99/2012 Sb.



DECREE



of 22 March. March 2012



about the requirements for minimum staffing of health services



287/2013: Sb.



The Ministry of health shall, pursuant to section 120 of the Act No. 372/2011 Coll.

on health services and conditions of their provision (law on

health services), to implement section 11 para. 4 of the law on health

services:



§ 1



(1) the minimum staffing requirements (hereinafter referred to as "personnel

Security ")



and outpatient care) are set out in annex 1 to this notice,



(b)) a day care are set out in annex 2 to this Decree,



c) inpatient care are set out in annex 3 to this Decree,



d) pharmaceutical treatments are laid down in annex 4 to this Decree,



e) medical transportation services are laid down in annex 5 to this

the Decree,



f) emergency medical services are set out in Appendix 6 to this

the Decree,



g) transport urgent care are set out in annex 7 to the

This Decree,



h) home care are set out in annex 8 to this Ordinance.



(2) the provisions of this Decree is without prejudice to the requirements for security personnel

health services provided for in other legislation of the ^ 1).



§ 2



(1) a service provider who is entitled to provide health care services at the date of

entry into force of this order, shall meet the requirements of the personnel

the security of the services provided under this Decree



a) within 12 months from the date of its effectiveness, in the case of a provider

referred to in § 121 paragraph 2. 1 of the law on health services,



(b)) to 9 months from the date of the acquisition of its effectiveness, in the case of a provider

referred to in § 122 para. 1 of the law on health services.



(2) the provider of health services, which is competent to provide

health services on the basis of a judgment given in proceedings under section 121

paragraph. 6 of the Act on health services, they must fulfil the requirements for

security personnel provided services set out in this Decree

within 12 months from the date of legal force of the decision.



(3) the provider of health services referred to in paragraph 1 or 2 shall in

the time of compliance with the requirements of the security personnel of the services provided

laid down by this Decree meet the requirements for personnel

the security referred to in Decree No. 134/1998 Coll., in the version in force until 31 December 2006.

December 2011.



§ 3



This Decree shall enter into force on 1 January 2000. April 2012.



Minister:



doc. MUDr. Heger, CSc., r.



Annex 1



Staffing requirements for ambulatory care



Part I



Staffing requirements for ambulatory care by industry practitioners

and dentists and paramedical professions



A. the common requirements



1. the staffing of care is determined by the individual

expertise of health professionals and other professional workers,

the nature and scope of the care provided. Medical personnel and security

other professionals beyond the requirements depends on the

type and volume of provided health care, scope and spectrum carried out

performances and activities so as to ensure the quality, safety and availability

health care.



2. If outpatient health care is provided exclusively to children, it is

secured by the doctors and staff paramedical professions with

specialized qualifications or specific professional qualifications, in

fields focused on the care of children, as well as care provided

adults in their respective fields under the provisions of I.B. 1. and I.B. 2. This

of the annex.



The provisions of the first sentence shall not apply to personnel security

out-patient care in the areas in which there is no specialized competence or

special professional competence focused on child care, modified by another

Law ^ 2)

.



3. If, in the context of out-patient care, listed in part I.B. 1. This

Annex, provided care nursing by another legal

prescription ^ 3), providing this care General nurse or medical

Assistant in the harness, that corresponds to the scope of these activities,

If it is not provided for in section I.B. otherwise.



4. General nurse with the specialized capabilities, or special

provides expertise in the context of out-patient care, referred to in

section I.B. 1. of this annex, nursing care, and other activities in the

compliance with other legislation ^ 4) job that corresponds to the range

These activities, if they are carried out and if it is not

provided for in section I.B. otherwise.



5. The availability of health-care professional for the purposes of this section I.B.

Annex means the availability of advice and assistance over the phone or

by electronic means, in the case of demand always physical presence depending

on the urgency of the implementation of the performance on the clinical condition of the patient and, if not

provided for in section I.B. otherwise.



B. specific requirements



1. Out-patient care according to the disciplines of health care-medical specialties



1.1. the Allergology and Clinical Immunology



and Allergist and clinical immunologist) and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.2. Pain Management



and algeziolog, the doctor) special expertise in palliative

medicine, and anesthesia or intenzivista



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.2.1. Stationary care-pain management



and algeziolog, the doctor) special expertise in palliative

medicine, and anesthesia or intenzivista



(b)) General nurse qualified to practise the profession without professional supervision

or



c) intensive care nurse if they are carried out activities referred to in

another law ^ 5).



1.3. Anesthesiology and intensive medicine



and the anesthesiologist, or intenzivista) and



(b) intensive care nurse), if they are performed according to the activity

other legal předpisu5).



1.4. Angiology



and) angiolog and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.5. Vascular Surgery



and vascular surgeon) and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.6. Dermatovenereology



a), and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.6.1. Stationary Hyperhidrosis care



a), and



(b)) General nurse or medical assistant.



1.7. Children's medicine



and the children's doctor and)



(b)), General nurse pediatric nurse or medical assistant, if it is

nursing care is provided.



1.8. Diabetology



diabetolog or endocrinologist) and diabetolog and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.9. Adolescent Medicine



and the doctor and dorostový)



(b)), General nurse pediatric nurse or medical assistant, if it is

nursing care is provided.



1.10. Endocrinology



and an endocrinologist or an endocrinologist) and diabetolog and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.11. Foniatrie



phoniatrist) and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.12. Gastroenterology



and) gastroenterologist and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.13. Geriatrics



and) geriatrician and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.13.1. Stationary care-Geriatrics



and) geriatrician,



(b)) General nurse or medical assistant,



(c) a nurse or orderly), and



d) occupational therapist or other professional worker-work therapist-

availability.



1.14. Gerontopsychiatrie



and) gerontopsychiatr and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.15. the gynaecology and obstetrics



and a gynecologist and obstetrician,)



(b)), midwife, General nurse or medical assistant,

If nursing care is provided and



(c)) the midwife is qualified to practise the profession without vocational

supervision, if it is provided by the Advisory and nursing activities in the

own social environment of women.



1.15.1. Perinatology and fetomaternální medicine



and special) physician competence in perinatologii and

fetomaternální medicine or the gynecologist and obstetrician with the certificate

Institute of postgraduate medical education issued a year ago

2009 to meet requirements arising from education in perinatologii and

fetomaternální medicine and



(b)), midwife, General nurse or medical assistant,

If nursing care is provided.



1.15.2. Onkogynekologie



and onkogynekolog or gynecologist and) obstetrician with the certificate of the Institute

postgraduate medical education issued before the year 2009 on the

compliance with the requirements of the education program in Gynecologic Oncology and



(b)), midwife, General nurse or medical assistant,

If nursing care is provided.



1.15.3. Urogynecology



and urogynekolog or gynecologist and) obstetrician with the certificate of the Institute

postgraduate medical education issued before the year 2009 on the

compliance with the requirements of the education program in urogynekologii and




(b)), midwife, General nurse or medical assistant,

If nursing care is provided.



1.16. Hematology and transfusion medicine



and a hematologist and transfuziolog) and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.16.1. Stationary care-Hematology



and a hematologist and transfuziolog),



(b)) General nurse or medical assistant and



(c) a nurse or orderly).



1.16.2. Stationary care-hemaferézy



and a hematologist and transfuziolog),



(b)) with a specialized General nurse competence in the field, if they are

activities under other legislation ^ 4) and



(c) a nurse or orderly).



1.17. The hygiene and epidemiology



and health officer and epidemiologist,), epidemiologist, health officer of the children and adolescents,

General and municipal health officer or health officer of nutrition and normal subjects

the use and



(b)) specialist in the protection and promotion of public health capacity to

the profession without supervision or Assistant to the protection and promotion of

public health eligible to practise the profession without professional supervision.



1.18. Hyperbaric Medicine and aviation



and special) physician competence in hyperbaric and air

medicine and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.19. the Surgery



and) surgeon and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.19.1. Oncological surgery



and) onkochirurg and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.20. Infectious medicine



and) infekcionista and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.21. Cardiology



and the cardiologist) and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.22. Clinical Biochemistry



clinical biochemist and)



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.23. Clinical Pharmacology



and clinical pharmacologist) and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.24. Clinical Oncology



and clinical oncologist) and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.24.1. Stationary care-Oncology



and clinical oncologist),



(b)) the doctor with competence,



c) General nurse or medical assistant and



(d) a nurse or orderly).



1.25. clinical Osteology



clinical and osteolog)



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.26. Corrective Dermatology



and) corrective dermatologist



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.27. Medical Genetics



and) medical geneticist and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1. long term care Medicine



and doctor) special expertise in long-term care and medicine



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.29. Addictive disease



and special) physician competence in addictive diseases or

psychiatrist and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.29.1. Stationary care-addictology



and special) physician competence in addictive diseases,

a psychiatrist, clinical psychologist, qualified to practise the profession without vocational

supervision or adiktolog eligible to practise the profession without vocational

supervision; a physician with special expertise in addictive diseases

or psychiatrist-availability, if the care provides a clinical psychologist

to be eligible for practising the profession without supervision or adiktolog

to be eligible for practising the profession without professional supervision, and



(b)) General nurse or medical assistant.



1.30. Nephrology



and nephrologist) and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.30.1. Stationary care-dialysis



and nephrologist),



(b)) General nurse qualified to practise the profession without professional supervision

(1 nurse to care for 5 dialysis patients), and



c) intensive care nurse for 5).



1.31. Neurosurgery



and the brain)



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.32. Neurology



and) neurologist and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.33. Ophthalmology



and) ophthalmologist,



(b)) General nurse or medical assistant, if it is provided by the

nursing care and



(c)), if provided orthoptist specific nursing care

patients with ocular disorder.



1.34. Orthopedics and Traumatology of the locomotor system



and an orthopedic surgeon, and)



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.35. the Orthopaedic prosthetics



and orthopaedic prostheses) and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.36. Otorhinolaryngology



and) otorinolaryngolog and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.37. Palliative Medicine



and special) physician competence in palliative medicine and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.38. Plastic Surgery



plastic surgeon) and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



Pneumology and phthisiology 1.39.



and) pneumolog and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.40. Popáleninová medicine



and special) physician competence in Burns medicine and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.41. Occupational Medicine



and the doctor and work)



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.42. Practical medicine for children and adolescents



and) general practitioner for children and adolescents and



(b)), General nurse pediatric nurse or medical assistant, if it is

nursing care is provided.



