92/Sb.
DECREE
of 15 November 2004. March 2012
about the requirements for the minimum technical and material facilities of medical
equipment and home care contact
The Ministry of health shall, pursuant to section 120 of Act No. 372/2007 Coll.
health services and conditions of their provision (law on
health services), to implement section 11 para. 6 of the Act:
§ 1
(1) General requirements for minimum technical and material facilities (hereinafter referred to as
"technical and material facilities") of medical equipment are set out in
Annex 1 to the present Decree.
(2) additional requirements for technical and material facilities of medical
device
and outpatient care) are set out in annex 2 to this Decree,
(b)) a day care are set out in annex 3 to this Decree,
c) inpatient care are set out in annex 4 to this Decree,
d) pharmaceutical treatments are laid down in annex 5 to this Decree,
e) medical transportation services are set out in Appendix 6 to this
the Decree,
f) emergency medical services are set out in Appendix 7 to this
the Decree,
g) transport urgent care are set out in annex 8 to
This Decree.
(3) the requirements for the technical and material facilities contact
home care are set out in annex 9 to this Decree.
(4) the provisions of this Decree shall not affect the requirements for medical devices and
home care contact points provided for in other legislation of the ^ 1).
§ 2
(1) the health care facility in which the provider of health services
(hereinafter referred to as "provider") is entitled to provide health care services at the date of
entry into force of this order, shall be equipped with technically and materially
According to this Decree,
a) within 12 months from the date of its effectiveness, if this
the provider of the person referred to in § 121 paragraph 2. 1 of the law on health
services,
(b)) to 9 months from the date of the acquisition of its effectiveness, if this
the provider of the person referred to in § 122 para. 1 of the law on health
services.
(2) medical devices, in which the service provider is authorised to provide
health services on the basis of a judgment given in proceedings under section 121
paragraph. 6 of the Act on health services, they must be technically and materially
According to this Decree the equipped with 12 months from the date of acquisition of legal power
This decision.
(3) medical devices referred to in paragraphs 1 and 2 shall, within the time
compliance with the technical and material facilities provided for in this
Decree conform to the requirements on the technical and material equipment by
the existing legislation.
§ 3
(1) the provider contact points, which is competent to provide
home care on the date of entry into force of this Decree, it must be technically and
materially equipped with under this Ordinance within 12 months from the date of its
efficiency.
(2) contact points the provider is authorised to provide
home care on the basis of a judgment given in proceedings under § 121 paragraph 2. 6
the law on health services, they must be technically and materially equipped with
According to this Decree, within 12 months from the date of acquisition of legal power of this
decision.
(3) the contact points referred to in paragraphs 1 and 2 shall, within the time
compliance with the technical and material facilities provided for in this
Decree conform to the requirements on the technical and material equipment by
the existing legislation.
§ 4
This Decree shall enter into force on 1 January 2000. April 2012.
Minister:
doc. MUDr. Heger, CSc., r.
Annex 1
General requirements to the technical and material equipment of medical institutions
1. Medical device must in terms of construction and technical requirements
on the premises and their functional and layout allow functional
and safe operation.
2. A medical facility must also
and operationally closed and form) a functionally coherent whole,
(b)) to be placed in the non-residential premises that meet the General requirements for
the construction,
(c)) have a guaranteed supply of drinking water and hot water supply, if it is not
ensured her heating on site
(d)) be provided with waste-water drainage,
(e)) to be fitted with a system of natural or forced ventilation and running
heating,
(f)) have ensured the connection to public electricity,
(g)) be fitted with a connection to the public telephone network and fixed or
a mobile, if not stated otherwise,
h) be equipped with a computer with Internet access; This equipment is
does not require, in the case of medical devices referred to in part I of the annex.
No 2 to this Decree, unless stated otherwise.
3. the premises intended for
and) handling of biological material,
(b)), or the implementation of operational performance
(c) implementation of the endoscopic procedures) with violation of the integrity of the body
the surface or with an increased risk of infection,
must have clean the walls to a height of at least 180 cm and surface
the furniture and the floor easy to clean and disinfect, washable,
If not stated otherwise.
Annex 2
The requirements on the technical and material equipment of medical institutions
outpatient care
(I).
The requirements on the technical and material equipment of the workplace medical and dental
physicians, other health workers and workplaces, workplaces, other
Professional staff
A. the common requirements
1. the basic premises of health care facilities
they are:
and surgeries and surgery) dentists ^ 2) (hereinafter referred to as "practice
the doctor "), other health workers and the workplace
other professional workers ^ 3) in which they are carried out by the health
performances (hereinafter referred to as "performance"),
b) waiting room,
c) TOILET for patients
(d)) zákrokový Hall, when they are performed
-operating performances, or
-endoscopic procedures with violation of the integrity of the body surface area or
an increased risk of infection,
(e) preparation for performance) if it is established.
2. secondary premises medical out-patient care devices
they are:
and sanitary facilities for employees) ^ 4),
b) the storage rooms,
(c) a room for the rest of the staff) if it is established.
Ancillary premises may be common to multiple surgeries of doctors
and other health care professionals and other professional
workers.
3. Medical and other health care workers and the workplace
other professional workers must have a minimum floor space (
"the area") 13 m2.
4. Preparation for the performance means the room where the patient is being prepared
to perform and also where are prepared medical devices, medicinal
products and the active substances prior to their application to the patient and carried out
other activities related thereto. Preparing for performances must have
a minimum area of 10 m2.
5. Waiting room must have a minimum area of 7 m2, unless specified
otherwise, and shall be provided with seating. Waiting room may be common
For more surgeries of doctors and other health care professionals of the workplace
and other professional workers, if it has a minimum area of 10 m2. If
health care (hereinafter referred to as "care") is provided to infants, must have a
waiting room minimum area 8 m2 and be equipped with a changing table,
If this is not the table in the doctor's Office.
6. TOILET for patients must have a Hall equipped with a sink, if it is not
the basin lies in the cabin, WC. TOILET may be common for employees and
patients when medical facility outpatient care consists
a maximum of 2 offices of physicians or other health care sites
workers and other professional workers, unless specified
otherwise. WC for patients may be common to multiple surgeries of doctors and
workplaces, other health care professionals and other professional
workers.
7. Zákrokový Hall must have a minimum area of 10 m2 and have floors, ceilings
and walls resistant to damage when used for regular cleaning, washing and
disinfection.
8. Storage areas shall be assigned for the separate storage of the material,
laundry and cleaning and disinfection needs. Storage spaces can be
replace the appropriate wardrobes. Storage of things must be secured so
to avoid contamination of clean things soiled things.
9. Medical Equipment, other medical
workers and workplaces other professional workers:
investigation deck-chair),
b) sink,
c) washing equipment, sink if it is done washing and cleaning equipment
used to manipulate biological material,
d) furniture for the work of health care professionals and other professional
workers,
e) Chair or Chair to the patient,
f) enclosure of medicinal products,
g) tables on instruments and tools,
h) non-transferable lockable box made of metal, if stored narcotic
or psychotropic substances or preparations containing ^ 5),
I) Cabinet for tools and utilities,
j) index Cabinet, unless medical documentation is kept
exclusively in electronic form, or if it is not established by Central
filing cabinet,
k) refrigerator on medicinal products equipped with a thermometer, if
store medicines or AIDS for its preservation
require a lower temperature than the room and refrigerator on biological
material equipped with a thermometer, when stored biological material
l) monitor, stethoscope, thermometer, medical, personal weight, altimeter,
m) changing table if it is provided by the care to newborns and infants
n) AIDS and medicines for first aid supplies including
cardiopulmonary resuscitation, IE. resuscitation drape or
samorozpínací bag including masks, air ducts, gloves, equipment for
bleeding and the means to ensure the venous entry; workplace
workers, paramedical professions need not be fitted with a
medicines for first aid and resources to ensure
the venous entry,
o) sterilizer, when using the tools and utilities that require
sterility and central sterilization service is not ensured or delivery
all material for single use or, if not supplied
all material is sterilized. If sterilization is being used
formaldehyde sterilizer must be located outside the room for
implementation procedures,
p) local lamp examination,
q) room for undressing the patient and the postponement of the garment.
Equipment referred to in subparagraphs (h)), j), (n)), and o) may be common to multiple
doctors ' offices and workplaces, other health care professionals and other
Professional staff.
Equipment referred to in subparagraphs (a) to (c))) and (e)) to q) can be placed in the
any one of the basic premises referred to in section I and section
1 (a)), (d)) or e) of this annex. Filing cabinet, personal weight and
altimeter can be placed even in the waiting room.
10. surgical operation room Equipment:
and) sink,
(b)) the operating table or Chair with an operating lamp,
(c) sterile containers), and sterile material tools
d) container on your operating material,
e) infusion stand or other device for secure hanging
infusion bottles and bags (hereinafter referred to as "infusion stand"),
f) Instrumentation bench,
g) other instruments and tools according to the scope of the care provided.
11. If it is in a medical facility outpatient care provided by care
in multiple fields, you must meet the requirements for equipment, for
each scope care provided.
12. If it is in a medical facility outpatient care provided by care
in an industry that is not listed in part B of this annex, must be met
equipment requirements set out for the nearest venue.
13. If it is in a medical facility outpatient care provided by care
children, must be adapted to these medical facility equipment
patients.
14. If the medical device is equipped with devices or apparatus,
proven functionally fully replace the technical and material facilities
listed in part I of this annex or part of it and it makes them redundant,
as follows replaced equipment or part thereof shall not be required.
15. If the equipment of the individual offices of physicians, workplaces
other health care professionals and other professional workers and
other operational space of medical device out-patient care
additional or different requirements are set forth as a separate
requirements.
B. specific requirements
1. specific requirements by industry care
1.1. the Allergology and Clinical Immunology
Facilities:
-to investigate the flow curve spirometer-volume, unless the examination
provided on a different site or contracted medical facility in the
the clinic another provider.
1.2. Pain Management
Facilities:
stříkačkový or dispenser) infusion pump,
(b)) to the Pulse Oximeter.
1.2.1. Stationary care-pain management
Facilities:
a) beds or chairs,
b) infusion stand,
(c)) stříkačkový or infusion pump dispenser,
d) Pulse Oximeter,
e) breast pump.
1.3. Angiology
Facilities:
Ultrasonic flow indicator),
(b) sonograf with the dopplerovským module), if not the sonographic examination
provided on a different site or contracted medical facility in the
the clinic another provider,
(c)), unless the appliance ECG electrocardiogram provided
on another workplace medical equipment or contracted in
the clinic another provider,
(d)) the dispenser stříkačkový.
1.4. Vascular Surgery
Facilities:
and) monitor if digital transmission of images, or film Viewer,
(b)) for the range of surgical procedures.
1.5. Dermatovenereology
Facilities:
and zoom)
(b)) a gynecological exam table, if it is provided by the venerologická
care.
If it is provided by the venerologická care, cannot be WC for
employees and patients.
1.5.1. Stationary Hyperhidrosis care
Facilities:
a) beds or chairs,
(b)) equipment for phototherapy,
c) baths for cleansing and therapeutic application, if it is
provided by balneofototerapie, hydroléčba or synchronous
d) infusion stand.
1.6. Diabetology
Facilities:
and the meter),
b) tuner.
1.7. Adolescent Medicine
Facilities:
and optotypy,)
(b)) to determine the equipment barvocitu.
1.8. Endocrinology
Facilities:
-sonograf with the probe for the examination of the thyroid gland, if not
sonographic examinations provided at another workplace health
devices in a medical facility or contracted third-party provider.
1.9. Foniatrie
Facilities:
and the Chair of the inquiry,)
b) Chair for the doctor
c) microscope,
(d)) cold light source,
e) endoscopic optics for examination of the nose and throat,
(f)), laryngostroboskop
g) breast pump,
h) of ENT instruments
I) silent Chamber,
j) clinical audiometer,
k) tympanometr,
l) device for verbal audiometry in free field, if they are tested
and be issued hearing aids.
Investigation deck-chair is required, personal weight and altimeter.
1.10. Gastroenterology
Facilities:
Endoscopic or table) reclined cradle,
(b)) gastroskop or kolonoskop,
c) cold light source,
(d)) surgery, generator
e) breast pump,
f) basic endoscopic range,
g) infusion stand,
(h)), on biological and drain the contaminated waste,
I) washing and disinfection unit, if not washing and disinfection tools
provided on a different site or contracted medical facility in the
the clinic another provider.
