records (the Psychiatry Hospital of Murgeni); ● some documents (the patient’s informed consent, the therapeutic contract) were not signed by the patient or by his/her legal representative (the Psychiatry Hospital of Murgeni). Recommendations: ● to urgently draw up a procedure on the identification, signalling and solving of cases of abuse and negligence upon patients, including all provisions regarding possible cases of abuse on them, which are the duties of the employed staff in the relation with patients, what are the methods to notify special events and how can patients be protected against abuse, neglect, discrimination, degrading or inhuman treatment, as well as to notify this procedure to the employed staff and the patients of the Psychiatry Hospital of Murgeni; ● to draw up medical registers (the containment Register for traumatic marks) and documents regarding the patient’s informed consent or the therapeutic contract, based on legal provisions. ● the Register of containment and isolation measures was not drawn up, based on the legal provisions of Order no. 488/2016 art. 8 par. (4, 5, 6) on the approval of the Guidelines for the enforcement of the Law on the mental health and protection of persons with psychological disorders no. 487/2002 (the Psychiatry Hospital of Gătaia, Timiș county, the Psychiatry Hospital of Drăgoiești, Vâlcea county). Recommendation: to draw up the Register of containment and isolation measures according to the legal provisions in force. Answer: the management of the Psychiatry Hospital of Gataia mentioned that the register was implemented as of May 1, 2018 and drawn up based on the recommendations received during the visit. Moreover, the management of the Psychiatry Hospital of Dragoiesti sent an answer stipulating that the isolation and containment register had been drawn up, according to the legal provisions in force. ● the Operational procedure on the voluntary admission of patients of the “Sfanta Maria” Psychiatry Hospital of Vedea stipulated that, upon admission, once in the room, the patients were informed by the nurse on duty on the rules of the hospital, their rights and obligations. The nurse informed the patients and asked them to sign the FOCG, the informed consent, which was against art. 29 par. (1) of Law no. 487/2002, republished, stipulating the psychiatrist’s obligation of obtaining the patient’s consent and of observing his/her right to be assisted when providing 101

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