records (the Psychiatry Hospital of Murgeni); ● some documents (the patient’s
informed consent, the therapeutic contract) were not signed by the patient or by
his/her
legal
representative
(the
Psychiatry
Hospital
of
Murgeni).
Recommendations: ● to urgently draw up a procedure on the identification,
signalling and solving of cases of abuse and negligence upon patients, including all
provisions regarding possible cases of abuse on them, which are the duties of the
employed staff in the relation with patients, what are the methods to notify special
events and how can patients be protected against abuse, neglect, discrimination,
degrading or inhuman treatment, as well as to notify this procedure to the employed
staff and the patients of the Psychiatry Hospital of Murgeni; ● to draw up medical
registers (the containment Register for traumatic marks) and documents regarding the
patient’s informed consent or the therapeutic contract, based on legal provisions.
● the Register of containment and isolation measures was not drawn up, based
on the legal provisions of Order no. 488/2016 art. 8 par. (4, 5, 6) on the approval of
the Guidelines for the enforcement of the Law on the mental health and protection of
persons with psychological disorders no. 487/2002 (the Psychiatry Hospital of
Gătaia, Timiș county, the Psychiatry Hospital of Drăgoiești, Vâlcea county).
Recommendation: to draw up the Register of containment and isolation measures
according to the legal provisions in force. Answer: the management of the
Psychiatry Hospital of Gataia mentioned that the register was implemented as of May
1, 2018 and drawn up based on the recommendations received during the visit.
Moreover, the management of the Psychiatry Hospital of Dragoiesti sent an answer
stipulating that the isolation and containment register had been drawn up, according
to the legal provisions in force.
● the Operational procedure on the voluntary admission of patients of the
“Sfanta Maria” Psychiatry Hospital of Vedea stipulated that, upon admission, once in
the room, the patients were informed by the nurse on duty on the rules of the hospital,
their rights and obligations. The nurse informed the patients and asked them to sign
the FOCG, the informed consent, which was against art. 29 par. (1) of Law no.
487/2002, republished, stipulating the psychiatrist’s obligation of obtaining the
patient’s consent and of observing his/her right to be assisted when providing
101
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