Patient Handbook - Roper St. Francis [PDF]

ROPER ST. FRANCIS

Patient Handbook

ROPER ST. FRANCIS

Table of Contents Section I Welcome ..........................................................................................................A Section II Important Patient Information Parking .............................................................................................................1 Visiting Hours..................................................................................................2 Cafeteria ...........................................................................................................2 Gift Shop..........................................................................................................2 Religious Services .............................................................................................3 Smoke Free Campus ........................................................................................3 ATM Machines................................................................................................3 Vending Machines ...........................................................................................3 Section III While You Are Here Special Communication Needs .......................................................................5 Private Nurses/Sitters .......................................................................................5 Pastoral Care.....................................................................................................5 Patient Representatives.....................................................................................6 Case Management and Social Work Services..................................................6 Volunteers.........................................................................................................6 Patient Valuables ..............................................................................................7 Fire Drills..........................................................................................................7 Telephone.........................................................................................................7 Leaving the Unit ..............................................................................................8

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Section IV Going Home Check-out time ................................................................................................9 Home Care Services.........................................................................................9 Section V Hospital Bills and Insurance..........................................................................10 Section VI Important Patient Information Notice of Information Practices.....................................................................12 How We May Use and Disclose Your Health Information..........................14 Special Situations ...........................................................................................17 Other Uses for Health Information...............................................................20 Your Rights Regarding Your Health Information .........................................21 Patient Rights and Responsibilities................................................................24 Advance Directives.........................................................................................28 Your Role in Patient Safety ............................................................................30 Pain Management..........................................................................................33 If You Have Concerns....................................................................................35 Compliance Program.....................................................................................37 Section VII Lewis Blackman Patient Safety Act................................................................38

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SECTION I Welcome Welcome to our facility. We are pleased that you and your doctor have selected us to provide your medical care. We will do our best to make your visit as comfortable as possible. If you have any questions or concerns, please don’t hesitate to ask your doctor or nurse. If at any time you feel you are not receiving the best care, please notify our patient representatives by contacting your nurse or dialing 0 for the operator. The patient representative will assist you in addressing your concern. Thank you for choosing Bon Secours St. Francis Hospital. We wish you well.

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SECTION II Visitor Information Parking Bon Secours St. Francis Hospital Free parking on the Hospital campus

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Visiting Hours Our hospital's primary concern is for the welfare and speedy recovery of our patients. Therefore, we ask that guests exercise special courtesy and sensitivity in scheduling visits. Brief visits are generally best. General visiting hours are from 9 a.m. to 9 p.m. Some patients in special care areas such as the Intensive Care Units do have restricted visiting hours. In the interest of security, we thank you for your cooperation in observing this schedule and any other visiting restrictions posted in these areas. Cafeteria A cafeteria offering full service meals and beverages is located on the first floor Gift Shop A variety of items are available including snacks, candies, toiletries, books, magazines, cards, fresh flowers, balloons, assorted gifts and a full line of specialty items for our newborn patients. The gift shop is located on the first floor. Visa and MasterCard are accepted.

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Religious Services A chapel is available to you and your family 24 hours a day on the first floor of the hospital. Special prayer gatherings and worship services, usually led by the hospital chaplain, are held in the chapel at various times throughout the week. For Roman Catholics, Eucharistic ministers regularly bring communion to patients who have indicated that they are Catholic upon admission to the hospital. For Jewish patients, Sabbath candles are available upon request. Contact the Pastoral Care Office for service time and/or for your religious and spiritual needs by dialing "0" for the operator. Mass is held each Tuesday at 11:30 a.m. in the chapel. Smoke Free Campus As part of our commitment to good health for you and your family, all Roper St. Francis campuses are tobacco-free. Prohibiting tobacco use supports those who are trying to quit, eliminates exposure to secondhand smoke and decreases tobacco odors on individuals, which can trigger respiratory problems in vulnerable patients. Nicotine replacement therapies (NRT) are available in our gift shops. ATMs ATM machines are available in the vending area on the first floor of the East Medical office building – to the left of the Grand Staircase in the Mall. Vending Vending machines are located on the first floor of the East Medical office building - to the left of the grand staircase in the Mall. 3

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SECTION III While You Are Here Special Communication Needs Arrangements for special communication needs such as foreign language interpreters, hearing devices and sign language resources may be made through your nurse. Private Nurses/Sitters A private duty nurse or sitter may be available upon request. Arrangements are made through a nursing supervisor by dialing 0 for the operator. Please be aware that financial arrangements for private duty nurses and sitters are the responsibility of the patient and his or her family. If you need assistance, please ask the charge nurse on your unit. Pastoral Care We believe in healing the whole person – body, mind and spirit. We encourage the visitation of your clergy and provide a Department of Pastoral Care to serve the spiritual and emotional needs of you and your family during your stay with us, whether or not you have a religious faith. A chaplain is always available or may assist you in contacting your minister, priest, rabbi or congregational leader. An interdenominational chapel is located on the first floor and is open 24 hours a day to people of all faiths. Please contact your nurse for assistance in contacting a chaplain. After hours, you can leave a message or, in emergencies, dial 0 for the hospital operator. Bibles and other devotional materials are available upon request.

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Patient Representatives In order to provide the best possible service to our patients, patient representatives are available to assist you. Should you or your family have questions about the hospital, comments about your care, suggestions for improving our services, a request for an advanced directive, or a need for someone to listen, you may either ask your nurse to contact a patient representative or dial “0” on your phone and the operator will connect you. Case Management and Social Work Services The case management department is staffed with RNs and Social workers to assist with coordination of your care. The case manager will be helpful in coordinating your care while you are hospitalized and arranging for your continued care needs post hospitalization. The case manager will offer information about a wide variety of community services available and assist you and/or your family in obtaining those services. Requests for case management services should be directed to your doctor, nurse, or to the Case Management Department. Volunteers We are fortunate to have a family of volunteers possessing a wide range of talents and experience. Whether they are greeting visitors, escorting patients, comforting a family in time of need, or helping in the gift shop, our volunteers are known for their devotion to others. Volunteers supplement the work of our professional staff to better meet your needs.

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Patient Valuables We encourage patients to leave valuables at home whenever possible. Any personal belongings retained by patients during their hospital stay will become their full responsibility. The hospital does, however, provide safekeeping for valuables in the hospital vault. At your request, your nurse will be happy to deposit your valuables for you. The hospital does not accept responsibility for items of value unless they are deposited in the safe. If you lose something, please notify your nurse right away, and we will make every effort to help you find it. Fire Drills For your protection, the hospital conducts fire and disaster drills regularly. If a drill occurs while you are here, please remain in your room and do not become alarmed. The staff is trained in fire protection and disaster readiness. Telephone The telephone in your room is located either on the bedside table or the side panel of your bed. To make an in-hospital call, dial the four-digit extension. To make a local call, dial 9 + the seven digit number. To make a long distance call, dial 0 to speak to the hospital operator who will direct you to a long distance operator. All long distance calls must be collect or credit card calls. No calls can be charged to your room. Collect calls from outside the hospital to your room are not permitted.

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Leaving the Unit If you must leave the unit, please check first at the nurses’ station to make sure your doctor has given approval and to let the staff know where you can be reached. It is important to stay in your room until your doctor has made rounds and treatments have been completed.

