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PATIENT RIGHTS & RESPONSIBILITIES positive self-image.

Communicate complaints or grievances, regarding your care to your


As a patient, you are afforded impartial access to available and medically physician, nurse, nurse team member, consumer advocate, or hospital
necessary treatment, and accommodations regardless of age, race, management in administration, without being subject to coercion,
ethnicity, religion, culture, language, physical or mental disability, socio- discrimination, reprisal, or unreasonable interruption of care.
economic status, sex, sexual orientation, and gender orientation or Access protective and advocacy services.
expression. Presence Our Lady of the Resurrection Medical Center Be free from restraint or seclusion of any form, imposed as a means of
subscribes to the following Patient Rights and Responsibilities that reflect coercion, discipline, convenience, or retaliation by staff (restraint or
our Mission and Values as an institution promoting Gods healing presence. seclusion may only be imposed to ensure the immediate physical safety
of the patient, a staff member, or others and must be discontinued at the
As a patient, you have a right to: earliest possible time).
Receive information in a manner tailored to your age, language and
ability to understand. Receive the visitors whom you designate, subject to your consent,
including, but not limited to, a spouse, a domestic partner (including a
Exercise your cultural values and spiritual beliefs as long as they do not same-sex domestic partner), another family member, or a friend, and to
interfere with the well-being of others or the planned course of any withdraw or deny such consent at any time. The hospital will not restrict,
medical care. limit, or otherwise deny visitation privileges on the basis of age, race,
Effective Communication. ethnicity, religion, culture, language, physical or mental disability, socio-
Privacy and confidentiality, including the confidentiality of your clinical economic status, sex, sexual orientation, and gender orientation, or
records and the right to access information contained in your clinical expression.
records within a reasonable time frame. Examine and receive an explanation of your bill, regardless of the source
Have pain treated as efficiently as possible. of payment.
Access, request amendment to, and obtain information on disclosure of Request an ethics consultation.
your health information, in accordance with law and regulations.
Have a family member, friend, or other individual present with you for As a patient, you have the responsibility to:
emotional support, unless the individuals presence is medically or Provide, to the best of your knowledge, accurate and complete
therapeutically contraindicated or infringes upon others rights or safety. information that facilitates your care, treatment and services. This may
Receive medical treatment or accommodations regardless of age, race, include information regarding the following: the nature of your illnesses;
ethnicity, religion, culture, language, physical or mental disability, socio- past illnesses and hospitalizations; specific problems, symptoms, pains or
economic status, sex, sexual orientation, and gender orientation, or issues you have during your hospital stay; medication history, reactions
expression. and concerns; any ongoing changes in your medical condition as they
Be involved in making informed decisions about your care, treatment occur; and any advance directives you have prepared.
and services, including the right to have your own physician promptly Ask questions or acknowledge when you do not understand the
notified of your admission to the hospital. treatment course or care decision.
Refuse care, treatment and services, in accordance with law and Follow instructions, policies, rules and regulations in place to support
regulation. quality care for you and a safe environment for all individuals in the
Consent or refuse treatment after being adequately informed of the hospital.
benefits and risks, and alternatives to treatment. Support mutual consideration and respect by maintaining civil language
Receive information about outcomes of care and any unanticipated and conduct in interactions with staff, and licensed independent
outcomes of care, treatment and services that relate to sentinel events. practitioners.
Have a surrogate decision-maker make informed decisions about your Meet your financial commitments.
care, treatment and services, including the refusal of care, treatment and
services on your behalf, and receive information about unanticipated The hospital has a Director of Physician and Patient Relations who
outcomes of care, treatment and services, that relate to sentinel events, represent administration and can be reached by telephone at
when you are unable to make informed decisions. 773.794.8383. We hope you will give us an opportunity to resolve any
Give or withhold informed consent to produce or use recording, film or issues you may have. A written concern about patient safety, quality of
other images of you for purposes other than your care. care, or complaint can be made to the Director of Physician and Patient
Be fully informed of, and to consent to or refuse to participate in, any Relations at Presence Our Lady of the Resurrection Medical Center, 5645
unusual experiment or research project without compromising your West Addison Street, Chicago, Illinois 60634.
access to service.
Receive information about the individual(s) responsible for, as well as Concerns about patient safety, quality of care, or complaint may also be
those providing your care, treatment and services. communicated directly to the Illinois Department of Public Health at
Formulate or review and revise your advanced directives and have 800.252.4343, the Illinois Foundation for Quality Health Care via their
members of the hospital staff comply with those advanced directives, in Consumer Helpline at 800.647.8089, or The Joint Commission at
accordance with law and regulation and the hospitals capabilities. 800.994.6610.
Have your wishes honored regarding organ donation.
Be free from neglect; exploitation; and verbal, mental, physical and Presence Our Lady of the Resurrection Medical Center abides by the
sexual abuse. Ethical and Religious Directives for Catholic Health Care Services.
An environment that preserves your dignity and contributes to your

PH-174 POLR 5/13

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