Hospitals are entitled to reasonable and responsible behavior
on the part of patients and their families. The hospital
identifies patient and family responsibilities and educates the
patient and family about these responsibilities.
Responsibilities include at least the following:
Providing information. Patients and families, as
appropriate, must provide, to the best of his/her/their
knowledge, accurate and complete information
about present complaints, past illnesses,
hospitalizations, medications and other matters
relating to his or her health. Patients and their
families must report perceived risks in their care and
unexpected changes in their condition to the healthcare
provider. They can help the hospital understand their
environment by providing feedback about service needs
and expectations. Patients and families are responsible
for informing the attending physician and nurse whether
or not he/she can and wants to follow the treatment
Asking questions. Patients and families, as appropriate,
must ask questions when they do not understand their
care, treatment and service or what they are expected
to do. Patients and families must report to the
healthcare provider whether he/she understands a
contemplated course of action and what is expected of
him/her. The patient and family has the responsibility
to be informed and to understand his/her illness or
treatment by asking as many questions as needed or by
asking for a simpler explanation, if medical terms make
Following instructions. Patients and their families
must follow the care, treatment and service plan
developed and recommended by the healthcare provider.
They should express any concerns they have about their
ability to follow the proposed care plan or course of
care, treatment and services. The hospital makes every
effort to adapt the plan to the specific needs and
limitations of the patients. When such adaptations to
the care, treatment and service plan are not
recommended, patients and their families are informed
of the consequences of the care, treatment and service
alternatives and not following the proposed course.
Patients and family are expected to keep scheduled
appointments and, when unable to do so, to notify the
healthcare provider or hospital.
Accepting consequences. Patients and their families are
responsible for the outcomes if they do not follow the
care, treatment or service plan. The patient and family
are responsible for accepting the consequences of his/her
actions if he/she refuses treatment or does not follow
the healthcare provider’s instructions.
Following rules and regulations. Patients and their
families must follow the hospital rules and regulations,
which includes remaining on their assigned patient unit.
Patients who refuse to comply with AVH rules and
regulations may be discharged due to noncompliance.
If a patient insists on leaving the nursing unit, the
physician will be notified of the patient’s
noncompliance and a discharge order may be obtained.
Unless contraindicated, the hospital accommodates a
patient’s need to be outdoors when a patient
experiences a long length of stay.
Showing respect and consideration. Patients and their
families must be considerate of the hospital’s staff
and property, as well as other patients and their
property. The patient and family are responsible for
limiting visitors, following the tobacco‑free
policy and appropriate use of the telephone, television
and lights so as not to disturb others. Patients and
family are expected to be considerate of the facility
and equipment and not abuse them. Patients are
responsible for helping to control noise and disturbances.
Meeting financial commitments. Patients and their
families are responsible for promptly meeting any
financial obligation agreed to with the hospital.
Patients are educated about their responsibilities
during the admission, registration or intake process
and as needed thereafter. The patient and family are
responsible to provide the information necessary to
determine how his/her bill will be paid.
The patient’s family or surrogate decision‑maker
assumes the above responsibility for the patient if the
patient has been found by his/her physician to be
incapable of understanding these responsibilities,
has been judged incompetent in accordance with law or
exhibits a communication barrier. The hospital informs
each patient of his or her responsibilities either
verbally, in writing, or both.
Pain relief and medications. It is the patient’s and
family’s responsibility to ask their healthcare provider
what to expect regarding pain and pain management;
discuss pain relief options and work with their
healthcare provider to develop a pain management plan;
ask for pain relief when the pain first begins and
inform the healthcare provider when the pain is not
relieved; and express any concerns they may have
regarding taking pain medications.
Reporting perceived risks. The patient and family are
responsible for reporting perceived risks in his/her
care and unexpected changes in his/her condition to the
responsible practitioner. The patient and family are
responsible for immediately reporting any concerns or
errors they may observe.