Correctional institutions
medical consultations (CPT visit to Austria in the autumn of 2014, CPT/Inf
(2015) 34, German, p. 39).
With respect to the security concerns that have been raised, it should be noted
that the security rights of medical and nursing staff are protected because
prison employees can be called in at any time at the request of the doctor. The
presence of prison guards should be limited to such cases.
Moreover, all examination rooms and infirmaries have emergency call
systems. In addition to triggering alarms with touch-sensitive alarm buttons or
alarm switches, an emergency call can be made at any time using a portable
emergency call system, such as a DECT phone, radio or portable security
alarm device.
Emergency call systems
provide additional
security
During its visits, the NPM also questioned the staff at the infirmaries, who
confirmed that not every prisoner requires the presence of prison guards at
medical examinations and treatments. The staff are generally open to the
NPM’s recommendation to protect the doctor-patient-treatment relationship.
A survey of the
staff supports the
recommendations
The persons questioned by the NPM considered it to be a practical solution to
limit the use of prison guards to cases where their use is required based on a
risk assessment or their use requested by the doctor on security grounds.
Unfortunately, in everyday prison life, at least one prison guard is usually still
present during medical treatments or examinations. The NPM adheres to its
earlier recommendations (see the NPM’s recommendations in chapter 3.5).
2.5.5.6 Tags to identify names or functions for doctor‘s office personnel
During its visits, the NPM was often unsure of the roles played by various
persons in the vicinity of the doctor’s office, since people did not wear any
tags to identify their functions. In the infirmaries of numerous correctional
institutions, the medical and nursing staff and the law enforcement personnel
all wear white clothing. Therefore, the person’s outer appearance is not a
reliable indicator of his or her profession or function.
In early 2017, the NPM recommended that prison guards wear easily legible
name tags on their uniforms (see NPM Report 2016, p. 112 et seq.). If there are
special security concerns, a number can be used on the tag instead of a name.
In the view of the NPM, wearing clearly visible name tags is a suitable means
of increasing trust in prison employees. Making persons identifiable helps to
create greater transparency and avoid violence, and enables full and effective
investigations of any potential misconduct. If the identity of the employee is
unknown, this can be an obstacle to making an effective complaint.
Education and function
are not identifiable
The NPM is of the opinion that the wearing of visible tags by infirmary
personnel to identify their name or function (e.g. doctors, qualified nursing
Identification eliminates
uncertainty
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