Equipment referred to in point (d)) shall not be required in medical
facilities of the prison service of the Czech Republic (hereinafter referred to as "the prison
Service ") if they are feats performed by the Electrosurgical
the generator provided contractually in a medical facility to another
of the provider.
1.11. Geriatrics
Facilities:
a) investigation deck-chair with adjustable height
(b)), unless the appliance ECG electrocardiogram provided
on another workplace medical equipment or contracted in
the clinic another provider,
(c) equipment for practicing self-sufficiency) and for the functional evaluation of mobility.
1.11.1. Stationary care-Geriatrics
Facilities:
a) investigation deck-chair with adjustable height
b) beds or chairs,
(c)), unless the appliance ECG electrocardiogram provided
on another workplace medical equipment or contracted in
the clinic another provider,
(d) training of AIDS to self-sufficiency) and for the functional evaluation of mobility.
There is hereby established a room for therapy with a minimum area of 10 m2.
1.12. Gerontopsychiatrie
There are no special hardware requirements.
1.13. the gynaecology and obstetrics
Facilities:
and a gynecological exam table),
b) colposcope has,
c) seat for a doctor
d) investigative light,
e) pelvimetr,
(f)) sonograf, if it is not provided on another ultrasound examination
workplace medical equipment or contracted in healthcare
device to another provider,
g) device for listening to the sounds of the fetus (fetal doppler), if it is not
workplaces equipped with sonografem.
Equipment referred to in subparagraph (e)) is not required in medical
facilities of the prison service, if the investigation is to ensure pelvimetrem
contractually in a medical facility of another provider.
If the screening is carried out gynaecological cytology, establishing the
cytological laboratory meeting the requirements for facilities listed in part
III. (B) point 5 of this annex.
1.13.1. Perinatology and fetomaternální medicine
The equipment is identical to equipment referred to in section i.b, point 1.13 this
attachments and equipment must be
and sonograf with the dopplerovským module),
(b)) the cardiograph.
1.13.2. Onkogynekologie
Facilities:
and a gynecological exam table),
b) colposcope has,
c) seat for a doctor
d) investigative light,
e) sonograf, if it is not provided on another ultrasound examination
workplace medical equipment or contracted in healthcare
device to another provider.
1.13.3. Urogynecology
Facilities:
and a gynecological exam table),
b) colposcope has,
c) seat for a doctor
d) investigative light,
e) large urodynamic unit for cystometrii, profilometrii, uroflowmetrii.
1.14. Hematology and transfusion medicine
Facilities:
-ECG device, if it is not provided on the electrocardiogram
another workplace medical equipment or contracted in healthcare
device to another provider.
Furthermore, it must be ensured the availability of laboratory Hematology
meeting the requirements for facilities listed in part III. (B) section 3.1, and
transfusion medicine laboratory that meets the requirements for the equipment
referred to in part III. (B) paragraph 3.2 of this annex.
1.14.1. Stationary care-Hematology
Facilities:
a) beds or chairs,
b) vital signs monitor (ECG, NIBP, SpO2)
c) infusion pump,
d) breast pump,
e) infusion stand.
1.14.2.. Stationary care-hemaferézy
Facilities:
a) beds or chairs,
b) separator blood components suitable for therapeutic procedures,
c) generator of electricity, or connect to a replacement source
electric energy.
1.15. the Hygiene and epidemiology
Investigation deck-chair is required.
1.16. Hyperbaric Medicine and aviation
Facilities:
and hyperbaric chamber),
(b)), Pulse Oximeter,
(c)) optotypy in diving medicine and aviation medicine,
(d)) in my Office Otoscope diving medicine.
1.17. the Surgery
Facilities:
and) monitor if digital transmission of images, or film Viewer,
(b)) for the range of surgical procedures.
If the fixation is made of plaster, sádrovna, is hereby established, which shall
have a minimum area of 10 square meters and be equipped with a
and the exam Chair or sádrovacím) Desk,
(b)) for the preparation of flat bandages
(c)), oscillating saw
(d)) sádrovacími tool.
1.17.1. Oncological surgery
Facilities:
and) monitor if digital transmission of images, or film Viewer,
(b)) for the range of surgical procedures.
1.18. Infectious medicine
Facilities:
-infusion stand.
WC cannot be common for staff and patients.
1.19. Cardiology
Facilities:
ECG device)
b) infusion stand,
c) defibrillator, if the stress tests are performed,
(d)) echokardiografický sonograf, if it is not provided on another examination
workplace medical equipment or contracted in healthcare
device to another provider,
(e) the bicyklový Ergometer or treadmill) and ECG machine with a program for
stress test, if it is not provided on a different site examination
the health care facility or contracted in a medical facility to another
the provider,
f) equipment for 24-hour monitoring of the ECG, if no examination
provided on a different site or contracted medical facility in the
the clinic another provider,
g) equipment for 24-hour monitoring of TK, if no examination
provided on a different site or contracted medical facility in the
the clinic another provider.
1.20. Clinical Biochemistry
Facilities:
-blood glucose meter.
1.21. Clinical Pharmacology
Facilities:
ECG device)
(b)) blood glucose meter,
c), Pulse Oximeter,
d) infusion stand.
1.22. Clinical Oncology
Facilities:
and the ECG device) is not ensured by electrocardiogram
on another workplace medical equipment or contracted in
the clinic another provider,
(b)) blood glucose meter,
c) infusion stand.
1.22.1. Stationary care-Oncology
Facilities:
a) beds or chairs,
b) AIDS medicines
(c)) stříkačkový or infusion pump dispenser,
d) infusion stand,
(e)), unless the appliance ECG electrocardiogram provided
on another workplace of medical equipment,
f) breast pump,
(g)) of the Pulse Oximeter.
1.23. clinical Osteology
Facilities:
-bone denzitometr peripheral or full body.
1.24. Corrective Dermatology
Facilities:
-Zoom.
Zákrokový Hall is hereby established.
1.25. Medical Genetics
Facilities:
-fotodokumentační device.
1.26. Medical long-term care
Facilities:
a) investigation deck-chair with adjustable height
(b)), unless the appliance ECG electrocardiogram provided
on another workplace medical equipment or contracted in
the clinic another provider,
(c) equipment for practicing self-sufficiency) and for the functional evaluation of mobility.
1.27. Addictive disease
Facilities:
alkotest),
(b) a drug tester),
c) separate safety signaling device, if it is provided by the
Testosterone replacement therapy.
1.27.1. Stationary care-addictology
The room shall be set up for therapy.
1.28. Nephrology
Facilities:
and) monitor if digital transmission of images, or film Viewer,
(b)) bench-top centrifuge, if not provisioned service biochemical
Lab on a different site or contracted medical facility in the
medical facility to another provider; bench-top centrifuge must
be placed in a separate room,
c) microscope, unless service biochemical laboratories
another workplace medical equipment or contracted in healthcare
device to another provider,
(d)) sonograf, if it is not provided on another ultrasound examination
workplace medical equipment or contracted in healthcare
device to another provider.
1.28.1. dialysis
Facilities:
and the weighting of the bed or other) calibratable device to determine the
weight of the patient,
(b) unit on 1) dialysis dialysis place,
(c)), at least spare the appliance 1 5 for every 5 dialysis
places,
d) infusion stand,
e) infusion pump,
f) blood glucose meter,
g) kardiomonitor,
h) instrumentation to measure the blood recirculation in vascular access
I) defibrillator,
j) apparatus, ECG
k) Pulse Oximeter,
l) the patient's hydration, detection system
m) water treatment device with reverse osmosis,
n) basic instrument for measuring clotting time, if it is not provided
tests in the laboratory,
about medical oxygen, source)
p) power generator or connection to a central replacement
source of electrical energy.
There is hereby established:
exam room with a double bed) for monitoring of patients after the procedure,
b) Hall or space for dialysis treatment of HBsAg and antiHCV negative
patients and patients with non-infectious unit for nurses; Habitat
for nurses is not required if the communication device between the patient
and a sister,
(c)) for the treatment of HBsAg allocated space or antiHCV positive patients
and infectious patients with unit for nurses; Habitat for sisters
is not required if the communication device between the patient and the nurse,
d) room on the water treatment with filters and reverse osmosis,
e) inventory space on clean underwear,
f) inventory space on used lingerie,
g) inventory space on dialysis concentrates,
h) inventory space on dialysis needs,
I) cleaning the room
j) a room for the replacement and repair of dialysis dialysis unit
instruments.
Area per one bed must be at least 8 m2.
1.29. Neurosurgery
Facilities:
and) neurological hammer,
b) monitor if digital transmission of images, or film viewer.
1.30. Neurology
Facilities:
and) neurological hammer,
b) tuning forks,
(c)) elektroencefalograf, if it is not provided on electroencephalography
another workplace medical equipment or contracted in healthcare
device to another provider,
(d)) elektromyograf, if it is not provided on another electromyography
workplace medical equipment or contracted in healthcare
device to another provider.
1.31. Ophthalmology
Facilities:
and the Chair of the inquiry) lamp,
b) seat swivel,
(c) direct, oftalmoskop)
d) automatic Refractometer or fluoroscopic moldings and mirror,
e) lamp crevice,
f) eye tonometer,
g) optotypy,
h) perimeter,
I) glasses wardrobe
j) device to the blacked out Windows.
Equipment referred to in point (h)) is not required in medical
facilities of the prison service, if the investigation is to ensure perimetrem
contractually in a medical facility of another provider.
Investigation deck-chair is required if the intraocular pressure is not measured
other than impresně.
1.32. Orthopedics
Facilities:
and inquiry desk,)
b) monitor if digital transmission of images, or film Viewer,
(c)) sonograf, if it is carried out preventive examination of the hips for infants and
If it is not provided on another ultrasound examination of workplace
the health care facility or contracted in a medical facility to another
of the provider.
1.33. Otorhinolaryngology
Facilities:
and the Chair of the inquiry,)
b) Chair for the doctor
c) endoscopic optics for examination of the nose and throat,
d) microscope,
e) tympanometr, if it is not provided on the different audiological assessment
workplace medical equipment or contracted in healthcare
device to another provider,
f) breast pump,
(g)) of ENT instruments.
Investigation deck-chair is required, personal weight and altimeter.
If it is not provided on the different audiological assessment the workplace
the health care facility or contracted in a medical facility to another
provider, establishing the silent Chamber, equipped with a audiometer.
1.34. Palliative Medicine
Facilities:
a) infusion stand,
(b)), Pulse Oximeter,
c) blood glucose meter.
1.35. Plastic Surgery
The equipment is identical to equipment referred to in section i.b, point 1.17 of this
of the annex.
Pneumology and phthisiology 1.36.
Facilities:
spirometer for examination) flow-volume curve,
b) inhaler,
c), Pulse Oximeter,
d) monitor if digital transmission of images, or film viewer.
1.37. Popáleninová medicine
Facilities:
and positioning the hydraulic převazový table),
(b) the shower Chair or bed),
c) cleansing shower.
If you set up zákrokový Hall, is its equipment identical to the equipment
listed in part I and paragraphs 7 and 10 of this annex and equipment must
be
and based on device)
(b)) the heating pad.
1.38. Occupational Medicine
Facilities:
spirometer for examination) flow-volume curve, if it is not examination
Spirometry provided on another site of medical equipment,
(b)) cold water tests
(c)), if it is not pletysmograf finger plethysmography testing to ensure
on another workplace of medical equipment,
d) screening audiometer examination, audiometry, if not provided
on another workplace medical equipment or contracted in
the clinic another provider,
e) monitor, if it is a digital transmission of images, or film Viewer,
(f)), optotypy
g) equipment to determine the barvocitu,
h) neurological hammer.
1.39. Practical medicine for children and adolescents, children's medicine
Facilities:
and) weight for infants,
b) breast pump,
(c)) optotypy,
(d) testing of hearing aids) and fixation of sight for infants.
Waiting room shall have a minimum area of 10 m2.
1.40. Psychiatry
Investigation deck-chair is required.
1.40.1. Stationary care-Psychiatry-psychotherapy
There is hereby established:
and a room for group psychotherapy),
(b) a room for day patients).
1.40.2. Psychiatric care
Facilities:
-signaling device.
There is hereby established:
and room for the provision of dial-up) crisis intervention with the minimum
area 6 m2,
(b)), the room for patients with minimal area 12 m2, which must be
equipped with 2 beds,
c) day room for patients.
1.41. the rehabilitation and physical medicine
Facilities:
and) the exam table or bed with adjustable height,
(b)),
c) reflecting,
d) neurological hammer.
