Annual Report 2013 of the National Preventive Mechanism Recommendation for record to be made of the control of mechanical restraints With regard to the record of the medical monitoring of immobilisations, a recommendation was made to the SGIP for all infirmaries of all CPs to be provided with a specific book to record mechanical restraints performed for healthcare purposes, to facilitate their surveillance and prevent the information from being dispersed, as currently occurs. The recommendation was accepted and, accordingly, the “Special Situations Control Form” was amended to include the medical monitoring of all mechanical restraints. Said document must be kept at the healthcare facilities. Nevertheless, it is not known whether the forms make up a single document, in book format, so that the information they contain cannot be mislaid, as could occur in the case of loose pages, so that the SGIP has been requested to report on the matter. Suggestions to CP Puerto III (Cádiz) for adequate recording of the medical control of mechanical restraint measures In turn, at the CP Puerto III (Cádiz) not all the mechanical restraint records contained the medical report on the absence of clinical impediments for application of the measure or the subsequent compulsory controls by medical practitioners, in those cases in which the measure was prolonged for several days. Accordingly, two Suggestions were made to the SGIP for it to ensure that all records of coercive measures of CP Puerto III (Cádiz) include such documents and for record to be made of the monitoring of the application of coercive measures in a book established for the purpose. The SGIP answered that the clinical record is the sole supporting document of the healthcare information of each inmate and reminded all CPs of the obligation to implement adequately in the clinical records of the inmates the medical or healthcare actions performed in the cases of application of coercive measures. Acceptance of the criterion that injury records must be adequately completed 128. It continues to be observed that in records of injuries in certain Recommendation to make photographs of the injuries rejected 108 cases the quality of the descriptions of injuries could be improved, and occasionally the section of statements of the inmate is not completed or, if completed, is excessively brief, as occurs in the cases of CPs Puerto I (Cádiz), Puerto III (Cádiz), Segovia and Villabona (Asturias). Accordingly, this Institution must repeat that injury records must be adequately completed, providing a detailed description of the injuries observed –including mention of the size, colour and presumable evolution data -, and an opinion on the compatibility of the observed injuries and the origin attributed to them by the inmate which must in any case be obtained by the acting professional, according to the criterion issued by the Ombudsman in paragraph 115 of Annual Report 2012. It is also necessary to record the specific time and place where the checkup is performed and for the signatory medical practitioner to be identified. All the above is essential for the subsequent legal classification of the facts. The SGIP accepted the criterion of the Ombudsman and, accordingly, reminders were sent to such effect to all CPs. 129. In the opinion of this Institution, metric photographs of eventual injuries to inmates due to the application of coercive measures or for any other reason, would enrich the contents of the injury records, facil-

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