Patient rights and Responsibilities

You Have The Right To:
  • Receive care that is free of discrimination and respectful of your personal privacy, personal value, dignity, and beliefs
     
  • Receive private and confidential treatment.
     
  • Confidentiality, privacy and security of your healthcare information.
     
  • Receive full information of the risks, benefits, and alternatives to your plan of care given to you in a way you can understand.
     
  • Participate in the development and implementation of your inpatient/outpatient treatment/ care plan, participate in the development and implementation of your discharge plan and participate in the development and implementation of your pain management plan.
     
  • Request or refuse care/treatment to the extent permitted by law. Your care provider will ex plain the medical consequences of refusing recommended treatment.
     
  • You have the right to request your family member, or representative of your choice, and your own physician be notified of your admission to the hospital.
     
  • Receive information about advance directives (Living Will, Healthcare Power of Attorney), obtain assistance in completion of advance directives, and have advance directives honored once legally executed and available on the medical record.
     
  • Be involved in end-of-life care decisions to include withholding life-sustaining treatments, resuscitative services, and organ/tissue donation.
     
  • Know the name and role of your care providers (doctor, nurse, etc.) and know who is primarily responsible for your care.
     
  • Access information contained in your medical record, upon request and as quickly as possible.
     
  • Be free from abuse and harassment in your home, and to receive our help in contacting advocacy or protective services.
     
  • Be free from restraint and seclusion that is not medically required or is used inappropriately.
     
  • Receive medically necessary treatment regardless of your ability to pay.
     
  • Be informed of charges and your financial responsibility. Receive financial counseling if requested. Adopted Date:1/2024 Revised Date: 06/2026, 10/26 Form# SRMC-0237E
     
  • Receive copies of your hospital bills and an explanation of charges.
     
  • Participate in or decline to participate in research. You may decline at any time without compromising your care or treatment.
     
  • Have your compliments, concerns, and complaints addressed. Expressing your concerns will not compromise access to care, treatments, or services. Please direct your comments in person, by phone, or by mail to the following:
    • In person to the staff delivering your care or to the department manager.
    • By phone to:
      • The hospital Clinical Administrator by calling the operator at 910-592-8511.
      • The hospital HELP LINE at 910-596-4318.
      • Hospital Administration 910-590-8716
    • By mail to:
      • SampsonRMC Director of Quality, P.O. Box 260 Clinton, NC 28329
Your Responsibilities Are To:
  • Provide the hospital with a picture ID to ensure you are correctly identified.
     
  • Provide the hospital with correct information about your health and medical history.
     
  • Ask questions when you do not understand.
     
  • Follow instructions for your care. You are responsible for the outcomes of not following your plan of care.
     
  • Patients and visitors are prohibited from photographing, videotaping, or audio recording staff members without expressed permission from the staff member.
     
  • Act in a manner that is respectful of other patients, staff, and facility property.
     
  • Leave valuables at home and bring only necessary items for your hospital stay. The hospital is not responsible for lost belongings.
     
  • Treat all hospital staff, other patients, and visitors with courtesy and respect.
     
  • Abide by all hospital rules and safety regulations.
     
  • Meet your financial obligation to the facility or ask for financial assistance