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Second part

- Patient rights policy

Policy name

Patient rights policy

Policy number

 

Issue date and number

 

 

Review Date

 

 Number of pages

 

Section

All hospital departments


Policy: The hospital provides multiple medical services, and the hospital administration, doctors, and staff are committed to performance that preserves patients’ rights while informing them of them from the time they enter and while performing the various services until they leave, in compliance with the hospital’s mission and fulfilling the patient’s health care needs.

Purpose:  Preserving the rights of patients and their families.

Working procedures:

·      The hospital is committed to all regulations and laws issued by the Ministry of Health and the Federation of Medical Professions Syndicates regarding the rights of patients and their families, as stated in the Professional Ethics Regulations issued by Minister of Health Resolution No. 238 of 2003, as well as Ministerial Resolution No. 186 of 2001. Accordingly, the hospital takes the following policies:

·       The right to receive care if it is available in the hospital.

·       The right to know the name of the treating physician, supervising physician and/or responsible physician

·       The right to receive care that respects the patient’s personal values ​​and beliefs.

·       The right to know about and participate in making decisions regarding their care.

·       The right to refuse or not continue treatment: The doctor must do the following:

·       The right to security, personal privacy, confidentiality and dignity. The patient has the right to have the following.

·       The right to receive appropriate treatment for pain

·       The right to file a complaint or suggestion without fear of persecution

·      The right to know the prices of services and procedures.

First: An explanation of the patient’s rights clauses:

·      Rights determined by regulations and laws:

·      The presence of a professional ethics regulation, Resolution 238 of 2003, in the hospital administration and with the quality coordinator as a reference in training on patients’ rights. The regulation includes the following points:

·      Part One:  Doctors’ Oath

·      Part Two: The doctor’s duties towards

·      the society.

·      Occupation.

·      The patients.

·      Colleagues.

Third: Medical interventions of a special nature

·      Gender correction procedure.

·      Assisted fertilization operations..

·      Resection and transfer of human organs and tissues

Chapter Four: Conducting medical experiments and research on humans

A copy of Resolution No. 186 of 2001 from the hospital emergency director, which includes the following:

·      Informing the patient about the cost of surgical operations at all stages.

·      It is prohibited to detain an inmate's body or exploit a death to gain financial advantage.

A copy of Prime Minister’s Decision No. 1063 of 2014 at the hospital’s emergency director, which includes the following:

·      All medical facilities are committed to providing treatment services for emergency and accident cases free of charge for a period of 48 hours, after which the patient has the choice of staying at his own expense or being treated in the free section of the hospital, provided that the state bears the costs from the treatment budget at the state’s expense.

·       The right to obtain care if it is available in the hospital in order to ensure the hospital’s ability to provide the necessary medical care to the patient. This depends on obtaining information about the patient’s needs and condition through a screening and selection process by the medical team that is carried out by:

·      Assess the patient’s medical history.

·      Physical examination.

·      Previous assessments and examinations with the patient……etc

·      The medical team provides medical care to the patient after obtaining the results of the medical examination and necessary tests as long as the service the patient needs is available and a bed is available for this patient in the hospital.

This is usually done at the first point of contact:

·      When the patient arrives at the hospital.

·      During ambulance transport.

·      Before transferring from another location.

·      The right to know the name of the treating physician, supervising physician and/or responsible physician.

·      This is done by the doctor introducing himself to the patient before dealing with him.

·      An identification card placed by the doctor containing the name, specialty, a personal photo, and the name of the hospital

·      Doctors wear a white coat, blue or green suit.

·      Putting the names of doctors and their specialties on the door of each clinic.

The right to receive care that respects the patient’s personal values ​​and beliefs:

·      Hospital staff must respect the patient’s personal religious and cultural beliefs and the freedom to exercise them

·      Hospital workers must not prevent the patient’s family from seeking help from a clergyman in cases that require spiritual support, such as patients on the verge of death.

·      Hospital workers must respect the desire of Coptic patients to determine the type of food on fasting days, as long as this food does not conflict with the patient’s care plan.

