The order of visits to patients 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

Sooner or later, people are faced with a situation where one of their relatives or friends is in the intensive care unit. At the same time, without exception, everyone wants to get into the department intensive care, but often doctors do not let relatives of the patients there. Meanwhile, relatives want to cheer up, care for or just see a loved one human. They are genuinely confused why you can’t be in intensive care, and in the event of an imminent death, say goodbye to him. In no case should we assume that doctors are soulless people, they, of course, understand all the lamentations relatives, but in this matter it is better to rely on common sense, and not on emotions . The concept of resuscitation This is a rather serious topic, because it is in the intensive care unit that all the vital functions of the body are restored.

Why not

Intensive care units are as sterile as operating rooms, there is no place for strangers. Doctors all the time have to help patients - they resuscitate, they intubate, and then visitors get in the way, and sometimes they give “advice”. Also, any visitor can bring nothing, no microflora that is harmful to him, which, unfortunately, can be deadly for human who has been here since open wounds after operation. Only extremely serious patients are in intensive care, and any virus or bacteria brought from outside can only aggravate the already difficult condition of the patient. Another reason for observing the regime in this department, and the answer, why it is impossible, what happens can serve, so that the patient himself turns out to be a carrier of a serious infection, and then his visit for relatives fraught with unpleasant consequences.

The reaction of relatives when visiting is unpredictable

Many doctors also note that loved ones human who was in critical condition after transferred operations when visiting, they cannot cope with the surging emotions and, as a rule, behave not quite adequately. There was a case when man who underwent the most difficult operation after car accident, required tracheal intubation. They put him on the tube larynx, for artificial ventilation lungs. When the doctors let the visitor into the ward, it seemed to him that a tube IVL placed in larynx, prevents his dear and close person from breathing, and he tried to “ease” the latter’s suffering by pulling out larynx tubes artificial lung ventilation. It is even scary to imagine how the “help” of a relative could end, fortunately, the professionalism of doctors working in the intensive care unit cannot be overestimated.

In rare cases, resuscitators make exceptions and allow one of the close relatives to see the patient. But when you see your own human and all hung t cuttings, yes with a ventilator in larynx, often, unable to bear such a spectacle, they faint. Visitors after what you see, you have to hastily pump out the same doctors, and in other cases even put it on the next bed. And believe me, they don’t have time for this, every nurse in the intensive care unit overworks.

Just to survive

In the intensive care unit, patients lie in the same room, without distinction by gender. They usually take off their clothes, this is due to the fact that doctors in the struggle for the life of the patient have not yet had to deal with locks and buttons on their clothes, and many of the visitors take this as a mockery or negligent attitude. Most often, patients end up in the intensive care unit in an unsightly state, and believe me, no one cares about that here, the main thing is to survive. But for the psyche of the average visitor, it becomes a horror, relatives just not ready to accept what they see. After holding operations, when human is in a serious condition, a drain can be installed, the tubes of which protrude terribly from the abdomen. And add to this a catheter in bladder, gastric tube, endotracheal tube in larynx, often open postoperative wounds.

Not goodbye

Asking an intensive care doctor to meet your loved one human, you should think not only about yourself, but also about those people who share this room with your relative. After all, neither he nor his relatives will like it that they will see him in such an unattractive form completely strangers. In addition, you should trust the doctors and understand that the intensive care unit is not a place for dates. Here they fight for the life of the patient until there is even the slightest hope of survival. And it will be better if visitors do not distract either the medical staff or the patient after any complications from this hardest and most important struggle for life with their endless questions.
Why then close, it seems that a person after operations, or for any other reason who has ended up in the intensive care unit, urgently needs to talk or ask for something from relatives. Yes, he does not want anything, because of his difficult condition. After all, if the patient was taken to the intensive care unit, then he is most likely in coma, or connected to specialized equipment, and because of the tube in larynx he can't talk.
As soon as the patient's condition improves, he will be transferred from the intensive care unit to a regular ward. Then the time will come for dates, and it will be possible to thank the doctors for the fact that they won this fight.
Unfortunately, there are cases when it is no longer possible to help the patient, he has almost a few minutes left to live, for example, when human oncological disease, or kidney failure. In such cases, patients are not kept in intensive care units, they try to human He left this life peacefully, within the walls of his own home.
It is best to adhere to the opinion that if a person is placed in intensive care units, then he urgently and urgently needs highly qualified help, without which he simply cannot survive. Here, doctors will fight for his life to the end, and not always the presence of relatives can help the patient, but on the contrary, only harm him.

