VIDEO 12: PATIENT’S BILL OF REFUSAL OF HOSPITALS AND MEDICAL

CLINICS TO ADMINISTER APPROPRIATE

RIGHTS (DOH)
INITIAL MEDICAL TREATMENT AND
SUPPORT IN EMERGENCY, OR
Board exam question: Which of the ff is NOT a
SERIOUS CASES, AMENDING FOR THE
legally binding document but nonetheless very
PURPOSE BATAS PAMBANSA BILANG
important in the care of all patients in any setting?
702, OTHERWISE KNOWN AS “AN ACT
ANS: Patient’s Bill of rights (as adopted by
PROHIBITING THE DEMAND OF
American Nurses Association)
DEPOSITS OR ADVANCE PAYMENTS
RATIONALE: it is not a legally binding document in
FOR THE CONFINEMENT OR
the Philippines because it is not inactive by the
TREATMENT OF PATIENTS IN
congress, by the president or by any judicial, or
HOSPITALS AND MEDICAL CLINICS IN
legislative body. So it is not made by congee or any
CERTAIN CASES”, AS AMENDED BY
sanggunian. It is useful as a guideline, because
REPUBLIC ACT NO. 8344, AND FOR
violation of a patient's rights can lead to other legal
OTHER PURPOSES
consequences, like violation of criminal law, civil or
administrative law.
RA10932
- Section 1 : section 1 of BP 702 to read as
1. Rights to Appropriate Medical care and
follows:
Human treatment - Every person has a
- In emergency or serious cases, XXX no
right to health and medical care
deposit ro any other form of advance
corresponding to his state of health, without
payment as prerequisite for rendering basic
any discrimination and within the limits of
emergency care xxx
the resources, manpowerand competence
- If there is “inadequacy of medical
available for health and medical care at the
capabilities of other hospital or medical
relevant time. The patient has the right to
clinic, the attending physician my transfer
appropriate health and medical care of good
the patient ot faculty where the appropriate
quality. In the course of such, his human
care can be given, after:
dignity, convictions, integrity, individual
A. The pt or next of kin consents ot transfer
needs and culture shall be respected.
B. The receiving hospital or medical clinic
If any person cannot immediately be given
agrees to such transfer
treatment that is medically necessary he
shall, depending on his state of health,
-If the pt is unconscious, incapable of giving
either be directed to wait for care, or be
consent and / or unaccompanied, the physician can
referred or sent for treatment elsewhere,
transfer the pt even without his consent after:
where the appropriate care can be provided.
A. Necessary emergency treatment and
If the patient has to wait for care, he shall be
support have been administered to stabilize
informed of the reason for the delay.
the pt.
Patients in emergency shall be extended
B. It has been established that such transfer
immediate medical care and treatment
entails less risks than pt continued
without any deposit, pledge, mortgage or
confinement.
any form of advance payment for treatment.
> there is a law now that prohibits hospitals
-No hospital or clinic, after being informed of the
from demanding a deposit before they can
medical indications for such transfer, shall refuse to
provide emergency treatment. Ex pregnant
receive the patient nor demand from the pt or his
mother that is about to give birth or a man
next of kin any deposit or advance payment.
has been shot or stab, the hospital needs to
A. Emergency: a condition or state of a pt
treat the person if they appear in the
wherein based on the objective findings of a
hospital. The hospital may not refuse
prudent medical offer on duty for the day
treatment until deposit can be given,
there is immediate danger and mere delay
otherwise the head of hospital can be held
in initial support and treatment may cause
liable, a fine of 500,000, 1,000,000 and
loss of life or cause permanent disability to
imprisonment.
the pt, or in the case of a pregnant woman,
permanent injury, or loss of her unborn
(RA 8344: hospitals to treat emergency
child, or would result in noninstitutional
cases without deposit otherwise the medical
deliver.
direction become liable) strengthen by RA
B. Serious case : a condition of a pt
10932 AN ACT STRENGTHENING THE
characterized by gravity of danger wherein
ANTI-HOSPITAL DEPOSIT LAW BY
based on the objective findings of prudent
INCREASING THE PENALTIES FOR THE
 medical officer on duty for the day when left
attended to, may cause loss of life or cause
permanent disability to the pt, or in the case
of a pregnant woman, permanent injury, or
loss of her unborn child.
C. Basic emergency care - includes the
procedure required for the initial diagnosis,
use of equipment and supplies in sufficiently
addressing the emergency situation,
considering the welfare of the patient.
Includes the necessary medical procedure
and treatment administered to a woman in
active labor to ensure the safe delivery of
the newborn.
D. Noninstitutional delivery- the delivery of a
newborn while in transit, outside of a health
facility , after an initial consultation was
done in a health facility
Section3: section 3 of same, as amended, is
hereby further amended to read as follows
- Where there is no ambulance for use by the
hospital or the clinic for the emergency
transfer of the patient to a facility where the
appropriate care shall be given, the LGU
where the hospital or clinic is located must
allow the free use of its emergency vehicle.
Pwede gamitin ang LGU vehicle but if ayaw
nila pwede kasuhan ng grave misconduct,
or grave negligence of whoever is incharge
of LGU or controlling such vehicle.
