Patient Responsibilities

Patient Responsibilities A patient has the responsibility to provide, to the best of his/her knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications and other matters relating to his/her health. He/she has the responsibility to report unexpected changes in his/her condition to the responsible practitioner. A patient is responsible for making it known whether he/she clearly comprehends a contemplated course of action, and what is expected of him/her. 

Compliance with Instructions 
A patient is responsible for following the treatment plan recommended by the practitioner primarily responsible for his/her care.  This may include following the instructions of nurse and allied health care personnel as they carry out the coordinated plan of care and implement
the responsible practitioner's orders, and as they enforce the applicable Medical Center rules and regulations. The patient is responsible for keeping appointments and, when unable to do so for any reason, notifying the responsible practitioner or the Medical Center. 

Refusal of Treatment
The patient is responsible for his/her actions if (s)he refused treatment or does not follow the practitioner's instructions.  

Medical Center Charges
The patient is responsible for assuring that the financial obligations of his/her healthcare are fulfilled as promptly as possible. 

Medical Center Rules and Regulations
The patient is responsible for following hospital rules and regulations affecting patient care and conduct. 

Respect and Consideration
The patient is responsible for being considerate of the rights of other patients and medical center personnel and for assisting in the control of noise, smoking, and the number of visitors. The patient is responsible for being respectful of the property of other persons and of the medical center.


Smoking

Wyckoff Heights Medical Center is a "Smoke Free" Facility.  Smoking is prohibited anywhere in the hospital by order of the New York City Fire Department, Local and State Law.  For health and safety reasons we require your compliance with this rule.

For your information:  Smoking will trigger the smoke alarm system, setting off the hsoopital fire alarm system and a response from the New York City Fire Department.

Also, the use of alcoholic beverages and/or other controlled substances is absolutely forbidden. This prohibition applies both to patients and visitors to the Medical Center.


Concerns About Your Care

If you have a concern, problem or complaint related to any aspect of care during your hospital stay, speak to your doctor, nurse or hospital staff member.  If hospital staff has not resolved the problem, you may contact the New York State Department of Health by mail or by phone.

You may call the toll-free number at 1-800-804-5447 or you may file a complaint in writing and send it to:

New York State Department of Health
Centralized Hospital Intake Program
433 River Street 6th Floor
Troy, New York 12180

Questions or Comments: hospinfo@health.state.ny.us

Notice:  You may contact the Joint Commission's Office of Quality Monitoring to report any concerns or register complaints about a JCAHO accredited health care organization by either calling 1-800-994-6610 or emailing complaint@jcaho.org.

You can contact Ruth D. Krauthamer, R.N., Patient Safety Officer at 718-963-7177 or rkrauthamer@wyckoffhospital.org.


Speak Up

Help Prevent Errors In Your Care...

Everyone has a role in making health care safe - physicians, health care executives, nurses and technicians. Health care organizations across the country are working to make health care safety a priority. You, as the patient, can also play a vital role in making your care safe by becoming an active, involved and informed member of your health care team.

An Institute of Medicine (IOM) report has identified the occurrence of medical errors as a serious problem in the health care system.  The IOM recommends, among other things, that a concerted effort be made to improve the public's awareness of the problem.  The "Speak Up" program, sponsored by the Joint Commission on Accreditation of Healthcare Organizations, urges patients to get involved in their care. Such efforts to increase consumer awareness and involvement are supported by the Centers for Medicare and Medicaid Services.  This initiative provides simple advice on how you, as the patient, can make your care a positive experience.  After all, research shows that patients who take part in decisions about their health care are more likely to have better outcomes. 

Speak up if you have questions or concerns, and if you don't understand, ask again. It's your body and you have a right to know.  

  • Your health is too important to worry about being embarrassed if you don't understand something that your doctor, nurse or other health care professional tells you.
  • Don't be afraid to ask about safety.  If you're having surgery, for example, ask the doctor to mark the area that is to be operated upon, so that there's no confusion in the operating room.
  • Don't be afraid to tell the nurse or the doctor if you think you are about to receive the wrong medication.
  • Don't hesitate to tell the health care professional if you think he or she has confused you with another patient.

Pay attention to the care you are receiving.  Make sure you're getting the right treatments and medications by the right health care professionals.  Don't assume anything.