Access to stable patients

The very word resuscitation means "revitalization of the body", re-revival. When a person is in critical condition after operations or after accident, visitors will not be allowed to see it. It doesn't mean when, some patients afteroperations sent to the intensive care unit to recover from anesthesia. Does it make sense to visit here? It seems not, because in a few hours these patients will be transferred to the general ward for further treatment.

To small patients who have recovered vital important features organism, but they are still on a ventilator, also do not let any visitors through. Often, mothers or other relatives simply do not understand the importance inserted in larynx the child's ventilator tube, some of them even try to pull it out completely, for fear of damaging larynx, or because it seems to them that the child wants to say something, while not consulting resuscitators.

However, if Small child, who is in intensive care, nevertheless came to a stable state and is conscious, in order to improve the general emotional background of the child, a short visit to his mother is allowed.

In any case, whatever age group and gravity was not sick, you should not be self-willed in his ward, since often the relatives themselves, out of ignorance, cause significant harm to their native person.

The Ministry of Health has prepared a draft guidelines on the organization of visits to patients in intensive care. Well-known public figures have been fighting for unconditional permission to be near children and other relatives in hospitals for several years, more than 330 thousand citizens have joined the Change.org campaign. The Ministry of Health is counting on the easing of bans after the release of the methodology.

By law, Russians have the right to be free of charge with a child in a hospital during the entire period of treatment, but in reality, the rules for visiting today are formed by the management of hospitals, and sometimes by the doctors themselves working in a particular department. Intensive care units are most often not allowed, even to small children, according to comments from hundreds of citizens who have signed a petition on Change.org. adult visits federal level, in fact, are not regulated - they are not prohibited, but the decision on whether to allow them or not, officials leave to the discretion of doctors.
With the question of organizing access for parents to children in intensive care, public figures have repeatedly addressed both the Ministry of Health and President Vladimir Putin. The last time this question was asked on a “direct line” was the People’s Artist of Russia Konstantin Khabensky, the founder of charitable foundation. He asked Putin to support a federal law regulating visits centrally, "so that there are no surprises on the ground."
Khabensky recalled that current law parents have the right to be in hospitals with their children, but this rule does not apply. BUT new law, in his opinion, should not be limited to patients under 18 years of age. “It seems to me that all people who find themselves in such a situation need human warmth and help,” he said.
“The law does not, indeed, prohibit relatives from being in intensive care, but the heads of medical institutions most often do not allow it. It is also understandable why, bearing in mind that these are not individual wards,” Putin replied, adding that the administration limits visits if it interferes with other patients. Nevertheless, he promised to talk with Minister of Health Veronika Skvortsova about how to methodically influence the situation.
The Ministry of Health responded to a request that back in 2014 they sent a letter to the regions with a request to organize visits, but in practice “certain difficulties still exist”. Why it was a request, and not a binding order, the ministry did not explain. Now the Ministry of Health has again prepared a recommendation document - this time on behalf of the president. In fact, it is "a set of best practices on the subject - guidelines, which can be used and medical organizations, and patients,” the press service said, and by June 1 the project is already ready, and in a month, by July 1, it will be agreed and “finalized”.
