{"id":3625,"date":"2020-04-15T18:16:23","date_gmt":"2020-04-15T18:16:23","guid":{"rendered":"https:\/\/www.chirita-law.com\/?p=3625"},"modified":"2025-12-29T09:47:35","modified_gmt":"2025-12-29T07:47:35","slug":"raspundere-contraventionala-refuzul-de-internare-a-pacientilor","status":"publish","type":"post","link":"https:\/\/chirita-law.com\/en\/raspundere-contraventionala-refuzul-de-internare-a-pacientilor\/","title":{"rendered":"R\u0103spunderea contraven\u0163ional\u0103 pentru refuzul de internare a pacien\u0163ilor"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><a rel=\"noreferrer noopener\" href=\"https:\/\/lege5.ro\/Gratuit\/gi3danzrge\/hotararea-nr-857-2011-privind-stabilirea-si-sanctionarea-contraventiilor-la-normele-din-domeniul-sanatatii-publice\" target=\"_blank\">H.G. nr. 857\/2011<\/a> reglementeaz\u0103 o palet\u0103 extrem de larg\u0103 a faptelor de natur\u0103 contraven\u0163ional\u0103 s\u0103v\u00e2r\u015fite \u00een leg\u0103tur\u0103 cu normele privind sistemul na\u0163ional de asisten\u0163\u0103 medical\u0103 de urgen\u0163\u0103 \u015fi de prim ajutor calificat. Prin prisma r\u0103spunderii contraven\u0163ionale, <strong>refuzul de internare a pacien\u0163ilor afla\u0163i \u00een stare grav\u0103<\/strong> cunoa\u015fte o serie de nuan\u0163e susceptibile de a antrena r\u0103spunderea contraven\u0163ional\u0103 a cadrelor medicale, \u015fi anume:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>refuzul acord\u0103rii asisten\u0163ei medicale de urgen\u0163\u0103 unui pacient de c\u0103tre un medic din cadrul UPU sau CPU<\/em> (PF amend\u0103 3000-6000 lei, PJ amend\u0103 20.000-40.000 lei &#8211; art. 26 alin. 1 lit. b din HG 857\/2011)<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li><em>neacordarea consultului de specialitate unui pacient aflat \u00een stare critic\u0103 \u00een cadrul UPU sau CPU, conform reglement\u0103rilor legale \u00een vigoare<\/em> (PF amend\u0103 1000-3000 lei, PJ amend\u0103 20.000-30.000 lei &#8211; art. 22 alin. 1 lit. i din HG 857\/2011)<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li><em>preluarea pacientului de c\u0103tre personalul UPU sau CPU \u00eentr-un interval de timp mai lung dec\u00e2t cel prev\u0103zut de reglement\u0103rile legale \u00een vigoare<\/em> (PF amend\u0103 1000-3000 lei, PJ amend\u0103 20.000-30.000 lei &#8211; art. 22 alin. 2 lit. a din HG 857\/2011)<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li><em>refuzul prelu\u0103rii de c\u0103tre medicul de gard\u0103 dintr-o sec\u0163ie de terapie intensiv\u0103 de profil sau dintr-o sec\u0163ie de terapie intensiv\u0103 general\u0103 a pacientului aflat \u00een stare critic\u0103, \u00een condi\u0163iile existen\u0163ei unei posibilit\u0103\u0163i de a fi preluat<\/em> (PF amend\u0103 2000-4000 lei, PJ amend\u0103 20.000-30.000 lei &#8211; art. 25 alin. 1 lit. o din HG 857\/2011)<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li><em>nepreluarea pacientului din UPU sau CPU cu prioritate, \u00een momentul \u00een care se elibereaz\u0103 un loc \u00een sec\u0163iile de terapie intensiv\u0103 de profil sau \u00een cele generale, \u00een cazul \u00een care exist\u0103 pacien\u0163i afla\u0163i \u00een stare critic\u0103, re\u0163inu\u0163i \u00een UPU<\/em> (PF amend\u0103 2000-4000 lei, PJ amend\u0103 20.000-30.000 lei &#8211; art. 25 alin. 1 lit. p din HG 857\/2011)<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li><em>re\u0163inerea f\u0103r\u0103 \u00eentocmirea documentelor de internare, mai mult de 3 ore de la momentul sosirii \u00een UPU, a pacien\u0163ilor afla\u0163i \u00een stare critic\u0103 de c\u0103tre medicul \u015fef de gard\u0103 UPU \u015fi\/sau de c\u0103tre medicul \u015fef de gard\u0103 din sec\u0163ia de profil, \u00een conformitate cu reglement\u0103rile legale \u00een vigoare<\/em> (PF amend\u0103 1000-3000 lei, PJ amend\u0103 20.000-30.000 lei &#8211; art. 22 alin. 1 lit. e din HG 857\/2011)<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li><em>nerespectarea