical issues related or services.
Services to your care.
• U.S. Department of Health and 10. You have the right to work together 19. You have the right to receive
Human Services, Office for Civil Rights with your physician to express your visitors whom you designate including,
choices about care and/or treatment but not limited to, a spouse, domestic
• Centers for Medicare and Medicaid before it is needed, such as through an partner (including a same-sex domestic
Services (CMS) advance directive. If you prefer, you may partner), another family member or
appoint someone to make health care a friend. You may make changes to
• DNV Healthcare Inc. decisions for you. withdraw or deny consent to a visitor
at any time. The hospital may need to
3. If you have Medicare coverage and are a) During admission, you will be asked restrict visitors based on your clinical
admitted to the hospital, you have the if you have an advance directive or need condition or to protect the rights and
right to receive the Beneficiary Notice, assistance with writing an advance safety of others. The number of visitors,
the “Important Message from Medicare.” directive. visiting hours and overnight visitors may
b) If you have an advance directive, also be limited. Please check with your
4. You have the right to have a family a copy, if available, will be placed in your nurse about the specific limitations for
member or person of your choice and medical record. As appropriate to your your room.
your physician notified when you are care, it will be reviewed with you or your
admitted to the hospital. decision maker. Still have questions about
c) Care, treatment and services are not your rights or responsibilities?
5. You have the right to reasonable based on whether or not you have an Call 832-355-2146 for answers.
responses to requests and needs for care, advance directive.
treatment, and/or services, within the
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