Additional information will solve all the problems, the press service of the ministry assures: hospitals for the most part lacked exactly the methodology. “Requirements for the organization of visits are already established by law, and any additional fixing of them is hardly necessary. At the same time, visits are often not organized due to the lack of adequate information on how this should be done,” the response to the request notes.
Strict and Light Security Hospitals In practice, the rules are different in all hospitals, Gazeta.Ru was convinced. In Moscow hospitals, visits, as a rule, are allowed on a daily basis at certain hours. In the hospital. S.P. Botkin from 16.00 to 19.00 on weekdays, on weekends and holidays additionally from 11.00 to 13.00. The same hours in the City Clinical Hospital No. 7 and No. 64. In GKB No. 1 im. N.I. Pirogova (First city) - from 17.00 to 20.00 on weekdays, on weekends additionally from 11.00 to 13.00. At the Dmitry Rogachev Federal Scientific and Practical Center, visiting hours are from 10.00 to 18.00, according to the rules of hospitalization. In the children's hospital of St. Vladimir - from 16.00 to 18.00 on weekdays, on weekends from 11.00 to 13.00 - less than in many hospitals for adults.
Separate restrictions in hospitals for children: for example, visitors under the age of 12 are not allowed into the 64th hospital, and visitors under the age of 14 are not allowed into Botkinskaya, follows from the information on the website, in order to “ensure safety”.
Children are forbidden to be visitors even in the famous nursery Morozov hospital follows from the information on the site. And in the hospital of St. Vladimir do not let minors under 18 years old.
The rules of the Federal Scientific and Practical Center named after Dmitry Rogachev do not mention such a ban, only the number of visitors is limited - no more than two.
In Morozovskaya and the hospital of St. Vladimir, no one can visit the intensive care unit. The same prohibition applies in many other hospitals in Moscow, for example, in City Clinical Hospital No. 64. In intensive care at Botkinskaya general rule it is also impossible, but by agreement with the resuscitator on duty, it is possible, explained the doctor working in the hospital. In City Clinical Hospital No. 7, the intensive care unit cannot be visited. “Intensive care units have never been visited, they even take everything there - there are no mobile phones there, keep in mind. From 13.00 to 14.00 a doctor comes out and you talk to him about the patient's condition,” said an employee of the information desk.
There are additional restrictions in the rules of children's clinics: a ban on handing over mobile phones to children, a requirement for health certificates from parents, and even a requirement for parents who are hospitalized with children to help medical staff with the care of other small patients (at the Research Institute of Emergency Surgery and Traumatology).
But in some hospitals there is more freedom. There is no ban on visits to intensive care units at the Dmitry Rogachev Federal Scientific and Practical Center. Visitors are also allowed into City Clinical Hospital No. 29, said Aleksey Erlikh, head of the cardioreanimation department of this hospital. “Three years ago we lived in a regime of “strict secrecy” - visitors were not allowed in, clothes were taken away, and phones were not allowed to be used,” he recalls. But over the past year or two, the leadership has changed the situation on its own initiative: now visits and telephones are allowed. The medical staff resisted innovations, noted the head of the department, “doctors and nurses sometimes have a hard time changing their habits.”
In the intensive care unit of City Clinical Hospital No. 1 they are also allowed, said the head physician of this hospital, Alexei Svet. Resuscitation visiting hours are from 13.00 to 16.00. “If relatives interfere with work, they are politely asked to leave, in addition to doctors, our clinical psychologists work with them in some cases, the regime is due to the fact that rounds and basic procedures are completed at this time,” he added. At the request of relatives, visitors are allowed to see seriously ill patients from 9.00 to 21.00, Svet assured.
The Moscow Center for Palliative Medicine has already introduced round-the-clock visitation “for everyone, including dogs and cats,” the new head of the hospital, known public figure Nyuta Federmesser. Therapy dogs have already come to the patients, she added, and the hospital has also hired a volunteer coordinator, “which means that volunteers will appear soon,” she expects.

