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· special records shall be maintained about the application of the mechanical restraint
measure, in which any important information on the application of the measure must be
entered, in particular:
1. reasons for applying the mechanical restraint measure;
2. description of measures applied before the mechanical restraint;
3. type of devices used for mechanical restraint;
4. data about the location (room) where the mechanical restraint measure was
applied;
5. exact time (day/hour/minute) of the beginning of the mechanical restraint;
6. name of the psychiatrist who made the decision to apply the mechanical
restraint;
7. name of the health care worker who, in the absence of the psychiatrist, for
urgency reasons, performed the mechanical restraint of the agitated patient
before such decision was made by the psychiatrist; time of notifying the
psychiatrist about the measure taken; opinion of the psychiatrist regarding
whether the mechanical restraint measure was justified;
8. description of medical measures applied during the mechanical restraint;
9. description of any injuries of the patient subjected to the mechanical
restraint (inflicted before and during the applied measure), including any
injuries caused to other beneficiaries or health staff (during the event that
preceded the mechanical restraint);
10. data about the periodical visits to beneficiary who was subjected to the
measure of mechanical restraint and monitoring his condition by the psychiatrist (number of visits, exact time of visits, actions taken);
11. information about the time of notifying the Home director or other person
authorized by him about the applied measure of mechanical restraint including the information whether and when the legal representative was notified
thereof, and/or the member of immediate family of the patient subjected to
such measure;
12. statements and comments of beneficiaries during and immediately after the
measure of mechanical restraint applied against him;
13. exact time (day/hour/minute) of cancelling the measure of mechanical
restraint.
The Home will provide training for the health care staff about the conditions and procedure
of applying the physical restraint against the agitated beneficiaries, as well as on the application of advanced techniques of non-violent physical inhibition, pursuant to the special
plan of trainings for health care staff on the method and procedure for applying the physical restraints.
Kulina Home will cease with the practise of holding the female beneficiaries in isolation.
The Home will establish special books – records in each pavilion to make record of any attacks
of staff by the beneficiaries, including any conflicts that have arisen among the beneficiaries.
It is necessary to establish appropriate formal procedures for filing complaints, objections
and appeals against the work of the institution and its employees, which can be submitted by
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