1.43. Psychiatry



a) psychiatrist



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



If it is granted only to psychotherapy, it is provided by a psychiatrist,

training in psychotherapy.



1.43.1. Stationary care-Psychiatry



and the psychiatrist, gerontopsychiatr), a children's psychiatrist, doctor dorostový and the

special competence in addictive diseases, sexologist or

a clinical psychologist is competent to practise the profession without professional supervision,



(b)) General nurse or medical Assistant or



(c)) for the care of a nurse in Psychiatry, if carried on activities referred to in

another law ^ 6). If psychotherapy is provided, it is

provided by clinical psychologist qualified to practise the profession without

mentorship, or a psychiatrist trained in psychotherapy.



1.43.2 Psychiatric care.



and a psychiatrist or child and) dorostový psychiatrist to receive an education in

psychotherapy,



(b)) a clinical psychologist to be eligible for practising the profession without professional supervision

and



c) General nurse or medical assistant, if it is provided by the

nursing care.



1.44. Psychosomatics



and) psychosomatik and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.45. Rehabilitation and physical medicine



rehabilitation physician), and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.45.1. Stationary care-rehabilitation and physical medicine



rehabilitation physician),



(b)) General nurse qualified to practise the profession without professional supervision,



(c)) eligible for the profession of physiotherapist without professional supervision,



d) occupational therapist qualified to practise the profession without professional supervision,



e) orderly,



f) clinical psychologist-availability and



g) clinical speech therapist-availability.



1.46. Reproductive Medicine



and a gynecologist and obstetrician) or a physician with special expertise in the

reproductive medicine,



(b)) a midwife or General nurse qualified to practise the profession

without professional supervision, if nursing care is provided and



c) clinical embryologist, clinical genetics bioanalytik or other

specialist-science graduates focus,

If it is provided by assisted reproduction.



1.47. Rheumatology



and) a rheumatologist and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.48. Sexology



and), sexologist



(b)) General nurse or medical assistant, if it is provided by the

nursing care and



c) medical laboratory for Sexology and assisted reproduction, if

the activities are carried out under other legislation ^ 7).



1.49. Spondylochirurgie



and) spondylochirurg and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.50. Sports Medicine



and the doctor and sports training)



(b)) General nurse or medical assistant, if it is provided by the


nursing care.



1.51. Traumatology



and) traumatolog and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.52. Urology



and) a urologist and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.52.1. Oncourology



and) onkourolog and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.53. Internal Medicine



and) internist and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1.54. the General practical medicine



a) general practitioner and



(b)) General nurse or medical assistant, if it is provided by the

nursing care.



1. Dentistry



a) dentist and



(b)) General nurse, if nursing care is provided, or



(c)) a dental hygienist or dental care, if they are

activities under other legislation), if these

activity does not a dentist.

On the personal security of radiological examination or examination

other imaging methods implemented in the framework of outpatient care

dentists, are not subject to the requirements laid down in part II. This

of the annex.



1.55.1. Orthodontics



and an orthodontist and)



(b)) General nurse, if nursing care is provided, or



(c)) a dental hygienist or dental care, if they are

activities under other legislation ^ 8), if these

activity does not perform an orthodontist.



1.55.2. Oral and maxillo-facial surgery, maxillo-facial surgery



and oral and maxillofacial surgeon) or maxillofacial surgeon and



(b)) General nurse, if nursing care is provided, or



(c)) a dental hygienist or dental care, if they are

activities under other legislation ^ 8), if these

activity does not perform oral and maxillo-facial surgeon or maxillo-facial

the surgeon.



2. Outpatient care according to the disciplines of health care-non-medical disciplines

health professions



2.1. Adiktolog



adiktolog eligible for) a profession without supervision and



(b)) a physician special competence in addictive diseases or

psychiatrist-availability.



2.2. Dental Hygienist



Dental hygienist eligible to practise the profession without professional supervision.



2.3. Occupational Therapist



and eligible for an occupational therapist) a profession without supervision or



(b) an occupational therapist with specialized competences) to be eligible to exercise the

the profession without professional supervision, if they are performed according to the activity

another law ^ 9).



2.4. Physical Therapist



and a physiotherapist eligible to) a profession without supervision or



(b) the specialised competences) physiotherapist eligible to exercise

the profession without professional supervision, if they are performed according to the activity

another law ^ 10).



2.5. Clinical speech therapist



Clinical speech therapist qualified to practise the profession without professional supervision.



2.6. Clinical psychologist



A clinical psychologist is competent to practise the profession without professional supervision.



2.7. The nutritional therapist



and nutritional therapist) qualified to practise the profession without professional supervision

or



b) nutritional therapist with specialized competences in the field of eligible

to practise the profession without professional supervision, if they are performed activities

under another law ^ 11).



2.8. the Optometrist



To be eligible to exercise the profession of optometrist without professional supervision.



2.9. Orthoptist



To be eligible to exercise the profession of orthoptist without professional supervision.



2.10. Orthotics-Prosthetics



Orthotics-Prosthetics to be eligible for practising the profession without professional supervision.



2.11. Midwife



2.11.1. Health care without the guidance of births



and) eligible for the midwife profession without professional supervision

or



(b)) a midwife with specialised competence in the field of eligible

to practise the profession without professional supervision, if they are performed activities

under another law ^ 12).



2.11.2. Health care, including the keeping of physiological births



and) eligible for the midwife profession without vocational

supervision,



(b)) a midwife with specialised competence in the field, if

the activities are carried out in accordance with other legal předpisu12) and



(c)), gynecologist and obstetrician-physical presence within 5 minutes in the workplace.



In the management of childbirth are always present at the workplace of two birth

a midwife or one midwife and baby sister, baby

intensive care nurse or nurse for intensive care.



If you do not ensure the implementation of caesarean birth or operation

pointing to their birth within 15 minutes from the finding of the complications

giving birth in a medical facility bed care, care addition must be

secured according to the requirements of point 15 of part I of annex 3 of this order

and neonatologem.



2.12. A vision therapist



Optic therapist qualified to practise the profession without professional supervision

.



Part II



Staffing requirements for diagnostic and therapeutic care in

the fields of Radiology and imaging, Pediatric Radiology, interventional

Radiology, Neuroradiology, nuclear medicine, radiation oncology,

Vascular Interventional Radiology



A. the common requirements



1. personnel security diagnostic and therapeutic care provided

According to the individual skills of health workers, and other

Professional staff, the nature and scope of the care provided. Security

medical personnel and other professional staff beyond

requirements depend on the type and volume of provided by health

care, scope and spectrum carried out performances and activities so that the

ensure the quality, safety and availability of health care.



2. the amount of the committed radiological assistants and radiologists depends on the operating

the time and scope of activities of the relevant departments so as to ensure

carry out the examination and description for Statim examination immediately.



3. If, in the context of out-patient care, referred to in part II. (B) of this

Annex, provided care nursing by another legal

prescription ^ 3), providing this care General nurse or medical

Assistant in the harness, which corresponds to the range of these activities.



4. The availability of clinical Radiological Physics, for the purposes of part

II. (B) of this annex shall mean the availability of advice and assistance through

phone or by electronic means and, if necessary, his physical presence.



B. specific requirements



1. Skiagrafie



and the radiologist, Interventional Radiologist), neuroradiolog or a radiologist,



b) Radiology Assistant qualified to practise the profession without vocational

supervision and



(c) clinical medical physics expert)-availability.



2. Fluoroscopy



and the radiologist, Interventional Radiologist), neuroradiolog or a radiologist,



b) Radiology Assistant qualified to practise the profession without vocational

supervision and



(c) clinical medical physics expert)-availability.



3. Computed Tomography-CT



and the radiologist, Interventional Radiologist), neuroradiolog or a radiologist,



b) Radiology Assistant qualified to practise the profession without vocational

supervision and



(c) clinical medical physics expert)-availability.



4. Mammograms



and) radiologist,



b) Radiology Assistant qualified to practise the profession without vocational

supervision and



(c) clinical medical physics expert)-availability.



5. Ultrasound



Radiologist, interventional radiologist, radiologist or neuroradiolog, children's

a doctor with specialized qualifications or specific professional

competences in the scope in which the care is provided.



6. Magnetic resonance imaging



and the radiologist, Interventional Radiologist), neuroradiolog or children's radiologist and



b) Radiology Assistant qualified to practise the profession without vocational

supervision.



7. Angiography, interventional radiology and vascular intervention

Radiology



and the radiologist, Interventional Radiologist), Vascular Interventional Radiologist,

neuroradiolog, angiolog children's education or a radiologist in intervention

Angiology,



b) Radiology Assistant qualified to practise the profession without vocational

supervision or General nurse with specialised competence in the field of

Perioperative care and



(c) clinical medical physics expert)-availability.



8. Nuclear Medicine



and specialised competences) physician in nuclear medicine,



(b)) the radiologist regarding workplace with PET/CT or workplace

SPECT/CT; the radiologist is not required if the PET or SPECT/low dose CT

(lokalizačně atenuační),



c) Radiology Assistant qualified to practise the profession without vocational

supervision or General nurse with a specialized or specific professional

competence in the field, and



(d) clinical medical physics expert) if they are carried out, radiological

procedures for radiotherapy by open the radiator; If it is carried out exclusively

Radio Diagnostics or palliative radiotherapy open radiator-

availability.



9. Radiation Oncology



and radiation oncologist),



b) Radiology Assistant qualified to practise the profession without vocational

supervision and



(c) clinical medical physics expert).



Part III



Staffing requirements for diagnostic and therapeutic care-

the laboratory workplace



A. the common requirements



1. personnel security diagnostic and therapeutic care provided

According to the individual skills of health workers, and other


Professional staff according to the nature and scope of the care provided and the

the length of the specified work time ^ 13) (hereinafter referred to as "time").

The security of medical personnel and other professional staff of

framework requirements depend on the type and volume of provided

the health-care field and spectrum carried out performances and activities to

ensure the quality, safety and availability of health care.



2. The availability of health-care professional for the purposes of part III. (B) of this

Annex means the availability of advice and assistance over the phone or

by electronic means, in the case of the physical presence upon request, depending on the

the urgency of the implementation of the exercise. In the case that are in laboratories

provision of services for providers of inpatient care is provided

the availability of health care professional qualified to perform

the relevant performance 24 hours a day.