dispozi\u0163iilor legale \u00een vigoare privind procedura de preluare \u015fi internare a cazurilor de urgen\u0163\u0103<\/em> (PF amend\u0103 2000-4000 lei, PJ amend\u0103 20.000-50.000 lei &#8211; art. 25 alin. 2 lit. a din HG 857\/2011)<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li><em>nerespectarea protocoalelor de transfer interclinic al pacientului, conform reglement\u0103rilor legale \u00een vigoare<\/em> (PF amend\u0103 1000-3000 lei, PJ amend\u0103 20.000 -30.000 lei &#8211; art. 22 alin. 1 lit. f din HG 857\/2011)<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Separat de contraven\u0163iile enumerate mai sus, exist\u0103 \u015fi alte fapte conexe refuzului de a interna persoanele \u00een unit\u0103\u0163ile medicale, cum ar fi:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>internarea cazurilor cronice sau a cazurilor care nu reprezint\u0103 urgen\u0163e cu indica\u0163ii de internare clare prin UPU sau CPU<\/em> (PF amend\u0103 1000-3000 lei, PJ amend\u0103 20.000-30.000 lei &#8211; art. 22 alin. 1 lit. j din HG 857\/2011)<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li><em>ne\u00eenregistrarea pacien\u0163ilor imediat la sosirea acestora \u00een UPU sau CPU<\/em> (PF amend\u0103 1000-3000 lei, PJ amend\u0103 20.000-30.000 lei &#8211; art. 22 alin. 1 lit. p din HG 857\/2011)<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li><em>neasigurarea de c\u0103tre \u015fefii de sec\u0163ie a num\u0103rului de paturi pentru internarea \u00een regim de urgen\u0163\u0103 a pacien\u0163ilor proveni\u0163i din UPU sau CPU, conform prevederilor legale \u00een vigoare<\/em>&nbsp; (PF amend\u0103 2000-4000 lei, PJ amend\u0103 20.000-30.000 lei &#8211; art. 25 alin. 1 lit. q din HG 857\/2011). \u00cen cazul acestei contraven\u0163ii, apreciez c\u0103 \u00een contextul actual, nu le poate fi imputat\u0103 \u015fefilor de sec\u0163ie insuficien\u0163a num\u0103rului de paturi pe sec\u0163ii, sens \u00een care, din punctul meu de vedere, va fi extrem de greu de re\u0163inut aceast\u0103 contraven\u0163ie.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Constatarea contraven\u0163iilor \u015fi aplicarea sanc\u0163iunilor la care am f\u0103cut referire \u00een cele ce preced se va face de organele abilitaate conform domeniilor de competen\u0163\u0103 stabilite prin reglement\u0103rile \u00een vigoare.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen esen\u0163\u0103, va putea constata \u015fi aplica sanc\u0163iunile contraven\u0163ionale pe teritoriul \u0163\u0103rii, personalul de specialitate \u00eemputernicit de c\u0103tre conducerea Ministerului S\u0103n\u0103t\u0103\u0163ii \u015fi personalul de specialitate \u00eemputernicit de c\u0103tre conducerea Departamentului pentru Situa\u0163ii de Urgen\u0163\u0103 din cadrul Ministerului Afacerilor Interne pentru unit\u0103\u0163ile de ambulan\u0163\u0103 publice \u015fi private \u015fi pentru UPU sau CPU de pe \u00eentreg teritoriul \u0163\u0103rii.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">De asemenea, personalul de specialitate din direc\u0163iile, serviciile \u015fi unit\u0103\u0163ile medicale ale celorlalte ministere \u015fi institu\u0163ii cu re\u0163ea sanitar\u0103 proprie<a href=\"#_ftn1\">[1]<\/a>, \u00eemputernicit de conducerea acestora pentru unit\u0103\u0163ile aflate \u00een subordinea lor direct\u0103. HG 857\/2011 prevede inclusiv posibilitatea realiz\u0103rii unui control a acestor organe \u00eempreun\u0103 cu personalul de specialitate \u00eemputernicit de conducerea Ministerului S\u0103n\u0103t\u0103\u0163ii.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>Raportat la obliga\u0163iile furnizorilor de servicii medicale, ace\u015ftia trebuie s\u0103 permit\u0103 accesul persoanelor \u00eemputernicite \u00een unit\u0103\u0163ile medicale, sa permit\u0103 accesul la toate documentele relevante \u015fi s\u0103 furnizeze acestora orice informa\u0163ii necesare.