On The Activities Of Health Care Workers And Other Department. Workers

Original Language Title: o činnostech zdravotnických pracovníků a jiných odbor. pracovníků

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Read the untranslated law here: https://portal.gov.cz/app/zakony/download?idBiblio=73877&nr=55~2F2011~20Sb.&ft=txt

55/2011 Sb.



DECREE



from day 1. March 2011



on the activities of health professionals and other professional workers



The Ministry of health shall lay down pursuant to § 90 para. 2 (a). e) of the Act

No 96/2004 Coll., on conditions for the acquisition and recognition of competence to perform

paramedical professions and to pursue activities related

with the provision of health care and amending certain related laws

(the law on the paramedical professions), as amended by Act No.

125/2005 Coll.:



PART THE FIRST



GENERAL PROVISIONS



§ 1



The subject of the edit



This Decree sets out the activities of health professionals, and other

Professional staff.



§ 2



Definition of terms



For the purposes of this Ordinance, means the



and nursing care) a group of professional activities aimed at

maintain, support, and recovery of health and the satisfaction of biological,

psychical and social needs changed or incurred in connection

with impaired health status of individuals or groups, or in connection

with pregnancy and childbirth, development, retention or recovery of the

self-sufficiency; part of it is also care for the terminally ill,

alleviating their sufferings and ensure peaceful dying and dignity

death,



(b) the basic nursing care) nursing care in accordance with subparagraph (a))

provided to patients by their State of health or therapeutic and

diagnostic procedure enables the normal activities of daily life, which

the risk of threats to vital functions, in particular the respiration, blood

circulation, consciousness and excretion is minimal, and who are without

pathological changes of psychological condition, unless stated otherwise,



(c) specialized nursing care) nursing care according to the

(a)) provided to patients by their State of health or

therapeutic and diagnostic procedure significantly reduces the normal activities of daily

life, the risk of disruption to vital functions or their

failure is real, or who have a pathological changes in mental state,

that do not require permanent surveillance or the use of restrictive resources due to

threat to the life or health of the patient or his surroundings; for

specialized nursing care is also considered care provided

patients with severe immune disorders and patients in end-stage

(final) status of a chronic disease, where it is not

resuscitation,



d) highly specialised nursing care nursing care

According to subparagraph (a)) provided to patients experiencing a failure

Basic vital functions or immediately this failure threatens or

who have pathological changes in mental state, which require constant

surveillance or the use of restrictive devices because of the threat to the life or

the patient's health or its surroundings, specific nursing care care

According to subparagraph (a)) provided to patients in the designated section of the health

care (for example, nursing care provided in the radiological

performance or in ensuring nutritional needs of patients in the area

preventive and therapeutic nutrition),



e) indications of business credentials based on instruction, practice,

order or prescription,



(f)) in nursing process assessment of the condition of individual needs

a patient or a group of persons and the establishment of nursing issues

planning and realisation of nursing care, evaluating the effectiveness of

nursing care and for registration in the medical records,



g) specialized procedure procedure, method or performance in the provision of

health care, which are expensive in terms of increased risk for

the patient or in terms of technological development or are

used in the health care provided to patients referred to in point (a)

(d)) and which require special preparation of the health care professional

through lifelong education ^ 1), including long-term preparation

under the former legislation,



h) standard written procedure for the provision of health care

or related to the provision of health care, which corresponds to the

current knowledge of science, published in the journal of the Department of

health care, or in publishing resource Central

Administrative Office,



I) good laboratory practice in a laboratory procedure that corresponds to the

legal regulations, standards ČSN, ISO and CEN-standards, as appropriate, or

standards governing the activities provided by laboratories in

health care facilities, including compliance with the quality assurance program

quality; This definition of good laboratory practice does not apply to

good laboratory practice in the area of pharmaceuticals, which is modified by another

Law ^ 2)



j) medical device medical device that is

means under another law ^ 3),



k) responsibility for clinical medical exposure ^ 4) responsible for the

individual medical exposures attributed to a practitioner,

including in particular responsibility for justification medical exposure, its

optimization and clinical reviews, practical cooperation with other

a health care professional, or other professional staff including

getting information about the previous examination, provision of radiological

information or records to other aplikujícím or instruct the experts on

their request, where appropriate, for providing information on the risks of ionising

radiation exposure to patients and other persons concerned,



l) practical parts of medical exposure of the specific implementation of the medical

exposure and all related support activities, including

handling and use of radiological equipment, evaluation of technical and

physical parameters including radiation doses, calibration, maintenance, equipment,

preparation and administration of radio-pharmaceuticals and developing film,



m) practitioner for medical exposure (hereinafter referred to as

the expert ") the doctor, dentist or other health professional who

is eligible under this Ordinance or under any other law ^ 5)

take clinical responsibility for medical exposure,



n quality assurance) all planned and systematic actions

necessary to provide adequate guarantees for the satisfactory functioning of the

devices, systems, components, or processes in accordance with approved

standards,



of the person), and the legal representative of the patient or other person

the patient or his legal representative shall determine.



PART TWO



THE ACTIVITIES OF THE HEALTH CARE WORKERS AFTER OBTAINING A PROFESSIONAL QUALIFICATION



§ 3



The activities of the health care professional with expertise



(1) a health professional referred to in § 4 to 29 without professional supervision, and

no indication of the extent of its competence



and) provides health care in accordance with the laws, regulations and standards,



b) ensure compliance with sanitary-epidemiological mode in accordance with the

laws and regulations governing the protection of public health ^ 6)



(c)) leads the medical documentation and other documentation resulting from the

other legislation ^ 7), working with information system

medical equipment,



(d)) provides patient information in accordance with their professional

competences, or the doctor's instructions,



e) participates in the practical teaching in the fields of study to obtain the

eligibility for the medical profession carried out Middle

schools and higher vocational schools, in accredited medical

study programs to obtain the competence to perform the medical

occupations carried out by universities in the Czech Republic and in the

educational programs accredited qualification courses



f) participates in the development of standards.



(2) a health care professional referred to in section 30 to 43 after gaining professional

eligibility ^ 8) under the expert supervision of the medical worker

eligible to practise the profession without professional supervision to the extent of their

professional competence



and) provides health care in accordance with the laws, regulations and standards,



(b)) works with medical documentation and information system

the health care facility.



(3) If a health care professional performs activities of particular importance from the

radiation protection, must comply with the specific requirements laid down

other legislation ^ 9).



(4) the Medical worker who carries out activities under the expert

the supervision of a health care professional with specialized competences,

It can also carry out these activities, the narrowly defined activity under

the professional supervision of a healthcare worker who is in the scope of their

special professional competence for the performance of such limited

eligible activities.



§ 4



General nurse



(1) General nurse performs activities in accordance with § 3 (1). 1 and without

professional supervision and without indication, in accordance with the diagnosis set

doctor provides, where appropriate, provides basic and specialized

nursing care through the nursing process. In doing so,

in particular it may



and the needs and level of) evaluate sufficiency of patients, manifestations of their

disease, risk factors, including the application of measurement techniques

used in nursing practice (for example, tests of self-sufficiency,


the risk of bedsores, pain intensity, measuring nutritional status),



(b)) to monitor and assess the physiological function of patients on an indicative basis, it is

breath, pulse, electrocardiogram, body temperature, blood pressure and more

physical parameters



(c)) to observe, evaluate and record the status of the patient,



(d)) to ensure gaming activity of children,



e) ensure and implement examination of biological material obtained

a non-invasive way, and capillary blood semikvantitativními methods

(diagnostic strips),



(f)) to perform a suction of secretions from the upper respiratory tract and provide

their throughput,



g) assess and treat the integrity of skin disorders and chronic wounds and

take care of stoma, Central and peripheral venous inputs,



(h)) to carry out in cooperation with the physiotherapist and ergoterapeutem

rehabilitation treatment, it is, in particular, promoting the positioning, breathing

exercise and basal stimulation methods with regard to the prevention and correction of

drivers and tonusových variations, including the prevention of other disorders of

mobility,



and skills training) to carry out in order to increase self-sufficiency,



j) the patient or other persons in the nursing procedures

and to prepare information material for them,



to evaluate the social situation for guidance) to the patient, to identify

the need for cooperation of social or medical-social worker and

to convey the advice on questions of social and socio-legal,



l) ensure activities associated with adoption, moving and release

patients,



m) to carry out psychological support of the dying and their loved ones, and after

determination of death by a doctor to ensure the care of the body of the deceased and the activities of the

associated with the death of the patient,



n) accept, review, store medicines, including substance abuse

substances ^ 10), (hereinafter referred to as "medicines"), manipulate them, and

to ensure their adequate supply,



o) adopt, check and store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply.



(2) General nurse under expert supervision General nurses

specialized qualifications or midwife with a specialized

competence in the field, in accordance with the diagnosis established by a doctor can

perform the activities referred to in paragraph 1 (b). (b)) to (i)) in providing

highly specialized nursing care.



(3) the General nurse can perform without supervision on the basis of

the doctor's activities in providing the indication for preventative, diagnostic,

treatment, rehabilitation, emergency and dispensary care. In particular

prepares patients for diagnostic and therapeutic procedures, on the basis of

indication of a doctor is to be carried out, or assisted, ensures

nursing care during these performances and after them; in particular it may



and medicinal products) ^ 10) with the exception of intravenous injection or

infusion in newborns and children up to 3 years and with the exception of radiopharmaceuticals; If

It is not stated otherwise,



(b)) to introduce and maintain oxygen therapy,



(c)) to perform a screening and testing, remove the biological depistážní

material and for guidance to assess whether the results of physiological,



(d)) to perform the treatment of acute and surgical wounds, including the treatment of the drénů,



(e)) to perform a catheterization of the urinary bladder of women and girls over 10 years,

care for urinary catheters patients of all ages, including

irrigation of the bladder,



(f)) to Exchange and treatment of the tracheostomické cannula, introduce

nazogastrické probe patients conscious older 10 years, care for them and

apply the food probe, or gastric or duodenálními

Stoma care for patients of all ages,



g) perform gastric lavage for patients conscious older 10 years.



(4) the General nurse under supervision of a doctor can



and injecting blood derivatives) ^ 12)



(b) when the application start) to assist the blood preparations ^ 13) and further

without professional supervision on the basis of the indications of a doctor treating a patient in

during the application and close it.



§ 5



The midwife



(1) the midwife performs activities in accordance with § 3 (1). 1 and later

provides and ensures without professional supervision and without indication of the base and

specialized nursing care to a pregnant woman, a fledgling woman and woman

in the sixth week after birth through the nursing process.

In particular it may



and) provide information on each patient during pregnancy and while breastfeeding,

preparation for childbirth, treatment of the newborn and about contraception; provide

advice and assistance in matters of socio-legal, where appropriate, such assistance

convey,



(b)) in the family carry out visits to pregnant women, women in the sixth week after the

the birth and gynekologicky sick, monitor its health,



(c) to promote and educate the woman) in the care of newborn babies, including support

breastfeeding and prevent its complications



(d)) to diagnose pregnancy, prescribe, recommend or perform

tests required to monitor physiological pregnancy, watch woman

with physiological pregnancy, to provide it with information on the prevention of

complications; in the case of the identified risk to pass a woman in the care of a physician

specialized competences in the field of gynaecology and obstetrics,



e) track the status of the foetus in utero by the appropriate clinical and technical all

resources, recognizing in the mother, fetus or newborn infant symptoms

Pathology, which require the intervention of a practitioner, and assist him in the case of intervention;

in the absence of a doctor to perform the necessary emergency measures,



(f) preparing an emergency to give birth), to take care of her at all times of

and lead the physiological birth, including where required episiotomies; in

urgent cases, lead delivery in breech deliveries;

urgent case means the investigative or therapeutic power necessary

to save a life or health,



g) to treat obstetric and post-partum wounds and take care of the woman in the sixth

a week after giving birth,



h) accept, review, store medicines ^ 10) and manipulate

them and ensure their adequate supply,



I) accept, check and store medical devices ^ 11) and

lingerie, manipulate them, and ensuring their disinfection, and

sterilization and adequate supply.



(2) the midwife can provide without professional supervision and without

indication nursing care posterior newborns

through the nursing process and perform his first

treatment, including, possibly, begin immediate resuscitation.



(3) the midwife under the direct guidance of a physician specialist

competences in the field of gynaecology and obstetrics may



and assist the complicated birth),



(b)) to assist in Gynecologic Surgery



c) instrument in the operating room during delivery.



(4) the midwife under the expert supervision of a midwife with

specialized competences in the scope or general nurses

specialized competences in the scope, in accordance with the diagnosis set

a doctor can perform the activity referred to in section 4, paragraph 4. 1 (b). (b)) to (i)) at

provision of highly specialised nursing care.



(5) Furthermore, the midwife performs activities in accordance with § 4 para. 1, 3 and 4

for pregnant women, women and NASCAR in the sixth week after birth and patients with

gynaecological diseases.



§ 6



Occupational therapist



(1) an occupational therapist performs activities in accordance with § 3 (1). 1 in the field

occupational therapy (treatment works) and also provides for and performs without vocational

supervision on the basis of the indication of a doctor, in accordance with the diagnosis and the recommended

the procedure the doctor and based on its own examination of the optimal and

Yet, there are combination procedures so as to achieve the objective of

requested by the doctor. In particular it may



and ergoterapeutické) to carry out investigations aimed at the analysis of the activities

patient reviews senzomotoriky, mobility and locomotion, guidance

an examination of cognitive function in relation to the analysis of the normal daily

activities (ADL)



(b) evaluation and training) to carry out normal daily activities (ADL) in the

the hospital even in its social environment,



(c)) to perform in work and leisure activities in the

the context of physical and social environments,



(d)) on the basis of therapeutic testing and analysis of functional

the ability to compile a short-term and long-term plan for occupational therapy, choose

ergoterapeutické-specific procedures and methodologies, in the framework of the

a multidisciplinary team to create a long-term plan of the complex

rehabilitation,



e) apply the procedures and methodology of ergoterapeutické in both individual and

Group occupational therapy to improve the functional capabilities of the patient,



(f) the design and, where appropriate, make) compensation and technical AIDS and

teach patients any designated person and the nursing staff the AIDS

use,



(g)) to provide consultancy services and briefings on issues of adaptation,

the compensation and substitution of disorders and diseases,



(h)) to the extent of its competence to carry out activities in the framework

ergodiagnostiky, analyze the remaining working potential, train

load tolerance and endurance and, in cooperation with other experts

recommending appropriate work and study the integration of people with disabilities,



I) design and, where appropriate, carry out the preventive measures against the occurrence of

complications and structural changes for immobile patients, collaborate, and


to educate in this way, a general nurse, patients and any designated person,

Act within the framework of the nursing team as an expert focused on

meeting the specific needs of patients,



j) learn about patients with the possibilities of social care and in the extent of their

competence to carry out activities in the framework of social rehabilitation

people with disabilities.



(2) an occupational therapist without professional supervision and without indications may



and) perform the consultancy and education in the field of the prevention of

of occupational diseases and the adjustment of the working environment,



(b) apply the principles of ergonomics) within the primary and secondary prevention

disorders of the musculoskeletal system, recommend appropriate adjustments of domestic and

the working environment in relation to the functional abilities of the patient and

barriers to this environment,



(c)), check and accept to store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply.



(3) an occupational therapist can the extent of its competence to carry out the

the basis of the indications for clinical psychologist, clinical speech therapist or doctor

training communication and cognitive functions.



§ 7



Radiology Assistant



(1) Radiology Assistant performs activities in accordance with § 3 (1). 1 and later

without professional supervision and without indications may



and) implement and evaluate operational stability test resources

ionizing radiation and related equipment in all types of

medical radiological workstations,



(b)) to ensure that medical exposure was not contrary to the principles

radiation protection, and the extent of its competence to carry out

activity in ensuring the optimization of ^ 14) radiation protection, including

quality assurance,



(c)) to pursue activities of particular importance from the point of view of radiation protection,

If they meet the requirements of other legislation ^ 15),



(d)) to perform a specific nursing care provided in the context of the

with radiological procedures,



e) accept, check and store medicines ^ 10), manipulate

them and ensure their adequate supply,



(f)), check and accept to store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply.



(2) Radiology Assistant can perform as a practitioner in the

in General justified cases laid down standards without vocational

supervision on the basis of the request indicating the doctor's individual medical

exposure, and it



and skiagrafické imaging procedures, including) screening,



(b)) intraoperative skiaskopii,



c) bone denzitometrii;

and carries the responsibility of clinical responsibility.



(3) the radiology Assistant can perform without professional supervision to the

the basis of the request indicating the doctor and on the basis of the indications of a doctor

that is, the practical part of the practitioner of the individual

medical exposure, in particular its specific implementation. In doing so, may



and) to perform radiological techniques used in medical

exposure,



(b)) to assist and orchestrating interventional radiology procedures,



(c)) to perform a therapeutic radiation techniques



(d)) to perform a nuclear medical imaging and non-imaging procedures

and in this part takes a clinical responsibility.



(4) the radiology Assistant without professional supervision, on the basis of the indication

the doctor may



and therapeutic and Imaging), to perform feats which benefit from other

physical principles than ionizing radiation,



(b)) apply medicines ^ 10) required to perform the procedures referred to in

(a)) or under paragraph 2 of the digestive tract, respiratory ways,

subcutaneous and intramuscular injections, skin.



(5) Radiology Assistant may apply under the expert supervision of a doctor

intravenous medicines necessary for the operation of the measures referred to in paragraph 2, or

paragraph 3 (b). and).



(6) the radiology Assistant may perform under professional supervision

Radiological Physics with specialised competence in radiotherapy

subactivity in radiotherapy planning.



§ 8



Medical laboratory



(1) medical laboratory performs activities in accordance with § 3 (1). 1 and without

mentorship and no indication in accordance with the diagnosis set

the treating physician and good laboratory practice may



and identify samples of biological material), or other

the investigated materials, evaluate their quality for the required

laboratory tests or other purposes, and to ensure they are processed,

the storage and subsequent destruction,



(b) operate the laboratory technique) and ensure its regular maintenance,



(c) prepare the materials necessary for) laboratory and diagnostic activities,



(d) to ensure the proper fit) laboratory chemicals and sets, and the

check their shelf life,



(e)) in connection with the protection of public health to carry out sampling,



(f)) to ensure the care of laboratory animals



g) accept, review, store medicines ^ 10), manipulate

them and ensure their adequate supply,



h) accept, check and store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply.



(2) medical laboratory without supervision on the basis of the indications of a doctor

can perform



and) non-invasive biological material and the subscriptions of venous and capillary

blood,



(b)) the basic laboratory measurement and examination.



(3) medical laboratory under the supervision of the medical worker

with specialised competence in the relevant area can



and perform specialized laboratory tests),



(b) examination of biological material), to perform the radio-imunoanalytickými

methods in compliance with the principles of radiation protection,



(c) the extent of its) exercise professional eligibility of activities in marketing and

reviews of new laboratory and diagnostic procedures, and their

validation,



d) analyze laboratory methods and procedures in terms of errors and

interference, assess the restrictive, complicating and interfering factors

and, where appropriate, is to quantify,



(e)) in the scope of its competence to carry out activities in the organisation

internal quality control programmes and interlaboratory comparisons.



§ 9



Health-social worker



Health-social worker performs activities in accordance with § 3 (1). 1 and later

without professional supervision and without indications may



and) perform the social prevention, including the depistážní activities, aimed at

targeted and timely searches of individuals who, as a result of your illness

or disease, caregivers may find themselves or have already found themselves in the

adverse social situation,



(b)) to perform a social investigation in patients and assess the situation

the patient in relation to the disease or its consequences, as needed

an analysis of the social situation to objectify Guestbook service in families, on

the basis of cooperation with the public authorities or other bodies

and the facts to handle a report reviewing the

the situation of the patient,



(c) to draw up a plan of psycho-social intervention) to life situation

the patient, including the extent, type and appropriate social measures, in

collaboration with other health care professionals, these measures

implement,



d) ensure socio-legal advice in relation to disease or to

its consequences,



e) participate in the integration of patients who need such assistance in

the absence of physical, psychological or social skills,

disturbed social relationships or other obstacles to social

environment; to participate on this integration to receive patients and

their social surroundings,



(f)) to the extent of its competence to carry out activities in the preparation and

Organization of the reconditioning stays,



g) to the extent of its competence to carry out activities in preparation

the release of the patients, including the provision of additional care and services,



h) in the case of the death of the patients carry out expert advice on social

area; Lone deceased patients to ensure issues related

with the death.



§ 10



Optometrist



(1) an Optometrist carries out activities in accordance with § 3 (1). 1 and without

professional supervision and without indications may



and recommend suitable types and) edit of ophthalmic lenses,



(b)) to perform a consultancy in the field of eye defects, including the types of

contact lenses and their appropriate use,



c) accept, review, store medicines ^ 10), manipulate

them and ensure their adequate supply,



(d) to adopt, review and) store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply.



(2) the Optometrist without professional supervision and without indications for people aged

15 years of age may



and investigate Visual function) and perform refraction metric examinations

determine the refractive defect of the eye, and make the correction,



(b)) to decide whether it is to correct refractive defects should use

corrective eye-glasses, contact lenses or special optical AIDS, and

to prescribe them, make and repair,



(c)) to investigate in the area of the anterior segment of the eye for the needs of correction

Refractive,



(d)) to perform a consultancy in the field of refractive defects,



e) suspected eye disease to recommend patients for examination

doctor with specialised competence in the field of Ophthalmology,




(f)) apply contact lenses and pass them with lessons and supplementary

selection of patients and perform subsequent inspections.



(3) under the expert supervision of Optometrist eye doctor with specialised

competences in the field of Ophthalmology can perform



a) activities referred to in paragraph 2 for persons under 15 years of age,



(b) examination for ophthalmic diagnostic) devices; This

However, the tests do not assess and does not provide a diagnosis.



§ 11



Orthoptist



(1) the Orthoptist performs activities in accordance with § 3 (1). 1 and provides

specific nursing care to patients with ocular impairment, in

cooperation with the doctor carries out activities in the provision of preventive,

therapeutic, diagnostic and dispensary care with the aim of achieving the best possible

Visual acuity and binocular vision in the induction of simple

congenital and acquired defects of the eye. Doing so without supervision and without

indication in particular can



and the design, manufacture and) maintain an exercise ortoptické AIDS

take care of ortoptické examination and treatment apparatus



(b)), the patient and their parents or other caregivers about

the treatment and the medical training,



(c)) to perform a screening of eye defects in children,



d) inform the doctor about the course of treatment, suggest changes and additions to the

a physician's surgery on the basis of their findings,



e) when working in social welfare to provide a safe environment in relation to the

State of health of children, the children outside their health

condition and prepare and implement educational activities,



(f)), check and accept to store medicines ^ 10), manipulate

them and ensure their adequate supply,



g) accept, check and store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply.



(2) without professional supervision on the basis of the indications of a physician specialist

competences in the field of Ophthalmology can implement and evaluate



and diagnostic examinations of patients), in particular



1. tests of Visual acuity, near (without correction and with

to correction),



2. measure the correction to fokometru,



3. trim tests



4. the indicative tests motility,



5. the examination of convergence,



6. measure the pupillary distance,



7. indicative examination fixation,



8. the findings of the binocular functions on the devices, prismatickými glass and

different tests,



9. examination of the objective and subjective deviations on the devices and

prismatickými lenses,



10. measure the gamma angle on troposkopu and Maddoxu,



11. examination of the distinctive capabilities;



(b)) and ortoptická pleoptická treatment of patients on eye exercises

specialised workplaces, in particular



1. occlusal therapy



2. pleoptická exercise amblyopia passive and active,



3. prismatic therapy



4. use motility and convergence,



5. use binocular functions, and stereopse;



(c) auxiliary examination) where there is no direct eye contact,

in particular, the



1. a graphical examination of the motility of the eye muscles,



2. test the contrast sensitivity into the distance and near,



3. examination of the barvocitu.



