The remand prison Warszawa-Białołęka, during the visit of the NMPT representatives,
employed in total five medical staff members: a general practitioner who was also a Prison Service
officer, and 4 other general practitioners (civilians). Their working hours made up, in total, 3.5 full-time
jobs. The findings of the NMPT delegation also made it clear that the head of the prison health service
and his deputy (both doctors) were overwhelmed with administrative tasks and, apart from emergency
situations, did not see patients in practice.
The remand prison Warszawa-Służewiec, during the visit of the NMPT representatives,
employed in total three general practitioners: two of them worked based on specific-task contracts, and
one worked part-time. There was also a vacant position of a doctor (0.25 of a full-time job).
Work of nurses
During the CPT visit to the remand prison Warszawa-Białołęka, there were no nurses available
during the night hours and on weekends. The remand prison Warszawa-Służewiec employed 7 full-time
and nurses and one part-time nurse (3 nurse positions were vacant). The nurses worked in a shift system,
both on weekdays and on weekends. During the night, nursing coverage was ensured only on
weekdays163.
The CPT recommended that a person competent to provide first aid (which should include being
trained in the application of CPR and the use of a defibrillator) is present on every night shift; preferably,
this person should be a qualified nurse. With regard to the remand prison Warszawa-Służewiec, the CPR
also recommended to increase the number of nurses. 164.
Both visited establishments implemented the recommendation in part.
During the NMPT visit, the remand prison Warszawa-Białołęka employed 20 nurses, and 6
nurse positions were vacant. The nurses worked in 8-hour or 12-hour shifts (four nurses per shift).
Nursing coverage was ensured on weekends but not during the night.
Moreover, the NMPT representatives found out that there had been situations where nurses
participated in convoying inmates in order to supervise their medical documentation. Many hours spent
on transport meant that the nurse did not provide medical care in the establishment at that time, and the
medical staff was reduced in number. At the remand prison Warszawa-Służewiec, the nursing team was
increased to 15 people (11 nurses actually work, 4 are on maternity leave). The unit still has 3 nurse
position vacancies. Nursing care is provided 7 days a week from 6:30 am to 6:30 pm. Nurses do not
work at night. In case of emergency, an ambulance is called.
163
Ibid., para. 75.
164
Ibid., para. 76.
70
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