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SECTION IV Going Home When your doctor decides you are ready to leave the hospital, a discharge order will be written. You may want to make arrangements with a family member or friend to help you when it’s time to go home. Some important things to remember: Checkout Process Your doctor will complete the necessary paperwork for your discharge. If you have deposited valuables in the safe, please contact your nurse who will retrieve them. The expected check-out time is 11 a.m., so please make your transportation arrangements for leaving the hospital. Home Care Services Our healthcare system offers exceptional home care programs. Roper St. Francis Home Health is licensed and certified by Medicare and accredited by the Joint Commission on Accreditation of Healthcare Organizations. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, home health aides and medical social work. Specialty services include home IV therapy, wound care, diabetic and registered dietician services and comprehensive rehabilitation services. Medicare, Medicaid and most private insurances provide benefits for home care services. Roper Home Infusion Therapies provides IV therapies such as antibiotics, injections, and nutritional therapies in the home setting. Licensed Pharmacists are on staff and available 24 hours a day. Our team of highly skilled healthcare professionals is dedicated to providing excellent service. For more information, call Roper St. Francis Home Health at 402-7000 or Roper Home Infusion at 763-2600. 9

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SECTION V Hospital Bills and Insurance All patients should familiarize themselves with the terms of their insurance coverage. This will help you understand the hospital’s billing procedures and charges. If there is a question about your insurance coverage, a member of the Access department will contact you or a member of your family while you are here for the information needed in order to process your claims. If You Have Health Insurance We will file an insurance claim on your behalf for services that are covered by your policy. To do this, verification of your health insurance coverage is necessary. You will be asked to provide a valid insurance identification card or claim form during the admission/registration process. This will assist us in determining the extent of your insurance coverage. You will be held responsible for the deductible, co-insurance and out-of-pocket amounts (as outlined in your insurance coverage) at time of outpatient service, or admission. Note: Even though the hospital files an insurance claim on your behalf, your assistance in resolving unpaid insurance claims is appreciated. If You Are a Member of an HMO or PPO Your plan may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan’s requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital. Some doctor specialists may not participate in your health care plan and their services may not be covered. If You Are Covered by Medicare We will need a copy of your Medicare card to verify eligibility and process your Medicare claim. You should be aware that the Medicare program specifically excludes payment for certain items and services, such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations and others. Deductibles and co-payments also are the responsibility of the patient. 10

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If You Are Covered by Medicaid We will need a copy of your Medicaid card. Medicaid also has payment limitations on a number of services and items. If You Have No Insurance A representative from the Patient Financial Services will discuss financial arrangements with you. A hospital representative who is a representative of the Division of Family Services is also available to assist you in applying for Medicaid or other government assistance programs. Your Hospital Bill The hospital will take responsibility for submitting bills to your insurance company and will do everything possible to expedite your claim. But you should remember that your policy is a contract between you and your insurance company, and you have the final responsibility for payment of your hospital bill. We have several payment options available to assist you in paying your bill. Should any remaining account balance produce a financial burden to you, please inform the hospital of your hardship and an opportunity to apply for financial assistance will be given to you. After an insurance claim is resolved, you will be billed for any differences between the amount covered by insurance and total charges for hospital services not already paid by you. Please contact Patient Financial Services at 402-5200 or 1-800-242-9990 if you need assistance regarding your insurance coverage, financial responsibility and/or the opportunity to apply for financial assistance. For your convenience, our hospital accepts American Express, MasterCard, Visa and Discover. The charges for your attending and/or consulting doctors are called professional charges and are billed separately. Consulting doctors may include radiologists, pathologists, anesthesiologists, emergency doctors and any other consultants that your attending doctor deems necessary. These professional charges are not considered a part of the hospital bill. 11

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SECTION VI

Important Patient Information NOTICE Practices OF INFORMATION PRACTICES Notice Of Information Effective Date: April 14, 2003 Effective Date: April 14, 2003 Revised: November 1, 2007 Revised: May 1, 2009 This notice describes how information about you may be used and disclosed and This notice describes how information about you may be used and disclosed how you can get access to this information. Please review it carefully. and how you can get access to this information. Please review it carefully. Our regarding health information: OURpledge PLEDGE REGARDING HEALTH INFORMATION: We understand you and your health is personal. We understandthat thatinformation informationabout about you and your health is personal. are committed to protecting your health information. We will create a record We are committed to protecting your health information. We will create of the careofand receiveyou at the RoperatSt. a record the services care andyou services receive theFrancis RoperHealthcare St. Francis (RSFH), its subsidiaries and other entities. We need this record (RSF), its subsidiaries and other entities. We need this recordtotoprovide you with quality care and to comply with certain legal requirements. This provide you with quality care and to comply with certain legal record will be available to all physicians who may be treating you at any of requirements. This record will be available to all physicians who may RSFH’s facilities. be treating you at any of RSF’s facilities. This wewe may useuse andand disclose youryour health This notice noticewill willtell tellyou youabout aboutthe theways ways may disclose information. We also We describe your rights andrights certain obligations we have health information. also describe your and certain obligations regarding the use and disclosure of health information. we have regarding the use and disclosure of health information. are required requiredby bylaw lawto: to: We are Ensure health information identifies you is kept private. •1.Ensure thethe health information thatthat identifies you is kept private. Provide you with notice to our duties and privacy practices •2.Provide you with thisthis notice as toasour legallegal duties and privacy practices with with respect to your health information. respect to your health information. 3. Follow the terms of the notice. • Follow the terms of the notice.

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WHO WILL FOLLOW THIS NOTICE? Who will follow this notice? This notice notice describes describesRSFH’s RSF’s practices that of: of: practices and that 1. Any health healthcare careprofessional professionalauthorized authorized enter information 1. Any to to enter information intointo youryour medicalrecord, record,including includingdoctors doctors medical staff. medical onon ourour medical staff. 2. All departments departmentsand andunits unitsofofRSFH. RSF. 2. All 3. All employees, staff, volunteers and other RSF personnel. 3. All employees, staff, volunteers and other RSFH personnel. 4. In addition, these RSF facilities may share health information with 4. In addition, these RSFH facilities mayorshare health information with each each other for treatment, payment healthcare operations purposes other for treatment, as described in thispayment notice. or healthcare operations purposes as described in this notice.