(3) without professional supervision on the basis of the indications of a physician specialist

competences in the field of Ophthalmology may



and prepare other patients) diagnostic and therapeutic performance in the

Ophtalmology, provide nursing care during these procedures and

after them, make them and or assist,



(b) medicinal products) in the conjunctival SAC or other

non-invasive way,



(c)) to perform application contact and okluzních lenses.



§ 12



Assistant to the protection and promotion of public health



(1) Assistant to the protection and promotion of public health carries out activities referred to in

§ 3 para. 1 and without professional supervision on the basis of the indications of a doctor

or other healthcare professional with specialized competences in the

the scope of the protection and promotion of public health carries out activities

performance-related State health supervision ^ 6), and other activities

related to the protection of public health. In doing so, may



and) to carry out the fieldwork and other activities necessary for the security

the protection and promotion of public health and prevention, dissemination and

limit the occurrence of infectious diseases, mass occurring

illness, work-related illness and other important disorders

health in accordance with the laws and regulations governing the protection of public

Health ^ 16),



(b)) to perform a partial measurement, sampling and biological material to

laboratory examinations in the field of protection and promotion of public health,

the collection of the necessary data, which analyzes and processes, and design

appropriate measures,



(c) the extent of its) exercise professional eligibility of activities in obtaining

treasures for the monitoring of the health status of the population in relation to living and

working conditions, in the preparation of comprehensive protection programmes and

health promotion and realization of security and healthy living

and working conditions and prepare subprojects in the protection and promotion of

public health,



d) participate in the checks of all disinfection, and

rodent control interventions and to check their effectiveness,



e) carry out inspections of hospital diseases prevention measures laid down

a healthcare professional in the protection of public health with the dedicated

competences, including the effectiveness of the sterilization technology in healthcare

equipment and devices to check the performance of social care, stored

the measures, to take the Protocol and prepare the basis for further measures

competent authority to protect public health.



(2) the Assistant to the protection and promotion of public health without professional supervision, and

no indication it can perform



and the education of citizens to a healthy) way of life,



b) consultancy in the areas of health promotion and healthy way of life and



(c) the acceptance, control) and the imposition of health care

resource ^ 11) and laundry, handling, disinfected, and

sterilization and ensure their adequate supplies.



section 13 of the



Orthotics-Prosthetics



(1) Orthotics-Prosthetics carries out activities referred to in § 3 (1). 1 and without

professional supervision and without indications and in accordance with a medical diagnosis can



and learn about patients and persons) any designated or caregivers with

AIDS and perform their basic job training in using the equipment and

the basics of their maintenance,



(b) consult with patients) options and the appropriateness of individual facilities with

views of the subsequent rehabilitation and reintegration into normal life,

Select the appropriate serial equipment with lighter types of disability and these gadgets

apply, where appropriate, modify,



(c)), check and accept to store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply.



(2) Orthotics-Prosthetics carries out activities referred to in § 3 (1). 1 and without

professional supervision on the basis of the indications of a physician and in accordance with the medical

diagnosis may



and the design of the individual) to create ortotických and prosthetic

AIDS in full scope, including the use of sensor technology

measurement documents



(b)) construct orthotic AIDS for the use of modular components,

modular kits and individually manufactured parts for the use of

knowledge of vertical construction AIDS.



§ 14



Nutritional therapist



(1) the nutritional therapist carries out activities referred to in § 3 (1). 1 and

provides a specific nursing care in ensuring the nutritional

the needs of patients in the field of preventive and therapeutic nutrition. In doing so, without

mentorship and no indication in accordance with the diagnosis set

a doctor may in particular



and process and evaluate nutritional) medical history, patients in severe

States make balance diet accepted by mouth, design practitioners,

Alternatively, General nurse or midwife Assistant changes in prescribed

diet, method of adopting a diet or supplement the food supplements,



(b)) to perform the tests required to determine the nutritional status of patients



(c)) to check methodically lead and organize the preparation of meals in accordance

with the knowledge of healthy and therapeutic nutrition, especially in eating plants

medical facilities and, in the case of special diet foods

to prepare,



(d)) and meal plans to prepare a prescription diet for each of the diets for

the entire medical establishment, including the biological and energy calculations

the value of diet,



(e) counselling and education) to make individuals, families and groups in the field of

a healthy and therapeutic nutrition, including recommendations of appropriate nutritional supplements,



(f)), check and accept to store medicines ^ 10), manipulate

them and ensure their adequate supply,



g) accept, check and store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply.



(2) Nutritional therapist can build without professional supervision, on the basis

indication of the physician the individual meal plans, including calculations of biological

and the energy value of diets.



§ 15



Dental technician



(1) dental technician performs activities in accordance with § 3 (1). 1 and without

professional supervision on the basis of the indications of a dentist may



and denture manufacture) orthodontic appliances and more


dental products and, if necessary, carry out their repair,

handle all the main and auxiliary materials used in dental

medicine,



(b) to ensure the efficient processing of dental) material,



(c)) use medical devices and other devices, dental

laboratories and ensure their maintenance.



(2) dental technician without professional supervision and without indications may



and) at the invitation of a dentist to solve specific problems related to

the production and repairing dentures, orthodontic devices and

other dental products in the course of treatment of patients,



(b) inform the practitioner of) low-quality fingerprint and other serious

the circumstances affecting the quality of the product,



(c)), check and accept to store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply.



section 16 of the



Dental hygienist



(1) dental hygienist performs activities in accordance with § 3 (1). 1 and without

professional supervision and without indications may



and to educate and instruct patients) for the regular and systematic

preventive care, oral hygiene,



(b)) determine the level of individual hygiene, perform training and procedures

techniques of oral hygiene and control their effectiveness,



(c)) to perform a collective health education activities aimed at

Prevention of dental caries, periodontal diseases, orthodontic anomalies and to

rational nutrition.



(2) dental hygienist under the expert supervision of a dental practitioner may

perform prophylaxis of diseases of the oral cavity, including the unveiling of the early

pathological changes and preventing their deterioration. In particular it may



and in the range specified), to perform a dentist input and control

examination of the oral cavity, including obtaining medical history, evaluate

periodontal disease and soft tissue, the indicative assessment of the condition of teeth and its

cavities in baby,



(b) carry out the impressions of the teeth)



c) remove dental plaque and the stone of the interdental and supragingiválních

spaces, Polish the surface of the teeth prophylactic materials



d) remove Subgingival calculus in the framework of the non-surgical treatment,



(e)) to perform a sensitive treatment of dentin and application of prophylactic

materials, such as fluoride solutions,



(f)) to perform the removal of UN plaque and surface treatment

fills,



(g)) to perform a professional cleaning of the teeth, bleaching and similar aesthetic adjustments,



(h)) to inform the treating dentist on the results of the treatment

patients and recommend control examination by a dentist for a maximum of 6

months.



(3) dental hygienist under the direct leadership of the dental practitioner may



and) perform the sealing of fissures,



(b) apply the surface anaesthesia) for surface numbness of the gums.



(4) a dental hygienist may perform under the expert supervision of a dental

the activities of a dental practitioner instrumentářky under section 37.



§ 17



Paramedic



(1) a paramedic performs activities in accordance with § 3 (1). 1 and later

without professional supervision, and no indication is provided within the pre-hospital

urgent care, including emergency medical services, and in the context of the

Department of Anaesthesiology and resuscitation care and within the framework of the acute income

specific nursing care. In particular it may



and) monitor and evaluate vital signs including shooting

elektrokardiografického record, ongoing monitoring and evaluation

rhythm disorders, examination and monitoring of the Pulse Oximeter,



(b)) to initiate and perform CPR using the manual

křísicích bags, including defibrillation of the heart electrical discharge after

record an electrocardiogram,



(c) ensure the peripheral venous access), krystaloidní solutions and apply

perform intravenous application of solutions of glucose in patients with proven

Hypoglycemia,



(d)) to carry out the laboratory examinations designed to approximate an urgent

medicine and tentatively is to assess



e) operated and maintained the facilities of all kinds of transport

resources, control the ground means of transport, even in difficult

driving conditions with the use of the warning sound and light

the device,



(f)) to perform the first treatment of wounds, including the arrest of bleeding



g) ensure safe or perform extrication, positioning,

immobilization, patient transport and ensure the safety of patients during the

transport,



h) exercise in the scope of their professional competence in addressing the activities

the consequences of mass unhappiness within the integrated rescue system



even if necessary) to ensure the care of the body of the deceased,



j) accept, check and store medicines ^ 10), manipulate

them and ensure their adequate supply,



to adopt, review and) store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply,



m) to carry out urgent operations in the ongoing delivery,



n) receive, register and evaluate emergency calls in terms of

the severity of the health status of the patient and according to the degree of urgency,

ensure the appropriate way to address them using

telecommunications and communication techniques,



about) to perform telephone briefing to provide first aid and

provide other necessary advice, using a suitable psychological

access.



(2) a paramedic within pre-hospital urgent care,

including emergency medical services, and in the context of the

Department of Anaesthesiology and resuscitation care and within the framework of the acute income may, without

professional supervision on the basis of the indications of a doctor to pursue activities in

the provision of diagnostic and therapeutic care. In particular it may



and respiratory system) to ensure the available equipment, deploy, and maintain

inhaled oxygen therapy, ensure the appliance ventilation with

parameters designated by a doctor, to take care of respiratory tract of patients, even when

artificial lung ventilation,



(b) medicinal products) ^ 10), including blood derivatives ^ 12)



(c) when the application start) to assist the blood preparations ^ 13) and

to take care of a patient during the application and close it,



(d)) to perform a catheterization of the urinary bladder in adults and girls over 10 years,



(e)) take biological material to examination,



(f)) to assist in the delivery and carry out the first treatment of the newborn,



g) ensure intraoseous input.



section 18



Pharmaceutical Assistant



(1) the pharmaceutical Assistant performs activities in accordance with § 3 (1). 1 and later

without professional supervision and without indications may



and) supply medicinal products not only with a prescription.

prescription drugs, and medical devices and provide information about their

correct use and storage,



(b)) to prepare reagents and diagnostic medical devices in

vitro,



c) supply medicinal products and medical devices on the requisition

medical facilities and health care equipment in accordance with other

Law ^ 10),



(d)) to order drugs, excipients, medical devices, and other

products related to health care, ensure their proper

acceptance, storage and refilling,



(e) the ordering of the auxiliary and) ensure operational material,



(f)) to perform a drug control and auxiliary substances,



g) prepare medicinal products; If another law ^ 10)

provides otherwise, including the preparation and control of anti-cancer agents and other

activities related to the preparation,



(h)) to ensure aseptic preparation of medicinal products ^ 10), receive,

check and store medicines ^ 10), manipulate them, and

to ensure their adequate supply,



I) accept, check and store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply.



(2) Pharmaceutical Assistant may perform under professional supervision

pharmaceutical Assistant with specialized competences in the field

preparation of radiopharmaceuticals, pharmacist or other professionally qualified

a worker on the basis of the indications of a doctor, pharmacist, or other professional

qualified health care professional and in accordance with the instructions

Radiological Physics practical part an individual medical exposure,

and preparation and control of radiopharmaceuticals, including other activities

related to their preparation, especially the reception and installation of the

generators, disposal and decontamination of the site.



(3) Pharmaceutical Assistant under supervision of a pharmacist can



and to the extent) exercise its competence activities in preparation

technology regulations for the preparation of medicinal products ^ 10),



(b)) to monitor the supplies of medicinal products ^ 10) and medical devices

in healthcare, in particular their right of retention,



(c) the extent of its) exercise professional eligibility of activities in preparation

radiopharmaceuticals.



§ 19



Biomedical technician



(1) the Biomedical technician performs activities in accordance with § 3 (1). 1 and later

without professional supervision and without indication of the works with healthcare

the device, if not its activities directly affect the health status of the

patients. In particular it may



a) check and correct medical devices and lead their

reporting, organise and coordinate the technical services related to


the operation of medical equipment, and if it meets the qualification

the prerequisites laid down by other legislation ^ 17), fixes

medical devices,



(b)) to perform a technical briefing workers in the field of operator

medical devices and safety at work,



(c)), check and accept to store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply.



(2) Biomedical techniques under professional supervision of the clinical engineer

or clinical technique with specialised competence in the field of the

the basis of the indications of a physician and in accordance with the diagnosis established by a doctor can

work with medical devices, if you can its activities directly

affect the health status of patients. In particular it may



and calibrate critical blocks) medical devices,



(b)) to ensure technical assistance in electrophysiological

examinations, impulzoterapii heart and when the display

methods,



c) to modify the diagnostic software for interpreting

an electroencephalogram, electrocardiogram and other consultation and expert

diagnostic systems.



(3) the Biomedical technician under the direct guidance of the clinical engineer or

clinical technique with specialised competence in the field can

to carry out activities in



and selection of medical instruments), in particular to evaluate their properties

in respect of health care provided,



(b)) the design sets of health technologies,



(c) medical equipment for the operator), extracorporeal circulation,



d) reviews and clinical trials of medical devices referred to in

another law ^ 18).



(4) the Biomedical technician does not exercise the activities associated with the service

those parts of the radiological device ^ 19), that are the source of ionising

radiation, and activities dedicated to persons with special professional qualifications

According to the legislation governing the use of nuclear energy and

ionizing radiation ^ 20).



section 20



Biotechnology Assistant



(1) the Biotechnology Assistant performs activities in accordance with § 3 (1). 1 and later

without professional supervision and without indication of the works with healthcare

the device. In doing so, may



and set the operating parameters of) medical devices,



(b) ensure the acceptance, control) and store medical equipment,

handling them, their disinfection and sterilization and adequate

supply, including the related consumables,



(c) ensure the operation of medical devices) after opening the page,



(d)) to perform a calibration of individual medical devices and

ensuring accurate documentation,



(e)) to perform a processing of biological material and the other investigated

materials specialist practices



(f) the extent of its) exercise professional eligibility of activities for

quality assurance analytical process laboratories,



g) evaluate the quality of care provided by the laboratory, including carried out

laboratory methods, the environment and the documentation, perform validation

measured values,



(h)) to perform a statistical evaluation.



(2) the Biotechnology Assistant without professional supervision, on the basis of the indication

a physician and in accordance with the diagnosis established by a doctor can work with

medical devices. In doing so, may



and use medical devices) within the framework of the provision of diagnostic and

medical care,



(b)) to ensure technical assistance in electrophysiological

examinations, impulzoterapii heart and when the display

methods,



c) handle the electroencephalogram, an electrocardiogram and other outputs

diagnostic systems and tailor it to evaluate



d) patient and the designated person in the use of the instrument

medical devices.



(3) Biotechnology Assistant under the direct guidance of the clinical engineer or

a doctor can perform the activities in the



and selection of medical instruments), in particular to evaluate their properties

in respect of health care provided,



(b)) reviews and clinical trials of medical devices referred to in

another law ^ 18),



c) research, in particular identifies the activities requiring a change in procedure,

conducts research aimed at uncovering the causes of the deficiencies in the provided

care, creates the conditions for application of the results of research into clinical practice

not only in their own workplace,



(d)) the development of clinical information systems and their implementation in practice.



(4) the Biotechnology Assistant does not exercise the activities associated with the service

those parts of the radiological device ^ 19), that are the source of ionising

radiation, and activities dedicated to persons with special professional qualifications

According to the legislation governing the use of nuclear energy and

ionizing radiation ^ 20).



section 21



Radiology technician



(1) a radiological technician performs activities in accordance with § 3 (1). 1 and without

professional supervision and without indications of associated with the

application of medical exposure in the fields of radiodiagnostics, radiotherapy and

nuclear medicine. In particular it may



and check compliance with the requirements), which are established in other

^ law 20) ^ 21), when the use of radiological equipment, and the

other related medical devices



(b)) to pursue activities of particular importance from the point of view of radiation protection ^ 22),

ensure that medical exposure was not contrary to the principles of radiation

protection, and to ensure the optimization of ^ 14) radiation protection, including

quality assurance,



(c)) to perform tests and evaluate the operational stability of the resources

ionizing radiation and related equipment in all types of

medical radiological workstations,



(d)) to perform a basic clinical dosimetry in diagnostic and

treatments, including the assessment of doses delivered to patients for

the purpose of verifying the accuracy of irradiation, plans



(e)) to perform a supporting training activities that lead to the preparation, implementation and

the interpretation of the procedures referred to in paragraph 2,



(f)), check and accept to store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply.



(2) Radiology technician can perform based on the physician's indication,

that is a practitioner, or Radiological Physics without

the practical part of the professional supervision of the individual medical exposure,

its physico-technical part; for the physico-technical section

does not consider the specific design of the medical exposure of patients.



(3) Radiological techniques in the extent of its competence under the

professional supervision of the Radiological Physics with specialised competence

involved in the planning of radiotherapy radiotherapy.



section 22



Adiktolog



(1) Adiktolog carries out activities referred to in § 3 (1). 1 and without

professional supervision and without indications of a doctor in the area, depending on the

substance abuse and other addictions can



and perform a comprehensive diagnostic adiktologickou) patient



(b)), to perform non-invasive biological material for examination

the presence of substance abuse and infectious diseases,



(c) establish a programme of primary prevention) including the timely

diagnosis and intervention,



(d)) to perform a detect in order to identify those at risk of health

harmful habits, and for these people to carry out prevention, education and

consultancy in the areas of healthy way of life and the reduction of harm

the use of addictive substances,



e) for individual group and family supportive psychotherapy,



f) instruct the health care professionals in the field of care for people at risk

harmful habits of health harmfulness of substance use,



(g)) to perform a consultancy for addiction and

other dependencies.



(2) Adiktolog on the basis of the indications of a physician specialist

competence in the field of Psychiatry or in the field of children's and dorostová

Psychiatry or doctor with special competence in the field of

addictive disease can develop in the area according to the substance abuse

fabrics and other dependencies of the comprehensive treatment plan and to coordinate its

implementation.



(3) Adiktolog under the expert supervision of a physician specialist

competence in the field of Psychiatry or in the field of children's and dorostová

Psychiatry or doctor with special competence in the field of

addictive diseases in the field for addiction and other

dependencies may



and cooperate in systematic) individual, group and family

psychotherapy,



(b)) to assist in psychiatric and psychological examinations.



Article 23 of the



Psychologist in the health sector



Psychologist in the health activities as referred to in § 3 (1). 1 and

Furthermore, under the expert supervision of clinical psychologist or a child

clinical psychologist can perform



and psychological diagnosis,)



b) psychotherapy and socioterapii,



(c) in the case of urgent care) acute mental crisis and trauma,



d) Re-education and resocialization, rehabilitation of mental functions,



(e) training of health workers in) the field of Health Psychology and

the disease,



f) psychological prevention, education and advice to the healthy way

of life,



(g)) in the scope of its competence the prevention of psychological problems

health care workers,




h) consultancy in the field of care for the disabled and mental health

mentally ill patients, including palliative care for the terminally

the sick and training on medical interventions,



I) professional consulting, counselling and dispensary work.



section 24



A vision therapist



(1) a vision therapist performs activities in accordance with § 3 (1). 1 and under

professional supervision of clinical optic therapist and without indications of a doctor

can



and oftalmopedickou) to perform a prevention and counselling with a view to achieving

quality development of vision,



(b)) in the field of health-care professionals instruct investigative procedures and

options for the development and rehabilitation of Visual function damage

the central nervous system,



(c) the patient and learn about it) the designated person with individual procedures

Visual rehabilitation and job training in these procedures,



(d) individually to vote AIDS) the rehabilitation of the patient,



e) to design and recommend modifications to the patient's environment to support the development

and rehabilitation of Visual functions, spatial orientation and a separate

movement.



(2) Visual therapist under expert supervision of clinical optic

the therapist based on indications of a doctor may in particular



and oftalmopedickou) to perform a diagnosis and differential diagnosis for

For more medical care for infants, children in the preverbálním period, in people with

problems in communication, people and nekomunikujících people are difficult to

vyšetřitelných because of the multiple disabilities, degenerative

disease, mental retardation or disorder of the central nervous

the system,



(b)) to carry out rehabilitation and stimulation of Visual function in patients

referred to in point (a)),



(c) determine to the extent) that is determined by the physician, the appropriate diagnostic and treatment

methods in children and adults with disabilities and visual impairments.



§ 25



Physical therapist



(1) a physical therapist performs activities in accordance with § 3 (1). 1 and also establishes and

done without professional supervision in accordance with the diagnosis of the doctor or the

accordance with the advisory procedure the doctor if it is determined, on the basis of

their own examination of the optimal combination of physiotherapy and

procedures, in order to achieve the objectives desired by the doctor. In doing so,

in particular it may



and carry out the examination), it is necessary to determine the next steps

In physiotherapy, including history, examination of the postury,

musculoskeletal system, examination of individual body segments,

examination of respiratory function, especially by using manual procedures

measurement, instrument-specific tests and diagnostic methods,



(b)) to perform a comprehensive diagnostic evaluation including kinesiologic

functional disorders of the locomotor system, the diagnosis of painful and

trigger, algeziologické tests, škálové reviews

spasticity and other neurological manifestations,



c) analyze the normal daily activities in terms of physiotherapy,



(d)) to perform a targeted ergonomic tests due to the condition of the patients,



(e)) based on the physiotherapy diagnosis of individual

fyzioterapeutický short and long term plan with the knowledge

pathophysiology of disease, defects or malfunctions,



(f)) to apply to the current state of patients physiotherapy and

kinezioterapeutické methods, such as manual and instrument, perform the

interpretation and correction of functional disorders of the musculoskeletal system, in particular the

postury disorders, locomotion, momentum, physiotherapy and reedukačními

methods,



g) through movement and other physiotherapeutic methods targeted

affect the function of other systems, including psychological functions,



h) recommending compensation AIDS according to the condition of the patients,



I) apply methods of physical therapy and balneological procedures



j) assess the final effect of physiotherapy care.



(2) a physiotherapist without professional supervision and without indications may



and carry out prevention, education), and advice for the purpose of maintaining or

restoration of motoric functions



(b) to train health-care professionals are eligible) to provide the nursing

in the field of rehabilitation nursing care, especially in the prevention of

imobilizačního syndrome



(c) recommend to the ergonomic adjustment) residence and workplaces of the patients in

the prevention of disorders of the musculoskeletal system,



d) acquaint patients with the possibilities of social care and in the extent of their

competence to carry out activities for the social rehabilitation of persons

with disabilities,



e) accept, check and store medicines ^ 10), manipulate

them and ensure their adequate supply,



(f)), check and accept to store medical devices ^ 11) and

lingerie, manipulate them and ensuring their disinfection and sterilization

and their adequate supply.



(3) a physiotherapist without professional supervision on the basis of the indications of a physician may



and) perform the specialized diagnostic procedures for examination

the musculoskeletal system including instrument, such as a positron

elektromyelografie (PEMG), moire, posturografii,



(b) apply the physiotherapeutic procedures) in patients where there is a real risk

the failure of vital functions.



section 26



Radiological physicist



(1) a radiological physicist performs activities in accordance with § 3 (1). 1 and under

professional supervision of the Radiological Physics with specialised competence

in the field, and no indication of a doctor performs radiological procedures ^ 23) and more

activities related to radiation protection. In particular it may



and ensure the physical measurements) related to the evaluation of the benefits

medical exposure



(b)) to ensure clinical dosimetry, including record-keeping and evaluation of benefits

radiation or activities applied radiopharmaceuticals,



(c)) to ensure the implementation of new radiological equipment and physical

methods into clinical practice



(d)) to the extent of its competence to carry out activities in the implementation and

evaluation of the quality assurance system ^ 24),



(e) provide to the other health care professionals), including doctors,

consultations on optimization, quality assurance, including operational

quality management and, if necessary, advice on matters

relating to radiation protection in medical exposure,



f) ensure the application and optimization of radiation protection in

the provision of health care, medical facilities, in particular, radiation

protection of patients in medical exposure, radiation protection of workers

sites and their surroundings,



g) to carry out activities of particular importance from the point of view of radiation

protection, in particular the systematic supervision of compliance with the requirements of the radiation

the protection and monitoring of the radiation burden of patients



(h)) to design and control the procedures leading to the reduction of radiation burden

patients,



I) to train as specialists, other healthcare professionals, and other

professional workers in matters relating to radiation protection

medical exposure,



(j) determine the parameters of the radiological device) important in terms of

radiation protection in their choice.



