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Patient’s Rights and Responsibilities
As a patient you have the right to:
• Considerate, respectful care at all times and under all circumstances with recognition of your personal dignity
• Personal and informational privacy, within the law
• Information concerning your diagnosis, treatment, prognosis, to the degree known
• Confidentiality of records and disclosures. Except when required by law you have the right to approve or refuse the release of your medical records.
• The opportunity to participate in decisions involving your healthcare
• The right to make decisions about medical care, including the right to refuse or accept medical or surgical treatment
• The right to initiate an Advance Directive such as Living Will or Durable Power of Attorney
• Impartial access to treatment regardless of race, color, sex, national origin, religion, disability, or ability to pay
• Receive an itemized bill for services received
• Know the identity and professional status of all persons providing service to you
• Report all comments, questions or concerns concerning the quality of care you received and receive timely follow-up from Facility management
• Information about pain and pain management relief measures provided by staff committed to pain prevention and management in a timely manner.
• A patient has the right to know what Blue Bell Surgery Center 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 diagnosis, treatment and prognosis, including information about alternative treatments and possible complications. When it is not medically advisable to give the information to the patient, the information shall be given on his behalf to a responsible person.
• Except for emergencies, the practitioner shall obtain the necessary informed consent prior to the start of a procedure. Informed consent is defined in section 103 of the ACT.
• A patient or, if the patient is unable to give informed consent, a responsible person, has the right to be advised when practitioner is considering the patient as part of a medical care research program or doctor program, and the patient or responsible person, shall give informed consent prior to actual participation in the program. A patient, or responsible person, may refuse to continue in a program to which he has previously given informed consent.
• The patient who does not speak English shall have access, where possible, to an interpreter.
• Blue Bell Surgery Center shall provide the patient, or patient designee, upon request, access to the information contained in his medical records, unless access is specifically restricted by the attending practitioner for medical reasons.
• When an emergency occurs and a patient is transferred to another facility, the responsible person shall be notified. The institution to which the patient is to be transferred shall be notified prior to the patient’s transfer.
• A patient has the right to expect that Blue Bell Surgery Center will provide information for continuing health care requirement following discharge and the means for meeting them.
• A patient has the right to be informed of his rights at the time of admission.
• A patient has the right to consideration of privacy concerning his own medical care program. Case discussion, consultation, examination and treatment are considered confidential and shall be conducted discreetly.
• A patient has the right to refuse drugs or procedures, to the extent permitted by statute, and a practitioner shall inform the patient of the medical consequences of the patient’s refusal of drugs or procedures.

As a patient you are responsible for:
• Providing accurate and complete information about your present health status and past medical history and reporting any unexpected changes to the appropriate practitioner
• Following the treatment plan recommended by the practitioner involved in your care
• Providing an adult to transport you home after surgery and stay with you as needed
• Indicating that you clearly understand what is expected of you after your surgery/procedure
• Your own actions should you refuse treatment, leave the Facility against medical advise, or choose to purposefully not follow the instructions of your practitioner
• Providing information and/or copies of an Advance Directive such as Living Will or Durable Power of Attorney
• Ask your health professional what to expect for pain management; discuss pain relief options; discuss openly any concerns or fears regarding pain management medications.

Pennsylvania State Agency for Report of Complaints:
Wilmarie Gonzalez
State LTC Ombudsman
Pennsylvania Department of Aging
555 Walnut Street, 5th Floor
P.O. Box 1089
Harrisburg, PA 17101
Tel: (717)783-7096
Fax: (717)772-3382
www.aging.state.pa.us/aging/site/default.asp
www.medicare.gov/ombubsman/resources.asp

If you have any questions or comments, please contact the Center Administrator at (610) 862-9550.

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