Calling an ambulance is carried out by phone number"03" (from cell phones 03, 030, 003, 033, 03*- depending on the carrier).

The caller (sick, injured, relatives, other persons) is obliged:

How, when and where are they hospitalized?

The decision on hospitalization is made by the doctor.

Even if, contrary to his opinion, he decides to take the patient to the hospital, the admissions department is also unlikely to find grounds for hospitalization, and he will have to return home on his own.

Hospitalization is carried out with life-threatening conditions, childbirth, in the postpartum period, with injuries after emergencies and natural disasters(Article 35, paragraph 4 of the federal law "On the fundamentals of protecting the health of citizens in the Russian Federation").

The patient is transported to a nearby free emergency hospital, however, the profile of the diagnosis is taken into account.

For example, for some categories of patients (in particular with strokes) there is a list of hospitals.

The wishes of the patient or his relatives in this case are not taken into account (Article 6 of Appendix No. 1 of the relevant procedure).

If the patient (or his relatives) believes that hospitalization is necessary, and the ambulance refused, you can independently come to the emergency department of the hospital that the patient considers most suitable.

The place of residence, registration or temporary registration for doctors does not matter.

If the case is not an emergency and there is no threat to life, but the doctor still decided to send the patient to the hospital, you can refuse hospitalization, for which you need to sign the appropriate paper.

Parents (guardians, custodians) of a sick child or a person recognized as legally incompetent by a court decision may refuse medical care.

But if the doctor believes that this decision jeopardizes the health of the patient, the relevant medical organization may apply to the court or guardianship authorities, the senior brigade may call the police.

If a person is capable and unconscious, then none of the relatives can oppose the provision of medical care.

Hospitalization without taking into account the opinion of the patient is carried out if a person suffers from a severe mental illness.

The team of medical staff who came to the call can provide emergency care on the spot or to hospitalize the patient. The patient can be taken away only with his consent.

Hospitalization cases are regulated and not everyone is delivered to hospitals, but only those who fit the symptoms prescribed by the rules.

Conditions in which hospitalization is required:

1. Obtaining severe injuries, injuries, damage to vital organs.
2. In a crisis of severe forms of chronic diseases.
3. Pregnancy that threatens the life of the mother or baby.
4. Bleeding, different localization.
5. Uncertain symptoms, sharply worsening condition of the patient.
6. When urgent surgery is needed.
7. Mental disorder of the patient, posing a threat to him or his relatives.
8. The need for isolation, with dangerous viral diseases, etc.

When can they refuse?

If a person calls 03, he can be refused only in very rare cases.

Emergency doctors do not:

The ambulance will not establish the state of narcotic or alcohol intoxication, relieve hangovers, issue certificates, provide dental care (except in cases of severe bleeding after tooth extraction) and prescribe treatment.

The ambulance team is not required to be on duty at the entrance “just in case”: a patient who needs constant monitoring is either transferred under the care of the clinic to which he is attached, or hospitalized.

Question asked by userMaksim

Dear Maxim!

In accordance with part 1 of article 5 of the Law Russian Federation“On psychiatric care and guarantees of the rights of citizens in its provision” of July 2, 1992 N 3185-1, persons suffering from mental disorders have all the rights and freedoms of citizens provided for by the Constitution and federal laws. Restriction of the rights and freedoms of citizens associated with a mental disorder is permissible only in cases provided for by federal laws. "Regulations on the passport of a citizen of the Russian Federation" dated July 8, 1997, approved by Decree of the Government of the Russian Federation on July 8, 1997 No. 828, established that the passport of a citizen of the Russian Federation is the main document proving the identity of a citizen, all citizens of the Russian Federation must have it. A citizen is obliged to carefully keep the passport and the citizen must immediately report the loss of a passport to the territorial body of the Federal Migration Service. It is prohibited to confiscate a citizen's passport, except in cases provided for by the legislation of the Russian Federation. A patient of a psychiatric hospital, being in a hospital for a long time, cannot meet any of the specified requirements of the law.