(2) the expert may perform under professional supervision

Radiological Physics with specialised competence in the field of the

the basis of the request indicating the doctor's indication and informing the doctor

the practical part of the medical exposure, its physico-technical

part; for the physico-technical part does not constitute specific implementation

medical exposure of patients.



section 27 of the



Specialist in laboratory methods



(1) a specialist in laboratory methods, performs activities in accordance with

§ 3 para. 1 and under the expert supervision of a doctor or specialist

a worker in the laboratory methods with specialised competence in

the scope, in accordance with the diagnosis established by a doctor and good laboratory

the practice can



and) to perform internal and external control of laboratory tests,



(b) to prepare the material and equipment) necessary for laboratory activities,



(c) the samples are sent to) identify examination, evaluate the quality of

in terms of the required examinations and ensure their processing,



(d)) to assess the restrictive, complicating and interfering factors and, where appropriate,

It is quantified,



(e) the extent of its) exercise professional eligibility of activities for

quality assurance measuring and analytical process laboratories,



(f) internal programs) to ensure quality control and inter-laboratory

the comparison.



(2) a specialist in laboratory methods can be carried out under

the professional supervision of a physician or practitioner in the laboratory

methods with a specialized competence in the field of laboratory

diagnostic examinations, including the use of instrumentation and laboratory

techniques and in justified cases, the indication of a doctor to specify.



(3) a specialist in laboratory methods of working in the field of

preparation of radiopharmaceuticals may exercise under supervision by specialists

for the preparation of radiopharmaceuticals or pharmacist activities under section 131.



section 28



Biomedical engineer



(1) Biomedical engineer performs activities in accordance with § 3 (1). 1 and later

under the expert supervision of the clinical engineer with specialised

competence in the field and without indications of a doctor, in accordance with the diagnosis

fixed doctor works with medical devices, if your

activity cannot directly influence the health status of patients. In particular

can



and maintenance) ensure the technical condition, repair and service of medical

instruments under other legislation ^ 18),




(b)) to organise and coordinate external technical services related to

the operation of medical equipment,



c) choose a medical instruments in terms of their properties in the

relation to the health care provided,



d) calibrated blocks critical medical devices, modify

basic programmatic setting of these devices to meet your specific needs

workplace or patients



(e)) to perform a technical instruction for workers and, if necessary,

supervision in the field of servicing medical devices and safety

work,



(f)) to the extent of its competence to carry out activities in the development and

manufacture of medical instruments or apparatus or their accessories,

or is he himself made,



g) to the extent of its competence to carry out activities in clinical

reviews and clinical trials and their statistical evaluation according to the

legislation governing the use of nuclear energy and

ionizing radiation and radiation protection ^ 19),



h) evaluate the cases of failure and adverse events of medical

devices, including record keeping and documentation in accordance with the legislation of the

governing the use of nuclear energy and ionising radiation and

radiation protection ^ 19) and to ensure their prevention.



(2) the Biomedical engineer can work under professional supervision

Clinical engineer with specialised competence in the field on the basis of

indication of a physician and in accordance with the diagnosis established by a physician

medical devices even in cases where their actions may

directly affect the health status of patients. In particular it may



and operate medical equipment for) extracorporeal circulation of blood,



(b)) to ensure technical assistance in electrophysiological

examinations, impulzoterapii heart and when the display

methods,



(c) modify, or create) diagnostic software for

interpretation of the electrocardiogram, electroencephalogram, and more

consulting and expert diagnostic systems,



(d) modify, or create) software for medical information

systems.



(3) the Biomedical engineer does not carry out activities associated with the service

those parts of the radiological devices, that are the source of ionising

radiation, and activities dedicated to persons with special professional qualifications

According to the legislation governing the use of nuclear energy and

ionizing radiation ^ 9).



section 29



Specialist in the protection and promotion of public health



Specialist in public health carries out activities under section

3 (2). 1 and under the expert supervision of a physician or practitioner

in the protection of public health with specialised competence in the field of

carries out activities related with the exercise of State supervision and more

activities related to the protection and the promotion of public health. In doing so,

can



and) implement a comprehensive fieldwork and other activities necessary for the

security, protection and promotion of public health and prevention,

the spread and limit the occurrence of infectious diseases, mass

naturally occurring diseases, diseases of contingent work and other important

disorders, in accordance with the laws and regulations governing the protection of

public health ^ 10),



(b) comprehensively ensure the measurement) the collection of samples and materials to

laboratory examinations in the field of protection and promotion of public health,

the collection of the necessary data, which further analyzes, processes and propose appropriate

measures,



(c)) to monitor the health status of the population in relation to living and working

conditions, to prepare a comprehensive protection programmes and the promotion of health and

to participate in the scope of their competence on their implementation and on

security of healthy living and working conditions,



(d)) to participate in the management and control of all disinfectants, insect

and rodent control interventions and ensure control of their effectiveness,



e) ensure control measures to prevent hospital infections in

healthcare and social care institutions, including checking

sterilization, check the implementation of the measures imposed, take the log

and prepare the basis for further action by the competent authority and protection

support of public health,



(f) education of citizens) make a healthy way of life,



(g)) to perform a consultancy in the areas of health promotion and healthy

the way of life.



section 30



Medical Assistant



(1) the Medical Assistant performs activities in accordance with § 3 (1). 2 and later

under the expert supervision of the General nurse or midwife

provides basic nursing care and specialised

nursing care in the framework of the nursing process in the scope of their

professional competence may obtain information necessary to determine the

Nursing diagnoses, to the extent specified by the General nurse or midwife

Assistant performs the nursing plan and performs nursing procedures.

While under supervision of the General nurse or midwife

in particular it may



and physiological functions and) to monitor the status of patients, record them in a

documentation, take care of emptying, implement a comprehensive health

the care, prevention of bedsores, distribute food to patients according to the diet and

ensure compliance with, to ensure equal

to ensure the application of heat and cold,



(b)) to perform rehabilitation nursing, including the prevention of disorders of the

unnecessary immobility,



(c)) to perform a training skills in order to increase self-sufficiency

the patient,



(d) the extent of its) exercise professional eligibility of activities, while ensuring

gaming activities of children,



(e) the extent of its) exercise professional eligibility of activities upon acceptance,

control, handling and storage of medicinal products ^ 10),



(f) the extent of its) exercise professional eligibility of activities upon acceptance,

control, handling and storage of medical devices ^ 11) and laundry

their disinfection and sterilization and ensure their adequate supplies.



(2) medical assistant under professional supervision of General nurses,

a midwife or doctor may



and medicinal products) ^ 10) with the exception of the injectors and the

epidurálních catheters and intramuscular injections in infants and children

up to 3 years of age,



(b)) take biological material, carry out an examination of the biological

material obtained a non-invasive way, and capillary blood

semikvantitativními methods (diagnostic strips),



(c)) to introduce and maintain oxygen therapy,



(d)) to the extent of its competence to carry out activities in the treatment

acute and chronic wounds,



e) prepare patients for diagnostic or therapeutic performances, according to the

the decision of the doctor, a general nurse or midwife in them

to assist, to provide nursing care in these performances and after

them,



(f) the extent of its) exercise professional eligibility of activities activities

associated with adoption, moving, release and death of patients.



(3) medical assistant under the direct leadership of General nurses

specialized qualifications or midwife with a specialized

competence in the field can the extent of its competence in the

provision of highly specialised nursing care to exercise

the activities referred to in paragraph 1.



section 31



Laboratory Assistant



(1) Laboratory Assistant performs activities in accordance with § 3 (1). 2 and under

professional supervision of a healthcare professional qualified to provide

laboratory diagnostic care without professional supervision may



and identify samples of biological material), or other

the investigated materials, evaluate their quality for the required

laboratory testing, to ensure the processing and subsequent

disposal,



(b)) to prepare materials for laboratory activities,



c) store laboratory chemicals and sets and control their time

usability,



(d) the use of the instrument and laboratory) technology and ensure its

routine maintenance,



e) take care of laboratory animals



(f) the extent of its) exercise professional eligibility of activities upon acceptance,

control, handling and storage of medicinal products ^ 10),



(g) the extent to) exercise professional eligibility of activities upon acceptance,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks.



(2) laboratory assistant under the expert supervision of a healthcare

the worker is eligible to provide laboratory diagnostic care in the

the basis of the indications of a doctor can perform



and) non-invasive biological material and the subscriptions of venous and capillary

blood,



(b)) the basic laboratory measurement and examination.



§ 32



Orthotic-patient techniques



Orthotic-patient techniques carries out activities in accordance with § 3 (1). 2 and later

under professional supervision of lumbar scoliosis-prosthetics on the basis of the indications of the doctor in the

accordance with the diagnosis established by a doctor can



and to the extent) exercise its competence activities

design of individual equipment in its entirety including the scope

the use of the latest technologies to capture the measurement documents



(b)) construct orthotic AIDS for the use of modular components and

individually manufactured parts, using knowledge of vertical construction

AIDS,




(c)), or delving into the patients any designated or attending

people with AIDS and to perform their basic job training in the use of

AIDS and the basics of their maintenance,



(d) select the appropriate serial) AIDS for the lighter types of disability, these

AIDS to apply, where appropriate, modify,



(e)) in the scope of its competence to carry out activities in the taking,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks.



§ 33



Nutrition Assistant



(1) a nutritional Assistant performs activities in accordance with § 3 (1). 2 and under

professional supervision of nutritional therapist in accordance with the diagnosis set

the doctor provides a specific nursing care when securing

nutritional needs of patients in the field of preventive and therapeutic nutrition;

in particular it may



and handle nutritional calculations),



(b)) to handle the documentation on nutrition intake of patients,



(c)) to assess the nutritional status in patients with uncomplicated illness



(d)) for each diet to prepare prescription diets and whole health

device or the social welfare facilities,



(e) preparing meals) in accordance with the findings of a healthy and therapeutic nutrition,



(f) the extent of its) exercise professional eligibility of activities in education

individuals, families and groups in the field of healthy nutrition and medical nutrition,



(g) the extent to) exercise professional eligibility of activities upon acceptance,

control, handling and storage of medicinal products ^ 10),



h) exercise in the scope of their professional competence, acceptance activities,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks.



(2) Nutritional Assistant can build under expert supervision of nutritional

the therapist and physician on the basis of the indications of the individual meal plans,

including calculations of biological and energy value of diets for patients with

uncomplicated illness.



§ 34



Assistant dental technician



Assistant dental technician performs activities in accordance with § 3 (1). 2 and later

under the expert supervision of dental technician or a dentist, and on the basis of

indication of the dental practitioner may



and to produce dentures and) orthodontic appliances and more

dental products and, if necessary, carry out their repair,

handle all the main and auxiliary materials used in dental

medicine,



(b)) use medical devices and other devices, dental

laboratories, including maintenance,



(c) the extent of its) exercise professional eligibility of activities upon acceptance,

check and save medical resources ^ 11) and laundry and ensure

their adequate supplies.



§ 35



Disinfector



Disinfector performs activities in accordance with § 3 (1). 2 and under the expert

the supervision of a healthcare professional qualified to pursue activities in

the scope of the protection and promotion of public health without professional supervision may



and, where appropriate, intermediate) perform a final disinfection and focal length

disinfection on the outbreak of disease and, where appropriate, disinfection and protection

in, or further investigation in the field and make the necessary

measures in the outbreak of the disease,



(b)) to perform disinfection of clothes, mattresses, bedding, food debris in the

healthcare and social care facilities, in particular

infectious wards,



(c)) use waste water cleaning station, including disinfection,



(d)) to perform a focal and protective,



e) use mobile and stable disinfection, disinfestation and

exterminating apparatus



(f)) to carry out disinfection of water resources and water for laboratory subscriptions

the examination,



g) dispose of waste, including hazardous waste according to law

governing waste ^ 25),



(h)) to take care of hygiene, disinfection stations, environment



I) monitor consumption and inventory status of disinfectants,



j) exercise in the scope of their professional competence, acceptance activities,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks.



section 36



The driver of the vehicle in emergency medical services



(1) the driver of a vehicle emergency medical services shall perform the activities referred to in

§ 3 para. 2 and under professional supervision of your doctor or other

healthcare professional qualified to provide urgent care without

mentorship can



and vyprošťovat people) in emergency situations, in synergy with other

the components of the integrated rescue system,



(b) to assist the implementation of) diagnostic and screening activities in place

intervention,



(c)) to perform a simple performance within the framework of emergency pre-hospital care; and

It



1. the first treatment of wounds, including the arrest of bleeding



2. non-invasive airway and indirect heart massage,



3. the movement and positioning of patients,



4. immobilization,



5. maintenance the oxygen inhalation therapy,



6. monitoring of vital signs,



(d) ensure the professional transport of patients),



e) maintain radio communication with a medical operating Centre,

where appropriate, with the other components of the integrated rescue system,



f) operated and maintained equipment in all categories of medical

vehicles, drive them, even in difficult driving conditions with the use of

warning devices,



g) to the extent of its competence to carry out activities in the taking,

control, handling and storage of medicinal products ^ 10),



h) exercise in the scope of their professional competence, acceptance activities,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks.



(2) the driver of a vehicle can assist emergency medical services under the

the direct guidance of a physician or other healthcare professional qualified

to provide urgent care without professional supervision in the implementation

other medical procedures within pre-hospital urgent care.



§ 37



Nurse



(1) a nurse performs activities in accordance with § 3 (1). 2 and under the expert

the supervision of General nurses, midwives or radiological

an Assistant may



and in the scope of their professional) competence to carry out activities related to the

by providing basic nursing care and specialized

nursing care in the framework of the nursing process; in particular



1. health care for patients, including the basic prevention

bedsores and bed, editing



2. assists in the administration of medical nutrition in patients, helping with meals

located or fixed, as appropriate, is fed to patients,



3. caring for the emptying of the patients, including a possible implementation

purifying klyzmatu,



(b)), to measure the body temperature, height, and weight,



(c) accompany the patients to specialist) examination and treatment,



(d)) to take care of patients, environment adjustment



(e) the extent of its) exercise professional eligibility of activities, while ensuring

gaming activities of children,



(f)) to perform a modification of the body of the deceased,



(g) the extent to) exercise professional eligibility of activities upon acceptance,

check and save ^ 10) medicinal products and handling,



h) exercise in the scope of their professional competence, acceptance activities,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks.



(2) a nurse under the direct guidance of General nurses, midwives

assistants, radiological Assistant may assist in the designated

Nursing, diagnostic or therapeutic procedures.



(3) a nurse under the direct leadership of the General nurse or midwife

assistants with specialized competences in the scope, in accordance with the

the diagnosis established by a doctor may, in the scope of their competence

in providing highly specialized nursing care to exercise

the activities referred to in paragraph 1.



§ 38



The masseur



(1) a massager performs activities in accordance with § 3 (1). 2 and under the direct

a physical therapist or doctor with a specialization in the field of rehabilitation and

physical medicine may



and) perform classic massage,



(b)) to apply heat, including using soluxu or paraffin,



c) administered wraps,



d) prepare and administer partial and total baths, including

přísadových, and perform basic hydrotherapeutic procedures,



(e)) in the scope of its competence to carry out activities in the taking,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks.



(2) the Blind and purblind masseur performs activities in accordance with § 3 (1). 2 and

under the direct guidance of a physical therapist or doctor with a specialization in the field of

rehabilitation and physical medicine may perform classic massage.



§ 39



Laboratory worker



Laboratory worker performs activities in accordance with § 3 (1). 2 and under

professional supervision of a healthcare professional qualified to provide

laboratory diagnostic care without professional supervision may



and preparing laboratory AIDS) collection and processing of biological

and other materials for making the preparations and other laboratory

activities,




(b)) to prepare for a biological and other material for laboratory processing,



(c) prepare a simple working solutions),



(d)) to receive, register, or deliver biological material to

examination and pass the examination results,



e) take care of laboratory animals



(f)) to the extent of its competence to carry out activities in the taking,

control, handling and storage of medicinal products ^ 10),



g) to the extent of its competence to carry out activities in the taking,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks.



section 40



Dental care



(1) Dental care carries out activities in accordance with § 3 (1). 2 and under

professional supervision of a dental practitioner may



and assist treatments) of the oral cavity and handle dental

materials in the Office,



(b)) to take care of patients during dental treatment,



c) give rise to x-rays,



(d)) to the extent of its competence to carry out activities in the taking,

control, handling and storage of medicinal products ^ 10),



(e)) in the scope of its competence to carry out activities in the taking,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks.



(2) Dental care under supervision of a dentist or

dental hygienists may carry out educational activities in the framework of dental

Prevention and preventive care for oral hygiene.



§ 41



The driver of the transport of the sick and wounded



The driver of the transport of the sick and wounded performs activities in accordance with § 3 (1). 2

and under the expert supervision of the medical worker is eligible to

the provision of health care without professional supervision in the field provided

care, in particular, the doctor, the medical rescuers, General nurses or

in the case of a midwife and the exclusive transport of tissue and biological

material health lab technician or practitioner in the

laboratory methods, can



and transport the sick and wounded) and vehicles transport the sick and expectant mothers

the wounded,



(b)) to perform a simple performance within the framework of emergency pre-hospital care,

in particular, the first treatment of wounds, fractures,



(c)) work with a qualified team of workers in emergency

situations, in cooperation with other components of the integrated rescue

the system,



d) transport of tissue and biological materials,



e) transport health workers health

devices,



f) take care of the vehicle and its equipment, even under difficult conditions

drive using warning devices,



g) to the extent of its competence to carry out activities in the taking,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks.



§ 42



Autoptický technician



Autoptický (autopsy) technician performs activities in accordance with § 3 (1). 2 and

Furthermore, under the direct guidance of a doctor can



and preparation for autopsy) to carry out, in the performance of the autopsy excludes bodies from the body

of the deceased,



(b)) to perform a dissecting performances, contrast substances, and

želatinovými fuel



(c) make a Museum and teaching), dry, wet, or acrylic

macroscopic preparations,



(d)) to perform the autopsy, the photographic documentation



(e)) in the scope of its competence to carry out activities in the taking,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks.



§ 43



The orderly



(1) a general emergency medical technician performs activities in accordance with § 3 (1). 2 and can



and under professional supervision) General nurses or other healthcare

the worker is eligible to provide nursing care without vocational

supervision to perform auxiliary and the activities necessary for the provision of

nursing care, preventative, therapeutic and diagnostic services; in doing so,

in particular it may



1. take care of hygiene, environment,



2. to import food in the Department, as required, to heat up, clean it

kitchenette, including the collection, washing and disinfection of tableware,



3. transport the biological and medical supplies, to cater to the

errands for the needs of the Department and of the patients,



4. manipulate linens including disinfection and transport,



5. tamper with pressure vessels with medical gases,



6. follow and carry adult patients for examination, treatment and

translation to a different Department,



7. perform the technical handling of bed patients and its mechanical

cleansing, disinfection and treatment,



8. in the extent of its competence to carry out actions when editing

the body of the deceased and bring them



9. the extent of its competence to carry out activities in the taking,

control, handling and storage of medicinal products ^ 10),



10. the extent of its competence to carry out activities in

acceptance, control and store medical devices ^ 11) and laundry

handling them, their disinfection and sterilization and ensure their

adequate supplies;



(b)) under expert supervision General nurse or midwife in

the extent of its competence to carry out basic activities

nursing care; in particular it may



1. to assist in the implementation of health care for the patient,



2. assist in the positioning and handling of patients, including the basic

Prevention of bedsores and bed, editing



3. pass the assigned diet for patients, helping with meals or lying

bad patients, or feed them,



4. take care of emptying of the patients;



(c)) under the direct guidance General nurses or midwives may

to pursue the activities referred to in subparagraph (b)) in the provision of specialized

nursing care.



(2) emergency medical technician for operating the central sterilization Department, and carries out

activities pursuant to section 26 and on may



and under professional supervision) General nurses or other healthcare

the worker is eligible to provide nursing care without vocational

supervision to perform auxiliary and the activities necessary for the provision of

nursing care in the operating Department, central sterilization

and a central processing plant beds; in particular it may



1. take care of hygiene, environment,



2. transport the biological and medical supplies, to cater to the

errands for the needs of the Department,



3. manipulate the pressure vessels with medical gases,



4. follow and carry patients who are conscious,



5. prepare specific bandages according to the needs of the Department,



6. perform mechanical cleansing, disinfection and treatment of the operating table,



7. in the extent of its competence to carry out actions when editing

the body of the deceased,



8. in the extent of its competence to carry out activities in the taking,

control, handling and storage of medicinal products ^ 10),



9. the extent of its competence to carry out activities in the taking,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks;



(b)) under the direct guidance of a healthcare professional qualified to

the provision of nursing care without professional supervision to participate in

nursing of the operating performance of the Department and, to the extent specified

indoor sister fulfil the nursing plan; in particular it may



1. to the extent of its competence to carry out activities for income,

moving and transport of the patient in the operating Department,



2. to assist in the implementation of health care for the patient,



3. assist in positioning and fixation of the patient before, during and after

operating performance, including the basic prevention of bedsores and editing

the operating table,



4. perform the technical handling of the operating table and lighting,



5. assist in reloading obvazových materials, scan hard bandages

the patient,



6. manipulate with medical technology.



(3) the orderly for laboratory and blood transfusion service performs activities in accordance with §

26 may



and) under the expert supervision of the medical worker is eligible to

the provision of laboratory diagnostic care without professional supervision, or

General nurses perform auxiliary and the activities necessary for the

provision of health care in the area of laboratories and blood transfusion devices

the service; in particular it may



1. take care of hygiene, environment,



2. perform the transport, sorting and centrifugation of biological and

medical supplies, distribution of laboratory results, to cater to the

errands for the needs of the workplace and patients,



3. perform the manipulation with the laundry, including disinfection and transport,



4. manipulate the pressure vessels,



5. to prepare medical supplies needed for subscriptions and more

processing of biological material,



6. check the temperature of the cooling and freezing equipment,



7. dispose of biological material and contaminated supplies in

accordance with the legislation,



8. in the extent of its competence to carry out activities in the taking,

control, handling of medicinal products save ^ 10),



9. the extent of its competence to carry out activities in the taking,


check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks;



(b)) under the direct guidance of a healthcare professional qualified to

the provision of nursing care without professional supervision assists with

Nursing procedures in the field of blood stations and to the extent specified

General nurse fulfils the nursing plan; in particular it may



1. carry out ancillary activities when registering donors and collection and marking

samples,



2. when taking care of the donor.



(4) the orderly for the pharmacy carries out activities pursuant to section 26 and

Additionally, you may



and) under the expert supervision of the medical worker is eligible to

the provision of pharmaceutical care without professional supervision to perform auxiliary and

the activities necessary for the activity of Pharmacy; in doing so,

in particular it may



1. ensure comprehensive hygiene of the work environment, including

environment for the aseptic preparation,



2. have, disinfect and sterilize laboratory glassware, utensils and packaging

material,



3. ensure the transport of medical equipment to cater to errands

for the needs of pharmacies or dispensaries of medical devices;



(b)) under the direct guidance of a healthcare professional qualified to

the provision of pharmaceutical care without professional supervision



1. assist in the acceptance, storage, labelling of medicines and medical

resources,



2. to carry out ancillary activities in the preparation of medicinal products,

zkoumadel and in vitro diagnostic medical devices.