- The hospital or clinical must provide a staff
nurse with advanced cardiac life support
certification or its equivalent to accompany
the pt in the emergency vehicles
- All hospitals are required to post at their
entrance a notice indicating the
classification level of the hospital as
licenced by the DOH and the list of medical
services that the hospital is authorized to
perform. Like how many capacity of bed, or
type of surgery to perform
Section 4: amends sections 4 of same act
- Any officer, medical practitioner or
employee of the hospital or medical clinic
who violates the provision of this act shall,
upon conviction by final judgement be
punished by imprisonment 6 mo 1 day, to 2
yrs 4 mo, or a fine of 100-300k, or both at
the discretion of the court.
- If the violation is committed pursuant to an
established policy of the hospital or clinic or
upon instruction of its management, the
director or officer of such hospital or clinic
responsible for the formulation and
implementation, suffer imprisonment 4-6 yrs
or a fine of 500k to 1M or both at the
discretion of the court without prejudice to
damages that may be rewarded to the pt-
compliant.
> the former provision, punishes
isolated incident, where in an employee of
an hospital or a doctor of a hospital refuses
to give emergency treatment without
deposit. But this particular provision talks
about established policy of a hospital, it
doesn’t have to be written, like verbal
transmitted lang. Ma punish ang director of
hospital.
> what are the damages? Civil
amount which the court will cost you to pay
the person you have wrong.
>ex namatay ang baby kay nahulog,
value of dead fetus, is NOTHING. A dead
fetus has no fixed salary yet. It has no
monetary value. But the mother and father
can claim the damages, specifically for
moral damages, like tears and anxiety.
> hindi ganon kalaki ang moral
damages, only rewarded to reduce suffering
of parents who lost their baby. But couple
can file exemplary damages, the rule is sky
is the limit.
> exemplary damages are awarded
by the court to punish someone who has
done a grievous wrong. Tinawag na
grievous so that other people will not
commit the same mistake.
> mas malaki ang exemplary
damages kaysa sa moral damages. You
can ask a million.
- Upon 3 repeated violations based on an
established policy of the hospital or clinic or
upon instruction of its management, the
health facility’s license to operate shall be
revoked by the DOH. solidarily liable for the
damages that may be awarded by the court
to the pt-compliant, president, chairman ,
board of directors, or trustees, and other
officers of the health facility.
> 3 repeated violations can cause
hospital closure, the court may also award moral,
exemplary, or actual damages to whoever was
wronged. Ang problema dito is the one being
punished is the institutional, building yan, paano
maka bayad ang building, so ang magbabayad is
the people in charge.
Section 5: inserts new section 5,6,7 after section 4
- Section 5: In the event of death, permanent
disability, serious impairment of the health
condition of the patient-complainant, or in
the case of a pregnant woman, permanent
injury or loss of her unborn child,
proceeding from the denial of his or her
 admission to a health facility pursuant to a
policy or practice of demanding deposits or
advance payments for confinement or
treatment, a presumption of liability shall
arise against the hospital, medical clinic,
and the official, medical practitioner, or
employee involved.
> what is the significance of a legal
presumption? There are 2 types of
presumption, 1. Presumption of facts, 2.
Presumption of law. And what appears to be
presumed in this case is the facts. If the
laws provides in this section, for example a
pregnant woman was refused by the
hospital because of no deposit and the baby
or mother died just outside the gates of
hospital, the hospital is presumed liable.
Ano significance don? It means the family of
the woman doesnt have to present much
evidence, all they have to do is present the
circumstance of the case na namatay dahil
it was being refused by the hospital.
Because of such presumption, it is the
hospital who has to prove that they did not
commit a mistake. Hindi conclusive and
presumption of fact so it can be rebutted.
> you cannot argue that section 5 is
unfair to the hospital kasi hindi naman
conclusive young presumption, the hospital
can still overturn the presumption by
presenting evidence na may justified reason
sya for refusing the woman.
Section 6: file complaint initially with the health
facilities and services regulatory board (HFSRB) of
the DOH.
Composition:
- DOH representative with min rank of
director to serve as chair
- Representative from Philhealth
- Representative from Philippine medical
association
- Representative from private health
institution
- 3 representative from NGO advocating for
pt rights and public health (one is licenced
physician)
- The board shall investigate the claims of the
patient and after adjudication, impose
administrative sanctions in accordance with
this act including the revocation of the
health facilities license.
- On the basis of its own findings the board
shall also facilitate the filing of the criminal
case in the proper courts
> yung power nung investigative
board of DOH, it cannot impose criminal
penalty, like fines or imprisonment, ano lang
magawa nya, revoke license of the hospital.
If the nurse or doctor ang makasala, the
