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
Select target paragraph3
Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents