Patients have the right to formulate ADVANCE DIRECTIVES which indicate their treatment preference, should they become incapacitated.
An Advance Directive is a legal document, which tells your physician and your family about the types of life support that you want to be provided or withheld in case you are no longer able to make decisions for yourself. If you would like more information about an Advance Directive, please consult your physician, your nurse, the Admitting Department or one of our Clinical Social Workers.
Health Care Surrogate
You have the right to name a person to make medical treatment decisions for you by appointing a Health Care Surrogate. This person is allowed to make healthcare decisions for you, but only after two doctors have agreed that you are no longer able to make your own healthcare decisions.
Durable Power of Attorney for Healthcare
Under State Law, when you are unable to choose the medical treatment that you want because of your illness, a Durable Power of Attorney for Healthcare Form can help you identify someone qualified to make treatment decisions for you when your physician says that you cannot. A Durable Power of Attorney for Healthcare allows you to designate someone to give or “withhold consent for treatment". The "Attorney in Fact's" right to give consent depends on what you say in writing and how it is signed. In order to take advantage of this state law, you may consult an attorney. Durable Power of Attorney for Healthcare forms, as well as the California Natural Death Act form is available in Admitting, or by contacting one of our Clinical Social Workers.
If you already have an Advance Directive or a Healthcare Surrogate, please tell your physician and this hospital. It is a policy of Sierra Vista Regional Medical Center to honor a patient's healthcare decision to the full extent required or allowed by law. You are not required to give advanced healthcare direction in order to receive care here. It is a policy of the hospital to ask you questions regarding your Advance Directive and other healthcare decisions at the time of admission. If your admitting doctor has not addressed this information with you on your first day of hospital stay, please notify your nurse.
The State of California has enacted legislation to increase public awareness about the benefits of organ donations. Families or patients may want to consider the opportunity for organ donation and communicate that decision to their healthcare surrogate or the nursing staff. We are required by law to let our organ donation center know when a death has occurred and give contact information.
Patient Bill of Rights
(Combines Title 22 and other California laws, Joint Commission
and Medicare Conditions of Participation requirements)
You have the right to:
- Considerate and respectful care, and to be made comfortable. You have the right to respect for your personal values and beliefs.
- Have a family member (or other representative of your choosing) and your own physician notified promptly of your admission to the hospital.
- Know the name of the physician who has primary responsibility for coordinating your care and the names and professional relationships of other physicians and non-physicians who will see you.
- Receive information about your health status, course of treatment, prospects for recovery and outcomes of care (including unanticipated outcomes) in terms you can understand. You have the right to participate in the development and implementation of your plan of care. You have the right to participate in ethical questions that arise in the course of your care, including issues of conflict resolution, withholding resuscitative services, and forgoing or withdrawing life-sustaining treatment.
- Make decisions regarding medical care, and receive as much information about any proposed treatment or procedure as you may need in order to give informed consent or to refuse a course of treatment. Except in emergencies, this information shall include a description of the procedure or treatment, the medically significant risks involved, alternate courses of treatment or non-treatment and the risks involved in each, and the name of the person who will carry out the procedure or treatment.
- Request or refuse treatment, to the extent permitted by law. However, you do not have the right to demand inappropriate or medically unnecessary treatment or services. You have the right to leave the hospital even against the advice of physicians, to the extent permitted by law.
- Be advised if the hospital/personal physician proposes to engage in or perform human experimentation affecting your care or treatment, you have the right to refuse to participate in such research projects.
- Reasonable responses to any reasonable requests made for service.
- Appropriate assessment and management of your pain, information about pain, pain relief measures and to participate in pain management decisions. You may request or reject the use of any or all modalities to relieve pain, including opiate medication, if you suffer from severe chronic intractable pain. The doctor may refuse to prescribe the opiate medication, but if so, must inform you that there are physicians who specialize in the treatment of severe chronic intractable pain with methods that include the use of opiates.
- Formulate advance directives. This includes designating a decision maker if you become incapable of understanding a proposed treatment or become unable to communicate your wishes regarding care. Hospital staff and practitioners who provide care in the hospital shall comply with these directives. All patients' rights apply to the person who has legal responsibility to make decisions regarding medical care on your behalf.
- Have personal privacy respected. Case discussion, consultation, examination and treatment are confidential and should be conducted discreetly. You have the right to be told the reason for the presence of any individual. You have the right to have visitors leave prior to an examination and when treatment issues are being discussed. Privacy curtains will be used in semi-private rooms.
- Confidential treatment of all communications and records pertaining to your care and stay in the hospital. You will receive a separate "Notice of Privacy Practices" that explains your privacy rights in detail and how we may use and disclose your protected health information.
- Receive care in a safe setting, free from verbal or physical abuse or harassment. You have the right to access protective services including notifying government agencies of neglect or abuse.
- Be free from restraints and seclusion of any form used as a means of coercion, discipline, convenience, or retaliation by staff.
- Reasonable continuity of care and to know in advance the time and location of appointments as well as the identity of the persons providing the care.
- Be informed by the physician, or a delegate of the physician, of continuing health care requirements following discharge from the hospital. Upon your request, a friend or family member may be provided this information also.
- Know which hospital rules and policies apply to your conduct while a patient.
- Designate visitors of your choosing, if you have decision-making capacity, whether or not the visitor is related by blood or marriage, unless:
□ No visitors are allowed.
□ The facility reasonably determines that the presence of a particular visitor would endanger the health or safety of a patient, a member of the health facility staff, or other visitor to the health facility, or would significantly disrupt the operations of the facility.
□ You have told the health facility staff that you no longer want a particular person to visit.
However, a health facility may establish reasonable restrictions upon visitation, including restrictions upon the hours of visitation and number of visitors.
- Have your wishes considered, if you lack decision-making capacity, for the purposes of determining who may visit. The method of that consideration will be disclosed in the hospital policy on visitation. At a minimum, the hospital shall include any persons living in your household.
- Examine and receive an explanation of the hospital's bill regardless of the source of payment.
- Exercise these rights without regard to sex, economic status, educational background, race, color, religion, ancestry, national origin, sexual orientation or marital status, or the source of payment for care.
- File a grievance. If you want to file a grievance with this hospital, you may do so by writing or by calling (805) 546-7696: Sierra Vista Regional Medical Center, 1010 Murray Ave., San Luis Obispo, CA 93405. The Grievance Committee will review each grievance and provide you with a written response within 30 days. The written response will contain the name of a person to contact at the hospital, the steps taken to investigate the grievance, the results of the grievance process, and the date of completion of the grievance process. Concerns regarding quality of care or premature discharge will also be referred to the appropriate Utilization and Quality Control Peer Review Organization (PRO).
- File a complaint with the state Department of Health Services regardless of whether you use the hospital's grievance process. The state Department of Health Service's phone number and address is: (local address and phone number of DHS) DEPARTMENT OF HEALTH SERVICES, 6401 Telephone Road. Suite 200. Ventura, CA 93003, (800) 547-8267. Fax: (805) 654-4812. TDD: (800) 735-2929
This Patients Rights document incorporates the requirements of the Joint Commission; Title 22, California Code of Regulations, Section 70707; Health an Safety Code Sections 1262.6, 1288.4 and 124960; and 42 C. F. R. Section 482.13 (Medicare Conditions of Participation).