A few things the Defensive Patient can require of their hospital and physicians
On the Admission Form - If you don't want any patient care from students, interns, or residents, make a notation on the Admission Form and have your admitting physician write an order for same.
If you have a Personal Representative for Quality of Care (Patient Safety Advocate) who has full access to your inpatient record, make a notation on the Admission Form and have the admitting physician make a notation on your admitting orders.
If you, your family or Personal Representative plans to video record patient encounters, make a notation on the Admission Form, have the admitting physician make a notation and notify the Vice President of Nursing. Insist upon 24/7 visiting hours.
These precautions have become necessary now that statistics show that each patient will experience a medication at least once per day and there is about a 50% chance of being injured or worse during a hospitalization. The patient, their family, and their Personal Representative are using an assertive but not aggressive manner to deal with health care providers.
Patients are becoming aware that receiving health care can be hazardous. They realize they need to be on defense to survive their health care, to not be intimidated by bullies, and to realize that they are there to receive an important, expensive service and not there to make friends.
On the Informed Consent for Surgery - Make an entry to require only those surgeons you designate to be in the O.R. That the surgeon is to remain in the O.R. during the entire procedure, That the physician anesthesiologist is to remain in the O.R. during the entire procedure. Plus, that no students, interns, residents, manufacturers representatives or visitors are to be in the O.R.
Add a caveat that additional physicians are authorized as needed in the event of an emergency. If you want your Personal Representative in the O.R. and PACU video recording outside the sterile field, make your wishes known well before the procedure. Insist upon a thorough explanation of the Informed Consent several days before the procedure. If the patient receives any push-back about any issue, an alternative physician and hospital should be considered.