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CODE OF ETHICS Definition A code of ethics is a guide for an individual or group to follow in making decisions regarding ethical issues. Rights Webster defines a right as "something to which one has a just claim or the power or priviledge to which one is justly entitled." Patient rights have evolved to the point that federal legislation has been passed in the United States to protect a patient's individual rights. A Patient's Bill of Rights was initially developed by the American Hospital Association in 1973 and revised in1992. All hospitals are now required by law to inform patients of these rights upon admission to the hospital. Autonomy Autonomy comes from the latin auto meaning "self" and nomy which means "control." Individuals must be given the rights to assist in their own decision making. This ethical concept has led to the need for informed consent. Sometimes patients' religious or cultural beliefs lead them to make decisions regarding their own care that may seem controversial or even dangerous. However, the concept of autonomy gives them the right to make those decisions unless they are mentally impaired. Beneficence and nonmaleficence Beneficence means to do good, not harm, to other people. Nonmaleficence is the concept of preventing intentional harm. Both of these ethical concepts relate directly to patient care. In the American Nurses Association Code for Nurses, there is a specific charge to protect patients by specifying that nurses should report unsafe, illegal, or unethical practices by any person. Nurses are often faced with making decisions about extending life with technology, which might not be in the best interest of the patient. Often the concept of weighing potential benefit to the patient against potential harm is used in making these difficult decisions, along with the patient's own stated wishes.

Justice The word justice is closely tied with the legal system. However, the word refers to the obligation to be fair to all people. In 2001, healthcare economics have hospitals and other providers stretching their resources to their limits. Economic decisions about healthcare resources have to be made based on the number of patients who would benefit. The potential of rationing care to the frail elderly, poor, and disabled creates an ethical dilemma that is sure to become even more complicated in the future. Fidelity Fidelity refers to the concept of keeping a commitment. Although the word is more closely used to describe a marital relationship, fidelity is the concept of accountability. What is the nurse's responsibility to his or her patient, employer, society, or government? Privacy and confidentiality are concepts that

politics. The nurse ensures that the individual receives sufficient information on which to base consent for care and related treatment. The need for nursing is universal. in particular those of vulnerable populations. NURSES AND PEOPLE The nurse’s primary professional responsibility is to people requiring nursing care. pollution. disability or illness. gender. culture. ELEMENTS OF THE CODE 1. nationality. but the circumstances are private or confidential. nurses are employed by a hospital. sexual orientation. The nurse also shares responsibility to sustain and protect the natural environment from depletion. colour. to prevent illness. customs and spiritual beliefs of the individual. the right to life and choice. to dignity and to be treated with respect. PREAMBLE Nurses have four fundamental responsibilities: to promote health. Every decision creates a ripple effect and touches someone else in the health care field. clinic. 2. or private practice. creed. The nurse shares with society the responsibility for initiating and supporting action to meet the health and social needs of the public. The nurse holds in confidence personal information and uses judgement in sharing this information. 2 THE ICN CODE The ICN Code of Ethics for Nurses has four principal elements that outline the standards of ethical conduct. race or social status. including cultural rights. If a nurse is aware of another healthcare giver who is impaired. the family and the community and co-ordinate their services with those of related groups. degradation and destruction. to restore health and to alleviate suffering. Nurses render health services to the individual. One way to study a code of ethics is to look at a case study. One of the purposes of a code of ethics is to help nurses keep perspective and a balanced view regarding decisions. 2. family and community are respected. Inherent in nursing is respect for human rights. values. In providing care. how is the conflict resolved? Professional implications As a general rule. most recently with this review and revision completed in 2005. the nurse promotes an environment in which the human rights. It has been revised and reaffirmed at various times since. Decisions that are made about patient care are not totally independent.could be challenged under the concept of fidelity. Nursing care is respectful of and unrestricted by considerations of age. NURSES AND PRACTICE . INTERNATIONAL CODE OF NURSING THE ICN CODE OF ETHICS FOR NURSES An international code of ethics for nurses was first adopted by the International Council of Nurses (ICN) in 1953.

