Part Two
- Patient Rights Policy
Patient rights policy
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Politics:
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.
The 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 with regard to 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
It 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 values and personal beliefs.
- The right to know about and participate in making decisions regarding their care.
- The right to refuse treatment or not continue it: 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.
The presence of a professional ethics regulation, Resolution No. 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:
Chapter One: Doctors’ Section
Chapter Two: The doctor’s duties towards
the society
Occupation
The patients
Colleagues
· Part Three: Medical interventions of a special nature
Gender correction procedure
Assisted fertilization operations
Removal and transfer of human organs and tissues
· Chapter Four: Conducting medical experiments and research on human beings
A- A copy of Resolution No. 186 of 2001 from the hospital’s 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 material benefits
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 48 hours, after which the patient has the choice of staying at his own expense or being treated in the hospital’s free department, provided that the state bears the costs from the treatment budget at the state’s expense.
The right to receive care if it is available in the hospital:
This is 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, which is carried out by:
Evaluate the patient's medical history
Physical examination
Previous evaluations 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, personal photo, and hospital name
Doctors wear a white coat, blue or green suit.
Place 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 staff must respect Coptic patients’ wishes to specify the type of food on fasting days as long as this food does not conflict with the patient’s care plan.
Hospital workers must ensure that the patient receives the highest possible level 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 the decisions related to their care and to participate in making them, and this is done through the following:
Obtaining the patient’s consent (by the doctor) by signing a declaration of consent before the following procedures: surgery and surgical interventions.
Sedation: moderate or deep
Use of blood
Gastrointestinal endoscopy
A- 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 treatment or not continue it:
The doctor must do the following:
Explaining the health consequences to the patient/his family of refusing treatment.
Clarifying 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 physician 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 an unauthorized place or using something. 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 for not discussing 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 doctor (therapist, radiologist, laboratory doctor), the head of the department, the nursing staff, and the pharmacist have the right to view the patient’s file.
After saving the file, the file can be viewed by:
Workers in the Medical Registration Department to complete entry and exit data.
Judicial bodies or the prosecution in the event of an attempt to obtain some information about the patient.
The patient or his first-degree relatives (after submitting an official request and approval 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 approving it from 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).
A- 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, or deprivation).
2. The right to receive appropriate treatment for pain: (see AP.15)
The patient has the right to receive appropriate treatment for pain at the appropriate time according to his condition, as the nursing staff evaluates 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, the degree of pain, Appropriate treatment and its dosage (pain assessment and treatment model)
3. The right to submit a complaint or suggestion without fear of persecution
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 complaints policy 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 clarifies.
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 patient rights and duties on boards in patient waiting areas and departments.
The entry or reception employee takes the patient's signature on a patient rights and responsibilities 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 understand 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 patient complaints daily, delivers it to the person responsible for the solution, and analyzes it monthly to identify weak points for taking corrective measures.
Administrator:
4. - All hospital employees. – Members of the nursing staff of the department or unit.
5. - Entry desk employee. – Citizen Service Officer
Models:
6. Patients’ Bill of Rights.
7. Unified emergency form.
8. Approval declarations form.
9. Pain assessment form.
10. Price lists for hospital services.
The Reviewer:
11. Professional Ethics Regulations 238 of 2003.
12. Ministerial Resolution 186 of 2001.
13. Egyptian accreditation standards.
14. Prime Minister’s Decision 1063 of 2014.
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Patient responsibilities policy towards the hospital
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Politics:
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.
The Purpose:
Informing the patient of his responsibilities while in the hospital.
Working procedures:
1- The patient’s duties include, at a minimum, the following:
A - Follow hospital policies and regulations, which include:
Maintaining hospital property.
Do not keep any personal belongings.
Commitment 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.
Maintain calm and follow order while visiting patients.
Commitment to the non-smoking policy.
The possibility of having a companion for the patient if the 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.
B - Providing information:
The patient is obligated to provide correct, accurate and complete information about his current illness, treatment methods and frequency of treatment in any hospital.
The patient is obligated to submit the legal documents required of him.
C - Show respect for other patients and health care workers, help not make noise, and adhere to visiting instructions.