B. specific requirements



1. Clinical Biochemistry



and clinical biochemist at least 0.2) harness,



(b)) for Clinical Biochemistry bioanalytik or pharmacist is

specialized competence in the laboratory and investigative methods

in the health sector at least 0.2 harness,



c) medical laboratory with specialized competences in the field of 1.0

harness and



d) medical laboratory qualified to practise the profession without vocational

supervision, if they are provided by the lab service for the provision of

acute care 3.0 harness.

Harnesses are laid out so that the time referred to in points (a) and (b)))

the total amounted to 1.0.



2. Medical Microbiology



(Site of bacteriology, Mycology, Parasitology and Virology)



and medical microbiologist at least 0.2) harness,



b) bioanalytik for Microbiology, a pharmacist with the dedicated

competence in the laboratory and investigative methods in health care

or the doctor with competence with certificate of completion

the basic the tribe issued under the law governing education of physicians,

dentists and pharmacists (hereinafter referred to as the "certificate") ^ 2) at least 0.2

harness



c) medical laboratory with specialized competences in the field of 1.0

harness and



d) medical laboratory qualified to practise the profession without vocational

supervision, if they are provided by the lab service for the provision of

acute care 3.0 harness.

Harnesses are laid out so that the time referred to in points (a) and (b)))

the total amounted to 1.0.



2.1. Antibiotic Centre



and medical microbiologist or infekcionista) or



b) bioanalytik for Microbiology or other specialist-

graduates science focus, if the service is

at the same time ensured medical mikrobiologem or infekcionistou.



Harnesses are laid out so that the full-time health workers and

other professional staff referred to in point (a)), or (b)) on the

workplace an antibiotic of the Centre totalled 1.0.



3. Hematology and transfusion medicine



3.1. Hematology



a hematologist and transfuziolog) at least 0.2 harness,



(b)) for clinical haematology bioanalytik and transfusion service or

pharmacist specialised competences in laboratory and

examination methods in health care at least 0.2 harness,



c) medical laboratory with specialized competences in the field of 1.0

harness, and



d) medical laboratory qualified to practise the profession without vocational

supervision, if they are provided by the lab service for the provision of

acute care 3.0 harness.



Harnesses are laid out so that the time referred to in points (a) and (b)))

the total amounted to 1.0.



3.2. Transfusion Medicine



Personnel security requirements are identical to the requirements referred to in

3.1. This part of the annex.



4. clinical Allergology and Immunology



and Allergist and clinical immunologist) at least 0.2 harness,



(b)) and clinical bioanalytik for Immunology or pharmacist is

specialized competence in the laboratory and investigative methods

in the health sector at least 0.2 harness and



c) medical laboratory with specialized competences in the field of 1.0

the harness.



Harnesses are laid out so that the time referred to in points (a) and (b)))

the total amounted to 1.0.



5. the Cytology



and) pathologist, gynecologist and obstetrician, Clinical Oncologist, hematologist and

transfuziolog, a clinical biochemist, neurologist or pneumolog at least

0.2 harness; medical laboratory with specialized competences in the field

or pharmacist with specialised competence in laboratory and

examination methods in health care at least 1.2 harness,

at least 1.0 harness health lab technician with the dedicated

competence in the field and



(b)) medical laboratory qualified to practise the profession without vocational

supervision, if they are provided by the lab service for the provision of

acute care 3.0 harness.



Harnesses are laid out so that the time referred to in points (a) and (b)))

total stood at 2.0.



If done exclusively screening gynaecological cytology, is

the security personnel of the following:



and a pathologist or a gynecologist and) obstetrician trained in cytodiagnostice 1.0

harness and



(b)) the medical laboratory for cytodiagnostiku 1.0.



6. Medical Genetics



and medical geneticist at least 0.2) harness,



(b)) for clinical genetics bioanalytik or pharmacist with a specialized

competence in the laboratory and investigative methods in health care

at least 0.2 harness and



c) medical laboratory with specialized competences in the field of 1.0

the harness.



Harnesses are laid out so that the time referred to in points (a) and (b)))

the total amounted to 1.0.



6.1. Cytogenetics



Personnel security requirements are identical to the requirements referred to in

section 6 of this part of the annex.



6.2. Molecular Genetics



Personnel security requirements are identical to the requirements referred to in

section 6 of this part of the annex.



7. Clinical Pharmacology



and clinical pharmacologist, clinical) biochemist, clinical pharmacist or

pharmacist specialised competences in laboratory and

examination methods in health care at least 0.2 harness,



(b)) specialist in laboratory methods with the dedicated

competence in the field, a pharmacist with specialised competence in

the laboratory and investigative methods or pharmaceutical Assistant

specialized competences in the field of at least 0.2 harness and



c) medical laboratory with specialized competences in the field of 1.0

the harness.



Harnesses are laid out so that the time referred to in points (a) and (b)))

the total amounted to 1.0.



8. Toxicology



and judicial bioanalytik) toxicology, a pharmacist with the dedicated

competence in the laboratory and investigative methods in health care,

the Court by a doctor or clinical biochemist at least 1, 0 and harness



(b)) medical laboratory with specialized competences in the field of 1.0

the harness.



9. the Multidisciplinary laboratory



and specialised competences) doctors in subject areas in which they are

laboratory services provided, each at least 0.2 harness,



(b)) in the laboratory technicians with specialized methods

competences in the fields or pharmacists with specialised competence

in the fields in which the services are provided, each laboratory

at least 0.2 harness,



c) medical laboratory with specialized competences in each field,

where is care provided by 1.0 harness, and



d) medical laboratory qualified to practise the profession without vocational

supervision, if they are provided by the lab service for the provision of

acute care 3.0 harness.



Harnesses are laid out so that whenever one of the arrangements referred to in (a))

or (b)) amounted to 0.8.



10. Nuclear Medicine



and specialised competences) physician in nuclear medicine or

a clinical biochemist at least 0.2 harness,



b) bioanalytik nuclear medicine or pharmacist with a specialized

competence in the laboratory and investigative methods in health care

at least 0.2 harness and



c) medical laboratory qualified to practise the profession without professional supervision

1.0.



Harnesses are laid out so that the time referred to in points (a) and (b)))

the total amounted to 1.0.



11. Dental laboratory



and) dental technician qualified to practise the profession without professional supervision,

or



(b)) a dentist and dental technician or Assistant dental technician.



Part IV



Requirements for the staffing of health services-legal

medicine, pathology, blood transfusion service



Personnel security diagnostic and therapeutic care is determined by the

the individual expertise of health professionals and other professional

workers according to the type and scope of the care provided and the time.



1. Forensic Medicine



and the medical examiner) 1.0 harness,



(b)) the doctor with competence 1.0 harness,



c) judicial bioanalytik Toxicology 1.0 harness,



d) medical laboratory qualified to practise the profession without professional supervision

or medical laboratory for histology in the scope in which they are

carried out specialised activities ^ 15),



e) medical laboratory for toxicology,



f) autoptický technician 0.5 time job and



g) orderly 0.5 time job.



2. Pathology



pathologist 0.5 time job),



(b)) medical laboratory qualified to practise the profession without professional supervision

1.0 harness; This does not apply if services are not provided

Histopathological laboratories and



(c)) autoptický technician or orderly 1.0 harness; This does not apply if the

provided only histopathological services lab.



3. Blood Transfusion Service




Personnel security complies with the requirements laid down in the legal

the rules governing the management of medicines and human blood and its

^ 16 folders).



Annex 2



Staffing requirements for the one-day care



1. provision of day care must be secured by a physician

specialized competence in the relevant area, a doctor who has special

professional qualification in a relevant discipline or a dentist, and

a healthcare professional for medical performance

the medical profession.



2. If they are carried out in total or regional anesthesia,

sedation or monitored anesthesia care, is care

secured an anesthesiologist.



3. If the one-day care is provided exclusively to children is secured

the doctors and staff of the paramedical professions is

specialized qualifications or specific professional qualifications, in

fields focused on the care of children as well as care provided

adults in their respective fields.



The provisions of the first sentence shall not apply to personnel security

day care in the areas in which there is no specialized competence or

special professional competence focused on child care, modified by another

Law ^ 2).



4. the security of health care Personnel in the operating room during the performances

carried out in the General or regional anesthesia, analgosedation, or

monitored anesthesia care is as follows



and) anesthetist,



(b)) two physicians, one of them with the specialized capabilities, or special

competence in the relevant area, in which is provided by the care

the patient; When the performance of a minor nature, such as selected

laparoscopic procedures, a doctor with the specialized capabilities, or

special competence in the relevant area,



(c) for Perioperative care nurse) eligible to practise the profession without

professional supervision; sister for Perioperative care eligible for performance

the profession without supervision or midwife for peri-operative

care eligible to practise the profession without professional supervision, if they are

conducted performances in Gynecology,



d) intensive care nurse qualified to practise the profession without vocational

supervision; intensive care nurse qualified to practise the profession without

mentorship or midwife for intensive care eligible

to practise the profession without professional supervision, if they are carried out in the

Gynecology and



General nurse (e)).



The security of medical personnel and other professional staff of

framework requirements depends on the spectrum of carried out performances.



5. If you are following the operating performance carried out separately

the activities of the health care professional paramedical professions

eligible to practise the profession without professional supervision, these must be

activities are carried out in accordance with other legislation ^ 3).



Annex 3



Staffing requirements for inpatient care



Part I



Common requirements for personnel security bed care



1. the security of health care Personnel on the wards bed care is

laid down in part II. of this annex according to the individual expertise

medical personnel and other professional staff according to the nature and

the scope of the care provided and the time. The requirements are set out

30 beds, unless in the relevant provisions of this annex, provided

otherwise. Security, healthcare professionals and other professional

workers beyond the requirements depend on the type and volume of

provided by the health care industry and spectrum carried out performances and

activities so as to ensure the quality, safety and availability

health care.



2. The doctor referred to in part II. of this annex, in addition to health care and

departmental performance bed care may also participate in health care in

out-patient clinics, where patients are admitted to hospital treatment, and on the

ensure the operating performance and of the halls, must be

the requirements on the security personnel mentioned in paragraphs 14 and 15.



