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A Statement of the Patient's Rights
As a health care facility, we are committed to delivering quality medical care to you, our patient,
and to making your stay as pleasant as possible. The following "Statement of Patient's Rights" was
developed by the Department of Health, Commonwealth of Pennsylvania, and is endorsed by the
administration and staff of this hospital. As it is our goal to provide medical care that is
effective and considerate, we submit these to you as our statement of policy.
A Statement of the Patient's Responsibilities:
- A patient has the right to respectful care given by competent personnel in a safe setting.
- A patient has the right, upon request, to be given the name of his attending physician,
the names of all other physicians directly participating in his care, and the names and
functions of other health care persons having direct contact with the patient.
- A patient has the right to every consideration of his privacy concerning his own medical care program.
Case discussion, consultation examination, and treatment are considered confidential and should be conducted discreetly.
- A patient has the right to have all records pertaining to his medical care treated as
confidential except as otherwise provided by law or third party contractual arrangements.
- The patient has the right to know what hospital rules and regulations apply to his conduct as a patient.
- The patient has the right to expect emergency procedures to be implemented without unnecessary delay.
- The patient has the right to good quality care and high professional standards that are continually maintained and reviewed.
- The patient has the right to full information in layman's terms, concerning his diagnosis, treatment,
and prognosis, including information about alternative treatments and possible complications.
When it is not medically advisable to give such information about the patient, the information
shall be given on his behalf to the patient's next of kin or other appropriate person.
- Except for emergencies, the physician must obtain the necessary informed consent prior
to the start of any procedure or treatment or both.
- A patient or, in the event the patient is unable to give informed consent, a legally
responsible party, has the right to be advised when a physician is considering the
patient as part of a medical care research program or donor program, and the patient,
or legally responsible party must give informed consent prior to actual participation
in such a program. A patient or legally responsible party, may, at any time, refuse
to continue in any such program to which he has previously given informed consent.
- The patient has the right to participate in the development and implementation of
his or her plan of care including the right to request or refuse the treatment.
- A patient has the right to refuse any drugs, treatment, or procedure offered by
the hospital, to the extent permitted by law, and a physician shall inform the
patient of the medical consequences of the patient's refusal of any drugs,
treatment, or procedure.
- A patient has the right to assistance in obtaining consultation with another
physician at the patient's request and own expense.
- A patient has the right to medical and nursing services without discrimination
based upon race, color, religion, sex, sexual preference, national origin, or
source of payment.
- The patient who does not speak English should have access, where possible,
to an interpreter.
- The hospital shall provide the patient, upon request and with proof of identification,
timely access to all information contained in his medical records, unless access is
specifically restricted by the attending physician for medical reasons or is prohibited by law.
- The patient has the right to expect good management techniques to be implemented
within the hospital considering effective use of the time of the patient and to
avoid the personal discomfort of the patient.
- When medically permissible, a patient may be transferred to another facility
only after he or his next of kin or other legally responsible representative
has received complete information and an explanation concerning the need for and
alternatives to such a transfer. The institution to which the patient is to be
transferred must first have accepted the patient for transfer.
- The patient has the right to examine and receive a detailed explanation of his bill.
- The patient has the right to full information and counseling on the availability
of known financial resources for his health care.
- A patient has the right to expect that the health care facility will provide a
mechanism whereby he is informed upon discharge of his continuing health care
requirements following discharge and the means for meeting them.
- A patient cannot be denied the right of access to an individual or agency that
is authorized to act on his behalf to assert or protect the rights set out in
- A patient has the right to be informed of his rights at the earliest possible
moment in the hours of his hospitalization.
- A patient has the right to be informed of any existing professional relationship
among individuals and/or other health care institutions involved in the patient's care.
- The patient or patient representative has the right to information and counseling,
or the mechanism of addressing ethical issues related to his/her health care.
- The patient has the right to formulate and make known their Advance Directives and
to have hospital staff and practitioners comply with these directions.
