Welcome

The physicians and staff at The ENT Center of Rhode Island welcome you to our facility. The ENT Center of Rhode Island is a state-of-the-art outpatient surgical center that was designed, equipped and staffed to provide the highest quality patient care for ENT and Ophthalmology surgery. The ENT Center of Rhode Island is a no smoking campus. No smoking is permitted anywhere on the premises including the parking areas. To assist in preparing for this one-day procedure and to make your stay as comfortable as possible, we ask you to read these instructions.

Patient Guide

In Preparation

Please complete your medical assessment on OneMedicalPassport as soon as your surgery is booked in order for it to be reviewed prior to your surgery.

The ENT Center of Rhode Island must have all previously requested tests and test results prior to your arrival. Please have them faxed to 401-732-0437 unless your physician has done this for you. Discontinue Aspirin, Aspirin products, NSAIDS (Naproxen or Ibuprofen) Vitamin E, Vitamin C, and herbal supplements unless other-wise advised by your physician. They should be discontinued 2 weeks before your surgery. Please check with you physician regarding any prescription medications you may take.

You must make arrangements to be driven home by a responsible adult and you must also have a responsible adult with you for 24 hours after surgery. If these arrangements are not made, your surgery may be postponed. If you have any special needs for your day of surgery, please inform your surgeon.

Pre-Admission Call

A nurse from The ENT Center of Rhode Island will call you by 1pm with your preoperative instructions the day before surgery. A member of our billing staff will review your medical benefit coverage and notify you of any personal responsibilities to the facility. In regards to medical billing, the anesthesia fees and any fees for lab work, and physician office fees are billed separately from the facility.

Evening Before Surgery

Do not eat or drink anything after midnight except you may have no more than 12oz of clear liquids up until 2 hours before your arrival time. Clear liquids include apple juice, ginger ale, or water.

Day of Surgery

Wear comfortable clothes. We do ask that you bring you medical coverage card and a picture ID, and any payment required, but please do not bring any valuables with you the day of surgery. Remove all jewelry, including body piercings.

Upon check-in, you will be required to sign necessary paperwork, which includes authorization for The ENT Center of Rhode Island to release information to your insurance company.

In the case of minors (under 18 years of age) a parent or guardian must accompany the patient and stay until discharge. Children may bring a favorite toy or DVD with them. If you are having surgery and are a woman of child bearing age, please bring a urine sample for pregnancy testing.

For any concerns or complaints, please feel free to contact the facility Administrator or Clinical Director at 401-737-4711.

Your physician has ownership interest in The ENT Center of Rhode Island and you may reschedule your procedure at another facility if you so desire.

Patient Rights & Responsibilities

As a Patient, You Have the Right to:

Considerate and respectful care in a safe setting at all times with recognition of your personal dignity.

Personal and informational privacy.

Confidentiality of records and disclosure. Except when required by law, you have the right to approve or refuse the release of records.

Be informed about your treatment or procedure and the expected outcome before it is performed.

The opportunity to participate in decisions regarding your healthcare and to be provided to the degree known information concerning your diagnosis, evaluation, treatment, and prognosis. You have the right to refuse or accept medical or surgical treatment. When it is medically inadvisable to give information to you, the information will be provided to a person designated by you or the legally authorized person.

Competent, caring healthcare providers of your choosing who act as your advocates.

Know the identity and professional status of individuals providing service and have the right to change provider if other qualified providers are available.

Interpreting services if necessary and adequate education regarding self-care a home translated in a language you can understand.

Impartial access to treatment regardless of race, color, sex, national origin, religion, handicap, disability, pregnancy, sexual orientation or gender identity.

To be free from all forms of abuse and harassment.

To exercise all rights without being subject to discrimination or reprisal.

Receive an itemized bill for all services.

Report any comments or grievances concerning the quality of service provided to you and receive follow-up on your comments or grievances.

Know about any business relationships, financial interest, or ownership among the facility, healthcare providers and others that might influence your care or treatment.

As a Patient, you are responsible for:

Providing, to the best of your knowledge accurate and complete information about your present health status including communicable diseases and past medical history and reporting any unexpected changes to the appropriate physician(s).

Following a treatment plan recommended by the primary physician involved in your case.

Providing an adult to transport you home after surgery and to be responsible for you at home for the first 24 hours after surgery.

Indicating whether you clearly understand a contemplated course of action and what is expected of you and ask questions when you need further information.

Your actions if you refuse treatment, leave the facility against the advice of the physician, and/or so not follow the physician’s instructions relating to your care.

Ensuring that the financial obligations of your healthcare are fulfilled as expediently as possible.

Providing information about and/or copies of any living will, power of attorney, or other advanced directive that you desire the facility to know about.

Behave respectfully toward all healthcare professionals and staff as well as other patients.

Any complaints regarding this policy should be addressed to:

Evelyn Mortin, RN Clinical Director or Nicole Vit, RN Administrator
or
Rhode Island Department of Health
Office of Facilities Regulation
Complaints Unit
3 Capitol Hill
Providence, RI 02908
401-222-5200

Centers for Medicare and Medicaid

ADVANCED DIRECTIVES

POLICY: 

The ENT Center will always attempt to resuscitate a patient and transfer that patient to a hospital in the event their condition deteriorates. The center will make every reasonable attempt to obtain and file in the patient’s medical record copies of existing documents including: Living Will and Healthcare instructions regarding Do Not Resuscitate orders, Durable Power of Attorney, Documents regarding Anatomical Gift and Designation of Conservator of the Person for Future Incapacity. Do Not Resuscitate orders will be suspended while the patient is at The ENT Center of Rhode Island, LLC and the patient will be required to sign a waiver of these orders.

PROCEDURE:

The ENT Center of RI acknowledges the four types of Advanced Directives and the policy of each is as follows:

Living Will and Health Care Instructions including Do Not Resuscitate orders- the center will always attempt to resuscitate a patient and transfer that patient to a hospital in the event their condition deteriorates. The patient will be required to sign a waiver for Do Not Resuscitate orders.

Durable Power of Attorney or Healthcare Representative- the center will honor this document providing the document has been provided to the center

Documentation of Anatomical Gift or organ donor- the center will attempt to resuscitate a patient and transfer that patient to a hospital in the event their condition deteriorates. The hospital will be given a copy of this document as long as it has been provided to the center.

Designation of a Conservator of the Person for My Future Incapacity- the center will honor this document as long as a copy of the document has been provided to the center.

The preoperative nurse and preoperative assessment will ask if the patient has an Advanced Directive and document the type of Advanced Directive accordingly. The patient will be instructed to bring a copy of these documents if they exist.

Patients will be informed of the Advanced Directives/ Do Not Resuscitate policy preoperatively by the brochure and the Preoperative information on the Medical Passport preoperative assessment site.

The policy of the facility is to suspend Do Not Resuscitate while the patient is at the facility.

Patients will sign a waiver releasing the facility from the Do Not Resuscitate order and if available a copy of the Order will accompany the patient to any transfer facility and will be reinstated following the patient’s discharge/transfer from the facility.

The anesthesiologist in charge of the patient’s care will explain the Do Not Resuscitate policy to the patient and offer them the opportunity to reschedule if they so desire.

A signed waiver will be completed by the patient, witnessed and signed by the anesthesiologist in charge of the patient’s care prior to surgery.

If an emergency transfer did occur, all chart information would be copied and sent with the patient to the hospital, including the patient’s information regarding Advanced Directives including Do Not Resuscitate orders, if given to the center by the patient on admission.