·      Hospital staff must ensure that the patient receives the highest possible standard of health care without discrimination based on age, sex, religion, race, nationality, origin, opinion, social or economic status, disability, special needs, or any other type.

·      The right to know about and participate in making decisions regarding their care.

This is done by the following:

·      Obtaining the patient’s consent (from the doctor) by signing a declaration of consent before the following procedures: surgery and surgical interventions.

·      Anesthesia/moderate or deep.

·      Use of blood.

·      Gastrointestinal endoscopy

He also has the right to know the treatment plan and participate in choosing it through the following:

·      The treating physician explains the patient’s medical condition, the various proposals for treatment, and the various medical examinations required.

·      The doctor must also participate with the patient/his family when developing the treatment plan.

·      The right to refuse or not continue treatment: whereby the doctor must:

·      Explaining  the health consequences to the patient/his family resulting from refusing treatment.

·      Clarification that the patient or whoever has the legal right to do so bears full responsibility in the event of insistence on refusal.

·      Informing patients about available care and treatment alternatives/discharge on demand despite doctors’ advice

·      The doctor supervising the treatment records the refusal of treatment.

The right to security, personal privacy, confidentiality and dignity. 
The patient has the right to have the following:

·      Security: Security personnel and the medical team are responsible for protecting patients from harm, theft, destruction, tampering, or entering a place or using something unauthorized. This is done according to the security plan within the environmental safety plans.

·      Privacy: The hospital administration is responsible for providing curtains, barriers, or sheets that ensure the patient’s privacy during:

·      Medical Examination.

·      Conducting examinations.

·      Care and treatment.

·      Transport .

·      Confidentiality: Members of the hospital’s medical team sign a declaration to maintain the confidentiality of patient data and information.

·      The medical team is responsible for not posting confidential information on the patient's door or at the nursing station.

·      The medical team is responsible not to discuss the patient’s condition in public places.

·      The medical team asks patients to give permission in order to release information that is not covered by laws and regulations.

·       The right to view the patient’s file.
While the file is in the internal departments of the hospital:

·      The physician (therapist, radiologist, laboratory physician), department head, nursing staff members, and pharmacist have the right to view the patient’s file.

·      After saving the file, the file is viewed by: Employees of the Medical Registration Department to complete entry and exit information.

·      Judicial bodies or the prosecution in the event of an attempt to obtain any information about the patient.

·      The patient or his first-degree relatives (after submitting an official request and having it approved by the hospital administration, provided that the request explains the reason for the patient or his relatives requesting to view the file).

·      Those conducting scientific studies (whether from inside or outside the hospital), and this also happens after submitting an official request and getting it approved by the hospital administration (according to the type of study and its compatibility with the cases in the hospital), provided that no personal data related to the patient is accessed. (such as name and address).

·      Dignity: The medical team must treat the patient in an appropriate ethical manner that preserves his dignity and prevents the loss of any of his moral rights (without insult - humiliation - deprivation).

·      The right to receive appropriate treatment for pain: The patient has the right to receive appropriate treatment for pain at the appropriate time according to his condition. The nurse assesses the severity of the pain and informs the doctor of it to review the evaluation and prescribe the appropriate treatment for the patient. This is done through a special form that contains details about the patient. His medical condition, degree of pain, appropriate treatment and its dose (Pain Evaluation and Treatment Form)

·      The right to submit a complaint or suggestion without fear of being persecuted.

·      The patient has the right to submit a complaint regarding any deficiencies he sees, as well as his suggestions for improving the service, provided that it is clarified how patients and their families can submit a complaint or suggestion in accordance with the provisions of the policy on complaints established by the hospital.

·      The right to know the prices of services and procedures: The patient has the right to know the prices and prices of the various services provided by the hospital in the various departments. This is done by the administration announcing the prices of some services via signs in public places in the hospital, such as the reception, provided that a person responsible for inquiries is indicated.

