Sb 240/2012.



The DECREE



of 26 March. June 2012,



implementing the law on the medical emergency service



The Ministry of health provides under section 30 of Act No. 374/2011 Coll.

medical emergency service, for the implementation of section 7 (1). 3, § 11 (1). 6, §

13 (3). 5 and § 17 paragraph. 4 of the law on the medical emergency service:



§ 1



Definition of terms



For the purposes of this Ordinance means



and on the health of the person affected) person whose state of health requires

the provision of pre-hospital emergency care,



(b) the place of the incident) with multiple disabilities of persons where the

usually for the nature or extent of the event must be sent to provide

pre-hospital emergency care 5 and exit at the same time, more groups

or a place where more than 15 persons affected the health,



(c) the health component of the emergency) groups and health professionals and

other people providers of health services and the integrated

rescue system, which is involved in the provision of pre-hospital

urgent care, or to secure it in place with the emergencies

multiple disabilities of persons under section 11 (2). 4 of the Act on health care

emergency service or section 46 paragraph. 1 (a). e) or section 87 of the Act on

health services,



(d) the head of a leading medical) emergency provider group

Medical rescue services region, on whose territory has been the emergence of

emergency, specified under section 19, paragraph. 5 of the law on health care

the rescue service.



§ 2



The degree of urgency of the emergency call



(1) an emergency call has the following degrees of urgency:



and the first degree) with respect to



1. the person that a failure has occurred or is imminent failure

basic life functions, or



2. extraordinary event with multiple disabilities of persons,



(b)) the second stage, if it is a person that probably there is a risk of failure

basic life functions,



(c)) the third degree, if the person is not imminent failure

basic life functions, but whose condition requires the provision

medical emergency services,



(d) the fourth degree) unless the cases referred to in subparagraphs) (c)),

If the operator of the health operations centre, or auxiliary

the operations centre will decide on sending the emergency situation of the group.



(2) the Operator of the health operations centre, or auxiliary

the emergency operating Center sends the group to the place of the event by

the degree of urgency of the emergency call, in order from the first instance

the urgency. In the case of first degree of urgency of the emergency call is

on the place of the event, preferably sent or redirected to the nearest

available mobile group; If the outbound group mobile

quick medical help group, is on the place of the event at the same time

sent or redirected mobile group rapid medical assistance.



(3) upon receipt of emergency calls with the evaluated the degree of urgency of the

the health operations centre, or auxiliary operating Centre

another provider of medical rescue services shall be included already

a specified degree of urgency.



§ 3



Operational control of the air exiting the Group



(1) operational control of the air exiting the group performs medical

operating Center providers of medical rescue services, to

the air exiting the base mobile group incorporated.



(2) medical operation centre, which carries out the operational management of the

the air exiting the group receives requests for sending air

the emergency operations centers from the medical group or subsidiary

operating centres, other providers of medical rescue

the service.



(3) medical operation centre, which carries out the operational management of the

the air exiting the Group decide on sending the air exiting the Group

in particular, the



and in the case of the first) or the second degree of urgency of the emergency call,

If you cannot reach the place of the event the land at the time of outbound group

necessary for the effective provision of pre-hospital emergency care,



(b)) if it can be assumed to shorten the time of transport the patient to the target

acute care providers, Air Group on multiple outbound

than 15 minutes compared with land transport, group outbound



(c) if the place of the event) for ground outbound group inaccessible

or difficult to access or



(d)) if it can be assumed that the carriage of outbound Air Group

significantly reduce the risk of a deterioration of the health status of the patient,

that threatens another mode of transport.



§ 4



The contents of the organizational rules of the health operations centre



(1) operational rules of operating Organizationally medical centre

contains, in particular, the procedures for



evaluation of the degree of urgency and) emergency call and broadcast

the exit of the groups, including the determination of their composition and the number of



(b)) exit at the request of groups to broadcast medical operating

the Centre or the auxiliary operations centre another provider

medical emergency services,



(c) the coordination of the transmission of target) patients to providers of acute

care,



(d) the coordination of the transport of patients) urgent care provider

health services,



e) conduct inspections of the dead bodies in cases where the death occurred when

the provision of pre-hospital emergency care,



(f) coordination of the activities of the subsidiary) operating centres, if they are

established,



(g)) requiring the planned assistance upon request from the other folders

the integrated rescue system,



(h) the type of activities) the use of the integrated rescue system

in a joint action,



I) receipt and evaluation of the challenges and the notification received from the base

the integrated rescue system and emergency management authorities,



(j))



1. extraordinary events with multiple disabilities of persons,



2. failure of the means of communication of the health of the operating

the Centre,



3. disposal of the health operations centre,



the case of the notice)



1. the individual degrees of alarm, the integrated rescue system,



2. the central coordination of the rescue and the dismantling work,



3. emergency States,



l) evaluation procedures of healthcare operators operating

the Centre for the purpose of improvement of operational management.



