Vyj\u00e1d\u0159en\u00ed postoje na\u0161eho odd\u011blen\u00ed k\u00a0dan\u00e9 problematice. Sna\u017e\u00edme se postupovat tak, jak je to dle na\u0161eho m\u00edn\u011bn\u00ed spr\u00e1vn\u00e9 a nejlep\u0161\u00ed pro d\u00edt\u011b. Jitka Vo\u0159\u00ed\u0161kov\u00e1, vrchn\u00ed sestra, nemocnice v\u00a0Prost\u011bjov\u011b.
\nV \u010cesk\u00e9 asociaci sester zast\u00e1v\u00e1 funkci m\u00edstop\u0159edsedkyn\u011b Pediatrick\u00e9 sekce.<\/p>\n
1. <\/strong>Co m\u016f\u017ee b\u00fdt d\u016fvodem k\u00a0odm\u00edtnut\u00ed p\u0159ijmout matku k\u00a0pobytu jako doprovod d\u00edt\u011bte?<\/strong><\/p>\n Krom\u011b vy\u010derpan\u00fdch l\u016f\u017ekov\u00fdch kapacit, je to jej\u00ed zdravotn\u00ed stav- t\u011bhotenstv\u00ed (v jak\u00e9m stadiu?)?<\/p>\n Provozn\u00ed d\u016fvody (l\u016f\u017ekov\u00e1 kapacita) \u2013 v\u00a0tom p\u0159\u00edpad\u011b se sna\u017e\u00edme o p\u0159ijet\u00ed doprovodu n\u00e1sleduj\u00edc\u00ed\u00a0 den nebo nejd\u0159\u00edve, kdy je to mo\u017en\u00e9. Zdravotn\u00ed stav matky (jej\u00ed PN pro n\u011bjak\u00e9 onemocn\u011bn\u00ed, kter\u00e9 se neslu\u010duje s\u00a0jej\u00edm pobytem na odd\u011blen\u00ed), t\u011bhotenstv\u00ed nen\u00ed kontraindikac\u00ed, z\u00e1le\u017e\u00ed vylo\u017een\u011b na zdrav. stavu matky\u00a0 (m\u011bly jsme i maminku na rizikov\u00e9 gravidit\u011b i maminku, kter\u00e1 odj\u00ed\u017ed\u011bla z\u00a0na\u0161eho odd\u011blen\u00ed p\u0159\u00edmo na porodn\u00ed s\u00e1l-v term\u00ednu!)<\/p>\n M\u016f\u017ee nemocnice odm\u00edtnout otce jako doprovod proto, \u017ee l\u016f\u017eko je na pokoji, kde jsou s\u00a0d\u011btmi matky?<\/strong><\/p>\n Nutno dodat, \u017ee o p\u0159ijet\u00ed doprovodu d\u00edt\u011bte rozhoduje v\u00fdhradn\u011b o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159. Doprovod d\u011bt\u00ed do 6 let v\u011bku\u00a0 je hrazen zdravotn\u00ed poji\u0161\u0165ovnou, nad 6 let v\u011bku m\u016f\u017ee b\u00fdt tak\u00e9 hrazen v\u00a0od\u016fvodn\u011bn\u00e9 indikaci poji\u0161\u0165ovnou, ale zpravidla si rodi\u010d hrad\u00ed pobyt s\u00e1m. U n\u00e1s se sna\u017e\u00edme vyhov\u011bt v\u0161em rodi\u010d\u016fm, i u star\u0161\u00edch d\u011bt\u00ed. \u0158ekla bych, \u017ee odm\u00edtnut\u00ed p\u0159ijet\u00ed doprovodu je velmi v\u00fdjime\u010dn\u00e9.<\/p>\n M\u016f\u017ee nemocnice odm\u00edtnout otce jako doprovod proto, \u017ee l\u016f\u017eko je na pokoji, kde jsou s\u00a0d\u011btmi matky?<\/strong><\/p>\n Pokud m\u00e1 z\u00e1jem o p\u0159ijet\u00ed otec, sna\u017e\u00edme se provozn\u011b p\u0159izp\u016fsobit tak, aby mohl b\u00fdt v\u017edy p\u0159ijat. Prakticky s\u00a0t\u00edm nem\u00e1me probl\u00e9m, proto\u017ee,\u00a0 situace, kdy jsou na pokoji 2 d\u011bti s\u00a0doprovodem nen\u00ed p\u0159\u00edli\u0161 \u010dast\u00e1, v\u011bt\u0161inou je d\u00edt\u011b s\u00a0doprovodem na pokoji samostatn\u011b.