Patient's Name Gender Age Department Bed ID No.
Dear Patient and Relatives:
Hello! Thank you for choosing to visit our department, we will try our best to provide you with high quality medical services, and please feel free to put forward your valuable comments and suggestions on our services. Hospitals are places for diagnosis and treatment of diseases, in order for you and others to recover health as soon as possible, to facilitate the implementation of medical behavior of medical staff, I hope to be able to provide you with high-quality and efficient medical services at the same time, please give your cooperation.
1. You should provide healthcare professionals with detailed and truthful information about your health, including the basic condition of the disease, previous illnesses and diagnosis and treatment, drug allergy history and other relevant details.
2. According to the law, if special examination, special treatment, surgery or experimental medical treatment is required in medical activities, the patient or his/her legal representative, close relatives or other related persons should sign the corresponding consent form. In order to ensure that you can understand the purpose of the invasive (special) examination, treatment and the risk of the examination/treatment itself, our medical staff will explain the relevant information to you in detail, which is the legal obligation of the medical staff, if there is something that you do not understand, please ask the medical staff for an explanation in a timely manner. Please listen carefully to the information provided by our medical staff and consider carefully signing the legal documents, such as the Voluntary Letter. Once these documents are signed by both parties, they will have the corresponding legal effect, which is important for you to exercise your legitimate rights and interests correctly.
3. You should comply with the treatment plan and related notes proposed by the physician and agreed by you. After discharge, you should also follow the physician's instructions to carry out activities, rest, and ensure timely follow-up.
4. Checkups, treatment time, please do not leave the ward, not in the room playing poker, loud noise or do other diagnosis and treatment has nothing to do with the medical order of things.
5. For the patient's medical expenses in the treatment, the state does not have any funding, so all the costs of the patient must be taken care of by their own (or responsible for the payment of their medical expenses of the organization to bear), if due to the diagnosis and treatment of the funds are not in place to delay the diagnosis and treatment of the adverse consequences of the hospital does not assume responsibility.
6. About the hospitalization cost inquiry: patients hospitalized in the form of a daily list of costs to inform you, of which the cost of medicines may also include: 1 day before the next day for the implementation of long-term medication prescribed in advance of the cost of medicines. As the cost involves more related departments, if you have any questions, please tell the nurse to help query, all the costs during hospitalization are subject to discharge audit checkout.
7, when you are not feeling well or need the nurse's help, please use the bedside pager to call the medical staff, or notify the nurse station by other means, we will provide you with medical and nursing services in time.
8, hospitalization, please do not leave the ward without authorization, leave the hospital and outside the sleep, in order to avoid accidents. Otherwise, the hospital will not be responsible for the consequences of any accidents that may occur.
9, hospitalization should not be unauthorized outside the hospital to consult, purchase drugs, private physicians to the hospital consultation and other means of treatment, otherwise the adverse consequences of the occurrence of their own responsibility.
10, in order to ensure safety, is strictly prohibited in the ward, sick room smoking and the use of stoves, not to use electric rice cookers, electric cups and other electrical appliances, violators will be dealt with in accordance with the relevant provisions of the hospital, and bear all the consequences arising therefrom.
11, in order to protect the lives of patients, to ensure that health care personnel to perform medical acts, the ward shall not be unlocked, the night rest curtains must leave a gap.
12. Laptop computers, cash, jewelry, cell phones, documents and other valuables should not be brought into the ward, such as if brought into the please take care of their own to prevent loss. The hospital will not be liable for any loss of property caused by the violation of the regulations.
13, you should remain rational and calm after the occurrence of medical disputes, in accordance with the legal procedures. Can be resolved with the hospital consultation, or apply for mediation of the health administrative department, or to the people's court litigation, but never disturb the normal order of medical diagnosis and treatment, not to mention assault and damage to medical personnel and hospital property.
14. About discharge: Our hospital has implemented a pre-discharge system, if you need to be discharged, please inform your doctor one day in advance, so that the doctors and nurses can make relevant preparations for you.
15. Good rest is conducive to the recovery of diseases and the development of diagnostic and therapeutic activities, according to the following work and rest intervals: lunch break: 13:00 ~ 15:00, the night rest time 22:00 ~ 07:00 p.m. Every day, 08:00 a.m. to 10:00 a.m. (diagnosis and treatment time), the lunch break and the night rest time can not watch television.
16. patients and relatives please comply with the visitation system, each visit to the same 1 patients can not exceed 2 people, visiting time: Monday to 15:00-20:00 pm, the weekend to increase the morning 09:00-12:00.
17. on the management of the accompanying: critical, major surgery, the elderly over the age of 70, children, Mental disorders, life can not take care of themselves and other patients need to stay with the escort, the escort should be in good health, with the ability to care for others, 24 hours a day to stay with the escort, with the work of the medical staff, do not sleep in beds, due to the escort does not fulfill its obligations, leading to the patient's emergence or the adverse consequences of the family members of the patient to assume responsibility.
About hospitalization, hospital regulations, management requirements and the existence of a variety of risks and violations, do not cooperate with the treatment of the adverse consequences of responsibility, ward nurses have informed me in detail, I understand, willing to cooperate with the hospital's diagnosis and treatment of nursing care, and authorize the relevant personnel to perform on behalf of the signatures of the period of my hospitalization.
The patient or the authorized person (signature): 20 years, the informant 20 years, the month