Annapolis ENT Surgical Center, LLC

Patient Responsibility Statement

  1. To inform the Surgery Center truthfully regarding the presence or absence of an adult care person, to be in attendance for the patient postoperative instructions and transportation.
  2. To ensure home care, either through a friend, family member or home healthcare, and for advising the Surgery Center of issues surrounding this subject in a timely manner such that alternatives can be arranged.
  3. To advise the Surgery Center of barriers to their learning such as visual, auditory or other deficits to include language barriers. This is important so that arrangements can be made to the support the patient in the identified area.
  4. To provide, to the best of his knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to his health.
  5. To report changes in their condition and status to the Surgery Center and their physician in a timely manner.
  6. To participate in health care decisions and for following the treatment plan outlined by the practitioner responsible for his care. This includes following instructions of the physicians, nurses and other health care personnel carrying out the plan of care and enforcing the Center’s rules and regulations.
  7. For assuring that the financial obligations of his health care are fulfilled as promptly as possible, and in the case of financial difficulty, making all reasonable efforts to meet any agreed upon financial payment plan.
  8. For his actions if he refuses treatment or is non-compliant in following a plan of treatment recommended by his physician.
  9. To know the rules and regulations of the Center affecting his care and conduct, and for following the Center’s rules and regulations.
  10. To be considerate and respectful to members of the organization’s staff and healthcare workers. It is, furthermore, their responsibility to ensure that their family members or care persons are equally considerate and respectful.
  11. For being respectful of the property of other persons and of the Center.
  12. To advise staff members regarding pain needs, issues or special requests, and for asking for pain relief when pain first begins.
  13. To make sure he understands all information regarding the implications of his symptoms, his surgery or procedure (if applicable), any alternatives to that surgery or procedure, and any risks related to having or declining such surgery or procedure, the expected outcomes of the plan of care outlined by his physician, and his responsibilities in regards to that plan of care.
  14. To follow preoperative and postoperative instructions and to ask questions or seek clarification where understanding of such instruction is questionable.

To request, if desired, information on Advance Directives; and the policy of any health care organization on Advance Directives.