Should I visit a patient in intensive care? Informational and methodological letter "On the rules for visiting patients' relatives in intensive care units (reanimation)" and a memo form for visitors

On the website of the Ministry of Health of the Nizhny Novgorod Region.

From July 1, access to branches intensive care should be open in all hospitals in the country. The circular sent to the regions also contains a recommended form of a memo for visitors, which they must read under their signature before visiting their relative in the intensive care unit. Pravmir publishes the document in full.

On the rules for visiting relatives of patients in intensive care units and intensive care units

Visits by relatives of patients in intensive care units and intensive care units are permitted under the following conditions:

1. Relatives should not have signs of acute infectious diseases (elevated temperature, manifestations respiratory infection, diarrhea). Medical certificates of the absence of diseases are not required.

2. Before visiting the medical staff, it is necessary to have a short conversation with relatives to explain the need to inform the doctor about the presence of any infectious diseases, to prepare psychologically for what the visitor will see in the department.

3. Before visiting the department, the visitor must remove outer clothing, put on shoe covers, a bathrobe, a mask, a hat, and wash their hands thoroughly. Mobile phone and other electronic devices must be turned off.

4. Visitors in a state of alcoholic (drug) intoxication are not allowed to enter the department.

5. The visitor undertakes to observe silence, not to impede the provision of medical care other patients, follow instructions medical personnel Do not touch medical devices.

6. Children under the age of 14 are not allowed to visit patients.

7. No more than two visitors are allowed to be in the room at the same time.

8. Visits to relatives are not allowed during invasive manipulations in the ward (tracheal intubation, vascular catheterization, dressings, etc.), cardiopulmonary resuscitation.

9. Relatives may assist medical personnel in caring for the patient and maintaining cleanliness in the ward only at their own request and after detailed instructions.

10. According to federal law 323 FZ, medical personnel should ensure the protection of the rights of all patients in the intensive care unit (protection of personal information, compliance with the security regime, provision of timely assistance).

Dear visitor!

Your relative is in our office in serious condition we give him all needed help. Before visiting a relative, please read this leaflet carefully. All the requirements that we impose on visitors to our department are dictated solely by concern for the safety and comfort of patients in the department.

1. Your relative is sick, his body is now particularly susceptible to infection. Therefore, if you have any signs of contagious diseases (runny nose, cough, sore throat, malaise, fever, rash, intestinal disorders), do not enter the department - this is extremely dangerous for your relative and other patients in the department. Tell the medical staff if you have any medical conditions so they can decide if they pose a threat to your family member.

2. Before visiting the ICU, you must take off your outer clothing, put on shoe covers, a dressing gown, a mask, a hat, and wash your hands thoroughly.

3. Visitors who are under the influence of alcohol (drugs) are not allowed in the ICU.

4. No more than 2 relatives can be in the ICU at the same time, children under 14 years old are not allowed to visit the ICU.

5. Silence should be observed in the department, do not take mobile and electronic devices(or turn them off), do not touch appliances and medical equipment, communicate with your relative quietly, do not violate the security regime of the department, do not approach or talk with other ICU patients, strictly follow the instructions of the medical staff, do not impede the provision of medical care to other patients.

6. You should leave the ICU if you need to perform invasive procedures in the ward. You will be asked to do so by health professionals.

7. Visitors who are not direct relatives of the patient are allowed in the ICU only if accompanied by a close relative (father, mother, wife, husband, adult children).

Familiarized with the memo. I undertake to fulfill the requirements specified in it (surname, signature, date, degree of relationship with the patient underline).

Resuscitation is one of the most mysterious departments in the hospital. You can drive through the whole city to end up in front of a closed door, and even if you insist, they will not let you into the department. “The condition is stable. You can't go inside. We do all the care ourselves. Goodbye". All. What's going on behind this door? Why can you not be allowed into the department, although you are required to? Here are a few reasons (and life situations).

The patient has just arrived

The patient was admitted by ambulance, surrounded by two doctors, three nurses, a nurse. It is necessary to shift it from the wheelchair to the bed, connect the sensors for pulse, pressure, saturation. Organize venous access, collect blood and urine for analysis. Someone collects droppers and prepares preparations for injection. Someone assists the doctor - tracheal intubation is performed, because the patient cannot breathe on his own.