investigative board can facilitate filing of
criminal case, they can draft complaint.
- This is without prejudice to the rights of the
patient-complainant to directly institute
criminal proceedings in the court.
> even without going to dOH you
can file in the court directly.
>opinion ni sir, even without this law
you can file a criminal case against the
hospital who refused to treat you without
deposit. Ex, article 365 of the revised penal
code, reckless imprudence resulting in
physical injuries.
Section 7: Philhealth Reimbursement of basic
emergency care
- Furthermore, the philippine charity
sweepstakes office (PCSO) shall provide
medical assistance for the basic emergency
care needs of the poor and marginalized
> hindi malulugi ang hospital kasi if
they provide basic emergency care to those
na walang pera, i-reimburse ng philhealth
and PCSO
Section 8: Tax deduction
- For those expenses incurred by the hospital
or clinic in providing basic emergency care
to the poor and indigent agents not
reimbursed by philhealth.
> if may expense ng hospital na
hindi ma reimburse ng philhealth, pwede i
claim as tax deduction
> ex you spent 1M sa hospital to
provide the basic care sa mga walang pera,
and tax mo sa taong yung is 5 million, so 5-
1, 4 million will be your tax liability. To be
arranged sa BIR.
- Approved August 3, 2017 by Pres. Duterte
2. Rights to informed consent - The patient has a
right to a clear, truthful and substantial
explanation, in a manner and language
understandable to the patient, of all proposed
procedures, whether diagnostic, preventive,
curative, rehabilitative or therapeutic, wherein the
person who will perform the said procedure shall
provide his name and credentials to the patient,
possibilities of any risk of mortality or serious
side effects, problems related to recuperation, and
probability of success and reasonable risks
involved:
> before any surgery or treatment, pt has to
provide informed consent.
 > only who can provide consent 18 yrs old
and above, sound mind.
> taken before pt is given any
consciousness altering meds
> pt must understand procedure, hindi
kaylangan na most detailed basta maintindihan
> job of nurse to ask question to pt to know
if pt did understand .
Provided, That the patient will not be subjected
to any procedure without his written informed
consent, except in the following cases:
A. in emergency cases, when the patient is at
imminent risk of physical injury, decline Of
death if treatment is withheld or postponed. In
such cases, the physician can perform any
diagnostic or treatment procedure as good
practice of medicine dictates without such
consent;
B. when the health of the population is dependent
on the adoption of a mass health program to
control epidemic;
C. when the law makes it compulsory for
everyone to submit a procedure;
D. When the patient is either a minor, or legally
incompetent, in which case. a third party
consent Is required;
E. when disclosure of material information to
patient will jeopardize the success of
treatment, in which case, third party
disclosure and consent shall be in order;
(tawag is benevolent deception)
F. When the patient waives his right in writing.
Informed consent shall be obtained from a patient
concerned if he is of legal age and of sound mind.
In case the patient is incapable of giving consent
and a third party consent is required. the
following persons, in the order of priority stated
hereunder, may give consent:
i. spouse;
ii. son or daughter of legal age;
iii. either parent;
iv. brother or sister of legal age, or
v. guardian
If a patient is a minor, consent shall be obtained
from his parents or legal guardian. If next of kin,
parents or legal guardians refuse to give consent
to a medical or surgical proceoure necessary to
save the life or limb of a minor or a patient
incapable of giving consent, courts, upon the
petition of the physician or any person interested in
the welfare of the patient, in a summary
proceeding, may issue an order giving consent.
>Like blood transfusion. If parents ayaw
mag bigay ng consent but to the medical team it is
the only way to save a life then they can file a
petition in court, for court to give order.
> court can order to give treatment even if
the parents says no. Court represents people and
the government, and government is a parent of
everyone in the country.
> the court can decide the fate of a child,
especially if it is measure to the best interest of the
child.
● Who gets: doctor who performs surgery.
Sya mag eexplain ng procedure.
● Who signs: patient
● Who witnesses: nurse or SO of pt
3. Rights to privacy and confidentiality - The
privacy of the patients must be assured at all
stages of his treatment. The patient has the right to
be free from unwarranted public exposure, except
in the foLLowing cases:
A.) when his mental or physical condition is in
controversy and the appropriate court, in its
discretion, order him to submit to a physical or
mental examination by a physician
> jig: court order; ex ;examination for
gonorrhea of a suspected rapist when rape victim
had gonorrhea as a result of the rape.
> jig: the privileged doctor-pt relationship
does not apply in a criminal case; it only applies in
civil case. For example, a woman was raped and
killed, then before she died she managed to tell
someone that the one who raped her has a specific
tattoo on the chest. At yung sinabihan ng babae is
the doctor na nag treat sa kanya, and the same
doctor treated the rapist for an injury.
