Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 96 - FREESTANDING ADULT DAY HEALTH CENTERS › Section 11-96-9 - Client's rights

Current through June, 2024
(a) Written
				policies regarding the rights and responsibilities of clients during their stay
				in the center shall be established and shall be made available to the client,
				to any guardian, next of kin, sponsoring agency or representative payee, and to
				the public. The center's policies and procedures shall provide that each
				individual admitted to the center shall:
(1)
				Be fully informed, as evidenced by the client's written signed acknowledgement
				prior to or at the time of admission, of these rights and of all rules
				governing client conduct;
(2) Be
				fully informed, prior to or at the time of admission and during stay, of
				services available in or through the center and of related charges, including
				any charge for services not covered by the center's basic per diem
				rate;
(3) Be advised that clients
				have a right to have their medical condition and treatment discussed with them
				by a physician of their choice, and to be afforded the opportunity to
				participate in the planning of their medical treatment and to refuse to
				participate in experimental research;
(4) Have the right to refuse treatment after
				being informed of the medical benefits of treatment, the consequences of
				refusal, and the medical alternatives;
(5) Be encouraged and assisted throughout
				their period of stay to exercise their rights as clients, and to this extent to
				have grievances and to recommend changes in policies and services to the
				center's staff and outside representative of their choice free from restraint,
				interference, coercion, discrimination, or reprisal;
(6) Not be humiliated, harassed, injured, or
				intimidated and shall be free from chemical and physical restraints. Physical
				restraints may be used only in an emergency when necessary to protect the
				client from injury to the client or others. In such an event, the client's
				physician shall be notified as soon as possible and further orders obtained; as
				provided in section
				11-96-35;
(7) Be entitled to have their personal and
				health records kept confidential and subject to release only as provided in
				section
				11-96-24;
(8) Be treated with consideration, respect,
				and in full recognition of their dignity and individuality, including privacy
				in treatment and in care as appropriate;
(9) Not be required to perform services for
				the center that are not included for therapeutic purposes in their plan of
				care;
(10) Have reasonable access
				to telephones, both to make and receive confidential calls, or to have such
				calls made for the client, if necessary;
(11) Be allowed to end participation at the
				adult day health center at any time; and
(12) Be discharged only for medical reasons,
				or for the client's welfare or that of other clients, or for non-payment for
				services, and be given reasonable advance notice to ensure orderly discharge.
				Such actions shall be documented in the client's record.