<\/p>\n Kdo je\u0161t\u011b m\u016f\u017ee b\u00fdt doprovodem \u2013 prarodi\u010de, nep\u0159\u00edbuzn\u00fd dosp\u011bl\u00fd\u2026.., je k\u00a0tomu t\u0159eba n\u011bjak\u00e9ho zvl\u00e1\u0161tn\u00edho zplnomocn\u011bn\u00ed, pokud nejde o z\u00e1konn\u00e9ho z\u00e1stupce d\u00edt\u011bte? <\/strong><\/p>\n Jako doprovod p\u0159ij\u00edm\u00e1me krom\u011b vlastn\u00edch rodi\u010d\u016f \u010dasto tak\u00e9 prarodi\u010de (dokonce i d\u011bde\u010dka), tetu nebo str\u00fdce, plnolet\u00e9ho sourozence. P\u0159\u00edpadn\u011b partnera matky (i kdy\u017e nen\u00ed man\u017eel ani biologick\u00fd otec) \u2013 proto\u017ee p\u0159i p\u0159ijet\u00ed d\u00edt\u011bte je matka a p\u0159eje si, aby s\u00a0d\u00edt\u011btem z\u016fstal jej\u00ed partner, nepo\u017eadujeme \u017e\u00e1dn\u00e9 zvl\u00e1\u0161tn\u00ed zplnomocn\u011bn\u00ed.<\/p>\n 2. <\/strong>\u201eDoprovod, kter\u00fd nebyl p\u0159ijat k\u00a0hospitalizaci, m\u00e1 pr\u00e1vo s\u00a0d\u00edt\u011btem v\u00a0nemocnici z\u016fstat, a to v\u00a0souladu provozn\u00edm \u0159\u00e1dem nemocnice\u201c.?<\/strong><\/p>\n Pokud nem\u016f\u017ee b\u00fdt doprovod p\u0159ijat\u00fd (a\u0165 u\u017e z d\u016fvod\u016f na stran\u011b nemocnice nebo na stran\u011b rodi\u010d\u016f) a chce a m\u016f\u017ee b\u00fdt s\u00a0d\u00edt\u011btem cel\u00fd den p\u0159\u00edtomen, nen\u00ed nijak omezov\u00e1n n\u00e1v\u0161t\u011bvn\u00edmi hodinami. M\u016f\u017ee sed\u011bt u post\u00fdlky do ve\u010dera, zpravidla do 20,00 hodin a r\u00e1no p\u0159ij\u00edt t\u0159eba v\u00a07,00. Pokud cht\u011bj\u00ed b\u00fdt s\u00a0d\u00edt\u011btem p\u0159\u00edbuzn\u00ed d\u00e9le, umo\u017e\u0148ujeme to tak\u00e9. Prost\u011b to nen\u00ed klasick\u00e9 p\u0159ijet\u00ed, doprovod je bez l\u016f\u017eka a stravy, ale jinak tr\u00e1v\u00ed \u010das s\u00a0d\u00edt\u011btem tak, jako by byl p\u0159ijat\u00fd.\u00a0 Tot\u00e9\u017e se t\u00fdk\u00e1 d\u011bt\u00ed p\u0159ijat\u00fdch na JIP.<\/p>\n 3. <\/strong>Je mo\u017en\u00e9 v\u00a0praxi, aby b\u011bhem hospitalizace d\u00edt\u011bte mohl doprovod (i nehospitalizovan\u00fd) doprov\u00e1zet d\u00edt\u011b k\u00a0jednotliv\u00fdm vy\u0161et\u0159en\u00edm, p\u0159\u00edpadn\u011b z\u00e1krok\u016fm, pokud to nevylu\u010duj\u00ed hygienick\u00e9 podm\u00ednky opera\u010dn\u00edho s\u00e1lu, atd.? <\/strong><\/p>\n U n\u00e1s je naprostou samoz\u0159ejmost\u00ed, \u017ee p\u0159ijat\u00fd rodi\u010d (doprovod) absolvuje s\u00a0d\u00edt\u011btem v\u0161echna vy\u0161et\u0159en\u00ed, o\u0161et\u0159en\u00ed a doprov\u00e1z\u00ed d\u00edt\u011b