Patient Rights

TMC HealthCare Patient Rights and Responsibilities

June, 2012

While a patient at TMC, you (or your representative) have the right to:

Patient Care

  • Have a family** member or representative of your choice, and your own physician, notified promptly of your admission to the hospital. ** TMC recognizes as family, any person who plays a significant role in an individual's life. This may include a person(s) not legally related to the individual. Members of "family" include spouses, domestic partners, and both different-sex and same-sex significant others. "Family" includes a minor patient's parents, regardless of the gender of either parent, encompassing legal parents, foster parents, same sex parents, step-parents, those serving in loco parentis, and other persons operating in caretaker roles.
  • Considerate and respectful care.
  • Competent and quality care.
  • Timely and patient-appropriate pain management.
  • Know the names and roles of the people treating you.
  • Access Protective Services as needed.
  • Participate in the discussion of ethical questions that might arise in your care.
  • Expect that the hospital will give you necessary health services to the best of its ability. Treatment, referral or transfer may be recommended. If transfer is recommended or requested, you will be informed of risks, benefits and alternatives. You will not be transferred until the institution agrees to accept you.
  • Be told of realistic care alternatives when hospital care is no longer appropriate.
  • Request a discharge planning evaluation.

Decision Making/Plan of Care

 

  • Actively participate in the development and implementation of your plan of care.
  • Designate a representative to make decisions about your medical care on your behalf, should you be unable to make those decisions yourself. Should you appoint a representative, s/he will be informed of your rights and will be included in discussions concerning your care.
  • Have an Advance Directive, such as a Living Will or Health Care Proxy. These documents express your choices about future care or name someone to decide if you cannot speak for yourself. If you have a written directive, you should provide a copy to the hospital, your family and your doctor. During certain procedures your Advance Directives may be suspended. Your physician will be able to provide you with further information prior to your Advance Directive being suspended.
  • Be well informed about your illness, possible treatments and likely outcome and to discuss this with your doctor. You have the right to access this information in the language and manner most suitable for you.
  • Consent or refuse a treatment, as permitted by law. If you refuse a recommended treatment, you will receive other needed and available care.
  • Participate in the discussion of ethical questions that might arise in your care.

Personal Privacy

  • Privacy. The hospital, your doctor and others caring for you will protect your privacy to the extent possible.

Confidentiality of Patient Records

  • Expect that treatment records are confidential unless you have given permission to release information, or reporting is required or permitted by law. When the hospital releases records to others, such as insurers, it emphasizes that the records are confidential.
  • Review your medical records and to have information explained, except when restricted by law.

Care in a Safe Setting

  • Be free from all forms of abuse or harassment.
  • Be free from restraint of any form that is not medically necessary or is used as a means of coercion, discipline, convenience or retaliation by staff.

Social

  • Have your cultural, psychosocial, spiritual and personal values, beliefs and preferences respected.
  • Participate in customs and activities, based on cultural concerns, that are not contraindicated by your agreed upon plan of care.
  • Spiritual counseling and assistance in obtaining such counseling.

Problems/Grievances

  • Know about hospital policies that affect you and your treatment and about charges and payment methods. You have a right to know about all hospital resources, such as patient advocates and ethics committees that can help you resolve problems and questions about your hospital stay and care.

Visitation

  • Choose who can and cannot visit you, and you can change your mind at any time. Staff may impose only reasonable, clinically necessary restrictions or limitations on visitation, which may be required to protect the health and safety of all patients.
  • Appoint a support person to make decisions about your visitors (or ‘about visitation’) on your behalf in the event you’re not able to make those decisions for yourself. Should you appoint a support person, s/he will also be notified of your visitation rights.

Other

  • Know if this hospital has relationships with outside parties that may influence your treatment and care. These relationships may be with educational institutions, other care providers or insurers.
  • Consent or decline to take part in research affecting your care. You have the right to receive information regarding these studies including a description of all procedures, potential risks and benefits and alternatives. If you choose not to take part, you will continue to receive the most effective care the hospital provides.

While a patient at TMC, you and your family (or your representative and/or support person) also have responsibilities, which include:

 

  • Providing information as appropriate and to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalization, medications and other matters relating to your health.
  • Reporting perceived risks in your care and unexpected changes in your condition. Provide feedback regarding your service needs and expectations.
  • Asking questions when you do not understand your care, treatment, and service or what you’re expected to do.
  • Following instructions regarding the care and treatment plan developed for you. Express any concerns about your ability to follow the proposed care plan or course treatment and services. The hospital makes every effort to adapt the plan to the specific needs and limitations of the patients. When modifications to the care and treatment plan are not recommended, patients and their families/representative are informed of the consequences of not following the proposed course.
  • Accepting consequences for medical outcomes when you do not follow the care and treatment plan.
  • Following hospital rules and regulations.
  • Showing respect and consideration for the hospital staff and property, as well as other patients and their property.
  • Meeting financial commitments agreed upon with the hospital.

If you have concerns about your rights or need clarification regarding your rights, responsibilities or any other aspect of your hospitalization, please notify your nurse. If you are not comfortable discussing your concerns with your nurse, please feel free to speak with the Unit Manager or Director. The Patient Relations Coordinator is also available to assist you with concerns related to your hospitalization and can be reached at ext. 4-2836, or through the hospital operator. You also have the right to file a complaint with the Arizona Department of Health Services, 400 W. Congress St., Suite 116, Tucson, Arizona 85701 (520) 628-6965, as well as or instead of utilizing the hospital's grievance process.