3 The nurse maintains a standard of personal health such that the ability to provide care is not compromised. research and education. Nurses and nursing students can therefore: • Study the standards under each element of the Code. The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence. give a framework for the standards of conduct. and nurses and co-workers. The nurse.The nurse carries personal responsibility and accountability for nursing practice. Think about how you can apply ethics in your nursing domain: practice. It will have meaning only as a living document if applied to the realities of nursing and health care in a changing society. The nurse. The nurse uses judgement regarding individual competence when accepting and delegating responsibility. • Use a specific example from experience to identify ethical dilemmas and standards of conduct as outlined in the Code. NURSES AND THE PROFESSION The nurse assumes the major role in determining and implementing acceptable standards of clinical nursing practice. participates in creating and maintaining safe. research or management. APPLYING THE ELEMENTS OF THE ICN CODE OF ETHICS FOR NURSES The four elements of the ICN Code of Ethics for Nurses : nurses and people. 4. . nurses and practice. The nurse is active in developing a core of research-based professional knowledge. education. and for maintaining competence by continual learning. • Reflect on what each standard means to you. To achieve its purpose the Code must be understood. ensures that use of technology and scientific advances are compatible with the safety. equitable social and economic working conditions in nursing. dignity and rights of people. acting through the professional organisation. It must be available to students and nurses throughout their study and work lives. • Discuss the Code with co-workers and others. families and communities when their health is endangered by a coworker or any other person. 4 SUGGESTIONS FOR USE OF THE ICN CODE OF ETHICS FOR NURSES The ICN Code of Ethics for Nurses is a guide for action based on social values and needs. 3. management. internalised and used by nurses in all aspects of their work. NURSES AND CO-WORKERS The nurse sustains a co-operative relationship with co-workers in nursing and other fields. Identify how you would resolve the dilemmas. The following chart will assist nurses to translate the standards into action. in providing care. nurses and the profession. The nurse takes appropriate action to safeguard individuals.

I will impart a knowledge of the art to my own sons and to those of my teachers. I will do all in my power to maintain and elevate the standard of my profession. and Æsculapius and Health. The general trend of opinion today is against the requirement of any such pledge or oath. education. the physician.• Work in groups to clarify ethical decision making and reach a consensus on standards of ethical conduct. and every other mode of instruction. and devote myself to the welfare of those committed to my care. The examples quoted below are given for their historic interest. and mischievous. The following translation is taken from a copy published by the Journal of the American Medical Association: "I swear by Apollo. to regard his offspring as on the same footing with my own brothers. • Collaborate with your national nurses’ association. but to none others. the Greek "Father of Medicine. and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling. "I will follow that method of treatment which. co-workers. I consider for the benefit of my patients. and to teach-them this art if they should wish to learn it. and that by precept. "With purity and with holiness I will pass my life and practice my art. I will not cut a person who: is suffering with a stone." in the fifth century before Christ. 4. 3.1 and All-heal. Into whatever houses I enter I will go into them for the benefit of the sick and will abstain from every . without fee or stipulation. and others in the continuous application of ethical standards in nursing practice. management and research. that according to my ability and judgment. There are several forms of the oath. HIPPOCRATIC PLEDGE The Oath of Hippocrates with Two Modern Adaptations Sometimes Used in Nursing Schools The practice of "swearing in" a member of a guild or profession is very old and is still continued as a tradition in some professional schools. I will keep this oath and stipulation: to reckon him who taught me this art equally dear to me as my parents. according to my ability and judgment. The Hippocratic oath Was framed by Hippocrates. I will give no deadly medicine to any one if asked nor suggest any such counsel . to pass my life in purity and to practice my profession faithfully. I will abstain from whatever is deleterious and mischievous. With loyalty will I endeavor to aid the physician. lecture. I will not give to a woman an instrument to produce abortion. and will not take or knowingly administer any harmful drug. in his work. NIGTINGALE PLEDGE I solemnly pledge myself before God and in the presence of this assembly. and to disciples bound by a stipulation and oath. but will leave this to be done by practitioners of this work.2 and all the gods and goddesses. and abstain from whatever is deleterious. to share my substance faith him and relieve his necessities if required. furthermore. according to the law of medicine.

