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.