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Refuzul de a permite accesul personalului \u00eemputernicit \u00een vederea efectu\u0103rii controlului sau de a accepta efectuarea inspec\u0163iei ori de a pune la dispozi\u0163ia acestui personal documentele \u015fi informa\u0163iile necesare realiz\u0103rii atribu\u0163iilor de control se sanc\u0163ioneaz\u0103 conform legisla\u0163iei \u00een vigoare. O form\u0103 a sanc\u0163iunii este reprezentat\u0103 de \u00eencetarea contractului de management \u015fi a celui de administrare, \u00eencheiate de managerul unit\u0103\u0163ii medicale, \u00een situa\u0163ia \u00een care acesta refuz\u0103 colaboarea cu personalul \u00eemputernicit.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nu \u00een ultimul r\u00e2nd, \u00een m\u0103sura \u00een care personalul \u00eemputernicit s\u0103 constate contraven\u0163ia apreciaz\u0103 c\u0103 faptele au fost s\u0103v\u00e2r\u015fite sunt susceptibile de a antrena r\u0103spunderea penal\u0103, va sesiza organul de urm\u0103rire penal\u0103 competent.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a rel=\"noreferrer noopener\" href=\"https:\/\/www.chirita-law.com\/team\/oana-lup\/\" target=\"_blank\">avocat Oana Lup<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"#_ftnref1\">[1]<\/a>Legea 95\/2006, Art. 4 alin. 2:<em> \u201eministere \u015fi institu\u0163ii cu re\u0163ele sanitare proprii se \u00een\u0163elege autorit\u0103\u0163ile \u015fi institu\u0163iile care au \u00een subordine unit\u0103\u0163i sanitare, altele dec\u00e2t Ministerul S\u0103n\u0103t\u0103\u0163ii, respectiv Ministerul Ap\u0103r\u0103rii Na\u0163ionale, Ministerul Afacerilor Interne, Ministerul Justi\u0163iei, Ministerul Transporturilor, Serviciul Rom\u00e2n de Informa\u0163ii, Serviciul de Informa\u0163ii Externe, Serviciul de Telecomunica\u0163ii Speciale, Academia Rom\u00e2n\u0103, autorit\u0103\u0163ile administra\u0163iei publice locale \u015fi universit\u0103\u0163ile de medicin\u0103 \u015fi farmacie acreditate \u015fi universit\u0103\u0163ile care au \u00een structur\u0103 facult\u0103\u0163i de medicin\u0103 \u015fi farmacie acreditate.\u201d<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>H.G. nr. 857\/2011 reglementeaz\u0103 o palet\u0103 extrem de larg\u0103 a faptelor de natur\u0103 contraven\u0163ional\u0103 s\u0103v\u00e2r\u015fite \u00een leg\u0103tur\u0103 cu normele privind sistemul na\u0163ional de asisten\u0163\u0103 medical\u0103 de urgen\u0163\u0103 \u015fi de prim ajutor calificat. Prin prisma r\u0103spunderii contraven\u0163ionale, refuzul de internare a pacien\u0163ilor afla\u0163i \u00een stare grav\u0103 cunoa\u015fte o serie de nuan\u0163e susceptibile de a antrena r\u0103spunderea [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":3805,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[82],"tags":[189,190,191,192,193],"class_list":["post-3625","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alte-materiale-juridice","tag-asistenta-medicala-de-urgenta","tag-pacienti","tag-raspundere-contraventionala","tag-refuz-de-internare","tag-retea-sanitara"],"acf":[],"_links":{"self":[{"href":"https:\/\/chirita-law.com\/en\/wp-json\/wp\/v2\/posts\/3625","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chirita-law.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/chirita-law.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/chirita-law.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/chirita-law.com\/en\/wp-json\/wp\/v2\/comments?post=3625"}],"version-history":[{"count":0,"href":"https:\/\/chirita-law.com\/en\/wp-json\/wp\/v2\/posts\/3625\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/chirita-law.com\/en\/wp-json\/wp\/v2\/media\/3805"}],"wp:attachment":[{"href":"https:\/\/chirita-law.com\/en\/wp-json\/wp\/v2\/media?parent=3625"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/chirita-law.com\/en\/wp-json\/wp\/v2\/categories?post=3625"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/chirita-law.com\/en\/wp-json\/wp\/v2\/tags?post=3625"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}