(5) the orderly for spa and medical rehabilitation activities under section

26 may



and) under supervision of an occupational therapist, physical therapist, or other

healthcare professional qualified to do without

professional supervision to perform auxiliary and the activities necessary for the

the provision of this care; in particular it may



1. take care of hygiene, environment,



2. ensure the transport of medical supplies, to cater to the need to

errands,



3. perform the manipulation with the laundry, including disinfection and transport,



4. follow and carry adult patients for examination and treatment,



5. perform the technical handling of beds and other assistive devices

for spa and rehabilitation care,



6. the extent of its competence to carry out activities in the taking,

control, handling and storage of medicinal products ^ 10),



7. in the extent of its competence to carry out activities in the taking,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks;



(b)) under the direct guidance of an occupational therapist, physical therapist, or other

healthcare professional qualified to do without

mentorship to assist in physiotherapy and

Yet, there are performances; in particular it may



1. assist in the positioning and handling of patients,



2. prepare and administer therapeutic wraps,



3. to assist in the vocational



4. prepare and administer partial and total baths, including

přísadových, and perform basic hydrotherapeutic procedures.



(6) for the autoptické Department, or emergency medical technician emergency medical technician for the autopsy shall exercise

activities pursuant to section 26 and on may



and) under the expert supervision of the medical worker eligible for the performance

the profession without professional supervision to perform auxiliary and the activity on the

Department of Pathology; in particular it may



1. take care of hygiene, environment,



2. ensure the transport of biological and medical materials,

to cater for the needs of the Department, errands



3. perform the manipulation with the laundry, including disinfection and transport,



4. prepare the body of the dead for autopsy after autopsy edited the body

the dead and dress them up for the transmission of the funeral service,



5. prepare tools, gloves and container material and

Basic fastening solutions



6. the extent of its competence to carry out activities in the taking,

check and save medical resources ^ 11) and laundry, handling of

them, their disinfection and sterilization and ensure their adequate

stocks;



(b)) under the direct guidance of a healthcare professional qualified to

Spa and rehabilitation care provision without professional supervision

assist in specialized procedures in the field of Pathology; in particular

can



1. to assist in the performance of autopsies and remove the bodies,



2. the extent of its competence to carry out actions when recording

the bodies of the dead, their clothes and valuables and documentation on contact with

the burial service.



PART THREE



THE ACTIVITY OF OTHER PROFESSIONAL STAFF



§ 44



Action by another practitioner with professional qualification



Another specialist ^ 26) referred to in sections 45 to 53 under expert supervision

or the direct guidance of a healthcare professional qualified to provide

health care carries out activities that are directly associated with the provision of

health care, in the scope of their competence; Professional range

eligibility is apparent from the content of the study programme; in doing so,

in particular, the



and) ensure compliance with sanitary-epidemiological mode in accordance with the

laws and regulations governing the protection of public health ^ 6)



(b)) leads the medical documentation and other documentation resulting from the

other legislation ^ 7) in a range of activities to which it is eligible,

working with the information system of medical equipment,



(c)) involved in practical teaching in the fields of study to obtain the

eligibility for the medical profession carried out Middle

schools and higher vocational schools, in accredited medical

study programs to obtain the competence to perform the medical

occupations carried out by universities in the Czech Republic and in the

educational programs accredited qualification courses, participates in

the research and implementation of new methods.



§ 45



Graduates of the field of Psychology jednooborového

(psychologist)



Graduate of an accredited master's degree course jednooborového

programme in the field of Psychology (psychologist) a master's

jednooborového of the field of Psychology (psychologist)

the activities referred to in section 44 and 23.



§ 46



A graduate of the master of the field of special education, State

an examination of speech therapy and surdopedie (speech therapist)



A graduate of the master of the field of special education, State

an examination of speech therapy and surdopedie (speech therapist) carries out activities referred to in

§ 44 and under supervision of the clinical therapist may



and) perform basic diagnostic procedures in the field of speech therapy,



(b)) to perform a treatment, rehabilitation and reeducation of faults and defects, hearing and speech

the voice,



(c)) to the extent of its competence to carry out activities in

the provision of health care for children and adults with disabilities and disorders

Media process



(d)) to the extent of its competence to carry out activities in

dispenzarizaci patients with disorders of hearing and speech defects, and voice,



(e)) in the scope of its competence to carry out activities in the medical

activity.



§ 47



A graduate of the master of the field of special education, State

an examination of the oftalmopedie or tyflopedie (oftalmoped)



A graduate of the master of the field of special education, State

an examination of the oftalmopedie or tyflopedie (oftalmoped) carries out activities

referred to in section 44 and under the direct guidance of the optic of the therapist may

perform



and) basic diagnostic procedures in the field of Visual therapy,



(b)) treatment and rehabilitation of failures and defects of vision, and that stimulation of the vision,

exercise of Visual skills and training compensation techniques in

hard to fault Visual features.



§ 48



Graduates of a physical focus



Graduates of a physical focus of the exercises

the activities referred to in section 44 and on activities in the field of radiation protection in

the scope of their competence and to the extent determined by a healthcare

Professional with specialized competences in this field.



§ 49



Graduates science focus



Graduate studies jednooborového science focus exercises

the activities referred to in section 44 and on activities in the field of laboratory

Diagnostics in the scope of their competence and to the extent determined

health care professional with specialized competences in this

the section.



§ 50



Graduates of the engineering focus



Graduates of the engineering focus of exercises

the activities referred to in section 44 and further activities in the field of instrumentation

Diagnostics in the scope of its competence and to the extent determined

health care professional with specialized competences in this

the section.



§ 51



Graduates of social focus (social worker)



(1) graduates of the social (social worker)

carries out activities referred to in section 44 and on activities in the field of social care

in the scope of their competence and to the extent determined by a healthcare

Professional with specialized competences in this field. In doing so,

in particular it may



and an assessment of the situation) to carry out the patient



(b)) to perform a socio-legal counselling,




(c)) to carry out in cooperation with a health care professional social

measures or psychosocial intervention to the life situation of the patient.



§ 52



Graduate of an accredited qualifying course in the field of art therapy after

completion of study of a higher or university teaching,

social, medical, psychological or artistic focus

(art therapist)



Graduate of an accredited qualifying course in the field of art therapy after

completion of study of a higher or university teaching,

social, medical, psychological or artistic focus

(art therapist) carries out activities referred to in section 44 and can



and carry out the activities of the art therapy) for the treatment of,



(b)), to assess and interpret the results of art therapy,



(c) introduce new methods of art therapy).



§ 53



Graduate of an accredited qualifying course in the field of occupational therapy

After obtaining secondary education, secondary education, re-training or with

secondary education with the GCSE (a therapist)



Graduate of an accredited qualifying course in the field of occupational therapy

After obtaining secondary education, secondary education, re-training or with

secondary education with the GCSE (a therapist)

the activities referred to in section 44 and can



and perform work in the therapy) for the treatment of,



(b)), to assess and interpret the results of work therapy,



(c) introduce new working methods) therapy and to pursue activities in the field of

occupational therapy in the performance of craft activities with the aim to create,

to consolidate and deepen the integration into society and strengthen the

self-sufficiency and interaction in the context of treatment.



PART FOUR



THE ACTIVITIES OF THE HEALTH CARE WORKERS AFTER OBTAINING SPECIALIZED

The ELIGIBILITY of the



TITLE I OF THE



GENERAL NURSE WITH SPECIALISED COMPETENCE



§ 54



The activities of specialised competences General nurses



General nurse referred to in sections 55 to 67 after getting specialized

of competence carries out activities pursuant to § 4 and without professional supervision, and

no indication provides and organises the nursing care, including high

specialized nursing care in field of specialization, or

focus. In particular it may



and) without professional supervision and without indication



1. the patient or other person in specialised

Nursing procedures and prepare information material for them,



2. monitor and evaluate the status of patients in terms of the possibility of

complications and sudden events, and to participate in their resolution



3. to coordinate the work of the members of the nursing team in their area

specialization,



4. evaluate the quality of nursing care,



5. carry out nursing research, in particular to identify areas

research activities, implement research activities and to create conditions for

application of the results of research into clinical practice on your own workplace and in

the scope,



6. prepare standards of specialized procedures to the extent of their

eligibility,



7. conduct specialized training in the field of their specialization;



(b) on the basis of the doctor's indications)



1. make the preparation of patients for specialized diagnostic and treatment

procedures, to accompany them and assist during the performances, watch them and

treat after the performance,



2. the patient or other person in specialised

diagnostic and treatment procedures.



section 55



Intensive care nurse



(1) the nurse in the intensive care Department of Anaesthesiology and reanimation,

intensive care and acute I accept performs activities according to section 54 in

the provision of nursing care for elder patient 10 years for which

experiencing failure of vital functions or this failure threatens.

In particular it may



and) without professional supervision and without indications of a doctor



1. track and analyze data about the State of health of the patient, evaluate

physiological function, analyze the curve of the electrocardiogram, evaluate

the severity of the condition,



2. initiate and perform cardiopulmonary resuscitation, ensuring

the Airways and with the use of available technical equipment, including

defibrillation of the heart electrical discharge after making record

an electrocardiogram,



3. take care of the patient's airway and artificial pulmonary ventilation

including dust extraction from the lower respiratory tract, perform the tracheobronchial

cleansing treatment in a patient with inhalation, detention



4. ensure the readiness of the site, including functionality

Special instrumentation and material equipment; monitor and

analyse data on special instrumentation technology, recognizing

technical challenges and address them;



(b)) without professional supervision on the basis of the indications of a doctor



1. perform the measurement and analysis of physiological functions of the patient

specialized procedures using instrumentation, including the use of

invasive methods



2. perform the catheterization of the urinary bladder of men,



3. introduce the gastric and duodenal probe the patient unconscious,



4. perform gastric lavage, the patient maintains respiratory

paths,



5. to conduct activities in a patient with acute and chronic failure

the kidneys, which requires treatment available očišťovacími methods of blood,



6. to conduct activities in connection with the long-term artificial lung

ventilation in the home care, including guidance on the use of equipment and operating instructions

medical devices designated by the patient and the people,



7. engage in activities associated with the preparation, course and termination

application of methods of treatment, pain



8. to conduct activities in preparing, during and immediately after the

the end of all the ways the overall and local anesthesia,



9. perform the puncture artery for single cannulation of blood donation and to

invasive monitoring of blood pressure, with the exception of the artery femoralis;



(c)) under the expert supervision of a doctor



1. apply blood preparations ^ 14) and pressurized volume compensation



2. perform the extubaci tracheal cannula



3. perform external pacing.



(2) intensive care Nurse within pre-hospital urgent care,

including air rescue services, provides a specific nursing

care and emergency diagnostic and therapeutic care under section 17.



§ 56



Sister for Perioperative care



Sister for Perioperative care carries out activities pursuant to § 54 of

the patients before, during and immediately after the operating performance, including

invasive intervention, and diagnostic procedures. In particular it may



and) without professional supervision and without indication



1. prepare a tool box, medical devices and other needed

material and equipment before, during and after operating performance,



2. perform a specialized sterilization and disinfection procedures,



3. to ensure the handling of operating tables, and pressure

containers,



4. perform surgical antisepsis for patients



5. to carry out, in cooperation with the doctor-surgeon before and

the termination of each operation the numerical control tools and used

material, to ensure the readiness of the workplace to standard and

special operating performance;



(b)) without professional supervision on the basis of the indications of a doctor



1. provide the location and the fixation of the patient on the operating table before,

during and after operating performance, including the prevention of complications of

immobilization,



2. perform the is patients,



3. the instrument when operating procedures.



§ 57



Baby sister



Pediatric Nurse carries out activities under section 54 in the provision of

nursing care of the healthy and the sick child, for which there is no

the failure of vital functions or this failure, or

that does not have mental health disorders that require constant supervision or

use restrictive devices because of the threat to life or health

of the child or its surroundings. Additionally, you may



and) without professional supervision and without indications of a doctor



1. to carry out the first treatment of the newborn, including any begin

resuscitation, to safeguard the environment and monitor termoneutrální

seamless postnatal adaptation,



2. to carry out the activities of the specialized nursing care provided by

a child in a home environment and during hospitalization, to exercise visitation

service, work with a physical therapist, nutrition therapist,

clinical psychologist or medical-social worker,



3. evaluate the educational, social and therapeutic environment in the

health and special children's establishments, to create a stimulating

environment for the healthy development of the child, keep track of psychomotor development

of the child, to develop the communication skills of the child,



4. to pursue the activities of a specialized nursing care provided by

a child who has a mental health disorder, but does not require permanent surveillance

or use restrictive devices because of the threat to the life or

the child's health or its surroundings,



5. to ensure the preventive and protiepidemiologická measures, including a plan

the compulsory vaccination,



6. to educate the parents or other legal representative of the child in the education and

nursing care of the child in the various development periods,

mainly in nutrition, including breastfeeding, hygiene and in the area of

screening and dispensary care;



(b)) without professional supervision on the basis of the indications of a doctor




1. to exercise the activities of preventive, diagnostic, therapeutic,

rehabilitation, emergency and dispensary care for the child,



2. apply the infusion solutions and intravenous drugs with the exception of

radiopharmaceuticals,



3. perform gastric lavage for the child is conscious,



4. introduce the gastric and duodenal probe in a child is conscious,



5. perform the catheterization of the urinary bladder.



§ 58



Pediatric nurse for intensive care



Pediatric nurse for intensive care carries out activities pursuant to section 54, 55 and 57

in providing nursing care to a child, in which experiencing

the failure of vital functions or this failure threatens.



§ 59



Community nurse



Community Nurse carries out activities under section 54 in the provision of primary

care, integrated care and preventative nursing care-focused

individuals and groups of people in their own social environment; This

the Group may be defined, in particular, the common socio-cultural

the environment, territory, age, health status or risk factors;

in particular it may



and) without professional supervision and without indication



1. to comprehensively analyze the health and social situation of the individual in

their own social environment or group of citizens in terms of the coordination of

provided by the health and social care, all appropriate equipment

health and social care and coordinate integrated care provided,



2. to comprehensively analyze the health and social situation of patients and people

the nearby for the nursing care, implement advice for

a group of citizens in cooperation with the responsible authorities;



(b)) without professional supervision on the basis of the indications of a doctor or specialist

a worker in the protection and promotion of public health



1. in the scope of their competence to undertake reviews

health risks for individuals in their own social environment or

a group of citizens and build priority when their solutions on the basis of

epidemiological and statistical data and the results of research,



2. to prepare and organize preventive examinations, examination and

vaccination.



section 60



Nurse for care in internal medicine



Nurse for care in internal medicine exercises in an adult patient

activities referred to in section 54, and you may also



and) without professional supervision and without indications of a doctor



1. to exercise the activities of specialized and highly specialized

nursing care for a patient with diseases of internal organs, including

preparing for his return to his own social environment,



2. to carry out the activities of the specialized and highly specialized

nursing care in patients with diseases of the internal organs aimed

to strengthen and maintain self-sufficiency and mental ability in a patient with

taking into account his age, through targeted activities,



3. to provide palliative care to search for the current needs of the patient and the

coordinate teamwork in the care of the patient in the terminal stage,



4. to carry out preventive and protiepidemiologická measures in patients with

diseases of internal organs,



5. educate the patient and by the designated person in the areas of prevention

diseases, work with a physical therapist, nutrition

therapist and health-social worker,



6. to perform advisory and dispensary action aimed at the issue of

diseases of internal organs, indicate the medical devices



7. evaluate and treat chronic wounds, recommend suitable cover

materials;



(b)) without professional supervision on the basis of the indications of a doctor to provide

preventive, diagnostic, therapeutic, rehabilitative, urgent and

dispensary care for a patient with diseases of internal organs.



§ 61



Nurse for care in the surgical disciplines



Nurse for care in the surgical disciplines is exercised in an adult patient

activities referred to in section 54, and you may also



and) without professional supervision and without indications of a doctor



1. to exercise the activities of specialized and highly specialized

nursing care for a patient with a disease requiring surgery

treatment, including the preparation for the return to their own social environment,



2. to carry out the activities of the specialized and highly specialized

nursing care for a patient with a disease requiring surgery

treatment aimed at strengthening and maintaining self-sufficiency, mental skills

taking into account his age, through targeted activities,



3. to provide palliative care to search for the current needs of the patient and the

coordinate teamwork in the care of the patient in the terminal stage,



4. to carry out preventive and protiepidemiologická measures in patients with

diseases requiring surgical treatment,



5. educate the patient and by the designated person in the areas of prevention and

treatment; in so doing, work with a physical therapist, nutrition

therapist and health-social worker,



6. to perform advisory and dispensary action aimed at the issue of

diseases requiring surgical treatment, indicate a medical

resources,



7. evaluate and treat chronic wounds and to recommend appropriate cover

materials;



(b)) without professional supervision on the basis of the indications of a doctor to provide

preventive, diagnostic, therapeutic, rehabilitative, urgent and

dispensary care for a patient with a disease requiring surgery

treatment.



§ 62



Audiological nurse



Audiological Nurse carries out activities under section 54 in Audiology. In doing so,

can



and) without professional supervision and without indications of a doctor



1. to monitor and evaluate the current state of a patient with hearing loss or

hearing impairment in terms of objectivity of examination,



2. carry out indicative auditory, speech and a loud whisper, by using the

tuning forks,



3. register and control the service and maintenance of audiometric

medical devices,



4. provide advice in the field of prevention of hearing disorders

particular with regard to the impact of noise on the hearing,



5. the patient in the use of hearing aids, auditory prostheses

and hearing aids;



(b)) without professional supervision on the basis of the indications of a doctor



1. perform specialized diagnostic procedures including hearing

objective methods of hearing,



2. perform instrument examination of the vestibular apparatus.



§ 63



Sister for nuclear medicine



Nuclear medicine the nurse carries out activities under section 54 in

connection with the application of medical exposure in the field of nuclear medicine.

In particular it may



and) without professional supervision and without indication



1. monitor the health and psychological status of patients before, during and after

application design of the radiopharmaceutical or radiological examination, follow

the local and the overall changes,



2. use the device for static and dynamic studies, single photon

the emission computer tomography (SPECT) and Positron Emission Tomography

(PET), and prepare records of the examination for evaluation by a doctor,



3. inform patients of the risks undertaken by the professional performance,

medical exposure and related practices to reduce them;



(b)) on the basis of the request indicating the doctor and the doctor's indication, that is

practitioner, in accordance with the principles of radiation protection to carry out

practical part an individual medical exposure,



1. edit the prepared radiopharmaceutical according to the required activities to direct

application, including the provision of additional activities related to their

the use, in particular the disposal of residues and decontamination of the site,



2. apply the radiopharmaceuticals to patients



3. collaborate with the physician when performing diagnostic methods including

acquisition and basic data analysis of individual examinations and the treatment

by using open the radiators, and takes over for her clinical responsibilities;



(c)) under the expert supervision of a doctor to assist in specialized

radiological procedures that are challenging in terms of speed

capture any derogations from the standards, or when you use the methods that

they are not part of the normal procedures;



(d)) under the expert supervision of radiation physics or other supervising

person ^ 27) pursue activities related to ensuring radiation protection

and quality assurance.



§ 64



Nurse for care in Psychiatry



Nurse for care in Psychiatry carries out activities under section 54 in

the provision of nursing care of a patient who has a pathological changes

psychological condition. Additionally, you may



and) without professional supervision and without indications of a doctor



1. to perform consulting work on prevention of mental disorders

health and in the field of resocialization,



2. to coordinate cooperation between the constitutional health establishments and

field services, actively work with the persons designated by the patient,

together to create conditions for the return of the patient's own social

environment,



3. to monitor the patient's behaviour in terms of the timely capture of incoming

the crisis,



4. to assist the patient's adaptation to the changed living conditions and promote

the preservation of the physical, cognitive and psychological functions through

targeted activities



5. perform psychotherapeutic support



6. in the scope of their specialized qualifications to pursue activities in

inclusion of a patient with a mental health disorder to a custom

social environment;



(b)) without professional supervision on the basis of the indications of a doctor



1. carry out the guestbook service, and provide nursing care in the

their own social environment of the patient,




2. to provide nursing care to a patient who has a pathological

changes in mental state, requiring surveillance or the use of

limiting the funds because of the threat to the life or health of the patient

or its surroundings,



3. monitor compliance with the treatment regimen of a patient, evaluate signs

worsening of the disease, to assess whether the patient is not dangerous in itself

or their surroundings, and



4. inform the doctor, to ensure, where appropriate, the necessary measures for the

patient safety and its surroundings;



(c)) under the expert supervision of a physician with specialized competences in the field

Psychiatry or clinical psychologist



1. to the extent of their specialized qualifications to pursue activities in

crisis intervention,



2. to the extent of their specialized qualifications to pursue activities in

the provision of psychological assistance to the family,



3. use auxiliary psychotherapeutic techniques including individual

design interviews



4. provide psychotherapy isolation mode.



§ 65



Sister for study-medical care



Sister for study-medical care carries out activities under section 54 in

connection with the provision of occupational medical care. In doing so, without

professional supervision on the basis of the indications of a physician specialist

competences in the field of occupational medicine may



and risk factors) to identify working conditions, evaluate

health risks at work and evaluate the quality of the work environment and

working conditions in terms of physical and mental stress, perform

advice in relation to healthy working conditions and the protection of the health and

safety at work,



(b)) to perform the supervision of health workers,



(c)) within their specialized qualifications to undertake reviews

the State of health of workers,



(d)) to perform a consultancy requirements of ergonomics and hygiene of work,



(e) to prepare and implement projects), health promotion in relation to

working conditions,



(f)) in the range of their specialized qualifications to carry out prevention

diseases arising in connection with the performance of work, prepare and

organize preventive examination, inviting patients to the control

the examination,



(g) to carry out the education of workers) in the scope of their specialized

competence to ensure the education and training of workers in particular in

health and safety at work, including training in the provision of

first aid,



(h)) to monitor the incapacity of workers to organize and

administratively to provide dispensary care.



§ 66



Nurse for blood transfusion service



Sister for the transfusion service performs activities according to section 54 in the field

blood transfusion service and may



and) without professional supervision and indications of a doctor



1. inform the blood donor or patients about possible side effects

for the collection of whole blood or its components, the case of autologous

subscriptions aferetických subscriptions, medical plazmafereze and their

prevention,



2. evaluate the quality of the venous entry for extracorporeal circulation,



3. prepare special medical equipment to individual

aferetickým subscriptions,



4. to monitor, document, and analyze the data obtained during the separation and

after separation,



5. recognize recurring technical complications, perform venipuncture and

Exchange of the device in the emergence of sudden severe technical complications during

separation of blood elements,



6. close the separation and evaluate the status of the clients immediately after their

separation, care for venous entry after separation;



(b)) without professional supervision on the basis of the indications of a doctor



1. preparing equipment and patients before the introduction of venous catheter for

aferetický subscription



2. perform venipuncture and patients on extracorporeal circulation including

subscriptions required samples for mandatory examinations,



3. the administering anticoagulant solutions and other drugs into a vein by type

of Apheresis collection,



4. carry out the enter parameters using the hemokalkulátoru for each

Apheresis donations,



5. carry out special subscriptions on separátorech blood elements according to the

the requirements of the clinical departments, in particular the separation of peripheral blood stem

cells and granulocytes;



(c)) under the expert supervision of a pharmacist or other qualified persons

responsible for the production of medicines in accordance with the legal rules relating to the research,

the production and management of drugs ^ 28) to pursue, within the specialized

eligibility of activities in the production of blood preparations ^ 13) in

compliance with the principles of good manufacturing practice ^ 29), and in particular in obtaining

blood and its components, processing, labelling, inspection,

storage, packing, transport and delivery and in the management of the documentation on these

activities.