> Can the doctor testify in court? 1. The
court can order someone to take off their shirt in
court. In civil case, the doctor may refuse to divulge
information about a client he has treated, like
annulment, civil case yan. But in a criminal case, a
doctor cannot invoke a doctor- pt relationship. If
you treated a man and you have knowledge of any
medical fact that could convict him, then you can be
made to state that in court.
Section 1 (rules 28 of court), when examination
may be ordered-- action in which the mental or
physical condition of a party is in controversy the
court in which the action is pending may in its
discretion order him to submit to a physical or
mental examination by a physician.
Xxx
Section 24. - Disqualification by reason of
privileged communication-0 the following persons
cannot testify as to matters learned in confidence in
the following cases.
 > (A ) A person authorized to practice
medicine surgery or obstetrics cannot in a civil case
without the consent of the patient be examined as
to any advice or treatment given by him or any
information which he may have acquired in
attending such patient in a professional capacity
which information was necessary to enable him to
act in that capacity and which would blacken the
reputation of the patient.
> paano yung nurse? Within the
contemplation of the law, the nurse is considered
an agent of the doctor. Kung ano hindi pwede
masabi ng doctor, hindi rin pwede masabi ng nurse.
In criminal case, the nurse can also be compelled
to state what he knows medically related to the
patient
> (B) When the public health and safety so
demand;
> pubic consent may not be required for
public health and safety so demand. For ex, COVID
19. The government requires everyone to social
distancing. The government is not requiring your
consent to be physically distant. It is giving you an
order for the safety of everyone.
>(C) when the patient waives this right in
writing.
The patient has the right to demand that all
information, communication and records pertaining
to his care be treated as confidential. Any health
care provider or practitioner involved in the
treatment of a patient and all those who have
legitimate access to the patient's record is not
authorized to divulge any information to a third
party who has no concern with the care and
welfare of the patient without his consent,
except:
A) when such disclosure will benefit public health
and safety;
B) when it is in the interest of justice and upon the
order of a competent court; and
> may mga batas na kaylangan i observe,
ex, HIV positive yung client. Only the doctor
managing the pt, should know about it and
everyone caring for him in the hospital. Usually
chart is placed with a code to warn you about the
said condition.
C) when the patients waives in writing the
confidential nature of such information;
D) when it is needed for continued medical
treatment or advancement of medical science
subject to de-identification of patient and shared
medical confidentiality for those who have access
to the information.
> ex, the DOH has a nationwide databank
with everyone who has communicable disease, ex,
TB, HIV, to keep track and epidemiology purposes.
But there is a coding system to protect the identity
of pt.
Informing the spouse or the family to the first
degree of the patient's medical condition may be
allowed; Provided That the patient of legal age shall
have the right to choose on whom to inform. In
case the patient is not of legal age or is mentally
incapacitated, such information shall be given to
the parents, legal guardian or his next of kin.
> if man has HIV, should the hospital inform
the wife? Yes. the hospital has the right to do that.
If the hospital does not inform the wife. The wife
can sue the hospital for damages.
4. Rights to information - In the course of his/her
treatment and hospital care, the patient or his/her
legal guardian has a right to be informed of the
result of the evaluation of the nature and extent of
his/her disease, any other additional or further
contemplated medical treatment on surgical
procedure or procedures, including any other
additional medicines to be administered and their
generic counterpart including the possible
complications and other pertinent facts, statistics
or studies, regarding his/her illness, any change
in the plan of care before the change is made,
the person's participation in the plan of care
and necessary changes before its implementation,
the extent to which payment maybe expected
from Philhealth or any payor and any charges for
which the patient maybe liable, the disciplines of
health care practitioners who will furnish the care
and the frequency of services that are proposed to
be furnished.
> in relation to generic names, may batas
na when a doctor prescribe ng medication , bawal
na na-brand name lang ang nilalagay sa
prescription , doctors are required to place the
generic name to give pt options, to buy cheaper
drug na same lang ang effect.
> the practice of only prescribing expensive
meds is prohibited by law.
The patient or his legal guardian has the right to
examine and be given an itemized bill of the
hospital and medical services rendered in the
facility or by his/her physician and other health care
providers, regardless of the manner and source of
payment.He is entitled to a thorough explanation of
such bill.
The patient or hislher legal guardian has the
right to be informed by the physician or his/her
delegate of hisJher continuing health care