D - Financial commitment in accordance with the law, regulations and hospital policy.
E - Follow 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 nursing staff members inform the doctor responsible for the treatment, writing this down immediately.
2- The patient is informed of his responsibilities through the following means:
- The patient signs a general declaration upon admission by the admission office employee or the receptionist, stating his commitment to hospital policy, respect for others, financial obligations, and his commitment to the treatment plan.
- The responsible nursing staff members in the internal departments read the patient’s responsibilities to him and inform him of them, with him knowingly signing them in the event that he is unable to realize or sign his duties during his admission.
- A list of patient responsibilities is posted on the door/wall of all patient rooms.
Administrator:
receptionist.
Responsible nursing staff members.
Citizen Service Office employee.
Models:
Patient duties document.
The Reviewer:
Professional Ethics Regulations No. 238 of 2003.
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The policy of refusing or not continuing treatment for the patient
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Politics:
The hospital is committed to guaranteeing the right of the patient, his family, or his legal representative to refuse or continue treatment, after ensuring that he or his legal representative is informed of the consequences related to refusing or not continuing treatment, and the responsibilities related to that.
The Purpose:
Respecting the patient’s right to refuse treatment or not continuing treatment, informing him of the consequences resulting from that, and holding the patient fully responsible if he insists on refusal.
Action Steps:
1- The specialist doctor informs the patient about his medical condition in a clear and appropriate way and informs him of the types of treatment used for him, whether medication or surgery.
2- The refusal of the patient or anyone who has the legal right to do so to receive treatment or to continue treatment is proven through the following:
· The nursing staff supervising the treatment for the patient records the refusal in the patient’s file.
· The nursing staff supervising the implementation of treatment for the patient informs the doctor of the patient’s refusal or continuation of treatment.
· The doctor supervising the treatment explains the impact of refusing or not continuing treatment and the resulting health consequences to the patient or to those who have the legal right to do so.
· The doctor will change or continue treatment, if possible.
· The doctor supervising the treatment makes it clear that the patient or whoever has the legal right to do so bears full responsibility in the event of insistence on refusal.
· The doctor supervising the treatment records the refusal or continuation of treatment in the patient’s file in the event that the patient or whoever has the right to do so continues to refuse, along with recording a summary of the patient’s conversation.
· The doctor records the patient’s refusal of treatment with documentation from him and the nursing staff present.
· The doctor supervising the treatment ensures that the following steps are taken:-
- Accommodating the patient or whoever has the right to do so to describe the patient’s general condition.
- The patient, or whoever has the right to do so, understands the expected outcome of the refusal and its consequences.
- The patient, or whoever has the right to do so, understands the seriousness of refusing treatment.
- Accommodating the patient or whoever has the right to bear full responsibility when refusing treatment.
- Writing a statement that the patient refuses treatment despite the advice of the doctor (the name of the treating doctor), and the patient signs this refusal.
- The patient’s signature on the refusal of treatment is in the file. If the patient refuses to sign, the treating physician and the responsible nursing staff members sign this refusal as witnesses.
3- The nursing staff responsible for implementing the treatment will record that the patient refused treatment and left the place before the doctor arrived in case the patient left without permission.
4- The specialist doctor confirms the patient’s desire to leave the hospital despite the advice of the team treating him in the patient’s file and proves that the risks of this procedure have been explained to the patient or whoever has the legal right to do so.
5- The patient, or whoever has the legal right to do so, signs his desire to leave, against the advice of the treating medical team, and records the date and time.
6- The patient, or whoever has the legal right to do so, undertakes to be seen by a specialist doctor outside the hospital as soon as possible.
7- The Citizen Service Office employee fills out the patient’s opinion form about the medical service and clarifies any complaints to them.
8- In the event that the patient leaves the hospital and refuses treatment despite advice, the nursing staff will report the patient’s escape from the hospital.
Administrator:
◾ The treating physician.
◾ Responsible department nursing staff members.
◾ Citizen Service Office employee.
Models:
◾ Customized exit declaration form.
◾ Patient opinion questionnaire form.
The Reviewer:
◾ Egyptian accreditation standards.
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