3. If the Department is included in the acute care unit and intensive

care (hereinafter referred to as "YIP") 1. grade (less intensive care) and 2. the degree of

(intensive care), the doctors can participate in this Department as well as on the

provide health care in the ICU, the requirements must be met to

security personnel referred to in section II (2). of this annex according to the

the appropriate degree of ICU.



4. the requirements on the security of health care personnel on the wards

acute care standard are listed in section II.1. of this annex.



5. If there is a departmental standard acute care a higher number of

beds than 30, the number of jobs doctors edit, but must not be less

than the number of calculated according to the formula:



l

y = x. (----) 0.5

30



where "y" is the number of jobs, "x" this Decree provided for the number of

jobs doctors to 30 beds and "l" the actual number of beds of this type.



If there is a departmental standard lower acute care beds

than 30, you can edit the number of jobs of doctors, but shall not be less than

the number calculated by the above formula. If the actual number of

beds of less than 20, then l = 20.



The adjustment of the number of jobs according to a formula can be used for up to 60

beds, a minimum of 20 beds.



The number of jobs while the number of beds less than 20 are no longer referred to in the above

formula does not adjust. The number of jobs in more than 60 the number of beds

is calculated according to the formula again.



6. If there is a departmental standard acute care a higher number of

beds than 30, the number of jobs health care workers eligible for

the performance of non-medical health profession edit, but must be

less than the number of calculated according to the formula:



l l

y = 0.8. x. (----) + 0,2 . x. (----) 0.5

30 30



where "y" is the number of jobs, "x" this Decree provided for the number of

jobs at 30 beds and "l" the actual number of beds of this type.



If there is a departmental standard lower acute care beds

than 30, the number of jobs health care workers eligible for the performance

medical-medical profession modified, but must not be less than

the number calculated by the above formula. If the actual number of

beds of less than 20, then l = 20.



The adjustment of the number of jobs according to a formula can be used for up to 60

beds, a minimum of 20 beds.



The number of jobs while the number of beds less than 20 are no longer referred to in the above

formula does not adjust. The number of jobs in more than 60 the number of beds

is calculated according to the formula again.



7. requirements for the security of health care personnel on the wards

acute care, intensive, are listed in section II (2). This

of the annex.



8. staffing requirements for health care on the wards

subsequent inpatient care and long-term inpatient care are listed in the

II.3. and II. 4. of this annex.



If it is a different number of beds, govern the number of jobs

health workers by the formulae indicated in point 5 and 6; It

does not apply to requests for provision of a spa hospital rehabilitation

care.



9. the health care provided to patients in the acute care beds

standard under part II.1. This annex is in working days at a time

from 4 pm to 7 pm the following day and on Saturdays,

Sundays and public holidays ^ 17) secured at least



and a physician with specialized qualifications) or special professional

competence in the relevant area,



(b) a physician with specialized qualifications) in an industry that has a common

the basic strain with the specialization of care provided, or



c) doctor with competence with certificate ^ 14), if

ensure the physical presence of a doctor referred to in point (a)), or (b)) to the

20 minutes, and then



(d)) for the performance of health care professionals eligible medical

the medical profession listed in part II. of this annex, in

continuous operation in accordance with the care provided and the spectrum carried out

performance, but at least one analyst, eligible for performance

the profession without professional supervision for patients on 40 beds,

If it is not provided for in section II.1. of this annex, otherwise.



A doctor can provide care on the wards or more stations, up to a maximum

However, a total of 90 beds for patients.



If you are on the inpatient departments that provide bed standard

care and aftercare beds, doctors can referred to in point (a) to (c)))

to provide under the same conditions at the same time and care to patients in these

beds.



If you are hospitalized patients who are included under

intensity of nursing care that is provided to them, to the category of

patient 3 or 4 under other legislation), secure care

healthcare professionals referred to in point (d)) and at least one emergency medical technician

or caregiver for patients on 40 beds.



10. The health care provided to patients in the acute care beds

intense under part II.2. This annex is in working days at a time


from 4 pm to 7 pm the following day and on Saturdays,

Sundays and public holidays ^ 17) secured at least



and according to the qualifications of the doctor), part II. 2. of this annex, in ICU

1. grade (less intensive care) for a maximum of 18 beds, ICU 2.

degree (higher intensive care) for up to 15 beds and ICU 3.

(resuscitation) for up to 8 beds and



(b)) a health care professional for medical performance

the medical profession referred to in part II, points 2.1., 2.2., 2.3.,

2.4 and 2.5. This annex according to the different degrees of ICU bed

intensive care in continuous operation.



11. The health care provided to patients on the beds of the subsequent bed

care under part II (3). This annex is in working days from

4 pm to 7 pm the following day and on Saturdays, Sundays and

a holiday ^ 17) secured at least



and a physician with specialized qualifications) in the fields with the common

the basic strain internal, surgical, orthopaedic,

obstetrics-porodnickým, neurological, medical,

anaesthesia, dermatovenerologickým, urologic, ophthalmological,

otorinolaryngologickým or basic trunk general practical

medicine, or



b) doctor with competence with certificate ^ 14), if

ensure the physical presence of a doctor referred to in point (a)) within 20 minutes,

and further



(c)) by health professionals eligible for the performance of non-medical

the medical profession in part II.3. of this annex, in

continuous operation in accordance with the care provided and the spectrum carried out

performance, but at least one analyst, eligible for performance

the profession without professional supervision for patients on 40 beds,

If it is not provided for in section II.3. of this annex, otherwise.



A doctor can provide care on the wards or more stations, up to a maximum

However, a total of 120 beds for patients who are included under

intensity of nursing care that is provided to them, to the category of

patient 3 or 4 under another law ^ 17), and the 250 beds

for patients who are enrolled according to the demands of nursing care,

that is provided to the patient's category 1 or 2 in accordance with other

^ law 17).



If you are hospitalized patients with higher demands on nursing

care of the patient in a category 3 or 4 under another law ^ 17),

secure care healthcare professionals referred to in point (c)), and

at least one emergency medical technician or nurse for patients on 40 beds.



12. The health care provided to patients on long-term inpatient beds

care and care in children's homes is in working days from 4 pm

hours to 07.00 hours the following day and on Saturdays, Sundays and

svátek177) is secured by the competent medical personnel

eligible for the performance of non-medical health care professions referred to in

Part II 4. and (II). 5. of this annex in continuous operation under

the care provided and the spectrum carried out performances, but at least always

one employee qualified to practise the profession without professional supervision

for patients on 40 beds.



At the same time ensures availability of the doctor with specialised competence

in the fields with the common basic strain internal, surgical,

Orthopedic, obstetrics-porodnickým, neurological, medical,

anaesthesia, urologic, dermatovenerologickým, ophthalmological,

otorinolaryngologickým or basic trunk general practical

medicine.



If it is provided by inpatient health care exclusively to children, it is

ensured by a doctor with the common basic trunk paediatric.



13. If the performances and activities are carried out in accordance with other legal

prescription ^ 5) carries out the General nurse with the appropriate specialized

qualifications or specific professional qualifications.



14. the security of health care Personnel in the operating room when you

performances carried out in general or regional anesthesia, analgesia

or monitored anesthesia care is as follows:



and) anesthetist,



(b)) two physicians, one of them with the specialized capabilities, or special

competence in the relevant area, in which is provided by the

health care patient; When the performance of a minor nature, such as

selected laparoscopic procedures, a doctor with the dedicated

competence or special competence in the relevant area,



(c) for peri-operative care of sister) unsupervised; If they are carried out

operating performances in Gynecology and obstetrics nurse for peri-operative

care without the supervision or the midwife for peri-operative care without

supervision,



d) intensive care nurse without supervision; If they are carried out

operating performances in Gynecology and obstetrics nurse for intensive care

without the supervision or the midwife for intensive care and



General nurse (e)).



If it is in a medical facility in the complex more operating theatres, on

which are simultaneously carried out in total or regional

anesthesia, sedation or monitored anesthesia care, may

be care always ensure two halls



and Anaesthesiologist)



b) doctor with competence with certificate ^ 14) and



(c)), the sister of intensive care without supervision; If they are carried out

operating performances in Gynecology and obstetrics nurse for intensive care

without the supervision or birthing assistant for intensive care.



In each room are always



and) 2 doctors, one with specialized qualifications or special

competence in the relevant area, in which is provided by the care

the patient; When the performance of a minor nature, such as selected

laparoscopic procedures, a doctor with the specialized capabilities, or

special competence in the relevant area,



(b) for peri-operative care of sister) unsupervised; When you perform operating

performances in Gynecology and obstetrics nurse for peri-operative care without

supervision or midwife for peri-operative care without the supervision and



c) General nurse.



The security of medical personnel and other professional staff of

framework requirements depends on the spectrum of carried out performances.



15. Health care in the delivery room



15.1. Health care in the delivery room is provided



a gynaecologist and obstetrician) and



(b)) a birth Assistant without supervision.



15.1.1. the procedures carried out under General or regional anesthesia,

sedation or monitored anesthesia care is personal

security provided by healthcare professionals referred to in point 15. 1.

and further



and Anaesthesiologist)



(b)) birth Assistant for peri-operative care without the supervision or sister

for peri-operative care without the supervision and



c) birth Assistant intensive care without the supervision or nurse for

intensive care without the supervision.



The security of medical personnel and other professional staff of

framework requirements depends on the spectrum of carried out performances.



16. on the inpatient departments listed in part II.1, II.2, II.3 and II.4.

This annex is to ensure the availability of nutritional therapist.



17. on the inpatient departments listed in part II 1 and II. 2 of this annex

ensures availability of the clinical pharmacist.



18. Subsequent inpatient care and long-term inpatient care in part II.3 and II.4.

This annex is secured by the health-social worker, or other

professional-social worker job 0.2 in

the clinic with the number of beds to 30; in 0.5 in harness

medical device with number of beds over 30, if not provided for in

section II 3. and (II). 4. of this annex, otherwise.



Personnel security personnel referred to in the first sentence is not required

in healthcare facilities of the prison service of the Czech Republic.



19. If inpatient care is provided exclusively to children is ensured



and doctors with specialised competences) or special professional

competence in their respective fields focused on the care of children, as well

as the care provided to adults, and



(b)), the General of sisters, at least 30% of the pediatric nurse jobs

or pediatric nurse for intensive care, if it is not provided for in section

II. 2. and II. 5. of this annex, otherwise.



Care is provided in the same number of jobs as care provided

adults in their respective fields under part II. of this annex.