i k\u00a0z\u00e1krok\u016fm na opera\u010dn\u00edm s\u00e1le. Kdy\u017e je d\u00edt\u011b odvezeno na s\u00e1l, vrac\u00ed se na odd\u011blen\u00ed a po z\u00e1kroku \u010dasto tr\u00e1v\u00ed \u010das s\u00a0d\u00edt\u011btem na dosp\u00e1vac\u00edm pokoji, pokud to umo\u017e\u0148uje tamn\u00ed provoz. Tot\u00e9\u017e plat\u00ed o doprovodu, kter\u00fd nen\u00ed p\u0159ijat\u00fd k\u00a0hospitalizaci. Domn\u00edv\u00e1m se, \u017ee p\u0159\u00edtomnost rodi\u010de p\u0159ed a po z\u00e1kroku je velmi d\u016fle\u017eit\u00e1 jak pro d\u00edt\u011b, tak pro rodi\u010de.<\/p>\n 4. <\/strong>Je mo\u017en\u00e9, aby nemocnice doprovodu nab\u00edzela v\u00fdhradn\u011b nadstandardn\u00ed pokoj za nadstandardn\u00ed cenu.<\/strong><\/p>\n Podle m\u011b je naprosto nep\u0159\u00edpustn\u00e9, aby p\u0159\u00edtomnost doprovodu byla podmi\u0148ov\u00e1na pobytem na nadstandardn\u00edm pokoji. M\u00e1me 4 nadstandardn\u00ed pokoje, jsou prakticky st\u00e1le obsazen\u00e9. Pokud jsou voln\u00e9, pat\u0159\u00ed nab\u00eddka tohoto pokoje p\u0159i p\u0159ijet\u00ed k\u00a0b\u011b\u017en\u00e9mu postupu, ale nijak tyto pokoje nenut\u00edme. Uv\u011bdomujeme si, \u017ee ne ka\u017ed\u00e1 rodina si to m\u016f\u017ee dovolit a rozhodn\u011b nesouhlas\u00edm s\u00a0t\u00edm, \u017ee p\u0159ijet\u00ed doprovodu by mohlo b\u00fdt n\u011bkter\u00fdm d\u011btem odm\u00edt\u00e1no proto, \u017ee rodina nen\u00ed ekonomicky solventn\u00ed.<\/p>\n 5. <\/strong> D\u011bt\u0161t\u00ed pacienti, resp. Jejich dosp\u011bl\u00fd doprovod maj\u00ed krom\u011b pr\u00e1v i sv\u00e9 povinnosti. Kter\u00e9 z\u00a0povinnost\u00ed nepln\u00ed? (v\u011bdom\u011b \u010di nev\u011bdom\u011b)? <\/strong><\/p>\n Na na\u0161em odd\u011blen\u00ed jsou doprovodn\u00e9 osoby hned p\u0159i p\u0159ijet\u00ed sezn\u00e1meny s\u00a0pravidly, kter\u00e9 mus\u00ed (m\u011bly by) na odd\u011blen\u00ed dodr\u017eovat. Po celou dobu pobytu maj\u00ed dostupn\u00e9 \u201eInformace pro maminky i ostatn\u00ed doprovodn\u00e9 osoby d\u011bt\u00ed hospitalizovan\u00fdch na d\u011btsk\u00e9m odd\u011blen\u00ed Nemocnice Prost\u011bjov\u201c. Tyto informace obsahuj\u00ed pravidla a z\u00e1sady p\u0159i pobytu na odd\u011blen\u00ed.<\/p>\n Nej\u010dast\u011bj\u0161\u00ed \u201eproh\u0159e\u0161ky\u201c se t\u00fdkaj\u00ed dodr\u017eov\u00e1n\u00ed bezpe\u010dnosti d\u00edt\u011bte (otev\u0159en\u00e1 post\u00fdlka, d\u00edt\u011b bez dozoru na posteli doprovodu, zapomenut\u00ed zapnut\u00ed monitoru p\u0159i ulo\u017een\u00ed d\u00edt\u011bte do post\u00fdlky..).