§ 67



Sister for clinical perfuziologii



Sister for clinical perfuziologii carries out activities under section 54 in

connection with the management of the bypass. In doing so, without professional supervision

on the basis of the indications of a physician may



and) to drive the extracorporeal circulation open heart operations, it is

aseptically prepare the circuit for extracorporeal circulation, choose the appropriate type of

an Oxygenator of blood and the size of the kanyl for the calculated minute blood flow,

perform the filling of the circuit for extracorporeal circulation, blood replacement solutions

derivatives and medicaments and odvzdušňovat it, check the

enough blood anticoagulation before and during bypass,

secure, controlled hemodiluci, systemic perfusion and blood Exchange

gas control body temperature, including hypothermia, carry out activities

associated with the adjustment of the internal environment of the patient and blood

pressure,



(b) apply blood derivatives) ^ 12), use autotransfuzní systems,



(c)) to perform hemofiltraci and modified hemofiltraci in vitro

circulation, or hemodiafiltraci,



(d)) apply medicines to the discontinued



(e)), in conjunction with the doctor-surgeon, and in accordance with the course of the operating

performance apply blood hyperkalemickou kardioplegii to the root of the aorta,

where appropriate, targeted to the coronary arteries using blood pumps,



(f) provide supportive technically circulation) in heart failure or

support extracorporeal circulation with a membrane oxygenací (ECMO) in the fail

the heart and lungs,



g) use driver support systems (for example, a failing circulation

counterpulsation, univentrikulární and biventrikulární mechanical heart

support),



h) drive support extracorporeal circulation and warming up when this condition akcidentální

in the context of resuscitation circulation,



I) use when discontinued operating systems performance and

other medical acts that require extracorporeal circulation



j) technically secure, isolated limb perfusion hyperthermia

cytostatic agents.



TITLE II



THE MIDWIFE WITH SPECIALISED COMPETENCE



§ 68



The activities of a midwife with specialised competence



The midwife referred to in sections 69 to 72 after obtaining specialized

of competence carries out activities pursuant to section 5 and 54 in midwifery

and their specialization.



§ 69



Midwife for Perioperative care



Midwife for Perioperative care carries out activities pursuant to section 68

When caring for patients in the gynaecology and obstetrics before, during

and immediately after the operating performance. While the nurses carries out activities

for Perioperative care under section 56.



section 70



Midwife for intensive care



Midwife for intensive care carries out activities pursuant to section 68 in

the provision of nursing care in obstetrics and

obstetrics, in which experiencing failure of vital functions or

This failure is a risk, and in the field of Neonatology and may



and) without professional supervision and without indications of a doctor



1. to pursue the activities of a highly specialized nursing care

with a sudden event at the gynaecology and assisted reproduction, and before,

during and after the invasive procedures, before and after operating procedures,

including the prevention and detection of complications,



2. to pursue the activities of a highly specialized nursing care

with risk and pathological pregnancy progress with regard to the associated

diseases of women with its potential effects on the fetus, including sudden events

obstetrics,



3. care for a woman with odumřelým fruit in the higher level of pregnancy, with

interrupted pregnancy over 12. week from the genetic or health

indication of the women in all of the days, including monitoring and

evaluation of the risks involved,



4. to pursue the activities of a highly specialized nursing care

pathological newborn, including the first treatment of the pathological

newborn, provide termoneutrální environment and monitor postpartum

adaptation,



5. track and analyze the data on women's health, the fetus,

pathological newborn, especially their physiological function,

indicative rate curve of an electrocardiogram, kardiotokogram,

assess the severity of the condition,



6. perform cardiopulmonary resuscitation, including defibrillation

an electric discharge after making record an electrocardiogram with

automatic evaluation of rhythm,



7. take care of your respiratory tract women, newborn respiratory detention

roads and when artificial pulmonary ventilation, including dust extraction from the lower respiratory

tract, including endobronchial washings carried out in women with tracheal intubation

or with the tracheotomií, to prevent potential complications, detect,




8. take care of stoma women, possibly a newborn, including education in the care of

Stoma;



(b)) without professional supervision on the basis of the indications of a doctor



1. performed for women, or in the newborn, measurement and analysis

the physiological functions of specialized procedures by using instrumentation

techniques, including the use of invasive methods



2. ensure airway women using available

technical equipment,



3. introduce the gastric probe a woman or newborn babies and care for them,



4. perform for women and newborn activities associated with the preparation,

and the termination of treatment methods, including evaluation of pain intensity and control

pain,



5. perform the doctor indicated examination in the newborn and indicative

assess the basic pathological findings,



6. perform the catheterization of the newborn female sex;



(c)) under the expert supervision of a doctor



1. perform venipuncture, including the introduction of peripheral venous kanyl

newborns,



2. apply blood preparations ^ 13) wife and newborn infants,



3. perform the airway in the newborn by using available

technical equipment,



4. perform the extubaci tracheal cannula for women and newborns;



(d)) under the direct guidance of a doctor to assist in human umbilical vein catheterization

in the newborn.



§ 71



Midwife for intensive care in neonatology



Midwife for intensive care in neonatology performs activities

pursuant to section 68 in the care of newborns and infants, in which experiencing

the failure of vital functions or this failure risk, including

premature infants, yet sisters children carries out activities pursuant to section 70

(a). and) point 4.



§ 72



Midwife for community care



(1) the midwife for community care carries out activities pursuant to section 68

in the provision of primary care, integrated care and preventive aimed

nursing care of women, newborns and their families and groups

people in their own social environment; This group can be defined

in particular, the common socio-cultural environment, territory, age,

condition or risk factors. In particular it may



and) without professional supervision and without indication



1. to comprehensively analyze the health and social situation of women, infants and

their families in terms of the coordination provided by the health and social

care in the field of care for the woman and child and to cooperate with the responsible authorities,



2. to evaluate the health risks of a group of people in terms of reproductive

the health of women and newborns, and to participate in the extent of its specialized

eligibility for the drawing up of priorities to resolve them on the basis of

epidemiological and statistical data and the results of research, prepare and

implement projects to support women's health,



3. carry out consultancy in the area of reproductive health and

family planning, sexually transmitted diseases, epidemiological

protection and sexual abuse;



(b)) without professional supervision on the basis of the indications of a doctor or specialist

a worker in the protection and promotion of public health



1. to provide and to work together to create a safe and appropriate

environment and the Elimination of the existing risks in terms of reproductive

health and the health of women and newborns,



2. to provide targeted prevention programs, including the provision of screening;



(c)) without professional supervision on the basis of the indications of a doctor with a specialization in

the field of gynaecology and obstetrics to perform an ultrasound scan of the fetus.



TITLE III



AN OCCUPATIONAL THERAPIST WITH SPECIALIZED COMPETENCES



section 73



Activities of an occupational therapist with specialized competences



Occupational therapist referred to in § 74 to 79 after obtaining specialized

of competence carries out activities in accordance with § 6, and provides and organises

rehabilitation care in the field of occupational therapy (hereinafter referred to as "specialized

ergoterapeutická care "). In particular it may



and) without professional supervision and without indication



1. prepare information materials for patients



2. Design physicians changes leading to advanced practices in accordance with the

client status and its changes



3. to monitor and assess status of patients in terms of the possibility of

complications and sudden events,



4. perform evaluation and training of normal daily activities (ADL) in the

Hospital and in their own social environment with the use of

specialized diagnostic and therapeutic procedures,



5. recommend and carry out training in the use of compensatory and

technical AIDS,



6. recommend editing your own social environment and labour

environment,



7. the patient, or a person designated by them, in specialised

Yet, there are procedures



8. instruct medical personnel in specialised

Yet, there are procedures



9. evaluate the quality of care provided by ergoterapeutické



10. identify the activities requiring a change in ergoterapeutické care

the procedure to carry out research aimed at uncovering the causes of the deficiencies in the

occupational therapy,



11. creating the conditions for the application of research results into clinical practice



12. suggest changes leading to advanced practices in accordance with functional

client status and its changes



13. prepare standards of specialized procedures to the extent of their

eligibility,



14. conduct specialized training in the field of their specialization;



(b)) without professional supervision on the basis of the indications of a doctor to perform

specialized ergoterapeutické procedures in the context of medical rehabilitation.



§ 74



An occupational therapist for children



An occupational therapist for children carries out activities under section 73, and also provides

specialized ergoterapeutickou care, especially with mental,

natural or simultaneous disabilities more defects with regard to the

the actual state of mental and physical development in relation to development,

that should a child with regard to your biological age, and further to the

kind, degree and extent of disability. Furthermore, without professional supervision, and

indication of a doctor can



and evaluate the level of psychomotor development) of the child and to diagnose

problems in the performance of activities of daily life, locomotion, cognitive function,

communication and social skills of the child,



(b) apply specialized methodology) concepts and ergoterapeutické

procedures,



(c)), within the specialized competence to carry out activities in

orofacial therapy with the aim of strengthening the fundamental and vital security

functions such as breathing, swallowing, receipt and processing of food, excretion,

dysfágií therapy, induction and training of language and communication

skills of the child,



(d)) in newborns and infants to teach parents the correct positioning and

handling when performing activities of daily life, breastfeeding, carrying

of the child or the game with him,



(e) to propose modifications to the domestic environment) and to recommend positioning

AIDS, toys and other AIDS for the development of sensorimotor and

psychomotor skills and sebeobslužných activities of the child under

the development of the child's age,



(f)) in the range of their specialized qualifications to pursue activities in

the prevention of contractures and correction of the functional status of the upper extremities,

the manufacture or application of thermoplastic splints for the correction of the correct

the functional position of the hand and the prevention of contractures,



g) for children of pre-school and school age to provide ergonomic

advice and including the preparation of the child for school,



h) implement measures leading to the integration of children into the natural

social environment, promote family integration and maximum

the development of the child.



§ 75



An occupational therapist for adults



An occupational therapist for adults carries out activities under section 73, and provides

specialist ergoterapeutickou care for adult patients with

pathological change of mental status, with neurological,

traumatologickým, orthopaedic and revmatologickým disabilities, while

taking into account their biological age and degree of functional limitation. Furthermore, without

professional supervision and without indications of a physician may



and perform specialized ergoterapeutické examination) aimed at

the evaluation of disorders of body functions and structures, constraints in the field of the common

daily activities using specific assessment tools,



(b) apply the specialized ergoterapeutické procedures),



(c)) to perform the evaluation and training in work skills with regard to the

the nature of mental illness, the current health status and age of the patient,



(d)) to maintain movement abilities of patients, taking into account their

biological age and degree of functional limitation,



(e) to assist the adaptation of patients to) the changed living conditions and promote

the preservation of the physical, cognitive and psychological functions through

targeted activities



f) measures leading to obtain or maintain the highest level of

self-sufficiency, functional capacity and integration into the natural social and

work environment with an emphasis on the preservation of the quality of life of the patient,



(g) ensure the creation, coordination) and implementation of the long-term programme

treatment and rehabilitation of people with psychiatric illness, mental

disabilities, people dependent on addictive substances, a patient with

eating disorders,



h) apply specialized methodology and concepts,



I apply a specific ergoterapeutické techniques) aimed at reducing the

pain,



j) cooperate in the production and application of thermoplastic or other splints

for the correction of the correct functioning position hand grips, including


Repeat with the patient using special prostheses and braces for the top and

the lower limb,



k) for persons with neurological disabilities within their specialized

competence to carry out activities in the orofacial therapy, therapy

dysfágií and correction of patient communication skills,



l) in a patient with neurological disabilities perform cognitive

rehabilitation through yet, activities or

through the use of specific computer programs,



m) to educate the patient about the preventive measures from further damage.



§ 76



An occupational therapist for Geriatrics



An occupational therapist for Geriatrics performs activities according to section 73, and provides

specialized ergoterapeutickou care in geriatrics. In doing so, without

professional supervision and without indications, in particular, may



and implement measures to) maintain the highest level of

self-sufficiency and integration into the natural social environment,



(b)) to maintain movement abilities of patients, taking into account their

biological age and degree of functional limitation,



(c) to assist the adaptation of patients to) the changed living conditions and promote

the preservation of the physical, cognitive and psychological functions through

targeted activities.



§ 77



An occupational therapist for Psychiatry



An occupational therapist for Psychiatry carries out activities under section 73, and provides

specialized care ergoterapeutickou the mentally ill and the mentally

the affected. In particular it may



and) without professional supervision and without indication



1. implement measures to maintain the highest level of

self-sufficiency and integration into the natural social and labour

environment,



2. conduct training and job skills training,



3. carry out occupational therapy with the help of the fitness movement games and creative

activities,



4. in the scope of their specialized qualifications to pursue activities in

the long program, treatment of drug addicts;



(b)) without professional supervision on the basis of the indications, clinical psychologist

the clinical therapist or doctor to carry out training in cognitive function,

social and communication skills through targeted activities.



§ 78



An occupational therapist for Neurology



An occupational therapist for Neurology performs activities according to section 73, and provides

specialized care for neurologically sick and ergoterapeutickou

patients after injuries of the nervous system. In particular it may



and) without professional supervision and without indication



1. implement measures to maintain the highest level of

self-sufficiency and integration into the natural social environment,



2. to facilitate adaptation to the changed conditions of life,



3. perform ergoterapeutické procedures, focusing on the training of fine and

gross motor skills, senzomotoriky and training skills;



(b)) without professional supervision on the basis of the indications, clinical psychologist

the clinical therapist or doctor to carry out training in cognitive function,

social and communication skills through targeted activities.



§ 79



An occupational therapist for Traumatology, orthopedics and Rheumatology



An occupational therapist for Traumatology, orthopedics and Rheumatology exercises

activities under section 73, and provides specialised care ergoterapeutickou

patients in the fields of Traumatology, orthopedics and Rheumatology. In doing so, without

professional supervision and without indications, in particular, may



and determine, on the basis of functional) examination of appropriate methodological procedures and

implement measures to maintain the highest level of self-sufficiency,



(b)) to assist adaptation to the changed conditions of life,



(c)) the patient in the field of prevention of further damage.



TITLE IV



MEDICAL LABORATORY WITH SPECIALIZED COMPETENCES



§ 80



The activities of health lab technician with specialized competences



Medical laboratory as referred to in section 81 to 90 after obtaining specialized

eligibility of activities as referred to in section 8 and in cooperation with an expert

worker in laboratory methods provides and organises laboratory

activities in the framework of diagnostic care and the protection of public health,

including the planning, implementation and evaluation in the field of its

specialization (hereinafter referred to as "a specialized laboratory care"). In doing so,

in particular it may



and) without professional supervision and without indication



1. prepare information materials for patients and the persons designated by them,



2. collaborate with other health care professionals in ensuring

education in preparation for specialized diagnostic procedures, in particular

to provide healthcare professionals, patients, or their designated

persons, technical information on the conditions for subscriptions of biological material

for cytological examination,



3. instruct the team members in the area of their specialization,



4. carry out the processing of biological material and the other investigated

materials specialist practices



5. perform individual calibration of laboratory instruments in the scope of their

specialization or focus and provide their exact documentation,



6. perform basic evaluation findings, in particular, whether they are identified

the results of physiological,



7. evaluate the quality of care provided by the laboratory, and it carried out

laboratory methods, the environment and the documentation, carry out verification

(validation) of the measured values, the



8. in the scope of their specialized qualifications to pursue activities in

research, in particular identifies the activities requiring a change in procedure,

to carry out research aimed at uncovering the causes of the deficiencies in the provided

care, to create conditions for application of the results of research into clinical practice

not only in their own workplace, but also in the context of the scope,



9. carry out a statistical evaluation,



10. prepare standards of specialized procedures to the extent of their

eligibility,



11. conduct specialized training in the field of their specialization,



(b)) without professional supervision on the basis of the indications of a doctor to perform

specialized diagnostic procedures in accordance with good laboratory

practice,



(c)) under the expert supervision of a physician or practitioner in the

laboratory methods with specialized competences in the field



1. to conduct blood tests in laboratory animals, prepare and test

specialized diagnostic procedures, perform experiments on laboratory

animals,



2. collaborate on the preventive activities of the workplace and the creation and maintenance of

the quality system of the laboratory, carry out internal and external quality control

laboratory tests,



3. to the extent of their specialized qualifications to pursue activities in

introduction, development and routine implementation of new specialised

laboratory and diagnostic procedures, including sampling, processing

samples for analysis and processing and evaluation of results.



§ 81



The medical laboratory for cytodiagnostiku



The medical laboratory for cytodiagnostiku performs activities according to section 80 in

the field of Cytology. In doing so, without professional supervision, on the basis of the indication

in particular, the doctor may carry out



and) the distinction of positive and negative findings,



b) screening at cytodiagnostice.



§ 82



The medical laboratory for Clinical Biochemistry



The medical laboratory for Clinical Biochemistry performs activities in accordance with § 80

in the field of biochemistry. Doing so without supervision and without indications, in particular

can work with challenging medical devices, such as

electrophoretic device, chromatograph, mass spectrometer,

Iontophoresis, and ensures their proper operation.



section 83



The medical laboratory for clinical haematology and blood transfusion service



The medical laboratory for clinical haematology and blood transfusion service

performs activities according to section 80 in the field of Hematology and the transfusion service.

In particular it may



and) without professional supervision and without indications of a doctor working with demanding

medical devices,



(b)) without professional supervision on the basis of the indications of a doctor



1. carry out an examination of all group systems in the field of all

blood and all of the elements of the systems of human serum, including specialized

imunohematologických procedures



2. perform specialized procedures to reduce the risk of transmission

infectious disease transfusion products by a doctor or specialist

worker in laboratory methods and more specialized procedures

According to the requirements of good manufacturing practice in blood transfusion services, devices



3. carry out highly specialized examination, and in particular the morphology,

coagulation, cytochemical, flowcytometrická, and molekulárněbiologické

methods,



(c)) under the expert supervision of a pharmacist or other qualified persons

responsible for the production of medicines in accordance with the legal rules relating to the research,

the production and management of drugs ^ 28) to work on the production of blood

preparations ^ 13) while respecting the principles of good manufacturing practice ^ 28)

in particular, in obtaining blood and its components, processing,

labelling, inspection, storage, packing, transporting and dispensing and

documentation of these activities.



§ 84



The medical laboratory for histology



The medical laboratory for histology performs activities according to section 80 in the field

histology; in particular, without professional supervision, on the basis of the indication

the doctor may



and histological preparations, manufacture)



(b)) to perform a specialized Histochemical, immunological, cytological,

neurohistopatologické staining and impregnation processes,



(c)) to handle biological material for the investigation of electron

microscopy and tissue and cell cultures,



(d)) to carry out special methods in molecular biology.



§ 85




The medical laboratory for Sexology and assisted reproduction



The medical laboratory for Sexology and assisted reproduction shall exercise

activities under section 80 in the field of Sexology, and assisted reproduction. Further

can



and) without professional supervision on the basis of the indications of a doctor in the field of Sexology

perform



1. cytological and biochemical examination of ejaculate, specialized



2. Cryopreservation of eggs and sperm,



3. function spermiologické tests,



4. falopletyzmografické and vulvopletyzmografické examination,



5. examination of semen analysis;



(b)) without professional supervision on the basis of the indications of the doctor in the obstetrics

perform



1. acts of assisted reproduction when working with oocytes, sperm and embryos,



2. examination of semen analysis,



3. function spermiologické tests,



4. assessment of sperm and their preparation for use in methods of assisted

the reproduction,



5. Cryopreservation of eggs and sperm;



(c)) under the expert supervision of a doctor or healthcare professional

eligible to provide specialised laboratory care without vocational

supervision to perform



1. Cryopreservation of embryos,



2. within the scope of its activities in specialized qualifications

micromanipulation with human embryos



3. extracorporeal fertilization.



§ 86



The medical laboratory for clinical genetics



The medical laboratory for clinical genetics carries out activities under section 80

in the field of clinical genetics. In particular it may



and) without professional supervision, and no indication to provide materials for

tissue culture, establish, maintain and handle the short-and

long-term tissue cultures,



(b)) without professional supervision on the basis of the indications of a doctor



1. perform the isolation of deoxyribonucleic acid (DNA),



2. evaluate the cytogenetic findings in the microscope and by using computer

image analysis of the Karyotype and documentation to perform the build result



3. cultivate lymphocytes from peripheral blood, fibroblasts from the amniotic fluid

tissue biopsy and nekroptické, process the samples after incubation,

make microscopic preparations and process it,



(c)) under the expert supervision of a doctor to assist in collection of the material on the

prenatal examination and subscribe to nekroptické and biopsy tissue.



§ 87



The medical laboratory for Clinical Immunology and



The medical laboratory for Clinical Immunology and exercises

activities under section 80 in the field of Allergology and Clinical Immunology. In doing so,

without professional supervision on the basis of the indications of a doctor may in particular



and prepare the allergens and allergenic) fraction of the biological material,

preparing microbial allergens and microbial imunopreparáty,



(b)) to work with demanding instrument technology, such as

electrophoretic device, flow cytometer, and ensure its

the correct operation.



§ 88



The medical laboratory for Microbiology



The medical laboratory for Microbiology performs activities according to section 80 in

Microbiology, bacteriology, virology, including

parasitology, mykologii, and serology. In particular it may



and) without professional supervision on the basis of the indications of a doctor to establish the levels of

antibiotics in body fluids and antibiotic sensitivity,



(b) under the expert supervision of a doctor) or a specialist worker

specialized competences in the field of exercise to the extent of their

specialized qualifications activities associated with the production of immunomodulators.



§ 89



The medical laboratory for toxicology



The medical laboratory for Toxicology performs activities according to section 80 in the field

Toxicology. In doing so, without professional supervision on the basis of the indications of a doctor

in particular it may



and) establish a level of alcohol and other drugs and pharmaceuticals in the

the organism,



(b)) to establish the extractive and volatile substances in biological material

secured at autopsy.



§ 90



The medical laboratory for examination methods in the protection and promotion of the public

health



The medical laboratory for examination methods in the protection and promotion of the public

Health carries out activities under section 80 in the field of protection and promotion of the public

health, including specialized investigative and measuring procedures for

the purposes of the protection and promotion of public health. In particular it may



and) without professional supervision and without indications provide reagents for

chemical and microbiological analyses, prepare individual complex

the land for the diagnosis, differentiation and the Elimination of micro-organisms,



(b)) without professional supervision on the basis of the indications of a healthcare professional

eligible to provide specialized care in the field of laboratory

the protection and promotion of public health without professional supervision



1. perform the sampling of components of living and working conditions and

biological material specialized procedures,



2. carry out investigations and measurements of the elements of and working

environment, products, biological material and biological exposure tests

for the purposes of the performance of national health surveillance, monitoring indicators

the State of health of the population, and to monitor the relationship health

status of the population and environmental factors and living and

working conditions and prepare the basis for the evaluation and management of

health risks,



3. perform the specialised laboratory investigative procedures in the field of

genetic toxicology for the purposes of the protection and promotion of the public

health.



TITLE V OF THE



DENTAL TECHNICIAN WITH SPECIALISED COMPETENCE



§ 91



The activities of the dental technician with specialised competence



Dental technician referred to in sections 92 and 93 after obtaining specialized

eligibility of activities under section 15 and also provides and organises

health care focused on making and repairing dentures

orthodontic devices and other dental products. In doing so, without

professional supervision and without indications may



and train workers in) dental laboratory in their area

specialization,



(b)) to perform specialized procedures for the making and repair of dental

refunds, orthodontic devices and other dental products



(c) evaluate the quality of completed products), observe the correct

technological procedures and instructions prescribed by the manufacturer during processing

dental materials,



(d)), in cooperation with specialized dentists within the scope of their

specialized qualifications to carry out research activities, particularly in the

the area of new materials and equipment, to identify activities requiring

the change in procedure, carry out research aimed at uncovering the causes of the deficiencies

in the provision of health care in the area of its competence, to create

the conditions for the application of the results of research into clinical practice, not only on

your own workplace, but even within the industry,



e) introduce new methods in routine operation,



(f)) to prepare standards for specialized practices in the scope of their

eligibility,



g) lead training in the field of their specialization.