1.41.1. Stationary care-rehabilitation and physical medicine
Facilities:
and) the exam table or bed with adjustable height,
(b)),
c) reflecting.
Other equipment is identical to equipment referred to in part i.b, points 2.3 to
2.6 of this annex, if care is provided by an occupational therapist,
physical therapist, clinical speech pathologist or clinical psychologist.
Rest room is hereby established.
1.42. Reproductive Medicine
Facilities:
and a gynecological exam table),
b) Chair for the doctor
c) investigative light,
(d)) sonograf with a vaginal probe.
If it is provided by assisted reproduction, establishing:
and zákrokový Hall for sampling) and transfer procedures,
is identical to the equipment referred to in part I and paragraphs 7 and 10 of this annex
Spice
-equipment for the collection of oocytes,
(b) a room for the monitoring of patients) after the procedure, equipped with a single bed,
(c) a room for the collection of semen) masturbation equipped
-bathroom sink,
-chairs or Chair,
d) laboratory with
-alternate source of electrical power,
-2 culture boxes,
-laminar box,
preparačním-the stereo-microscope for working with oocytes and embryos
-inverted microscope
-laboratory microscope
-kryokonzervačním device
-centrifuge,
-mikromanipulátorem.
1.43. Rheumatology
Facilities:
and) monitor if digital transmission of images, or film Viewer,
b) reflecting.
1.44. Sexology
Facilities:
and a gynecological exam table), unless somatic examinations
provided on a different site or contracted medical facility in the
the clinic another provider,
(b)), testimetr
c) optical microscope with accessories for the evaluation of semen analysis.
1.45. Sports Medicine
Facilities:
and a gauge for measurement of anthropometric) parameters
(b)), the Ergometer
(c)) with the appliance of the ECG stress test,
d) defibrillator,
(e)) for the examination of the flow curve spirometer-volume.
1.46. Urology
Facilities:
and urological exam table),
(b)) a cystoscope and accessories,
(c)) sonograf with the sensor, the sensor transrektálním and abdominal abscess
sensor for small parts (for skróta), unless ultrasound
examination provided on another site of medical equipment,
d) tools for sampling the cold biopsy,
(e)) of the extraction pliers,
f) set calibration bužií, uretrálních blood vessels and catheters,
g) device for biopsy with accessories,
h) uroflowmetr,
I) monitor if digital transmission of images, or film Viewer,
j) large urodynamic apparatus, if it is not invasive urodynamic examination
provided on a different site or contracted medical facility in the
the clinic another provider.
Equipment referred to in subparagraphs (a) (d)), e) and (h)) is not required in the
medical facilities of the prison service, if the performance of the
the implementation is determined by the equipment, contracted in health care is ensured
device to another provider.
1.47. Internal Medicine
Facilities:
ECG device)
(b)), unless blood glucose meter blood glucose tests provided on another
workplace medical equipment or contracted in healthcare
device to another provider,
(c)) sonograf, if it is not provided on another ultrasound examination
workplace medical equipment or contracted in healthcare
device to another provider,
d) infusion stand.
1.48. the General practical medicine
Facilities:
and optotypy,)
(b)), to determine the equipment barvocitu
c) blood glucose meter.
Waiting room shall have a minimum area of 10 m2.
1.49. Dentistry
Facilities:
and) dental unit Chair,
b) investigative lamp,
c) Bowl,
(d)) compressed air and dust extraction,
e) waste water separator-amalgam separator,
f) stable x-ray dental equipment for creating the images or
a digital system, if it is not provided by a dental X-RAY examination device
on another workplace medical equipment or contracted in
the clinic another provider in the same object after all
for opening hours,
g) fluorographic equipment dental panoramic (ortopantomograf) and
creating the images or digital system, if there is no examination
ortopantomografem provided at the workplace of medical equipment
contractually in a medical facility or another provider,
(h)), if the darkroom is not automated or developing film
Digital (bezfilmový) system and is equipped with a surgery X-RAY device
dental or ortopantomografem.
Does not require to clean the walls to a height of 180 cm; Additionally,
does not require investigation deck-chair, blood pressure monitor, stethoscope, personal weight,
altimeter, changing table and room for undressing the patient.
The radiological examination and examination in other imaging methods in
the ambulatory care dentists are not covered by the requirements laid down
in part II. of this annex
Does not establish the zákrokový Hall.
.
1.49.1. Orthodontics
The equipment is identical to equipment referred to in section i.b, point 1 of this
Annex to the additional
-X-RAY equipment for long-distance shots, if not
radiodiagnostic examinations provided at another workplace
the health care facility or contracted in a medical facility to another
of the provider.
Does not require to clean the walls to a height of 180 cm; Additionally,
does not require a stable x-ray dental equipment for creating the images
or digital system, waste water separator-amalgam separator,
investigation deck-chair, blood pressure monitor, stethoscope, personal weight, altimeter,
changing table and room for undressing the patient.
The radiological examination and examination in other imaging methods in
the ambulatory care dentists are not covered by the requirements laid down
in part II. of this annex.
Does not establish the zákrokový Hall.
2. specific requirements by industry-non-medical health care
the profession
2.1. Adiktolog
The equipment is identical to equipment referred to in section i.b, point 1.27 this
of the annex.
2.2. Dental Hygienist
Facilities:
and) dental unit Chair,
b) investigative lamp,
c) Bowl,
(d)) compressed air and suction.
This equipment is not required, if the dental hygienist only educates
and instructs patients to regular and systematic preventive care
oral hygiene, the level of the individual hygiene, performs training
procedures and techniques of oral hygiene and controls their efficacy and performs
zdravotněvýchovnou collective action aimed at preventing tooth
caries, periodontal diseases and orthodontic anomalies and rational nutrition.
Furthermore, it does not require investigation deck-chair, blood pressure monitor, stethoscope, personal
weight, altimeter and room for undressing the patient.
2.3. Occupational Therapist
Facilities:
a) investigation deck-chair with height-adjustable or reclining bed,
(b)) for the examination of sensation, AIDS
c) AIDS for examination and training in grappling, gross and fine motor skills,
d) AIDS for examination and training of motor skills, momentum and self-sufficiency,
e) AIDS for examination and training of cognitive functions,
f) stopwatch,
g) mirror.
Does not require a blood pressure monitor and stethoscope.
2.4. Physical Therapist
Individual workplaces are equipped according to the kind of therapy (sections 2.4.1 to
2.4.6); does not require a blood pressure monitor and stethoscope.
2.4.1. individual physiotherapy
Facilities:
and individual room) movement therapy with a minimum area of 10 m2,
b) investigation deck-chair with adjustable height
(c)) mirror,
d) 2 personal scales of the wear.
2.4.2. Group movement therapy
Facilities:
and a gym with flat 5) m2 to 1 patient; the minimum area of the gym
makes 13 m2,
b) mattresses or pads on the exercise.
2.4.3. using Motion therapy apparatus
Facilities:
and workplace with flat 5) m2 to 1 patient; the minimum area of the workplace
8 m2,
(b) as to the kind of therapy)-for strengthening, walking and
active and passive exercises of momentum.
2.4.4. Motion treatment in a rehabilitation pool
Facilities:
and flat) pool 4.5 m2 per 1 adult patient and 4 m2 for 1 child
b) shower and room for postponement of the garment.
2.4.5. Physical therapy
Facilities:
and flat) the offices 5 m2 for 1 patient
b) bed with minimum height of 60 cm or a chair with backrest,
(c) the location of the instrument table),
d) apparatus for application with the option to analgesie ECT,
stimulation and affecting trofiky and muscle tone, all using
low, medium or high-frequency currents,
e) apparatus for magnet therapy application, if this therapy
is provided,
f) apparatus for phototherapy application, if this therapy
is provided,
g) apparatus for application of thermotherapy, if this therapy
provided by the.
2.4.6. Hydrotherapy
Facilities:
and) equipment for local and whole body hydrotherapy, whirlpools for
the lower or upper limbs, equipment for underwater massage or Department of
for Scottish showers,
b) shower and room for postponement of the garment.
2.5. Clinical speech therapist
Facilities:
and) device for sound recording,
(b)), computer technology and software for communicating with the patient and training
communication,
c) AIDS for clinical logopedickou intervention,
(d)), rotavibrátor
e) buzzer,
(f)).
Investigation deck-chair is required, medicines, blood pressure monitor,
stethoscope, personal weight and altimeter.
2.6. Clinical psychologist
Facilities:
and workplace with minimal surface) 10 m2; If it is implemented by group
or family psychotherapy, the minimum site area of 15 m2,
(b) a clinical AIDS) psychological examination.
Investigation deck-chair is required, medicines, blood pressure monitor,
stethoscope, personal weight and altimeter.
2.7. The nutritional therapist
Facilities:
and) basic meter bioimpedance, if does not measure the bioimpedance
provided on a different site or contracted medical facility in the
the clinic another provider,
(b)), computer technology and software to calculate nutritional values.
Investigation deck-chair is required and a stethoscope.
2.8. the Optometrist
Facilities:
and the Chair of the inquiry with a lamp),
(b)), the wardrobe of glasses
c) lamp,
(d)), optotypy
e) equipment to determine the barvocitu,
f) device table with mirror and lighting,
g) measurement of the curvature of the cornea of the eye,
h) fokometr,
I) skiaskop or autorefraktometr,
j) device to the blacked out Windows, if it is implemented by fluoroscopy.
Does not require the investigation deck-chair, blood pressure monitor, stethoscope, personal weight and
altimeter.
2.9. Orthoptist
Facilities:
and) seat height adjustable,
(b)), optotypy
(c)) troposkop or synoptofor,
d) prismata,
e) CAM Stimulator
(f)), stereoscope,
g) Bagoliniho glass,
h) HB test, if it is not part of the synoptoforu,
I) cheiroskop,
j) fixing the light,
k) pleoptiku AIDS.
Does not require the investigation deck-chair, blood pressure monitor, stethoscope and personal scale.
2.10. Orthotics-Prosthetics
Facilities:
and) monitor if digital transmission of images, or film Viewer,
(b)), podobaroskop
(c)) plantograf,
d) plates of different heights,
(e)),
f) Protractor.
2.11. Midwife
2.11.1. The workplace of a midwife, where are kept of births
Facilities:
and the unit for the detection of sounds) of the fetus,
(b) a single AIDS to the examination) by pregnant women.
If the room is hereby set up for the use of pregnant women must have a surface area of 5
M2 to 1 pregnant woman; the minimum area of a room is 10 m2. Room
It is equipped with žíněnkami or pads on the exercise.
2.11.2. The workplace of a midwife, where are kept by the physiological
births
There is hereby established a room for the leadership of labor, a room for the care of the wife and
the newborn after birth and shower. A room for the management of childbirth must have
minimum area 15 m2, floors, walls and ceilings must be resistant to
damage in regular cleaning, washing and disinfection. Room for the care
about the woman and the newborn after birth must have a minimum area of 1 bed 5
M2, the minimum area of the room is 8 m2.
Equipment room for keeping the birth:
and a bed for the birth) instead of or other suitable device for leadership
physiological birth,
(b) in the light of inquiry) birthing space,
c) sterile clamp or rubber band to the umbilical cord,
d) sterile scissors,
e) cardiograph,
(f)), Pulse Oximeter,
g) breast pump,
h) laryngoscope and AIDS to ensure airway,
I) space and the area for the care of newborn infants,
j) weight for a newborn,
to gauge the length of the newborn)
l) vaginal specula,
m) source of carbon to oxygen.
Room for the care of the woman and the newborn after birth must be equipped with
bed for a woman after childbirth.
If you do not ensure the implementation of caesarean birth or operation
pointing to their confinement in a medical facility inpatient care
a maximum of 15 minutes from the finding of the complications of childbirth, a midwife shall
Hall meeting the requirements for facilities listed in part II. point 1.8
of annex 4 to this Decree and facilities of the workplace as a midwife
shall be added to the equipment referred to in section I, paragraph 19 (b)), f), (g))
and u) and part II. 1.18 (a)), b), (e)), and (g)) Annex 4 to the
This Decree.
2.12. A vision therapist
Facilities:
and Chair, inquiry)
b) luminous panel desktop or laptop,
c) photometer,
d) light line-oriented mobile or wall chart,
e) desktop Zoom camera or digital tv,
f) set of special optical AIDS, if they are used to perform
Visual training,
g) glasses wardrobe
h) device to the blacked out Windows.
Does not require the investigation deck-chair, blood pressure monitor, stethoscope, personal weight and
altimeter.
II.