Prohibition of human relations

Why Doctors Limit Visits

. “It is the right of every patient to be visited by relatives and friends, including 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 contains 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 Salagai advises "contact insurance company which the policy was issued 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 reproduce the text of the document in full, because any of us may find ourselves in a similar situation:

"AT this moment in Russia there is no official law prohibiting visiting 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 we are talking, for example, about 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 is great amount examples where only one presence is nearby loved one 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, in resuscitation wards, comfortable conditions for 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 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 the sick - this does not require big investments just put a chair in the room.

We are well aware that resuscitation is special place, which must be observed certain rules behavior and sanitation. 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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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?

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

In pursuance of paragraph 2 of the list of instructions of the President of the Russian Federation V.V. Putin following the results of the special program "Direct line with Vladimir Putin" On April 14, 2016, the Ministry of Health of the Russian Federation sends an information and methodological letter "On the rules for visiting patients' relatives in intensive care units and intensive care units" developed by freelance specialists of the Ministry of Health of the Russian Federation and specialists from federal state medical institutions Therapy (Resuscitation)" and the Form of a memo for visitors, which they must read before visiting their relative in the intensive care unit (ICU), for strict implementation.

I.N.KAGRAMANYAN

Application

ABOUT THE RULES

RELATIVE VISITS TO PATIENTS IN THE ICU

AND CRITICAL CARE

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 absence of disease is 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 staff 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 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).

must familiarize themselves before visiting their relative

in the intensive care unit (ICU)

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 - it 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 with you (or turn them off), do not touch devices and medical equipment, communicate with your relative quietly, do not disturb protective regime department, do not approach or talk with other ICU patients, strictly follow the instructions of medical personnel, and 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 into the ICU only if accompanied by close relative(father, mother, wife, husband, adult children).

Familiarized with the memo. I undertake to comply with the requirements specified in it.

Name ______________ Signature ___________

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

What to do: leave a seriously ill patient without modern equipment that can prolong life, or let him die in the hospital walls, among strangers, without a chance to say goodbye? This monstrous issue has been dealt with by many families for years, even when it comes to children. It is no secret that dying people were often taken home from intensive care units precisely because of the ban on being around. Not because of selfishness - such is either the expressed desire of the dying, or unspoken, but in which the relatives were sure. It is better to die faster, but holding the hand of the most beloved people.

What do you know about resuscitation? Those who left loved ones in intensive care forever remember the days, and sometimes weeks and months, spent in the corridor in tense expectation, in an attempt to break through to a loved one - to beg, bribe, slip through. Long years this topic remained taboo, because both the death of a loved one and his recovery after a severe crisis overshadowed the rest of the nuances in terms of the strength of emotions. Although relatives usually returned from closed departments with bedsores, traces of binding on their arms and legs. But the patients' family members believed for years that there was no other way.

About 8 months ago, when due to the closeness of intensive care units, several mothers of children with cancer were unable to last days their lives to be with them, representatives of the charitable foundation "Pills" and the civil initiative "Being near" launched the campaign "Let me into intensive care". More than 50 people collaborated on the development of the final order public organizations, such as the Association of Parents of Premature Children, the Conscious Parenthood Association and many others.

And now - the ban is in the past. It would seem that everything is in order. And about. Minister of Health Viktor Shafransky, presenting the final order, recalled how he was seriously ill in childhood and began to recover when his mother was allowed to see him. He promised to take under his personal control the explanation and verification of the execution of the order.

No more than two visitors will be allowed per patient.

At the capital level, the situation is the same. Meetings are held at which the chief physicians are explained the rights and obligations of the patients' relatives. There are about 30 hospitals in Kyiv with an intensive care unit. Every year, 330,000 patients are admitted to hospitals "by ambulance" (not in a planned manner). By at least, 20% of them require a stay in intensive care. By the way, here the project to divide the hospitals into those where planned treatment will be carried out, and allocate 7-9 exclusively for intensive care, is “hung up”. In addition to the Emergency Hospital, they talked about hospitals with the most modern equipment that have long been known among patients - No. 1 (on Kharkiv highway), No. 8 (popularly - the Center on Kondratyuk), hospital No. 12, where reconstruction has been going on for 5 years there is an experience of mass admission of patients for intensive treatment). Children's intensive care hospitals: No. 1 (on Bogatyrskaya), No. 2 - on the Left Bank (Alisher Navoi Street). If such a division already existed, it would be easier to centrally regulate the admission of relatives to intensive care units. Now there are questions on the ground.

