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ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS
PATIENT RIGHTS: NOTICE OF RIGHTS
Tag No.: A0117
Based on review of facility policy, medical records (MR), and staff interview (EMP), it was determined the facility failed to ensure patients were notified of their rights in advance of receiving care for 20 of 20 outpatient medical records reviewed (MR1, MR2, MR3, MR4, MR5, MR6, MR7, MR9, MR10, MR11, MR12, MR13, MR14, MR15, MR16, MR17 MR18, MR19 and MR20).
Findings include:
Review on March 21, 2023, of facility policy "Advanced Directives/POLST" revised June 24, 2021, revealed "... C. Outpatients, 1. At registration, outpatients should be offered written and/or electronic information regarding the Patient's Bill of Rights and Responsibilities ..."
Review on March 21, 2023, of MR1, MR2, MR3, MR4, MR5, MR6, MR7, MR9, MR10, MR11, MR12, MR13, MR14, MR15, MR16, MR17 MR18, MR19 and MR20 revealed no documentation the Patient's Bill of Rights and Responsibilities information was offered in either written and/or electronic form.
Interview on March 21, 2023, with EMP2 at approximately 10:25 AM confirmed at the time of registration, patients are not offered written and/or electronic information regarding the Patient's Bill of Rights and Responsibilities.