- The patient has the right to be free from the use of seclusion or restraint as a
means of coercion, convenience, or retaliation by the staff.
- Notification of a family member or representative and a physician (all of the patient's choice)
of the patient's admission to the hospital.
- Visitation privileges are not denied on basis of race, color, national origin, culture,
language, religion, sex, sexual orientation, gender identity, disability, or socioeconomic status.
Patients have the right to determine who may and may not visit, regardless of whether or not
the visitor is legally related to the patient. All visitors designated by the patient or
representative enjoy visitation privileges that are no more restrictive than those
immediate family members would enjoy.
- Notification of patients of grievance procedure concerning quality of care or premature discharge.
Complaints, whether or not the patient chooses to avail himself/herself of the Hospital's internal grievance policy, may be addressed to:
P.A. Department of Health
Division of Acute and Ambulatory Care
625 FORSTER STREET
HEALTH & WELFARE BLDG
- The patient has the right to avail himself/herself of the internal Hospital grievance
policy by contacting administration at 570-268-2231.
- If the hospital has not resolved a Laboratory concern or safety concern, the patient
has the right to contact the Joint Commission's Office of Quality Monitoring by
calling 1-800-994-6610 or by e-mailing email@example.com.
- The patient has the right to appropriate assessment and management of pain.
As a patient, you can expect:
- Information about pain and pain relief measures.
- A concerned staff committed to pain prevention.
- Health professionals who respond quickly to reports of pain.
- State of the art pain management.
- Pain expressions will be believed.
- If the patient/resident desires to work, all applicable state and federal rules and regulations will apply. (483.10(h)(1-2).
As a patient, you should assume responsibility for the following:
- The hospital expects that you or your family will provide information about past
illnesses, hospitalization, medication (current herbal and prescriptions with dosage and frequency)
and other matters relating to your health history in order to effectively treat your illness.
- The hospital expects that you will cooperate with all hospital personnel and
ask questions if directions and/or procedures are not clearly understood.
- You are expected to be considerate of other patients and hospital personnel and
to assist in the control of noise, smoking, and the number of visitors in your room
at any one time. You are also expected to be respectful of the property of other
persons and the property of the health center.
- In order to facilitate your care and the efforts of the hospital personnel,
you are expected to help the physician, nurses, and allied medical personnel in
their efforts to care for you by following their instructions and medical orders.
- Duly authorized members of your family are expected to be available to hospital
personnel for review of your treatment in the event you are unable to properly
communicate with the physicians or nurses.
- It is understood that you assume the financial responsibility of paying for all
services rendered either through third party payors (your insurance company) or being
personally responsible for payment for any services which are not covered by your insurance policies.
- It is expected that you will not take drugs which have not been prescribed by your
attending physician and administered by hospital staff; and that you will not complicate
or endanger the healing process by consuming alcoholic beverages or toxic substances
during your hospital stay.
- In regards to pain:
- Ask your doctor or nurse what to expect.
- Discuss pain relief options with your doctors or nurses.
- Work with your doctor and nurse to make a pain relief plan.
- Ask for pain relief when pain first begins.
- Help the doctor and nurse measure your pain.
- Tell the doctor or nurse about any pain that will not go away.
Not worry about getting "hooked" on pain medication
Being a good patient does not mean being a silent one. If you have questions,
problems, or unmet needs….please let us know. If you would like further clarification
of the "Rights and Responsibilities" as they pertain to you, please do not hesitate
to contact the Patient Representative:
Nursing Supervisor at 268-2223 or extension 2223
|SOC 1/2000||SOC 02/04||SOC 01/05|
|Revised 01/06 DF||SOC 01/06||Revised 02/06 AB|
|SOC 02/06||Reviewed 01/07 PE/SOC||Revised 11/07|
|Reviewed 06/08 JH/SOC||Revised 07/08 DM/SOC||Revised 11/08|
|Reviewed 10/09 M/S staff||Revised 08/10 AB 11/10|
|Revised 3/13 AB|