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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