European Committee for the Prevention of Torture based on which patients must
never be contained when seen by other patients (except when patients want to stay in
the company of a certain patient), even though screens were used (whose presence
was not established by the visit team in the rooms of the hospital).
Furthermore, the Protocol on mechanical containment mentioned the
following means of containment: the straitjacket or the set of ropes available in each
department. Certified means of containment were used in practice (textile Segufix
belts) to immobilize limbs, in compliance with the provisions of the Enforcement
Guideline of Law no. 487/2002, republished, stipulating the containment devices
(wide leather belts or equivalent, equipped with a strapping system for the bed and
cuffs for the carpal, tarsal joints, thorax and knee).
The Protocol on containment included the medicines to be administered
during mechanical containment. As for the simultaneous enforcement of mechanical
and chemical containment, the European Committee for the Prevention of Torture
emphasizes the importance of accurately assessing the applied medicine and dose and
stipulates that they should be applied in the short run and considering possible
secondary effects.
The hospital had Registers for containment measures for each pavilion, filled
in according to legal provisions (art. 9 par. 11 of the Enforcement Guidelines of Law
no. 487/2002, republished). The registers included: the hour and minute when the
restrictive measure was established, the degree of restriction, the circumstances and
reasons lying at the basis of the restrictive measure, the name of the physician
deciding the restrictive measure, the names of the members of medical staff who took
part in the enforcement of the restrictive measure, the presence of any physical injury
suffered by the patient or by the medical staff regarding the enforcement of the
restrictive measure, the performance of patient monitoring visits stipulating the
values of vital functions, the fulfilment of physiological needs or other needs, as the
case may be, the hour and minute when the restrictive measure was raised.
115 cases of enforcement of the containment measure were found in 2017,
and 41 cases were included in medical records in 2018, by the date of the visit (15 in
Pavilion 1 and 26 in Pavilion 2).
114
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