The head of the intensive care unit of one of the Kyiv clinics, who asked not to indicate his last name, laments:

Now I need to appoint a security guard from among the medical staff, who will bring mommy out in time if she arranges a tantrum. Or if urgent resuscitation begins, because most parents at such a moment instinctively rush to the child and interfere with us, and seconds count.

Actually, there were not so many doctors who initially supported the idea of ​​openness. Some sincerely believe that visitors, even in a bathrobe and shoe covers, are a source of infections. Although throughout the civilized world, except for the post-Soviet countries, family members are allowed into intensive care, and no special problems are observed. Others are embarrassed practical side question: our intensive care units are by no means single-seat. If two visitors come to 4-6 patients (that’s how many are allowed to be allowed in at the same time according to the new position, and one person can be constantly next to the patient), they need to be placed somewhere and it would be nice to allocate a stool (it’s not always possible to sit down).

Hospital rules will have to be rewritten

Most of all, doctors are concerned about the presence of strangers for them in places where there was no transparency before. And this is not necessarily a desire to hide violations. It’s just that earlier in the intensive care unit it was possible to act without thinking about delicacy, care towards patients. As Zoshchenko wrote on behalf of a doctor exactly 80 years ago in the History of Disease: “I love it more when patients come to us in unconscious. At least then they like everything, they are happy with everything and do not enter into scientific wrangling with us.

Now, ideally, the medical staff will have to learn patience in order to answer questions from relatives not only once a day, explain the manipulations being performed, determine which of the visitors to let through and which to ask from the ward. Learn to cooperate like in the West. But as a reward, doctors will receive people who provide timely care to the patient, while there are frankly not enough nurses. After all, as indicated in the order, visitors who are with the patient most time, may, with their consent, be involved in the care of the patient.

The same bedsores are not just discomfort for the patient, this problem affects the speed of his recovery. And if a person has more chances, both relatives and doctors will ultimately win.

Frustrated visitors are already writing on social networks that they are still not allowed into some intensive care units, referring to hospital rules. This argument is not valid. After all, sooner or later these documents will have to be rewritten, having agreed with the order of a higher authority - the Ministry of Health.

In what cases the visitor will not be allowed legally:

• He has symptoms infectious disease or he has recently been in contact with such a patient.
• He is in a state of intoxication.
• He stubbornly interferes with the work of the medical staff
• Violates the peace and privacy of other patients (talks against their will, looks at them, etc.)
• It disrupts the process of therapy (for example, medical equipment)
• They will not let the child in if his parents have not given permission (oral) for this.
• Will be asked to leave temporarily during the provision of urgent resuscitation
• They will not let you in if there are already two people in the ward near this patient - with the exception of special occasions(for example, during the rite of baptism or oil collection).

Charitable Foundation "Tabletochki"

We gave people a tool - an order that protects their rights. Then everything depends on the position of the person himself. You can passively complain on social networks that they were not allowed in, and sit in the corridor. And you can print the order and go with it to the head physician, contact the Ministry of Health, call " hotline» MoH, to promise to defend their rights in court. So far, even in clinics with which we have been working for a long time, they are trying not to let parents in after 18.00, although the order clearly states - around the clock. The next step- we are creating a website on which it will be detailed where to go if they are not allowed, sample applications, visiting rules - so that visitors intensive care units knew not only their rights, but also their obligations. There are nuances regarding children's departments, neonatal intensive care. We will not leave this topic, but we plan to adopt the best European experience in this matter. So order No. 592 is not the end, but the beginning of the process of transforming intensive care units into more friendly departments for patients and their relatives.