requirements following discharge, including
instructions about home medications, diet, physical
activity and all other pertinent information to
promote health and well-being.
> di pwede after giving treatment and nag
bayad ang pt, papauwiin nalang nag basta2 without
giving instruction on what he should do about sa
drug. Like take it with or without food? After meals?
>if the pt is injured because of lack of
discharge teaching by the physician, you can sue
under article 365 .
At the end of his/her confinement, the patient is
entitled to a brief, written summary of the course
of his/her illness which shall include at least the
history, physical examination, diagnosis,
medications, surgical procedure, ancillary and
laboratory procedures, and the plan of further
treatment, and which shall be provided by the
attending physician. He/she is likewise entitled to
the explanation of, and to view, the contents of
medical record of his/her confinement but with the
presence of his/her attending physician or in the
absence of the attending physician, the
hospital's representative.
> about the chart, the pt can actually view
the contents of the chart as well as relatives up to
the 4th civil degree. The info of the chart is property
of the patient, even though the chart is a physical
property of the hospital.
> if ayaw ipakita ng doctor ang, you can file
for administrative case, civil case, subpoena -- a
subpoena cannot be filed without filing the civil
case.
Notwithstanding that he/she may not be able to
settle his accounts by reason of financial
incapacity (pt na hindi makabayad), he/she is
entitled to reproduction, at his/her expense, the
pertinent part or parts of the medical record
the purpose or purposes of which he shall
indicate in his/her written request for
reproduction. The patient shall likewise be
entitled to medical certifICate, free of charge,
with respect to his/her previous confinement.
> even if pt is not able to pay bills, bawal i
detain ng hospital. Hospital can be sued for illegal
detention. The lawyer can petition the court for the
pt’s extrication from the hospital via petition for
habeas corpus with damages.
> you are also obliged to furnish him
records of the coses of his expenses, surrender
him an accounting, bakit ganon bill niya.
5. the Right to Choose Health Care Provider
and Facility. - The patient is free to choose the
health care provider to serve him as well as the
facility except when he is under the care of a
service facility or when public health and safety so
demands or when the patient expressly waives this
right in writing.
> for example may covid and pt, dun sya
ilalagay sa communicable disease ward. Hindi mag
choose.
The patient has the right to discuss his condition
with a consultant specialist, at the patient's request
and expense. He also has the right to seek for a
second opinion and subsequent opinions, if
appropriate, from another health care
provider/practitioner.
6. Rights to self- determination -The patient has
the right to avail himself/herself of any
recommended diagnostic and treatment
procedures.Any person of legal age and of sound
mind may make an advance written directive for
physicians to administer terminal care when he/she
suffers from the terminal phase of a terminal illness:
Provided That
A) he is informed of the medical consequences of
his choice;
B) he releases those involved in his care from any
obligation relative to the consequences of his
decision;
C) his decision will not prejudice public health and
safety.
> it has something to do with advance
directive, pwede ka gumawa ng advance directive,
a written document that outlines to physician, what
you want to include or excluded in your care,
should you be incapacitated and no longer able to
deicde for your self. Ano limitation non? The
limitation you are now prejudice public health and
safety.
> meaning, di ka pwde mag write ng
instruction na when you die, you will be burn and
your ashes will be scattered in the city, especially if
you die from communicable disease, may
limitations naman.
7. Right to Religious Belief. - The patient has
the right to refuse medical treatment or procedures
which may be contrary to his religious beliefs,
subject to the limitations described in the preceding
subsection:
Provided, That such a right shall not be imposed
by parents upon their children who have not
reached the legal age in a life threatening situation
as determined by the attending physician or the
medical director of the facility.
8. Right to Medical Records. - The patient is
entitled to a summary of his medical history and
condition.He has the right to view the contents of
his medical records, except psychiatric notes and
other incriminatory information obtained about third
parties, with the attending physician explaining
contents thereof. At his expense and upon
discharge of the patient, he may obtain from the
health care institution a reproduction of the same
record whether or not he has fully settled his
financial obligation with the physician or institution
concerned.
The health care institution shall safeguard the
confidentiality of the medical records and to
likewise ensure the integrity and authenticity of the
medical records and shall keep the same within
a reasonable time as may be determined by the
Department of Health.
The health care institution shall issue a medical
certificate to the patient upon request.Any other
document that the patient may require for insurance