or not in connection with it. Lystra Gretter for the nurses of the Farrand Training School. but should I trespass and violate this oath. respected by all men at all times. "While I continue to keep this oath unviolated. With loyalty will I endeavor to aid the physician in his work and devote myself to the welfare of those committed to my care. "Whatever. it shall be for the good of the sick to the utmost of your power. and further from the seduction of females or males." Mrs. my profession and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling. was called the Florence Nightingale Pledge as a token of esteem for Miss Nightingale. as reckoning that all such should be kept secret. as a good soldier is loyal to his officers. It is sometimes ascribed wrongly to Miss Nightingale's authorship. New York. "That you will be just and generous to all worthy members of your profession.voluntary act of mischief and corruption. is the author of another version of the Hippocratic oath. Detroit. I will abstain from whatever is deleterious and mischievous. a member of the Board of Managers of the City Hospital. or among your own friends. "That whatsoever you shall see or hear of the lives of men and women. and in the presence of this assembly) to pass my life in purity and to practice my profession faithfully. "I solemnly pledge myself before God. GENEVA DECLARATION . aiding them when it will be in your power to do so. bond or free. and that you will hold yourselves aloof from all temptation. Its relationship to the old oath of medicine is quite plain. may the reverse be my lot." The modified Hippocratic oath arranged by Mrs. and will not take or knowingly administer any harmful drug. It runs as follows: "You do solemnly swear. Cadwalader Jones. each by whatever she holds most sacred : "That you will be loyal to the physicians under whom you serve. you will keep inviolably secret. may it be granted to me to enjoy life and the practice of the art. I will not divulge. whether you are in other households. 1 may see or hear in the lives of men which ought not to be spoken abroad. in connection with my professional practice. "That into whatsoever house you shall enter." 5. whether they be your patients or members of their households. "That you will live your lives and lead your profession in uprightness and honor. I will do all' in my power to maintain and elevate the standard of.

I will not use my medical knowledge contrary to the laws of humanity. even under threat. I will practise my profession with conscience and dignity. social standing or any other factor to intervene between my duty and my patient.[2] The original Declaration of Geneva reads:[3] At the time of being admitted as a Member of the medical profession I solemnly pledge myself to consecrate my life to the service of humanity : I will give to my teachers the respect and gratitude which is their due. The health and life of my patient will be my first consideration.  I make these promises solemnly. nationality. the honour and the noble traditions of the medical profession. even after the patient has died. freely and upon my honour. from the time of its conception. I will maintain by all means in my power. race. the honour and the noble traditions of the medical profession. It is a declaration of physicians' dedication to the humanitarian goals of medicine.  My colleagues will be my sisters and brothers. I will maintain by all the means in my power. I will respect the secrets which are confided in me. gender. as currently amended. political affiliation.  My colleagues will be my brothers  I will not permit considerations of religion.       The Declaration of Geneva. even under threat. I will practise my profession with conscience and dignity.  I will maintain the utmost respect for human life. ethnic origin.The Declaration of Geneva was adopted by the General Assembly of the World Medical Association at Geneva in 1948 and amended in 1968. The health of my patient will be my first consideration. a declaration that was especially important in view of the medical crimes which had just been committed in Nazi Germany.       . race. freely and upon my honour. nationality.  I make these promises solemnly. The Declaration of Geneva was intended as a revision[1] of the Oath of Hippocrates to a formulation of that oath's moral truths that could be comprehended and acknowledged modernly. disease or disability. reads[2]: At the time of being admitted as a member of the medical profession: I solemnly pledge to consecrate my life to the service of humanity.  I will not permit considerations of age. 2005 and 2006. creed. 1984. sexual orientation. I will respect the secrets that are confided in me. 1994. I will give to my teachers the respect and gratitude that is their due.  I will not use my medical knowledge to violate human rights and civil liberties. party politics or social standing to intervene between my duty and my patient.  I will maintain the utmost respect for human life.

no distinction shall be made on the basis of the political. Article 4. religion. to secure their universal and effective recognition and observance. colour. Article 1. birth or other status. • All human beings are born free and equal in dignity and rights. • No one shall be subjected to torture or to cruel. jurisdictional or international status of the country or territory to which a person belongs. property. Furthermore. • Everyone has the right to life. .6. • All are equal before the law and are entitled without any discrimination to equal protection of the law. national or social origin. shall strive by teaching and education to promote respect for these rights and freedoms and by progressive measures.They are endowed with reason and conscience and should act towards one another in a spirit of brotherhood. without distinction of any kind. language. • Everyone has the right to recognition everywhere as a person before the law. national and international. whether it be independent. UNIVERSAL DECLARATION. to the end that every individual and every organ of society. sex. Article 6. Article 7. keeping this Declaration constantly in mind.HUMAN RIGHTS HE GENERAL ASSEMBLY proclaims THIS UNIVERSAL DECLARATION OF HUMAN RIGHTS as a common standard of achievement for all peoples and all nations. such as race. Article 8. non-self-governing or under any other limitation of sovereignty. Article 5. All are entitled to equal protection against any discrimination in violation of this Declaration and against any incitement to such discrimination. • Everyone is entitled to all the rights and freedoms set forth in this Declaration. both among the peoples of Member States themselves and among the peoples of territories under their jurisdiction. Article 3. slavery and the slave trade shall be prohibited in all their forms. liberty and security of person. • No one shall be held in slavery or servitude. trust. inhuman or degrading treatment or punishment. Article 2. political or other opinion.

