Part Two
- Patient rights and responsibilities policy
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Policy: the hospital provides multiple medical services and the hospital management, doctors and staff are committed to the performance that preserves the patients ' rights and familiarizing them with them from the time they enter and during the performance of various services until they leave in commitment to the hospital's mission and to achieve the patient's needs in health care.
Purpose: to preserve the rights of patients and their relatives.
Working procedures:
* The hospital adheres to all the regulations and laws issued by the Ministry of Health and the Federation of medical professions unions with regard to the rights of patients and their families, as stated in the professional ethics regulation issued by the minister of Health Decision No. 238 of 2003 as well as ministerial decision 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 Attending 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 and participate in decisions related to their care.
* The right to refuse or discontinue treatment: the following doctor must .
* 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 make a complaint or suggestion without fear of being persecuted
* The right to know the prices of services and procedures .
First: an explanation of the patient's rights clauses:
* Rights defined by regulations and laws:
* The existence of the professional ethics regulation resolution 238 of 2003 by the hospital administration and the quality coordinator as a reference in training on the rights of patients, the regulation includes the following points:
* The first section : doctors section
* The second part: the duties of the doctor towards
* Community .
* Profession ·
* Patients.
* Colleagues.
Third: medical interventions of a special nature
* Gender correction procedure .
* Assisted fertilization operations..
* Operations of Excision and transfer of human organs and tissues
Part IV: conducting medical experiments and research on human beings
A copy of resolution 186 of the year 2001 at the emergency manager of the hospital, which includes the following:
* Patient insight into the cost of surgical operations at all stages.
* It is prohibited to detain the body of an inmate or exploit a death to obtain material benefits.
A copy of the Prime Minister's decree 1063 of 2014 at the hospital emergency manager, which includes the following:
* All medical facilities are obliged to provide emergency and accident treatment services free of charge for 48 hours, after which the patient chooses to stay at his own expense or treatment in the free Department of the hospital, provided that the state bears the costs from the budget of treatment at state expense .
* The right to receive care if it is available at the hospital in order to ensure that the hospital is able to provide the necessary medical care to the patient, and this depends on obtaining information about the patient's needs and condition through a screening and selection process by the medical team:
* Assessment of the patient's Anamnesis .
* 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 the necessary tests as long as the service the patient needs is available and a bed is available for this patient in the hospital.
Usually this is done at the first point of contact:
· When the patient arrives at the hospital .
· During ambulance transportation .
* Before transferring from another place.
* The right to know the name of the Attending Physician, supervising physician and/ or responsible physician.
· This is by introducing the doctor himself to the patient before dealing with him .
* An identification card drawn up by the doctor containing the name, specialty, personal photo and the name of the hospital
* Doctors wear a white Balto, blue or green suit.
* Put 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 should respect the patient's personal religious and cultural beliefs and the freedom to practice them
* Hospital staff should not prevent the patient's parents from using a clergyman in cases that need spiritual support, such as patients who are about to die .
* Hospital staff should respect the desire of Coptic patients to determine the quality of food on fasting days as long as this food does not interfere with the patient's care plan .
* Hospital staff must ensure that the patient receives the highest possible level of health care without discrimination due to age, gender, religion, race, nationality, origin, opinion, socio-economic status, disability, special needs or any other type.
* The right to know and participate in decisions related to their care.
This is done by the following:
* Taking the patient's consent (by the doctor) by signing a consent form before the following procedures: surgery and surgical interventions.
* Moderate or deep anesthesia.
· The use of blood .
* Gastrointestinal endoscopes
He also has the right to know the treatment plan and participate in its selection by the following:
* The attending physician explains the patient's medical condition, the various proposals for treatment and the various medical examinations that this entails.
* The doctor must also involve the patient / his family when drawing up a treatment plan.
* The right to refuse or discontinue treatment: the doctor must:
* Clarify the health consequences of the patient / his family resulting from the refusal of treatment.
* Clarify that the patient or those who have the legal right to do so bear full responsibility in case of persistent refusal.
* Informing patients about available care and treatment alternatives / customized discharge despite doctors ' advice
· The doctor supervising the treatment registers 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, 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 a sheet that ensures the privacy of the patient during :
* Medical examination.
* Conducting examinations.
* Care and treatment.
* Transportation .
* Confidentiality: members of the hospital's medical team sign an agreement to maintain the confidentiality of patient data and information.
* The medical team is responsible for not posting confidential information at 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 for permission to release information that is not covered by laws and regulations.
* The right to access the patient's file.
While the file was in the internal departments of the hospital:
* The doctor (therapist, radiologist, laboratory doctor), the head of the department, the members of the nursing staff and the pharmacist have the right to see the patient's file.
* After saving the file, the file is reviewed by:employees of the Medical Registration Department to complete the entry and exit data.
* Judicial or prosecutorial bodies in the event of an attempt to obtain some information about the patient.