In accordance with the Procedure for the provision of medical care for mental and behavioral disorders, approved by order of the Ministry of Health and social development Russian Federation of May 17, 2012 N 566n, the functions of a psychiatric hospital, in addition to providing specialized medical care, include participation in solving social issues of patients, assistance in the employment of persons suffering from mental disorders, participation in addressing issues of guardianship, medical and social household arrangements for the disabled and the elderly, organization of training for the disabled and minors suffering from mental disorders. For patients who have been treated for a long time, or in cases where the diagnosis involves a long stay of a patient in a hospital with severe chronic mental disorders, the hospital often acts as a legal representative in accordance with the Civil Code of the Russian Federation and the Code of Civil Procedure of the Russian Federation. Without a patient passport, the hospital cannot perform these functions.

Patient passports are on temporary storage at the administration of the State Healthcare Institution of Health Protection of Ukraine in conditions that exclude access to documents of third parties (in the safe of the head nurse) upon admission of citizens for treatment on the basis of a storage agreement, the subject of which is the free provision of services for the storage of a passport. Evidence of the conclusion of such an agreement is the consent of the patient and the corresponding signature on the receipt for the temporary storage of his passport. The administration of a psychiatric hospital is obliged to issue a passport to a citizen not only at the time of discharge from the hospital, but also at his first request, since the passport was not confiscated from such a citizen, but transferred to storage.

In case of illegal seizure by the administration of a psychiatric hospital or its medical staff, as well as by the psychiatric emergency team of a passport, a citizen has the right to appeal against such actions to the prosecutor's office, the court or a higher official.

In addition, we inform you that if you do not express a desire to provide a passport for storage in a hospital department, it does not entail restrictions on the volume and quality of medical care provided.

Rita Mohel

Muscovites are slowly but surely going crazy.

Madness is the scourge of the elderly, lonely and - most importantly - weighed down by the superfluous square meters townspeople.

The disease comes on suddenly. Just yesterday, the dear old man was quieter than water, and today the orderlies in dirty coats are already dragging him into the ambulance. So, tomorrow some cunning guardian will move into his apartment.

Why is this happening? And how to protect unfortunate pensioners from pest doctors and fraudulent nurses? This is the investigation of “MK”.

Punitive psychiatry is a phrase well known to older people.

In the Soviet Union, those who were objectionable were often declared insane and treated in psychiatric hospitals.

Times seemed to have changed. But even today, citizens are forcibly placed in psychiatric hospitals, “slaughtered” with drugs. Only the reason for this today is different - economic. And to put it simply, the same housing issue.

What threatens the owner of the property in a medical institution?
Who and how uses it instead of the owner? For whom is the danger more serious - for those who are capable or for those who are deprived of legal capacity? The answers to these questions are in the MK investigation.

Count Tolstoy was driven mad

In September 2004, the 67-year-old owner of the "kopeck piece" on Ostrovityanova Street, Ivan Poluektov, was taken right at the entrance of a person in a police uniform. They explained to the neighbors: the old man does not pay for the apartment, we need to figure it out ... Ivan did not return either that day or a week later. No one knows where he would have disappeared, but, fortunately for him, the people in the house lived friendly - they became worried.
The eldest on the porch found her grandfather's relatives (few people knew that he had relatives, so he was mistaken for a defenseless loner). The search began with the police. But in the department they were spinning like crucian carp in a frying pan: “We didn’t pick up anyone at this address. Ah, sorry, a mistake: the crew of the teaching staff took it! But the trouble is, the old man had a seizure in the car - it looks like epilepsy. I had to go to the hospital." - "In which?" “That’s what we don’t know, that we don’t know ...”
And a month later, news from Ivan came! from the psychiatric hospital. Alekseev. The old man quietly asked his roommate, who was being discharged, to call his family and convey that he was begging for salvation.
Delegates from neighbors and relatives went to pick up my grandfather. They were told that the sick Poluektov had been diagnosed with schizophrenia. The militia delivered him as socially dangerous. Soon, the wife and son, who came to visit Ivan, were told: the patient's condition deteriorated sharply, he became aggressive, it was forbidden to let visitors in. “For how long?” - "Who knows ... Until the treatment is over." But even then Ivan will not be released, but transferred to a suburban psychiatric hospital, which means that it will not be possible to take him home ... never again.
- Is this our grandfather aggressive? Nonsense! Quiet old man, - the eldest was seething along the porch. - Well, he went on a pilgrimage, let go of his beard under Count Tolstoy. Lost my passport. So what? Imagine, the doctors warned us directly: if life is expensive - do not meddle in this matter! But we won't give up! I, a neighbor and four close relatives of Poluektov take turns going to the hospital: we control.
Just before the New Year - it is possible that, trembling from the pressure, - “Count Tolstoy” was nevertheless discharged. He buzzed into the phone in a dull voice - he told what fear he had suffered. No, not from doctors. Once in the ward - everyone was already asleep! - said fifa with papers, realtor. Then a photographer with a camera. They put the old man in a fifa red foreign car and, under the supervision of two orderlies, took him somewhere. It turned out - in the passport office, for a new passport.
But hopes of escape faded:
They didn't let me get out of the car. I just sat in the back seat with the orderlies, and the papers were handed to me for signature through the window.