nationality or religion. Nor shall a heavier penalty be imposed than the one that was applicable at the time the penal offence was committed. (2) This right may not be invoked in the case of prosecutions genuinely arising from nonpolitical crimes or from acts contrary to the purposes and principles of the United Nations. Article 11. • • (1) Everyone has the right to a nationality. • Everyone is entitled in full equality to a fair and public hearing by an independent and impartial tribunal. home or correspondence. detention or exile. (2) Everyone has the right to leave any country. Article 9. nor to attacks upon his honour and reputation. at the time when it was committed. • • (1) Everyone has the right to seek and to enjoy in other countries asylum from persecution. family. Everyone has the right to the protection of the law against such interference or attacks. • No one shall be subjected to arbitrary arrest. (2) No one shall be arbitrarily deprived of his nationality nor denied the right to change his nationality. Article 15. They are entitled to equal rights as to marriage. Article 16. • (1) Men and women of full age. including his own.• Everyone has the right to an effective remedy by the competent national tribunals for acts violating the fundamental rights granted him by the constitution or by law. Article 13. • • (1) Everyone has the right to freedom of movement and residence within the borders of each state. . • No one shall be subjected to arbitrary interference with his privacy. under national or international law. • (1) Everyone charged with a penal offence has the right to be presumed innocent until proved guilty according to law in a public trial at which he has had all the guarantees necessary for his defence. • (2) No one shall be held guilty of any penal offence on account of any act or omission which did not constitute a penal offence. and to return to his country. Article 14. during marriage and at its dissolution. have the right to marry and to found a family. Article 10. without any limitation due to race. Article 12. in the determination of his rights and obligations and of any criminal charge against him.

• Everyone has the right to freedom of opinion and expression. either alone or in community with others and in public or private. and supplemented. Article 19. Article 22. Article 17. has the right to social security and is entitled to realization. to manifest his religion or belief in teaching. this right includes freedom to change his religion or belief. this right includes freedom to hold opinions without interference and to seek. • (3) Everyone who works has the right to just and favourable remuneration ensuring for himself and his family an existence worthy of human dignity. • (2) Everyone. if necessary. conscience and religion. • (1) Everyone has the right to work. . through national effort and international co-operation and in accordance with the organization and resources of each State. (2) No one shall be arbitrarily deprived of his property. by other means of social protection. • Everyone has the right to freedom of thought. receive and impart information and ideas through any media and regardless of frontiers. • (3) The will of the people shall be the basis of the authority of government. • • (1) Everyone has the right to own property alone as well as in association with others. to just and favourable conditions of work and to protection against unemployment. to free choice of employment. (3) The family is the natural and fundamental group unit of society and is entitled to protection by society and the State. without any discrimination. • Everyone. Article 21. and freedom. practice. has the right to equal pay for equal work. • (1) Everyone has the right to take part in the government of his country. this will shall be expressed in periodic and genuine elections which shall be by universal and equal suffrage and shall be held by secret vote or by equivalent free voting procedures. • (4) Everyone has the right to form and to join trade unions for the protection of his interests. as a member of society. Article 20. • (2) Everyone has the right of equal access to public service in his country. directly or through freely chosen representatives. Article 18. worship and observance. (2) No one may be compelled to belong to an association. Article 23. of the economic.• • (2) Marriage shall be entered into only with the free and full consent of the intending spouses. social and cultural rights indispensable for his dignity and the free development of his personality. • • (1) Everyone has the right to freedom of peaceful assembly and association.

