WORK IMMERSION

12HA-12 | 2ND SEM | 3RD QTR | MRS. DAVID

PATIENT’S BILL OF RIGHTS

1. RIGHT TO APPROPRIATE MEDICAL CARE
AND HUMANE TREATMENT
❖ Without any discrimination and within the
limits of the resources, manpower and
competence available for health and medical
care at the relevant time
❖ Appropriate health and medical care of good
quality
❖ TRIAGE (Hospital during EMERGENCY):
- A-irway → TOP 1 Priority
- B-reathing
- C-irculation
- Give medicine/action with TLC: ❖ That the patient will not be subjected to any
Tender Loving Care procedure without his written informed
❖ If immediate treatment cannot be given, consent, except in the following cases:
patient needs to be referred or sent for 1. In emergency cases, when the patient
treatment elsewhere, where the is at imminent risk of physical injury,
appropriate care can be provided. decline of death if treatment is
❖ No deposit, pledge, mortgage, or any form withheld or postpone
of advance payment for treatment during 2. When the health of the popoulation is
emergency situation. dependent on the adoption of a mass
health program to control epidemic;
3. When the law makes it compulsory
2. RIGHT TO INFORMED CONSENT for everyone to submit a procedure;
❖ Especially in invasive procedures or 4. When a patient is either a minor, or
cutting of foreign bodies (surgery, etc.) legally incompetent, in which case, a
❖ The right to clear, truthful, and substantial third party consent is required;
explanation, in a manner and language 5. When disclosure of maternal
understandable to the patient information to patient will jeopardize
a. proposed procedures, whether the success of treatment, in which
diagnostic, preventive, curative, case, third party disclosure and
rehabilitative or therapeutic consent shall be in order;
b. the person who will perform the said 6. When the patient waives his right in
procedure shall provide his name writing.
and credentials to the patient. ❖ Informed consent shall be obtained from a
c. possibilities of any risk of mortality patient concerned if he is of legal age and of
or serious side effects. sound mind. In case the patient is incapable
d. problems related to recuperation of giving consent and a third party consent is
(recovery), whether diagnostic, required, the following persons, in the order,
preventive, curative, rehabilitative or priority stated hereunder, may give consent:
therapeutic
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 i. spouse; • any change in the plan of care before the change is
ii. son or daughter of legal age; made
iii. either parent; • The person's participation in the plan of care and
iv. brother or sister of legal age, or necessary changes before its implementation;
v. guardian • The extent to which payment may be expected from
Philhealth or any payor and any charges for which
the patient may be liable;
3. RIGHT TO PRIVACY AND • The disciplines of health care practitioners who
will furnish the care and the frequency of services that
CONFIDENTIALITY
are proposed to be furnished;
❖ Freedom from unwarranted public
• The patient or his legal guardian has the right to
exposure, except in the following cases:
examine and be given an itemized bill of the
a) when his mental or physical condition is in
hospital and medical services;
controversy and the appropriate court, in
• continuing health care requirements following
its discretion, order him to submit to a
discharge; and
physical or mental examination by a
• the patient is entitled to a brief, written summary
physician;
of the course of his/her illness.
b) when the public health and safety so
demand; and
c) when the patient waives this right in
writing. 5. RIGHT TO CHOOSE HEALTH CARE
PROVIDER & FACILITY
WHEN TO DISCLOSE INFORMATION? ❖ Freedom to choose the health care provider
a) when such disclosure will benefit public health to serve him as well as the facility, except
and safety; when he is under the care of a service
b) when it is in the interest of justice and upon the facility or when public health and safety so
order of a competent court; and demands or when the patient expressly
c) when the patients waives in writing the waives this right in writing.
confidential nature of such information; ❖ The right to discuss his condition with a
d) when it is needed for continued medical consultant specialist, at the patient's request
treatment or advancement of medical science and expense.
subject to de-identification of patient and shared ❖ The right to seek a second opinion and
medical confidentiality for those who have access to subsequent opinions, if appropriate, from
the information another health care provider/practitioner

4. RIGHT TO INFORMATION 6. RIGHT TO SELF-DETERMINATION

• result of the evaluation of the nature and extent ❖ You are to decide regarding your plan of
of his/her disease, treatment
• any other additional or further contemplated ❖ The right to avail of any recommended
medical treatment on surgical procedure/s; diagnostic and treatment procedures
• including any other additional medicines to be ❖ Any person of legal age and of sound mind
administered and their generic counterpart including may make an advance written directive for
the possible complications and other pertinent physicians to administer terminal care
facts; when he/she suffers from the terminal phase
• statistics or studies regarding his/her illness; how of a terminal illness.
rare his disease is ❖ E.g. DNR (Do not Resuscitate)

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 7. RIGHT TO RELIGIOUS BELIEF 10. RIGHT TO REFUSE PARTICIPATION IN
❖ Right to refuse medical treatment or MEDICAL RESEARCH
procedures which may be contrary to his ❖ Right to be advised if the heath care
religious belief, subject to the limitations provider plans to involve him in medical
provided, that such a right shall not be research, including but not limited to human
imposed by parents upon their children who experimentation which may be performed
have not reached the legal age in a only with the written informed consent of
life-threatening situation as determined by the the patient
attending physician or the medical director of
the facility (this right is not applicable on
11. RIGHT TO CORRESPONDENCE AND
children; e.g. transfer of blood in Jehova’s
witness) RECEIVE VISITORS
❖ The right to communicate with relatives
and other persons and to receive visitors
8. RIGHT TO MEDICAL RECORDS (CLINICAL
subject to reasonable limits prescribed by the
SUMMARY) rules & regulations of the healthcare
❖ Entitled to a summary of his/her medical institutions
history and condition
❖ The right to view the contents of his medical
12. RIGHT TO EXPRESS GRIEVANCES
records, except psychiatric notes and other
❖ The right to express complaints and
incriminatory information obtained about
grievances about the care and services
third parties, w/ the attending physician
received without fear of discrimination or
explaining contents
reprisal and to know about the disposition of
❖ The institution shall issue a medical
such complaints
certificate to the patient upon request
❖ Such system shall afford all parties concerned
❖ Any other document that the patient for
with the opportunity to settle amicably all
insurance claims shall also be made available
grievances.
to him within 45 days from request

9. RIGHT TO LEAVE
❖ Right to leave the hospital or any health
care institution regardless of his physical
condition, provided that:
a) He is informed of the medical
consequences of his/her decision;
b) He releases those involved in his/her
care from any obligation relative to the
consequences of his decision
c) His decision will not prejudice public
health and safety

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