All this could turn out to be true, or it could be the delirium of a schizophrenic and the fantasies of frightened relatives. Until it turned out that while Ivan was marinated in a psychiatric hospital, according to the Moscow Registration Committee, the owner of his apartment changed. And then, logically, the question arose about the role of the medical institution in this ugly story. Really it is at the same time with a crook?

Of course, I called the hospital department. According to Mr., who introduced himself as head. department, the patient came to them ... on his own: he voluntarily expressed a desire to be treated (there is no doubt that this was exactly what was recorded in the medical records). And for the fraudulent visitors who hung around him in the orphanage of sorrow, the Aesculapius are not responsible. You never know who wants to visit the sick. Go figure it out - is he a realtor or relatives?

It was impossible to believe in this bike, knowing the severity of the access control in the capital's psychiatric hospitals.

Do not give your passport to nurses!

How to make sure that in a psychiatric clinic you are not deprived not only of the remnants of your mind, but also of your apartment? Lyubov VINOGRADOVA, executive director of the Independent Psychiatric Association of Russia, says:

The NPA has existed since 1989, but in last years the problems that come to us have changed. Now half of the applications are court cases and most cases involve property. Somewhere since 2000, the number of people who are recognized by the court as incompetent has sharply increased. It is clear that the reasons cannot be medical. Relatives are afraid that the old people will sign some paper on a housing deal. Or they send the owner to a neuropsychiatric boarding school to use his property. Or an old man suddenly decides to get married, and his potential heirs get scared...
- I heard that honest doctors themselves advise relatives before handing over a patient to a boarding school: “First, recognize him as incapacitated, otherwise he will be married or somehow twisted.”
- Yes, the incapacitated is better protected. We were approached by a Muscovite K., her elderly aunt was being treated in an ordinary hospital in the Moscow region. It turned out that, while lying there, the aunt managed to bequeath the apartment to a man who had just been released from the colony. And the document was certified by the deputy head physician, who was left to replace the head for only a few days! There was a trial, but they could not prove the forgery.

Or another case. The helpless 91-year-old man found a caregiver. Once a pensioner had to be urgently taken to the hospital, and the nurse inadvertently handed over his passport. And six months after the death of the old man, the heir found out that for the nurse ... a contract of donation of an apartment was drawn up, certified by a notary. Now there is a trial, there is a lot of evidence in favor of the family. But ... the first forensic psychiatric examination, when asked whether a person could give an account of his actions, answered: there is not enough information. Sometimes up to 5 examinations have to be done.

Capture with icon

Zyuzino, psycho-neurological boarding school №18. A long fence, from the side of the street the sidewalk is fiercely scraped by a lost person with a broom - an obvious patient. Inside the guards' booth, if you look behind the glass, you can see a list of surnames addressed only to them with a formidable cap: “Do not let them in!”. These visitors are persona non grata.
Suspicion and undisguised malice are read in the intonation of the boarding school director:
- Marvelous! Some citizen complains, and the journalist just like that, for no reason at all, goes to deal with it?

Alas, Natalya Suverova (we changed her last name at her request) sought justice for the director not only in MK, but also in the Social Security Department and the prosecutor's office. For a whole year she was forbidden to visit her relative, the schizophrenic Petrov. And the reason, Natalya believes, is a close interest in their fate - common with Petrov! - apartments. Suverova will arrive with a bag of food, and the guards will read the cheat sheet, and - turn from the gate. She even sent a note with the sick: “Vitya, don’t be afraid, I didn’t leave you!”.

