LIST OF PATIENT RIGHTS OF NORTH CAROLINA

In accordance with the North Carolina Health and Safety Code, the facility and medical staff have adopted the following list of patient rights:

  1. Exercise these rights without being subjected to reprisal and without regard to sex, cultural, economic, educational, religious background, or the source of payment.
  2. Treated with respect, consideration, and dignity.
  3. Provided personal privacy, receive care in a safe setting, and be free from all forms of abuse and harassment.
  4. Knowledge of the name of the physician who has primary responsibility for coordinating his/her care and the names and credentials and professional relationships of other physicians who will see him/her.
  5. Receive information from his/her physician about his illness, his/her course of treatment, and his prospects for recovery in terms that he/she can understand.
  6. Receive as much information from his/her physician about any proposed treatment or procedure as he/she may need in order to give informed consent or to refuse this course of treatment. Except in emergencies, this information shall include a description of the procedure or treatment, the medically significant risks involved in each, and to know the name of the person who will carry out the procedure or treatment. The patient will be informed of the consequences of not following the proposed course of treatment.
  7. Actively participate in decisions regarding his/her medical care to the extent permitted by law, this includes the right to refuse treatment or change his/her primary physician.
  8. Full consideration for privacy concerning his/her medical care program. Case discussion, consultation, examination, and treatment are confidential and should be conducted discreetly. The patient has the right to be advised as to the reason for the presence of any individual.
  9. Confidential treatment of all communication and records pertaining to his/her care and his/her stay in the Brunswick Surgery Center. His/her written permission shall be obtained before his/her medical record can be made available to anyone not directly concerned with his/her care, except when release is required by law.
  10. Reasonable responses to any reasonable request he/she may make for service.
  11. Availability of methods for expressing grievances or suggestions through direct communication or patient satisfaction surveys.
  12. Leave the Brunswick Surgery Center even against the advice of his/her physician.
  13. Reasonable continuity of care and to know in advance the time and location of an appointment as well as the physician providing the care.
  14. Be advised if Brunswick Surgery Center/personal physician proposes to engage in or perform human experimentation affecting his/her care of treatment; the patient has the right to refuse to participate in such research projects.
  15. Be informed by his/her physician or a delegate of the physician of his continuing health care requirements following his discharge from the surgery center.
  16. Receive an explanation of fees for service and payment policies.
  17. Know which Brunswick Surgery Center rules and policies apply to his/her conduct and responsibilities as a patient.
  18. Have all patient rights apply to the person who may have a legal responsibility to make decisions regarding medical care on behalf of the patient. If a patient has been judged incompetent by the state.
  19. Be advised of the services available at Brunswick Surgery Center include ambulatory surgical services, the capability of 23-hour care, and minimal lab studies.
  20. Knowledge of provisions for 23-hour care and extended post-anesthesia care arranged in advance for patients having surgical procedures.

YOUR RESPONSIBILITIES AS A PATIENT

  1. To read and understand all permits and/or consents you sign. If you do not understand, it is your responsibility to ask the nurse or physician for clarification.
  2. To provide, to the best of your knowledge, accurate and complete information regarding your health, medications (including over the counter products and dietary supplements) any allergies or sensitivities, and past treatments.
  3. To follow any pre-operative written or oral instructions, and treatment plan from your
    physician provider and surgical center.
  4. To notify the physician or surgical center if these instructions have not been followed.
  5. To provide an adult to transport you home after surgery if you have received medications and/or anesthesia.
  6. To provide a responsible party to care for you for the first 24 hours after your procedure.
  7. Inform your physician provider about any living will, medical power of attorney or other directive that could affect your care.
  8. To follow carefully any written or verbal post-op instructions from your physician or nurse.
  9. To contact your physician regarding any post-operative question or problem.
  10. Be respectful of all the healthcare providers, staff, and other patients as well.
  11. To assure all financial obligations for services are fulfilled promptly and assume ultimate responsibility for payment regardless of insurance coverage.
  12. To notify the surgical center if you feel any rights have been violated, or if you have a complaint or a suggestion for improvement by contacting the Administrator, or by returning your patient satisfaction survey form.

YOUR RIGHTS AS A PATIENT WITH REGARD TO COMPLAINTS, CONCERNS, AND/OR GRIEVANCES

We want to do our best to provide you with the best of care and services we can. All of us are dedicated to meeting your needs, keeping you safe, and making your stay with us as comfortable as possible.

Should we fail to meet your expectations or you are dissatisfied with your care, Brunswick Surgery Center has procedures to help you let us know about your concerns and help you resolve them. Certain Federal and State laws also give you specific rights to filing grievances and complaints regarding care and services.

The most important thing you can do is to let us know about your concerns right away. Any of our employees will do his/her best to help. If that does not meet your needs, ask to speak to the Risk Manager and/or Administrator. Let them know exactly what the problem is and how they can help.

Complaints, Concerns, and/or Grievances can be addressed to:

Administrator: Brunswick Surgery Center
1168 East Cutlar Crossing, Suite 101
Leland, NC 28451
(910) 660-4600

Any complaints regarding services provided at Brunswick Surgery Center can be directed in writing or by telephone to:
Website for the Office of the Medicare Beneficiary Ombudsman: cms.hhs.gov/center/ombudsman.

1 (800) MEDICARE ((800) 633-4227)

North Carolina Department of Health and Human Services
2001 Mail Service Center
Raleigh, North Carolina, 27699-2001
(919) 855-4500  |  (800) 624-3004  |  ncdhhs.gov

AAAHC
5250 Old Orchard Road, Suite 200
Skokie, IL 60077
(847) 853-6060

Persons with a complaint regarding a physician, surgeon, or podiatrist are informed that disciplinary action against a practitioner’s license may only be taken by the Medical Board of North Carolina or the Board of Podiatric Medicine. The complainant is immune to any action regarding the complaint or information provided.