Institute of Clinical
and Experimental Medicine
IR
NAME:
INTERNAL RULES
VALID from: 1.9.2015
CANCELLED version 01 z 1.10.2013
SUBMITTED BY
PhDr. Martina
Šochmanová,MBA
REVIEWED BY
APPROVED BY
MUDr. Milan Ročeň, Ph.D.
Mgr. et Mgr. Barbora Půžová
MUDr. Aleš Herman, Ph.D.
Dear Sir/Madam,
Welcome to the Institute for Clinical and Experimental Medicine, and thank you for showing
confidence in us by entrusting yourself to our care. Our employees do their best to provide
you with good-quality and professional medical and non-medical services, and to provide
diligent, sensitive and thoughtful help to enable you to achieve and consolidate your health.
In this respect, especially you yourself can be helpful by adopting a positive approach to your
treatment, and by observing these Internal Rules, which are binding for all IKEM patients.
Throughout your stay your care will be provided by a team of healthcare professionals who
you can turn to at any time with trust.
Among other things, IKEM is intensively engaged in medical research. Results of the
research provide new information about diseases, their treatments and related efficacies,
which is helpful for other patients undergoing identical or similar therapy. You may therefore
be asked whether you wish to participate in a project. Your participation is always voluntary
and is not possible without your written consent.
Also, IKEM is a training site for qualification-related and further education of doctors and
nurses and other healthcare professionals. These students will be members of the medical
team that shall ensure your care; you have the right to refuse the presence of persons not
directly involved in providing medical services, as well as persons undergoing their training
for their profession as a healthcare professional.
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Ensuring your treatment with maximum discretion and with maximum respect for your privacy
is a matter of course for us. On the other hand, you are expected to inform us of any
problems and anything that worries you. Throughout your stay at IKEM your care will be
ensured by a team of healthcare professionals directed by your treating doctor who shall
determine an optimal individual therapeutic procedure. You have the right to be informed
about your health condition in a way you can understand, and to learn about all available
possibilities of assessments and therapies. You should follow the advice and instructions of
your treating healthcare professionals. The team of nurses under expert supervision of the
senior staff nurse is responsible for your nursing care.
You should respect usual social conventions while staying at IKEM. You should respect the
privacy and rights of other patients, their diseases and any related problems. You should
respect silence during night hours from 10 pm to 6 am.
Your admission to the ward shall be ensured by the treating doctor or doctor on duty at the
IKEM department for acute admissions. If you cannot be admitted to the ward for operational
and other reasons, the doctor at the admissions department will ensure your hospitalization
by phone or otherwise at another ward of the same / different specialization or at another
provider of healthcare services.
During your admission at the IKEM central admissions office or at any determined
outpatient office, you should always present your card of the health insurance company that
will pay IKEM for the costs of your treatment. You shall be obliged to pay IKEM the price
for any provided healthcare services not covered by the insurance company or covered only
in part from public health insurance. You are always informed in advance of the price of such
services.
During admission, the treating doctor will inform you about your health condition, and about
the proposed individual therapeutic procedure, which you shall be obliged to follow. Absolute
protection of all your personal data is guaranteed. During admission, you will designate
persons who may be informed about your health condition and determine the scope of such
information. You may also forbid any provision of information or change the list of the
persons at any time. Information about your health condition may be provided by phone only
if you have agreed on a password. You will be informed about the rules of this system when
you are admitted to care at IKEM. Any given information can then be provided by phone to a
person who says the agreed password.
You will be given an identification wrist band at the time of admission to an appropriate ward
/ site for your own safety and protection.
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You are advised to leave any valuables such as jewels, large amounts of money, payment
cards, etc. at home. If you cannot leave such objects at home and/or give them to a person
who has accompanied you, you are asked to inform the nurse of the appropriate ward/site
who shall ensure their secure deposition in the depository of IKEM free of charge. You will
obtain a written document to confirm their deposition. The deposited objects will be issued
upon presentation of this document when you are discharged or upon request. IKEM shall
not be liable for any damage you may suffer in connection with the loss of any such
objects if you fail to observe this instruction.
It is not allowed to bring weapons to IKEM. If you have a weapon, you are absolutely
required to inform the medical personnel of this fact immediately. The personnel shall ensure
legal deposition of the weapon in cooperation with the Police of the Czech Republic.
Smoking, drinking alcoholic beverages and the use of other narcotic substances is
prohibited in the whole premises of IKEM.
You should inform the treating doctor of all drugs you are currently taking. The doctor will
decide whether their use should continue throughout your hospitalization at IKEM. During
your hospitalization you should not take any drugswithout informing your treating
doctor. All drugs will be supplied in exact doses and at exact times by the nurse on duty.
