HAR §11-95-25
HAR §11-95-25. Patients' rights and patients' care
Cite as Haw. Code R. § 11-95-25
(a) All patients admitted to the facility shall be under
the care of a medical staff member.
(b)
An appropriate medical history and physical
examination shall be obtained within seventy-two hours
prior to admission of the patient. A record of these
procedures shall be on the patient's medical record
within the facility prior to induction of any anesthesia
or to the performance of any surgical procedure.
(c)
Patients shall be observed in this facility
for a reasonable period of time to ensure that no
immediate post-operative complications are present.
Thereafter, patients shall be discharged at the
discretion of the patient's physician. If the patient's
physician determines that the post-operative observation
period should extend beyond the closing time of the
facility, the patient shall be transferred to a
hospital.
(d)
At the time of the discharge from the
facility, each patient shall be provided with a document
including as a minimum the following information.
(1)
The exact procedure which was performed using
accepted medical terminology;
(2)
The precise names, both generic and
proprietory, of the anesthetic used, as well
as all other drugs administered in the
facility, or given to the patient at the time
of discharge;
(3)
Symptoms of complications which might ensue
from the procedures carried on in the facility
prior to discharge;
(4)
Activities to be avoided by the patient;
(5)
Specific telephone number, or numbers, of the
operating physician or dentist, as well as the
telephone numbers of at least one suitable
back-up physician or dentist;
(6)
The telephone number and locations of the
nearest hospital, or hospitals, to be used by
the patient should complications arise. It
shall be the responsibility of the operating
physician to provide this information;
(7)
The date and location of the first
post-operative check-up to be required.
(e)
Patient's rights;
(1)
Written policies regarding the rights and
responsibilities of patients during their stay
in the facility shall be established by the
governing body and shall be made available to
the patient, guardian, next of kin, sponsoring
agency, and to the public;
(2)
All patients have the right to obtain from
their physician complete current information
concerning their diagnosis, prognosis, and
treatment in terms that can be reasonably
expected to be understood. When it is not
medically advisable to give such information
to the patient, the information shall be made
available to an appropriate person on the
patient's behalf. The patients are entitled
to know, by name, the physician coordinating
their care, as well as the physician who
actually performs any surgical procedure;
(3)
Each patient or guardian is entitled to
receive sufficient information to give
informed consent prior to the start of any
procedure or treatment. [Eff March 3, 1986]
(Auth: HRS §§321-9, 321-10) (Imp: HRS
§321-10)