\u00a0 Matce, kter\u00e1 odch\u00e1z\u00ed ka\u017edou hodinu mimo odd\u011blen\u00ed kou\u0159it, je doporu\u010deno, aby k\u00a0d\u00edt\u011bti p\u0159i\u0161el n\u011bkdo jin\u00fd. Cel\u00e9 na\u0161e odd\u011blen\u00ed je neku\u0159\u00e1ck\u00e9, kou\u0159en\u00ed na odd\u011blen\u00ed m\u016f\u017ee b\u00fdt d\u016fvodem k\u00a0propu\u0161t\u011bn\u00ed doprovodu \u2013 samoz\u0159ejm\u011b po vz\u00e1jemn\u00e9 domluv\u011b.<\/p>\n Sp\u00ed\u0161e v\u00fdjime\u010dn\u00e9 je poru\u0161ov\u00e1n\u00ed l\u00e9\u010debn\u00e9ho re\u017eimu (nerespektov\u00e1n\u00ed pokyn\u016f person\u00e1lu, nap\u0159. ve strav\u011b d\u00edt\u011bte) a v\u011bt\u0161inou sta\u010d\u00ed s\u00a0doprovodem pohovo\u0159it, n\u011bkdy opakovan\u011b. Ob\u010das se tak\u00e9 setk\u00e1v\u00e1me s\u00a0pon\u011bkud \u201ehlu\u010dn\u00fdm\u201c doprovodem. V\u011bt\u0161inou sta\u010d\u00ed opakovan\u00e9 upozorn\u011bn\u00ed na dodr\u017eov\u00e1n\u00ed dom\u00e1c\u00edho \u0159\u00e1du a v\u0161e se srovn\u00e1.<\/p>\n R\u00e1da bych je\u0161t\u011b podotkla, \u017ee n\u011bkdy je i pro person\u00e1l slo\u017eit\u00e9 vyj\u00edt s\u00a0n\u011bkter\u00fdmi doprovodn\u00fdmi osobami.\u00a0 Trvalo n\u011bjakou dobu, ne\u017e jsme si zvykli na situaci, \u017ee je na odd\u011blen\u00ed krom\u011b person\u00e1lu p\u0159\u00edtomno 24 hodin denn\u011b i n\u011bkolik nezdravotn\u00edk\u016f, ale te\u010f u\u017e je doba, kdy p\u0159\u00edtomnost rodi\u010d\u016f v\u00edt\u00e1me.<\/p>\n A je to tak ur\u010dit\u011b spr\u00e1vn\u00e9. Ch\u00e1pu, \u017ee v\u0161echna d\u011btsk\u00e1 odd\u011blen\u00ed nemaj\u00ed stejn\u00e9 mo\u017enosti jako na\u0161e odd\u011blen\u00ed, nicm\u00e9n\u011b se domn\u00edv\u00e1m, \u017ee k\u00a0vytvo\u0159en\u00ed podm\u00ednek pro p\u0159ij\u00edm\u00e1n\u00ed doprovod\u016f nen\u00ed nutn\u00e9 pouze\u00a0 provozn\u00ed zaji\u0161t\u011bn\u00ed.<\/p>\n Z\u00e1jem d\u00edt\u011bte by m\u011bl b\u00fdt v\u017edy na prvn\u00edm m\u00edst\u011b. Sna\u017e\u00edme se dr\u017eet kr\u00e9da na\u0161eho odd\u011blen\u00ed: \u201eOdd\u011blen\u00ed p\u0159\u00e1telsk\u00e9 d\u011btem i dosp\u011bl\u00fdm\u201c.<\/p>\n 6. <\/strong>Kam se mohou pacienti obr\u00e1tit, pokud maj\u00ed pocit, \u017ee jim person\u00e1l odd\u011blen\u00ed, resp. Nemocnice nechce vyj\u00edt vst\u0159\u00edc v\u00a0tom, na\u010d maj\u00ed pr\u00e1vo?<\/strong><\/p>\n P\u0159i nespokojenosti maj\u00ed rodi\u010de (doprovod) mo\u017enost obr\u00e1tit se na veden\u00ed odd\u011blen\u00ed, veden\u00ed nemocnice a\u00a0 pokud se nedomluv\u00ed, tak na odbor zdravotnictv\u00ed Krajsk\u00e9ho \u00fa\u0159adu nebo \u010cLK. Z\u00e1le\u017e\u00ed ov\u0161em tak\u00e9 na d\u016fvodu nespokojenosti. St\u00ed\u017enost?