claims shall also be made available to him within
forty-fIVe (45) days from request.
BOARD EXAM QUESTION : Disposal of medical
records in government hospitals/institutions must
be done in close coordination with what agency ?
ANSWER: Department of health
BOARD EXAM QUESTION: in the hospital, when
you need the medical record of discharged pt for
research you will request permission through
ANSWER: the hospital director
BOARD EXAM QUESTION: You readmitted a
client who was in another department a month ago
since you will need to previous chart from whom do
you pressed the old chart?
ANSWER: medical record section.
BOARD EXAM QUESTION : Record management
and archives office of the DOH is responsible for
implementing its policies on records disposal. You
know that your institution is covered by this policy if.
ANSWER: it obtained to operate from DOH
BOARD EXAM QUESTION : Kathy is one of your
pt, her uncle who is a doctor wants to read her
chart. Your appropriate actions would be.
ANSWER: instruct Kathy's uncle to present a
written authorization signed by the pt.
BOARD EXAM QUESTION : Which of the following
person cannot have access to the pt records?
ANSWER: lawyer of the family
BOARD EXAM QUESTION: the pt’s medical record
is the best evidence of the care that is given to the
pt. It is the property of.
ANSWER: the physical property of the hospital.
9. Right to leave- The patient has the right to
leave hospital or any other health care institution
regardless of his physical condition: Provided.
That
A) he/she is informed of the medical
consequences of his/her decision
B) helshe releases those involved in his/her care
from any obligation relative to the consequences of
his decision;
C) hislher decision will not prejudice public health
and safety.
> as long as she signs against the medical
advice form.
No patient sha;; be detained against hi$/her will in
any health care institution on the sole basis of his
failure to fully settle his financial obligations.
> jigs: remedy: file writ of habeas corpus
with damages. You can also file illegal detention
However, he/she shall only be allowed to leave the
hospital provided appropriate arrangements have
been made to settle the unpaid bills: Provided.
further, That unpaid bills of patients shall be
considered as loss income by the hospital and
health care provider/practitioner and shall be
deducted from gross income as income loss only
on that particular year.
10.Right to Refuse Participation In Medical
Research. - The patient has the right to be
advised if the health care provider plans to
involve him in medical research, including but not
limited to human experimentation which may be
performed only with the written informed consent of
the patient: Provided, That, an institutional review
board or ethical review board in accordance with
the guidelines set in the Declaration of Helsinki be
established for research involving human
experimentation: Provided, further, That the
Department of Health shall safeguard the
continuing training and education of fUture health
care provider/practitioner to ensure the
development of the health care delivery in the
country: Provided, fUrthermore, That the patient
involved in the human experimentation shall be
made aware of the provisions of the Declaration of
Helsinki and its respective guidelines.
11. RIght to Correspondence and to Receive
Visitors. - The patient has the right to
communicate with relatives and other persons
and to receive visitors subject to reasonable limits
prescribed by the rules and regulations of the
health care institution.
12. Right to Express Grievances. - The patient
has the right to express complaints and
grievances about the care and services received
without fear of discrimination or reprisal and to
know about the disposition of such complaints.Such
a system shall afford all parties concerned with the
opportunity to settle amicably all grievances.
13. RIght to be Informed of His Rights and
Obligations as a Patient. - Every person has the
right to be informed of his rights and obligations as
a patient.The Department of Health,in coordination
with healthcare providers, professional and civic
groups, the media, health insurance corporations,
people's organizations,local government
organizations, shall launch and sustain a
nationwide information and education campaign
to make known to people their rights as
patients, as declared in this Act Such rights and
obligations of patients shall be posted in a bulletin
board conspicuously placed in a health care
institution.
It shall be the duty of health care institutions to
inform of their rights as well as of the institution's
rules and regulations that apply to the conduct of
the patient while in the care of such institutions.
BOARD EXAM QUESTION:the pt’s bill of rights
helps practitioners provide more effective pt care.
Which should NOT be included in the list.
ANSWER: be informed of administrative and
policies and practices.
ANSWER: right to self determination
BOARD EXAM QUESTION: Breathing treatment
or to be given purita. in anticipation that purita
refuse dino one of the children request that he be
the one in behalf of the mother the nurse explains
that purita is rationale in her thinking and which of
these clients right must be regarded
ANSWER: right to refuse treatment.
BOARD EXAM QUESTION: As you become
socialized into the nursing “culture” you become a
patient advocate advocacy is explained by the
following except
ANSWER: demonstrating loyalty to the institution
rights