You should inform the treating doctor or the nurse immediately of any negative feelings you
have during their use.
During hospitalization you may be transferred to another ward, health service provider or
social institution.
You may also be transferred upon your request or the request of your legal representative.
You will be duly informed of any need for your transfer.
You will be discharged from the ward when the therapeutic / assessment process has been
completed or upon your own request or the request of your legal representative.
At the time of your discharge, you will obtain the discharge report or the preliminary
discharge report as appropriate, any prescriptions (and any necessary drugs for 3 days from
your discharge) and the statement of the hospitalization fee.
A healthcare and social worker is employed at IKEM who can be contacted through the ward
nurse at the ward or outpatient office. The worker can give you any social and legal
information and be helpful in handling any social problems, particularly those occurring in
connection with your disease. The worker will ensure home nursing care, caring services,
and propose further suitable forms of follow-up care for those patients who cannot take care
of themselves or with the help of their close relatives after leaving the hospital due to healthrelated reasons or whose health condition requires so.
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The worker will also provide spiritual services upon your request. Spiritual support is
available for hospitalized patients during visiting hours, taking into account their health
condition, in a way that does not violate the rights of other patients or the provision of
medical services. Such a visit may be allowed at other than visiting hours only upon
agreement with the treating doctor.
You can ask for a superior standard room at the hospital. Superior standard services are
understood as having a single room with a TV set and a refrigerator. Individual sites will be
willing to inform you whether such a room is available and about the prices for superior
standard accommodation, fully covered by the patient. However, medical care provided to all
patients of the hospital is the same.
Pursuant to Section 30(3) of Act No. 372/2011 Coll. On healthcare, patients with any sense
disorders or physical conditions who use a specially trained dog have the right, considering
their current health condition, for accompaniment and presence of the dog with them at the
healthcare institution, in a way as determined by the Internal Rules so as the rights of other
patients are not violated, unless determined otherwise by another regulation. This provision
does not apply for persons in custody, serving their prison sentence, or persons in security
detention. For the purposes of the first sentence, a specially trained dog shall be understood
as a guide dog or an assistance dog.
An Internal Audit and Control Division operates at our hospital where you may file any
complaint against a procedure in connection with healthcare provision at IKEM. In addition,
we have a Nursing Care and Quality Section, engaged in the monitoring of the quality of
healthcare provision and patient satisfaction at the hospital with its services.
If you use any electric appliances during hospitalization (about which you should inform the
medical personnel in advance!), which are not owned by IKEM, you shall be liable for any
damage caused in connection with operation of such appliances.
Transplantations of vital organs and a number of other demanding procedures are performed
at IKEM. Very strict requirements for the quality and bacteriological purity of hot non-potable
water also follow therefrom. Chemicals are therefore added to hot water to ensure its purity.
Although these chemicals cannot pose a threat to your health, you are asked to observe the
prohibition of drinking hot water, of making beverages from hot water, and of cleaning
your teeth using hot water.
In the event of fire or another adverse event, please, report any such discovered fact to the
personnel and follow the instructions of IKEM employees.
Keep all areas of the Institute clean and in good order, and leave all equipment as clean as
you would wish it to be for yourself. Please, take care to air the rooms. Treat hospital
equipment and inventory with care. Refrain from manipulating water, light and signalling
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devices, including distribution lines of medicinal gases. Use standard indicated routes and
areas when moving around the hospital.
Therapeutic regimen means a set of measures and procedures to support the therapy and
to minimize any potential risks thereof, including recommendations of lifestyle modifications.
The therapeutic regimen is an integral part of the proposed individual therapeutic procedure
and is determined by your treating doctor. The doctor or the nursing personnel are obliged to
inform you of the therapeutic regimen in a detailed manner that you can understand, and to
answer any questions you may have. The therapeutic regimen includes all therapeutic
procedures such as administration of drugs, surgeries, rehabilitation, physical exercise
regimen, the regimen of visits, dietary measures, and absence of harmful habits. The aim is
to achieve the best effect of the provided care. As a patient you are obliged to observe the
therapeutic regimen in its entire scope unless this is prevented by any special circumstances.
If you violate the therapeutic regimen knowingly and repeatedly and/or in a serious
way, IKEM and its doctors cannot assume responsibility for the result of your care.
Such a situation may justify termination of your hospitalization at IKEM.
Responsibilities following from the therapeutic regimen are particularly as follows:
-
Use the drugs prescribed by the doctor in a due manner and at the determined intervals,
including the duty to be present at the ward when drugs are applied;
-
Refrain from using any drugs or food supplements not prescribed by the doctor unless
you have informed the doctor thereof and such use has been approved;
-
Observe dietary measures related to your therapy, consult consumption of any food
outside the framework of the therapeutic procedure with the doctor or nurse;
-
Hospital will not undertake the responsibility for stealing, quality and durability of the
food, which the patient has brought with him/her into hospital, above the stipulated diet.
