rights of patients-dr ds chandel cmo hamirpur

Rights Of Patients:

Rights Of Patients Dr.DS Chandel CMO Hamirpur

Slide 2:

Policy on patient’s rights and management of patient’s care A Document By Dr.D.S.Chandel CMO Hamirpur (HP) Principle: the hospital acknowledges and supports patient’s rights. Services are continuously available and hospital takes care of patient’s safety and provides appropriate information and education.

Slide 3:

1. Access to health care: Everyone has the right to receive health care appropriate to his/her needs, including preventive care and activities aimed at health promotion. Services are continuously available and accessible to all irrespective of geographic, economic, social, culture, organizational or linguistic barriers. 1.1. All patient areas should be accessible by wheel chairs and trolleys. 1.2. There should be a trolley bay, which should be controlled by some designated person. It should have adequate number of trolleys and wheel chairs (one per 1000 annual OPD attendance), which should be issued after some token payments (refundable). 1.3. The hospital should display good signage system to guide the patients to various facilities. 1.4. Site plan of the hospital should be displayed at some appropriate point. 1.5. Visiting hours should be displayed at the entrance. 1.6. Separate parking for staff, visitors, office vehicles and ambulances should be made available. The ambulances should not have any obstruction to move at any time. 1.7. All passageways and entrances should be kept clear all the times. It should never be used for storage purpose. 1.8. If the building is multi-storey, then there should be the provision of ramp/ functional lift with stand by generator. 1.9. Senior citizens should be issued colored slips and should be given preference at every counter and clinic. Serious patients should be seen out of turn. 1.10. The hospital should have alternative arrangement, in case bed is not available. 1.11. The hospital management should fix and monitor the waiting times for various facilities like OPD—registration, consultation, prescription. IPD—registration, bed allocation and examination by doctor. Lab—sample collection, reporting. Radiology, physiotherapy, pharmacy, injection room, ECG, OT, dental procedures etc.

Slide 4:

2. Continuity of care: Patient has the right to continuity of care, including co-operation between all health care providers which are involved in the diagnosis, treatment and care. 2.1. Every patient coming to the hospital should be issued OPD slip for the recording of history, clinical findings, investigations, treatment and next date to attend the OPD. 2.2. The staff should be courteous and should pay prompt attention to the patients/ attendants. 2.3. Adequate drugs should be made available at the pharmacy counter. First hand treatment to all emergency patients, treatment of BPL/IRDP patients/ HIV patients/ Thallasemia patients/any other as directed by the Govt./RKS from time to time should be free of cost. 2.4. Quality control of all the radiological and lab investigation should be monitored for accuracy. 2.5. Services should be available 24 hours a day. 2.6. All the information regarding daily progress, investigations and treatment and discharge notes are recorded in the case record. 2.7. Discharge and follow up plan should be recorded on the discharge slip.

Slide 5:

3. Information for the patients: Patient has the right to be fully informed about their health status, including the medical facts about their condition, proposed medical procedures, potential risks and benefits of each procedure, any alternative procedure and effects of non treatment, about the diagnosis, prognosis and treatment. 3.1. After enquiring the complaints of the patient, the staff sitting on the registration counter should guide the patient about the OPD, s/he should go. 3.2. A proper signage system should be displayed in Hindi or in both Hindi and English. Other information, which should be displayed includes rights of the patients, services available, user’s charges, timings of OPD, lab—sample collection and reporting, radiological investigations, doctor’s names with room numbers and qualification, citizen charter etc. 3.3. The staff should wear white coats with identity. 3.4. Patients should be kept fully informed about their health status 3.5. Patients should be informed about the most appropriate treatment, alternative treatments and their disadvantages. 3.6. The information to the patients should be communicated in a way appropriate to his/her capacity for understanding and avoiding the technical terminology. 3.7. Follow up/ appointment dates should be mentioned on the discharge slip/ OPD slip. 3.8. The discharge summary with complete information about the illness should be handed over either to the patient or the attendants maintaining its confidentiality . 3.9. Drugs available in the hospital should be displayed outside the pharmacy.

