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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