{"id":306,"date":"2015-07-16T07:59:08","date_gmt":"2015-07-16T06:59:08","guid":{"rendered":"http:\/\/mudr-nosek-sro.cz\/wordpress\/?p=306"},"modified":"2016-06-20T06:10:40","modified_gmt":"2016-06-20T05:10:40","slug":"razitko-falesny-pocit-jistoty","status":"publish","type":"post","link":"https:\/\/mudr-nosek-sro.cz\/wordpress\/?p=306","title":{"rendered":"\u201eRaz\u00edtko\u201c, fale\u0161n\u00fd pocit jistoty"},"content":{"rendered":"<p><em>MUDr. Tibor Vics\u00e1pi<\/em><br \/>\n<em>Z\u00e1humenn\u00ed 1477, Kop\u0159ivnice<\/em><br \/>\n<em>e-amil: info@vicsapi.cz, tel.: 595 172 444<\/em><br \/>\n<em>ID datov\u00e9 schr\u00e1nky:\u00a0p93dvba<\/em><\/p>\n<p align=\"justify\"><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">Jsem v\u0161eobecn\u00fdm praktick\u00fdm l\u00e9ka\u0159em. Z\u00e1rove\u0148 se v\u011bnuji pracovn\u011bl\u00e9ka\u0159sk\u00e9 a soudn\u011b-znaleck\u00e9 \u010dinnosti ve zdravotnictv\u00ed, a pracuji ji\u017e n\u011bkolik let i jako konzultant kancel\u00e1\u0159e ve\u0159ejn\u00e9ho ochr\u00e1nce pr\u00e1v. Sou\u010d\u00e1st\u00ed m\u00e9 pr\u00e1ce je i nezbytn\u00e1 znalost zdravotnick\u00e9ho pr\u00e1va.<\/span><\/span><\/span><\/p>\n<p align=\"justify\"><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">Jeliko\u017e provozuji zdravotnick\u00e9 za\u0159\u00edzen\u00ed prim\u00e1rn\u00ed p\u00e9\u010de, nav\u0161t\u011bvuj\u00ed mne pacienti mimo jin\u00e9 velmi \u010dasto s po\u017eadavkem: \u201ePane doktore, j\u00e1 chci jenom raz\u00edtko\u201c nebo \u201ej\u00e1 chci jenom potvrzen\u00ed\u201c. Tato \u201eraz\u00edtka\u201c nebo \u201epotvrzen\u00ed\u201c se t\u00fdkaj\u00ed r\u016fzn\u00fdch oblast\u00ed \u017eivota. Jsou to nap\u0159\u00edklad zbrojn\u00ed pr\u016fkazy, \u0159idi\u010dsk\u00e1 opr\u00e1vn\u011bn\u00ed, studia na \u0161kol\u00e1ch, rekvalifikace, zah\u00e1jen\u00ed podnikatelsk\u00e9 \u010dinnosti a mnoh\u00e9 jin\u00e9. <span style=\"text-decoration: underline;\">Doba, kdy tyto situace bylo mo\u017eno \u0159e\u0161it \u201eraz\u00edtkem\u201c \u010di \u201e potvrzen\u00edm\u201c je ji\u017e d\u00e1vno pry\u010d.<\/span> Jakoukoliv oblast, kter\u00e1 se t\u00fdk\u00e1 posouzen\u00ed \u010dehokoli, se d\u00e1 \u0159e\u0161it pouze l\u00e9ka\u0159sk\u00fdm posudkem. Pro tyto \u00fa\u010dely byl p\u0159ed n\u011bkolika lety z\u00e1konod\u00e1rci vytvo\u0159en i samostatn\u00fd z\u00e1kon. Bohu\u017eel tuto zm\u011bnu \u0159ada zdravotnick\u00fdch za\u0159\u00edzen\u00ed, klienti ani n\u011bkter\u00e9 org\u00e1ny ve\u0159ejn\u00e9 moci necht\u011bj\u00ed post\u0159ehnout. Co m\u016f\u017ee b\u00fdt v\u00fdsledkem takov\u00e9 nev\u0161\u00edmavosti? Pacienti, kte\u0159\u00ed od l\u00e9ka\u0159e obdr\u017e\u00ed takov\u00e9 \u201eraz\u00edtko\u201c \u010di \u201epotvrzen\u00ed\u201c, dost\u00e1vaj\u00ed do rukou naprosto neplatn\u00fd dokument a odch\u00e1zej\u00ed od l\u00e9ka\u0159e s fale\u0161n\u00fdm pocitem jistoty, \u017ee obdr\u017eeli vytou\u017een\u00e9 \u201eraz\u00edtko\u201c \u010di \u201e potvrzen\u00ed\u201c. Odchodem z ordinace l\u00e9ka\u0159e z takov\u00e9ho dokumentu se st\u00e1v\u00e1 pouze \u201ekus po\u010dm\u00e1ran\u00e9ho pap\u00edru\u201c<\/span><\/span><\/span><\/p>\n<p align=\"justify\"><strong><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">L\u00e9ka\u0159sk\u00fd posudek je zcela n\u011bco jin\u00e9ho ne\u017e potvrzen\u00ed.<\/span><\/span><\/span><\/strong><\/p>\n<ul>\n<li><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">Posuzov\u00e1n\u00ed m\u00e1 sv\u00e9 form\u00e1ln\u00ed, v\u011bcn\u00e9 i procesn\u00ed n\u00e1le\u017eitosti.