eLaws | eCases | State of Arizona |
 Arizona Administrative Code (Last Updated: November 17, 2016)
 Title 9. HEALTH SERVICES
 Chapter 10. DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING
 Article 9. OUTPATIENT SURGICAL CENTERS

  Section R9-10-909. Patient Rights  

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  • A.      An administrator shall ensure that:

    1.        The requirements in subsection (B) and the patient rights in subsection (C) are conspicuously posted on the prem- ises;

    2.        At the time of admission, a patient or the patient’s repre- sentative receives a written copy of the requirements in subsection (B) and the patient rights in subsection (C); and

    3.        Policies and procedures include:

    a.         How and when a patient or the patient’s representa- tive is informed of patient rights in subsection (C), and

    b.        Where patient rights are posted as required in sub- section (A)(1).

    B.       An administrator shall ensure that:

    1.        A patient is treated with dignity, respect, and consider- ation;

    2.        A patient is not subjected to:

    a.         Abuse;

    b.        Neglect;

    c.         Exploitation;

    d.        Coercion;

    e.         Manipulation;

    f.         Sexual abuse;

    g.        Sexual assault;

    h.        Seclusion;

    i.         Restraint;

    j.         Retaliation for submitting a complaint to the Depart- ment or another entity; or

    k.        Misappropriation of personal and private property by the outpatient surgical center’s medical staff, per-

     

    sonnel members, employees, volunteers, or students;

     

    b.     Dated, legible, and authenticated; and

    and

     

    c.      Not changed to make the initial entry illegible;

    3.     A patient or the patient’s representative:

     

    3.     An order is:

    a.      Except in an emergency, either consents to or refuses

     

    a.      Dated when the order is entered in the patient’s med-

    treatment;

     

    ical record and includes the time of the order;

    b.     May refuse or withdraw consent for treatment before

     

    b.     Authenticated by a medical staff member according

    treatment is initiated;

     

    to policies and procedures; and

    c.      Except in an emergency, is informed of alternatives

     

    c.      If the order is a verbal order, authenticated by the

    to a proposed psychotropic medication or surgical

     

    medical staff member issuing the order;

    procedure and the associated risks and possible com-

     

    4.     If a rubber-stamp signature or an electronic signature is

    plications of the proposed psychotropic medication

     

    used to authenticate an order, the individual whose signa-

    or surgical procedure;

     

    ture the rubber-stamp signature or electronic signature

    d.     Is informed of the following:

     

    represents is accountable for the use of the rubber-stamp

    i.      Policies and procedures on health care direc-

     

    signature or electronic signature;

    tives, and

     

    5.     A patient’s medical record is available to an individual:

    ii.     The patient complaint process;

     

    a.      Authorized according to policies and procedures to

    e.      Consents  to  photographs  of  the  patient   before  a

     

    access the patient’s medical record;

    patient is photographed, except that a patient may be

     

    b.     If the individual is not authorized according to poli-

    photographed when admitted to an outpatient surgi-

     

    cies and procedures, with the written consent of the

    cal center for identification and administrative pur-

     

    patient or the patient’s representative; or

    poses; and

     

    c.      As permitted by law; and

    f.      Except as otherwise permitted by law, provides writ-

     

    6.     A patient’s medical record is protected from loss, dam-

    ten  consent   to  the  release  of  information  in   the

     

    age, or unauthorized use.

    patient’s:

    B.

    If an outpatient surgical center maintains patients’ medical

    i.      Medical record, or

     

    records electronically, an administrator shall ensure that:

    ii.     Financial records.

     

    1.     Safeguards exist to prevent unauthorized access, and

    C.

    A patient has the following rights:

     

    2.     The date and time of an entry in a patient’s medical

     

    1.     Not to be discriminated against based on race, national

     

    record is recorded by the computer’s internal clock.

     

    origin, religion, gender, sexual orientation, age, disability,

    C.

    An administrator shall ensure that a patient’s medical record

     

    marital status, or diagnosis;

     

    contains:

     

    2.     To  receive  treatment   that  supports   and  respects  the

     

    1.     Patient information that includes:

     

    patient’s individuality, choices, strengths, and abilities;

     

    a.      The patient’s name;

     

    3.     To receive privacy in treatment and care for personal

     

    b.     The patient’s address;

     

    needs;

     

    c.      The patient’s date of birth; and

     

    4.     To review, upon written request, the patient’s own medi-

     

    d.     Any known  allergies,  including  medication  aller-

     

    cal record according to A.R.S. §§ 12-2293, 12-2294, and

     

    gies;

     

    12-2294.01;

     

    2.     The admitting medical practitioner;

     

    5.     To receive a referral to another health care institution if

     

    3.     An admitting diagnosis;

     

    the outpatient surgical center is not authorized or not able

     

    4.     Documentation of general consent and informed consent

     

    to provide physical health services needed by the patient;

     

    for treatment by the patient or the patient’s representative,

     

    6.     To participate, or have the patient's representative partici-

     

    except in an emergency;

     

    pate, in the development of or decisions concerning treat-

     

    5.     If applicable, the name and contact information of the

     

    ment;

     

    patient’s representative and:

     

    7.     To  participate  or  refuse  to  participate   in  research   or

     

    a.      If the patient is 18 years of age or older or an eman-

     

    experimental treatment; and

     

    cipated minor, the document signed by the patient

     

    8.     To receive assistance from a family member, a patient’s

     

    consenting for the patient’s representative to act on

     

    representative, or other individual in understanding, pro-

     

    the patient’s behalf; or

     

    tecting, or exercising the patient’s rights.

     

    b.     If the patient’s representative:

Historical Note

Adopted effective February 17, 1995 (Supp. 95-1). Sec- tion repealed; new Section made by final rulemaking at 9

A.A.R. 338, effective March 16, 2003 (Supp. 03-1). Sec- tion repealed; new Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13- 2). Amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effective July 1,

2014 (Supp. 14-2).