The threat of death is considered to be a sufficient reason in Russia in order not to observe the rights of a person who threatens death. An example of this is children's resuscitation. According to the law, only the court has the right to separate the child from parents. In practice, each head of the intensive care unit in any children's hospital in the country has such a right
They sit at the closed doors of the resuscitation department for days, sometimes for weeks. Their children are inside, they are outside. As a rule, the doctor comes to them twice a day. After a conversation with the doctor, the mother only understands that her child is alive.
The worse the hospital, the poorer the department is equipped, the stricter the regime. In provincial hospitals, it is still customary to let parents go into children's resuscitation departments. In Moscow hospitals, it is customary to allow ten minutes a day. Only in some resuscitation departments in Moscow and St. Petersburg parents are allowed to children several times a day and for a long time.
A young woman named Natasha says that her fourteen -year -old daughter suffered all night, hesitated to celebrate his natural need for the ship, because she was on duty, not a nurse, and the girl was awkward in the presence of a man. A woman named Elena says that her boy lies attached to the bed. No one explained to Elena that the child was attached not for reasons of cruelty, but so that in a semi -conscious state he would not tear the catheter introduced into the subclavian vein and the drainage tubes introduced into the nose.
Parents are always unhappy with their children. But they never protest. The International Convention on the Rights of the Child Ratified by Russia states: “The state of participants ensure that the child does not separate from their parents contrary to their desire, with the exception of cases when the competent authorities, according to the court decision ... determine that such separation is necessary.”
The European Charter of the rights of a hospitalized child reads: “A hospitalized child, regardless of age and health, has the right to ensure that his parents are near and at night.” But Russia did not ratify this charter. The rules of hospitalization are regulated by the order of the USSR Ministry of Health of July 31, 1978, and it says: "Personnel who do not work in dressing, operating rooms and intensive care units are prohibited in them."
But parents do not protest. They perceive their children lying in intensive care as hostages. And they prefer not to quarrel with doctors.
Voice of protest
So far, only doctors are protected against such a violation of the rights of the child. Head of the General Hematology Department of the Federal Center for Pediatric Hematology Mikhail Maschan says:
“For everyone who doubts that you need to put your parents into intensive care, I have a simple recipe - imagine that your child is in intensive care. Would you like to be next to him, to know that people who help the child at the critical moment of his life, competent and sober? "
According to Maschan, behind closed resuscitation doors, doctors and nurses allow themselves to behave as he would never behave in the presence of parents. In the order of things that the nurse can shout: "Shut up!" In the order of things that nurses are sleeping during duty. Maschan is known for the case when the fact that the child died was discovered only two and a half hours after the onset of death, when the resuscitation was already meaningless. And he saw with his own eyes in intensive care units of drunken doctors. There would have been none of this if parents were present in children's resuscitation departments.
“In order to perform correct and adequate actions in the presence of outsiders,” says Maschan, “you need an order of magnitude more competence, self -confidence, the ability to communicate with the patient and bear responsibility for each step. Medicine is a complex specialty. Doctors are mistaken and often mistaken. But it’s good if each step is either a fruit of thought, or the embodiment of a generally accepted and scientifically based standard. And the need to explain their actions to parents is another reason to make sure that you act by mature reflection and according to the standards. ”
From the explanations of the doctor it follows that when the vein puncture occurs, intubation, the actual intensive care, it is reasonable to remove relatives from the resuscitation hall. Medical staff should be able to take mom by the arm, tell her: "We have a critical moment, you better wait for the door." And if my mother saw the work of the doctors before the onset of a critical moment and was imbued with trust, then she, most likely, will still restraint behind the door this time. These acute moments, according to Maschan, make one percent of the whole time that the child is in intensive care. The rest of the time, days and weeks, he receives planned therapy, and there is no reason to torment him with loneliness.
The voice of reason
Associate Professor of the Russian State Medical University, the resuscitator Gennady Prokopyev agrees that the presence of parents is disciplined by medical personnel. He even gives quite scientifically verified data that the survival of premature babies increases significantly if parents are next to them in intensive care. He says: "The main reason for the total ban on accessing parents to children's resuscitation is laziness of medical personnel."
However, with the fact that parents always have the right to be near the child, Prokopyev cannot agree. Resuscitation is a rather terrible sight: bones crunch, snot fly. In practice, Prokopyev was cases when his parents lost consciousness, seeing this. There is no one to provide assistance to parents, and there is also no one to take their parents from the resuscitation hall - there are not enough staff.
In addition, the patient is surrounded by complex equipment. Prokopyev says that there is no time to explain to an incompetent person the purpose of each light bulb and each wiring. And if, due to inexperience, the mother comes and tear off a small gray wires that regulate the child’s heart rhythm, death will come.
Prokopyev does not see any case for his mother in intensive care, because they even feed children through the probe there, and this is a medical manipulation. But outsiders can bring an infection to the department or just a microflora alien to the patient.
It is noteworthy that all these objections are expressed by a person who is trying in his department as much as possible, unlike most Russian doctors, to let their parents go to children.