The rest of food must not stay in room neither in bedside. All of the brought food will be
marked with your name and placed in fridge which is appropriated for patients.
-
Participate in medical and nursing rounds unless prevented by reasons worthy of special
consideration, respect silence during night hours at the appropriate department/site;
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Participate in a due manner and in the full scope in rehabilitation exercises and
physiotherapeutic procedures;
-
Report any short-term leaving of the ward to its personnel so as the therapeutic regimen
is not impaired due to your absence;
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Smoking, drinking alcoholic beverages or the use of narcotic and habit-forming
substances is strictly prohibited throughout your stay at IKEM; violation of this duty shall
be considered as a serious violation of the therapeutic regimen;
-
Refrain from disturbing other patients and/or the therapeutic care and operation of the
departments/sites with excessive noise, inappropriate or aggressive behaviour,
unsuitable time or frequency of visits, or odours unless caused by the disease.
Finally, you are encouraged to approach your treatment with an active interest in your health
and with trust in the skills of our doctors and nurses because close cooperation between you
and the healthcare personnel is a precondition for the success of your therapy.
Failure to respect these Internal Rules of the hospital may lead to premature termination of
your hospitalization and subsequent discharge.
Hospital Rules of the given department and the Patient Rights and Responsibilities you will
be acquainted with upon your admission to our care are available at every department. IKEM
Internal Rules you will be acquainted with at your admission to our care are available at the
Central Admissions Office found in the lobby near the main entrance of IKEM, and are also
posted on appropriate notice boards in the lobby.
We would like to expres our wish that your stay at the Institute of Clinical and Experimental
Medicine is as pleasant as possible, and to thank you once again for your trust.
MUDr. Aleš Herman, Ph.D.
Director of IKEM
Appendix 1 Patient Rights and Responsibilities
Appendix 2 Conditions for Guide or Assistance Dogs
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Appendix 1 Patient Rights and Responsibilities
Patient Rights
Healthcare services can be provided to a patient only upon their free and informed consent.
The patient has the right to healthcare services provided on a due professional level.
In addition, during providing of healthcare services the patient has the right to:
a) Dignity, respectable treatment, thoughtfulness and respect of privacy in the provision
of healthcare services in accordance with the nature of the provided healthcare
services;
b)
Choose a provider authorized to provide healthcare services appropriate for healthrelated needs of the patient, and the healthcare institution;
c) Request consultation services from another provider and/or healthcare professional
than the one providing healthcare services; this is not applicable if urgent care is
provided or if care is provided to persons in custody, serving their prison sentence, or
persons in security detention;
d) Be acquainted with the Internal Rules of the healthcare institution providing inpatient
or one-day care;
e) Continuous presence of a legal representative or a person designated by the legal
representative, foster parent or another person in whose care the patient has been
entrusted based on the decision of a court or another authority, if the patient is a
minor; and for continuous presence of a legal representative or a person designated
by the legal representative, if the patient is an incapacitated person in a way that
he/she is unable to evaluate the provision of healthcare services and/or the
consequences of provision thereof;
f)
Presence of a close person or a person designated by the patient;
g) Be informed in advance of the price for the provided healthcare services not paid or
paid only in part from public health insurance resources and of the manner of
payment thereof provided that this is allowed by the patient’s health condition;
h) Know the name(s) and surname(s) of healthcare professionals and other
professionals directly involved in the provision of healthcare services, and of persons
being trained at the provider for their healthcare profession who are present at any
provision of healthcare services and/or who perform activities forming part of their
training;
i)
Refuse the presence of persons not directly involved in the provision of healthcare
services and of persons being trained for their healthcare profession;
j)
Receive visits at the healthcare institution for inpatient or one-day care, taking into
account his/her health condition and in accordance with the Internal Rules and in a
way that does not violate the rights of other patients;
k) Receive spiritual care and spiritual support at the healthcare institution for inpatient or
one-day care, from spiritual care providers of churches or religious societies
registered in the Czech Republic or from persons authorized for spiritual activities in
accordance with the Internal Rules, and in a way that does not violate the rights of
other patients; and considering his/her health condition, also the right to receive
healthcare services in the least limiting setting possible, while ensuring the quality
and safety of the provided healthcare services.