(2) the Organizational operational rules of the health operations centre

contains the work procedures referred to in paragraph 1 (b). and (e))), i), (j)), and

l) also for auxiliary operating Centre, if it is established.



§ 5



Communication regulations of medical rescue service provider



(1) Medical Center auxiliary operating and operating Centre are

equipped with a means of "^ 1") for



and continuous income on call) national emergency call number 155,



(b)) combined with



1. the groups,



2. the contact points of the acute care providers,



3. the transport providers, patients, urgent care,



4. providers of medical transport services,



5. medical operating centres and the extension of operating centres

other providers of medical rescue services and other

the components of the integrated rescue system,



(c) to receive calls and notification) from the basic components of an integrated

rescue system.



(2) voice communication between medical operating centre or

auxiliary operating Centre and the groups takes place

in particular, through the radio network; medical station operating

the Centre or the auxiliary operations centre is the control station.



(3) in place of an incident with multiple disabilities of persons

voice communication between the medical and the heads of

medical groups takes place mainly through the radio

the network. Preferred communication is maintained between the health care operating

the Centre and the head of the medical folder and heads of groups

medical folder. If necessary, the head of the medical

suppress other radiocommunications medical announcement of peace

radio operation.



The activity of the medical folder in the site of the emergency with mass

disabled persons



§ 6



(1) the head of the emergency group that arrives on site emergency

events with multiple disabilities people first, specifying the medical

the operating Centre achieve places emergency other

the groups shall ensure that the Guide medical research space

the incident in order to perform the estimate of the number of persons affected by the

Health (hereinafter referred to as "affected person") and the dead and determine the potential risks

and the extent of the danger to members of the exit of the groups. On the basis of the survey

carried out in accordance with the first sentence of the lead exiting the Group lays down the

the preliminary requirement for the posting of other groups and the exit of funds

Medical rescue service provider and, where applicable, on request

cooperation and assistance of other providers of health services and

other components of the integrated rescue system and passes it to the

the Medical Center immediately operational.



(2) the activities of the medical folder in the site of the emergency with mass

disabled persons is organised in the framework of the



and sorting of groups)



(b)) the Group of pre-hospital urgent care,



(c) redeployment of affected persons) of the group.



(3) the activities of the groups referred to in paragraph 2, their leader. Sorting

the Group and the Group of pre-hospital emergency care have in common

the head, which is a doctor.



section 7 of the



(1) the activities of the medical component coordinates the head medical folder,

which



and persons involved in) determines the medical folder to perform the tasks in the

groups under section 6 (1). 2,



(b)) specifies the leading groups



(c)) sets out the tasks to groups



(d)), if necessary, proposes, where appropriate, the master of the intervention itself sets out in

the Organization breakdown places emergency with mass

disabled persons instead of



1. boarding a medical folder, which is the place of concentration of the exit

groups and other persons included in the medical and pharmaceutical

medicines, medical devices and other equipment for the activity

medical folders (hereinafter referred to as "medical materials"),



2. for the provision of pre-hospital emergency care, which is broken down into


Habitat groups under section 6 (1). 2,



3. for the location and identification of the deceased,



4. for the rest of the persons included in the medical folder.



(2) if it is to ensure the activities of health ingredients necessary

to supplement its equipment, medical equipment, head of the medical

the folder will require the necessary medical equipment and its transportation to the place of

the incident with multiple disabilities of individuals through

the health operations centre.



§ 8



(1) Sorting groups search for disabled persons at the place of extraordinary

events with multiple disabilities of persons and perform sorting.



(2) to the sort of people with disabilities, in the case where there is a significant

the disparity between the numbers of people affected and the intervening medical

workers. When sorting disabled people to their fast

identification and determination of the working diagnosis of their State of health

It uses the identification and sorting tab ^ 2).