At this time, the doorbell rings. The resuscitation workers have keys, so this is a relative. It is impossible to let him in now, the doctor cannot talk to him, because helping the patient is more important. But relatives can insist on a visit, besides, they immediately want to know the diagnosis, get information about the condition and “how long he will lie here,” although, let me remind you, the person has just been delivered and nothing is really known yet.

New patients arrived

This is the most common reason. The fact is that resuscitation is not just a department. There is no strict visiting schedule. Rather, he is. But if in the interval, say, from twelve to one, when it is allowed to visit patients, a seriously ill patient arrives - no one, alas, will allow you to enter the ward. During the admission of patients, manipulations, etc., it is forbidden for outsiders to be present in the ward.

Other patients in the room

Yes, you need to remember that apart from your loved one Other patients may also be in the room. Lie down, as it should be in intensive care, without clothes. And not everyone will be pleased if strangers walk past them. In the United States - this country is often cited as an example when they talk about organizing visits to intensive care units - there are separate wards for patients, and there are even sleeping places for relatives. It is not so in Russia - there are several people in one ward.

The patient is recovering after a planned operation

Moreover, some patients, being in an unpresentable form, do not even want to see their relatives. For example, after planned operation The patient lies on the first day in intensive care. Lying naked. He has a sore throat after a pipe artificial ventilation. I have a stomachache. The bed is stained with blood, because the bandage is leaking a little. It hurts, but now they have given an injection and he is falling asleep. In two days he will be transferred to the general department, soon he will be running cheerfully along the corridor and discussing his health with his family, but now he only wants to sleep. And he doesn't need any visits.

The relative of the patient himself is not ready to visit

Another situation. The person lies down for a long time. The diagnosis is serious. A relative is coming and wants to see you. He is skipped. After talking, the relative goes out of the ward into the corridor, goes to the door, but, before reaching, he faints right into the hands of the nurse on duty. Well, if it is not very tall and large, and there is a trestle bed nearby, on which they will have time to lay it ...

Unusual people are scared foreign objects sticking out of the patient: catheters, probes, drains. Often the departments smell bad, and any visitor can feel bad. Especially if doctors see a relative in a clearly unbalanced state - such a visit can be denied with a high probability.

If there are no objective reasons preventing the visit, the relative will be admitted to the ward. Sometimes relatives help a lot - wash, process, re-lay. This is a real and necessary help, because there is always a shortage of staff. Such people are always allowed to see patients. And such people always wait patiently outside the door if manipulation is carried out in the hall and outsiders cannot enter.

You need to be prepared to visit the intensive care unit. Do not be afraid of the sight of your relative or his neighbors in the ward. Don't wrinkle your nose bad smell. Do not cry with pity - this can be done outside the door, but here, next to the patient, you must support him, not he you. Do not interfere with the staff and leave the room at the first request. If you were not allowed in, it is best to calmly wait outside the door until the doctor is free and you can ask him all your questions. Resuscitation is a department emergency assistance and in emergency situations there is not always time for talking.

Anastasia Larina

Photo istockphoto.com

. “It is the right of every patient to be visited by relatives and friends, including those in intensive care,” the newspaper quoted Oleg Salagay, director of the Department of Public Health and Communications of the Ministry of Health of the Russian Federation, as commenting on Facebook on an online petition sent to the Minister of Health of the Russian Federation with a request to allow visit patients in intensive care.

The official said that a corresponding letter from the Ministry of Health of Russia with a request to ensure the implementation of this provision of the law was sent to the regions last year.

The intensive care unit houses patients with serious illnesses and injuries, as well as patients after complex operations and anesthesia.

Russian doctors - unlike many foreign colleagues - most often forbid relatives to visit loved ones in intensive care, explaining this by the possibility of introducing an infection.

In these cases, Oleg Salagay advises "to contact the insurance company that issued the policy to you, the health authorities of the region, the control authorities."

The petition on the Internet (author - Olga Rybkovskaya, Omsk) has already collected more than 100 thousand signatures. We present the text of the document in full, since any of us may find ourselves in similar situation:

“Currently, there is no official law in Russia prohibiting visits to relatives in intensive care. Moreover, Article 55 of the Family Code refers to the unconditional right of parents and other relatives to freely communicate with children, and Federal Law No. 323 “On the basics of protecting the health of citizens in Russian Federation» the right to stay of parents with children during treatment in medical organizations is prescribed.