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Patient Responsibilities
During providing of healthcare services the patient responsibilities include:
a) Follow the proposed individual therapeutic procedure if the patient has agreed with
providing of healthcare services;
b) Follow Internal Rules of the hospital;
c) Pay the provider for the provided healthcare services not covered or partially covered
by public health insurance or from other resources provided to the patient with his/her
consent;
d) Truthfully inform the treating healthcare professional about the current development
of his/her health condition, including information on infectious and contagious
diseases, health services provided by other providers, use of medicinal products
including habit-forming substances, and other facts essential for providing of
healthcare services.
e) Avoid drinking alcohol during hospitalization or using other habit-forming substances
and to undergo an examination based on the judgment of the treating doctor in
justified cases to establish whether or not he/she is under the influence of alcohol or
other habit-forming substances.
Responsibilities under paragraphs (c) and (d) pertain to the legal representative of the
patient. The legal representative of the patient is responsible for creating conditions so as the
patient can adhere to his/her responsibilities.
The patient, patient's legal representative, the person designated by the patient, a person
close to the patient or the person who shares a household with the patient are required to
prove their identity with the identity card, if requested by the provider or a healthcare
professional through whom the provider provides healthcare services to the patient. The
obligation to prove the identity with the identity card also applies to a person who sets up a
claim, pursuant to the law or another regulation, to information about the health status of the
patient, and a person who intends to visit the hospitalized patient and is not a person
pursuant to the first sentence. If a foreigner is concerned he/she should prove his/her identity
by a travel document or other identity card. If a healthcare professional has doubts about
whether a close person is concerned, the close person shall prove his/her identity by a
declaration where he/she provides contact data and the identity card number; the declaration
is a part of the medical records of the patient.
The rights and responsibilities of the legal representative apply also to the fosterer or other
caring person, statutory body or the authorized person from a home for children under 3
years of age, school facilities for institutional or protective education or social service facilities
providing residential services, if institutional or protective education has been ordered by a
court, or an institution for children who require immediate help in case that children in care of
these facilities are concerned on the basis of a court decision.
Appendix 2 Conditions for Guide or Assistance Dogs
Pursuant to Section 30(3) of Act No. 372/2011 Coll. On health care, patients with any sense
disorders or physical conditions who use a specially trained dog have the right, considering
their current health condition, for accompaniment and presence of the dog with them at the
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health care institution, in a way as determined by the Internal Rules so as the rights of other
patients are not violated, unless determined otherwise by another regulation. This provision
does not apply for persons in custody, serving their prison sentence, or persons in security
detention. For the purposes of the first sentence, a specially trained dog shall be understood
as a guide dog or an assistance dog.
Conditions for the stay of a guide or assistance dog:
1. The patient is able to ensure due care of the guide or assistance dog, particularly
regarding feeding and walking, both in case of outpatient treatment and
hospitalization.
2. Patient hospitalization with a guide or assistance dog is possible only if allowed by
capacity and operating conditions of the site. The patient may be hospitalized in a
single room.
3. The patient is in a health condition that enables the guide or assistance dog to work
for the patient in a usual manner during hospitalization, and thus the stay of the dog is
beneficial for the patient in terms of his/her self-sufficiency.
4. If the patient cannot or does not want to have his/her guide or assistance dog with
him/herself at the healthcare institution during hospitalization, visits of a temporary
caretaker of the dog should be allowed at least, obviously with the dog.
5. When the stay of a guide or assistance dog is planned, the dog must have valid,
legally ordered vaccination against rabies, vaccination against a complex of infectious
diseases (parvovirus, distemper, hepatitis), be treated against external and internal
parasites – to be documented by a record in the pet passport or in the international
vaccination certificate. In case of acute hospitalization, the pet passport or the
international vaccination certificate shall be presented by the dog owner afterwards.
6. The dog must be clean, controllable, must not bother other persons around, bark or
display any signs of aggressive behaviour. The dog must be visibly identified as a
guide or assistance dog (harness, vest, etc.) and must wear a muzzle. The guide or
assistance dog must not move around the ward free and without supervision.
7. Upon request, the patient shall present to the healthcare personnel the service
certificate of the guide or assistance dog with contact information of the training
organization. The healthcare personnel shall be entitled to verify with the training
organization, for example, by phone, whether it is a duly certified guide or assistance
dog.
8. The patient must provide the healthcare personnel with contact information
(telephone number) of a person who can come for the guide or assistance dog if
needed (for example, if the patient’s health condition worsens to an extent preventing
the patient from taking care of the dog by him/herself), take the dog away and take
care of the dog. In case of an acute need to ensure the care of the guide or
assistance dog, healthcare personnel shall contact the Municipal Police immediately
who shall ensure placement of the dog in a local refuge home and then its transfer to
the training organization.
9. The healthcare personnel shall respect requirements of the patient regarding how the
dog should be treated (no feeding, no taking away of the dog without informing the
patient, etc.).
10. As part of the initial education session, the healthcare personnel shall inform the
patient about the rules adopted by the hospital.
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