* The patient or his relatives of the first degree (after submitting an official request and approved by the hospital administration, provided that the request explains the reason for the patient or his relatives to view the file).
* Scientific studies (whether from inside or outside the hospital), and this is also after submitting an official request and approved by the hospital administration (according to the quality of the study and its compatibility with the existing cases in the hospital) provided that no personal data of the patient (such as name and address) is viewed.
* Dignity: the medical team must treat the patient in an appropriate ethical manner that preserves his dignity and prevents the wasting of any of his moral rights ( without humiliation – humiliation – deprivation ) .
* The right to receive appropriate treatment for pain: the patient has the right to receive appropriate treatment for pain at the right time according to his condition, where the nurse assesses the severity of pain and informs the doctor to review the assessment and prescribe the appropriate treatment for the patient, and this is done through a special form with details about the patient, his condition, the degree of pain, appropriate treatment and dosage (Pain assessment and treatment model )
* The right to make a complaint or suggestion without fear of being persecuted .
* The patient has the right to complain about any shortcomings he sees, as well as his suggestions for improving the service, provided that it is clarified how the patients and their families can submit a complaint or suggestion according to the terms of the complaints policy set by the hospital.
* The right to know the prices of services and procedures: the patient has the right to know the prices of various services provided by the hospital in various departments and their prices, and this is through the administration announcing the prices of some services through billboards in public places at the hospital, such as reception, provided that a person responsible for inquiries explains.
* The clerk of the admission office informs the patients or their relatives about the estimated cost of the required health care and the patient signs a general admission declaration that includes the patient's knowledge of the cost of the service after reviewing the price list.
Second: familiarizing patients and their families with their rights through the following:
* The hospital administration hangs the items of the patient's rights and duties in the boards in the patient waiting areas and in the departments.
* The admission or reception officer takes the patient's signature on the patient's rights and duties form after familiarizing him with them.
* The department supervisor makes sure that the patient understands these rights and in case the patient does not know them fully for any reason (ignorance of reading, forgetfulness, lack of ability to absorb or understand, etc.)...) The supervisor re-clarifies these rights.
* A list of patients ' rights is installed on the door / wall of all patient rooms.
* The person in charge of the Citizens Service office collects data on patient complaints daily and delivers it to the person responsible for the solution and analyzes it monthly to identify weaknesses to take corrective actions.
In charge:
· - All employees of the hospital. - Nursing department or unit.
* - Employee of the entrance office. - Citizens Service officer
Models:
* The bill of rights of patients.
* Unified emergency form .
* Sample declarations of consent .
* Pain assessment form .
* Price lists of hospital services .
References:
* Professional ethics regulation 238 of 2003.
* Ministerial Resolution 186 of 2001.
* Egyptian accreditation standards
* Prime minister's decision 1063 of 2014.
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Policy: the hospital is committed to informing patients of their responsibilities and following up the implementation of these responsibilities, and in case of violation, the necessary measures are taken according to the hospital system.
Purpose: to familiarize the patient with his own responsibilities while in the hospital.
Working procedures:
At the very least, the patient's duties include the following:
* Preservation of hospital property.
* Do not keep any personal belongings.
* Commitment to the specified visit dates.
* It is forbidden to introduce any food from outside the hospital, as the hospital provides the appropriate food for each patient.
* Stay calm and follow the regime while visiting patients.
* Adhere to the non-smoking policy.
* The possibility of having a companion for the patient if this patient is a child under 6 years of age, provided that the hospital takes a copy of the companion's ID card.
* The facilities are paid, except in some special cases where free accompaniment is allowed, and this is after taking the approval of the hospital director.
* Financial commitment in accordance with the law, regulations and hospital policy.
* Providing information: the patient is obliged to provide correct, accurate and complete information about his current illness, treatment methods and his frequency of treatment in any hospital.
* The patient is obliged to provide the required legal documents.
* Show respect to other patients and healthcare workers, help not to make noise and adhere to the visiting instructions.
* Financial commitment in accordance with the law, regulations and hospital policy.
* Following the proposed treatment plan: the patient is obliged to follow his own treatment plan, which was developed for him by the doctors, and in case of non-compliance, the nurse in charge informs the doctor in charge of the treatment, writing it in the transfer.
The patient is informed about his responsibilities by the following means:-
* The patient signs a general declaration upon admission by the admission desk employee or the receptionist stating his commitment to the hospital policy, respect for others , financial obligations and his commitment to the treatment plan.
* The nurse in charge of the internal departments reads the patient's responsibilities to him and introduces him to them with his signature in case he is unable to realize or sign his duties during his admission.
* The list of patient responsibilities is installed on the door / wall of all patient rooms.
In charge:
* Receptionist.
* Responsible nursing in the internal departments.
* Employee of the Citizens Service office .
Models:
* Document the duties of patients.
References:
- Regulation of professional ethics
- Ministerial Decree No. 186 of 2001.
- Egyptian accreditation standards.
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