Note from Uncle Dale: It’s Time For All Of Us To Join The Fight!

#UtahDeafRights

 

Good enough is NOT GOOD ENOUGH until the Deaf patient says it is!

 

 

 

Uncle Dale’s, You Probably Should Know: The Hospital ER Script.

ASLized courtesy of Delawaredeaf.org

Last night there was a town hall meeting at the Deaf Center discussing the failure or refusal of hospitals to give primary consideration to the request of the patient who is Deaf when they ask for a Live In-Person Interpreter and are told they have to use VRI or get nothing at all. I was in the audience and suggested a script for making such a request.

Several people who are Deaf in the town hall asked, “why should we have to go through all that? Shouldn’t they just respect our request?”

Yes, of course they should. But if they did or would there would be no need for this town hall meeting. Hospitals are businesses and as such will not change just because the Deaf community asks. They will only change if they are forced to.

This script will help build a factual basis for future lawsuits which is the only thing hospitals will respond to.

THE SCRIPT

(If you are in too much pain or stress whomever is with you can follow this script for you)

I require a live in-person ASL Interpreter for effective communication.

Let’s use VRI until we can get an interpreter here for you.

VRI is not effective for me because (pick the one that fits):

I am in pain/stress/destress and I can’t follow the three dimensional language of ASL on a two dimensional screen;

I’m not ordering a pizza, I’m trying to get medical care;

The screen is too small;

The picture keeps freezing;

Your staff does not know how to hook it up;

The VRI Interpreters can’t see or hear what is going on off screen and so I miss half the message;

My eye-sight is not good enough to see ASL on a VRI screen; or,

Your reason here.

Please make a note of the reason that VRI is not effective for me in my medical records so that we don’t have to have this discussion every time I come to the hospital.

But it’s after 5/it’s the weekend and there are no live Interpreters available.

That is not true. Interpreter referral agencies are open 24 hours a day 7 days a week. Please make a note of that in my medical record so I don’t have to explain this every time I come to the hospital.

VRI is the same as a live interpreter.

It is not. VRI and Live In-Person Interpreters are listed as separate accommodations under federal law. The Affordable Care Act in Section 1557 says that Section 504 of the Rehabilitation Act requires you to give primary consideration to the specific accommodation I request and I request a Live In-Person Interpreter. Please make a note of that in my medical file so I will not have to have this conversation every time I come the hospital.

Well, it could take a long time for the interpreter to get here so let try VRI until then.

I will use VRI until the Live In-Person Interpreter gets here if AND ONLY IF you provide me with the following information:

1. The name of the hospital staff person who requested the interpreter on my behalf;

2. The exact time that staff person called to request the interpreter for me;

3. The name of the agency the hospital staff person called to request an interpreter for me;

4. The name of the specific person the hospital staff person spoke to at that agency to request an interpreter for me; and,

5. The time the agency estimates the interpreter will arrive at this hospital.

Provide that to me in writing and make a note of it in my medical file and I will use VRI until the interpreter arrives.

Why do you need to know all of that?

Because I need to know who has ownership of my request.

We are not allowed to give you that information.

Yes you are. None of it is protected by law. If you refuse to give me the information I request please provide me with the specific law that forbids it and also make a note in my medical record that I requested it and you refused to provide it.

We don’t put things like that in medical records.

You put all kinds of things in medical records and this is my medical record and you will put whatever I tell you to put in it.

There is not an interpreter available.

I will now call the interpreter referral agency that you told me the hospital called and verify the time you called and that there is no interpreter available. If there is in fact no interpreter available I will require you to call a different referral agency. Make a note of my request in my medical records.

We can’t call another agency, we only contract with this one.

Who this hospital does and does not contract with is not my problem. I am the patient and have a right to effective communication and if the hospital cannot provide it with the agency it uses it needs to contract with a different agency. Make a note of that in my medical records.

Do that each and every time.

If they refuse to document it then as soon as possible make a request by email to the hospital’s Office of Customer Service or Risk Management Officer that you made the request I explained above and that your nurse/doctor refused to document it in your record. Use the names of the specific people you spoke to as often as possible.

One last point, and I can’t stress this enough. Never say “I prefer a Live In Person interpreter” or “I don’t want VRI” or “I don’t like VRI.” That says to the hearing people that is just a choice you are making. The magic words are, “I need” or “I require a Live In Person Interpreter for effective communication (that comes right from the law).

Rule 726

VRI Interpreters! If you can put on pants and maybe, I don’t know, shower-even when you don’t need to (because seriously! Who would ever know)-then maybe VRI is for you!

Like a Drone pilot, VRI Interpreters sit in a room with the power over life and death hundreds or even thousands of miles away (but unlike a Drone pilot “life” is really what you are going for).

VRI! Sure VRI is a two dimensional presentation of a three dimensional language, but let’s not get bougie and start demanding ALL the dimensions. Ok?

Rule 716

Freelance considerations:

Good tires

Layers

Traffic/Time between appointments

Snacks

VRI considerations:

Internet connection

Lighting

Background

Snacks

Pants (yes/no)

VRS Considerations:

Context

Hold music vs. sanity

Snacks

Pants (Why, and would anyone in the Call Center notice/care)

Rule 610

Every VRI and VRS Interpreter eventually espouses Resistentialism.

(Look it up and you will agree. I’ll wait.)

Rule 596

Dear VRI Interpreter:

Watch your sight-lines or clean your room!

The Client should not know it’s Monday because that pair of “day of the week” panties is missing from the clothes strewn about the room behind you.

Thank you Jared Allebest