(3) Grading of disabled people lies in the determination of the order for the grant of

pre-hospital emergency care to each of the affected persons and their

the redeployment of the unit group of pre-hospital urgent care.



(4) the disabled persons marked with identification and sorting the card are

the Group gathered at the pre-hospital emergency care.



§ 9



(1) a group of pre-hospital urgent care provides on its site

the provision of pre-hospital emergency care for disabled people.



(2) on the unit group of pre-hospital urgent care always

implementing the regrading of disabled people, which takes account of the development of their

health, and establishes the order of their displacement in the

medical equipment providers of health services. The activities of the

a group of pre-hospital urgent care is organized so that the

unit group ensured a one-way traffic.



§ 10



(1) the displacement of persons with disabilities provides transport of persons with disabilities

from his station in the medical equipment providers

health services. The decision of the head of the group for the resettlement of the affected

people can be changed medical operating Centre.



(2) if it is possible, is a Habitat of the resettlement of groups of disabled people

at the pre-hospital urgent care group. Activity on the

the redeployment of the unit groups of persons with disabilities is organized so that the

to allow for the management of persons with disabilities to multiple means of transport

at the same time and also allow their recent departure.



§ 11



(1) the head of the medical component handles the activity report

medical emergency in place with multiple disabilities

persons.



(2) the report on the activities of the medical emergency in place with

multiple disabilities of persons includes, in particular,



and time) data on the commencement and termination of the activities of the medical folder,



(b) assessment of the situation on the spot) incident with multiple disabilities

persons at the time of the arrival of the first emergency group



(c) a description of the deployment of the other exit) groups



(d)) the number of persons with disabilities, with the indication of the types of disabilities, health

passed to the care providers of health services and the list of these

providers,



e) an overview of the number of persons and on the resources provided by the providers

health services and components of the integrated rescue system for

ensure the pre-hospital urgent care on the site of the incident with

multiple disabilities of persons,



(f) the provision of personal data) and the kind of assistance,



(g) a description of all the circumstances) that had an impact on the activities of the medical

folder.



(3) a report on the activities of the medical emergency in place with

multiple disabilities persons are cast by the head of the medical

medical operating centre no later than 7 days from the date of

their medical activities in the place of the incident with

multiple disabilities of persons.



§ 12



Designation of the members of the medical group and the habitats at the site of the extraordinary

events with multiple disabilities of persons



(1) the members of the medical emergencies are in place with the

multiple disabilities of persons identified as follows:



and the head of the medical folder) on the back of the reflective vests inscription

"THE HEAD OF THE MEDICAL FOLDER",



(b) the classification and groups), a group of pre-hospital urgent care on

the rear part of the reflective vests marked "HEAD" or white collar

tape a red inscription "VL" on his left arm,



(c)) the group leader of displacement of persons with disabilities on the back part of the reflective

vests marked "HEAD UNLOADING" or a white collar with red tape

the words "VO" on his left arm,



(d)) the sorting groups on the back of the reflective vests marked "sort"

or a white collar with red tape marked "TR" on his left arm.



(2) the Habitat groups are in place the emergency with mass

disabled persons marked with portable deck reflective markers

as follows:



and habitat classification groups mark) with the inscription "SORTING"



(b)) of the Habitat group pre-hospital urgent care brand with the inscription

"POST EMERGENCY CARE"



(c) the redeployment of the Habitat group) of disabled people with the word mark

"HABITAT DISPLACEMENT".



Habitats are identified by marking tape.



(3) the tags and marking tape for designation Habitat groups and reflective

vests and sleeve tape for the designation of the members of medical folders are

part of the equipment of the medical emergency service provider; to the place of

the incident with multiple disabilities persons are transported on request

the head of the medical folder through medical operating

of the Centre.



Traumatologický plan provider medical rescue services



section 13



(1) Traumatologický plan provider medical rescue services

(hereinafter referred to as the "traumatologický plan") is divided into the basic part, the operational

part and auxiliary part.



