Health and the Minister of Internal Affairs, etc. (Alba, Argeș, Bihor, Brăila); ● in the
Techirghiol Spa and Recovery Sanatorium, the 14-day quarantine period was exceeded in the
case of 12 people with a negative test result, but who were in direct contact with positive
confirmed persons (those persons being kept in quarantine 14 days from the date of last contact
with a confirmed case); the MNP team found that only in 6 of the 12 daily activity sheets was
mentioned, by the doctor, the contact with an infected person (in the other 6 sheets appeared
only the fact that the person was moved to another room, the team understanding that the date
of the last contact with the infected person was the date of the move), and in the case of a
person, was exceeded the period of 14 days since the last contact with a confirmed case; some
of the files were not fully communicated, therefore the team could not assess the time spent in
quarantine by those persons.
During the monitoring, in the Techirghiol Spa and Recovery Sanatorium was found the
acute need for psychological intervention for the people in quarantine, several people dealing
with moderate or severe depression, anxiety, crying crises, irritability, difficulty concentrating.
In the sanatorium, they had access to psychological assistance, by telephone or by
videoconference, the unit employing a psychologist and a speech therapist. However, most
quarantine centers are organized in hotels, leisure centers, boarding schools or cultural centers,
which do not have the services of a psychologist, permanently or perhaps not at all. The NPM
team is concerned with the management of such situations, in these centers which, in the
absence of an alternative, resort to the most convenient solution, hospitalization in a psychiatric
ward / hospital; which leads to other problematic situations, related to requesting / obtaining
informed consent to hospitalization and treatment.
- Covid-19 hospitals: ● successive transfers of suspected / confirmed patients were
found in at least 2 hospitals, imposed not only by the division of hospitals into Covid-19 and
non-Covid-19 hospitals, but also by the further division of Covid-19 hospitals, situations that
are problematic in several respects: respect for the patient's right to choose the hospital, as well
as the attending physician; hospitalization of the patient close to their home and family, in order
to make it easier to obtain information about the patient (especially in cases where their health
does not allow maintaining telephone contact with the family), transmitting packages and quick
access of relatives, in case of death, given the extremely rigorous procedure in these situations;
● in some hospitals to the patients suspected of infection with SARS-CoV-2 were applied the
discharge criteria applicable to positive patients; they were not discharged / transferred to a
non-Covid hospital (as appropriate) when the test result was negative, but had to take a second
test at least 24 hours after the first test, which led, obviously, to the prolongation of their
hospitalization, which was compulsory; ● control tests were performed a few days later than
the date indicated by the hospital from where the patient was transferred, for example, the test
was not performed on the 25th, but on the 29th of that month; ● contrary to the recommendations
of the National Institute of Public Health which provided that in case of asymptomatic patients,
no treatment shall be administered, there were hospitals (Constanța Pneumophthisiology
Clinical Hospital, Bolintin-Vale City Hospital, "Marius Nasta" Institute of Pneumoftiziology,
Râmnicu Sărat Municipal Hospital, Râmnicu Sărat) whose treatment protocol provided the
administration of antiviral treatment to asymptomatic patients, and hospitals (or some hospital
doctors) that administered, in practice, antiviral treatment to asymptomatic patients, contrary
to their own treatment protocol (Giurgiu County Emergency Hospital); ● administration of
antiviral treatment, in hospitals where there were no doctors specializing in infectious diseases,
the treating doctors being of another specialties such as: surgery, internal medicine,
gastroenterology, pneumology, ICU, pediatrics, etc.), they either adopted the therapeutic
schemes prescribed by a physician specializing in infectious diseases, which were generally
not re-evaluated during hospitalization, by the infectious disease physician, or even initiating /
15
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