\u201ePokud vy pravidla dodr\u017eujete, ale nemocnice v\u00e1m nevyh\u00e1z\u00ed vst\u0159\u00edc tak, jak byste r\u00e1di, m\u00e1te mo\u017enost obr\u00e1tit se na veden\u00ed konkr\u00e9tn\u00edho odd\u011blen\u00ed \u010di veden\u00ed nemocnice a pokud se nedomluv\u00edte, pak na odbor zdravotnictv\u00ed Krajsk\u00e9ho \u00fa\u0159adu nebo \u010ceskou l\u00e9ka\u0159skou komisi, dopl\u0148uje Mgr. Lenka Gutov\u00e1 z\u00a0\u010cesk\u00e9 asociace sester.<\/p>\n Jitka Vo\u0159\u00ed\u0161kov\u00e1, pracuje na d\u011btsk\u00e9m odd\u011blen\u00ed Nemocnice Prost\u011bjov 35 let funkce vrchn\u00ed sestry od roku 1992.<\/strong><\/p>\n <\/p>\n Z pozice dlouholet\u00e9 praxe ve zdravotnictv\u00ed se sna\u017e\u00ed prost\u0159ednictv\u00edm \u010cAS o zachov\u00e1n\u00ed vzd\u011bl\u00e1v\u00e1n\u00ed v oboru d\u011btsk\u00e1 sestra, jeliko\u017e d\u00edt\u011b opravdu nen\u00ed „mal\u00fd dosp\u011bl\u00fd“. D\u011btsk\u00fd v\u011bk od narozen\u00ed a\u017e do dosp\u011blosti m\u00e1 sv\u00e1 velk\u00e1 specifika a \u010dasto odli\u0161nosti v o\u0161et\u0159ov\u00e1n\u00ed b\u011bhem nemoci. D\u011btsk\u00e1 sestra mus\u00ed zn\u00e1t ov\u0161em nejen specifika o\u0161et\u0159ovatelsk\u00e9 p\u00e9\u010de, ale i psychomotorick\u00fd v\u00fdvoj d\u011bt\u00ed ve zdrav\u00ed. „Pr\u00e1ce d\u011btsk\u00e9 sestry je kr\u00e1sn\u00e1, ale \u010dasto n\u00e1ro\u010dn\u00e1 a l\u00e9ka\u0159i i nel\u00e9ka\u0159i by m\u011bli b\u00fdt na tuto pr\u00e1ci speci\u00e1ln\u011b p\u0159ipravovan\u00ed“dod\u00e1v\u00e1 vrchn\u00ed sestra Jitka Vo\u0159\u00ed\u0161kov\u00e1.<\/p>\n <\/p>\n Pr\u00e1va a povinnosti dosp\u011bl\u00fdch<\/span><\/strong><\/p>\n Mgr.Lenka Gutov\u00e1, MBA, n\u00e1m\u011bstkyn\u011b \u0159editele \u00daVN Praha pro nel\u00e9ka\u0159sk\u00e9 zdravotnick\u00e9 profese,<\/strong><\/p>\n \u010cesk\u00e1 asociace sester \u2013 \u010dlenka sekce managment<\/strong><\/p>\n <\/p>\n \u00davodem je t\u0159eba zd\u016fraznit povinnost zdravotn\u00edk\u016f informovat pacienta o jeho pr\u00e1vech. Jak\u00fdm zp\u016fsobem je tato povinnost ve zdravotnick\u00e9m za\u0159\u00edzen\u00ed napl\u0148ov\u00e1na\u00a0 vypl\u00fdv\u00e1 z vnit\u0159n\u00edch p\u0159edpis\u016f konkr\u00e9tn\u00edho za\u0159\u00edzen\u00ed. Obvykle jsou pacienti p\u0159i p\u0159ijet\u00ed sestrou upozorn\u011bni na zp\u016fsob, jak se mohou se sv\u00fdmi\u00a0pr\u00e1vy sezn\u00e1mit a je o tom ve zdravotnick\u00e9 dokumentaci u\u010din\u011bn z\u00e1znam.\u00a0 Management zdravotnick\u00e9ho za\u0159\u00edzen\u00ed je mimo jin\u00e9 zodpov\u011bdn\u00fd za vy\u017eadov\u00e1n\u00ed obecn\u011b platn\u00fdch doporu\u010den\u00fdch postup\u016f, kter\u00e9 vedou ke spokojenosti pacient\u016f s\u00a0c\u00edlem poskytovat kvalitn\u00ed a bezpe\u010dnou p\u00e9\u010di.