RATIONALE: kay not concern of th pt anymore.

BOARD EXAM QUESTION: the client says “ i want

to tell you something but can you promise that you
will keep it as a secret? “ a therapeutic response of
the nurse is:

ANSWER: “yes, our interaction is confidential

provide the information you tell me is not
detrimental to you safety.

BOARD EXAM QUESTION: it is unethical to tell

one’s friend and family members daya about pt
because doing is a violation of pt’s rights to:

ANSWER: confidentiality

BOARD EXAM QUESTION: When the nurse is

asked a personal question, which of these
reactions indicates a need for her to introspect.

ANSWER: his right to privacy is being intruded.

BOARD EXAM QUESTION: Client’s right should be

protected when doing research using human
subjects. Martha identifies these rights as follows
except.

ANSWER: right to compensation

BOARD EXAM QUESTION: you inform the pt

about his rights which include the following, except

ANSWER: right to obtain information about other

pt.

BOARD EXAM QUESTION: MR. santos RN,

works in a nursing home, and he knows that one of
his duties is to be an advocate for his pt. Mr. santos
knows primary duty of an advocate is to

ANSWER: maintain pt rights to privacy

BOARD EXAM QUESTION: an 85 yr old client in a

nursing home tells a nurse, “ i signed the paper for
that research study because a doctor was so
insistent and i want him to continue taking care of
me: which client right is being violated?