housing and medical care and necessary social services. • (1) Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family. including food. old age or other lack of livelihood in circumstances beyond his control. Technical and professional education shall be made generally available and higher education shall be equally accessible to all on the basis of merit. • (3) These rights and freedoms may in no case be exercised contrary to the purposes and principles of the United Nations. • (1) Everyone has the right to education.^ Article 30. everyone shall be subject only to such limitations as are determined by law solely for the purpose of securing due recognition and respect for the rights and freedoms of others and of meeting the just requirements of morality. public order and the general welfare in a democratic society. • (2) In the exercise of his rights and freedoms. • (2) Education shall be directed to the full development of the human personality and to the strengthening of respect for human rights and fundamental freedoms. . • (1) Everyone has the right freely to participate in the cultural life of the community. widowhood. Education shall be free. Article 25. It shall promote understanding. Article 28. literary or artistic production of which he is the author. • (1) Everyone has duties to the community in which alone the free and full development of his personality is possible. Article 29. and the right to security in the event of unemployment. • Everyone is entitled to a social and international order in which the rights and freedoms set forth in this Declaration can be fully realized. Article 27. Article 26. clothing. • (2) Everyone has the right to the protection of the moral and material interests resulting from any scientific. • (3) Parents have a prior right to choose the kind of education that shall be given to their children. to enjoy the arts and to share in scientific advancement and its benefits. whether born in or out of wedlock. racial or religious groups. at least in the elementary and fundamental stages. shall enjoy the same social protection. • (2) Motherhood and childhood are entitled to special care and assistance. sickness. and shall further the activities of the United Nations for the maintenance of peace.^ Article 24. tolerance and friendship among all nations. All children. disability. including reasonable limitation of working hours and periodic holidays with pay. • Everyone has the right to rest and leisure. Elementary education shall be compulsory.

Section 4. papers. Section 9. or of the press. Access to official records. The right of the people to information on matters of public concern shall be recognized. No law shall be made respecting an establishment of religion. liberty. nor shall any person be denied the equal protection of the laws. public safety. or property without due process of law. and effects against unreasonable searches and seizures of whatever nature and for any purpose shall be inviolable. 7. Section 8. houses. Section 6.• Nothing in this Declaration may be interpreted as implying for any State. Section 3. Section 2. transactions. or societies for purposes not contrary to law shall not be abridged. or when public safety or order requires otherwise. shall forever be allowed. and to documents and papers pertaining to official acts. Section 7. as well as to government research data used as basis for policy development. subject to such limitations as may be provided by law. and particularly describing the place to be searched and the persons or things to be seized. The free exercise and enjoyment of religious profession and worship. as may be provided by law. and no search warrant or warrant of arrest shall issue except upon probable cause to be determined personally by the judge after examination under oath or affirmation of the complainant and the witnesses he may produce. The liberty of abode and of changing the same within the limits prescribed by law shall not be impaired except upon lawful order of the court. (1) The privacy of communication and correspondence shall be inviolable except upon lawful order of the court. or prohibiting the free exercise thereof. (2) Any evidence obtained in violation of this or the preceding section shall be inadmissible for any purpose in any proceeding. as prescribed by law. The right of the people to be secure in their persons. No law impairing the obligation of contracts shall be passed. CONSTITUTION BILL OF RIGHTS Section 1. No law shall be passed abridging the freedom of speech. or public health. . group or person any right to engage in any activity or to perform any act aimed at the destruction of any of the rights and freedoms set forth herein. Section 10. of expression. shall be afforded the citizen. Private property shall not be taken for public use without just compensation. or the right of the people peaceably to assemble and petition the government for redress of grievances. without discrimination or preference. Section 5. BIIL OF RIGHTS 1987 PHIL. associations. No religious test shall be required for the exercise of civil or political rights. including those employed in the public and private sectors. Neither shall the right to travel be impaired except in the interest of national security. or decisions. to form unions. The right of the people. No person shall be deprived of life.