20. personnel security point of contact for collaboration with

the provider of emergency medical services is ensured by the General

sister without supervision.



21. If urgent reception is established, is the care provided



and urgent doctor, anesthesiologist), intenzivistou, surgeon,

internist, cardiologist, neurologist, or traumatologem,



(b)) a general nurse without supervision,



(c)), the sister of intensive care without the supervision or medical

the physical presence of a lifeguard-on-demand and



(d)) sanitářem or the physical presence of a nurse-on-demand.



If it is not urgent reception provided urgent doctor, anesthesiologist

or intenzivistou referred to in subparagraph (a)), the physical must be ensured

the presence of at least one of these doctors within 5 minutes of request.



22. the Surgical disciplines, for the purposes of this annex, means the scopes: Vascular


surgery, Gynecology and obstetrics, surgery, thoracic surgery,

thoracic surgery, maxillo-facial surgery, neurosurgery,

Ophthalmology, oral and maxillo-facial surgery, orthopedics and

Traumatology of the locomotor system, otolaryngology, plastic

surgery, medicine, popáleninová spondylochirurgie, Traumatology,

urology and appropriate scopes in which the care is provided to children.



23. Internal disciplines for the purposes of this annex, means the scopes: Angiology,

Endocrinology and diabetology, Gastroenterology, geriatrics,

Hematology and transfusion medicine, cardiology, Clinical Oncology,

Nephrology, Neurology, pneumology and phthisiology, occupational medicine,

Radiation Oncology, rheumatology, internal medicine and related disciplines,

in which care is provided to children.



24. The availability of healthcare and other professional worker

for the purposes of part II. This annex means the availability of advice and help

by telephone or by electronic means, in the case of physical request

the presence of depending on the urgency of the procedure and on the clinical

the patient's condition.



25. If it is part of the Department, operating and of the halls of the X-RAY or CT scan

the device requires the availability of radiological Assistant or

an Interventional Radiologist to ensure physical presence when performing

medical exposure, and the availability of advice and assistance to the clinical

Radiological Physics by telephone or by electronic means and in

If necessary, the physical presence.



Part II



Specific requirements for personnel security bed care



1. acute INPATIENT CARE STANDARD



1.1. Surgical scopes



1.1.1. the staffing of surgery is as follows



and, where appropriate, with specialized) physician specific professional qualifications in

the field of 2.0 harness,



(b)) the doctor with the expertise of the harness, 2.0 1.0 s

certificate ^ 14)



(c)) with a specialized General nurse competence in the field without supervision

1.0 harness,



d) General nurse without the supervision and General nurse or medical

Assistant total 8.5 harness and



e) orderly or nurse 4.0 harness.



Medical care provided on weekdays between the hours of 4 p.m. to

7:00 pm the following day and on Saturdays, Sundays and public holidays ^ 17)

may also be ensured by an orthopaedic surgeon and care in the field of Orthopedics and

Traumatology of the locomotor system, a physician with specialized

a device with basic surgical trunk.



1.1.2. personnel security scope and oral and maxillo-facial surgery

maxillo-facial surgery is provided by healthcare professionals

referred to in point 1.1. (a). c) to (e)), and



and maxillofacial surgeon) or oral and maxillofacial surgeon

2.0 harness and



b) doctor with professional qualification or a dentist with professional

competences of the harness, 2.0 1.0 dentist with professional

the comp.



1.1.3. personnel security is ensured by ophthalmology

healthcare professionals referred to in point 1.1 (a). a) to (c)), and



and without the supervision of a general nurse) and a general nurse or

Medical Assistant to a total of 6.0 harness and



(b)) sanitářem or nurse 3.0 harness.



1.1.4. personnel security scope of gynaecology and obstetrics is

provided by health professionals referred to in point 1.1. (a). a) to

(c)), and (e)), and



and without the supervision of a general nurse) or birth Assistant without the supervision

and



(b)), the General Medical Assistant or nurse midwife

Assistant.

Harnesses referred to in points (a) and (b))) must amount to a total of 8.5 harness.



1.1.5. personnel security scopes, thoracic surgery, surgery,

thoracic surgery, neurosurgery, orthopaedics and spondylochirurgie

Traumatology of the locomotor system, plastic surgery, popáleninová

medicine and Traumatology is provided by healthcare professionals

referred to in point 1.1. and a physiotherapist-availability.



1.2. Internal scopes



1.2.1. the staffing of the internal fields is as follows



and, where appropriate, with specialized) physician specific professional qualifications in

the field of 2.0 harness

,



(b)) the doctor with the expertise of the harness, 2.0 1.0 s

certificate ^ 14)



(c)) with a specialized General nurse competence in the field without supervision

1.0 harness,



d) General nurse without the supervision and General nurse or medical

Assistant total full-time equivalent and 8.0



e) orderly or nurse 3.5 harness.



Medical care provided on weekdays between the hours of 4 p.m. to

7:00 pm the following day and on Saturdays, Sundays and public holidays ^ 17)

can be provided also a neurologist and care in the field of Neurology physician

specialized competence with the basic internal strain.



1.2.2. the staffing industry is assured

healthcare professionals referred to in point 1.2.1. (a). (b)), and (c)), and



and, where appropriate, a physician with specialized) special expertise

in the relevant area of the harness, 1.5



(b)) a general nurse without the supervision and General nurse or

Medical Assistant to a total of 6.0 harness and



(c)) sanitářem or nurse 2.0 harness.



1.2.3. Staffing Pediatric Oncology and Hematology is

provided by health professionals referred to in point 1.2.1. (a). a) and

(c)), and



a) doctor with competence of the harness, 3.0 1.0 s

certificate ^ 14)



(b)) a general nurse without the supervision and General nurse or

Medical Assistant total 9.0 harness and



c) 4.0 sanitářem or a nurse.



1.2.4. personnel security field of Hematology and transfusion medicine

is provided by health professionals referred to in point 1.2.1. (a). and)

to c), and



and without the supervision of a general nurse) and a general nurse or

Medical Assistant total 9.0 harness and



b) 4.0 sanitářem or a nurse.



1.2.5. personnel security domains Neurology, pneumology and

phthisiology and internal medicine is provided by healthcare professionals

referred to in point 1.2.1. and further



-physiotherapist-availability.



1.2.6. personnel security field of Geriatrics is ensured

healthcare professionals referred to in point 1.2.1. and further



and medical-social worker) or other specialist-

social worker 0.1 harness and



(b)), a physical therapist and ergoterapeutem-availability.



1.3. Dermatovenereology



and to 1.2, harness),



(b)) the doctor with professional qualification for committed, of which 2.5 1.0 s

certificate ^ 14)



(c)) with the specialized competence of General nurse without the supervision of 1.0

the harness,



d) General nurse without the supervision and General nurse or medical

a total of 7.0 Assistant harness and



e) orderly or nurse 3.0 harness.



1.4. the children's medicine



child's doctor) 1.2 of the harness,



(b)) the doctor with professional qualification for committed, of which 2.5 1.0 s

certificate ^ 14)



c) pediatric nurse without the supervision of 1.0 harness,



d) General nurse without the supervision and General nurse or medical

Assistant total 10.0 committed, of which 50% of the pediatric nurse,



e) orderly or nurse 4.0 harness; If you are hospitalized

at least 50% of patients with the accompaniment of the harness and 2.0



f) physiotherapist-availability.



1.5. Infectious medicine



and to 1.2 the harness, infekcionista)



(b)) the doctor with professional qualification for committed, of which 2.5 1.0 harness with

certificate ^ 14)



(c)) with the specialized competence of General nurse without the supervision of 1.0

the harness,



d) General nurse without the supervision and General nurse or medical

Assistant total full-time equivalent and 8.0



e) orderly or nurse 3.0 harness.



1.6. Addictive disease



and a psychiatrist or doctor) special expertise in substance abuse

diseases, 1.0 harness



(b)) the doctor with competence 2.0 1.0 of the harness, harness with

certificate ^ 14)



(c)) for care in Psychiatry nurse without the supervision or adiktolog without the supervision

1.0 harness,



d) General nurse without the supervision and General nurse or medical

a total of 7.5 duties, Assistant



e) orderly or nurse 4.0 harness and



f) medical-social worker or other specialist-social

worker 0.1.



1.7. Neonatology



and to 1.2 neonatolog harness); where appropriate, the neonatolog or child's doctor 1.2

harness, if the station is part of the children's Department of Neonatology,



b) pediatric nurse midwife without supervision or without the supervision of 1.0

the harness,



c) pediatric nurse midwife without supervision or without the supervision of 8.5

the harness,



(d)), General nurse, medical assistant, or midwife 3.0

harness and



e) orderly or nurse 1.4 harness.



1.8. Nuclear Medicine



and specialised competences) physician in nuclear medicine 1.2

the harness,



(b)) the doctor with competence with certificate ^ 14) 1.2 of the harness,



(c)) with the specialized competence of General nurse 1.0 harness,



d) General nurse without the supervision and General nurse or medical

a total of 9.0 duties, Assistant



e) orderly or nurse 3.0 harness,



f) radiofarmaceut or pharmaceutical Assistant for the preparation of radiopharmaceuticals

-the availability and



(g) clinical medical physics expert)-availability.



1.9. Psychiatry



and the psychiatrist committed, 1.0)



(b)) the doctor with competence 3.0 1.0 of the harness, harness with

certificate ^ 14)



(c)) for care in Psychiatry nurse without the supervision of 1.0 harness,




d) General nurse without the supervision and General nurse or medical

Assistant total full-time equivalent, of which 7.5 2.0 harness sister for care in the

Psychiatry without supervision,



e) orderly or nurse 4.0 harness,



f) physiotherapist-availability,



g) occupational therapist or other professional worker-work therapist-

the availability,



h) clinical psychologist 0.5 time job or psychologist in the health sector 0.5

harness, if the availability of clinical psychologist and



I) health and social worker or other specialist-social

worker 0.1.

One of the staff referred to in (a)) or h) has a degree in

psychotherapy.



Personnel security personnel referred to in subparagraph (i)) is not required

in healthcare facilities of the prison service of the Czech Republic.



