To recognize and respect the rights of the patient; to understand that each patient is an individual with unique health care needs; to respect each patient’s personal dignity and provide care based on the patient’s individual needs.
1. Each neuromonitoring patient has the right to a reasonable response to his/her needs for treatment and services within the scope of care of the Advanced Monitoring Services-Intraoperative Monitoring Services Department. Upon admission to each Hospital or Healthcare Facility served by Advanced Monitoring Services, the patient receives “Patient Rights” information.
2. Each neuromonitoring patient is assessed for individualized needs based on the age, cultural, spiritual and psychosocial aspects of the patient and his/her response to illness. Care is adjusted to meet these needs whenever possible. The patient is involved in the decisions about the care, treatment and services he/she receives.
3. Informed Consent: The patient has the right to make decisions involving his/her care. The patient is informed on the surgical monitoring procedure, including risks, benefits, outcome and other items required by state code. Informed Consent is primarily a physician duty and is usually completed in the physician’s office. The physician confirms in writing on the History and Physical or Progress Note that an informed consent has been given. The patient has the right of refusal at any time during the neuromonitoring process.
4. Patient Privacy: Each neuromonitoring patient is treated with respect and patient privacy is honored. Each employee has received the required Health Insurance Portability and Accountability Act (HIPAA) Privacy Rules and signs written statements that the privacy of the patient is to be honored. The RN Circulator functions as a patient advocate during the process by protecting the patient’s privacy, both physically and verbally. Discussion of the patient’s needs and data are to be held with only those individuals involved in the patient’s care. No information is disclosed over the phone to family or non-employees.
5. Filming/Photography Consent: The patient will sign a written consent when photography, videotaping or filming is anticipated and the patient’s identity is evident on the photographs/films. The patient will receive information on how the photograph/videotape will be used and if used outside of the Medical Center. Educational filming requires a separate Photography Consent.
6. Identification of Neuromonitoring Team: All members of the Advanced Monitoring Services-Intraoperative Monitoring Services Department personnel will inform the patient of their name, title and purpose of their care. The patient will be informed of the primary physician (surgeon) who will coordinate their care during the Neuromonitoring process.
7. Patient Confidentiality: The OR Schedule is treated as an extension of the patient’s chart. No information regarding the patient may be disclosed over the telephone without the patient’s permission. Photography is permitted only if the patient cannot be identified. A Photography Consent is required when pictures or videotapes including the face of the patient are taken. Discussions regarding the patient/procedure are confined to the Advanced Monitoring Services-Intraoperative Monitoring Services Department and only as part of the care process.
8. Effective and Timely Communication: The patient will receive information in a manner that is appropriate for their age, primary language and level of understanding. Vision, hearing and cognitive assessment is completed to determine most effective means to communicate with the patient.
9. If an Intraoperative Neuromonitoring Services staff member has a moral objection to the patient’s decision, he/she must notify the Unit Supervisor as soon as possible for a staffing adjustment. If no other staff member can be found, the employee will complete the case.
10. Mental, Physical, Sexual and Verbal Abuse: The patient has the right to be free from real or perceived abuse, neglect or exploitation from anyone who participates in their care, as well as other patients, visitors or family members. Any suspected neglect or abuse is reported to the surgeon.
11. Research: The patient is informed of the risks, benefits and rights prior to a research procedure. A separate research consent form is reviewed with the patient and family. The Research representative presents the entire packet of information and obtains consent from the patient. The representative also signs and dates when the consent was given. The Research Committee (IRB) determines the parameters for studies and trials including data recording and review of results.
12. Patient Complaints: The patient is encouraged to express opinions, compliments and complaints at any time in the department. The IONM Project Lead of the Advanced Monitoring Services-Intraoperative Monitoring Services Department may be contacted at any time.
13. Employee Ethical Issues: Each employee is free to express ethical concerns to the Advanced Monitoring Services Medical Director. The Ethics Committee may meet at any time for emergency issues or when the Committee Chairperson determines a meeting is required.