(2) the basic part of the Traumatology of the plan contains



and the name, address of the registered office), and the identification number of the provider of health care

emergency services,



(b) the name and address of the founder), a provider of medical rescue

services,



(c) connection to the provider) an overview of medical rescue services,

for example, phone, fax, and e-mail address,



(d) the definition of the subject of the activities of the provider) of the medical rescue

services,



e) overview and evaluation of possible sources of risk and threat to the territory of the region,

that can lead to a massive disaster and analysis of their potential impact

on the provision of emergency services; It is based on the

the list of potential sources of risk and threat analyses carried out by

the emergency law ^ 3),



(f) an overview and evaluation of possible) internal and external sources of risk, and

the threat to medical equipment provider medical rescue

services, with the exception of sources of risk and threat referred to in subparagraph (e)), and

the analysis of their potential impact on the provision of medical rescue

services,



(g) the characteristics of the types of disability health), for that traumatologický

the plan handles,



(h)) definition of the measures that the provider has medical rescue

services to perform at mass fatalities following the analysis of the sources

risk and threat referred to in points (e) and (f))) and on the type of disability by health

subparagraph (g)).



(3) the operational part of the Traumatology of the plan contains



and procedures for the implementation of the measures) in accordance with paragraph 2 (a). (h)),



(b) the definition of measures for the case) of mass misery arising for

Medical rescue service provider of Traumatology of the plan

emergency plan of the County and Traumatology of external emergency plans

plans and how to ensure their implementation,



(c)) method of providing pre-hospital emergency care in the wake of the type

disability health referred to in paragraph 2 (a). (g)),



(d)) the way of ensuring the health of members of the groups and other exit

persons providing pre-hospital emergency care collective

misfortune or involved in this care,



e) procedures for the exit broadcast groups and the coordination of their activities

in place of a mass disaster,



(f) procedures for sorting) affected persons at the site of a mass disaster,



(g) coordinated the evacuation) procedures for persons with disabilities from the point of mass

misfortune to medical equipment providers of health services,



h) procedures for requesting assistance from other providers of medical

emergency services and the integrated rescue system,



I) procedures for requesting assistance from other providers of health

services,



j) procedures for ensuring cooperation with the providers of health services

According to § 46 paragraph. 1 (a). (e)) of the law on health services,



the procedures for the communication of information) of the providers of day and inpatient

the health care requirements for ensuring health care affected

persons and obtaining information from these providers on their

How to take these people to their care,



l) an overview of the connections to the persons involved in the ensuring measures

According to the plan, such as Traumatology phone, fax and address

electronic mail.



(4) the Auxiliary part of the Traumatology of the plan contains



Overview of contracts concluded) provider of medical rescue

service with other people in order to ensure implementation of the measures referred to in

Traumatology of the plan,



(b) the number of health workers) and the resources required

provider of medical rescue services from other providers

health services in the event of a mass disaster,



(c)) the list of medicinal products, medical devices and medical

techniques for providing pre-hospital emergency care collective

misfortune,



d) additional documents related to the readiness of the provider

Medical rescue service on the implementation of the measures for

disasters, such as the geographic literature.



§ 14



(1) a provider of emergency medical services in the processing

Traumatology plan works with the Regional Office of the County in which the

the territory provides medical emergency service.



(2) a provider of emergency medical services shall consult with the regional

the Office of the County, on whose territory provides medical emergency service,



and Traumatology, plan design)



(b) cooperation in processing) the scope Traumatology design plan


other people that may be affected by the measures under this plan.



(3) the provisions of paragraphs 1 and 2 shall be used for the update

Traumatology plan apply mutatis mutandis.



§ 15



The designation of medical equipment provider medical rescue

services



Medical equipment provider of medical emergency services must

be clearly marked ambulance provider name

the service. The name shall be entered on the Board placed in a prominent place outside the

the object of the medical device; Board may take the form of the light

the Panel.



section 16 of the



The work clothing of a member of the emergency group



A member of the emergency working clothes must be externally visible group

given the name of the provider of medical emergency services. The name of the

placed on the backs of working clothes.



§ 17



The effectiveness of the



This Decree shall enter into force on the thirtieth day after the date of its publication.



Minister:



doc. MUDr. Heger, CSc., r.



1) Annex No. 7 to Decree No 92/2012 Coll. on minimum requirements

technical and material equipment, medical equipment and contact

home care sites.



2 section 4 (b)). d) Decree No 98/2012 on medical documentation.



3) Act No 240/2000 Coll., on crisis management and on amendments to certain laws

(the emergency law), as amended.