1.10. the rehabilitation and physical medicine



rehabilitation physician) 1.0 harness,



(b)) the doctor with the expertise of the harness, 2.0 1.0 s

certificate ^ 14)



(c)) with the specialized competence of General nurse without the supervision of 1.0

the harness,



d) General nurse without the supervision and General nurse or medical

a total of 6.0 duties, Assistant



e) orderly, nurse or masseur 2.0 harness,



f) physiotherapist 4.0 1.0 of the harness, with a specialized

competences,



g) occupational therapist 1.0 harness,



h) clinical psychologist-availability and



I) clinical speech therapist-availability.



The staff referred to in subparagraphs (f) and (g))) as well as the care of patients on

other inpatient wards in the same medical facility,

the number of jobs, so as to ensure the performances and activities on request.



1.11. If on the inpatient Department provided care in multiple sectors

(a common bed Fund), care must be provided



and a physician with specialized qualifications) or special professional

competence in the field, which has a common underlying strain with scopes

the care provided 2.0 harnesses,



(b) a physician with specialized qualifications) or special professional

competences in the field of the care delivered to the patient-physical presence

on demand,



c) doctor with competence of the harness, 2.0 1.0 s

certificate ^ 14) and



(d)) for the performance of health care professionals eligible medical

the medical profession by industry set out in points 1.1. up to 1.10.



2. acute INPATIENT CARE INTENSIVE



2.1 the intensive care of adults



2.1.1. the intensive care 1. degree-less intensive care



and specialised competences) the doctor in the scope in which the care is

granted, the anesthesiologist, or 0.5 intenzivista harness,



(b)) the doctor with competence with certificate ^ 14) 0.15 harness on

bed,



c) sister for intensive care without the supervision of 1.0 harness,



d) General nurse without the supervision and General nurse or medical

Assistant total 1.4 harness on the bed, of which 25% of the committed nurse for

intensive care without supervision; If it is provided by gynaecological care,

patients can provide without the supervision of a midwife and birthing

Assistant total 1.4 harness on the bed, of which 25% of the full-time equivalent midwives

Assistant intensive care without the supervision and



e) orderly or nurse 0.1 harness on the bed.



2.1.2. the intensive care 2. higher grade-intensive care



and specialised competences) the doctor in the scope in which the care is

granted, the anesthesiologist, or harness, 1.0 intenzivista



(b)) the doctor with competence with certificate ^ 14) 0.2 harness on

bed,



c) sister for intensive care without the supervision of 1.0 harness,



d) General nurse without the supervision and General nurse or medical

Assistant total 2.2 harness on the bed, of which 25% of the committed nurse for

intensive care without supervision; If it is provided by gynaecological care,

patients can provide without the supervision of a midwife and birthing

Assistant total 1.4 harness on the bed, of which 25% of the full-time equivalent midwives

Assistant intensive care without the supervision and



e) orderly or nurse 0.2 harness on the bed.



2.1.3. the intensive care 3. the degree of resuscitation care



and the anesthesia or the doctor) specialized competences in the scope in

where is care provided by, which is at the same time intenzivista 1.0 harness and

Additionally 0.3 harness on the bed,



(b)) the doctor with competence with certificate ^ 14) 0.25 harness on

bed,



c) sister for intensive care without the supervision of 1.0 harness,



d) General nurse without the supervision and General nurse or medical

Assistant total full-time equivalent to 4.0 bed, 50% of the full-time equivalent of nurse for

intensive care without the supervision and



e) orderly or nurse 0.3 harness on the bed.



2.2. The intensive care for kids



2.2.1. the intensive care 1. degree-less intensive care



and the children's doctor, children's) surgeon or a children's cardiologist 0.5 time job,



(b)) the doctor with competence with certificate ^ 14) 0.2 harness on

bed,



c) pediatric nurse for intensive care without the supervision of 1.0 harness,



d) General nurse without the supervision and General nurse or medical

Assistant total 1.4 harness on the bed, of which 25% of the committed pediatric nurse

intensive care without the supervision and



e) orderly or nurse 0.1 harness on the bed.



2.2.2. the intensive care 2. higher grade-intensive care



and the children's doctor, children's) surgeon or cardiologist 1.0 harness children's,



(b)) the doctor with competence with certificate ^ 14) 0.2 harness on

bed,



c) pediatric nurse for intensive care without the supervision of 1.0 harness,



d) General nurse without the supervision and General nurse or medical

Assistant total 2.2 harness on the bed, of which 25% of the committed pediatric nurse

intensive care without the supervision and



e) orderly or nurse 0.2 harness on the bed.



2.2.3. the intensive care 3. the degree of resuscitation care



and the children's doctor, children's), a surgeon, a children's cardiologist, who are at the same time

intensivists, or anesthesiologist 1.0 harness,



(b)) child's doctor, neonatolog, children's surgeon, a children's cardiologist, children's

a neurologist or infekcionista 0.4 harness on the bed,



c) pediatric nurse for intensive care without the supervision of 1.0 harness,



d) General nurse without the supervision and General nurse or medical

Assistant total 3.0 harness on the bed, out of which 50% of the committed pediatric nurse

intensive care without the supervision and



e) orderly or nurse 0.3 harness on the bed.



2.3. The Department of intensive care



2.3.1. the intensive care 1. degree-less intensive care



neonatolog 0.5 time job),



(b)) the doctor with competence with certificate ^ 14) 0.2 harness on

bed,



c) pediatric nurse for intensive care without the supervision or birth

Assistant intensive care without the supervision of 1.0 harness,



d) General nurse midwife without supervision or without supervision and

General nurse or medical assistant total 1.0 harness on the bed,

25% of the full-time equivalent of pediatric nurse for intensive care without the supervision or

the midwife with specialised competence in the field of ^ 19) without

supervision and



e) orderly or nurse 0.1 harness on the bed.



2.3.2. the intensive care 2. higher grade-intensive care



and neonatolog duties, 1.0)



(b)) the doctor with competence with certificate ^ 14) 0.3 harness on

bed,



c) pediatric nurse for intensive care without the supervision or birth

Assistant intensive care without the supervision of 1.0 harness,



d) General nurse midwife without supervision or without supervision and

General nurse or medical assistant total 1.4 harness on the bed,

25% of the full-time equivalent of pediatric nurse for intensive care without the supervision or

the midwife with specialised competence in the field of ^ 19) without

supervision and



e) orderly or nurse 0.2 harness on the bed.



2.3.3. the intensive care 3. the degree of resuscitation care



neonatolog full-time equivalent 1.0) and 0.4 harness on the bed,



(b)) the doctor with competence with certificate ^ 14) 0.2 to bed,



c) pediatric nurse for intensive care without the supervision or birth

Assistant with the specialized competence in the field of ^ 19) without the supervision of 1.0

the harness,



d) General nurse midwife without supervision or without supervision and

General nurse or medical assistant total 3.0 of the harness on the bed,

50% of the full-time equivalent of pediatric nurse for intensive care without the supervision or

the midwife with specialised competence in the field of ^ 19) without

supervision and



e) orderly or nurse 0.3 harness on the bed.



If the workplace neonatologické intensive care 3. grades-

resuscitation care more than 8 beds (incubators), not increased, the number of

health care workers eligible for the performance of non-medical

the medical profession, depending on the increase in the number of beds, but on

the spectrum of performance provided by health care.



2.4. The intensive care of the pregnant



2.4.1. obstetric intermediate care



and a gynecologist and obstetrician 0.25) harness,



(b)) the doctor with competence with certificate ^ 14) 0.6 harness,



c) midwife without supervision or midwife for

intensive care without the supervision of 0.5 time job,



d) General nurse midwife without supervision or without supervision and

General nurse, medical assistant, or midwife total

0.9 for committed, of which 50% of the full-time equivalent of General nurse without the supervision or

the midwife without the supervision and



e) orderly or nurse 0.3 harness.

The requirements are set on the 3 beds.



2.4.2. obstetric intensive care



and a gynecologist and obstetrician 0.25) harness,



(b)) the doctor with competence with certificate ^ 14) 0.6 harness,




c) midwife without supervision or midwife for

intensive care without the supervision of 0.5 time job,



d) General nurse midwife without supervision or without supervision and

General nurse, medical assistant, or midwife total

1.5 for committed, of which 50% of the full-time equivalent of General nurse without the supervision or

the midwife without the supervision and



e) orderly or nurse 0.3 harness.

The requirements are set on the 3 beds.



2.5. The intensive hematologic care



and a hematologist and transfuziolog) 0.5 and 0.3 harness harness on the bed,



(b)) the doctor with competence with certificate ^ 14) 0.3 harness on

bed,



c) sister for intensive care without the supervision of 1.0 harness,



d) General nurse without the supervision and General nurse or medical

Assistant total full-time equivalent on bed 2.0, of which 25% of the committed nurse for

intensive care without the supervision or pediatric nurse for intensive care without

supervision, if care is provided exclusively to children and



e) orderly or nurse 0.2 harness on the bed.



3. SUBSEQUENT INPATIENT CARE



3.1. The subsequent inpatient care with the exception of care referred to in points 3.2. up to

3.7.



and specialised competences) the doctor with the basic internal strain,

surgery, urologic, neurological, orthopaedic, paediatric

or basic general practical medicine under the strain of the focus

health care duties, 0.3



(b)) the doctor with competence, of which 1.0 0.3 harness with

certificate ^ 14)



(c)) with the specialized competence of General nurse 1.0 harness,



d) General nurse without the supervision and General nurse or medical

a total of 7.0 Assistant duties,



e) orderly or nurse 3.5 harness,



f) physiotherapist or occupational therapist 1.0 harness, of at least 0.5

harness, physiotherapist,



g) clinical psychologist-availability and



h) clinical speech therapist, if care is provided to patients with impaired

speech-availability.



3.2. Addictive disease



and a psychiatrist or doctor) special expertise in substance abuse

occupational duties, 0.3



(b)) the doctor with professional qualification for committed, of which 1.0 0.5 s

certificate ^ 14); full-time physician with expertise or time

doctor with competence and with the certificate ^ 14) may be in the range

0.5 time job secured also, clinical psychologist



(c)) for care in Psychiatry nurse without the supervision or adiktolog without the supervision

1.0 harness,



d) General nurse without the supervision and General nurse or medical

a total of 7.0 Assistant harness; time of the General nurse or medical

an Assistant in the range 1.0 may be secured by a clinical psychologist or

adiktologem, meanwhile, must always be secured by the presence of General nurses

without supervision,



e) orderly or nurse 2.0 harness and



f) clinical psychologist 0.2 harness or psychologist in the health sector 0, 2

harness, if the availability of clinical psychologist.