Free access to the courts and quasi-judicial bodies and adequate legal assistance shall not be denied to any person by reason of poverty. before conviction. or administrative bodies. All persons shall have the right to a speedy disposition of their cases before all judicial. violence. (1) Any person under investigation for the commission of an offense shall have the right to be informed of his right to remain silent and to have competent and independent counsel preferably of his own choice. (2) No torture. Section 17. No person shall be compelled to be a witness against himself. quasijudicial. and their families. to have a speedy. nor cruel. . Section 13. shall. force. Section 12. he must be provided with one. to meet the witnesses face to face. The right to bail shall not be impaired even when the privilege of the writ of habeas corpus is suspended. to be informed of the nature and cause of the accusation against him. Section 14. Section 15. All persons. or be released on recognizance as may be provided by law. (2) No involuntary servitude in any form shall exist except as a punishment for a crime whereof the party shall have been duly convicted. and shall enjoy the right to be heard by himself and counsel. Neither shall death penalty be imposed. (2) In all criminal prosecutions. or any other means which vitiate the free will shall be used against him. and to have compulsory process to secure the attendance of witnesses and the production of evidence in his behalf. (4) The law shall provide for penal and civil sanctions for violations of this section as well as compensation to the rehabilitation of victims of torture or similar practices. Excessive bail shall not be required. (1) No person shall be held to answer for a criminal offense without due process of law. the accused shall be presumed innocent until the contrary is proved. (1) Excessive fines shall not be imposed. degrading or inhuman punishment inflicted. trial may proceed notwithstanding the absence of the accused: Provided. (1) No person shall be detained solely by reason of his political beliefs and aspirations. for compelling reasons involving heinous crimes. These rights cannot be waived except in writing and in the presence of counsel. intimidation. that he has been duly notified and his failure to appear is unjustifiable. and public trial. when the public safety requires it. Secret detention places. Section 16. Any death penalty already imposed shall be reduced to reclusion perpetua. However. The privilege of the writ of habeas corpus shall not be suspended except in cases of invasion or rebellion. incommunicado. (3) Any confession or admission obtained in violation of this or Section 17 hereof shall be inadmissible in evidence against him. If the person cannot afford the services of counsel. threat.Section 11. Section 18. solitary. be bailable by sufficient sureties. after arraignment. the Congress hereafter provides for it. Section 19. except those charged with offenses punishable by reclusion perpetua when evidence of guilt is strong. unless. impartial. or other similar forms of detention are prohibited.

No person shall be twice put in jeopardy of punishment for the same offense. No ex post facto law or bill of attainder shall be enacted 8. Care discussions. 1. or national origin or source of payment. Patient’s bill of right & RESPONSIBILITY/OBLIGATION PATIENT RIGHTS: These rights can be exercised on the patient’s behalf by a designated surrogate or proxy decision maker if the patient lacks decision-making capacity. You have the right to be respected as a person. Section 21. No person shall be imprisoned for debt or non-payment of a poll tax. This information will be given in terms that you can understand. 7. conviction or acquittal under either shall constitute a bar to another prosecution for the same act. 8. 11. If you still are not satisfied with the response to your concern. consultation. Section 22. your attending physician specifically restricts access. and treatment are considered confidential and should be conducted discretely. The physician must obtain this consent except in emergencies. You have the right to good quality care and high professional standards that are continually maintained and reviewed. and to know how that complaint is resolved. 4. He/she will help to resolve your concerns. 9. psychological. You have the right to expect emergency procedures to be implemented without unnecessary delay. 3. You have the right to information from your doctor in order to make informed decisions about your care. ask to speak with the Nurse Manager or the Vice-President of Patient Care. If you are dissatisfied with your care. You have the right. unless for medical reasons. 6. 12. and the names and functions of other health care providers that have direct contact with you. Information about a patient will be released only with permission from the patient. You have the right to access all information contained in your medical record within a reasonable time frame. to be given the name of your attending physician. You have the right to have all records pertaining to your medical care treated as confidential and read only by people with a need to know. 2. Section 20. You have the right to medical and nursing services without discrimination based upon race. or if it is required by law. You have the right to be informed of your rights at the earliest possible moment in your hospital stay. prognosis and different treatment choices.(2) The employment of physical. You have the right to receive information necessary to give informed consent prior to the start of any procedure. this may not be possible in an emergency. . although. please tell a nurse or other care provider that you would like to speak to the nurse in charge of your area. You have the right to know what hospital rules and regulations apply to your conduct as a patient. This means that you will be given information about your diagnosis. 5. 10. You also have the right to be informed of how to initiate a complaint concerning the quality of care you receive. examination. or degrading punishment against any prisoner or detainee or the use of substandard or inadequate penal facilities under subhuman conditions shall be dealt with by law. is legally incompetent. upon request. or is a minor. sexual preference. the name(s) of other physician(s) directly participating in your care. If an act is punished by a law and an ordinance. You have the right to every consideration of your privacy concerning your medical care program. sex.