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HOW WE MAY HEALTH How We May UseUSE and AND DisloseDISCLOSE Your HealthYOUR Information INFORMATION The following categories describe the different ways we may use and disclose The following categories describe the different ways we may use and health information. For each category of uses or disclosures, we will explain disclose health information. For each category of uses or disclosures, we what is meant and provide some examples. Not every use or disclosure in a will explain what is meant and provide some examples. Not every use category will be listed. However, all of the ways we are permitted to use and or disclosure in a category will be listed. However, all of the ways we are disclose information will fall within at least one of the categories. permitted to use and disclose information will fall within at least one of the categories. For Treatment. Information obtained by a nurse, physician, or other member of your healthcare teamobtained will be recorded in your record or andother used to For Treatment. Information by a nurse, physician determine the course of treatment that should work best for you. Your member of your healthcare team will be recorded in your record and physician will document in your his orthat her should expectations thefor you. used to determine the course ofrecord treatment work of best members of your healthcare team. Members of your healthcare team record Your physician will document in your record his or her expectations thethe actions they take and healthcare their observations. In that way, the physician will of members of your team. Members of your healthcare know record how you responding to treatment. team theare actions they take and their observations. That way the physician will know how you are responding to treatment. We will also provide other physicians or a subsequent healthcare provider withwill copies various other reportsphysicians that should in arranging your care and We alsoofprovide orassist a subsequent healthcare treating you once you of arevarious discharged fromthat ourshould care. These provider with copies reports assist independent in arranging physicians and treating healthcare professionals constitute an organized your care and you once you are discharged from ourhealth care. care arrangement under certain laws governing the privacy of healthconstitute information These independent physicians and healthcare professionals only. These individuals otherwise independent practitioners and arethe not an organized health carearearrangement under certain laws governing privacy health information agents ofofany of our facilities. only. These individuals are otherwise independent practitioners and are not agents of any of our facilities. For Payment. We may use and disclose your health information so the For Payment. We may use and yourbehealth thebe treatment and services provided bydisclose RSFH may billedinformation and paymentsomay treatment and services provided by RSF may be billed and payment collected from you, an insurance company or a third party. For example, we may tell be collected from company you, an insurance companyyou or aarethird party. For your insurance about a treatment going to receive example, we may tell your insurance company about a treatment you to obtain prior approval or to determine whether your insurance will cover are to receive to obtain prior approval or to determine whether the going treatment. We may also need to give your insurance company your insurance will cover the treatment. We may also need to give your information about a surgery you had at a RSFH facility so that your insurance companywill information about a surgery at a RSF insurance company pay us or reimburse you foryou the had surgery. facility so that your insurance company will pay us or reimburse you for the surgery.

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and disclose your health For Health HealthCare CareOperations. Operations.We Wemay mayuseuse and disclose your health information forhealthcare healthcareoperations. operations.This This is necessary to run RSFand information for is necessary to run RSFH and give quality our patients. For example, useinformation health give quality care tocare ourtopatients. For example, we maywe usemay health information review the and services to you,the and to review the to treatment andtreatment services provided to you,provided and to evaluate to evaluate the performance of our caring We may performance of our staff in caring forstaff you. inWe may for alsoyou. combine health also combine health information about many RSF patients to decide information about many RSFH patients to decide what additional services we what additional services we should offer, what services are not needed, should offer, what services are not needed, and whether certain new and whether certain new treatments are effective. We may disclose treatments are effective. We may disclose information to doctors, nurses, information to doctors, nurses, technicians and other personnel for technicians, and other personnel for review and learning purposes. review and learning purposes. Appointment disclose health information to AppointmentReminders. Reminders.We Wemay mayuse useand and disclose health information contact youyou as aasreminder that that you have an appointment for treatment or to contact a reminder you have an appointment for treatment medical care at RSFH. or medical care at RSF. Treatment Alternatives. disclose health information to tell Treatment Alternatives.We Wemay mayuse useand and disclose health information to you you about or recommend possible treatment optionsoptions or alternatives that may tell about or recommend possible treatment or alternatives that be of be ofmay interest to interest you. to you. Health-Related Benefitsand andServices. Services.WeWe may disclose health Health-Related Benefits may useuse andand disclose health information tellyou youabout abouthealth-related health-related benefits or services information tototell benefits or services thatthat maymay be of be of interest to you. interest to you. Business Associates. There are some services RSF provides through Business Associates. There are some services RSFH provides through contacts with business associates. Examples include but are not limited contacts with business associates. Examples include but are not limited to to certain laboratory and radiology tests, and medical record copying certain and radiology tests,a and copying services.laboratory For example, we may use copymedical servicerecord to make copiesservices. of your For example, we may use a copy service to make copies of your medical we medical record. When we hire companies to perform these services, record. Whenyour we hire companies to perform we maythe disclose may disclose health information so thatthese theyservices, can perform job your health information so that they can perform the job we’ve asked them to we’ve asked them to do. To protect your health information, however, do. require To protect health information, however, we safeguard require ouryour business we our your business associates to appropriately health associates to appropriately safeguard your health information. information. Fundraising Activities.We Wemay mayuseuse your health information to contact Fundraising Activities. your health information to contact you you an effort to money raise money for RSF its operations. We would in anineffort to raise for RSFH and and its operations. We would only only contact information, youraddress name, and address andnumber phone releaserelease contact information, such assuch your as name, phone number and the youtreatment received or treatment If want you do not and the dates youdates received services. orIf services. you do not RSFH want RSF to contact you for fundraising efforts, you must notify the to contact you for fundraising efforts, you must notify the RSFH Privacy RSF Privacy Officer in writing. Officer in writing. 15

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Hospital Directory. usus that youyou object, we we maymay include Hospital Directory. Unless Unlessyou younotify notify that object, certain limited about youabout in the you RSFH hospital include certaininformation limited information in the RSFdirectory hospital while you are a patient.. This information may include your name, location in the directory while you are a patient. This information may include your hospital,location your general fair,condition serious, etc.) yourfair, name, in thecondition hospital, (e.g., your good, general (e.g.,and good, religious etc.) affiliation. Thereligious directoryaffiliation. information, except for your religious serious, and your The directory information, affiliation, may also be released to people who ask for you by name. except for your religious affiliation, may also be released to peopleYour who religious affiliation may be given to a member of the clergy affiliated with ask for you by name. Your religious affiliation may be given to a member your such as a priest or your rabbi..faith, If you do as nota want included in the of thefaith, clergy affiliated with such priesttoorberabbi. If you do hospital directory you must notify us in writing using our patient consent not want to be included in the hospital directory you must notify us in form. writing using our patient consent form. Individuals Involved in Your Care or Payment for Your Care. We may Individuals Involved in Your Care or Payment for Your Care. We release your health information to a family member, other relative, close may release your health information to a family member, other relative, personal friend, or any other person who is involved in your care or payment close personal friend or any other person who is involved in your care or related to your care. payment related to your care. Research. We may disclose information to researchers when their research Research. We may information researchers when theirthe has been approved bydisclose an institutional reviewtoboard who has reviewed research has beenand approved by an institutional review has research proposal established protocols to ensure the board privacywho of your reviewed the research proposal and established protocols to ensure the health information. privacy of your health information. To Avert a Serious Threat to Health or Safety. We may use and disclose To Threat Health or Safety. aWe maythreat use and yourAvert healtha Serious information whentonecessary to prevent serious to your disclose your health information to prevent a serious health and safety or the health and when safety necessary of the public or another person. threat to your health and safety or the health and safety of the public or Any disclosure, however, would only be to someone able to help prevent or reduce the threat. Any disclosure, however, would only be to someone able another person. to help prevent or reduce the threat. South Carolina Department of Health and Environmental Control (DHEC). As required by law, we disclose health information to South Carolina Department ofmay Health andyour Environmental Control DHEC as itAs relates to licensing or other requests forinformation reviews by (DHEC). required by law,inspections we may disclose your health DHEC. to DHEC as it relates to licensing inspections or other requests for reviews by DHEC. The Joint Commission (TJC). As required by accreditation, we may to the TJC at the time of their surveys. disclose your health information Joint Commission on Accreditation of Healthcare Organizations (JCAHO). As required by accreditation, we may disclose your health information to the JCAHO at the time of their surveys. 16