Health care provided by security personnel in working days in

from 4 pm to 7 pm the following day and on Saturdays,

Sundays and public holidays ^ 17) is provided by health professionals listed

in part I, item 11 (a). (b)), and (c)) and a psychiatrist, gerontopsychiatrem,

a physician with special expertise in addictive diseases,

a sex therapist, a physician with specialized competences in the fields of the

common basic strain internal, surgical, orthopaedic,

obstetrics-porodnickým, neurological, anaesthesia,

dermatovenerologickým, urologic, ophthalmological,

otorinolaryngologickým or basic trunk general practical

medicine.



Pneumology and phthisiology 3.3.



pneumolog 0.3) harness,



(b)) the doctor with professional qualification for committed, of which 1.0 0.3 harness with

certificate ^ 14)



(c)) with the specialized competence of General nurse 1.0 harness,



d) General nurse without the supervision and General nurse or medical

a total of 6.0 duties, Assistant



(e)) without the supervision of a physiotherapist 0.3 harness and



(f) emergency medical technician or nurse) 2.0 harness.



3.4. Psychiatry, Sexology



and the psychiatrist, gerontopsychiatr) or the sexologist 0.3 harness,



(b)) the doctor with professional qualification for committed, of which 1.0 0.3 s

certificate ^ 14); full-time physician with expertise or time

doctor with competence and with the certificate ^ 14) may be in the range

0.5 time job secured also, clinical psychologist



(c)) for care in Psychiatry nurse without the supervision of 1.0 harness, General

sister without the supervision and General nurse or medical assistant total

6.0 harness; full-time nurse or medical Assistant General in

the range 1.0 harness can be secured or clinical psychologist

adiktologem, meanwhile, must always be secured by the presence of General nurses

without supervision,



(d)) the orderly or nurse 5.0 harness; If protection is provided

treatment of 7.0 harness,



e) physiotherapist without supervision, without the supervision of an occupational therapist, or other

specialist-working therapist 0.3 harness and



f) clinical psychologist 0.2 harness or psychologist in the health sector 0.2

harness, if the availability of clinical psychologist; If there is a

provided by protective treatment for 0.5 time job.



Health care provided by security personnel in working days in

from 4 pm to 7 pm the following day and on Saturdays,

Sundays and public holidays ^ 17) is provided by health professionals listed

in part I, item 11 (a). (b)), and (c)) and a psychiatrist, gerontopsychiatrem,

a physician with special expertise in addictive diseases or

a sex therapist.



3.5. Rehabilitation and physical medicine



3.5.1. personnel security rehabilitation and physical medicine

is the following



and the focus of care provided) according to a rehabilitation physician, internist,

a cardiologist, paediatrician, an orthopedist, neurologist, neurosurgeon, surgeon,

spondylochirurg, anesthetist or intenzivista harness, of which 0.3 0.1

harness rehabilitation physician,



(b)) the doctor with professional qualification for committed, of which 1.0 0.3 harness with

certificate ^ 14); full-time physician with expertise or time

doctor with competence and with the certificate ^ 14) may be in the above

0.5 time job secured also, language therapists or clinical psychologist

physical therapist with specialized competences,



(c)) with the specialized competence of General nurse 1.0 harness,



d) General nurse without the supervision and General nurse or medical

Assistant total 5.0 harness,



e) orderly, nurse or masseur 3.5 harness,



(f) specialised competences) physiotherapist 1.0 full harness

workplace,



g) without the supervision of a physical therapist or occupational therapist without the supervision of 2.5 harness,

of at least 1.0 harness without the supervision of a physiotherapist; time

without the supervision of an occupational therapist may provide a different specialist-

occupational therapist,



h) clinical psychologist-availability and



I) clinical speech therapist, if this is about the care provided to patients with

speech disorder-availability.



One of the jobs of health care workers eligible for the performance

non-medical professions referred to in subparagraphs (d) and (e))) can be secured

physical therapist.



3.5.2. If it is provided by the care of the patient with increased

nursing care (especially with severe disabilities, spinal cord, brain,

serious metabolic diseases or patients who are enrolled

According to the demands of nursing care that is provided to

patient category 3 or 4 under another law ^ 18)), it is

security personnel provided by healthcare professionals referred to in

section 3.5.1. (a). (c)), f), (h)) and i) and care ensures



and the focus of care) according to the rehabilitation physician, internist, cardiologist,

children's physician, orthopedic surgeon, a neurosurgeon, neurologist, surgeon,

spondylochirurg, traumatolog, anesthetist or intenzivista-0.5

harness, harness 0.2 rehabilitation physician,



(b)) the doctor with professional qualification for committed, of which 0.8 0.5 s

certificate ^ 14)



c) General nurse without the supervision and General nurse or medical

a total of 9.0 duties, Assistant



(d)), a nurse or orderly masseur 10.0 harness and



(e)) without the supervision of a physiotherapist or occupational therapist without the supervision of 3.0 harness,

it at least 2.0 harness without the supervision of a physical therapist.



3.6. The Spa sanatorium rehabilitation care



and doctor specialised or) particular competence in the field of

According to the focus of hospital rehabilitation care 0.5 time job, of which at least

0.1 harness rehabilitation physician,



(b)) the doctor with competence 0.5 time job,



(c)) with a specialized device for General or special

competence of the harness, 0.25 0.5 time job on every other

60 beds in the number of 300 beds, and 0.2 for every additional 60 harness

beds,



d) General nurse without the supervision and General nurse or medical

an Assistant to a total of 6.0 1.0, harness the harness can provide care

physical therapist; Furthermore, for every additional harness 2.0 60 beds to the number of 300

beds, and every other 1.0 harness 60 beds



e) orderly, a nurse or a masseur at least 3.0 harness; of which 1.0

the harness can provide general care nurse or medical assistant

and



(f)) and an occupational therapist at least 3.0 harness, harness 0.2

without the supervision of a physiotherapist; 1.0 of the harness can provide general

the nurse or medical assistant.



Harnesses referred to in points (e) and (f))) must amount to a total of 8.0.




Does not require health care-social worker, or other

professional-social worker.



Personnel security requirements are laid down for 60 beds intended

and used for the provision of medical Spa sanatorium rehabilitation

care.



Medical care provided on weekdays between the hours of 4 p.m. to

7:00 pm the following day and on Saturdays, Sundays and public holidays ^ 17) is

secured by health professionals eligible for the performance of non-medical

the medical profession in continuous operation, at a minimum, however, always

one healthcare professional without supervision for patients on every

300 beds. If the care is provided to children, the availability of

child's doctor or the doctor with the specialized capabilities, or

special competence in their respective fields aimed at care

about the children.



3.7. The subsequent intensive care



and the anesthesiologist, or intenzivista) 0.1 harness on the bed,



(b)) the doctor with expertise on the bed harness 0.1, out of which 50% with

certificate ^ 14)



c) surgeon, internist or neurologist-availability,



d) sister for intensive care without the supervision of 1.0 harness,



e) General nurse without the supervision of 0.6 harness on the bed, out of which 50% of the sister

intensive care without the supervision,



f) General nurse or medical assistant 0.7 time job on the bed,



(g)), a nurse or orderly masseur 1.4 harness on the bed,



h) without the supervision of a physiotherapist 0.1 harness to bed and



I) a clinical psychologist or psychiatrist-availability.

Is secured by availability of medical-social worker, or other

professional-social worker. Health care

provided on working days from 4 p.m. to 7:00 pm

the next day, and on Saturday, Sunday and in the svátek17) is secured

an anesthesiologist or intenzivistou to a maximum of 18 beds.



4. long-term INPATIENT CARE



4.1. long-term inpatient care



and doctor specialised or) specific professional qualifications, 0.2

the harness,



(b)) with the specialized competence of General nurse without the supervision of 1.0

the harness,



c) General nurse without the supervision and General nurse or medical

a total of 6.0 duties, Assistant



(d)), a nurse or orderly masseur 5.0 harness,



(e)) without the supervision of a physiotherapist or occupational therapist without the supervision of 0.2 harness and



f) clinical psychologist-availability.



4.2. If the long-term inpatient care is provided exclusively in patients with

psychiatric disease, security personnel is ensured

healthcare professionals referred to in point 4.1. (a). b) to (f)), and

a psychiatrist, or a sex therapist gerontopsychiatrem 0.2.



4.3. If it is a long-term inpatient care is provided exclusively in patients with

specific lung disease is to ensure security of personnel

healthcare professionals referred to in point 4.1. (a). b) to (f)), and

pneumologem 0.2.



4.4. If the care is provided exclusively to patients who require

long-term intensive nursing care about basic life functions,

is staffing the following anesthesiologist, intenzivista,

the surgeon, internist or neurologist 0.05 harness on the bed,



and the nurse for intensive care) without the supervision of 1.0 harness,



(b)) General nurse without the supervision of 0.5 time job on bed, of which 25% of the sister

intensive care without the supervision,



(c)) the orderly or nurse 0.5 time job on the bed,



(d)) 0.1 harness without the supervision of a physical therapist on the bed and



e) a clinical psychologist or psychiatrist-availability.



Is secured by availability of medical-social worker, or other

professional-social worker.



4.5. If it is provided by palliative care, personnel security

the following



and specialised competences) the doctor in an industry that has a base

internal strain, neurological, surgical, orthopedic, Urological,

anaesthesia, general practical medicine, has prepared Otorhinolaryngology,

oftalmologický, a physician with special expertise in the field of

palliative medicine, a physician with special expertise in the field of

long term care medicine or 0.2 algeziolog harness,



(b)) the doctor with competence 1.5 harness,



(c)) with the specialized competence of General nurse without the supervision of 1.0

the harness,



d) General nurse without the supervision and General nurse or medical

Assistant total 8.5 harness,



e) orderly or nurse 4.0 harness and



f) clinical psychologist-availability.

Does not require health care-social worker, or other

professional-social worker.



5. the health SERVICES PROVIDED in children's homes for CHILDREN UP to 3 YEARS

The AGE of the



and the child's doctor or) general practitioner for children and adolescents 1.0 harness,



b) pediatric nurse without the supervision of 8.0 harness,



c) General nurse without the supervision and General nurse or medical

a total of 18.0 duties, Assistant



d) nurse 3.0 harness,



(e)) without the supervision of a clinical psychologist 1.0 harness,



f) clinical speech therapist without supervision-the availability,



g) without the supervision of a physiotherapist 0.5 time job and



h) health and social worker or other specialist-

social worker 1.0.