Despite this, the decision to admit or not admit relatives to the intensive care unit is still made at the level of the chief physician or head of the department, and in 99% of cases this decision is not made in favor of relatives and patients. In the vast majority of cases, a ban is imposed on visits, and some " sanitary norms”, which immediately disappear when it comes to, for example, a paid ward or a paid clinic.

It should be clear to any sane person that a sick child who is in intensive care and especially a sick child, like no one else, needs psychological support loved ones. There are a huge number of examples when only the presence of a loved one nearby contributed to recovery, gave strength and was an invaluable psychological help.

Proceeding from the protection of the rights of the patient and, first of all, from elementary humanistic principles, we demand to abolish this medieval, cruel and senseless practice of isolating seriously ill patients from relatives. In all civilized countries there is no such practice. Moreover, comfortable conditions have been created in the intensive care wards for the round-the-clock stay of relatives of seriously ill patients there.

We demand that the Ministry of Health of the Russian Federation, using the experience of developed countries, develop an official document for everyone without exception medical institutions, providing unhindered and round-the-clock access for parents and other relatives to intensive care. This document must be interpreted unambiguously (without options) and have absolute priority over all local rules and prohibitions. It is also necessary to provide conditions for the stay of relatives with patients - this does not require large investments, it is enough to put a chair in the ward.

We are well aware that resuscitation is a special place in which certain rules of behavior and sanitation must be observed. There is no need to invent anything - there is experience European countries which can be taken and used.

We believe that as long as this practice of ignoring the elementary human attitude towards people in medical institutions continues, Russia has no right to be considered a civilized country.”

* You can join the petition by signing it on change.org.

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How to survive without kidneys? A book written by a patient

Most of the notes published on our website are written on the basis of our own bitter experience. Patient's notes made up a book "Health, Kidney, Dialysis, Life" , which can be ordered by any of you: in paper form - by mail or in electronic form - via the Internet.

Much of the book is available for free; If you are interested, you will receive the rest of the notes for a nominal fee. Summary books: symptoms of the disease, treatment, diet, physical activity, disability, family life, laws "to help" the patient ...

You can order the book on the book's website part 1 or part 2), in online stores Amazon, LitRes, OZON, on publisher's website / by typing in the "search" the name of the author (Shikur Shabaev) or the title of the book.

5 comments → “Is it possible to visit patients in intensive care?”

Anonymous


I had a husband in intensive care on March 18, 2016, I asked him to visit me chief physician refused that it was not supposed to. And asked to call an intensive care vehicle from Novosibirsk, the doctor answered me that he was not transportable, I myself will contact the city by phone. He also had a heart attack, the therapist wrote. They say he turned in late, but since December he has been knocking on the thresholds and what he got. And the outpatient card immediately disappeared

“Medical staff should not wipe drool…”
The country is undergoing a health care reform, directly aimed at its destruction. For some reason, many consider themselves so competent that they give themselves the right to interfere in the work of a well-functioning mechanism. As a rule, this leads to a violation of its work, and not to benefit. We all want to do a lot, BUT FROM CHILDHOOD we are taught that we can’t do a lot. Let's allow anyone who is curious to get into transformer boxes, visit prisons and morgues. Not funny? So, in our country, many hospitals differ from cinematic ones, and even more so from real foreign hospitals. 1. We don’t have enough separate rooms in intensive care units, we don’t even have enough pajamas. You will be pleased if your relative is naked, broken, not in best form an unfamiliar uncle will stare, who will then spread confidential information about your relative, collecting it from his subjective feelings and scraps of phrases from the staff. Are you ready to see for yourself the unpleasant footage of resuscitation of seriously ill patients nearby?2. as a result of the reform, the intensity of work of intensive care personnel has increased, and there is such a thing as medical triage. Medical staff cannot wipe their saliva, straighten linen and be distracted by your unprofessional requests. because defiantly wiping your grandmother’s drool (you’ll run to complain after visiting) will miss someone’s life (and then your relative’s turn will come) tumble into a burn patient. am I exaggerating? your flu will easily kill the nearby exhausted old man (but what do you care, you just have a runny nose!) 4. patients with pneumonia and tuberculosis, hepatitis and swine flu often lie in intensive care units. Are you ready to bring it all home after a night with your beloved relative?

