Internal rules


by the Order No. V-510 of 23 June 2011 
of General Manager of
Šiauliai National Hospital, Public Institution 


2.1.    The Inpatient Department of the Institution is open 24/7. 
2.2.    The business hours of the Consultation Polyclinics of the Institution are provided in the publicly available approved schedule. 
2.3.    The business hours of the Administration of the Institution: I-IV 8:00 AM– 04:45 PM, V 08:00 AM – 03:30 PM.
2.4.     Main entrance doors are locked at 08:00 PM, unlocked at 07:00 AM. The resting time in the Units of the Institution are from 03:00 PM till 05:00 PM, and from 10:00 PM till 06:00 AM. 


4.1.    Patients are hospitalized by elective procedure or for an urgent medical assistance. 
4.2.    Necessary (first aid and urgent) medical assistance is provided to all patients in the Institution. Necessary medical assistance is provided in the following stages: first aid is provided at first, and urgent institutional assistance is provided afterwards (in some cases this may be implemented at the same time). 
4.3.    Doctor’s referral is not necessary for seeking urgent medical assistance at the Institution. 
4.4.    Patients coming for elective hospitalization must have a referral of a form established by the Ministry of Health or an Extract of Medical Records (Form 027/a) and personal identification document. 


5.1.    The Institution shall provide free necessary medical assistance to the patients with mandatory Health Insurance and EU citizens possessing the European Health Insurance Card or temporary certificate substituting thereof, E123 or DA1 certificates, also in other cases and under the procedure stipulated by international agreements.
5.2.    Necessary medical assistance is provided under the procedure and to the extent determined by the Ministry of Health. 
5.3.    Patients with mandatory Health Insurance shall be provided all elective personal health care services indicated in the Agreement with territorial insurance funds, and necessary medical assistance free of charge if other stipulated conditions are met (the patient has a referral, etc.). 


6.2.    It is forbidden to restrict the patient’s rights due to their gender, age, race, citizenship, nationality, language, origin, social standing, religion, beliefs, philosophy, sexual orientation, genetic traits, disability, or on any other bases except in cases stipulated by the laws. 

6.3.    Patient’s rights: 
6.3.1.    the right to receive high quality health care services;
6.3.2.    the right to receive conditions which do not undermine their honour and dignity;
6.3.3.    the right to receive information about a health care specialist providing health care services (name, position title), and information about their professional qualification; 
6.3.4.    the right to choose a doctor under the procedure established by the Internal Rules; 
6.3.5.    the right to receive information about the services provided in the institutions; 
6.3.6.    the right to get familiarized with entries in their medical records, and the right to receive information about their health status, illness diagnosis, other treatment or examination methods provided in the Institution or known to the doctor, possible risks, complications, side effects, treatment prognosis, and other circumstances that may have an impact on the patient’s resolve to consent to or refuse the suggested treatment, also about the consequences should they refuse the treatment suggested. This right is implemented under the procedure established in Clause 8 of the Internal Rules; 
6.3.7.    the right to choose the methods of diagnostics and treatment (if the Institution has such possibility) and to refuse the treatment; 
6.3.8.    the right to maintain the sanctity of their private life;
6.3.9.    the right not to know. The Institution is not entitled to provide the patient with information about their health status, illness diagnosis, medical examination details, treatment methods, and treatment prognosis against the patient’s will. The patient’s will must be confirmed by the patient’s signature in the patient’s medical records. The right not to know is not applied when non-provision of information to the patient or other persons may cause harmful consequences, and such consequences cannot be avoided by providing the information to the family members of the patient, their representative, or other persons; 
6.3.10.    the right to have the opinion of another specialist with the same professional qualification if there is more than one specialist with the same professional qualification in the Institution;
6.3.11.    the right to refuse to participate in the training process and biomedical examinations; 
6.3.12.    the right to make a complaint;
6.3.13.    the right to receive compensation for the damages. The patient has the right to receive the compensation for the damages caused by violating their rights during the provision of health care services.

6.4.    Patient’s duties:
6.4.1.    to provide full information to the doctor about their health status (former and current illnesses, surgeries), allergic reactions, medications taken previously and at the moment, genetic heredity, and other circumstances known to the patient that may have an impact on the personal health care provided; 
6.4.2.    to have the documents proving their personal identity, insurance with the mandatory Health Insurance, representation document, and other necessary documents;
6.4.3.    if unable to come at an arranged time, to immediately notify this by telephone or other means of connection; 
6.4.4.    to take care of their health, willingly and honestly comply with the doctor’s orders and prescriptions, or to refuse the suggested health care services. The patient must inform health care specialists about the deviations from prescriptions or the regimen established; 
6.4.5.    upon receiving information about the prescribed health care services, in cases established by the law, to confirm their consent or refusal regarding the provision of such health care services by their signature;
6.4.6.    to inform the Attending Physician or Nurse about the changed health status during the provision of health care services (both outpatient and inpatient); 
6.4.7.    to pay for the consultations and treatment in full and on time in accordance with the laws applicable at that time (if paid services are provided);
6.4.8.    to comply with personal hygiene requirements, not to destroy the inventory, other valuables of the Institution, to handle them with care; 
6.4.9.    to follow the Internal Rules of the Institution and the Unit, to follow the orders of the doctor or nursing staff;
6.4.10.    to walk only in the territory of the Institution;
6.4.11.    if health condition allows so, to independently make their bed and maintain their locker tidy. 

Last updated: 18-03-2020