  • Tell your nurse or doctor if something doesn't seem quite right.
  • Expect health care workers to introduce themselves when they enter your room and look for their identification badges.  A new mother, for example, should know the person to whom she is handing her baby. If you are unsure, ask.
  • Notice whether your caregivers have washed their hands.  Hand washing is the most important way to prevent the spread of infections.  Don't be afraid to gently remind a doctor or nurse to do this. 
  • Know what time of day you normally receive a medication.  If it doesn't happen, bring this to the attention of your nurse or doctor.
  • Make sure your nurse or doctor confirms your identity, that is, checks your wristband or asks your name, before he or she administers any medication or treatment. 

Educate yourself about your diagnosis, the medical tests you are undergoing, and your treatment plan. 

  • Ask your doctor about the specialized training and experience that qualifies him or her to treat your illness (and be sure to ask the same questions of those physicians to whom he or she refers you).
  • Gather information about your condition. Good sources include your doctor, your library, respected websites and support groups.
  • Write down important facts your doctor tells you, so that you can look for additional information later. And ask your doctor if he or she has any written information you can keep.
  • Thoroughly read all medical forms and make sure you understand them before you sign anything. If you don't understand, ask your doctor or nurse to explain them.
  • Make sure you are familiar with the operation of any equipment that is being used in your care. If you will be using oxygen at home, do not smoke or allow anyone to smoke near you while oxygen is in use.

Ask a trusted family member or friend to be your advocate.

  • Your advocate can ask questions that you may not think of while you are under stress. 
  • Ask this person to stay with you, even overnight, when you are hospitalized.  You will be able to rest more comfortably and your advocate can help to make sure you get the right medications and treatments.
  • Your advocate can also help remember answers to questions you have asked, and speak up for you if you cannot.
  • Make sure this person understands your preferences for care and your wishes concerning resuscitation and life support.
  • Review consents for treatment with your advocate before you sign them and make sure you both understand exactly what you are agreeing to.
  • Make sure your advocate understands the type of care you will need when you get home.  Your advocate should know what to look for if your condition is getting worse and whom to call for help.

Know what medications you take and why you take them.  Medication errors are the most common health care mistakes.

  • Ask about the purpose of the medication and ask for written information about it, including its brand and generic names.
  • Also inquire about the side effects of the medication. 
  • If you do not recognize a medication, verify that it is for you.
  • Ask about oral medications before swallowing, and read the contents of bags of intravenous (IV) fluids. If you're not well enough to do this, ask your advocate to do this.
  • If you are given an IV, ask the nurse how long it should take for the liquid to "run out." Tell the nurse if it doesn't seem to be dripping properly (that it is too fast or too slow).
  • Whenever you are going to receive a new medication, tell your doctors and nurses about allergies you have, or negative reactions you have had to medications in the past.  
  • If you are taking multiple medications, ask your doctor or pharmacist if it is safe to take those medications together.  This holds true for vitamins, herbal supplements and over-the-counter drugs, too.
  • Make sure you can read the handwriting on any prescriptions written by your doctor. If you can't read it, the pharmacist may not be able to either.

Use a hospital, clinic, surgery center, or other type of health care organization that has undergone a rigorous on-site evaluation against established, state-of-the-art quality and safety standards, such as that provided by the Joint Commission.  

  • Ask about the health care organization's experience in treating your type of illness. How frequently do they perform the procedure you need and what specialized care do they provide in helping patients get well?
  • If you have more than one hospital or other facility to choose from, ask your doctor which one offers the best care for your condition.
  • Before you leave the hospital or other facility, ask about follow-up care and make sure that you understand all of the instructions.
  • Go to Quality Check at www.jcaho.org to find out whether your hospital or other health care organization is accredited. 

Participate in all decisions about your treatment. You are the center of the health care team.

  • You and your doctor should agree on exactly what will be done during each step of your care.
  • Know who will be taking care of you, how long the treatment will last, and how you should feel. 
  • Understand that more tests or medications may not always be  better.  Ask your doctor what a new test or medication is likely to achieve.
  • Keep copies of your medical records from previous hospitalizations and share them with your health care team.  This will give them a more complete picture of your health history.
  • Don't be afraid to seek a second opinion.  If you are unsure about the nature of your illness and the best treatment, consult with one or two additional specialists.  The more information you have about the options available to you, the more confident you will be in the decisions made.
  • Ask to speak with others who have undergone the procedure you are considering. These individuals can help you prepare for the days and weeks ahead. They also can tell you what to expect and what worked best for them as they recovered.


A Patient Advocate is available by calling (718) 963-7189 from 9:00 a.m. till 5:00 p.m., Monday through Friday.

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