Finally, a commission from the Department of Social Protection went to the boarding school. They also called Suverova: "Otherwise they will show us the wrong patient - there was such a case." We left secretly so that the wife of the director of the PNI would not visit. Until recently, she worked as a department specialist - just in the department that oversees the work of boarding schools.

They took Petrov out. I saw Natalya - I cried, grabbed my hand: “This is Natasha, she is good, they didn’t let her in.” Haven't seen you in a year! The commission inquired from the attending physician whether visits were harmful to the patient. "What are you, only for the benefit."

In fact, according to the law on psychiatric care, the rights of patients in psychiatric hospitals and boarding schools - including dating - can be limited. On the recommendation of the attending physician. So there is always an excuse for prohibitions: visits, they say, have a bad effect on the patient. The regime in psychiatric hospitals is usually determined by the head doctors - in some institutions they do not allow people to call, they look through letters and so on. In others, everything is much more liberal.
The dating ban was lifted.
- And then Vitya began to talk. The director often called him “on the carpet”. He asked: what kind of apartment did he have, who received it, who from the family where he used to live ... Vitya was afraid: there are a lot of patients in their boarding school, whose housing was seized by employees, ”Suverova explained.

But the fact is that Natalya and Viktor are the heirs of a two-room apartment - “Stalinka” on Prospekt Mira, each owns half. By today's standards, an apartment costs at least $300,000. The psychiatric hospital tried to install its employee, the accountant Umnova, who comes from Ryazan, into the sealed half of the patient.
From the director's letter:
“The Umnova family is characterized positively. Since being placed in a boarding school, Umnova regularly visits Petrov, which has a positive effect on his mental condition. He has no relatives, and, apart from Umnova, no one visits him. We are confident that Umnova will conscientiously maintain the living quarters in proper sanitary and technical condition, pay taxes and utility bills in a timely manner.”
“Once, some woman came into the apartment with bags and an icon, with her the lawyer of the boarding school and a representative of the guardianship department,” Natalia said. - I called the precinct. The guests showed him Petrov's certificate of ownership and the contract of trust management of his property. “But you are not Petrov. You have no right to move in." They pushed the policeman away, he called for reinforcements - a physical protection group with machine guns. Employees of the boarding school instantly evaporated. They even forgot the icon in a hurry ...
This was the first step. The second step is to occupy the entire apartment. Natalya was offered to move to Zyuzino: “Let's make an exchange, give you a one-room apartment. We have our own realtor. - “And this one-room apartment,” the woman asked, “did you also take away from the patients?”

Guardian - that sounds scary

The funny thing is that PNI does not violate the law! As a guardian, he is obliged to take care not only of the life and health of the incapacitated Petrov, but also of his property. In Moscow, recommendations were sent to healthcare and social security institutions on trust management of the property of incapacitated and partially incapacitated persons. The procedure is as follows: the guardian himself selects a morally stable candidate for the manager, the council only approves this choice. Then they conclude an agreement, which is officially registered in the registration chamber.

To the great benefit of the patient (he is called that: the beneficiary), two types of contracts have been developed. When it comes to housing, they usually choose the 1st option: the manager with his relatives has the right to live in an apartment, pays for its maintenance and repairs from his own money. But most importantly: alienation transactions are allowed, including the exchange and donation of an apartment, renting it out, as well as any actions that reduce the property of the beneficiary, however, only with the permission of the council.

In PNI No. 18, either seven or eight contracts were concluded. Mostly with employees.
“Different boarding schools have different approaches,” Lyubov Vinogradova explained to me. - Somewhere they say: “We give trust management to anyone, we don’t want to get involved: these are courts, unnecessary proceedings.” Others are taken, and very willingly ...

Of course! Knowledgeable people gave me a specific figure in USD. The scheme is simple. A person gets a job in a psychiatric hospital, unfastens the director - the head of the guardianship commission. He is appointed manager, and he moves into the patient's apartment - legally, with his family, with an official residence permit. The term of the contract is 5 years, but who prevents it from being extended? Or “reduce property”? There is a feeling that the treaty was drawn up on purpose in order to tempt officials. Full scope of criminal fantasy!