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SPECIAL SITUATIONS Special Situations Disaster Relief. We Wemay mayrelease releaseyour yourhealth health information to entity an entity Disaster Relief. information to an assisting inaadisaster disasterrelief reliefeffort effort that your family be notified about assisting in soso that your family cancan be notified about your condition, status and location. your condition, status, and location. Organ and Tissue TissueDonation. Donation.We Wemay mayrelease release health information Organ and health information to to organizations thathandle handleorgan organprocurement procurement organ, or tissue organizations that or or organ, eyeeye or tissue transplantation or to an organ donation bank, as necessary to facilitate transplantation or to an organ donation bank, as necessary to facilitate organ organ or tissue donation and transplantation. or tissue donation and transplantation. Military and Veterans. If you are a member of the armed forces, we Military and Veterans. If you are a member of the armed forces, we may may release your health information as required by military command release your health information as required by military command authorities. authorities. We may also release health information about foreign We may also release health information about foreign military personnel to military personnel to the appropriate foreign military authority. the appropriate foreign military authority. Workers’ Compensation. We may release your health information for Workers’compensation Compensation. mayprograms. release yourThese healthprograms information for workers’ or We similar provide workers’ for compensation or similar These programs provide benefits benefits work-related injuriesprograms. or illnesses. for work-related injuries or illnesses. Public Health Risks. We may disclose your health information for Public health Healthactivities. Risks. WeThese may disclose health information for public public activitiesyour generally include the following: health activities. These activities generally include the following: 1. To prevent or control disease, injury or disability. • ToToprevent control 2. reportorbirths anddisease, deaths.injury or disability. • ToToreport births deaths. 3. report childand abuse or neglect. 4. report reactions to neglect. medications or problems with products. • ToToreport child abuse or 5. notify people to of medications recalls of products they with may products. be using. • ToToreport reactions or problems 6. notify a person who of may have been to a disease or may be • ToTonotify people of recalls products they exposed may be using. at risk for contracting or spreading a disease or condition. • To notify a person who may have been exposed to a disease or may be at 7.risk Tofor notify the appropriate government authority if we believe an adult contracting or spreading a disease or condition. patient has been the victim of abuse, neglect or domestic violence. • ToWe notify if we believerequired an adultor will the onlyappropriate make thisgovernment disclosure ifauthority you agree or when patient has been the victim of abuse, neglect or domestic violence. We will authorized by law. only make this disclosure if you agree or when required or authorized by law. 17

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Health Oversight OversightActivities. Activities.We We may disclose your health information Health may disclose your health information to a to a health oversight for activities authorized law.oversight These health oversight agencyagency for activities authorized by law. by These oversightinclude, activities example, audits, investigations, activities forinclude, example,for audits, investigations, inspections, and inspections, andactivities licensure. activities necessary to formonitor the the licensure. These areThese necessary for theare government government to monitor the health care system, government programs, health care system, government programs, and compliance with civil rights and compliance with civil rights laws. laws. Lawsuitsand andDisputes. Disputes.IfIfyou youareare involved a lawsuit a dispute, Lawsuits involved in in a lawsuit or aordispute, we we may disclose your health information in response to a court or may disclose your health information in response to a court or administrative administrative We may disclose your health information order. We may order. also disclose youralso health information in response to a in response to a subpoena, discovery request or other lawful process by subpoena, discovery request, or other lawful process by someone else involved someone else involved in the dispute. in the dispute. Law Enforcement. Enforcement. We Wemay mayrelease releasehealth health information if asked to so dobysoa Law information if asked to do by a law enforcement official: law enforcement official: 1. In response to a court order, subpoena, warrant, summons or similar process. • In response to a court order, subpoena, warrant, summons or similar 2.process. To identify or locate a suspect, fugitive, material witness or missing person. • To identify or locate a suspect, fugitive, material witness, or missing person. 3. About the victim of a crime if, under certain limited circumstances, • About theunable victimto ofobtain a crimethe if, under certain limited circumstances, we are we are person’s agreement. unable to obtain the person’s agreement. 4. About a death we believe may be the result of criminal conduct. • About a death we believe may be the result of criminal conduct. 5. About criminal conduct at RSF. • About criminal conduct at RSFH. 6. In emergency circumstances to report a crime; the location of the In emergency circumstances report adescription crime; the location of the or crime or victims; or the to identity, or location of crime the person victims; the identity, who or committed thedescription crime. or location of the person who committed the crime. Coroners, Medical Examiners and Funeral Directors. We may Coroners, Medical Examiners Funeral Directors. We mayThis release release health information to aand coroner or medical examiner. may health information to a coroner or medical examiner. This may be necessary, be necessary, for example, to identify a deceased person or determine for identify deceased determine the cause death. theexample, cause of to death. Wea may also person release or health information to of funeral We may also release health information funeral directors as necessary for them to carrytoout theirdirectors duties. as necessary for them to carry out their duties.

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National Securityand andIntelligence IntelligenceActivities. Activities. release National Security WeWe maymay release youryour health health information to authorized federalfor officials for intelligence, information to authorized federal officials intelligence, counterintelligence, counterintelligence and other national securitybyactivities by law. and other national security activities authorized law. We authorized may also disclose We alsoinformation disclose your health information to authorized federal officials yourmay health to authorized federal officials so they may provide so they may provide protection to the President, other authorized persons protection to the President, other authorized persons or foreign heads of state or state or conduct special investigations. or foreign conductheads specialofinvestigations. Inmates. youare arean aninmate inmateofofa acorrectional correctional institution or under Inmates. IfIf you institution or under the the custody of a law enforcement official, we may release your health custody of a law enforcement official, we may release your health information information to theinstitution correctional institution or law enforcement official. to the correctional or law enforcement official. This release would This release would be necessary: (1) for the institution to provide you be necessary: (1) for the institution to provide you with health care; (2) to with health to protect your andand safety or the health(3) and protectcare; your (2) health and safety or health the health safety of others; forsafety the of others; (3) for the safety and security of the correctional institution. safety and security of the correctional institution. Blood Testing. While you are receiving care, a health care worker may Blood Testing. While you are receiving care, a health care worker may accidentally be exposed to blood or other body fluids. If this occurs, your accidentally be exposed to blood or other body fluids. If this occurs, your blood will be tested for the presence of certain diseases (for example, HIV, blood will be tested for the presence of certain diseases (for example, HIV, Hepatitis B and C). These tests are necessary to help protect the health Hepatitis B and C). These tests are necessary to help protect the health care care worker. The results of these tests will be a part of your medical record worker. The results of these tests will be a part of your medical record and and will not be released except with your prior consent or as required or will not be by released permitted law. except with your prior consent or as required or permitted by law.

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OTHER USES OF HEALTH INFORMATION Other Uses for Health Information Other uses and disclosures of health information not covered by this notice or the that apply to us will be madenot only with your written Other uses andlaws disclosures of health information covered by this notice or permission. the laws that apply to us will be made only with your written permission. If you provide provideus uspermission permissiontotouse useorordisclose disclose your health information, If you your health information, you you may revoke that permission, in writing, at any time. If youyour revoke may revoke that permission, in writing, at any time. If you revoke your permission, no longer use or disclose yourinformation health information permission, we willwenowill longer use or disclose your health for the for the reasons covered by your written authorization. reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have You understand that we are unable to take back any disclosures we have already made with your permission. We are required to retain records of already made with your permission. We are required to retain records of the the care that we provided to you. care that we provided to you. South Carolina Law. In the event that South Carolina Law requires us to South Carolina Law. to Inyour the event that South Carolina requires to give give more protection health information than Law stated in thisusnotice more protection to yourLaw, health than stated in this notice or or required by Federal weinformation will give that additional protection to your required by Federal Law, we will give that additional protection to your health health information. In addition, state law mandates regarding medical information. In addition, state be lawmore mandates regarding record record retention periods may stringent than medical federal law. Please retention periods may be more stringent than federal law. Please be aware be aware that any request or release of PHI must be considered on a casethat anybasis. requestIforyou release of further PHI must be considered on specific a case-by-case basis. by-case desire information about state laws If you desire further specificbystate laws and regulations and regulations thatinformation may not beabout preempted HIPAA, please contactthat the may not be preempted by HIPAA, please contact the RSFH Legal RSF Legal Department. Department.