The requirements on the technical and material equipment of the workplace, diagnostic and
medical care in the fields of Radiology and imaging, children's
Radiology, interventional radiology, Neuroradiology, nuclear medicine
and radiation oncology
A. the common requirements
1. the sites are set up as a closed department where the reserved
space or space designated as controlled area is limited
the entry of unauthorized persons. Unauthorised person means a person who, in
these areas is not working or is not otherwise authorized to enter into
These spaces.
2. The workplace may form themselves into functional units operationally
arranged so that they have common minor premises and
together they provide the operational activities. Such a site allow you to
multi-subject sharing technology.
3. workplaces are equipped with furniture for work health
workers and other professional workers and computer technology by
used technologies. If you used a single data store, you may
be common to multiple workstations or the entire medical facility.
4. the sites are also equipped with medicines and AIDS for
first aid including CPR, IE.
resuscitation bag or samorozpínacím, including the cover of the mask,
air ducts, gloves, equipment for bleeding and the means to
ensure the venous entry.
5. the basic premises of the workplace are:
exam room or facility),
(b)) or the irradiation facilities, i.e. the interrogation room. working place
which control the sources of ionizing radiation or imaging equipment
in nuclear medicine,
c) waiting room,
d) TOILET for patients
(e)) the washroom if instrumentarium is established,
(f) the preparation of the patient prior to surgery) if it is established,
g) space for receiving requisitions, if established,
h) space for the description and evaluation of images, if it is established,
I) premises for the processing of RADIOGRAPHIC film material, if they are not
used exclusively digital (bezfilmové) systems,
j) warehouse, if it is established,
k) archive medical records, if it is not used by the single archive
the health care facility.
6. Minor premises workplaces are:
and sanitary facilities for employees) ^ 4),
b) premises for the storage of medical supplies,
c) the rooms for storing linen,
d) premises for the storage of clean laundry,
e) facilities for cleaning and disinfecting products, if they are established,
f) room for the collection of dangerous waste, if it is established,
g) a room for rest, if it is established,
h) space for the storage of chemicals, if it is set up.
If workplaces are part of a medical device that is
While the device may be bed care side of the common spaces.
7. If you are part of the workplaces separate surgeries, subject to
to them the requirements for facilities listed in part I and paragraph 9 of this annex,
except for the equipment referred to in subparagraphs (a) (f)), g), (i)), m) and (n)).
8. Work place from which to control the sources of ionizing radiation,
must be separate from the testing room, in which is located the source of ionising
radiation. This requirement does not apply to dental X-RAY, mobile X-RAY,
pin-pointed surgery, bone denzitometr and x-ray apparatus for operating theatres.
9. Bathroom instrumentarium must have a minimum area of 7 m2.
10. Preparation of the patient prior to surgery must have a minimum area of 10 m2.
Facilities:
and on the sink and operationally) needed places sink,
b) cooling areas to the extent necessary to ensure the operation,
c) space for storing instrumentarium, of medicinal products and
contrast agents.
11. space for the description and evaluation of the images shall be established if they are not
used exclusively digital (bezfilmové) systems.
12. space for the storage of chemical substances is hereby established, if they are not
used exclusively digital (bezfilmové) systems.
13. If the workplace is equipped with X-RAY machine, must have x-ray
equipment or accessories that provides quantitative information about the
the exposure of the patient; This device or accessory is not required for X-RAY
equipment put into service before the year 2002. The workplace is also
equipped with negatoskopem or monitor, if it is a digital transmission of images.
14. If the medical device is equipped with devices or apparatus,
proven functionally fully replace the technical and material facilities
listed in part II. of this annex or part of it and it makes them redundant,
as follows replaced equipment or part thereof shall not be required.
15. If the facilities of individual work stations, additional or different
the requirements are listed below as special requirements.
B. specific requirements
1. Skiagrafické the workplace
Facilities:
the device, skiagrafický)
(b)) in the digital image archive of the documentation or a conventional form.
2. Fluoroscopic workplace
Facilities:
fluoroscopic or skiaskopicko)-skiagrafický complete with automatic
batch control input,
(b)) in the digital image archive of the documentation or a conventional form.
3. The workplace of computed tomography
(CT)
Facilities:
and computer tomograph) (CT) equipment or accessories,
that provides quantitative information on exposure to the patient,
(b)) pressure injector,
c) archive images in digital or conventional form.
4. Mammography workstation
Facilities:
and mammography machine,)
(b)) the reader systems for digital or analog display intended for
mammography,
c) archive images in digital or conventional form.
5. Ultrasound workplace
Facilities:
and sonograf with the probe for) the examination,
(b)) in the digital image archive of the documentation or a conventional form.
6. magnetic resonance imaging
Facilities:
and apparatus, magnetic resonance imaging)
(b)) in the digital image archive of the documentation or a conventional form.
7. workplace and workplace Vascular Interventional Radiology
Facilities:
and an angiography unit),
(b)) pressure injector,
c) monitor vital signs,
d) defibrillator,
e) archive images in digital or conventional form.
Preparation room shall be patient prior to surgery.
8. the Departments of nuclear medicine
Facilities:
and at least one of the following): scintillation camera SPECT
(jednofotonová emission tomography), PET (positron emission tomography),
hybrid SPECT/CT Imaging System (jednofotonová emission
computed tomography/computed tomography), PET/CT (positron emission
computed tomography/computed tomography, SPECT/CT) for anatomical labeling,
Planar scintillation camera,
b) injector CT contrast media, if the workplace is equipped with
a hybrid device with diagnostic CT,
c) infusion pump,
d) infusion stand,
e) archive images in digital or conventional form.
If you are prepared and applied radiopharmaceuticals, it is the workplace of also
equipped with a
and gauges for the measurement of quantities) and parameters relevant for the
radiation protection ^ 6)
b) devices for measuring the activity of radiopharmaceuticals, applied
c) cooling equipment and freezer box,
(d)), shower and washbasin.
Storage of radioactive and other products in the cooling device and
freezer must be dealt with separately.
If they apply to radiopharmaceuticals, establishing the
and room for the application of radiopharmaceuticals),
(b) a room for the preparation of radiopharmaceuticals), if they are in the workplace
prepared,
c) room for radioactive waste, if not its location ensured
on another site under another law ^ 6)
d) separate toilet and waiting room for patients, which was applied
radiopharmaceutical.
9. the Departments of radiation oncology
Facilities:
and at least one of the following) devices based on the type of medical
irradiation: Linear Accelerator, cobalt ozařovač, cesiový ozařovač, RTG
ozařovač,
(b)) verification system, if it is carried out by radical radiotherapy,
radiotherapy with modulated intensity, volume, Stereotactic
Stereotactic radiotherapy or radiosurgery,
(c)), the planning system, if it is carried out by radical radiotherapy,
radiotherapy with modulated intensity, Stereotactic radiotherapy,
Stereotactic radiosurgery or brachytherapy,
d) apparatus for afterloading, apparatus for localization of applicators,
applicators, tools for manipulating T disaster, localization
Bridge and anaesthesia apparatus, if brachytherapy is performed,
e) imaging system for the verification of the position of the patient, if it is
implemented radical radiotherapy or radiotherapy with modulated
the intensity of the volume
(f)) if fuser AIDS is carried out radical radiotherapy or
radiotherapy with modulated intensity, volume,
g) Simulator, CT Simulator or device for localization, if
implemented radical radiotherapy or radiotherapy with modulated
the intensity of the volume
h) Stereotactic is done range, Stereotactic
Stereotactic radiotherapy or radiosurgery,
and the gauge for measurement of quantities) and parameters relevant for the
radiation protection ^ 6)
j) measurement equipment volume dosimetry of ionizing radiation.
If it is a separate part of the workplace physician's surgery, they apply to the
It equipment requirements listed in part I of this annex and equipment
the following ECG device and the infusion stand.
III.
The requirements on the technical and material equipment of the lab workstations
diagnostic and therapeutic care
A. the common requirements
1. laboratory sites are set up as a closed Department;
unauthorized persons may enter only in restricted areas.
Unauthorised person means a person who, at the workplace is not working
or is otherwise not entitled to entry on this site.
2. the basic premises of the laboratory workplace are:
and) laboratory
(b)) space for the reception of biological material,
c) specialty room or box if they are carried out biological
material,
(d)) the washroom, if glass is established,
e) waiting room, when carried out biological material,
f) TOILET for patients when they are performed biological material.
3. secondary premises laboratory sites are:
and sanitary facilities for employees) ^ 4),
b) storage of medical supplies,
(c) the storage containers) with biological material intended for
disposal,
d) facilities for storing linen,
e) storage of clean laundry,
f) storage of chemicals,
g) a room for the rest of the staff.
4. the premises intended for the handling of biological material must have
clean the walls to a height of at least 150 cm and the surface of the furniture and
floor easy to clean, clean and disinfect.
5. The laboratory shall have a minimum area of 6 m2 per 1 working place
each additional area of 2 m2.
Facilities:
and) sink and sink or drain
b) laboratory table,
c) cooling equipment,
d) device for sample preparation, if operation of the lab requires,
e) equipment for measuring the temperature environment, unless the operation of the laboratory
requires
f) source of distilled or deionized water, if the operation of the laboratory
requires
g) hot-air sterilizer or drying oven for glass, if the operation of the
lab requires,
h) equipment for alikvotaci samples, if the laboratory's operation requires
or alikvotace is not ensured in the area of biological
material.
6. Space for the reception of biological material must have a minimum area of
4 m2.
Facilities:
and) sink,
(b)) table laboratory.
7. Washing glass up, if it does not work exclusively with material
single use; must have a minimum area of 5 m2.
8. Sampling a room or box must have a minimum area of 5 m2 on one
sampling Chair, on each additional sampling the area increases by Chair 3
the M2.
Facilities:
and) sink,
(b) the Chair or couch) sampling for the patient,
c) screen, if it removes material from the body cavities,
d) Mobile Chair for healthcare professional
e) laboratory or handling area of the table.
9. If the biological material being removed in the laboratory to patients
workplaces must be equipped with medicines and AIDS for
first aid including CPR, IE.
resuscitation bag or samorozpínacím, including the cover of the mask,
air ducts, gloves, equipment for bleeding and the means to
ensure the venous entry.
10. laboratory workplaces referred to in part III. (B) points 1 to 8 of this
the annex may form themselves into functional units operationally organized
so they have common minor premises and together they ensure
operating activities (multidisciplinary laboratory of the workplace). Such
the workplace allow multi-subject sharing technology.
11. laboratory instrumentation of each laboratory must
answer by spectrum analysis.
12. Workplaces must be equipped with furniture for work health
workers and other professional workers and computer technology by
used technologies.
13. requirements for the operation of workplaces where treated and treats
transfusion products, lays down other legislation ^ 7).
14. If the laboratory workplace used resources
ionizing radiation, must be equipped with measuring instruments for the measurement of quantities and
important parameters in terms of radiation protection ^ 6).
15. If the medical device is equipped with devices or apparatus,
proven functionally fully replace the technical and material facilities
referred to in part III. of this annex or part of it and it makes them redundant,
as follows replaced equipment or part thereof shall not be required.
16. If the facilities of each lab workstations for more
or different requirements are set out below as special requirements.
B. specific requirements
1. Clinical Biochemistry
Facilities:
a) centrifuge
b) biochemical Analyzer,
c) microscope,
(d)) imunochemický if parser are implemented by imunochemická
the examination,
e) equipment for electrophoresis, if they are carried out by electrophoretic
examination.
2. Medical Microbiology
(Site of bacteriology, Mycology, Parasitology and Virology)
Facilities:
a) centrifuge
(b)) for light microscope microscopy,
(c) the laminar box or box) to work with infectious agents, if the
processed biological material containing especially dangerous agents,
(d)), thermostats,
e) system for cultivation in an elevated CO2 tenzi
f) apparatus for anaerobic culture,
g) freezer,
h) system to measure or compare the density of microbial suspensions,
I) system for the evaluation of the hemokultivace,
j) ELISA technology, if the serological tests are carried out,
to spatial) device for decontamination (e.g. autoclave).
2.1. Antibiotic Centre
Facilities:
a) centrifuge
(b)) for light microscope microscopy,
(c) the laminar box or box) to work with infectious agents,
(d)), thermostats, at least one with increased CO2 tension,
e) system for cultivation in an elevated CO2 tenzi
f) apparatus for anaerobic culture,
g) freezer with a temperature of-80 ° c,
h) system to measure or compare the density of microbial suspensions,
I) system for the evaluation of the hemokultivace,
j) ELISA technology
to spatial) device for decontamination (e.g. autoclave),
(l)) a system to quantify the results of the tests of sensitivity of the
antibiotics.
