modifying such schemes; ● the medicines necessary for the treatment of patients' secondary
conditions were frequently provided by the patients themselves (the FOCG contains the item
“personal medication”), while the hospitals generally provided treatment for SARS-CoV-2
infection; ● staff members noticed the lack of a procedure regarding patients who refuse
hospitalization, to be used in such situations (CF Ploiești General Hospital). The unique
predicament in which the doctors from Covid-19 hospitals found themselves after the forced
hospitalization of the suspected / confirmed Covid-19 patients created confusion regarding the
procedure to be followed when the patient requests the observance of their autonomy; ● from
the FOCG verification, it does not appear that the hospitalization consent of the suspected /
confirmed Covid-19 patients was requested and obtained (a consent form, in this sense, is not
found in the procedures regarding the hospitalization of patients / obtaining their consent aspect which may be a consequence of the fact that in the hospitals designated as Covid-19
hospitals, admission was previously done only at the request of patients); ● the Informed
Consent Form on treatment or investigations did not exist in all the verified FOCGs and, when
attached to the FOCG, most often was improperly completed: the medical act was not
described; there were consents that contained only the patient's signature and the date of
signing, no boxes were ticked regarding the information related to the health status of the
patient (for example: proposed therapeutic strategy, possible complications, diagnosis,
prognosis, etc.); or all fields were ticked, but there was no patient signature, etc.; ● regarding
the possibility to contact the relatives, the NPM couldn’t ascertain whether their contact details
were requested, upon admission, in all monitored hospitals; in the majority of FOCG the
telephone number of the next of kin was not recorded, on the first page (neither in the case of
Giurgiu County Emergency Hospital, although in the procedure for “admission-discharge of
patients” it was underlined that, upon admission, it shall be noted the contact number of the
relatives); ● patients were locked in rooms: in the Câmpina Municipal Hospital, the doors of
the rooms had to remain closed, and the windows were not to be opened completely, but only
vertically; in the Clinical Hospital of Pneumoftiziology Constanța, all patients were considered
suspects and isolated in their rooms; in the General Hospital CF Ploiești it was forbidden to go
outside the specially arranged spaces, patients were not allowed to leave the room and had to
answer the phone in the room, whenever needed, and if their health allowed it. A patient
suspected of Covid-19 infection, admitted in this hospital, tried to leave the medical unit, but
he was turned away by two doctors who took measures to further check the locking system on
the floor where the person was accommodated; ● in most hospitals, in the procedures regarding
the patient's access to medical data, the form «Patient agreement on the communication of
personal medical data» (agreement attached to FOCG) was not mentioned and/or there were
requirements regarding the communication of medical data that exceeded the legal provisions.
● according to the procedure developed by the hospital, in the Surgery Department of the
Câmpina Municipal Hospital, Covid-19 patients, accommodated in rooms that were not
equipped with their own bathroom, in the large wing of the hospital, were required to use
urinary catheters and diapers, as they were not allowed to leave the rooms (given that the rooms
was dedicated to the care of patients infected with SARS-CoV-2, including asymptomatic
ones).
► Following the visits, in the reports prepared by the end of 2020, numerous
recommendations were made to the monitored units and the hierarchically superior
authorities (Ministry of Labor and Social Protection, National Administration of
Penitentiaries, DGASPC Ialomița, DGASPC Brașov, DGASPC Sălaj, J Council Calarasi).
Examples of successfully implemented recommendations:
• Mărgineni Penitentiary, starting with April 6, 2020, had in custody persons deprived
of liberty, vulnerable from a medical and social point of view (HIV-AIDS). In accordance with
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