§ 92



A dental technician for orthodontics



Orthodontics-dental technician performs activities in accordance with § 91 aimed at

making and repairing Dental restorations and orthodontic

equipment in jaw orthopedics.



§ 93



A dental technician for fixed and dentures



A dental technician for fixed dentures and carries out activities under section

91 aimed at making and renovation of fixed and removable dentures.



TITLE VI OF THE



ASSISTANT TO THE PROTECTION AND PROMOTION OF PUBLIC HEALTH SPECIALIST

A DEVICE for the



§ 94



Activities assistant public health protection and promotion,

specialized competences



Assistant to the protection and promotion of public health referred to in § 95 to 99 after

acquire specialized qualifications performs activities in accordance with § 12 and

provides and arranges medical care in the field of protection and promotion of

public health ^ 6) in collaboration with the physician or practitioner in the

the protection and promotion of public health. Doing so without supervision and without

indication in particular can



and) to identify and rate the health risks and to propose measures to

reduce or eliminate health risks



(b) the preparation of standards) to ensure specialized practices in the scope of their

eligibility,



(c)) to prepare information materials.



§ 95



Assistant to the protection and promotion of public health for the epidemiology of



Assistant to the protection and promotion of public health for the epidemiology of exercises

activities referred to in section 94 in the field of epidemiology. In doing so, may



and) without professional supervision and without indication



1. carry out investigations, biological material on the outbreak of the disease,

to order the necessary protiepidemická measures, including resource discovery

the disease, transmission of the disease and the people that have been in contact with an infectious disease,



2. to carry out the investigation and measures on the occurrence of nosocomial diseases,

prepare the basis to assess the hygiene and protiepidemického

each mode of medical facilities, assess their operational

schedules and provide consultation to other healthcare professionals,



3. carry out regular inspections and control of disinfection sterilization in

healthcare and social care institutions;



(b)) without professional supervision on the basis of the indications of a doctor or specialist

a worker in the protection and promotion of public health to carry out minor activities

When



1. control of the mandatory, special and emergency vaccination, collection and

evaluation of the necessary data,



2. implementation of the epidemiological studies of infectious and non-infectious diseases

and when large-scale intervention studies, preparation of programmes to support

health and their implementation.




§ 96



Assistant to the protection and promotion of public health for hygiene of children and

juvenile



Assistant to the protection and promotion of public health for hygiene of children and

juvenile performs activities according to section 94 in the field of hygiene of children and

adolescents. In doing so, may



and) without professional supervision and without indication



1. to exercise the activities associated with the performance of the State health supervision

of educational, educational, and accommodations for children and

juvenile, above the zotavovacími actions of vocational training and

teaching practice of minors; monitor and evaluate the scheme of children and adolescents

with regard to the proper physical and psychological development, protection and promotion of

health and age peculiarities,



2. to carry out activities related to the performance of the State health supervision

on establishments catering for children and young people, including

monitoring the nutritional levels of diet and drinking regime,



3. to the extent of their specialized qualifications to ensure the acquisition of

handouts for health monitoring, nutritional status, physical and

mental development of children and adolescents in relation to lifestyle,

life and work environment and implement the necessary measures to

improvement;



(b)) without professional supervision on the basis of the indications of a doctor or specialist

a worker in the protection and promotion of public health



1. to the extent of their specialized qualifications ensure checking

compliance with the protiepidemických measures in facilities and recovery

events for children and young people,



2. to prepare programs of support for and enhancing the health of children and adolescents and

perform the activities associated with their implementation.



§ 97



Assistant to the protection and promotion of public health and general hygiene

municipal



Public health Assistant for General and communal hygiene

performs activities according to section 94 in the field of General and communal hygiene. In doing so,

can



and) without professional supervision and without indication



1. to carry out specialized procedures relating to the exercise of State

health surveillance in the area of environmental and health risks

living conditions,



2. evaluate the results of the investigation, to monitor the impact of drinking water quality and water conservation

intended for swimming on the health status of the population and control the obligations

persons providing public water supply or operating

swimming pool and sauna,



3. check the performance of the obligations of the manufacturer or the importer of the products

coming into direct contact with drinking water, hot and raw,

chemical preparations and assess water technology



4. to exercise the activities associated with the performance of the State health supervision

severe epidemiological activities in the field of body care and

check the conditions governing these activities,



5. monitor and evaluate the noise stress and burden on the population of the other

environmental factors, to impose measures for its reduction;



(b)) without professional supervision on the basis of the indications of a doctor or specialist

a worker in the protection and promotion of public health conduct



1. monitoring of pollutant in the selected population load defined

groups,



2. collection of data on the health status of the population in relation to the environment

environment.



§ 98



Assistant to the protection and promotion of public health for the hygiene of the work



Assistant to the protection and promotion of public health for the hygiene of the work shall exercise

activities referred to in section 94 in the field of occupational hygiene. In doing so, may



and) without professional supervision and without indication



1. to exercise the activities associated with the performance of the State health supervision

in occupational health from the adverse factors

working conditions and above related working conditions including

the equipment of workplaces, and of the responsibility to ensure that racing

preventive care,



2. to measure and evaluate partial results measurement factors

the working environment on the quality of working conditions for the

to determine the extent of the risk or burden of the workers, if the criteria are

reviews established mandatory regulations, for the purposes of the classification of work to

the appropriate categories;



(b)) without professional supervision on the basis of the indications of a doctor or specialist

a worker in the protection and promotion of public health



1. the work of determining minimum range and the dates monitoring

factors of working conditions,



2. the work of determining how and minimum range tracking

the load factors for the working conditions of the organism for employees

performing a risky work,



3. verify the conditions of developing a disease for the purposes of the assessment of disease

the profession.



§ 99



Assistant to the protection and promotion of public health, nutrition and hygiene

subjects of normal use



Assistant to the protection and promotion of public health, nutrition and hygiene

subjects of normal use, performs activities according to section 94 in the field of hygiene

nutrition and normal use objects. Doing so without supervision and without

indication in particular can



and to carry out activities related to) the performance of the State health supervision

above the dining services and over the objects of its normal use,



(b)) to ensure preventive measures when bulk actions associated with

claims for meals,



(c)) control the critical points in the production and preparation of food and their

put into circulation, and their compliance with,



(d)) to carry out and evaluate the partial results of the investigation, to monitor the impact of nutrition

on the health status of the selected population groups, propose measures to

improvement,



(e) carry out precautions) placing on the market or put into circulation

semi-finished products, food, or food suspected of hazard

or food alerts — are.



§ 100



Assistant to the protection and promotion of public health for hygiene and epidemiology



Assistant to the protection and promotion of public health for hygiene and epidemiology

performs activities in accordance with § 12, and provides and organises the protection and promotion of

public health ^ 6) in collaboration with the physician or practitioner in the

the protection and promotion of public health. Additionally, you may



and) without professional supervision and without indications of a doctor



1. identify and assess health risks and to propose measures to

reduce or eliminate health risks, to carry out activities related

with the management of health risks,



2. to prepare policies and procedures for assessing and managing health risks,



3. to educate the population about preventive measures in the protection and promotion of

public health, including the creation of educational and information materials,



4. in the scope of their specialized qualifications to pursue activities in

the implementation of epidemiological studies of infectious and non-infectious diseases,

large-scale intervention studies, monitoring health status

the population in relation to the environment and the working environment, prepare

programs for health promotion and preventive health programs aimed at

each type of disease and implement them in practice,



5. work with information systems in the protection and promotion of the public

health,



6. ensure, where appropriate, carry out measurement and sampling procedures and materials to

laboratory examinations in the field of the protection and promotion of public health

to determine the extent of exposure to factors of working conditions and risks

population and population groups, namely on the outbreak of the disease and on the occurrence of

hospital infections



7. prepare the basis for sanitary and protiepidemická measures,

including the discovery of the source of the disease, transmission of the disease and the people that were in the

contact with infectious diseases,



8. prepare the basis to assess the hygiene and protiepidemického

each mode of medical facilities, assess their operational

schedules and provide consultation to other healthcare professionals,



9. in the scope of their specialized qualifications to pursue activities in

control of sterilization and disinfection in medical institutions and

social service establishments,



10. engage in activities associated with the performance of national health

supervision in the field of environmental and health risks of living

conditions, in particular to evaluate the results of the investigation and to monitor the fulfilment of the

obligation of the manufacturer or the importer of the products coming into direct contact

with fresh, hot and raw water, chemical products and assess

water technology, observe the effect of the quality of drinking water and water intended

bathing on the health status of the population and control the obligations of the parties

providing public water supply or operating

swimming pool and sauna,



11. perform the activities associated with the performance of national health

supervision of activities in the area of severe epidemiological body care and

the extent of its specialized competence to carry out activities related to the

by checking the conditions of operation of such activities in accordance with other

Law ^ 6)



12. monitor and evaluate the noise stress and burden on the population of the other

environmental factors,



13. engage in activities associated with the performance of national health

supervision in the protection and promotion of health at work, including the evaluation of the

the results of the measurement factors of working conditions in order to determine the level of

the exposure of workers and for the purposes of the classification of work into categories according to the

another law ^ 30),



14. engage in activities associated with the performance of national health

supervision of normal use objects; catering services for

children and young people, including the monitoring of the nutritional levels of diet and drinking


mode; of educational, educational, and accommodations for children

and juvenile, zotavovacími actions and conditions of vocational training and

teaching practice of minors; to ensure precautionary measures when

bulk actions related to claims for meals, carry out surveillance,

evaluation and consultation system of critical points in the production and preparation

meals and putting them into circulation and their compliance with,



15. prepare the basis for interim measures in the marketing of products,

food preparations or food suspected of danger or

food alerts — are on the market or put into circulation,



16. perform data collection, analysis, interpretation of the results of the chemical

and biological examinations and physical measurements and prepare supporting documents

for the decision-making authorities, protection and promotion of public health, including

proposals for appropriate measures,



17. in the scope of their specialized qualifications lead practical instruction

specialized training in the fields of protection and promotion of the public

health,



18. lead lifelong learning including specialized training in

the scope of their specialization;



(b)) without professional supervision, and on the basis of the indications of a doctor or specialist

a worker in the protection and promotion of public health



1. to the extent of its competence to carry out specialized activities associated

with the tasks of crisis management



2. to the extent of their specialized qualifications to carry out research and application

research into practice in the fields of protection and promotion of public health,



3. the extent of its competence to carry out specialized activities associated

with scrutiny of mandatory, special and emergency vaccination, to the collection and

evaluation of the necessary data,



4. in the scope of their specialized qualifications to pursue activities in

monitoring compliance with the protiepidemických measures in facilities and

recovery actions for children and young people, developing support programmes

and enhancing the health of children and adolescents and implement them in practice,



5. in the scope of their specialized qualifications to pursue activities in

monitoring burden of selected pollutants in defined population groups,



6. the work of determining minimum range and the dates monitoring

factors of working conditions; in determining the method and minimum

the scope of the monitoring of the load factors for the working conditions of the organism

workers engaged in risky work and to verify the conditions of

disease for the purposes of the assessment of occupational diseases,



7. in the scope of their specialized qualifications to perform the collection of data on

official controls performed to ensure the verification of compliance with the legislation of the

Of the European Union.



TITLE VII



PHARMACEUTICAL ASSISTANT WITH SPECIALISED COMPETENCE



§ 101



The activities of pharmaceutical Assistant with specialised competence



Pharmaceutical Assistant referred to in § 102 to 107 after obtaining specialized

eligibility of activities as referred to in section 18 and, in cooperation with the pharmacist

organizes medical care in the pharmaceutical assistance. In particular

without professional supervision and without indications may



and evaluate the quality of health care) according to the first, including the sentence carried out

laboratory methods, the environment and the documentation,



(b)) to carry out research, in particular, to identify activities requiring a change in the

the procedure to carry out research-related activities aimed at

detection of the causes of the deficiencies in the care provided, to create conditions for

application of the results of research into clinical practice



(c) introduce new methods to) operating,



(d)) to prepare standards for specialized practices in the scope of their

eligibility,



e) lead training in the field of their specialization.



§ 102



Pharmaceutical Assistant for the preparation of radiopharmaceuticals



Pharmaceutical Assistant for the preparation of radiopharmaceuticals performs activities in accordance with

section 101 and specialized activities in the preparation of radiopharmaceuticals. In doing so,

in particular, without professional supervision on the basis of the indications of a doctor

as a pharmacist or other qualified medical professional

worker ^ 18) ^ 31) and in accordance with the instructions of the Radiological Physics do

practical part an individual medical exposure, and the preparation and

control of radiopharmaceuticals, including other activities related to their

preparation, in particular the receipt and installation of generators, disposal of residues and

decontamination of the site.



§ 103



Pharmaceutical Assistant for pharmaceutical control



Pharmaceutical Assistant for pharmaceutical control carries out activities

under § 101, and specialized procedures in the field of drug control

pharmaceuticals. In doing so, without professional supervision, and no indication it may in particular



and analysis of medicinal products) to perform tests on microbiological safety and

sterility, to verify the stability of the active substances and preparations according to the

standards,



(b) prepare a standard and accurate) comparative solutions and media,



c all microbiological decontamination) ensure the material and

specific requirements in hygienic regime,



(d)) to perform control activities aimed at the evaluation of the quality of medicines.



§ 104



Pharmaceutical Assistant for medicinal plants



Pharmaceutical Assistant for medicinal plants carries out activities under section

101 and specialized practices in the area of treatment of medicinal plants

and medicinal products prepared and made of medicinal plants.

In doing so, without professional supervision, and no indication it may in particular



and) ensure purchase of medicinal plants and their storage,



(b)) to perform a consultancy for the sale of medicinal products

medicinal plants.



§ 105



Pharmaceutical Assistant for medical devices



Pharmaceutical Assistant carries out activities for medical devices

under § 101, and specialized procedures in the field of storage, picking and

sales of medical devices. Doing so without supervision and without

indication in particular can



and provide a full range of dispensing) medical devices,



(b)) to perform a consultancy in the area of selection, proper use and

the retention of medical devices and other products related to

health care.



Section 106



Pharmaceutical Assistant for the preparation of intensive dosage forms



Pharmaceutical Assistant for the preparation of formulations carries out intensive

activities pursuant to § 101, and specialized training practices

the challenging dosage forms. In doing so, without professional supervision and indications

It may in particular make checks



and the correct handling of medicinal products), in particular, cytotoxic agents,



(b) the security of good laboratory practice), security check

the aseptic environment and proper function of equipment and devices, such as

insulators.



§ 107



Pharmaceutical Assistant for specific pharmaceutical activities



Pharmaceutical Assistant for specific pharmaceutical activities carries out

activities pursuant to § 101, and specialized procedures in the field of consulting and

consultancy for medicines that can be issued without

a prescription; specialized procedures in the area of hospital

in the area of pharmaceuticals and pharmaceutical control of medicinal products. Further

without professional supervision and without indications may



and perform a security check for correct) pharmacy practice ^ 32),



(b)) to perform control activities aimed at the evaluation of the quality of medicinal

products,



(c)) for individual consulting activities in the field of medicinal products

preparations that can be issued without a prescription, dietary supplements and

the next range that the pharmacy sells based on permissions

operate the business ^ 33),



(d)) at the time of the requisition and issue based on urgent orders

medicinal products, natural and legal persons authorized to provide the

health care ^ 34) and natural or legal persons authorized to

carry out activities ^ 35), with the exception of medicinal products

containing narcotic substances of Group I ^ 36) and psychotropic substances group

II ^ 36) that must be completed on a priority basis, to perform generic substitution,



e) cooperate in the field of an objective evaluation of the effects of medicinal

products, their interactions and adverse reactions in healthy and sick

a man on a level commensurate with the needs of the patient and the medical

the device, in direct collaboration with other professionals of the multidisciplinary

the team,



f) prepare technologically demanding pharmaceutical forms, check the correct

handling of cytotoxic agents,



g) within their specialized qualifications to ensure aseptic

the environment and the proper function of the apparatus and equipment, such as insulators,

laminar boxes, etc., in accordance with other legislation ^ 37),



(h)) to perform analysis of medicinal products, microbiological tests

safety and sterility, to verify the stability of the medicinal substances and preparations

According to the standards,



prepare accurate standard I) and comparative solutions and media,



j) to oversee the correct handling of medicinal products and medical

resources on the wards of hospitals, to train in the area of non-medical

healthcare professionals,



to) participate in a clinical trial of medicinal products.



TITLE VIII



A PARAMEDIC WITH SPECIALISED COMPETENCE



section 108



Operator of the health operations centre



A paramedic after obtaining the specialized qualifications shall exercise

activities referred to in section 17.



section 109



A paramedic for urgent medicine




A paramedic for urgent medicine carries out activities under section

17 and section 54 (b). and) and also provides a specific nursing care and

emergency diagnostic and therapeutic care in urgent care,

Department of Anaesthesiology and resuscitation care and within the framework of the acute intake. In doing so,

in particular it may



and) without professional supervision and without indications of a doctor



1. ensure airway available AIDS in a patient older 10

years when performed cardiopulmonary resuscitation,



2. initiate and carry out cardiopulmonary resuscitation by using

apparatus for automatic cardiac massage, including defibrillation of the heart

an electric discharge after making record an electrocardiogram, and administration

drugs for resuscitation immediately necessary,



3. remove the biological material to examination,



4. establish and maintain oxygen therapy,



5. ensure the intraoseous input,



6. ensure the readiness of the site, including functionality

Special instrumentation and material equipment; monitor and

analyse data on special instrumentation technology, recognizing

technical challenges and address them,



7. carry out the health part of the rescue and winding-up of work on the

emergency aid, in coordination with the Commander hit ^ 38);



(b)) without professional supervision on the basis of the indications of a doctor



1. perform the measurement and analysis of physiological functions by using instrumentation

techniques, including the use of invasive methods



2. perform external pacing,



3. perform the tracheobronchial patients with tracheal intubation washings,



4. introduce the gastric probe and perform gastric lavage, the patient when

Note



5. introduce the gastric probe and perform gastric lavage, the patient

the elder 10 years unconscious maintains respiratory paths,



6. perform the extubaci tracheal cannula.



TITLE IX OF THE



NUTRITIONAL THERAPIST WITH SPECIALISED COMPETENCE



§ 110



Activities of nutritional therapist with specialised competence



Nutritional therapist referred to in section 110 to 114 after obtaining specialized

of competence carries out activities in accordance with § 14, provides and organises

specific nursing care aimed at fulfilling

the needs of patients, and that its planning, implementation and evaluation in the field of

specialization (hereinafter referred to as "specialized nutritional care"). In doing so, without

professional supervision and without indications, in particular, may



and prepare information materials) for patients



(b)) the patient, or any person in special

diet programs,



(c)) to monitor and assess status of patients in terms of the possibility of

complications and sudden events,



d) instruct health-care professionals in the area of their specialization,



e) evaluate the quality of care provided,



(f)) to carry out research, in particular



1. identify the activities of care that requires a change in procedure,



2. carry out research aimed at uncovering the causes of the deficiencies in the provided

care,



3. to create the conditions for the application of research results into clinical practice in the

your own workplace and within the scope



4. prepare standards of specialized procedures to the extent of their

eligibility,



g) lead training in the field of their specialization.



§ 111



Nutritional therapist for children nutrition



Nutritional therapist for the nutrition of children performs activities according to section 110 and

provides specialized nutritional care in the field of preventive and therapeutic

maintenance of children. Furthermore, without professional supervision and without indications of a physician may



and nutritional plans, build) dietary guidelines and arrangements for the maintenance and

therapeutic nutrition according to the needs of children of all ages for

health facilities and social services,



(b)) to pass information to healthcare professionals and the patient about the policy

correct and therapeutic nutrition,



(c) comprehensively evaluate nutritional status) of the child with the help of laboratory

examination, including specialized procedures and Calorimetry, indirect illumination for either



d) recommend nutritional supplements based on individual status of the child and

his illness,



(e)) to monitor the effect provided for nutritional support and recommend doctors

any changes,



(f)) to design therapeutic food for children.



§ 112



Nutritional therapist for community care



Nutritional therapist for community care carries out activities pursuant to section 110 and

provides specialized nutritional care in primary care and

protection of public health. In particular it may



and) without professional supervision and without indication



1. conduct counseling for healthy nutrition, nutritional programs for build

the selected groups of the population,



2. conduct the proper diet and eating,



3. to monitor risk and nutritional status of individuals and groups and to propose the appropriate

measures,



4. to evaluate the nutritional status of the patients on the basis of examinations

necessary to determine the State of nutrition,



5. to conduct activities in accordance with § 99 (a)) to (d));



(b)) without professional supervision on the basis of the indications of a doctor to suggest suitable

the nutritional regimen and nutritional supplements for patients in home care, including

patients with severe disorders of nutrition and metabolism, and other

severe conditions.



§ 113



Nutritional therapist for nutrition in severe conditions



Nutritional therapist for nutrition in severe States of activities as referred to in

§ 110 and provides specialized nutritional care to patients with severe

nutrition and metabolism disorders, and patients with severe total

the disease, which has, or can result in disorders of nutrition. In doing so,

in particular it may



and) without professional supervision and without indication



1. to analyse and evaluate the total energy intake of patients and its

the biological value,



2. comprehensively evaluate the nutritional status of the patients on the basis of

examinations required to determine the State of nutrition, including specialized

procedures and Calorimetry,



3. recommend appropriate nutritional supplements;



(b)) without professional supervision on the basis of the indications of a doctor



1. to design and implement nutrition nutritional composition of measures,



2. on the basis of the data given the condition of the patients and their

nutritional income supplement, or an extension, of the total

receiving enteral and parenteral nutrition preparations,



3. assemble realimentační procedures in patients treated with Parenteral and

Enteral nutrition,



4. compile the procedure during the transition from parenteral nutrition or enteral

nutrition at the oral method of nutrition,



5. assemble the Enteral nutrition mode and mixed mode.



section 114



Nutritional therapist for adult nutrition



Nutritional therapist for adult nutrition carries out activities pursuant to section 110 and

provides specialized nutritional care in the area of prevention and treatment

nutrition of adults, in particular, takes care of the patient with severe disorders

nutrition and metabolism and the patient with severe overall disease

has or can result in disorders of nutrition. Furthermore, without professional supervision

and no indication of a doctor can



and nutritional plans, build) dietary guidelines and arrangements for the maintenance and

therapeutic nutrition according to the needs of adults of all ages for

health facilities and social services,



(b)) to pass information to healthcare professionals and the patient about the policy

correct and therapeutic nutrition,



(c) comprehensively evaluate nutritional status) and with the help of laboratory

examination, including specialized procedures and Calorimetry, indirect illumination for either



(d)) to assess the nutritional composition of foods intended for each group

of the population,



e) recommend nutritional supplements and special forms of nutrition according to the

individual nutritional status of adult and the specifics of a given age

category and disease



(f)) to monitor the effect provided for nutritional support and recommend doctors

any changes,



g) propose the therapeutic food for adults.



TITLE X



BIOMEDICAL ENGINEER WITH SPECIALISED COMPETENCE



section 115



Activities of biomedical engineering is a specialized competences



(1) Biomedical techniques referred to in section 116 to 121 after obtaining the

specialized qualifications performs activities according to § 19 and in

collaboration with the clinical engineer organize the work of medical and

other specialists in the field of specialisation in the provision of

diagnostic and therapeutic care in the use of medical devices.

In doing so, without professional supervision, and no indication it may in particular



and instruct medical personnel and) other professional workers in

the area of its specialization,



b) evaluate the quality of care provided, and that operations are carried out,

environment and documentation



(c)) within their specialized qualifications to carry out research, in particular

identify activities requiring a change in procedure, carry out research

focused on identification of the causes of the deficiencies in the care provided, create

the conditions for the application of research results into clinical practice on your own

the workplace and within the scope



d) introduce new methods in normal operation,



e) collaborate on technical issues during acquisition (acquisition)

clinical information systems,



(f)) in the range of their specialized qualifications to ensure the creation of

preventive measures based on the assessment of cases of failure

medical devices,



g) prepare standards of specialized procedures to the extent of their

eligibility,



h) lead training in the field of their specialization.