The said equipment is not required where the service is provided
microbiological laboratories equipped in accordance with the requirements referred to in
(a) to (l))) on a different workplace health care facility, or
contractually in a medical facility of another provider.
Workplaces must be equipped with furniture for work health
workers and other professional workers.
3. Hematology and transfusion medicine
3.1. Hematology
Facilities:
and microscope for light microscopy),
(b) blood count Analyzer),
(c)) koagulometr,
d) centrifuge,
e) device to mixing blood samples,
f) AIDS for coloring.
3.2. Transfusion Medicine
Facilities:
a) centrifuge,
(b)) a system to imunohematologickou analysis.
4. clinical Allergology and Immunology
Facilities:
and for light-microscope) and fluorescence microscopy,
b) biochemical Analyzer, imunochemický or if they are executed
biochemical or imunochemická examination,
(c)), if they are technology, ELISA performed the ELISA examination,
d) flow cytometer examination is performed, if the cellular immunity,
e) centrifuge.
5. the Cytology
Facilities:
and microscope for light microscopy),
b) staining machine.
If the screening is carried out gynaecological cytology, the following
microscope for light microscopy on the equipment for photographic documentation.
6. Medical Genetics
6.1. Cytogenetics
Facilities:
and) processing and staining of slides,
b) laminar box,
c) thermostat,
d) centrifuge,
e) microscope,
f) freezer.
6.2. Molecular Genetics
Facilities:
laminar box),
(b)) system for detecting nucleic acids or PCR fragments,
c) system for PCR,
d) centrifuge,
e) system for isolation and purification of nucleic acids,
(f)) for spatial decontamination,
g) freezer.
7. Clinical Pharmacology
Facilities:
a) centrifuge,
(b)) a system for the immunochemical determination of levels of biochemical pharmaceuticals and
drugs,
c) chromatographic systems.
8. Toxicology
Facilities:
a) centrifuge,
(b)) a system for the immunochemical determination of levels of biochemical pharmaceuticals and
drugs,
c) chromatographic systems.
9. the Multidisciplinary laboratory
The equipment is identical to equipment referred to in part III. (B) points 1 to 8
of this annex according to the fields in which the services are laboratories
provided.
10. Nuclear Medicine
Facilities:
and imunoanalytický, if the parser) is performed by immunoassay
(b)) gamačítač, when performing a RIA examination,
c) centrifuge,
d) freezer,
(e) the gauge for measurement of quantities) and parameters relevant for the
radiation protection ^ 6).
Storage of radioactive and other products in the cooling device and
freezer must be dealt with separately.
There is hereby established a room for the storage of radioactive waste, if it is not
storage ensure the workplace pursuant to other legal
prescription ^ 6).
11. Dental laboratory
Facilities:
and zubotechnický table with suction) for each job,
(b)), if the burner testing activities require
(c)), where it carried out stone polisher activities require
d) sharpening machine for plaster,
e) polymerátor,
f) motor,
g) pneumatic table,
h) hood, if it performed activities require
I) sink.
The laboratory must have a minimum area of 8 m2.
The space required for the receipt of biological material, laboratory
table and cooling equipment.
In the laboratory, where they are processed metals, establishes a single
the instrument room, which must have a minimum area of 8 m2; equipment
the following about
and weight)
b) kiln,
(c)) pískovač,
(d) the casting machine,)
e) Compressor with compressed air that is located outside the laboratory.
IV.
Technical and substantive requirements for the equipping of forensic medicine,
Pathology and transfusion services
If the medical device is equipped with devices or apparatus,
proven functionally fully replace the technical and material facilities
referred to in part IV. of this annex or part of it and it makes them redundant,
as follows replaced equipment or part thereof shall not be required.
1. Forensic Medicine
The basic premises of the workplace are:
and the coroner,)
(b)) space for the reception and distribution of deceased,
c) space refrigeration equipment and cabinets for the deceased,
d) laboratory histological
(e) the toxicological laboratory)
(f) if the serological laboratory) is established,
g) administrative room.
Ancillary premises sites are:
and sanitary facilities for employees) ^ 4) including the health loop
(b) a room for the rest of the staff),
(c)), material warehouses
d) clean and linen warehouses,
e) storage of bio-waste,
f) cleaning the room.
1.1. The dissection room
Facilities:
and) sink and sink or drain
b) furniture for the work of health care professionals and other professional
workers,
c) autopsy table,
(d)), a set of tools to the autopsy, saw on bone tissue, AIDS for the
histological, microbiological and other tests,
e) operating lamp,
(f)) table on the authorities
(g)) the instrumentation unit,
(h)) weight to the authorities,
I) equipment for the photographic documentation of the deceased,
j) cart to transport the bodies of the dead.
The coroner must have a minimum area of 20 m2.
1.2. the laboratories
Laboratory equipment is identical to equipment referred to in part III. (B) points
1 to 8 of this annex according to the fields in which the services are laboratories
provided. Additional equipment requirements are listed in the
individual laboratories.
1.2.1. Histological laboratory
The laboratory can be broken down to the section of the lab, Histochemical, autoptické
immunohistochemical and more.
Facilities:
and) sink and sink or drain
b) laboratory tables,
c) cooling equipment,
d) freezer,
e) přikrajovací table with suction,
(f)) and AIDS for dewatering and potting material to paraffin,
g) thermostat,
h) microtome for cutting of histological slides,
I) laboratory weighing or předvážky,
j) pH meter,
k) microscope,
l) installations for the manufacture of frozen tissue sections.
1.2.2. Toxicology Laboratory
The laboratory is divided into section investigation of alcohol and volatile substances in the blood
and the stretch of instrumental and chemical laboratories.
Facilities:
and) sink and sink or drain
b) laboratory tables,
c) range hood,
d) laboratory scales and předvážky,
e) centrifuge,
f) refrigeration facilities;
g) freezer,
h) thermostat,
I) instrumentation for the determination of alcohol
j) equipment for screening, separation, identification and determination of
volatile organic and inorganic extractive toxicologically
important compounds,
lockable cabinet) on poisons.
1.2.3. The serological laboratory
Facilities:
and) sink and sink or drain
b) laboratory table,
c) cooling equipment,
d) freezer,
e) thermostat,
f) laboratory scales or předvážky,
g) centrifuge,
h) microscope.
2. Pathology
The basic premises of the workplace are:
and the coroner,)
(b)) space for the reception and distribution of deceased,
c) space for the reception of the biopsy, cytology and necrosis
material,
d) space cooling devices for the deceased and display cabinets,
e) histopathological laboratory; the laboratory can be broken down into sections
Lab autoptické, biopsy, cytology, Molecular Pathology,
immunohistochemical and elektronmikroskopické,
f) administrative room.
You can set up a site where it will be separately histopathologic laboratory,
space for the reception of the biopsy and cytology of the material and
administrative room.
Additionally, you can set up a site where it will be separately the dissection room, space for
receipt and issue of the dead, space cooling devices for the deceased and
display cabinets and office room.
Ancillary premises sites are:
and sanitary facilities for employees) ^ 4) including the health loop
(b) a room for the rest of the staff),
(c)), material warehouses
d) archive of histological slides and paraffin blocks,
e) warehouses clean and linen,
f) storage of bio-waste,
g) cleaning the room.
2.1. The dissection room
Facilities:
and) sink and sink or drain
b) furniture for the work of health care professionals and other professional
workers,
c) autopsy table,
(d)), a set of tools to the autopsy, saw on bone tissue, AIDS for the
histological, microbiological and other tests,
e) operating lamp,
(f)) table on the authorities
(g)) the instrumentation unit,
(h)) weight to the authorities,
I) equipment for the photographic documentation of the deceased,
j) cart to transport the bodies of the dead.
The coroner must have a minimum area of 20 m2.
2.2. laboratory Histopathological
Facilities:
and) sink and sink or drain
b) laboratory tables,
(c)) přikrajovací table with suction,
d) apparatus for dewatering the material and watering to paraffin,
e) thermostat,
f) microtome for sectioning histopathological sections,
g) heating plate,
h) refrigeration facilities;
I) freezer,
j) laboratory scales or předvážky,
k) pH meter,
l) laboratory microscope for checking of histological slides,
m) ultramikrotom and electron microscope, if performed electron
microscopy,
n) cyklátor, fluorescence microscope, laminar box-by type
examination, if carried out Molecular Pathology,
about) the unit for recycling solutions, if carried out their recycling,
p) cryostat, if carried out an intraoperative Diagnostics,
q) centrifuge,
r) fluorescence microscope, if performed fluorescence microscopy.
The laboratory must have a minimum area of 6 m2 per 1 working place on each
additional area increases about 2 m2; the laboratory can be broken down
on the sections.
3. Blood Transfusion Service
The requirements on the technical and material equipment of the workplace lays down other legal
^ 7) regulations.
----------------------------------------
Abbreviations used:
EKG-electrocardiogram
Or-expressions of wind activities
NIBP-non-invasive measurement of blood pressure
SpO2-arterial oxygen saturation in the blood, measured by the pulse
ox
ENT-Otolaryngology
X-RAY-x-ray
HB test-Hering Bielschowski test
CT-computed tomography
CAM-Campbell Stimulator Stimulator
Elisa-elektroimunoanalýza
PCR-polymerase chain reaction
RIA-Radioimmunoassay
T-closed radiopharmaceutical radiator
Annex 3
The requirements on the technical and material equipment of medical institutions
one-day care
1. the basic premises of the medical devices are:
and room for performance) with a minimum area of 10 m2, zákrokový
room or operating room,
(b) preparation for performances)
c) toilet and shower for patients
d) waiting room, if it is established,
e) space for follow-up of patients after the procedure,
(f)) or exam room practice, if they are established,
(g)) of the workplace medical personnel and other professional staff,
If it is set up.
2. secondary premises of medical equipment are:
and sanitary facilities for employees) ^ 4),
b) storage space.
3. Preparation for the performance means the room where the patient is being prepared
to perform and also where are prepared medical devices, medicinal
products and the active substances prior to their application to the patient and carried out
other activities related thereto. Preparing for performances must have
a minimum area of 10 m2.
4. equipment of the medical device:
and Chair, Lounger or) bed,
(b) sink for washing equipment), if it is done washing and cleaning equipment
used to manipulate biological material,
c) furniture for the work of health care professionals and other professional
workers,
d) Cabinet to medicinal products,
e) lockable box made of metal shall not be transferable, unless the storage of narcotic drugs and
psychotropic substances or preparations containing ^ 5),
f) enclosure on the tools and AIDS
g) index Cabinet, unless medical documentation is kept
exclusively in electronic form, or if it is not established by Central
filing cabinet,
h) refrigerator on medicinal products equipped with a thermometer, if
store medicines or AIDS for its preservation
require a lower temperature than the room and refrigerator on biological
material equipped with a thermometer, when stored biological material
I) infusion stand,
j) blood pressure,
k) stethoscope,
l) medical thermometer,
m) personal scale,
n) altimeter,
o) medicinal products and devices for providing first aid, including
cardiopulmonary resuscitation, IE. samorozpínací bag including masks,
air ducts, gloves, equipment for bleeding, means to
ensure the venous entry and breast pump,
p) sterilizer, when using the tools and utilities that require
sterility and central sterilization service is not ensured or delivery
all material for single use or, if not supplied
all material is sterilized. If sterilization is being used
formaldehyde sterilizer must be located outside the room for
implementation procedures,
q) containers for sterile material and sterile instruments,
r) container on the material used,
with) the instrumentation unit,
t) computer and printer,
a local fixture, for)
vital signs in) monitor (ECG/RESP, NIBP, SpO2)
w) source of carbon oxygen, if it is not easily accessible on a different
workplace medical equipment,
x) defibrillator, if it is not readily available on a different site
medical equipment,
s) connection to a substitute source of electrical energy,
from) a place for undressing the patient and the postponement of the garment.
Other equipment must correspond to the range of implemented outputs.
5. Space for the follow-up of patients after the procedure must have a minimum area of
8 m2, the minimum area for each additional bed is 5 m2; the space must be
direct day light.
6. requirements for technical and material facilities operating room are listed
in part I, paragraphs 22 and 23 of annex 4 to this notice.
7. requirements for technical and material facilities of the Hall are a treatment
listed in the part i.a, paragraphs 7 and 10 of annex 2 to this Decree.