27. You have the right to appropriate pain management. You have the right to see visitors of your choice. living will and/or health care power of attorney) and to have those directives followed to the extent permitted by law. You have the right to have complaints about care resolved. 24. treatment. you have the right to stop at any time. 14. You have the right to participate and make decision in your plan of care and to include family members in those decisions. 21. discipline. 19. You have the right to refuse any drugs. You have the right to expect that Wilkes Regional Medical Center will provide a mechanism whereby you are informed upon discharge of your continuing health care requirements and the means for meeting them. to the extent permitted by law. If you are given the option to participate in research studies. you have the right to complete information regarding the program and may refuse to participate. you may be transferred to another facility only after care and arrangements have been made with the other facility and you have been given complete information explaining your need for such a transfer. Any refusal to participate in a research program will not affect your access to care. such as starting or stopping treatments to maintain life. convenience. You have the right to examine and receive a detailed explanation of your bill. 34. or retaliation by staff. When medically necessary. after hearing the medical consequences of your refusal of the drug. . Medicare patients have the right to appeal decisions about your care to a local Peer Review Organization (PRO). 18. 29. or procedures offered by the hospital. You have the right to be free from restraints of any form that are not medically necessary or are used as a means of coercion. 15. 16. address and phone number of the local PRO information about filing an appeal. You have the right to expect good management techniques to be implemented within the hospital. 23. 22. If you chose to participate. 30. 32. You have the right to information and counseling on the availability of known financial resources for your health care. You have the right to pastoral care and other spiritual services. You have the right to be free from all forms of abuse or harassment. You or your family have the right to contact WRMC’s Ethic Committee to ask for help about ethical issues. 17. and must be removed or ended at the earliest possible time. You have the right to be given information in a manner that you can understand.13. You have the right to personal privacy and to receive care in a safe and secure manner. considering effective use of your time and to avoid personal discomfort to you. 28. You have the right to formulate advance directives (for examples. 26. 31. You have the right to assistance in obtaining another physician’s opinion at your request and own expense. You cannot be denied the right to access an individual or agency that is authorized to act on your behalf to assert or protect your rights under law. restraints may be used only as a last resort and in the least restrictive manner as possible to protect you or others from harm. 20.impaired has the right to an interpreter. You have the right to have protective services contacted when you or your family members are concerned about safety. The Facility will provide the name. 33. 25. When medically permissible. differences of opinion or when advanced directives cannot be honored. treatment or procedure. A patient who does not speak English or is hearing. when possible at no cost to the patient.or speech. You have the right to access information contained in your clinical records within a reasonable time frame.

5. past medical history. hospitalization. please contact our Director of Performance Improvement at (336) 651-8103 or our Privacy Officer at (336) 651-8060. or drugs other than those prescribed during your hospital stay.If you. The hospital expects that you or your family will provide information about changes in your general health. to sign all forms (after they have been fully explained) relating to your care. or a designated family member or other legally responsible party. your designated guardian. nurses. medication. and other matters relating to your health history in order to effectively treat your illness. advocate or representative feel at any time your rights as a Wilkes Regional Medical Center Patient have been violated. Patients and their families are responsible for the outcomes if they do not follow the care. The hospital expects you to obey safety rules and regulations that have been explained to you. The hospital expects you to be considerate of other patients and hospital personnel. PATIENT RESPONSIBILITIES Patients of Wilkes Regional Medical Center are requested to recognize and adhere to the following specific responsibilities relating to your hospitalization. The hospital expects that you will not consume alcohol. 8. by assisting in the control of noise. The hospital expects you. and other specified hospital personnel. The hospital expects that you will cooperate with all hospital personnel and ask questions if directions and/or procedures are not clearly understood. and number of visitors in your room at one time. 3. noise and use of electrical equipme . 10. 7. 2. The hospital expects you to follow the instructions of the physicians. The hospital expects you to assume financial responsibility for services for which insurance does not pay. The hospital expects you to treat others with respect and to respect the property of other patients and the property of the hospital itself. 6. 1. The hospital expects you to follow facilities rules regarding smoking. 4. 9. treatment and service plan.

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