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Your Rights Regarding Your Health Information YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION Right to Inspect Inspectand andCopy. Copy.You Youhave havethethe right inspect obtain a Right to right to to inspect andand obtain a copy copy the health information that make decisions about of theofhealth information that may be may used be to used maketo decisions about your your care. Usually this includes medical and billing records, but may not care. Usually, this includes medical and billing records, but may not include include psychotherapy notes or psychiatric/substance psychotherapy notes or psychiatric/substance abuse notes.abuse notes. To inspectand andcopy copyhealth healthinformation, information, you must Authorization To inspect you must signsign an an authorization to to Release the Information Form which can be obtained in the Medical release the information which can be obtained in the Medical Record Record department of the appropriate RSF treatment If youa copy department of the appropriate RSFH treatment facility. Iffacility. you request request a copy of the information, we may charge a fee for the costs of of the information, we may charge a fee for the costs of copying, mailing, or copying, mailing or other supplies associated with your request. other supplies associated with your request Right to Request an Amendment. If you feel that health information Right to Request an Amendment. If you feel that health information we we have about you is incorrect or incomplete, you may ask us to amend have about you is incorrect or incomplete, you may ask us to amend the the information. You have the right to request an amendment for as long information. You have the right as the information is kept by ortoforrequest RSF. an amendment for as long as the information is kept by or for RSFH. To request an amendment, your request must be made in writing to the To requestofanMedical amendment, your must be made writing to the Director Records at request the appropriate RSF in treatment facility. Director of Medical Records at the appropriate RSFH treatment facility. In In addition, you must provide a reason that supports your request. addition, you must provide a reason that supports your request. We may deny your request for an amendment if it is not in writing or We youra request forsupport an amendment if it is In notaddition, in writingweormay does doesmay notdeny include reason to the request. not include a reason to support the request. In addition, we may deny your deny your request if you ask us to amend information that: request if you ask us to amend information that: 1. Was not created by us, unless the person or entity that created the information is no longer available to make the amendment. • Was not created by us, unless the person or entity that created the 2.information Is not partisofno thelonger health information kept or for RSF. available to make theby amendment. 3. not part information which would be permitted to • IsIsnot part of of thethe health information keptyou by or for RSFH. inspect and copy. • Is not part of the information which you would be permitted to inspect and 4. Is accurate and complete. copy. • Is accurate and complete.

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Right to Request have thethe right to to Requestan anAccounting AccountingofofDisclosures. Disclosures.YouYou have right Right request an “accounting of disclosures.” This is a list of the disclosures request “accounting of disclosures.” This is a list of the disclosures we we made yourhealth healthinformation; information; does include disclosures made concerning concerning your butbut does notnot include disclosures made for treatment, payment, or for healthcare operations, or for purposes made for treatment,payment, payment,ororforforhealthcare healthcare operations, or for purposes made for treatment, operations, or for purposes or or disclosures specifically authorized by you. or disclosures specifically authorized by you. disclosures specifically authorized by you. To To request request this this list list or or accounting accounting of of disclosures, disclosures, you you must must submit submit your your request in writing to the RSFH Privacy Officer. Your request must state a To request this list or accounting of disclosures, you must submit your request request in writing to the RSF Privacy Officer. Your request must state a time period which may not be longer than six years and may not include in writing towhich the RSFH Privacy Officer. Yoursix request must statenot a time time period may not be longer than years and may include dates before April 14, 2003. The first list you request within a 12 month periodbefore which may be longer than sixlist years and may not include dates dates 14, 2003. The first request within month period will beApril free.not For additional lists, weyou may charge you fora 12 the costs before April 14, 2003. The firstnotify list you request a 12 period period will be free. additional lists, we charge youmonth for the costs of providing the list.For We will you of may thewithin cost involved and you may of the additional list.orWe will youcharge of the cost involved you may willproviding be free. For lists,notify we may for thebefore costsand ofany providing choose to withdraw modify your request at you that time costs choose to withdraw or modify your request at that time before any costs are incurred. The list will include the date of the disclosure, to whom the list. We will notify you of the cost involved and you may choose to health information was disclosed their address, known), are incurred. The list will include the the disclosure, to incurred. whoma withdraw or modify your request at(including thatdate timeofbefore any costsifare description of the information disclosed, and the reason for the disclosure. health disclosed address, if information known), a The listinformation will include was the date of the(including disclosure, their to whom health description of the information disclosed, and the reason for the disclosure. was disclosed (including their address, known), a description of the Right to Request Restrictions. Youifhave the right to request a restriction information disclosed, and the reason for the disclosure. or limitation on the health information we use or disclose about you for Right to Request Restrictions. You have the right to request a restriction treatment, payment or health care operations. You also have the rightfor or limitation on the health information we use or disclose about you to request a limit on the health information we disclose about you to or Right to Request Restrictions. Youoperations. have the right request a restriction treatment, payment or health care Youtoalso right someone who is involved in your care or the payment forhave yourthecare, like a limitation on theorhealth we use orwe disclose you for use to request a limit on theinformation health information disclose about to or family member friend. For example, you could askabout that we you not someone who is involved inayour careyou or the payment for your care,tolike a treatment, payment orabout health care operations. have the right disclose information surgery had.You Toalso request restrictions, you family member friend. example, youdisclose could askyou that wetonot use or request a limit onorrequest the health information we about you someone must make your inFor writing. In your request, must tell us (1) disclose information about a surgery you had. To request restrictions, you what information you want to limit; (2) whether you want to limit our who is involved in your care or the payment for your care, like a family must make your in writing. In your you must us (1) use, disclosure orrequest both; and (3) to you wantwethe limits apply, for member or friend. For example, youwhom could askrequest, that not use ortotell disclose example, disclosures your to spouse. what information youtowant limit; (2) whether you want to limit our information about a surgery you had. To request restrictions, you must make use, disclosure or both; and (3) to whom you want the limits to apply, for yourare request in writing. In your you mustIftell what we will We not required agree torequest, your request. weusdo(1)agree, example, disclosures totoyour spouse. information want to limit; (2)the whether you wantis to limit our use, you comply withyou your request unless information needed to provide emergency treatment. You may not limit uses and disclosures that we are disclosure orrequired both; andto(3)agree to whom yourequest. want the If limits to apply, We are not to your we do agree, for we will legally required or allowed to make. example,with disclosures to yourunless spouse. comply your request the information is needed to provide you emergency treatment. You may not limit uses and disclosures that we are legally or allowed to to make. We arerequired not required to agree your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment. You may not limit uses and disclosures that we are legally required or allowed to make.

