1.4 Visits to prisons, a juvenile prison and a youth detention centre
The medical expert also carried out an inspection of Maribor Prison and concluded with regard to medical
care at the primary level that three doctors were employed in the prison and that the continuous treatment
of the patient could be interrupted if the patient is being treated by several general practitioners. He also
concluded that the standards in relation to the patient room are not meet (the door of the patient room is
to narrow, the bathroom is to small), but the adaptation for the movement-impaired is foreseen. The prison
has a signed agreement with Maribor Health Care Centre and the NPM requested for the assessment of the
Prison Administration, whether this agreement is being honoured and whether the foreseen dental and
medical services are sufficient. He also asked for an explanation, if the information that the prisoners only
receive emergency dental care was correctly understood. Furthermore, the NPM recommended that dental
services are provided to prisoners outside prison walls if the dental office cannot be used (due to adaptation)
to the same extent and accessibility as they are foreseen for the prison dental office. The medical expert
also recommended to the Prison Administration that it should consider introducing programmes to reduce
the negative effects of legal drugs abuse in this prison as in others by providing a space for the safe use
of illicit drugs. In his opinion these programmes could reduce the threat of spreading contagious diseases
among prisoners. The NPM also suggested to the Prison Administration to actively cooperate in the careful
review of the act proposal on health care and to alert the legislator to possible negative consequences of
the act on the provision of medical care to prisoners. The medical expert also recommended to the Prison
Administration to prepare additional written guidelines for medical staff, if necessary, in cooperation with
Maribor Health Care Centre with regard to crushing pills. Pills should be listed, for which there is no point
in crushing, in which crushing can affect the release of active compounds from the preparation and which
cannot be crushed (in relation to the findings that inmates hide and sell the crushed pills despite the fact
that the pills are crushed).
The Prison Administration informed us that the prison director was urged to immediately resolve the issue
of dental services and provide the same services as are provided by Maribor Health Centre to all its citizens
or patients within the public health network, and assured that it will carefully examine the act proposal on
health care and alert the legislator to possible consequences that could worsen the health care of patients.
The medical expert also assessed health care in Closed Unit of Dob pri Mirni Prison. He discovered that
the waiting room should have been equipped with a wheelchair and a care bed, depending on the state
of the sick or injured patient, since they cannot sit on the bench as other patients, who are not in a lifethreatening state. The sofas are needed and the benches should be removed, since numerous diseases are
transmitted through air and some through contact. Various educational posters should be displayed and
music should be provided to mitigate the state of disease or injury and to relieve tension of the patients.
With regard to the workspace he concluded that room dividers are necessary if the infirmary can only be
entered through the room for diagnostics and treatment procedures, which represents only one operating
area, so that the patient being treated is not exposed to other people entering the room. At least one more
nurse should be employed, since two are definitively not enough. With regard to the work of medical staff
he concluded that the psychiatrist examines more patients than he should in accordance with the norms
of his profession. It seems that not all patients, who had the appointment, were examined and the same
applies to taking samples for the laboratory analysis. He also believes that one doctor, working full-time
as a general practitioner, would be better than two doctors working part-time. In his opinion Closed Unit
of Dob pri Mirni Prison would need an appropriate ambulance with oxygen and other equipment for the
transport of patients, employees in Closed Unit of Dob pri Mirni Prison would need to learn first aid in case
of epileptic seizure and nose bleed and how to make distinction between arterial and venous bleeding in
order to help and transport the patient to Trebnje or Novo mesto.
IMPLEMENTATION OF THE DUTIES AND POWERS OF THE NPM IN 2013
NATIONAL PREVENTIVE MECHANISM UNDER THE OPTIONAL PROTOCOL TO THE UN CONVENTION AGAINST TORTURE AND OTHER CRUEL, INHUMAN OR DEGRADING TREATMENT OR PUNISHMENT
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