(2) Biomedical techniques referred to in paragraph 1 shall not exercise activities

related to the operation of those parts of medical devices that are

the source of ionizing radiation, and those with specific activities reserved

professional qualifications, pursuant to laws governing the way

the use of nuclear energy and ionising radiation ^ 22).



§ 116



Clinical techniques



Clinical technician performs activities in accordance with section 115. In addition, vocational

oversight and no indication it can



modify or create) diagnostic software (interpretation

for example, an electroencephalogram, electrocardiogram, fetal

an electrocardiogram, consulting and expert diagnostic systems),



(b)) to create the necessary modules of clinical information systems,



c) to modify the diagnostic imaging medical devices,



(d)) to ensure technical assistance in electrophysiological

examinations, impulzoterapii heart and when the display

methods,



e) calibrated blocks critical medical devices monitoring

basic life functions, laboratory medical equipment,

therapeutic medical devices.



§ 117



Clinical techniques for diagnostic medical devices



Clinical techniques for diagnostic medical equipment exercises

activities in the area, according to § 115 of diagnostic medical devices,

with the exception of diagnostic imaging medical equipment. Further

can



and) without professional supervision, and on the basis of the indications of a doctor to provide

technical assistance with electrophysiological examinations

impulzoterapii heart and when imaging methods



(b)) without professional supervision and without indications of a doctor



1. modify the diagnostic software for interpreting

an electroencephalogram, electrocardiogram and other consultation and expert

diagnostic systems,



2. calibrate the critical blocks medical device monitoring

basic life functions.



§ 118



Clinical laboratory technician medical instruments



Clinical laboratory technician medical instruments exercises

activities in the area, pursuant to section 115 of the laboratory of medical instruments.

Furthermore, without professional supervision, and no indication it can calibrate the critical

blocks of laboratory medical equipment.



§ 119



Clinical techniques for diagnostic imaging medical equipment



Clinical techniques for diagnostic imaging medical equipment

performs activities according to section 115 in the area of diagnostic imaging

medical devices. Doing so without supervision and without indication

It may in particular make modifications to software and software for equipment mounting

diagnostic imaging medical equipment.



§ 120



Clinical techniques for therapeutic medical devices



Clinical techniques for therapeutic medical devices shall exercise

activities in the area, pursuant to section 115 of the therapeutic medical devices

with the exception of equipment for cardiopulmonary support or replacement activities.

In doing so, without professional supervision, and no indication it may in particular



and calibrate critical blocks) of therapeutic medical devices,



(b) ensure the operation of medical devices) for extracorporeal cleansing

blood.



§ 121



Clinical techniques for perfuziologii



Clinical techniques for the perfuziologii carries out activities under section 115 and beyond

activities associated with the management of the discontinued; yet without vocational

supervision on the basis of the indication of a doctor can perform the activity referred to in section 67

(a). a) to (j)).



TITLE XI



PSYCHOLOGIST WITH SPECIALIZED COMPETENCES



§ 122



Clinical psychologist



Clinical psychologist exercises without professional supervision activities referred to in section 23.



§ 123



Children's clinical psychologist



Children's clinical psychologist exercises without professional supervision activities referred to in

section 23, including specialized practices in child care, and organizes

the psychological care of children.



TITLE XII



A SPEECH THERAPIST WITH SPECIALISED COMPETENCE



§ 124



Clinical speech therapist



Clinical speech therapist carries out activities in accordance with § 3 (1). 1 and without

professional supervision and without indications may



and logopedickou) to perform a diagnosis and differential diagnosis for

For more medical care, and the results of other professionals, proceed



(b)) to perform the treatment and rehabilitation of all faults and defects of speech and hearing, and

the voice of children and adults,



(c)) to perform a logopedickou prevention, education and advice to

achieve high-quality development of communication skills,



(d)) in the field of health-care professionals to train communication options when you

damage to the central nervous system,



e) train speech therapists (§ 46),



(f)) to perform a consultancy in the field of care for the healthy development of speech,



(g)) to perform a consulting and assessments.



TITLE XIII



WITH A SPECIALIZED THERAPIST QUALIFICATIONS OPTIC



section 125



Clinical vision therapist



Clinical vision therapist carries out without professional supervision activities referred to in

§ 24.



TITLE XIV



PHYSICAL THERAPIST WITH SPECIALIZED COMPETENCES



§ 126



Professional physical therapist



Specialist physiotherapist after obtaining the specialized qualifications shall exercise

activities under section 25, provides and organises specialised

physiotherapeutic care using a methodology (concept), which was in

the framework of specialized education focused (for example, in the methodology according to the

Lewit, in hippotherapy, Kabatově technology proprioreceptivní neuromuscular

facilitation, Vojta development kinesiologii, the methodology, the Mojžíšová method

Brüggerově concept). In particular it may



and) without professional supervision and without indication



1. the patient, or a person designated by them, in specialised

physiotherapeutic procedures



2. monitor and evaluate the status of patients in terms of the possibility of

complications and sudden events,



3. instruct the physiotherapists and other health professionals in the

demanding and specialized physiotherapy procedures,



4. evaluate the quality of care provided,



5. identify the activities of physiotherapy care requiring a change in the

the procedure to carry out research aimed at uncovering the causes of the deficiencies in the

rehabilitation care, evaluate the effectiveness of used specialized

procedures,



6. to create the conditions for the application of the results of research into clinical practice in the

your own workplace and within the scope



7. prepare standards of specialized procedures to the extent of their

eligibility,



8. conduct training in the field of their specialization;

(b)) without professional supervision, on the basis of the diagnosis of the doctor to perform

specialized physiotherapy practice in medical rehabilitation.



§ 127



A professional physiotherapist for Neurology



A professional physiotherapist for Neurology performs activities in the relevant

the focus under section 126 in providing rehabilitation care for neurologically

the sick, including specialized diagnostic kineziologických

procedures; in particular, without professional supervision in accordance with the diagnosis and

the objective set out by the doctor and based on its own examinations can be performed

patofyziologický analysis, for example. in the case of the pyramid,

movement, mozečkového, and senzitivního.



§ 128



A professional physiotherapist for internal medicine



A professional physiotherapist for internal medicine carries out activities in

the focus under section 126 in the provision of physiotherapy care

of patients in internal medicine. In doing so, without professional supervision in accordance

with the diagnosis, and the objective set out by the doctor and based on its own examination of the

in particular it may



and functional State) assess in patients with internal disorders, including

vital functions, evaluate the severity of the problems, which may affect the

the choice of the next motion therapy, physiotherapy procedures, choose

instrument examination to evaluate the functional characteristics of the locomotive

system and to evaluate the response of the organism to them,



(b)) to perform a specialized diagnostic, kinesiologic procedures, including the

diagnosis of muscle imbalance.



§ 129



A professional physiotherapist for surgical scopes and Traumatology



A professional physiotherapist for surgical scopes and Traumatology exercises

activities in the appropriate focus according to § 126 in the provision of

rehabilitation care of patients in the surgical disciplines; in doing so, without

professional supervision in accordance with the diagnosis and the objective set out by the doctor and the

the basis of their investigations, in particular, may



and) based on the specialised kineziologických of diagnostic procedures,

including muscle imbalances, examination of short and

weakened muscles and functional disorders of the musculoskeletal system to vote and determine the

appropriate methodological procedures,



(b)) to perform the interpretation and correct muscle imbalance, disorders

movement stereotypes and postury, locomotion and momentum on the basis of

specialized physiotherapy of investigative procedures,



(c) to assess the response of the organism to) physical therapy.



§ 130



A professional physiotherapist for neonatology and Pediatrics



A professional physiotherapist for neonatology and Pediatrics carries out activities in

the focus under section 126 in the provision of rehabilitation care

children, especially newborns and infants. In doing so, without professional supervision in the

accordance with the diagnosis and the objective set out by the doctor and based on their own

in particular, the examination may



and recall the basic neonatal) assess reflexes,



(b)) on the basis of knowledge of the development of the locomotive in the early absorption rate and


diagnose movement disorders in the newborn period,



(c)) to apply the techniques of reflex locomotion and other physiotherapy

techniques designed for children's age,



(d)), within the specialized competence to carry out actions in the

Prevention and treatment of muscle imbalance, organize preventive

physiotherapeutic care for vertebral disorders of children, develop

the child's psychic abilities in parallel with the adjustment of motor deficits



e) apply techniques of respiratory physiotherapy,



(f)) to assess the reaction of the organism to internal systems physical treatment.



TITLE XV



MEDICAL PHYSICS EXPERT WITH SPECIALISED COMPETENCE



§ 131



Clinical radiological physicist



(1) the clinical radiological physicist carried out without professional supervision activities

pursuant to section 26. In particular it may



and) to design the internal emergency plans and emergency response systems of the radiological

workplaces,



(b)), to perform and organize research activities within the scope



(c) physical and) evaluate technical aspects of internal and external

clinical audits and other audits,



(d)), within the specialized competence to carry out activities in

specification of technical parameters of the instruments within the investment

planning, to provide and lead the physico-technical activities related to the

poaching, control, handling, and storing the radiological

device ^ 20),



(e) ensuring the authentication of specified measuring instruments) in the quantities of Atomic and

nuclear physics, ensure the calibration of the measuring instruments used in other

the area of Radiological Physics ^ 39),



(f)) to perform the supervision of marketing of radioactive substances into the

environment,



g) initiate physical, technical and organisational measures in order to

reduction of radiation burden.



(2) Clinical radiological physicist with a special competence for

radiodiagnostiku can perform the activities referred to in paragraph 1 and may



and training) to keep within their specialized

competence and its special competence,



(b)) to assess the radiological events, to evaluate the cases of failure

medical equipment and devices for radiation protection and exercise

activities associated with the creation of preventive measures,



(c)) to identify activities requiring a change in the procedures for the handling of

sources of ionizing radiation, to carry out activities related to the development and

the implementation of new clinical radiological procedures,



(d)) to prepare standards for specialized practices in the scope of their

specialized qualifications and professional competence,



e) optimize the settings of the parameter of ionizing radiation sources in the framework of the

the clinical operation,



f) measurements necessary for the verification of the applied dose when using

complex or non-standard radiological procedures,



(g)) to perform a risk analysis in the radiological activities and initiate

appropriate measures,



(h)) to the extent of its specialized competence to carry out activities related

with the development, processing and verification methodologies operational stability tests

sources of ionizing radiation and other radiological equipment



I) within their specialised competence to carry out activities related

with the development, processing and verification methodologies of long-term tests

stability and acceptance tests of ionizing radiation sources.



(3) Clinical radiological physicist with a special competence for

radiotherapy may engage in activities referred to in paragraphs 1 and 2.



(4) Clinical radiological physicist with a special competence for

nuclear medicine may perform the activities referred to in paragraphs 1 and 2, and



and when you open the radiator) therapy monitor dose absorbed by the patient,

perform the appropriate calculations and estimates, including the assessment of radiation risks

and provide the following information to doctors,



(b)) at workplaces with open radiator perform supervision of the utilization of

liquid waste and over vymírací of reservoirs and ensure the radiation protection in

patient rooms.



(5) the clinical radiological physicist without professional supervision, on the basis

a request indicating the doctor and the doctor may have indication

carry out the practical part of the medical exposure, and that its

physico-technical part.



TITLE XVI



SPECIALIST IN LABORATORY METHODS WITH THE DEDICATED

A DEVICE for the



§ 132



The activities of the bioanalytics



Bioanalytik referred to in § 133 to 139 after obtaining specialized

competence without professional supervision performs activities according to section 27 in the field

their specialization and organizes and supervises the work of the other

medical and other professional staff in the field of their specialization.

In particular it may



and) without professional supervision and without indication



1. create a system for the identification of the samples sent for testing, their

preservation, documentation and archiving of test results,



2. check the instruments laid down for the implementation of

laboratory tests, evaluate failure medical

techniques and to ensure their prevention,



3. ensure the programs internal and inter-laboratory quality control,

interpret and apply the results to laboratory practice,



4. in the scope of their specialized qualifications to ensure the creation and

maintenance of the managed documentation in the laboratory,



5. to manage the implementation and compliance with the General rules of safety at work in the

laboratory and compliance with the regulations of the laboratory,



6. identify activities requiring a change in procedure, carry out research,



7. to create the conditions for the application of research results into clinical practice in the

your own workplace and within the scope



8. prepare standards of specialized procedures to the extent of their

eligibility,



9. conduct specialized training in the field of their specialization,



10. ensure the correct storage or preservation of samples for

for examination,



11. inspect the instruments laid down for the implementation of

laboratory examinations, with the exception of acts reserved to persons with special

professional qualification as defined in other legislation ^ 11), and

to maintain their documentation,



12. capture and document data on reference materials

calibration functions, control analyses and diagnostic

serum,



13. apply the rules consistently metrology and chemometrics,



14. recommend appropriate procedures of collection, transport and storage

biological material for other healthcare professionals,



15. State the new laboratory methods and diagnostic procedures, and perform

their validation,



16. to provide the basis for consulting and consulting activity;



(b)) without professional supervision on the basis of the indications of a doctor



1. choose appropriate laboratory methods, including the possible extension of

indication of the doctor and the interpretation of the results of laboratory tests and the data in the

diagnosis, monitoring, treatment and preventive action,



2. perform the specialised laboratory diagnostic procedures.



§ 133



For clinical haematology Bioanalytik and transfusion service



For clinical haematology Bioanalytik and transfusion service exercises

the activities referred to in section 132 in the field of Hematology and blood transfusion services, and in

the field of morphological, coagulation, cytology, cytochemických,

imunofenotypizačních and molecular biological methods, in particular for

the needs of onkohematologických patients, or other activities

including imunohaematological examination and other activities associated with the

the production of blood preparations ^ 13). Doing so without supervision and without

indication in particular can



and check the quality of the manufactured blood) products



(b)) to organize validation studies in the introduction of blood products to the

production,



(c) the scheme of control) to create the storage of blood products.



§ 134



Bioanalytik for Clinical Biochemistry



Bioanalytik for Clinical Biochemistry carries out activities referred to in § 132 in

the field of Clinical Biochemistry.



§ 135



Bioanalytik for and Clinical Immunology



Bioanalytik for and Clinical Immunology activities

referred to in § 132 in the field of Allergology and Clinical Immunology, involving

preparation of human vaccines and autogenních combined autogenních

vaccines. In particular it may



and) without professional supervision and without indications of preparing technology

procedures and standard operating procedures for vaccines and autogenních area

to solve problems in their preparation,



(b)) without professional supervision, and on the basis of the indications of a doctor



1. perform venous or capillary blood sampling and non-invasive subscriptions

biological material for immunological testing,



2. ensure that the process of preparing and monitoring of oral, injectable and

nasal autogenních vaccines quality, efficacy and safety

of these products,



3. perform routine microbiological culture tests for the

identification of bacterial strains,



4. prepare individual or combined human autogenous vaccines.



§ 136



Bioanalytik nuclear medicine



Nuclear medicine Bioanalytik carries out activities referred to in § 132 in

the field of nuclear medicine. In particular it may



and) without professional supervision on the basis of the indications of a doctor



1. perform routine and specialized laboratory diagnostic procedures with

using radioisotope methodologies, as well as other imunoanalytických methodologies

using alternative principles of identification and detection,




2. perform venous or capillary blood sampling and non-invasive subscriptions

biological material;



b) Radiological Physics under professional supervision in the scope of their

specialized competence to carry out activities related to the

security of radiological protection, pursuant to section 26 paragraph 2 2.



§ 137



Bioanalytik for protection and promotion of public health



Bioanalytik for protection and promotion of public health carries out activities

referred to in § 132 in the field of the protection and promotion of public health and in

related disciplines of epidemiology, microbiology and work

medicine. In doing so, without professional supervision, and no indication it may in particular



and implement and evaluate measurement) of the individual factors of the life and

the working environment,



(b)) to carry out technical studies and analyses, the evaluation of health risks



(c) to organize and ensure the examination) of HIV.



§ 138



Judicial Bioanalytik toxicology



Judicial Bioanalytik Toxicology carries out activities referred to in § 132 in

the field of Toxicology, including qualitative and quantitative analysis

the living and the dead biological material and subjects of the laboratory

examination focusing on the toxicological significance of the substance; This activity

exercises also in relation to the needs of soudnělékařské practice and requirements

bodies active in criminal proceedings. Doing so without supervision and without

indication in particular can



and carry out investigations upon suspicion), the son of toxicological

significant substances or modifying these substances within the clinical and

soudnělékařské differential diagnosis and in the context of the impacts in

the field of criminal and civil law or insurance,



(b)) to perform a toxicological assessment on the basis of the file documentation,

in particular for law enforcement authorities.



§ 139



Bioanalytik for Microbiology



Bioanalytik for Microbiology and preparation of vaccines for human autogenních

carries out activities referred to in § 132 in the fields of bacteriology, virology,

Parasitology and mycology, involving the preparation of human autogenních

vaccines and combination vaccines and autogenních investigations of prions. In doing so,

in particular it may



and) without professional supervision and without indication



1. to provide the basis for epidemiological purposes,



2. to monitor the newly rendered aetiological relationships and characteristics of the newly

described infectious agents;



(b)) without professional supervision, and on the basis of the indications of a doctor



1. establish the degree of sensitivity and resistance of infectious agents on the

Antimicrobial drugs, monitor the effectiveness of the relevant disinfection

reagents and sterilisation processes,



2. prepare individual or combined autogenous vaccines for human use,



3. prepare the technological procedures and standard operating procedures for the

area autogenních of vaccines and address technology issues their

preparation.



§ 140



Bioanalytik for clinical genetics



Bioanalytik for clinical genetics carries out activities referred to in § 132 in

the field of clinical genetics; doing so without supervision and without indication

in particular it may



and) to perform a prenatal and postnatal chromosomal testing,



(b)) to perform molecular-cytogenetic analysis.



§ 141



Clinical anthropologist



Clinical anthropologist carries out activities referred to in section 27 and section 132 (a). and)

points 1 to 8 in the field of clinical anthropology and organizes and oversees

the activities of health professionals and other professional workers in

the scope of their specialization. In particular it may



and) without professional supervision, and on the basis of the indications of a doctor to perform



1. anthropometric examination of patients, including an assessment of the degree of

sexual maturation,



2. evaluation of x-rays to determine the degree of skeletal

maturity, and the State of his cranial seams, measuring dimensions of asymmetric

bones,



3. evaluation of the results of measurements by comparison with reference standards,



4. auxologickou data analysis (such as prediction of the final body height,

prediction of the growth of the various body compartments, prediction of short circuit when

unequal limb length, determining body composition),



5. professional consulting and assessments;



(b)) without professional supervision on the basis of the indications of the doctor in the extent of their

specialized competence to interpret the test results in

diagnostic, therapeutic and preventive care and make decisions on the choice and use of

Biomedical methods.



§ 142



Clinical embryologist



Clinical embryologist performs activities referred to in § 132 and 85 in the

Clinical embryology. In particular it may



and) without professional supervision, and no indication to perform



1. examination of semen analysis,



2. function spermiologické tests,



3. ensure the quality processes in a laboratory setting and its control;



(b)) without professional supervision on the basis of the indications of a doctor



1. to the extent of its specialized competence to interpret the results

examinations in diagnostic and therapeutic care,



2. use appropriate methods of assisted reproduction,



3. to carry out assisted reproduction operations when working with ovocyty, sperm

and embryos,



4. perform the Cryopreservation of sperm and embryos, ovocytů,



5. perform micromanipulation of germ cells and embryos,



6. perform the extracorporeal fertilization,



7. carry out the assessment of sperm and their preparation for use in the methods

assisted reproduction.



§ 143



Specialist for preparation of radiopharmaceuticals



Specialist for preparation of radiopharmaceuticals shall perform the activities referred to in section 26

paragraph. 2 in the preparation of radiopharmaceuticals in the workplace of nuclear medicine,

and it can also carry out the practical part of the medical exposure based on

a request indicating the doctor, and that activities related to the preparation of the

radiopharmaceuticals. In particular it may



and) without professional supervision and without indication



1. ensure that the preparation, supply, and other treatment with handle radiopharmaceuticals

ensure only people with appropriate qualifications,



2. ensure the capacity of the premises, equipment and instruments to

activities related to the preparation of radiopharmaceuticals, in particular, check that the

the injection of the radiopharmaceutical are prepared on the premises of the desired class

the purity of the air,



3. prepare the technological procedures and standard operating procedures for the

the area of radiopharmaceuticals,



4. ensure the management of documentation relating to the reception, preparation,

the control and issue of radiopharmaceuticals,



5. the extent of its competence to carry out specialized activities associated

with the preparation and monitoring of radiopharmaceuticals, including technological solutions

issues;



b) Radiological Physics under professional supervision in the scope of their

specialized competence to carry out activities relating to the

security of radiological protection, pursuant to section 26 paragraph 1. 1.



TITLE XVII



BIOMEDICAL ENGINEER WITH SPECIALISED COMPETENCE



§ 144



Activities of biomedical engineer with specialised competence



(1) the clinical engineer referred to in sections 145 to 151 after obtaining specialized

competence without professional supervision pursuant to section 38 carries out activities in the field of

their specialization and organizes and supervises in the scope of its specialization on

activity of medical and other professional staff in the provision of

diagnostic and therapeutic care with the use of medical devices. In doing so,

carries out activities under section 115 and, in particular, may



and identify activities requiring a change) in the procedure, carry out research

focused on identification of the causes of the deficiencies in field of specialization, to perform

research, development and manufacture of medical instruments or their accessories,



(b)) to create conditions for application of research results into clinical practice in the

your own workplace and within the scope of, carry out activities associated with the

clinical evaluation and clinical trials in accordance with other legal

prescription ^ 13),



c) lead in the field of training of their specialization,



(d) the establishment of specialized practice standards) in the scope of their

eligibility.



(2) the clinical engineer does not carry out activities related to the operation of the

parts of the radiological devices, that are the source of ionising radiation,

and activities reserved to persons with specific professional qualifications, pursuant to

legislation governing the use of nuclear energy and

ionizing radiation ^ 24).



§ 145



Clinical engineer for analysis and biosignal processing



Clinical engineer for analysis and biosignal processing performs activities

referred to in section 144 in the analysis and processing of biosignals and Furthermore, without

professional supervision and without indications may



and create the necessary modules) of clinical information systems,



(b) technical briefings) to ensure workers in the field of operator

information technology.



§ 146



Clinical engineer for diagnostic medical devices



Clinical engineer for diagnostic medical equipment exercises

the activities referred to in section 144 in the field of diagnostic medical

instruments with the exception of medical diagnostic imaging

instruments and without professional supervision and without indications can provide



and designing the sets of health technologies),



(b)) the technical instruction of the operator of health-care workers in the field

equipment and safety at work,



c) technical services related to digital archiving and forwarding

records from her.



§ 147



Clinical engineer for laboratory medical equipment



Clinical engineer for laboratory medical equipment exercises

the activities referred to in section 144 in the area of laboratory instrumentation and


Furthermore, without professional supervision and without indications may



and calibrate the laboratory medical devices),



(b) the design of continuous monitoring systems) activity of the laboratory

medical devices.



§ 148



Clinical engineer for diagnostic imaging medical equipment



Clinical engineer for diagnostic imaging medical equipment

carries out activities referred to in section 144 in the diagnostic

Imaging medical devices and also without professional supervision, and

no indication may



and modification of the software) to create and implement software for diagnostic

Imaging medical devices,



(b)) to ensure technical services associated with the operation of diagnostic

Imaging medical devices.