I want to tell you about an important victory for all of us, which was made possible thanks to a petition on Change.org and 360,000 caring people who took part in the campaign and signed the petition.

In March of this year, I created a petition on Change.org, demanding that the Ministry of Health oblige hospitals not to prevent relatives from being admitted to intensive care. Once upon a time, I myself came every day to the doors of intensive care. For eight days, my nine-year-old child was conscious and lay alone in the intensive care unit, tied to the bed ....

15 years have passed since then, and nothing has changed in our country. In March of this year, I decided to raise this sore point. And we did it!

The document of the Ministry of Health on admission to intensive care, approved on June 29, 2016, has been in force for 2 months, the situation is changing for the better, it has received wide publicity, the doors of intensive care are starting to open!

And all this, believe me, would not have been possible without this campaign and the active participation of all of you Change.org users. I am proud of each of you and I am very grateful to each of you! This is our merit! We have done a very big job!

I wish you all the best! I am sure that many more great things await us - together we are strong!

Thank you!
Olga Rybkovskaya,
Omsk, petitioner

RULES FOR VISITING THE ICU

Information and methodological letter dated May 30, 2016

On the rules for visiting relatives of patients in intensive care units and intensive care units

Visits by relatives of patients in intensive care units and intensive care units are permitted under the following conditions:
1. Relatives should not have signs of acute infectious diseases (fever, manifestations of a respiratory infection, diarrhea). Medical certificates of the absence of diseases are not required.
2. Before visiting the medical staff, it is necessary to have a short conversation with relatives to explain the need to inform the doctor about the presence of any infectious diseases, to prepare psychologically for what the visitor will see in the department.
3. Before visiting the department, the visitor must remove outer clothing, put on shoe covers, a bathrobe, a mask, a hat, and wash their hands thoroughly. Mobile phones and other electronic devices must be turned off.
4. Visitors in a state of alcoholic (drug) intoxication are not allowed to enter the department.
5. The visitor undertakes to keep quiet, not to impede the provision of medical care to other patients, to follow the instructions of the medical staff, not to touch medical devices.
6. Children under the age of 14 are not allowed to visit patients.
7. No more than two visitors are allowed to be in the room at the same time.
8. Visits to relatives are not allowed during invasive manipulations in the ward (tracheal intubation, vascular catheterization, dressings, etc.), cardiopulmonary resuscitation.
9. Relatives may assist medical personnel in caring for the patient and maintaining cleanliness in the ward only at their own request and after detailed instructions.
10. In accordance with Federal Law N 323-FZ, medical personnel should ensure the protection of the rights of all patients in the intensive care unit (protection of personal information, compliance with the security regime, provision of timely assistance).

Dear visitor!

Your relative is in our department in serious condition, we are providing him with all the necessary assistance. Before visiting a relative, please read this leaflet carefully. All the requirements that we impose on visitors to our department are dictated solely by concern for the safety and comfort of patients in the department.
1. Your relative is sick, his body is now particularly susceptible to infection. Therefore, if you have any signs of contagious diseases (runny nose, cough, sore throat, malaise, fever, rash, intestinal disorders), do not enter the department - this is extremely dangerous for your relative and other patients in the department. Tell the medical staff if you have any medical conditions so they can decide if they pose a threat to your family member.
2. Before visiting the ICU, you must take off your outer clothing, put on shoe covers, a dressing gown, a mask, a hat, and wash your hands thoroughly.
3. Visitors who are under the influence of alcohol (drugs) are not allowed in the ICU.
4. No more than 2 relatives can be in the ICU at the same time, children under 14 years old are not allowed to visit the ICU.
5. Keep silence in the department, do not take mobile and electronic devices with you (or turn them off), do not touch devices and medical equipment, communicate with your relative quietly, do not violate the department's security regime, do not approach or talk to other patients ICU, strictly follow the instructions of medical personnel, do not interfere with the provision of medical care to other patients.
6. You should leave the ICU if you need to perform invasive procedures in the ward. You will be asked to do so by health professionals.
7. Visitors who are not direct relatives of the patient are allowed in the ICU only if accompanied by a close relative (father, mother, wife, husband, adult children).

