STATEMENT OF THE PATIENT’S RESPONSIBILITIES

As a patient, you should assume responsibility for the following:

1. The hospital expects that you or your family will provide information about past illnesses, hospitalization, medication and other matters relating to your health history in order to effectively treat your illness.

2. The hospital expects that you will cooperate with all hospital personnel and ask questions if directions and/or procedures are not clearly understood.

3. You are expected to be considerate of other patients and hospital personnel and to assist in the control of noise, smoking, and the number of visitors in your room at any one time.  You are also expected to be respectful of the property of other persons and the property of the medical center.

4. In order to facilitate your care and the efforts of the hospital personnel, you are expected to help the physician, nurses, and allied medical personnel in their efforts to care for you by following their instructions and medical orders.

5. Only authorized members of your family are expected to be available to hospital personnel for review of your treatment in the event you are unable to properly communicate with the physicians or nurses.

6. It is understood that you assume the financial responsibility of paying for all services rendered either through third-party payers (your insurance company) or being personally responsible for payment for any services which are not covered by your insurance policy.

7. It is expected that you will not take drugs which have not been prescribed by your attending physician and administered by hospital staff; and that you will not complicate or endanger the healing process by consuming alcoholic beverages or toxic substances during your hospital stay.