8. where is the care provided to children, must be technical and material facilities
medical device adapted to these patients.
9. If the medical device is equipped with devices or apparatus,
proven functionally fully replace the technical and material facilities
referred to in this annex or part of it and it makes them redundant, as follows
the replaced equipment or part thereof shall not be required.
----------------------------------------
Abbreviations used:
EKG-electrocardiogram
Or-expressions of wind activities
NIBP-non-invasive measurement of blood pressure
SpO2-arterial oxygen saturation in the blood, measured by the pulse
ox
Annex 4
The requirements on the technical and material facilities health care facilities beds
care
(I).
Common requirements
1. basic premises Ward are:
and rooms for patients)
(b)) of the testing room,
c) workplace nurses
(d)) of the workplace medical personnel and other professional staff,
If it is established,
e) toilet and shower for patients
f) dressing room for patients, if it is established,
g) bathroom for patients, if it is established,
h) day room for patients, which can serve as a dining room for
walking patients, if it is established,
I) milk dishes on the children's wards, where care is provided
infants and newborns, if it is set up.
2. secondary premises Ward are:
and sanitary facilities for employees) ^ 4),
b) the storage rooms,
c) room for cleaning equipment and for pouring of biological material,
(d) a room for the rest of the staff) if it is established,
e) a room for the deceased, if it is set up.
3. Room for patients must have a minimum area of 1 bed 5 m2,
the minimum area of rooms must be 8 m2. At every bed shall be the source of the
electric power and local lighting; the communication must be in the room
devices between the patient and the nurse. The room must have direct daily
lighting. Each room must have a sink, if it has no continuity with the
bathroom, shower, or TOILET equipped with a washbasin, and allocated space
for the catering of the walking patients, if there is a dining room
separately. Between the beds must be sufficient space for the activities of the
the staff, the patient's movement and handling of equipment, material and beds.
4. If inpatient care is provided to children, must be adapted to the
the size of the beds in these patients.
5. Rooms for newborns, infants, and children up to 3 years of age must be
technically adjusted to ensure the patient's Visual inspection of
the workplace, unless the hospitalization of a patient with
a guide to one of the rooms.
Facilities:
and) changing table,
(b)) baby bath,
(c)).
6. Rooms for patients in health facilities providing
Spa sanatorium rehabilitation care may not be part of the bed
the Department conceded the rooms in separate premises equipped with only
for accommodation (accommodation).
7. Exam room must have a minimum area of 8 m2.
Facilities:
and the work of medical furniture) and other professional workers,
b) investigation deck-chair or bed,
(c)).
8. equipment of the workplace of nurses:
and for the activity of the sisters) furniture,
(b) counter with twin) work areas for the preparation of sterile
material,
c) area for the handling of biological material,
d) communication device between the patient and the nurse,
e) sink,
f) sink for washing and cleaning AIDS.
9. Workplace health care workers and other professional workers
must be equipped with furniture for the activities of these workers.
10. WC for patients shall be established separately for men and women.
11. Bathroom designed for partially or completely immobile patients may
serve patients from several departments; a bathroom must be equipped with
car lifts or shower roll-off beds.
12. Dressing Room for patients may be replaced by a lockable wardrobes.
13. Changing rooms for employees may be common to several departments or
changing rooms may be established Central.
14. Storage areas shall be established for the separate storage of clean and
dirty linen, the sterile material, waste, cleaning and
specimen bowls and urinary bottles with the possibility of their decontamination. These
spaces may be common to several departments.
15. Space for cleaning tools must be equipped with a sink and sink or
the sink and dishwasher.
16. a room for deceased may be common to several departments.
17. milk dishes on the children's wards for newborns and infants,
a game room and a classroom may be common to several children's Department within
one of the medical device.
18. the premises of inpatient departments, including corridors must be designed so that
may have been handling the deck chair or armchair, or mobile
the bed of the patient. This requirement does not apply to incidental spaces.
19. the Equipment Ward:
and) beds and tables for patients
b) defibrillator,
(c) the ECG device)
(d))-does not require the breast pump, if the central vacuum distribution,
(e)), or monitor with Pulse Oximeter features pulse ox,
f) infusion pump,
g) stříkačkový dispenser,
(h) medical oxygen, source)
I) lifting equipment for immobile patients when they are hospitalized,
j) medicines and first aid equipment including
cardiopulmonary resuscitation, IE. samorozpínací bag including masks,
air ducts, gloves, equipment for bleeding and the means to
ensure the venous entry,
the resuscitation trolley for storing) and medicinal products,
l) sterilizer, when using the tools and utilities that require
sterility and central sterilization service is not ensured or delivery
all material for single use or, if not supplied
all material is sterilized. If sterilization is being used
formaldehyde sterilizer must be located outside the room for
implementation procedures,
m) Cabinet to medicinal products,
n) refrigerator for keeping medicinal products equipped with a thermometer,
If the medicines are kept or utilities for your
preservation require a lower temperature than the room, and a fridge on
biological material, equipped with a thermometer, when stored biological
material,
o) non-transferable lockable box made of metal, if stored narcotic
or psychotropic substances or preparations containing ^ 5),
p) transport stretcher for transporting deck chair or patients
q) blood glucose meter,
r) tonometer,
with a stethoscope),
t) medical thermometer,
u) infusion stand,
in the light, mobile)
w) personal scale and altimeter,
x) computer and a single data store linked data network and printer;
unified storage data can be common to multiple workstations or the entire
medical equipment,
s) monitor, if the digital transfer of images or film Viewer on
inpatient wards of acute care standard and subsequent bed
care referred to in sections II. 1 and II. 3 of this annex, if not further
stated otherwise,
from) connections on a replacement source of electrical energy.
20. Defibrillator, EKG machine, breast pump, Pulse Oximeter or monitor
with the function of pulse ox, monitor for digital transfer of images or
film Viewer, infusion pump, dispenser stříkačkový, blood glucose meter and a source of
medical oxygen may not be on the inpatient Department, but must
be easily available on a different site of the medical device, if the
It is not stated otherwise.
21. If it is in a medical facility provided by the care the children, must be
Ward equipment adapted to these patients.
22. if care is provided in the fields of operations are carried out
performance, operating room, is hereby established which shall meet the following requirements:
minimum surface area is) 20 m2,
(b)), floors, ceilings and walls are easy to clean, washable and
disinfect, floors have an anti-static treatment,
c) air conditioning with air filtration must ensure microbiological
the purity of the air, matching carried out by operating performance,
(d)) has a connection to a substitute source of electrical energy,
e) has installed electricity and media outlets.
In the operating room is established:
and washing room and space for) the administration of anesthesia; These spaces can be
common to multiple operating theatres,
b) spaces for přísálovou sterilization, if it is not in the medical
central sterilization equipment,
(c) facilities for the preparation of the instrumentarium), decontamination of the instruments,
Alternatively, to save the anesthesia equipment and material and warehouse
the sterile material
d) hygiene loop.
Material filters separating the operating room from the adjacent room must
be situated so as to guarantee the jednosměrnost movement of the material.
23. the operating room Equipment:
and the operating table) with accessories,
(b)) operating lamp and satellite or double the operating lamp,
(c) the dust extraction device including anaesthesia) waste anaesthetic
vapours and gases,
d) defibrillator, when carried out in total or regional
anesthesia, sedation or monitored anesthesia care
e) vital signs monitor (ECG/RESP, NIBP, SpO2), if they are
carried out in total or regional anesthesia, analgosedation, or
monitored anesthesia care
f) electrical breast pump or the source of vacuum,
(g)) surgery, generator
h) Instrumentation bench,
I) containers for sterile material and sterile instruments,
j) container on the used operating material,
k) infusion pump,
l) stříkačkový dispenser,
m) source of carbon oxygen and compressed air
n) range, according to the focus of the workplace and the age of patients,
about) and mobile seats tables for the tool box and the device.
24. if care is provided in two or more fields where the
carry out operating procedures, operating room must meet the requirements for
facilities provided for the care provided for each scope.
25. If care is provided in two or more fields where the
carry out operating procedures, they can create complexes of multiple operating
rooms with shared facilities (e.g.. přísálová sterilization and preparation
instrumentarium).
26. zákrokový Hall is set up, must meet the requirements for the equipment
listed in part I and paragraphs 7 and 10 of annex 2 to this Decree.
27. If provided inpatient and outpatient care, it is recognised
the common instrumentation Ward and outpatient departments
care under sections i., II. and (III). Annex No. 2 to this Decree.
28. If the workplace is equipped with X-RAY machine, must have x-ray
equipment or accessories that provides quantitative information about the
the exposure of the patient; This device or accessory is not required for X-RAY
equipment put into service before the year 2002. The workplace is also
equipped with negatoskopem or monitor, if it is a digital transmission of images.
29. If the inpatient Department provided care in multiple sectors
(a common bed Fund), the Department must meet the requirements for
equipment for each scope, the care provided or must be
facilities available on a different site of the medical device.
30. If they are received by the Department on children must be guided
medical equipment for the accommodation guide is factually.
31. If inpatient care is provided in an industry that is not listed in the
Part II. of this annex must be complied with technical and substantive requirements
equipment set for scope, which is the venue of the nearest scope.
32. If the medical device is equipped with devices or apparatus,
proven functionally fully replace the technical and material facilities
referred to in this annex or part of it and it makes them redundant, as follows
the replaced equipment or part thereof shall not be required.
33. the focal point for cooperation with the medical provider
emergency services in acute care medical facility) must
be fitted with a connection to the public telephone network, a PC with
the printer if it is not secured by any other electronic data processing
in a way, and be connected to the alternate source of electrical power. If
urgent reception is established, is the focal point of its components.
34. If it is established the urgent reception, must have a minimum area of 40 m2,
the floor must be easy to clean, clean and disinfect.
Urgent reception must be wheelchair accessible and barrier-free relationship
the Department of acute care, intensive workplace radiodiagnostics
and operating rooms, and have visibly marked the arrival of ambulances.
Facilities:
and sink, and a double sink,)
(b)) on medicines and medical supplies,
c) investigation deck-chair or bed that allows X-RAY examination,
(d) the transport deck chair or stretcher) for the transport of patients,
e) shower deck-chair,
f) mobile fluoroscopy and x-ray fluoroscopic C-arm
g) vital signs monitor (ECG/RESP, NIBP, SpO2, Temp),
h) transport ventilator,
I) defibrillator,
j) anaesthesia apparatus, if it is not available on a different site
medical equipment,
the resuscitation trolley for storing) and medicinal products,
l) monitor, if the digital transfer of images or film Viewer,
m) infusion stand,
n) infusion pump,
stříkačkový dispenser, about)
p) source of carbon oxygen, central vacuum and compressed air
for ventilated patients-divorce vacuum is not required if the
Department equipped with electric odsávačkami,
q) refrigerator,
r) transferable lockable box made of metal, if stored narcotic
or psychotropic substances or preparations containing ^ 5),
with) your computer and unified storage data linked data network and printer;
unified storage data can be common to multiple workstations or the entire
medical equipment,
t) replacement source of electrical energy.
35. If the facilities Department and operating bed and of
halls for additional or different requirements are set forth as a separate
requirements following the scope of care.
II.
Special requirements
1. acute inpatient care standard
1.1. Angiology
Facilities:
Ultrasonic flow indicator),
(b) sonograf with the dopplerovským module) if not available on another
workplace medical equipment,
(c)) pletysmograf, if it is not available on a different site of the medical
the device,
d) fluorographic equipment angiographic if it is not available on a different site
the health care facility.
1.2. Vascular Surgery
Facilities:
Ultrasonic flow indicator),
b) mobile x-ray C-arm fluoroscopic with if not available
on another workplace of medical equipment,
c) vital signs monitor (ECG/RESP, NIBP, SpO2, IBP'S multiple,
Temp),
(d)) autotransfuzní device (cell saver), if it is not available on another
workplace health facility.
1.3. Dermatovenereology
Facilities:
and) tub for therapeutic baths,
(b)) fototerapeutické device,
c) microscope,
d) thermostat,
e) dermatoscope,
(f)) large Magnifier with light
(g) a gynecological exam table).
1.4. the children's medicine
Facilities:
and vital signs) monitor (ECG/RESP, NIBP, SpO2)
(b)) airway humidification.
1.5. Diabetology and endocrinology
Facilities:
and sonograf with the probe for) examinations of the thyroid if not available
on another workplace of medical equipment,
b) vital signs monitor (ECG/RESP, NIBP, SpO2) if not available
on another workplace health facility.