<\/p>\n M\u00e1te pr\u00e1vo<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Na ohleduplnou a taktn\u00ed p\u00e9\u010di zdravotn\u00edk\u016f s\u00a0respektov\u00e1n\u00edm va\u0161ich hodnot, \u017eivotn\u00edch zvyk\u016f, duchovn\u00edch pot\u0159eb a n\u00e1bo\u017eensk\u00e9ho p\u0159esv\u011bd\u010den\u00ed<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Na poskytnut\u00ed odborn\u00e9 p\u00e9\u010de pouze kvalifikovan\u00fdmi pracovn\u00edky nemocnice. Pokud n\u011bkter\u00e9 \u010dinnosti budou prov\u00e1d\u011bt osoby v\u00a0odborn\u00e9m z\u00e1cviku, m\u00e1te pr\u00e1vo na to b\u00fdt upozorn\u011bn a p\u0159\u00edpadn\u011b mo\u017enost s\u00a0takov\u00fdm postupem nesouhlasit<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Na p\u00e9\u010di s\u00a0respektem k\u00a0va\u0161emu soukrom\u00ed zejm\u00e9na v\u00a0pr\u016fb\u011bhu klinick\u00fdch vy\u0161et\u0159ovac\u00edch a l\u00e9\u010debn\u00fdch v\u00fdkon\u016f i v\u00a0pr\u016fb\u011bhu transportu. M\u016f\u017eete vy\u017eadovat soukrom\u00ed p\u0159ed dal\u0161\u00edmi zam\u011bstnanci nemocnice, p\u0159ed jin\u00fdmi pacienty<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e1te pr\u00e1vo na ochranu v\u0161ech \u00fadaj\u016f o va\u0161\u00ed osob\u011b \u2013 je povinnost\u00ed zdravotn\u00edk\u016f pokl\u00e1dat informace o va\u0161em zdravotn\u00edm stavu v\u010detn\u011b va\u0161ich identifika\u010dn\u00edch \u00fadaj\u016f za d\u016fv\u011brn\u00e9<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e1te pr\u00e1vo na informace o povaze va\u0161eho onemocn\u011bn\u00ed, o navr\u017een\u00fdch l\u00e9\u010debn\u00fdch postupech, o v\u00fdsledc\u00edch l\u00e9\u010dby v\u010detn\u011b neo\u010dek\u00e1van\u00fdch v\u00fdsledk\u016f<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e1te pr\u00e1vo pod\u00edlet se na rozhodov\u00e1n\u00ed o p\u00e9\u010di, kter\u00e1 v\u00e1m bude poskytnuta, pokud o to budete m\u00edt z\u00e1jem. Nemus\u00edte se na t\u011bchto rozhodnut\u00edch pod\u00edlet osobn\u011b, ale m\u00e1te mo\u017enost zvolit si pro tento \u00fa\u010del p\u0159\u00edbuzn\u00e9ho, p\u0159\u00edtele nebo jinou osobu.<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e1te pr\u00e1vo ur\u010dit osoby, kter\u00fdm budou poskytov\u00e1ny informace o va\u0161em zdravotn\u00edm stavu<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e1te n\u00e1rok, aby bylo respektov\u00e1no va\u0161e pr\u00e1vo rozhodnout o tom, kter\u00e9 informace o va\u0161em zdravotn\u00edm stavu a za jak\u00fdch okolnost\u00ed mohou b\u00fdt sd\u011bleny dal\u0161\u00edm osob\u00e1m, v\u010detn\u011b va\u0161ich rodinn\u00fdch p\u0159\u00edslu\u0161n\u00edk\u016f<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e1te pr\u00e1vo b\u00fdt srozumiteln\u011b pou\u010den o v\u0161ech prov\u00e1d\u011bn\u00fdch v\u00fdkonech \u2013 v\u00fdkon se neprovede, pokud s t\u00edm nebudete souhlasit. Toto se v\u0161ak net\u00fdk\u00e1 situace, kdy je v\u00fdkon nutno prov\u00e9st pro akutn\u00ed ohro\u017een\u00ed va\u0161eho \u017eivota nebo zdrav\u00ed a nebudete schopen vzhledem ke sv\u00e9mu zdravotn\u00edmu stavu souhlas vyj\u00e1d\u0159it.