Familiarized with the memo. I undertake to comply with the
requirements.
Name __________________________ Signature ____________________________
Relationship with the patient (underline) father mother son daughter husband
wife other _________
Date ________

Download pdf-file>>>

In pursuance of paragraph 2 of the list of instructions of the President of the Russian Federation V.V. Putin following the results special program"Direct line with Vladimir Putin" On April 14, 2016, the Ministry of Health of the Russian Federation sends leaflets for visitors developed by freelance specialists of the Ministry of Health of the Russian Federation and specialists from federal state medical institutions "On the rules for visiting patients' relatives in intensive care units (reanimation)" and leaflets for visitors, with which they should familiarize themselves with before visiting their relative in the intensive care unit (ICU), for strict compliance.

About the rules
visits by relatives of patients in intensive care units and intensive care units

Visits by relatives of patients in intensive care units and intensive care units are permitted under the following conditions:

1. Relatives should not have signs of acute infectious diseases (fever, manifestations of a respiratory infection, diarrhea). Medical certificates of the absence of diseases are not required.

2. Before visiting the medical staff, it is necessary to have a short conversation with relatives to explain the need to inform the doctor about the presence of any infectious diseases, to prepare psychologically for what the visitor will see in the department.

3. Before visiting the department, the visitor must remove outer clothing, put on shoe covers, a bathrobe, a mask, a hat, and wash their hands thoroughly. Mobile phones and other electronic devices must be turned off.

4. Visitors in a state of alcoholic (drug) intoxication are not allowed to enter the department.

5. The visitor undertakes to keep quiet, not to impede the provision of medical care to other patients, to follow the instructions of the medical staff, not to touch medical devices.

6. Children under the age of 14 are not allowed to visit patients.

7. No more than two visitors are allowed to be in the room at the same time.

8. Visits to relatives are not allowed during invasive manipulations in the ward (tracheal intubation, vascular catheterization, dressings, etc.), cardiopulmonary resuscitation.

9. Relatives may assist medical personnel in caring for the patient and maintaining cleanliness in the ward only at their own request and after detailed instructions.

10. In accordance with Federal Law N 323-FZ, medical personnel should ensure the protection of the rights of all patients in the intensive care unit (protection of personal information, compliance with the security regime, provision of timely assistance).

Recommended form of memo
for visitors, which they should familiarize themselves with before visiting their relative in the intensive care unit (ICU)

Dear visitor!

Your relative is in our department in serious condition, we are providing him with all the necessary assistance. Before visiting a relative, please read this leaflet carefully. All the requirements that we impose on visitors to our department are dictated solely by concern for the safety and comfort of patients in the department.

1. Your relative is sick, his body is now particularly susceptible to infection. Therefore, if you have any signs of contagious diseases (runny nose, cough, sore throat, malaise, fever, rash, intestinal disorders), do not enter the department - this is extremely dangerous for your relative and other patients in the department. Tell the medical staff if you have any medical conditions so they can decide if they pose a threat to your family member.

2. Before visiting the ICU, you must take off your outer clothing, put on shoe covers, a dressing gown, a mask, a hat, and wash your hands thoroughly.

3. Visitors who are under the influence of alcohol (drugs) are not allowed in the ICU.

4. No more than 2 relatives can be in the ICU at the same time, children under 14 years old are not allowed to visit the ICU.

5. Keep silence in the department, do not take mobile and electronic devices with you (or turn them off), do not touch devices and medical equipment, communicate with your relative quietly, do not violate the department's security regime, do not approach or talk to other patients ICU, strictly follow the instructions of medical personnel, do not interfere with the provision of medical care to other patients.

6. You should leave the ICU if you need to perform invasive procedures in the ward. You will be asked to do so by health professionals.

7. Visitors who are not direct relatives of the patient are allowed in the ICU only if accompanied by a close relative (father, mother, wife, husband, adult children).

Familiarized with the memo. I undertake to comply with the

requirements.

Name __________________________ Signature ____________________________

Relationship with the patient (underline) father mother son daughter husband

wife other _________