1.6. Gastroenterology
Facilities:
Endoscopic or table) reclined cradle,
(b)), gastroskop
(c)) kolonoskop,
(d)) cold light source,
e) surgery, generator
f) basic endoscopic instrumentarium.
1.7. Geriatrics
Facilities:
a) positioning beds,
b) Anti-decubitus pads or mattress,
c) Chair with armrests,
(d)), positioning AIDS
(e) the TOILET chairs) mobile and stable,
f) Walker ride-on low and high,
g) mechanical wheelchair,
h) mobile bed to the shower,
I) sonograf if not available on another workplace health
the device,
j) AIDS for training and self-sufficiency for the functional evaluation of mobility.
1.8. the gynaecology and obstetrics
Facilities:
and a gynecological exam table),
b) Chair for the doctor
c) colposcope has,
(d)) sonograf, if it is not available on a different site of the medical
the device,
e) cardiograph,
f) laparoscopic Tower,
g) vital signs monitor (ECG/RESP, NIBP, SpO2)
h) examination light,
I) monitor if digital transmission of images, or film Viewer,
(j)) pelvimetr.
If they are kept of births, establishing the delivery room, which must have
minimum area of 18 m2. Equipment delivery room:
and a bed for the birth) instead of or other suitable device for leadership
physiological birth,
(b) the operating lamp for birthing) space
(c))-at least 1 cardiograph and capture the twins
(d)), sonograf
e) tables on the tools,
anaesthesia apparatus, f)
g) source of carbon oxygen and compressed air
h) monitor vital signs (ECG/RESP, NIBP, SpO2)
I) sun lounger,
j) changing table for babies,
to) neonatal box.
Newborn boxing equipment in the delivery room:
and heated resuscitation bed) or a bed,
b) laryngoscope,
(c)) for cord vein cannulation of the tool box,
d) apparatus for resuscitation of the newborn with defined values
sources of pressures or neonatal samorozpínací bag with a mask, if
is not available on the inpatient Department of Neonatology,
e) Pulse Oximeter,
f) breast pump,
g) weight for a newborn,
(h) the length of the gauge to the newborn.)
1.9. Hematology and transfusion medicine
Availability of services must be ensured in laboratory Hematology and
transfusion medicine laboratory meeting the requirements for the equipment
referred to in part III. (B) section 3.1 or 3.2 of annex 2 to this Decree.
1.10. Thoracic Surgery
Facilities:
and sonograf, if it is not) available on a different site of the medical
the device,
b) mobile fluoroscopy and x-ray fluoroscopic C-arm
c) vital signs monitor (ECG/RESP, NIBP, SpO2, IBP, Temp).
1.11. the Surgery
Facilities:
and sonograf, if it is not) available on a different site of the medical
the device,
(b) the extension device)
c) mobile fluoroscopy and x-ray fluoroscopic C-arm
d) vital signs monitor (ECG/RESP, NIBP, SpO2).
If the fixation is made of plaster, sádrovna, is hereby established, which shall
have a minimum area of 10 m2 and must be equipped with a device for the application and
scanning of plaster, i.e.. investigation deck chair or desk, sádrovacím
for the preparation of the bandages, oscillating saw and sádrovacími tools.
1.12. Infectious medicine
Facilities:
medicine dispenser) for the disinfection of hands of patients in each room,
(b)) specimen bowls and urinary disinfector bottle,
c) input and output filter for patients
d) protective system of waste disposal and waste water treatment plants.
1.13. Thoracic Surgery
Facilities:
the device, kontrapulzační)
(b)) echokardiografický sonograf,
c) Cardiology angiographic X-RAY equipment for the implementation of the
koronarografií, if it is not available on a different site of the medical
the device,
d) vital signs monitor (ECG/RESP, NIBP, SpO2, IBP multi,
Temp),
e) equipment for extracorporeal circulation,
f) heating/cooling of the patient,
g) autotransfuzní the appliance if it is not available on a different site
medical equipment,
h) thorako-laparoscopic Tower, if it is not available on another
workplace medical equipment,
I) meter clotting time (Hemochron)
j) parser blood gases, if it is not easily accessible on a different
workplace medical equipment,
k) transfusion pump with high-flow a minimum of 3000 ml/h.
1.14. Cardiology
Facilities:
sonograf, echokardiografický and)
(b)) if not available the Ergometer at a new site the medical
the device,
(c) the bicyklový Ergometer or treadmill) and ECG machine with a program for
stress test, if it is not available on a different site of the medical
the device,
d) cardiac angiographic X-RAY equipment for the implementation of the
koronarografií and for interventional cardiology, if it is not available on the
another site of medical equipment,
e) vital signs monitor (ECG/RESP, NIBP, SpO2).
1.15. Clinical Oncology
Facilities:
-sonograf, if it is not available on a different site of the medical
device.
In a medical facility or contracted in a medical facility to another
the provider must be ensured the care of radiation oncology.
1.16. Addictive disease
Facilities:
alkotest),
(b) a drug tester),
c) monitor with Pulse Oximeter, pulse ox, or monitor features
vital signs (ECG/RESP, NIBP, SpO2) if not available on another
workplace health facility.
Does not require the transport stretcher and deck chair or lifting devices for
immobile patients. Furthermore, it does not require a communication device between
the patient and the nurse if there is supervision.
In a medical facility or contracted in a medical facility to another
the provider must ensure the toxicological examination of urine statim.
1.17. Nephrology
Facilities:
and sonograf, if it is not) available on a different site of the medical
the device,
(b)) bench-top centrifuge,
(c)).
If it is provided by the care of the sick and dialysed complements peritoneálně
the facilities of the
and peritoneal fluids is solutions, heater)
b) coined or digital scale for weighing peritoneal fluids is solutions.
If you set up zákrokový Hall, must meet the requirements for the equipment
listed in part I and paragraphs 7 and 10 of annex 2 to this Decree.
1.18. Neonatology
Facilities:
and) incubator for standard care,
(b) apparatus for resuscitation of the newborn) with defined values
sources of pressures or neonatal samorozpínací bag mask,
c) breast pump,
d) Pulse Oximeter,
e) equipment for phototherapy including adequate monitoring
the device,
f) weight for a newborn,
g gauge length newborn.)
Lifting equipment is required for immobile patients.
1.19. Neurosurgery
Facilities:
a) positioning beds or beds for the extension of the cervical spine
(b)) elektroencefalograf, if it is not available on a different site
medical equipment,
(c)) elektromyograf, if it is not available on a different site
medical equipment,
d) devices for humidification of airway,
e) vital signs monitor (ECG/RESP, NIBP, SpO2, IBP/ICP multiple,
Temp),
f) operating microscope,
g) three-point head holder,
h) high speed drill,
I) cavitation, surgical aspirator
j) unit heater,
the breast pump with micro pressure),
l) device for coagulation, proplachovou
m) neurological hammer.
1.20. Neurology
Facilities:
and elektroencefalograf,)
(b)), elektromyograf
(c)) sonograf, if it is not available on a different site of the medical
the device,
(d)) for examination, evoked potentials
e) tuning forks,
f) neurological hammer.
1.21. Nuclear Medicine
Facilities:
and equipment for subscriptions)
(b) the gauge for measurement of quantities) and parameters relevant for the
radiation protection ^ 6)
(c) a device for measuring activity) applied radiopharmaceuticals, if not
the measurements provided on another workplace health facility.
There is hereby established:
and room for the application of therapeutic) radiopharmaceuticals,
b) room for the storage of radioactive waste, if not his
storage ensure the workplace pursuant to other legal
prescription ^ 6).
Rooms for patients must have devoted a separate toilet and a shower.
1.22. Ophthalmology
Facilities:
and the Chair of the inquiry) lamp,
b) seat swivel,
c) lamp crevice,
d) oftalmoskop,
(e)) static automatic perimeter,
f) automatic Refractometer or fluoroscopic moldings and mirror,
g) optotypy,
h) eye tonometer,
I) glasses wardrobe
j) perimeter,
k) device to the blacked out Windows.
1.23. Oral and maxillo-facial surgery, maxillo-facial surgery
Facilities:
and) dental unit Chair,
b) x-ray dental equipment for creating the images or digital
system,
(c)) the conventional x-ray skiagrafii if not available on another
workplace medical equipment,
d) fluorographic equipment dental panoramic (ortopantomograf) and
creating the images or digital system,
e) surgery, generator
f) tools for osteosynthesis of bones,
g) then,
h) mikrovrtačka,
even dermatos),
j) tool for surgery of the soft tissues in the oral cavity (mukotom).
1.24. Orthopedics
Facilities:
and inquiry desk,)
(b) the extension device)
c) dynamometer
d) angular and linear gauge,
(e)) and removing the plaster application, IE. investigation deck-chair or
pneumatic table, area for the preparation of the bandages, oscillating saw, pneumatic
Tools,
f) orthopedic drill,
g) orthopedic saw,
h) reamer (reamer)
I) artroskopická report
j) vital signs monitor (ECG/RESP, NIBP, SpO2).
1.25. Otorhinolaryngology
Facilities:
and the Chair of the inquiry pointing,)
b) seat swivel,
c) optical devices to the examination of the nose and throat (epipharyngoskop and
magnifying laryngoscope),
d) microscope examination,
e) cold light source,
(f)), tympanometr
(g)) surgery, generator
h) Otoscope
I) equipment for diafanoskopie,
j) caloric Stimulator
ENT instruments set to),
l) equipment to spray with compressed air,
m) silent Chamber, if it is not provided on another examination of audiometric
workplace medical equipment,
n) an audiometer, if it is not provided on another examination of audiometric
workplace health facility.
1.26. Plastic Surgery
Facilities:
-sonograf, if it is not available on a different site of the medical
device.
Pneumology and phthisiology 1.27.
Facilities:
and the unit for the investigation of) pulmonary function, IE. spirometer for
examination of the flow-volume curve or impulse or oscilometr
bodypletysmograf,
b) flexible a bronchoscope with accessories,
(c)) the airway humidification
d) inhalers,
e) equipment for decontamination, disinfection and sterilization of instruments and
tools and utilities, if you do not supply all the material on the
single use or, if not supplied all the material
-sterilised. If formaldehyde sterilization is used, it must be
the sterilizer is placed outside the room for the implementation of the procedures.
There is hereby established:
zákrokový bronchoskopický Hall) meeting the requirements for equipment
listed in part I and paragraphs 7 and 10 of annex 2 to this Decree,
(b)) a room for the isolation of patients with infectious TB with efficient air conditioning
or ventilation with vacuum or natural ventilation Windows,
If you are hospitalized,
(c)), separate WC and shower for patients with infectious TB if they are
hospitalized.
In a medical facility or contracted in a medical facility to another
the provider must be provided for examination skiagrafické, fluoroscopic and
CT.
1.28. Popáleninová medicine
Facilities:
a) positioning beds,
(b)), air beds
c) Anti-decubitus pads or mattress,
d) positioning hydraulic převazovací table,
e) vital signs monitor (ECG/RESP, NIBP, SpO2, IBP, Temp),
f) chairs on the rehabilitation,
g) walkers,
h) shower bed or wheelchair,
I) heating pad.
1.29. Occupational Medicine
Facilities:
spirometer for examination) flow-volume curve, if not available
on another workplace of medical equipment,
(b)) if not available the Ergometer at a new site the medical
the device,
(c)) with the appliance of the ECG stress test, if it is not available on the
another site of medical equipment,
(d)) cold water tests
e) if not available audiometer on another workplace health
the device,
(f)) to investigate the equipment of allergic respiratory diseases if it is not
available on a different site of medical equipment,
g) optotypy,
h) neurological hammer,
I) gauge for measurement of anthropometric parameters.
1.30. Psychiatry
Facilities:
-alkotest.
Does not require a source of electrical power and local lighting at the bedside,
communication between the patient and the nurse and a sink in the room
of the patient.
1.31. Radiation Oncology
The equipment is identical to equipment referred to in section II. (B) point 9 of Annex No.
2 to this Decree according to the type of medical exposure, if they are not selected
operations are carried out in the workplace set out in part II. (B) point 9 of that
of the annex.
1.32. Rehabilitation and physical medicine
Facilities:
and Anti-decubitus mattresses or pads),
b) Chair with armrests,
c) shower Chair, bed or wheelchair,
d) mechanical wheelchair,
e) positioning AIDS,
f) AIDS for walking the static and dynamic,
g) exercise tools
h) mirror,
I) Plumb,
(j)), reflecting
k) neurological hammer.