·      The admission office clerk informs patients or their families of the estimated cost of the required health care and the patient signs a general declaration of admission that includes the patient’s knowledge of the cost of the service after being shown the price list.

Second: Informing patients and their families of their rights through the following:

·      The hospital administration posts the terms of the patient’s rights and duties on boards in patient waiting areas and departments.

·      The entry or reception employee takes the patient’s signature on the Patient Rights and Duties form after informing him of them.

·      The department supervisor makes sure that the patient understands these rights, and in the event that the patient does not fully know them for any reason (ignorance of reading, forgetfulness, lack of ability to comprehend or understand, ...) the supervisor re-clarifies these rights.

·      A list of patients’ rights is posted on the door/wall of all patient rooms.

·      The person responsible for the Citizen Service Office collects data on patients’ complaints on a daily basis, delivers it to the person responsible for the solution, and analyzes it monthly to identify weak points to take corrective measures.

Administrator:

·      - All hospital employees.      -  Department or unit nurse.

·      - Entry office employee.       -  Citizen Service Officer

Models:

·      Patients’ Bill of Rights.

·      Unified emergency form.

·      Consent declarations form.

·      Pain assessment form.

·      Price lists for hospital services.

The Reviewer:

·      Professional Ethics Regulations 238 of 2003.

·      Ministerial Resolution 186 of 2001.

·      Egyptian Accreditation Standards 2013.

·      Prime Minister’s Decision 1063 of 2014.

Preparation

Review

The trust

 

 

 


Patient responsibilities policy towards the hospital


Policy name

Patient responsibilities policy towards the hospital

Policy number

 

Issue date and number

 

 

Review Date

 

Number of pages

 

Section

All hospital departments


Policy: The hospital is committed to informing patients of their responsibilities and following up on the implementation of these responsibilities. In the event of a violation, the necessary measures will be taken in accordance with the hospital system.

Purpose: To teach the patient his or her responsibilities while in the hospital.

Working procedures:

Patient duties include, at a minimum, the following:

·      Preserving hospital property.

·      Do not keep any personal belongings.

·      Adherence to the specified visit times.

·      It is forbidden to bring any food from outside the hospital, as the hospital provides appropriate food for each patient.

·      Remain calm and follow order while visiting patients.

·      Adherence to the non-smoking policy.

·      The possibility of having a companion for the patient if this patient is a child under 6 years old, provided that the hospital takes a copy of the companion’s ID card.

·      The companion shall be paid, except in some special cases in which free companionship is permitted after obtaining the approval of the hospital director.

·      Financial commitment in accordance with the law, regulations and hospital policy.

·      Providing information: The patient is obligated to provide correct, accurate and complete information about his current illness, treatment methods, and his frequency of treatment in any hospital.

·      The patient is obligated to submit the legal documents required of him.

·      Show respect for other patients and healthcare workers, help not make noise, and adhere to visiting instructions.

·      Financial compliance in accordance with the law, regulations and hospital policy.

·      Following the proposed treatment plan: The patient is obligated to follow his own treatment plan, which was developed for him by the doctors. In the event of non-compliance, the responsible nurse informs the doctor responsible for the treatment, writing this down as appropriate.

The patient is informed of his responsibilities through the following means:

·       The patient signs a general declaration upon admission by the admission desk employee or receptionist stating his commitment to hospital policy, respect for others, financial obligations and his commitment to the treatment plan.

·       The nurse in charge in the internal departments reads the patient’s responsibilities to him and informs him of them, and signs them knowingly in the event that he is unable to realize or sign his duties during his admission.

·       The patient responsibilities list is posted on the door/wall of all patient rooms.

Administrator:

·      receptionist.

·      Responsible nurse in internal departments.

·      Citizens Service Office employee.

Models:

·      Patient Duties Document.

The Reviewer:

-       Professional Ethics Regulations No. 238 of 2003.

-       Ministerial Resolution No. 186 of 2001.

-       Egyptian Accreditation Standards 2013.

Preparation

Review

The trust