§ 149



Clinical engineer for therapeutic medical devices



Clinical engineer for therapeutic medical devices shall exercise

the activities referred to in section 144 in the field of therapeutic medical

instruments, with the exception of medical devices for support or replacement

cardiopulmonary bypass for use, and no

professional supervision and without indications can provide



and external technical services) associated with the operation of medical

instruments,



(b) for medical devices) the operation of extracorporeal blood cleansing,



(c) designing the sets of health technologies).



§ 150



Clinical engineer for perfuziologii



Clinical engineer for perfuziologii carries out activities pursuant to section 144, and further

activities associated with the management of the discontinued; yet without vocational

supervision on the basis of the indication of a doctor can perform the activity referred to in section 67

(a). a) to (j)).



§ 151



Clinical engineer



Clinical engineer carries out activities referred to in section 144 and without vocational

oversight and no indication it can



and create the necessary modules) of clinical information systems,



(b) technical briefings) to ensure workers in the field of operator

information technology, medical devices and safety at work,



c) health technology design kits



(d)) to calibrate the laboratory medical devices,



(e) modification of the software) to create and implement software for diagnostic

Imaging medical devices,



f) ensure technical services associated with the operation of diagnostic

Imaging medical devices,



g) ensure external technical services associated with the operation

therapeutic medical devices.



TITLE XVIII



SPECIALIST IN THE PROTECTION AND PROMOTION OF PUBLIC HEALTH

SPECIALIZED COMPETENCES



§ 152



The activities of a specialist in the protection and promotion of public health

specialized competences



Specialist in the protection and promotion of public health referred to in § 153

up to 157 after obtaining the specialized qualifications without professional supervision

performs activities in accordance with section 29 in the scope of their specialization. Furthermore, without

mentorship can



and) to identify and rate the health risks and to propose measures to

their reduction or elimination,



(b)) to identify activities requiring a change in procedure, carry out research

focused on identification of the causes of the deficiencies in field of specialization,



(c)) to create conditions for application of research results into practice on your own

the workplace and within the scope



(d)) to prepare standards for specialized practices in the scope of their

eligibility,



e) prepare information material,



f) prepare the basis for the decision authority to protect public health.



§ 153



Specialist in the protection and promotion of public health for

the epidemiology of



Specialist in the protection and promotion of public health for

Epidemiology performs activities according to section 152 in the field of epidemiology.

In doing so, without professional supervision comprehensive indication and can provide



and the investigation on the outbreak of the disease), prescribe the necessary protiepidemická

measures, including the discovery of the source of the disease, transmission of the disease and persons who

have been in contact with an infectious disease,



(b)) the investigation and measures on the occurrence of nosocomial diseases, prepare

supporting documents to assess the sanitary and protiepidemického mode

individual medical facilities assess their operating schedules and

provide consultation to other healthcare professionals,



(c) the plan of checks and sterilization) disinfection, disinsection, and disinfestation in

healthcare and social care institutions,



(d) the control plan the debtor) special and emergency vaccination and the collection and

evaluation of the necessary data,



e) realization of epidemiological studies of infectious and non-infectious diseases,

large-scale intervention studies and preparing aid schemes

health and their implementation.



§ 154



Specialist in the protection and promotion of public health for hygiene of children

and adolescents



Specialist in the protection and promotion of public health for hygiene of children

and youth carries out activities pursuant to section 152 in the hygiene of children and

adolescents. Doing so without supervision and without indications may



and to carry out activities related to) the performance of the State health supervision

of educational, educational, and accommodations for children and

juvenile, above the zotavovacími actions of vocational training and

teaching practice of minors; monitor and evaluate the scheme of children and adolescents

with regard to the proper physical and psychological development, protection and promotion of

health and age peculiarities,



(b)) to undertake activities related to the performance of the State health supervision

on establishments catering for children and young people, including

monitoring the nutritional levels of diet and drinking regime,



(c)) to monitor the health, nutritional status, physical and mental development of children and

adolescents in relation to lifestyle, life and work

environment and implement the necessary measures for its improvement



(d) provide comprehensive control plan) compliance with protiepidemických

measures in facilities and recovery actions for children and adolescents,



e) prepare programmes of support and enhancing the health of children and adolescents and

ensure their implementation.



§ 155



Specialist in the protection and promotion of public health hygiene

General and municipal



Specialist in the protection and promotion of public health hygiene

General and municipal performs activities according to section 152 in the field of hygiene

General and municipal services. Doing so without supervision and without indications may



and perform specialized procedures) relating to the exercise of State

health surveillance in the area of environmental and health risks

living conditions,



(b) assessment of the results of the investigation comprehensively), observe the effect of drinking quality

water and water intended for swimming on the health status of the population and control the

obligations of persons providing public water supply or

operating swimming pool and sauna,



(c) the control of compliance with obligations) the manufacturer or importer of the products

coming into direct contact with drinking water, hot and raw,

chemical preparations and assess water technology



(d)) to undertake activities related to the performance of the State health supervision

severe epidemiological activities in the field of body care and

check the conditions governing these activities,



e) to monitor and evaluate the noise stress and burden on the population of the other

environmental factors, store, measures for its reduction,



(f) monitor the defined groups) burden of the population selected

harmful substances,



(g) provide comprehensive data collection) of the health status of the population in the

relation to the environment.



§ 156



Specialist in the protection and promotion of public health hygiene

work



Specialist in the protection and promotion of public health hygiene

the work carries out activities pursuant to section 152 in the field of occupational hygiene. In doing so, without

professional supervision and without indications may



and to carry out activities related to) the performance of the State health supervision

in occupational health from the adverse factors

working conditions and above related working conditions including

the equipment of workplaces, and of the responsibility to ensure that racing

preventive care,



(b) comprehensively evaluate the measurement results) factors in the working environment

crucial to the quality of working conditions in order to determine the level of

risk or burden for workers, where are the evaluation criteria laid down

binding rules, for the purposes of the classification of work into appropriate categories,



c) set a minimum scope and terms of the monitoring of factors of working

conditions,



(d)) define the minimum range of body burden

factors of working conditions for workers engaged in risky

work,



e) verify the conditions of developing a disease for the purposes of the assessment of disease

the profession.



§ 157



Specialist in the protection and promotion of public health hygiene

nutrition and normal use, subject



Specialist in the protection and promotion of public health hygiene

nutrition and normal use, items under section 152 carries out activities in the field of

Food and hygiene items normal use. In doing so, without professional supervision

and without indications may



and to carry out activities related to) the performance of the State health supervision

above the dining services and over the objects of its normal use,



(b)) to ensure preventive measures when bulk actions associated with

claims for meals,




(c) comprehensively ensure the control plan) on the critical points in the production and

preparing food and putting them into circulation,



(d) to assess the results of the investigation comprehensively), observe the effect of nutrition on

the State of health of selected groups of the population, to propose, where appropriate,

provide measures for its improvement



(e) carry out precautions) placing on the market or put into circulation

semi-finished products, food, or food suspected of hazard

or food alerts — are,



(f)) to perform a test of knowledge of individuals in operations

severe epidemiological,



(g)) to perform a write-down, or propose a write-down dispose of or

food preparations or dishes that do not comply with the requirements of

laid down by law.



§ 158



The activities of a specialist in the protection and promotion of public health for

hygiene and epidemiology



Specialist in the protection and promotion of public health and hygiene

the epidemiology of without professional supervision performs activities according to section 29 of the

the scope of their specialization. Furthermore, without professional supervision may



and to identify, assess and) to evaluate the health risks and to propose

measures to reduce or eliminate, the



(b)) to prepare standards of specialized procedures, implement them in practice,

monitor and implement their reviews, secure, quality system

work in the protection and promotion of public health,



(c) the education of the population and) perform the population groups including the creation

educational and information materials,



(d)) to form and implement the epidemiological study of infectious and non-infectious

diseases, large-scale intervention studies, monitoring of the health status of the

the population in relation to the environment and the working environment, prepare

and implement programs of health promotion and preventive health

programs aimed at different types of disease,



(e) the supporting documents) for monitoring the health status of the population and

population groups, the status of their physical and mental development

to the lifestyle, environment and working environment, and design and

implement measures for its improvement



(f)) work with information systems in the protection and promotion of the public

health, participate in their creation, and reviews,



g) carry out activities related with the performance of national health surveillance,

Enter and specify, where appropriate, carry out measurement and sampling procedures and

materials for laboratory examination in the field of protection and promotion of

public health in the context of its focus in order to determine the extent of exposure

and the risks to the population and population groups



(h)) to perform data collection, analysis, interpretation of the results of the chemical

and biological examinations and physical measurements for the assessment and management of

health risks and prepare the basis for the decisions of the organs of the protection

public health, including proposals for appropriate measures,



I) to prepare a plan of the State health supervision, checks



j) lead the practical training of specialized education in the areas of protection and

support of public health,



to) work in crisis management to crisis management in the framework of the

the scope of the institutions of public health protection,



l) to carry out research and its application into practice in the fields of protection and promotion of

public health,



m) to prepare the design and carry out projects in the fields of protection and

support of public health,



n) carry out investigations on the outbreak of the disease, ordered by protiepidemická

measures, including the discovery of the source of the disease, transmission of the disease and persons who

have been in contact with an infectious disease,



about) to carry out the investigation and measures on the occurrence of nosocomial diseases,

provide supporting documentation for the creation of a sanitary and protiepidemického mode

each health care facility, to carry out an assessment of their

operating systems and providing consultation to the other medical

workers,



p) to carry out activities related to the performance of the State health supervision

of educational, educational, and accommodations for children and

juvenile, above the zotavovacími actions of vocational training and

teaching practice of minors; monitor and evaluate the scheme for children and

adolescents with regard to proper mental and physical development, protection and

health promotion and age peculiarities,



q) to carry out activities related to the performance of the State health supervision

on establishments catering for children and young people, including

monitoring the nutritional levels of diet and exercise regime, State

medical supervision of subjects of normal use,



r) assess the results of the investigation, to monitor the impact of drinking water quality and water conservation

intended for swimming on the health status of the population and control the obligations

persons providing public water supply or operating

swimming pool and sauna,



with the results of the measurements to evaluate comprehensively) factors of the working environment

crucial to the quality of working conditions in order to determine the level of

risk or burden for workers, where are the evaluation criteria laid down

binding rules, for the purposes of the classification of work into appropriate categories.



TITLE XIX



A HEALTH CARE PROFESSIONAL WITH SPECIALIZED COMPETENCES IN THE FIELD

ORGANIZATION AND MANAGEMENT IN HEALTH CARE



§ 159



Specialist in organization and management in health care



Specialist in organization and management in health care after you get the

specialized qualifications without mentorship activities

conceptual nature related to the management and organization of health

care. While the extent of its specialized competence in particular can



and design objectives, strategies) and policy organizations to undertake activities

connected with the management and organisation of the health care facility,



(b)) to address systemic issues health care provision, exercise

activities associated with the creation and implementation of health policies and follow up

health and social care,



(c) to propose the concept of their field) and apply it in practice,



d) analyze and interpret statistical data relating to the provision of

health care and health status of the population and to plan for future needs

health services,



e) introduce rating system for quality and safety of health care, and

its continuous improvement,



(f)) to carry out activities in the area of human resources and organization of the next

education,



g) ensuring law and standards relating to the

activity of health establishments.



TITLE XX



RADIOLOGY ASSISTANT WITH SPECIALISED COMPETENCE



§ 160



Activities with specialised competence in the radiological Assistant



Radiology Assistant with specialised competence referred to in § 161

up to 163 carries out activities pursuant to section 7 and may



and) without professional supervision and without indication



1. the patient or other persons in the specific procedures and

prepare information material for them,



2. to coordinate the work of team members in the area of their specialization and to act

as a consultant to other team members, and perform technical supervision

radiological assistants without specialized qualifications,



3. to the extent of their specialized qualifications to carry out reinsurance and

evaluation of quality of health care provided, including that carried out by the

radiological imaging and quantitative methods and irradiation

procedures, environment and documentation to verify the information obtained and

propose ways to improve the quality of health care,



4. in the scope of their specialized qualifications evaluate the risks

misconduct in radiological procedures and propose preventive and corrective

measures,



5. in the scope of their specialized qualifications to carry out research, in particular

identify activities requiring changes in procedures, to carry out research

focused on identification of the causes of the deficiencies in the care provided, create

the conditions for the application of the results of research into clinical practice, not only on

your own workplace, but even within the industry,



6. prepare standards of specialized procedures to the extent of their

eligibility,



7. lead lifelong learning including specialization in the field of its

specialization,



8. in the scope of their specialized qualifications prepare specification

technical parameters of the instruments within the investment planning;



(b)) without professional supervision on the basis of the indications of a doctor to perform the preparation

patients on specific diagnostic and therapeutic procedures, to accompany them, and

assist during the performances, watch them and provide them with specific

nursing care after the performance.



§ 161



Professional Radiology Assistant for radiodiagnostiku



(1) an expert Radiology Assistant for radiodiagnostiku exercises

activities under section 160, and also without professional supervision and without indications may



and the extent of its specialized) competence to provide training

investigative protocols and the introduction of new investigative and therapeutic

technologies,



(b)) to provide a specific nursing care,



c) set up and monitor compliance with the reference of the diagnostic

levels of ^ 39), cooperate with the clinical medical physics expert on

identify the causes of their crossing, to design and implement

corrective measures,



(d)) to perform basic clinical analysis of diagnostic images and their

subsequent processing.



(2) an expert Radiology Assistant for special radiodiagnostiku

competence in the skiagrafii carries out activities referred to in paragraph 1

and without professional supervision may



and) without indication of the conduct informative estimate the effective dose for


specific medical exposure in skiagrafii,



(b)) based on the indication of the doctor as the practitioner to perform

skiagrafické imaging procedures, for which he is the clinical responsibility.



(3) an expert Radiology Assistant for special radiodiagnostiku

expertise in the imaging in diagnosis of breast exercises

the activities referred to in paragraph 1 and without professional supervision, and on the basis of

indication of a doctor can perform imaging procedures in mamografickém

screening, for which he is the clinical responsibility.



(4) an expert Radiology Assistant for special radiodiagnostiku

competence in nuclear magnetic resonance imaging

carries out activities referred to in paragraph 1 and without professional supervision, and on

the basis of the indications of a doctor can perform imaging procedures and

using nuclear magnetic resonance spectroscopy.



(5) an expert Radiology Assistant for special radiodiagnostiku

expertise in Imaging using computed tomography

carries out activities referred to in paragraph 1 and without professional supervision, and on

the basis of the indications of a doctor who is a practitioner ^ 40), may

to perform imaging procedures, computed tomography, and the implementation of their

the practical part carries the clinical responsibility.



(6) an expert Radiology Assistant for special radiodiagnostiku

expertise in Imaging, interventional radiology procedures

and cardiology carries out activities referred to in paragraph 1 and without vocational

supervision and on the basis of the indications of a doctor who is aplikujícím

an expert ^ 40) can perform imaging procedures of intervention

Radiology and cardiology, and the implementation of the practical part of the bears

clinical responsibility.



(7) an expert Radiology Assistant for special radiodiagnostiku

professional qualifications, in accordance with paragraphs 2 to 6 shall perform the activities referred to in

paragraph 1, and without professional supervision, and on the basis of the indications of a doctor

may inject intravenous Diagnostics with the exception of radiopharmaceuticals.



§ 162



Professional Radiology Assistant for radiotherapy



Professional Radiology Assistant for radiotherapy carries out activities referred to in

section 160 and without professional supervision, and on the basis of the indications of a doctor who

the practitioner may perform



and radiation techniques in brachytherapy procedures),



(b) treatment technology in teleterapii),



c) radiological procedures for the planning and verification of treatment,

the fundamental analysis of image data and their subsequent processing,



(d) direct the patient dosimetry),



e) treatment planning.



§ 163



Professional Radiology Assistant for nuclear medicine



Professional Radiology Assistant for nuclear medicine activities

pursuant to § 160 and can



and) without professional supervision and without indication



1. measurements to be made of the batch input of patients within the radionuclide

therapy,



2. to receive, inspect, prepare the application and dispose of

radiopharmaceuticals and perform decontamination of the means used and the working

environment,



3. perform basic image analysis and quantitative data and their

subsequent processing,



4. provide specialized nursing care;



(b)) without professional supervision, and on the basis of the indications of a doctor who is

practitioner,



1. perform diagnostic imaging with hybrid technology

procedures in nuclear medicine,



2. apply intravenous iodinated contrast media and radiopharmaceuticals

needed to implement the imaging procedures in point 1.



PART FIVE



TRANSITIONAL PROVISIONS



§ 164



(1) the activities referred to in § 131 paragraph. 2 to 4 can perform radiological

the physicist, who has completed a special training, which is in accordance with § 96 para. 2

Law No 96/2004 Coll. considered specialized education, in

the field, from which it passed the Board certification exam.



(2) the activities referred to in § 131 paragraph. 2 can perform radiological physicist

who has completed specialized training in accordance with Government Regulation No.

463/2004 Coll. in the field of Radiological Physics in radiodiagnostic medicine.



(3) the activities referred to in § 131 paragraph. 3 can perform radiological physicist

who has completed specialized training in accordance with Government Regulation No.

463/2004 Coll. in the field of Radiological Physics in radiation therapy.



(4) the operations referred to in § 131 paragraph. 4 can perform radiological physicist

who has completed specialized training in accordance with Government Regulation No.

463/2004 Coll. in the field of Radiological Physics in nuclear medicine.



(5) the activities referred to in § 161 para. 2 to 7 can perform radiological

Assistant, who won the professional competence pursuant to § 8 para. 1 (b). (c))

Law No 96/2004 Coll. and who has completed a specialisation

study on the section of radio work, which according to § 96 para. 2

Law No 96/2004 Coll. considered specialized education.



PART SIX



CANCELLATION AND FINAL PROVISIONS



§ 165



Shall be repealed:



1. Decree No. 424/2004 Coll., laying down the activity of health

workers and other professional workers.



2. Decree No 401/2006 Coll., amending Decree No 430/2004 Coll.

laying down the activities of health professionals and other professional

workers.



§ 165



The effectiveness of the



This Decree shall take effect on the date of its publication.



Minister:



doc. MUDr. Heger, CSc., r.



1) § 54 para. 1 (b). a), b) and (d)) Law No 96/2004 Coll., on conditions for

acquisition and recognition of competence for the exercise of paramedical

profession and to pursue activities related to the provision of health

care and amending certain related laws (the law on the non-medical

medical occupations), as amended by Act No. 189/2008 Sb.



2) Decree No 86/2008 Coll., laying down principles of good laboratory practice

in the area of pharmaceuticals.



3) section 2 of the Act No. 121/2000 Coll., on medical devices and on changing the

some related laws, as amended by Act No 130/2003 Coll. and

Act No. 196/2010 Sb.



4) § 2 (b). x) section 2 of the Act No. 18/1997 Coll. on peaceful uses of

of nuclear energy and ionizing radiation (the Atomic Act) and on the amendment and

to certain laws, as amended by Act No. 13/2002 Sb.



5) Act No. 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.



6) Act No. 258/2000 Coll., on the protection of public health and amending

some related laws, as amended.



Decree No. 195/2005 Coll., which will govern the conditions for the prevention of

the emergence and spread of infectious diseases and hygiene requirements for the operation of the

medical facilities and institutions of social care.



7) for example, Act No. 18/1997 Coll., as amended,

Decree No. 182/1991 Coll., implementing the law on the social

Security and the law of the Czech National Council on the competence of the organs of the United

Republic in social security, as subsequently amended,

Decree No 307/2002 Coll., on radiation protection, as amended

regulations.



8) § 29 to 42 of law No 96/2004 Coll., as amended by Act No. 189/2008 Sb.



9) Act No. 18/1997 Coll., as amended.



10) Law No 378/2007 Coll., on pharmaceuticals and on amendments to related laws,

in the wording of later regulations.



Act No. 167/1998 Coll., on substance abuse and on the amendment of certain other

laws, as amended.



11) Law No. 123/2000 Coll., as amended.



Decree-Law No 336/2004 Coll., laying down technical requirements

for medical devices and amending Government Decree No. 251/2003

Coll., amending certain regulations issued by the Government for the implementation of Act No.

22/1997 Coll., on technical requirements for products and amending and supplementing

certain acts, as amended.



Government Regulation No. 154/2004 Coll., laying down technical requirements

on active implantable medical devices and amending

Government Decree No. 251/2003 Coll., amending certain regulations of the Government of

issued for the implementation of Act No. 22/1997 Coll., on technical requirements for

products and amending and supplementing certain acts, as amended

the regulations, as amended by Decree-Law No 307/2009 Sb.



Government Regulation No. 452/2004 Coll., laying down technical requirements

on in vitro diagnostic medical devices, as amended by regulation

Government no 246/2009 Sb.



12) § 2 (2). 2 (a). l) Act No. 378/2007 Sb.



13) § 2 (2). 2 (a). n) Act No. 378/2007 Coll., as amended by Act No.

296/2008 Sb.



14) § 17 para. 1 (b). b) of Act No. 18/1997.



15) § 3 (1). 2 Decree No 146/1997 Coll., laying down the activities,

that have immediate impact on nuclear safety, and activities

particularly important from the point of view of radiation protection requirements, qualifications

and training, the authentication method in special professional competence and

granting permissions to selected workers and how to perform the approval

documentation for the authorization to prepare selected personnel, as amended by

Decree No 315/2002 Sb.



16) for example, Act No. 258/2000 Coll., as amended.



17) Decree No. 50/1978 Coll., on professional competence, electrical engineering,

as amended by Decree No. 98/1982 Coll.




18) Act No. 121/2000 Coll., as amended.



19) § 2 (b). in) Decree No 307/2002 Sb.



20), for example, Act No. 18/1997 Coll., as amended, the law

No 123/2000 Coll. as amended, Act No. 506/1990 Coll., on

Metrology, as amended.



21) for example Act No 123/2000 Coll., as amended,

Act No. 18/1997 Coll. as amended, Act No. 506/1990

Coll., as subsequently amended, Act No. 22/1997 Coll., on technical

requirements for products and amending and supplementing certain acts, as amended by

amended.



22) section 3 of Decree No. 149/1997 Coll., as amended by Decree No 315/2002 Sb.



23 § 2 (b)). w) Decree No 307/2002 Sb.



24) section 66 paragraph 1. 2 Decree No 307/2002 Coll., as amended by Decree No.

499/2005 Sb.



25) Act No. 185/2001 Coll., on waste and amending certain other

laws, as amended.



26) section 43 of Act No. 96/2004 Coll., as amended by Act No. 189/2008 Sb.



27) section 27 of the Decree No 307/2002 Coll., as amended by Decree No. 499/2005 Sb.



28) section 67 para. 6 and 7 of Act No. 378/2007 Sb.



29) Decree No 229/2008 Coll., on the manufacture and distribution of pharmaceuticals.



30) Decree No. 432/2003 Coll., laying down the conditions for the classification

work in categories, limit values for biological exposure indicators

tests, the conditions of collection of biological material for the implementation of

biological exposure tests and requirements for the reporting of work with asbestos and

biological agents, as amended.



31) 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.



for example, 32) Law No 378/2007 Coll., on pharmaceuticals and on changes of some

related laws, as amended, Decree No. 84/2008

SB.



33) Act No. 455/1991 Coll., on trades (trade licensing

Act), as amended.



34) Act No. 20/1966 Coll., on the health care of the people, as amended

regulations.



35) Act No. 167/1999 Coll., on health care and on amendments to certain

related laws (health law), as amended.



36) Annexes 1 and 5 of the Act No. 167/1998 Coll., on substance abuse and

amendments to certain other laws, as amended.



37) Decree No. 195/2005 Coll., which will govern the conditions for the prevention of

the emergence and spread of infectious diseases and hygiene requirements for the operation of the

medical facilities and institutions of social care.



38) Act No. 239/2000 Coll., on the integrated rescue system, as amended by

amended.



39) section 3 of the Act No. 506/1990 Coll., as amended by Act No. 121/2000 Coll.



40) § 62 para. 2 Decree No 307/2002 Sb.