<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e1te pr\u00e1vo odm\u00edtnout navr\u017eenou l\u00e9\u010dbu se sou\u010dasn\u00fdm pou\u010den\u00edm o d\u016fsledc\u00edch tohoto odm\u00edtnut\u00ed<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e1te pr\u00e1vo vyj\u00e1d\u0159it nespokojenost s pr\u016fb\u011bhem poskytov\u00e1n\u00ed p\u00e9\u010de formou p\u00edsemnou nebo \u00fastn\u00ed , sou\u010dasn\u011b v\u011bd\u011bt kam a na koho se m\u016f\u017eete obr\u00e1tit v\u00a0p\u0159\u00edpad\u011b, \u017ee nebudete s\u00a0p\u00e9\u010d\u00ed spokojeni. P\u0159ipom\u00ednky je vhodn\u00e9 sd\u011blit vedouc\u00edmu pracovi\u0161t\u011b (prim\u00e1\u0159i nebo vrchn\u00ed sest\u0159e odd\u011blen\u00ed ). Pokud nebudou va\u0161e p\u0159ipom\u00ednky \u010di p\u0159\u00e1n\u00ed respektov\u00e1na je d\u00e1le vhodn\u00e9 se p\u00edsemn\u011b \u010di telefonicky\u00a0 obr\u00e1tit na \u0159editele zdravotnick\u00e9ho za\u0159\u00edzen\u00ed\u00a0 event. Odd\u011blen\u00ed kvality konkr\u00e9tn\u00edho za\u0159\u00edzen\u00ed .<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e1te pr\u00e1vo b\u00fdt sezn\u00e1men s\u00a0rozsahem sv\u00e9 odpov\u011bdnosti za va\u0161e osobn\u00ed v\u011bci, pokud nemocnice p\u0159ijme odpov\u011bdnost za va\u0161e osobn\u00ed v\u011bci, jsou jej\u00ed pracovn\u00edci povinni p\u0159ijmout opat\u0159en\u00ed zabra\u0148uj\u00edc\u00ed ztr\u00e1t\u011b nebo jejich zcizen\u00ed.<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e1te pr\u00e1vo na v\u010dasnou diagnostiku a l\u00e9\u010dbu bolesti. Je t\u0159eba v\u010das upozornit o\u0161et\u0159uj\u00edc\u00ed person\u00e1l\u00a0 a to zejm\u00e9na v\u00a0p\u0159\u00edpad\u011b, kdy l\u00e9\u010dba bolesti je ne\u00fa\u010dinn\u00e1 nebo nedostate\u010dn\u00e1.<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e1te pr\u00e1vo zn\u00e1t jm\u00e9na v\u0161ech osob, kter\u00e9 se pod\u00edlej\u00ed na poskytov\u00e1n\u00ed zdravotn\u00ed p\u00e9\u010de. P\u0159\u00edtomnost osob, kter\u00e9 se nepod\u00edlej\u00ed na poskytov\u00e1n\u00ed zdravotn\u00ed p\u00e9\u010de (studenti a st\u00e1\u017eist\u00e9) mus\u00ed b\u00fdt pacientem p\u0159edem odsouhlasena. P\u0159itom v\u00e1\u0161 p\u0159\u00edpadn\u00fd nesouhlas s p\u0159\u00edtomnost\u00ed t\u011bchto osob nen\u00ed d\u016fvodem k neposkytnut\u00ed zdravotn\u00ed p\u00e9\u010de.