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Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or at home, or send billing information to an alternative billing address. To request confidential communications, you must notify us in writing using our patient consent form. Your request must specify how or where you wish to be contacted. Right to a Paper Copy of This Notice. You have the right to a paper copy of this notice. You may obtain a copy of this notice at any time from our website, www.rsf.com, or from the RSF facility where you obtained treatment. CHANGES TO THIS NOTICE We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future. The notice will contain the effective date on the first page. You can view the current notice at our website, www.rsf.com. COMPLAINTS If you believe your privacy rights have been violated, you may file a complaint with RSF or with the Secretary of the Department of Health and Human Services. If you have any questions about this notice or any complaints about our privacy practices, or would like to know how to file a complaint with the Secretary of the Department of Health and Human Services, please contact our Privacy Officer at (843) 789-1778. You will not be penalized for filing a complaint.

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Patient Rights and Responsibilities Your Rights: • You have the right to considerate, compassionate and respectful care. You have the right to have your values, religion and philosophy respected. • You have the right to privacy concerning your medical care program. All communications and records pertaining to your care will be treated as confidential. • You have the right to know the persons and the professional relationships of the individuals serving you, as well as the right to know who is primarily responsible for your care. • You have the right to discuss with your doctor any ethical issues that arise in the course of your care. You have the right to request access to the hospital’s Ethics Committee. • You have the right to receive information from your doctor that you need to make decisions about your care and treatment. You and your family have the right to be involved in making decisions as well as resolving disagreements about care decisions. This information includes the decision to stop treatments. When refusal of treatment prevents the proper care in accordance with professional standards, you will be informed of the medical consequences of your action, and the medical relationship with you may be ended upon reasonable notice. • You have the right to effective communication and information from your doctor and other caregivers about your diagnosis, your treatment and what your doctor expects will happen as a result of your care. This information should be current and complete, and you should be able to understand it. • You have the right to consent to surgery. You or your legal representative must sign a consent form for treatment and/or surgery. In some critical emergency situations where consent is not possible, we will act to care for you to the best of our ability. (Consent forms for minors are signed by the parent or legal guardian). You should always feel free to ask any questions you may have before signing any consent forms. 24

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• You have the right to information about Advance Directives such as a Living Will and/or a Health Care Power of Attorney. If you have an Advance Directive, we will work with your doctor to honor your wishes as stated in your directive. If you wish to formulate an Advance Directive, hospital personnel will assist you if at all possible. • You have the right to have issues addressing autopsy and organ donation conducted in a sensitive manner. • You have the right to effective and timely pain management. • You have the right to request and receive pastoral counseling. • You have the right to express any concerns you may have about the quality of care and how the concerns will be resolved. • You have the right to be provided protective services should they be required. • You have the right to request and expect the hospital to arrange for the prompt and orderly transfer of your care to others when the hospital cannot meet your request or needs for treatment or services. Transfer will occur only after the hospital has given you complete information about the transfer, has explained to you other choices other than the transfer, and another doctor and/or hospital has accepted you as a patient. • You have the right to know if your care is affected by the hospital's relationship with another healthcare organization or educational organization. • You have the right to be informed about the outcomes of your care, including unanticipated outcomes. • You have the right to have your own physician promptly notified upon your admission to the hospital.

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Your Responsibilities: • You are to provide accurate and complete information regarding any past illnesses, hospitalizations, medications and other matters about your health to the hospital and your doctor. • You are to take an active role in making decisions about services provided to you by discussing your condition and treatment with your doctor, reporting any changes in your condition and providing your Advance Directive, and/or expressing your wishes about using life support. • You are to cooperate with hospital staff members who provide care and treatment, follow directions about your care, and ask questions if you do not clearly understand the plans and directions of your care. • You are to follow and respect hospital rules and regulations concerning patient care and conduct. • You are to be considerate of the rights of other patients and hospital staff. Please help us by controlling noise and the number of visitors; honoring smoking regulations, and using telephone, television, air conditioning, and lighting in a manner considerate of other people and acceptable to the hospital. • You are to follow quidelines with respect to cameras. The camera function of cell phones equipped with cameras is never to be used while on the premises of Roper St. Francis, unless otherwise permitted by authorized Roper St. Francis personnel. If it is discovered that an employee, vendor, patient or visitor is taking pictures or video with their cell phone, the camera-equipped cell phone is subject to immediate confiscation and erasure of those photos that were taken while on premises. Vendors, patients, and/or visitors can retrieve confiscated camera-equipped cell phones from Security upon their departure from the hospital. Repeat offenders of this policy will be subject to being denied access to Roper St. Francis. • You are to accept responsibility for your actions if you refuse treatment or do not follow your doctor’s instructions.

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• You are to give the hospital complete information to process insurance claims, and be prompt in asking questions about your bill. Make arrangements to pay your hospital bills within an acceptable time period. • You are to begin planning early for your hospital discharge so you can leave when you no longer need to be in the hospital. • You are to be responsible for your own belongings and take them with you upon discharge. Do not bring unnecessary items or valuables to the hospital. • You are responsible for informing your nurse or doctor of all information, which may affect your care and safety.

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Advance Directives – Living Will and Healthcare Power of Attorney What is an Advance Directive? An advance directive is a legal document that tells your doctor what treatments you want or do not want if you can no longer speak for yourself and if you are in the hospital as a patient. Advance Directives do not apply when you are treated as an outpatient. Who should have an Advance Directive? Anyone over the age of 18 has the legal right to make an advance directive. What if I am pregnant? South Carolina law requires that life saving treatment be CONTINUED while you are pregnant. What are the legal Advance Directive documents in South Carolina? Living Will – A Living Will says that you want to be allowed to die a natural death if you are so sick or hurt that medical treatment, heroic measures, or artificial means will make your dying longer; or if you are in a coma that you will not wake from. Healthcare Power of Attorney – A Health Care Power of Attorney is a document in which you give another person (“your agent”) the power to make decisions related to your healthcare if you cannot speak for yourself. What if I change my mind? You can revoke your Advance Directive at any time while you are competent by informing your agent, your doctor, or throwing away your Advance Directive. Be sure to tell your doctor or nurse if you are in the hospital. Will a hospital honor an Advance Directive from another state? Yes, as long as the document conforms to South Carolina law, which is called “The Patient Self-Determination Act.”

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Who should have a copy of my Advance Directive? You should always give one to a family member, your doctor, your agent and your attorney. ALWAYS BRING A COPY WHEN YOU ARE ADMITTED TO THE HOSPITAL. What is our facilities policy about Advance Directives? Our facility will honor a patient’s Advance Directives according to South Carolina law and will not condition the provision of care or otherwise discriminate against a patient based on whether or not the individual has executed an Advance Directive. How can I formulate an Advance Directive if I am already in the hospital? You can contact a patient representative for assistance. NOTE: The Patient Self-Determination Act is a law that requires hospitals to ask each patient if they have an Advance Directive. This law also requires that patients be given Advance Directive information.