Slide 6:

4. Empowerment of patients: The patients are provided all relevant information on health care and the prevention of diseases and about their rights in the manner they can understand. 4.1. Information and education is given on disease prevention and health protection. 4.2. Information on health education should be prominently displayed and should be available to the staff, patients and visitors. 4.3. The patients should be informed about their rights. 4.4. The patient has the right to be accompanied by the attendants in the OPD and to enjoy the support of the family during the course of treatment. 4.5. The attendants have also the right of information similar to that of patient, as already described, about the progress of the disease and treatment of their patients. 4.6. The hospital has the system of informing the patients and the attendants about the process to receive and act on complaints, conflicts, and difference of opinion about the patient care. 4.7. The complaints and suggestion from the clients should be taken care of promptly and even conveyed to them, if address is available. The record of these complaints and suggestions should be kept. Feedback can also be obtained in the form of questionnaire. 4.8. In case of any grievances, there should be a designated person in the hospital, who should be contacted and his/her name should be prominently displayed.

Slide 7:

5. Safety of the patients: 5.1. The hospital should take measures to ensure the physical safety of the patient and protect them against the physical assault/ theft. 5.2. Information regarding risk of exposure to radiations should be displayed and pregnant ladies should not be exposed to x-ray specially in first and last trimester. 5.3. Disposable syringes should be used to avoid transmission of diseases. The staff should use PPE’S, while handling the patients. 5.4. Safety from accidents: a). Due to hospital furniture —Trolleys, wheel chairs, beds, benches etc should be inspected regularly for any lose nuts and bolts and any other damage to the body or tiers of the article. In case it is identified, then it should either be repaired immediately or should be removed from the area. b). Due to infrastructure: The floors should be non slippery and should be smooth (without any breakage). The railings should be strong and also strong based. The windows should either have grills or “jalidar” pans. All the passages, ramps, entry or exit points should be clear of any other article such as almirahs etc. c). Due to wrong identification: The beds and the indoor sheets should be clearly marked with the bed numbers. Patients for surgery should wear the identification badges. Infants in the nursery or NICU/ SNCU should also wear identification badges or alternatively the foot prints of their un-smudged foot should be taken on the case sheet. d). Due to rats, rodents, reptiles, dogs, insects (most common are—flies, mosquitoes, bugs, mites). Outlets points of pipes etc should be tightly and properly sealed. Regular or SOS use of insecticide sprays, use of rat killing cakes, provision of fly trappers, rat traps, “lakshman rekha” should be there. The doors and windows should be tightly fitting and should have double pans (one of the pan should be netted) e). Patients (ambulatory) relaxing areas outside the building: Parking of vehicles should be strictly forbidden in those areas. f). Due to fire: the building should be provided with emergency exits. Fire extinguishers, both- for dry and wet, should be placed at identified points and the staff should be trained in handling these extinguishers. Alternatively fire sensors can also be installed in new constructions. There should not be any lose electricity points. Smoking should be strictly prohibited. There should be a separate store for inflammable liquids and gases.

Slide 8:

6. Privacy of the patients: It is ensured throughout the entire care process, especially during the clinical procedures and examination. The area should be suitable to safeguard the privacy, dignity and security of the patient. 5.4. The examination and history taking area should give complete privacy and confidentiality. 5.5. Washing facility should also give privacy. 5.6. Changing facility for the patient should be appropriate and should allow privacy. 5.7. All medical interventions need privacy. 5.8. Patient’s diagnosis, investigations, treatment and prognosis also need privacy. Investigation reports should not be handed over to any person, other than the patients or their attendants.

Slide 9:

6. Dignity and sensitivity: Patients have the right to be treated with dignity in relation to their diagnosis, treatment and care, which should be rendered with respect for their culture and values. Patient has the right to humane terminal care and to die with dignity. 6.1. Patients are relieved of pain and suffering according to the current state of knowledge. 6.2. The needs of the dying patients are recognized and respected within the hospital. 6.3. The staff should be made aware of the needs of the dying patient and provide respectful and compassionate care to such patient.

Thanx :

Thanx Dr.DS Chandel