Personnel security requirements are laid down for 50 beds.



If they are being hospitalised for children up to 3 years of age and the Department are located

in multiple buildings or floors, must be a continuous

the presence of children's nurses on each floor.



Abbreviations used:



without supervision-eligibility to practise the profession without professional supervision



Annex 4



Staffing requirements for pharmaceutical care



I. staffing requirements for pharmacy-pharmacy:



and a pharmacist with a specialized qualifications),



(b) the pharmacist with a specialized competences) for each professional

departments for the preparation of sterile medicinal products, if they are

established,



(c) a pharmacist with a specialized competences) for the professional workplace for

preparation of radiopharmaceuticals, if established,



(d)), a pharmacist with competence for vocational workplace for

the preparation of medical gases and for specialized for the control

medicinal products and the preparation of the zkoumadel, if they are established,



e) pharmaceutical Assistant with specialised competences for each

specialized for the preparation of sterile medicinal products, if

are established,



f) pharmaceutical Assistant with specialised competence for the preparation

radiopharmaceuticals for the professional workplace for preparation of radiopharmaceuticals, if

established,



g) a pharmacist with expertise or a pharmaceutical Assistant

specialized competences for Professional workstations for picking

medical devices, if it is established; If you are released

exclusively orthotic-prosthetic medical devices may be

personnel security instead of a pharmacist with expertise or

pharmaceutical Assistant with specialised competence ensures

feels-eligible prosthetist for practising the profession without professional supervision

or orthopaedic prosthetist,



(h)), a pharmacist with competence for each separated Department for

medicinal products and medical devices, if it is established.

It must be ensured the availability of a pharmacist with a specialized

competences; availability for the purposes of this annex, the availability of

advice and assistance over the telephone or electronically, in the case of

request a physical presence within 1 hour of the request,



I) pharmacist with competence for vocational workplace for

the provision of drug information, if it is established.



II. staffing requirements for pharmaceutical care-dispensing facility

medical devices:



Pharmaceutical Assistant with specialised competence for health care

resources, a pharmacist with expertise or Orthotics-Prosthetics

to be eligible for practising the profession without supervision or orthopedic

prosthetics, if they are issued exclusively by the orthotic-prosthetic

medical devices.



Annex 5



Staffing requirements for medical transport services



1. the transport of patients



The driver of the vehicle, emergency medical services, or the driver of the transport

the sick and wounded.



2. the rapid transport of health care workers and emergency transport

tissues, cells, biological material, medicinal products and

medical devices necessary for the provision of urgent care



The driver of the vehicle, emergency medical services, or the driver of the transport

the sick and wounded.



Annex 6



Staffing requirements for emergency medical services



1. Medical operation centre ^ 20)



and urgent doctor, anesthesiologist), intenzivista, surgeon, internist,

a cardiologist, neurologist, traumatolog, the children's doctor, general practitioner or

general practitioner for children and adolescents-availability; availability for

the purpose of this order means the availability of advice and assistance through

phone or by electronic means, in the case of the physical presence of the request

work within 20 minutes of the request and



(b)) operator-paramedic qualified to practise the profession without

professional supervision, intensive care nurse qualified to exercise

the profession without supervision or General nurse qualified to exercise

the profession without professional supervision with acts certified course

"Operational control of the pre-hospital emergency care",




2 operators in the inning, when they are set up to 3 lines for emergency

call,



3 operators in the inning, when they are set up to 4 lines for emergency

call,



4 operators in the inning, if established 6 emergency lines

call,



6 operators in the inning, if the established 7 lines for emergency

call,



7 operators in shift, if it is established 8 lines for emergency

call.



The minimum number of operators in the inning is 2.



2. land of the departure of the Group



2.1. Exit the Group fast medical assistance



and urgent doctor, anesthesiologist), intenzivista, surgeon, internist,

a cardiologist, neurologist, traumatolog, general practitioner or paediatrician

general practitioner for children and adolescents,



(b)) the doctor with competence with certificate ^ 14) after graduating from

the basic anesthesia, surgical trunk, internal and

the basic strain general practical medicine in preparation to obtain

specialized competence in the fields of Anesthesiology and intensive

medicine, surgery, internal medicine and general practical medicine,

If the departure is on the same base at the same time the next exit group

fast medical assistance, which is secured by a physician

specialised competence according to point a),



(c)), paramedic, nurse for intensive care or General

sister eligible to practise the profession without professional supervision, and



(d) the driver of a vehicle) emergency medical services or medical

Rescuer.



If loading fast medical aid group carries out activities in the framework of the

setkávacího system, the following requirements are



and urgent doctor, anesthesiologist), intenzivista, surgeon, internist,

a cardiologist, neurologist, traumatolog, the children's doctor, general practitioner or

general practitioner for children and adolescents and



(b) the driver of a vehicle) emergency medical services or medical

Rescuer.



If the transport is provided by the premature neonate, demands

the following



and neonatolog or paediatrician),



b) pediatric nurse qualified to practise the profession without professional supervision,

pediatric nurse for intensive care eligible to practise the profession without

mentorship or midwife is qualified to practise the profession

without professional supervision, and



(c) the driver of a vehicle) emergency medical services or medical

Rescuer.



2.2. Exit the Group fast medical assistance



and) paramedic qualified to practise the profession without vocational

supervisory or intensive care nurse qualified to practise the profession without

professional supervision and



(b) the driver of a vehicle) emergency medical services or medical

Rescuer.



3. air exit group



and urgent doctor, anesthesiologist), intenzivista, surgeon, internist,

a cardiologist, neurologist, traumatolog, the children's doctor, general practitioner or

general practitioner for children and adolescents and



(b)) a paramedic qualified to practise the profession without vocational

supervisory or intensive care nurse qualified to practise the profession without

professional supervision.



Annex 7



Requirements for security personnel transport patients, urgent care



1. the transport of patients, urgent care



1.1. Transport Security Personnel urgent care is

the following



and doctor specialised or) special expertise in the

the scope in which the care is provided to the patient-the availability,



(b)) a paramedic qualified to practise the profession without vocational

supervisory or intensive care nurse qualified to practise the profession without

professional supervision and



(c) the driver of a vehicle) emergency medical services or medical

Rescuer.



If health care is provided directly by a doctor referred to in point (a)

and security personnel), the place of health care workers

referred to in point (b)) provides paramedic, nurse for

intensive care or General nurse qualified to practise the profession without

professional supervision.



1.2. If transport is provided by the premature newborns, are

the following requirements



and neonatolog or paediatrician)-the availability,



b) pediatric nurse qualified to practise the profession without professional supervision,

pediatric nurse for intensive care eligible to practise the profession without

mentorship or midwife is qualified to practise the profession

without professional supervision, and



(c) the driver of a vehicle) emergency medical services or medical

Rescuer.



If health care is provided directly by a doctor referred to in point (a)

and security personnel), the place of health care workers

referred to in point (b)) provides pediatric nurse, pediatric nurse for

intensive care or a midwife.



Annex 8



Requirements for staffing home care



1. nursing care



General nurse) qualified to practise the profession without professional supervision,



(b)) with a specialized General nurse competence in the field of eligible to

the profession without professional supervision, if they are performed activities

under another law ^ 4) and



c) pediatric nurse qualified to practise the profession without professional supervision,

If home care is provided for children up to 3 years.



1.1. nursing care in Gynecology and midwifery



and) eligible for the midwife profession without professional supervision

and



(b)) the midwife with specialised competences capable of

the profession without professional supervision, if they are performed activities

under another law ^ 12).



2. hospital rehabilitation care



Physiotherapist eligible to practise the profession without professional supervision.



3. palliative care



General nurse) qualified to practise the profession without professional supervision,



(b)) with a specialized General nurse competence in the field of eligible to

the profession without professional supervision, if they are performed activities

under another law ^ 4) and



c) pediatric nurse qualified to practise the profession without professional supervision,

If home care is provided for children up to 3 years.



1) for example, Decree No. 307/2002 Coll., on radiation protection, as amended by

Decree No. 499/2005 Coll., Act No. 378/2007 Coll., on pharmaceuticals and on changes

certain related laws (law on medicinal products), as amended

legislation, Decree No. 84/2008 Coll., on good laboratory practice, closer

the conditions of treatment with drugs in pharmacies, health establishments and

for other operators and devices producing medicines.



2) Decree No. 185/2009 Coll., on fields of specialized education

physicians, dentists and pharmacists and certified courses in the fields of

amended by Decree No. 361/2010 Coll.



Decree 55/2011 Coll., on the activities of health professionals and

other professional workers.



Government Regulation No. 31/2010 Coll., on fields of specialized education and

designation of health care workers with specialized skills

the comp.



3) Decree No 55/2011 Sb.



4) § 3 and § 54-67 of Decree No 55/2011 Sb.



5) § 55 Decree No. 55/2011 Coll.



6) section 64 of Decree No.. 55/2011 Sb.



7) § 85 Decree No. 55/2011 Coll.



8) § 16 and 40 of Decree No. 55/2011 Coll.



9) § 73 to 79 of Decree No 55/2011 Sb.



10) § 126 to 130 of Decree No 55/2011 Sb.



11) § 111 to 114 of Decree No 55/2011 Sb.



12) § 70 to 72 of Decree No 55/2011 Sb.



13) section 79 of the labour code.



14) Act 95/2004 Coll., on conditions for the acquisition and recognition of professional

competence and specialized competence to perform the medical

the professions of doctor, dentist and pharmacist, as amended

regulations.



15) § 84 of Decree No 55/2011 Sb.



16) Act 378/2007 Coll.



Decree 143/2008 Coll. laying down detailed requirements to ensure

the quality and safety of human blood and its components (human blood), in

amended by Decree No. 351/2010 Coll.



17) Act 245/2000 Coll., on public holidays, other holidays, about

significant days and days of rest, as amended

regulations.



18) Chapter 6 of the annex to Decree No. 134/1998 Coll. issuing the

list of medical procedures with point values, as amended

regulations.



19) section 70 and 71 of Decree No 55/2011 Sb.



20) section 11 of Act No. 374/2011 Coll. on health emergency services.