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Your Role in Patient Safety Our mission is to provide high quality health care services to every patient. You and your family are a vital part of your healthcare team. As a team member, you share responsibility for ensuring your safety. Outlined below you will find advice that helps us to provide safe care for you. These tips are meant to help you during your stay and even after you go home. Safety Tips • Inform your healthcare team of all information which may affect your care or safety: • Medicines you are taking (including over-the-counter medicines, dietary supplements, vitamins, and herbal remedies) • Allergies you may have (i.e. to medicines, environmental (pollen, dust, grass) or foods) • Side effects or bad reactions to medicines, treatments, or tests you have had in the past • Previous hospitalizations, surgeries, or illnesses REMEMBER: Do not assume every team member has all of your personal information. • Inform your healthcare team about your wishes concerning life support or resuscitation. • Bring Advance Directives, Living Wills or other documents which might outline your wishes regarding specific wishes. • Tell your doctor about your specific wishes. • Educate yourself about your condition and your treatment options. • Gather information about your condition. • Know who will be taking care of you. 30

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• Know how long the treatment should last. • Know how you should feel. • More tests or medications may not always be better. Ask your doctor what each test or medication is supposed to do. • Do not be afraid to ask for a second opinion if you are uncomfortable. • Seek the advice of others who have had the treatment you are considering. Be an active team member. • Pay attention to the care you are receiving. • Read all medical forms and make sure you understand them before signing anything. • Tell a team member if something does not seem right. • Your team members should introduce themselves when they enter your room. If you are unsure who someone is, ask. • Your team members should wash their hands before giving care. Do not be afraid to remind them. • Know what time of day you normally receive a medicine. If you do not receive it, tell your nurse. • Know what your medicines look like, how much you take, and what side effects you may feel. • Make sure your doctor or nurse checks your name before giving any medicine or treatment. • Follow all hospital rules and policies. They are meant to keep you safe.

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Ask someone you trust to be your advocate. • Your advocate can ask questions that you may not think of, may help you remember answers to your questions, and may speak up for you if you cannot. • Ask this person to stay with you (even overnight) when you are in the hospital. • Make sure your advocate knows your wishes for care and your wishes concerning resuscitation and life support. • If you wish, ask your advocate to review medical forms you need to sign. • Make sure your healthcare team understands who your advocate is and what information they are able to give that person. REMEMBER: • If you have questions, ask. • If you have concerns, tell one of the members of your healthcare team. • Tell your team everything. Do not leave information out or assume that we know it.

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Pain Management Our facilities healthcare providers will: • Inform patients at the time of the initial evaluation that relief of pain is an important part of their care, and they will respond quickly to their reports of pain. • Ask patients on initial evaluation and as part of regular assessments about their presence, quality, and intensity of pain and use the patient’s self report as the primary indicator of pain. • Work together with the patient and other healthcare providers to establish a goal for pain relief and develop and implement a plan to achieve that goal. • Review and modify the plan of care for patients who have unrelieved pain. For more information about pain management, please talk with your doctor or nurse. As a patient, you can expect: • Information about pain and pain relief measures. • A concerned staff committed to pain prevention and management. • A healthcare professional to respond quickly to your report of pain. • Your reports of pain will be believed. • State-of-the-art pain management. • Dedicated pain relief specialists.

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As a patient, we expect that you will: • Ask your doctor or nurse what to expect regarding pain and pain management. • Discuss pain relief options with your doctors and nurses. • Work with your doctor and nurse to develop a pain management plan. • Ask for pain relief when pain FIRST begins. • Help your doctor and nurse assess your pain. • Tell your doctor or nurse if your pain is not relieved. • Tell your doctor or nurse about any worries you have about taking pain medication.

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If You Have Concerns Every patient has the right to file comments, positive or negative, about his/her care and treatment and not be penalized in any way for doing so. The managers and staff will be responsive to the concerns of patients and their families or guardians. All employees are considered patient advocates. Patient concerns are considered a priority and staff will respond immediately. Patients and their legally authorized representatives are encouraged, but not required to utilize the facility’s complaint/grievance process before registering a complaint with the appropriate outside agency such as Department of Health and Environmental Control (DHEC), Center for Medicare Services (CMS), Carolinas Center for Medical Excellence 1-800-922-3089, and the utilization committee of your insurance carrier. You may contact your nurse, your doctor, the hospital administrator, the risk manager, a patient representative or the compliance officer if you have concerns and wish to report them. To file a grievance with the South Carolina Department of Health and Environmental Control, contact: SC DHEC Division of Health Licensing 2600 Bull Street Columbia, S.C. 29201 (803) 545-4370 www.scdhec.com

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The Joint Commission accredits healthcare organizations’ compliance with nationally established Joint Commission standards. Roper St. Francis, which includes Roper Hospital, Bon Secours St. Francis Hospital, Roper St. Francis Home Health and Roper St. Francis Medical Center Berkeley, is a Joint Commission accredited organization. The Public has the right to notify The Joint Commission about any quality concerns they may have related to Roper St. Francis. Such notifications should be addressed to: Division of Accreditation Operations Office of Quality Monitoring, The Joint Commission One Renaissance Blvd. Oakbrook Terrace, IL 60181 Telephone: (800) 994-6610 Fax: (630) 792-5636 Email: [email protected]

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Compliance Program Our healthcare system’s Corporate Compliance Program is designed to reflect our commitment to our mission, to the highest standards of business conduct and to applicable laws and regulations. All employees are trained on the Compliance Program and are expected to follow the standards in "Our Code of Conduct: The Right Thing To Do". These standards are: • Patient Care • Confidentiality • Conflicts of Interest • Finance and Records • Billing • Admissions and Referrals • Media Inquiries and Advertising • Safety: Your Health and Environment • Political and Regulatory • Safeguarding Property and Technology • Equal Employment for All and Workplace Behavior Our billing standard states "The system bills only for care and services which are properly ordered and medically necessary. All coding and billing will be performed in accordance with our policies as well as federal and state regulations." If patients have questions about bills they should call Patient Customer Service at 402-5200. Other concerns may be expressed to clinical staff or patient representatives during your stay. The Compliance Officer or Corporate Compliance HelpLine may be utilized to report unresolved compliance concerns. The number for the Corporate Compliance HelpLine is 1-800-597-3386.

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SECTION VII Lewis Blackman Patient Safety Act The following is intended to serve as information to be provided to each Roper St. Francis patient presenting for inpatient services or outpatient surgical services. The purpose of such information is to communicate with each patient the role of the clinical medical providers for the patient and provide a mechanism whereby the patient may contact his or her attending physician or clinical manager, if necessary. The following individuals may be involved with patient care during the patient’s visit with Roper St. Francis. This list does not include all clinical staff that may be involved in the patient’s care, but should provide each patient with a sound understanding of the role of the primary medical providers. Attending Physician – medical physician directly responsible for admitting patient to hospital and/or responsible for patient’s care; Resident Physician – medical physician who has graduated from a medical education program who may assist the attending physician with patient care under the direction of the attending physician and an ongoing further medical educational program; Intern Physician – individual who is an advanced student or graduate of a medical education program and is participating in direct patient care for the purpose of gaining practical medical experience under the direction and supervision of the attending physician; Consulting Physician – an individual physician that may be assisting or called to consult with the patient for a specific medical purpose, but who is not necessarily taking the role of attending physician; Clinical Trainees – included individuals who may be observing or seeking advanced clinical training in a medical field or hospital environment, such as nursing, medical training or other training. Such trainees are supervised by the attending physician (as described here) or directly supervised by a licensed nurse or clinical manager during the care of the patient. 38