<\/span><\/span><\/span><\/li>\n<li><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">Posouzen\u00ed <span style=\"text-decoration: underline;\">za\u010d\u00edn\u00e1 v\u017edy p\u0159ijet\u00edm p\u00edsemn\u00e9 \u017e\u00e1dosti, kter\u00e1 mus\u00ed b\u00fdt archivov\u00e1na<\/span> ve zdravotnick\u00e9 dokumentaci.<\/span><\/span><\/span><\/li>\n<li><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">P\u0159i vyd\u00e1v\u00e1n\u00ed posudku <span style=\"text-decoration: underline;\">mus\u00ed b\u00fdt provedena ve\u0161ker\u00e1 stanoven\u00e1 nebo dal\u0161\u00ed vy\u0161et\u0159en\u00ed<\/span>, kter\u00e1 jsou nezbytn\u00e1 z d\u016fvodu zdravotn\u00edho stavu pacienta.<\/span><\/span><\/span><\/li>\n<li><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">P\u0159i posuzov\u00e1n\u00ed <span style=\"text-decoration: underline;\">mus\u00ed b\u00fdt br\u00e1ny v \u00favahu p\u0159\u00edslu\u0161n\u00e9 prov\u00e1d\u011bc\u00ed vyhl\u00e1\u0161ky<\/span> (je jich skute\u010dn\u011b hodn\u011b).<\/span><\/span><\/span><\/li>\n<li><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">Posudek mus\u00ed m\u00edt po form\u00e1ln\u00ed str\u00e1nce stanoven\u00e9 n\u00e1le\u017eitosti.<\/span><\/span><\/span><\/li>\n<li><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">Posudek mus\u00ed b\u00fdt prokazateln\u011b doru\u010den v\u0161em \u00fa\u010dastn\u00edk\u016fm.<\/span><\/span><\/span><\/li>\n<li><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">Stejnopis posudku mus\u00ed b\u00fdt archivov\u00e1n ve zdravotnick\u00e9 dokumentaci.<\/span><\/span><\/span><\/li>\n<\/ul>\n<p align=\"justify\"><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">Nedodr\u017een\u00ed \u010dehokoliv z v\u00fd\u0161e uveden\u00fdch m\u016f\u017ee m\u00edt za n\u00e1sledek neplatnost \u010di pr\u00e1vn\u00ed ne\u00fa\u010dinnost posudku. Za dodr\u017een\u00ed v\u0161ech pravidel p\u0159itom pln\u011b zodpov\u00edd\u00e1 zdravotnick\u00e9 za\u0159\u00edzen\u00ed, kter\u00e9 posudek vystavuje.<\/span><\/span><\/span><\/p>\n<p align=\"justify\"><strong><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">Pro\u010d tak slo\u017eit\u00fd postup?<\/span><\/span><\/span><\/strong><\/p>\n<p align=\"justify\"><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">Posudek je <span style=\"text-decoration: underline;\">dokument, jako jak\u00fdkoliv jin\u00fd \u00fa\u0159edn\u00ed doklad<\/span>. P\u0159i jeho vyd\u00e1v\u00e1n\u00ed se postupuje obdobn\u011b, jako p\u0159i vyd\u00e1n\u00ed \u00fa\u0159edn\u00edch doklad\u016f. Plat\u00ed mimo jin\u00e9 nap\u0159\u00edklad z\u00e1sada p\u0159ezkoumatelnosti posudku. Pokud p\u0159i posuzov\u00e1n\u00ed nejsou dodr\u017eena stanoven\u00e1 pravidla, posudek se m\u016f\u017ee st\u00e1t nep\u0159ezkoumateln\u00fdm. Nep\u0159ezkoumateln\u00fd posudek je proto neplatn\u00fd. Takov\u00fd posudek, kter\u00fd nen\u00ed v\u0161em \u00fa\u010dastn\u00edk\u016fm prokazateln\u011b doru\u010den, nenabude nikdy pr\u00e1vn\u00edho \u00fa\u010dinku.<\/span><\/span><\/span><\/p>\n<p align=\"justify\"><strong><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">Jakou m\u00e1 jistotu pacient, \u017ee obdr\u017e\u00ed platn\u00fd posudek?<\/span><\/span><\/span><\/strong><\/p>\n<p align=\"justify\"><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">Abych pravdu \u0159ekl, t\u00e9m\u011b\u0159 naprosto \u017e\u00e1dnou. S\u00e1m nejsp\u00ed\u0161e nen\u00ed vybaven znalostmi, kter\u00e9 s posuzov\u00e1n\u00edm souvis\u00ed. Neexistuje ani nen\u00ed uz\u00e1kon\u011bna prvotn\u00ed kontrola posuzov\u00e1n\u00ed. Probl\u00e9m nastane tehdy, kdy se pacient bude cht\u00edt dom\u00e1hat sv\u00e9ho pr\u00e1va. Ponau\u010den\u00edm \u010dasto je a\u017e prvn\u00ed \u201epr\u016f\u0161vih\u201c zdravotnick\u00e9ho za\u0159\u00edzen\u00ed, kter\u00e9 posudek vydalo.