And what benefit does a patient locked in a psychiatric hospital receive from the fact that an accountant, a cook or a plumber settled in his apartment? Only the one that the poor fellow will not have to spend on utility bills from pocket money “for cigarettes and lollipops” - the unfortunate 25% of the pension.
- The benefit is mutual: this way the patient will live longer, - the director of the boarding school condescendingly explains.

Who can manage the property - a relative or an outsider, is not defined. Here is another weak spot in the system: boarding schools welcome some relatives, but others are not allowed on the doorstep. It can be assumed that a responsible choice is made not for selfish reasons, for “kickbacks”. Natalia was denied trust management. But in the same boarding school there are many wealthy people. Incapacitated owner of real estate with an area of ​​590 sq. m in South Butovo (management is issued to his brother). The owner of an apartment in Arbat Lane (it is managed by a close relative). The owner of a good apartment on Kutuzovsky Prospekt (a relative is being considered).

Fortunately, now Viktor Petrov has been transferred to another PNI, where they are not concerned about other people's property. But the original documents for his apartment and the keys have disappeared. They were found at Umnova. The unlucky accountant filed a lawsuit: let the patient be transferred even to Kamchatka - she intends to remain a trustee and register in his room through the court. "And you're not ashamed to say it?" Natalya was surprised. “What to be ashamed of? This is how everyone gets housing.”

TO A Psychiatric Hospital - PER APARTMENT

How closely are psychiatrists associated with apartment scammers? Sophia DORINSKY, Chairman of the Civil Commission on Human Rights, comments.
- Patients, perhaps, do not know how and what happens to their property. People are helpless, they receive medicines... There is such a group of medicines as atypical antipsychotics. For example, one of the atypical antipsychotics has the following side effects from a single pill: delirium, hallucinations, depersonalization (this is when a person does not understand where he is, what his name is, what education he has) ... And if the patient is lonely, and even he does not understands what is happening to him - to whom can he complain because of the concrete fence, security post, metal detector, surveillance cameras?

Therefore, most of the data we have comes from our informants. There is a report about several cases similar to yours in one of the Moscow boarding schools - employees live in the apartments of single patients. And after the death of the sick, they get apartments.
- This is, of course, for the sake of combating staff turnover.
- Yeah ... We have information that very often the management of boarding schools fights with relatives of incapacitated people for the right to be guardians. A kind of competition: who will be the first guardian!
- So, there is something to fight for ...
- In general, the psychiatric system is very closed. There are some crimes that the prosecutor's office does not notice. We distribute leaflets at hospitals, relatives often come to us with complaints: they say that a person was taken to a psychiatric hospital and was not released again ... Including because of the apartment.
- And what, such complaints are confirmed?
- Here's a recent example. A middle-aged woman and her elderly mother (sorry, I won't name names) were going to move to Israel, both of them had a wonderful apartment in Moscow. The daughter left first, to solve the issues of moving, and left her mother in Moscow for now. She returned - the old woman is not at home: she is in a psychiatric hospital, already deprived of legal capacity, and her guardian is a medical institution. The woman rushed to protest, to understand. And suddenly she disappeared. The relatives panicked. They began to look for her, turned to us. It turned out that the daughter was also placed in a psychiatric hospital - in the hospital. Alekseev! In order to appeal against the hospitalization, she asked the Citizens Commission to be her official representatives in court. We go to the deputy chief physician: “Here is the signature of your patient, please assure.” - “I won't! I don't find it appropriate." - “Yes, why?!” - “And I believe that it was she who signed in a painful state ...”

They managed to be pulled out only by connecting Israeli diplomats. But now both, mother and daughter, are already abroad.

Eyewitness account: “Our GRANDMAS WERE STICKED”

“Everyone knew that our head physician was taking away apartments from elderly single grandmothers. And the grandmothers were then either floated to a suburban hospital or “slaughtered”. How? Well, injections - to the state of a vegetable.

Everything happened in front of my eyes. But don't write my name - obviously, I can't prove anything... Before he became the head physician, he lived on the outskirts of the working class, in a "odnushka". After being appointed to a leadership position, as expected, he became the chairman of the board of guardians in the hospital. And two years later he moved to the very center of the city, in a two-level apartment!

True, the head physician still had to make repairs in the new apartment. A Gazelle drove into the courtyard of the hospital, led 5-6 patients from the women's department in formation, loaded them and took them to work, and returned them back in the evening.

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