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Medical Student – individual who observes the medical care provided by the attending physician, working with and under the direct supervision of the attending physician. A list of approved abbreviations for use on the clinical and medical staff’s identification badges has been provided with this written information for your benefit and review. Please note: your attending physician may change during your hospitalization, please check with your nurse or clinical manager if you have any questions regarding your attending physician. You may also have one or multiple consulting physicians taking part in your medical care; however, these consulting physicians are not considered your attending physician unless informed otherwise. Also, Medical students and interns may be rounding with your attending physician during normal rounds, these individuals are not your attending physician, but may participate in the clinical treatment you receive. You may contact your attending physician or his/her designee, at any time, by asking your nurse the following: You may request that the nurse place a call to your attending physician, or his/her designee, to inform the attending physician or his/her designee of the patient’s concern; OR You may request that the nurse provide you with the attending physician’s telephone number so that the patient may contact the attending physician or his/her designee directly; OR If you are unable to place a call yourself, you may request that your nurse assist you with placing the call to the attending physician or his/her designee. Finally, you may access the Patient Assistance Program in order to contact the clinical manager for your current nursing unit to discuss any clinical concern you may have that may not require the need of the attending physician or his/her designee. Please see the following document for information and an explanation to access the Patient Assistance Program 39

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PATIENT ASSISTANCE PROGRAM LEWIS BLACKMAN PATIENT SAFETY ACT The following is intended to serve as a written procedure for Roper St. Francis patient’s access to the Patient Assistance Program. The purpose of this Program is to provide clinical assistance to patients, at their request, that may not require the attending physician’s assistance. This Program will be available at all times to the patient while hospitalized with Roper St. Francis. Each nursing unit will make available a clinical manager with telephone number and/or pager number for patients to access from their rooms. The clinical manager or house-nursing supervisor should promptly assess the patient’s concern based on the contact made by the patient and document appropriately in the patient’s chart. The clinical manager shall be available to patients during normal scheduled hours. The house nursing supervisor(s) shall be available during abnormal scheduled working hours pursuant to the hospital’s employee schedules. Telephone number and pager number will be available for the appropriate clinical manager or house-nursing supervisor 24-hours a day, 7-days a week. The purpose of this Program is not intended to replace or in any way act as the method for handling general patient complaints, this is for clinical assistance only. The Patient Assistance Program information will be made available on each nursing unit and the policy shall be made available in the written information provided to each patient upon admission for inpatient services and outpatient surgery. The contact information for each unit’s clinical manager or housenursing supervisor, and the times in which each is available for contact, shall be posted at the nursing unit on a specially prepared location and made available for the patients without requesting assistance. The telephone number and pager number of each unit’s clinical manager or house-nursing supervisor are available by being posted at each nursing station on the nursing unit. The clinical manager is available during the times and 40

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days posted on the information sheet and the house-nursing supervisor is available during all other times. The patient may use the telephone located within each patient room or area or may use any personal telephone system available to contact the clinical manager or house-nursing supervisor when necessary. A patient may contact the listed individual during the hours provided for prompt assistance with personal medical care concerns. This Program is not provided for the use or purpose of addressing patient complaints, for which another policy and procedure for each hospital currently exists, but rather it is available for the prompt assessment of such medical care concerns

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Partial List of Generally Accepted Clinical Abbreviations for Departments and Job Titles General

Abbreviation

Departments

Administrator Assistant Vice President Assistant Associate Certified Clinical Coordinator Counselor Director Health Home Medical Manager Outpatient Patient Procedure Registered Representative Specialist Senior Supervisor Surgical, Surgery Services Technician, Technologist Therapy Vice President Volunteer

Adm Asst VP, AVP Asst Assoc, Assc Cert Clin Coord Coun Dir Hlth Hm Med Mgr OP Pt Proc Reg Rep Spec Sr Supr, Supv Surg Svcs Tech Ther VP Vol

Cardiology Services & Neurophysiology Services Cardiac Cardio Cardiovascular CV Cardiovascular Registered Nurse CVRN Cardiovascular Technician CV Tech, CVT Echocardiogram Technologist Echo Tech Electroencephalogram Technician EEG Tech Electrocardiogram Technician EKG Tech Monitor Technician Mon Tech Health Information Management RHIA RHIT CCS Laboratory Services American Society of Clinical Pathologist Cytotechnologist Histology Technician, Technologist Laboratory Laboratory Technical Specialist Medical Laboratory Technician Medical Lab Technician I & II Medical Lab Technologist Medical Lab Technologist I & II Medical Office Assistant – OSA Medical Records Analyst Medical Records Specialist Medical Social Worker Medical Staff Coordinator Medical Technologist Medical Office Assistant – OSA Medical Technologist Pathology Assistant Phlebotomist Specimen, Procurement and Procedure Technician

Abbreviation

Registered Health Information Administrator Registered Health Information Technician Certified Coding Specialist ASCP Cyto Tech Histo Tech Lab Lab Tech Spec Med Lab Tech, MLT MLT or CLT MT or CLS

LMSW or LISW Med Off Asst Med Tech, MT Path Asst Phleb SP & P Tech

Nursing, Surgical & Related Services Anesthesia Anes, Anest, Anesth Adult Nurse Practitioner Adult NP; ANP Care Team Technician Care Team Tech, CTT Certified Medical Assistant Cert Med Asst, CMA Certified Nursing Assistant Cert Nursing Asst, CNA Certified Registered Nurse Anesthetist CRNA Certified Surgical Technologists Cert Surg Tech, CST Clinical Nurse Specialist Clin Nurse Spec, CNS Employee Health Nurse Emp Hlth Nurse Endoscopy Technician Endo Tech Licensed Practical Nurse LPN Neonatal Nurse Practitioner NNP Nurse Practitioner NP

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Departments

Abbreviation

Pharmacy Services Certified Pharmacy Technician Clinical Pharmacist Doctor of Pharmacy Intravenous Pharmacist Intravenous Pharmacy Tech Pharmacy Registered Pharmacist

Cert Pharm Tech Clin Pharm Pharm D IV Pharmacist IV Tech, IV Pharm Tech Pharm RPh

Physician and Physician Extenders Doctor of Osteopathy Medical Doctor Physician Assistant Resident Physician

DO MD PA Resident

Radiology Services Computerized Tomography Technologist Magnetic Resonance Imaging Technician Mammography Technician Nuclear Medical Technologist Radiation, Radiologic or Radiological Technologist or Technician Special Procedures Technologist

CT Tech MRI Tech MMO Tech, Mammo Tech Nuc Med Tech Rad Tech, RT Spec Proc Tech

Rehabilitative Services Athletic Trainer Certified Occupational Therapist Assistant Occupational Occupational Therapist Registered Physical Therapist Speech Language Pathologist

AT Cert OT Asst, COTA, OTA, OTAC Occ OTR, OT PT, RPT SLP

Respiratory Therapy Services Certified Respiratory Therapist/Technician Respiratory Registered Respiratory Therapist

Cert Resp Ther/Tech, CRTT Resp Reg Resp Ther, RRT

Social Services Licensed Bachelor Social Worker Licensed Independent Social Worker Licensed Master Social Worker Licensed Professional Counselor Social Worker

LBSW, BSW LISW LMSW, MSW LPC SW

Other Departmental Abbreviations Behavioral Emergency Department Emergency Trauma Center Endoscopy Home Health Neurophysiology Occupational Health Oncology Operating Room Orthopaedic Pathology Pediatric Pulmonary

Behav ED or spell out ETC Endo HH Neuro Occ Hlth Onc OR Ortho Path Ped Pulm

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ROPER ST. FRANCIS