<\/span><\/span><\/span><\/p>\n<p align=\"justify\"><span style=\"color: #383838;\"><span style=\"font-family: Arial, 'Geneva CE', sans-serif;\"><span style=\"font-size: small;\">Smyslem tohoto sd\u011blen\u00ed nen\u00ed podrobn\u00fd rozbor v\u0161ech oblast\u00ed posuzov\u00e1n\u00ed. Takov\u00fdm rozborem bych musel popsat mnoho str\u00e1nek a je ot\u00e1zkou, zda by to bylo vy\u010derp\u00e1vaj\u00edc\u00ed. Cht\u011bl jsem pouk\u00e1zat pouze na to, \u017ee skute\u010dn\u011b nelze vyd\u00e1vat l\u00e9ka\u0159sk\u00e9 posudky jen tak mimochodem, takzvan\u011b ve dve\u0159\u00edch, nap\u0159\u00edklad otiskem l\u00e9ka\u0159sk\u00e9ho raz\u00edtka na pacientem donesen\u00fd formul\u00e1\u0159. \u010casto takov\u00e9 formul\u00e1\u0159e, kter\u00e9 nespl\u0148uj\u00edc\u00ed ani form\u00e1ln\u00ed n\u00e1le\u017eitosti, jsou p\u0159itom vytvo\u0159eny org\u00e1nem ve\u0159ejn\u00e9 moci z nejvy\u0161\u0161\u00edch m\u00edst. Jedno nejmenovan\u00e9 ministerstvo na z\u00e1klad\u011b m\u00e9 st\u00ed\u017enosti p\u0159isl\u00edbilo n\u00e1pravu ji\u017e v roce 2007. Do dne\u0161n\u00edho dne v\u0161ak k tomu nedo\u0161lo.<\/span><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>MUDr. Tibor Vics\u00e1pi Z\u00e1humenn\u00ed 1477, Kop\u0159ivnice e-amil: info@vicsapi.cz, tel.: 595 172 444 ID datov\u00e9 schr\u00e1nky:\u00a0p93dvba Jsem v\u0161eobecn\u00fdm praktick\u00fdm l\u00e9ka\u0159em. Z\u00e1rove\u0148 se v\u011bnuji pracovn\u011bl\u00e9ka\u0159sk\u00e9 a soudn\u011b-znaleck\u00e9 \u010dinnosti ve zdravotnictv\u00ed, a pracuji ji\u017e n\u011bkolik let i jako konzultant kancel\u00e1\u0159e ve\u0159ejn\u00e9ho ochr\u00e1nce pr\u00e1v. Sou\u010d\u00e1st\u00ed m\u00e9 pr\u00e1ce je i nezbytn\u00e1 znalost zdravotnick\u00e9ho pr\u00e1va. Jeliko\u017e provozuji zdravotnick\u00e9 za\u0159\u00edzen\u00ed prim\u00e1rn\u00ed p\u00e9\u010de, &hellip; <a href=\"https:\/\/mudr-nosek-sro.cz\/wordpress\/?p=306\" class=\"more-link\">Pokra\u010dov\u00e1n\u00ed textu <span class=\"screen-reader-text\">\u201eRaz\u00edtko\u201c, fale\u0161n\u00fd pocit jistoty<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":172,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[3,2],"tags":[],"class_list":["post-306","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aktuality","category-uzi"],"_links":{"self":[{"href":"https:\/\/mudr-nosek-sro.cz\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/306","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mudr-nosek-sro.cz\/wordpress\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mudr-nosek-sro.cz\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mudr-nosek-sro.cz\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mudr-nosek-sro.cz\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=306"}],"version-history":[{"count":1,"href":"https:\/\/mudr-nosek-sro.cz\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/306\/revisions"}],"predecessor-version":[{"id":307,"href":"https:\/\/mudr-nosek-sro.cz\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/306\/revisions\/307"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mudr-nosek-sro.cz\/wordpress\/index.php?rest_route=\/wp\/v2\/media\/172"}],"wp:attachment":[{"href":"https:\/\/mudr-nosek-sro.cz\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=306"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mudr-nosek-sro.cz\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=306"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mudr-nosek-sro.cz\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=306"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}