Official Monitor no. 173/2008, social workers avoid conflicts of interest in the exercise of their professional situations. ● At the “Sfanta Maria” Psychiatry Hospital of Vedea, Arges county, a Work procedure on the measures to restrict freedom of movement (containment and isolation) was not presented; however, the hospital staff was aware of legal provisions. Physical containment, mechanical containment and chemical containment were applied in the hospital, based on the documents shown to the visit team: Containment Protocol, Mechanical Containment Protocol, Personal reports, containment registers, observation reports. Mechanical containment was decided by the attending physician or the physician on duty (if the measure was not initiated at the physician’s initiative, s/he was informed within no more than 30 minutes) and was enforced by the nurse/medical assistant/non-qualified worker for the surveillance of hazardous mentally ill patients, and monitored by the medical director. Through the involvement of the surveillance worker who, based on the Order of the Minister of Health no. 122/2010 on the approval of the guidelines on staff for hospital medical assistance, is not a member of the medical staff, the legal provisions were not observed (Enforcement Guideline of Law no. 487/2002, republished), stipulating the participation of medical staff in the enforcement of containment (the names of medical staff members who took part in the enforcement of the restrictive measure, based on art. 9 par. 11 e are mentioned in the observation report and the register of isolation and containment measures). Non-qualified workers (surveillance of hazardous mentally ill patients) enforced physical (manual) containment, having the attribution of trying to immobilize very agitated patients who became violent, until the nurse on duty arrived. Regarding the place where the mechanical containment measure was enforced, the statements of the medical staff were contradictory: either there was a special room where patients who would be contained were taken, or the measure was enforced in the room where they were accommodated, next to the other patients. The enforcement of containment in the room, also stipulated in the Protocol on mechanical containment in force in the hospital, goes against the Guidelines of the 113

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