BERTIE COUNTY

You have the right to receive considerate, respectful, and compassionate care in a safe setting regardless of your age, gender, race, national origin, religion, language, culture, sexual orientation, gender identity, disabilities, or source of payment.

You have the right to receive care in a dignity-preserving, safe environment, free from all forms of abuse, neglect, harassment, or mistreatment.

You have the right to a complete and understandable explanation of your illness, treatment, pain, alternatives, and expected outcomes from treatment, including unexpected outcomes.

You have the right to communicate that you can understand. Information given will be appropriate to your age, understanding, and language. If you have speech, hearing, vision, or other impairments, you will receive additional aids to meet your needs.

You have the right to receive visitors, whom you designate, including but not limited to, a spouse, a domestic partner, another family member, or a friend.

You have the right to access, request an amendment to, and obtain information on discloser of your health information. Additionally, you can expect that your health record is maintained confidentially to the extent permitted by law. You have the right to obtain a copy of your health record.

You have the right to make decisions about your care, including the right to refuse care, the right to leave the facility, and the right to be informed in writing of potential health risks related to care refusal or departure. You do not have the right to demand treatment or services deemed medically unnecessary or inappropriate.

You have the right to identify a surrogate decision-maker should you become unable to make decisions related to your health care.

You have the right to give or withhold informed consent. The informed consent process will include a discussion about potential benefits, risks, and side effects of your planned treatment as well as the likelihood that you will achieve your goals and any problems that might occur during your recovery.

You have the right to give or withhold consent for recordings, photographs, films, or other images of you to be produced or used for internal or external purposes other than identification, diagnosis, or treatment.

You have the right to have your pain assessed and to be involved in decisions regarding the treatment of your pain.

You have the right to know the names and roles of the members of your health care team.

You have the right to be free of restraints that are not medically necessary or are used inappropriately.

You have the right to be free from abuse through access to advocacy and protective service agencies. We can provide a list of protective and advocacy resources.

You have the right to full consideration of your privacy and confidentiality in care discussions, examinations, and treatments.

You have the right to create an advance directive (a living will, health care durable power of attorney) and appoint someone to make health care decisions for you if you are unable.

You also have the right to voice a complaint and recommend changes freely without fear of being subjected to coercion, discrimination, reprisal or unreasonable interruption of care. If you have a problem or complaint, you may share it with your doctors, nurses, or nurse managers.

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Patient Responsibilities

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You are responsible for providing complete and accurate information about your health, medical history, and personal data, including address, telephone number, date of birth, Social Security number, insurance, and employer.

You are responsible for providing your physician with a copy of your advance directives if you have one.

You are responsible for asking questions of your care provider(s) when you do not understand medical explanations or treatment plans. If you are unable or unwilling to follow the plan of care, you are responsible for informing your care provider who will explain the potential medical risks of not doing so. You are responsible for the outcomes of not following your plan of care.

You are responsible for providing complete and accurate information about your health and medical history including present conditions, medications, past surgeries, and hospitalizations.

You are responsible for following your plan of care, including purchasing supplies, medications, and other items required for self-care at home.

You are responsible for extending courtesy and respect to all BCRHA staff, fellow patients, and visitors. You are responsible for following all BCRHA rules and safety regulations.

You are responsible for meeting your financial obligation to BCRHA, including providing accurate medical insurance information or complete and accurate information for the Sliding Fee Scale.