<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pokud budete vy\u017eadovat a nenaru\u0161\u00ed to pr\u016fb\u011bh v\u00fdkonu, nebo nevytvo\u0159\u00ed epidemiologick\u00e9 \u010di jin\u00e9 bezpe\u010dnostn\u00ed riziko, m\u00e1te pr\u00e1vo vy\u017eadovat u prov\u00e1d\u011bn\u00fdch v\u00fdkon\u016f \u00fa\u010dast bl\u00edzk\u00e9 osoby.<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e1te pr\u00e1vo b\u00fdt chr\u00e1n\u011bn proti nemocni\u010dn\u00edm infekc\u00edm \u2013 v\u0161ichni pracovn\u00edci nemocnice mus\u00ed p\u0159ed jakoukoli manipulac\u00ed s pacientem m\u00edt umyt\u00e9 \u010di vydesinfikovan\u00e9 ruce.<\/p>\n –\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u00e1te pr\u00e1vo na osobn\u00ed kontakt s\u00a0va\u0161imi bl\u00edzk\u00fdmi<\/p>\n <\/p>\n Psan\u00e1 pr\u00e1va pacient\u016f jsou dnes k\u00a0dispozici t\u00e9m\u011b\u0159 ve v\u0161ech zdravotnick\u00fdch za\u0159\u00edzen\u00edch, jejich respektov\u00e1n\u00ed v\u0161ak v\u00a0praxi pokulh\u00e1v\u00e1. Zdravotn\u00edk\u016fm jsou pr\u00e1va pacient\u016f v\u0161eobecn\u011b zn\u00e1m\u00e1, av\u0161ak k\u00a0jejich d\u016fsledn\u00e9mu napln\u011bn\u00ed maj\u00ed zdravotn\u00edci je\u0161t\u011b pom\u011brn\u011b dlouhou cestu. Je v\u0161ak na m\u00edst\u011b ot\u00e1zka, zda jsou podm\u00ednky k\u00a0jejich respektov\u00e1n\u00ed v\u017edy v\u00a0konkr\u00e9tn\u00edm za\u0159\u00edzen\u00ed adekv\u00e1tn\u00ed.<\/p>\n Mnohdy je t\u0159eba p\u0159ekonat stereotypy historicky hluboce zako\u0159en\u011bn\u00e9. P\u0159\u00edkladem m\u016f\u017ee b\u00fdt pr\u016fb\u011bh l\u00e9ka\u0159sk\u00fdch vizit, kdy jsou informace o zdravotn\u00edm stavu pacienta sd\u011blov\u00e1ny a diskutov\u00e1ny na v\u00edce l\u016f\u017ekov\u00fdch pokoj\u00edch p\u0159ed ostatn\u00edmi spolupacienty. Mnohde jsou k\u00a0vid\u011bn\u00ed je\u0161t\u011b jm\u00e9na pacient\u016f na v\u00fdv\u011bsk\u00e1ch na nemocni\u010dn\u00edch chodb\u00e1ch. Pacient\u016fm jsou b\u011b\u017en\u011b navrhov\u00e1ny postupy l\u00e9\u010dby \u010di mo\u017en\u00e1 \u0159e\u0161en\u00ed, av\u0161ak pacient je s\u00a0nimi seznamov\u00e1n form\u00e1ln\u011b pouze p\u0159ed\u00e1n\u00edm p\u00edsemn\u00e9 informace bez dostate\u010dn\u00e9ho vysv\u011btlen\u00ed a ov\u011b\u0159en\u00ed, zda pacient navr\u017een\u00fdm postup\u016fm porozum\u011bl.<\/p>\n Jsem si v\u011bdoma, \u017ee pr\u00e1va jsou z\u00e1vazn\u00e1 mor\u00e1ln\u011b, nikoliv v\u0161ak pr\u00e1vn\u011b, ale p\u0159esto se domn\u00edv\u00e1m,\u00a0 \u017ee p\u0159edev\u0161\u00edm d\u016fsledn\u00fdm vy\u017eadov\u00e1n\u00edm t\u011bchto norem ze strany pacient\u016f a jejich bl\u00edzk\u00fdch lze dos\u00e1hnout postupn\u00e9ho zlep\u0161en\u00ed postoje zdravotn\u00edk\u016f v\u00a0\u0161irok\u00e9 praxi.<\/p>\n