{"ref":"NC-HSP-PR-01","title":"Patient Rights and Responsibilities","category":"Client rights","summary":"Gives every patient written notice of his or her rights and responsibilities before care starts, applies the 15 rights of G.S. 131E-144.3 to hospice patients as 10A NCAC 13K .0604(a) requires, adds the federal hospice rights of 42 CFR §418.52, gives the business-hours and Division complaint numbers, and keeps proof of delivery in the record.","inShort":["Give the written rights notice (Form NC-HSP-PR-01-A) and explain it out loud before any care starts.","Use a qualified interpreter if the patient does not understand English well. Do not use children to interpret.","Get the signature on Form NC-HSP-PR-01-B. If there is none, write who received it and why there is no signature.","Make sure the patient has our business number, the on-call number and the State complaint numbers.","Respect every right: privacy, property, refusing care, choosing a doctor and complaining without fear.","Report any sign of abuse, neglect or theft to the Administrator right away."],"primaryCitation":"10A NCAC 13K .0604(a)","citations":["10A NCAC 13K .0604(a), (b), (c)","10A NCAC 13K .0301(a)(3)","G.S. 131E-144.3","10A NCAC 13K .0901(b)(14)","G.S. 131E-201(5)"],"federalCitations":["42 CFR §418.52","42 CFR §418.104(a)(2)","42 CFR §418.24(b)(7)","45 CFR §92.201"],"surveyorAsks":["Show me how and when this patient received the written notice of rights and responsibilities, and where the signed copy is in the record.","Which rights do you give patients, and how do they match G.S. 131E-144.3?"],"forms":[{"ref":"NC-HSP-PR-01-A","title":"Notice of Patient Rights and Responsibilities"},{"ref":"NC-HSP-PR-01-B","title":"Patient Rights Acknowledgment"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13K .0604(a))","5. The Rights of Every Patient","5.1 Federal hospice rights","6. Giving the Notice of Rights","7. Contact Numbers Every Patient Receives","8. Patient Responsibilities","9. Protecting Rights in Daily Practice","9.1 Exercising rights for a patient who cannot","9.2 Notice of a change to the Agency's license","9.3 Respect, privacy and freedom from abuse","10. When a Patient Says a Right Was Not Respected","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"nc-hospice","state":"North Carolina","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}