Part of the Department's workplace physiotherapy with the following equipment:
and deck-chair with adjustable height),
b) rehabilitative height adjustable table width at least 90 cm, if
is the care provided to children,
c) Desk,
d) apparatus for physical therapy and physical therapy by focus
the workplace.
Part of the Department is the workplace of occupational therapy, which has basic equipment
for the training of fine motor skills of the hands and whole body postury training, training
self-sufficiency and therapeutic work.
1.33. Rheumatology
Facilities:
-reflecting.
1.34. Adults
Facilities:
extension device)
b) fusing tools
c) defibrillator,
(d)) sonograf, if it is not available on a different site of the medical
the device,
e) instantaneous water heater,
f) source of medical gases,
g) transport ventilator,
h) monitor vital signs (ECG/RESP, NIBP, SpO2)
I) mobile fluoroscopy and x-ray fluoroscopic C-arm
j) equipment for application and removing the plaster, i.e.. investigation deck-chair or
table with pneumatic traction device for the reduction of fractures, area for
preparation of dressings, oscillating saw, and pneumatic tools.
1.35. Urology
Facilities:
and urological exam table),
(b)) a cystoscope rigid and flexible with accessories,
(c)) resektoskop with accessories
(d)), ureteroskop
e) optical uretrotom with accessories
f) ureterorenoskop with accessories
g) nefroskop with accessories
h) devices for intrakorporální litotrypsi,
I) sonograf with dopplerovským module with sensor, sensor abdominal abscess
transrektálním and the sensor for small parts, if it is not available on another
workplace medical equipment,
j) tools to subscribe to cold biopsy,
the extraction pliers)
l) for biopsy device with accessories,
m) large urodynamic apparatus,
n) set calibration bužií, uretrálních blood vessels and catheters.
1.36. Internal medicine
Facilities:
and sonograf, if it is not) available on a different site of the medical
the device,
b) vital signs monitor (ECG/RESP, NIBP, SpO2)
(c)) gastroskop, if it is not available on a different site of the medical
the device,
(d)) kolonoskop, if it is not available on a different site of the medical
device.
Equipment referred to in point (d)) shall not be required in medical
facilities of the prison service, if the investigation is to ensure kolonoskopem
contractually in a medical facility of another provider.
2. acute inpatient care intensive
Exam room to be established and the rooms of patients, nurses may
be replaced by a unit of the sisters.
The beds of patients can be placed in the pits that have direct access
on the site of the sisters. The total area of the box or room must be
at least 12 m2, area on one bed the patient must be at least 9
m2 for children's beds bed or proportional to the incubator. The minimum width
the handling of the space in the room or box must be 100 cm.
Beds must be located so as to ensure the Visual inspection
patients from the workplace or the Habitat of the sisters.
Does not require room equipment or boxes if the sink basin
workplace nurses and if it is not a room or boxes intended for the
infectious patients. Furthermore, does not require a table at the bedside and communication
devices between the patient and the nurse, unless stated otherwise.
The Department must be equipped with a source of oxygen gas, Central
vacuum and pressure air for ventilated patients. Distribution of vacuum is
not required if the Department is equipped with electrical odsávačkami for
beds.
The infectious department or infectious parts of the Department must be established
hygiene loop.
2.1. The intensive care for adults
2.1.1. The intensive care 1. degree-less intensive care
Facilities:
and mobile positioning beds),
b) defibrillator,
(c) the ECG device).
Equipment at the bedside:
stříkačkový dispenser, and)
b) infusion pump,
c) vital signs monitor (ECG/RESP, NIBP, SpO2).
2.1.2. The intensive care 2. higher grade-intensive care
Facilities:
resuscitation beds),
b) defibrillator,
(c) the ECG device)
(d) transport) fan,
e) mobile x-ray, if it is not available on a different site
medical equipment,
f) monitoring headquarters or the network link bed monitors with
transmission of alarms.
Equipment at the bedside:
and dispenser stříkačkový 2 DC),
b) infusion pump,
c) vital signs monitor (ECG/RESP, NIBP, SpO2)
d) equipment for respiratory humidification.
2.1.3. The intensive care 3. the degree of resuscitation care
Facilities:
resuscitation beds),
b) defibrillator,
(c) the ECG device)
(d) transport) fan,
e) mobile x-ray, if it is not available on a different site
medical equipment,
(f)), the monitoring centre,
g) apparatus for extracorporeal elimination (CVVH),
h) the unit or module for measuring hemodynamics.
Equipment at the bedside:
and) stříkačkový 4-piece dispenser,
b) infusion pump 2,
c) vital signs monitor (ECG/RESP, NIBP, SpO2, IBP, Temp),
d) devices for humidification of airway,
(e) for artificial ventilation fan) of the patient.
2.1.3.1. If intensive care is provided mainly to patients with
cardiac disease is the same as the equipment equipment Department
intensive care 3. the degree and the following of the
and) pacemaker,
(b)), sonograf
(c)) another defibrillator,
(d)) kontrapulzaci if the performances are carried out heart
the intervention.
2.2. The intensive care for kids
2.2.1. The intensive care 1. degree-less intensive care
Facilities:
and) mobile beds,
b) defibrillator,
(c) the ECG device).
Equipment at the bedside:
stříkačkový dispenser, and)
b) infusion pump,
c) vital signs monitor (ECG/RESP, NIBP, SpO2)
d) equipment for respiratory humidification.
2.2.2. The intensive care 2. higher grade-intensive care
Facilities:
resuscitation beds),
b) heated bed for children up to 1 year,
c) defibrillator,
(d) the ECG device)
e) mobile x-ray, if it is not available on a different site
medical equipment,
(f)) for artificial lung ventilation fan covering all age
a group of patients.
Equipment at the bedside:
and dispenser stříkačkový 2 DC),
b) infusion pump 2,
c) vital signs monitor (ECG/RESP, NIBP, SpO2)
d) equipment for respiratory humidification.
2.2.3. The intensive care 3. the degree of resuscitation care
Facilities:
resuscitation beds),
b) heated bed for children up to 1 year,
c) defibrillator,
(d) the ECG device)
(e) transport) fan,
f) mobile x-ray,
g) monitoring headquarters,
h) anaesthesia apparatus, if it is not available on a different site
the health care facility.
Equipment at the bedside:
and stříkačkový dispenser 3 DC),
b) infusion pump 3 SC,
c) vital signs monitor (ECG/RESP, NIBP, SpO2, IBP, Temp),
d) devices for humidification of airway,
e) fan for artificial lung ventilation covering all age
a group of patients.
2.2.3.1. If intensive care is provided to patients with
cardiac disease is the same as the equipment equipment Department
intensive care 3. the degree and the following of the
and) external pacemaker,
b) oesophageal Stimulator
(c)) sonograf.
2.3. The Department of intensive care
2.3.1. The intensive care 1. degree-less intensive care
Facilities:
and breathing apparatus for nasal) CPAP
(b)) equipment for phototherapy.
Equipment at the bedside:
and) incubator for standard care or heated Neonatal bed,
(b)) or stříkačkový infusion pump dispenser,
c) vital signs monitor (ECG/RESP, NIBP, SpO2).
2.3.2. The intensive care 2. higher grade-intensive care
Facilities:
and breathing apparatus for nasal) CPAP 1 DC on 2 beds,
(b)) equipment for phototherapy,
(c) the ECG device)
d) mobile x-ray, if it is not available on a different site
medical equipment,
e) mobile sonograf, if it is not available on a different site
medical equipment,
f) apparatus for artificial lung ventilation of the newborn.
Equipment at the bedside:
and) incubator for standard care or heated Neonatal bed,
(b)) or stříkačkový infusion pump dispenser 2 DC,
c) vital signs monitor (ECG/RESP, NIBP, SpO2).
2.3.3. The intensive care 3. the degree of resuscitation care
Facilities:
phototherapy equipment),
b) mobile x-ray,
(c) the ECG device)
(d) Transport Incubator with the device) for artificial pulmonary ventilation
e) parser blood gases,
f) mobile sonograf,
g) equipment for selective pulmonary vasodilation therapy,
h) fan for artificial lung ventilation 1 DC on 2 beds.
Equipment at the bedside:
and) incubator for intensive care and neonatal bed or heated,
(b)) or stříkačkový infusion pump dispenser 4 SC,
c) vital signs monitor (ECG/RESP, SpO2, NIBP or IBP),
d) apparatus for nasal CPAP.
2.4. The intensive care of the pregnant women
(Obstetric intensive and intermediate care)
Facilities:
and) mobile beds,
(b)) sonograf.
Equipment at the bedside:
stříkačkový dispenser, and)
b) infusion pump,
c) vital signs monitor (ECG/RESP, NIBP, SpO2)
(d)) the cardiograph.
2.5. The intensive hematologic care
The equipment is identical to equipment referred to in section II. point 2.1.2 of this
of the annex.
3. Subsequent inpatient care
Department must be equipped with means for positioning and
hygiene of immobile patients and handling; as a rule,
establish bathrooms equipped with jacks and shower room.
If subsequent inpatient care is provided only to children, establishing the
room for isolation of children with infectious diseases or suspected
infectious disease.
3.1. The subsequent inpatient care except of care set out in points 3.2. up to 3.7.
Facilities:
a) positioning beds,
b) Anti-decubitus pads or mattress,
c) Chair with armrests,
(d)), positioning AIDS
e) AIDS for walking both static and dynamic,
f) Walker mobile,
g) TOILET Chair mobile and stable,
h) mechanical wheelchair,
I) shower Chair, bed or wheelchair,
j) AIDS for training and self-sufficiency for the functional evaluation
stříkačkové dispenser, to)
l) inhaler for individual therapy.
There is hereby established the workplace physical therapy with the following equipment:
and deck-chair with adjustable height),
b) apparatus for passive and active practicing of momentum,
(c)) equipment for Senso-motoric stimulation,
d) apparatus for application of electrotherapy, magnet therapy, or
ultrasonic therapy.
3.2. Addictive disease
Facilities:
-alkotest.
Does not require stretcher transport or the couch, lifting equipment for
immobile patients, monitor for digital transfer of images or film Viewer,
the wash basin and the communication device between the patient and the nurse in the room for
the patient and the source of electric power and local lighting at the bedside.
There is hereby established a room for group psychotherapy with a minimum of 15
M2 (at least one in a medical facility).
In a medical facility or contracted in a medical facility to another
the provider must be ensured the availability of laboratory examination
the urine for the presence of addictive substance or its metabolites.
Pneumology and phthisiology 3.3.
Facilities:
a) positioning beds,
b) Anti-decubitus pads or mattress,
(c)) or monitor with Pulse Oximeter features pulse ox,
(d)) for the examination of the flow curve spirometer-volume,
(e)), a bronchoscope
f) devices for humidification of airway,
g) inhalers,
(h) medical oxygen, source)
I) breast pump-not required, if the central vacuum distribution,
j) monitor, if it is a digital transmission of images, or film Viewer,
k) x-ray, x-ray examination, if not sure on another
workplace medical equipment or contracted in healthcare
device to another provider,
l) facilities for decontamination, disinfection and sterilization of instruments,
tools and utilities, if you do not supply all the material on the
single use or, if not supplied all the material
-sterilised. If formaldehyde sterilization is used, it must be
the sterilizer is placed outside the room for the implementation of the procedures.
There is hereby established:
zákrokový bronchoskopický Hall) meeting the requirements for equipment
listed in part I and paragraphs 7 and 10 of annex 2 to this Decree
(at least one in a medical facility),
(b) treatment of group motion) the offices satisfying the requirements for the equipment
referred to in section i.b, point 2.4 of annex 2 to this Decree, plus
Fowler hospital bed and ladder,
c) room for isolation of patients with infectious TB with efficient air conditioning
or ventilation with vacuum or natural ventilation Windows options
(at least one in a medical facility),
(d)), separate WC and shower for patients with infectious TB.
If subsequent inpatient care is provided only to children, does not require:
and separate WC and shower) for patients with infectious TB if they are not
hospitalized patients with infectious TB,
b) positioning beds, Anti-decubitus pads or mattress,
(c)), a bronchoscope
d) device for the application with the option to analgesie ECT,
stimulation and affecting trofiky and muscle tone, and all of this by using the
low, medium or high-frequency currents.
If subsequent inpatient care is provided only to children, does not establish the
zákrokový bronchoskopický Hall; According to the focus of the workplace '
physiotherapy equipment complying with the requirements referred to in point (B) of part I.
2.4 in annex 2 to this Decree and must be available for outdoor
the grounds featured game AIDS for children under six years of age and sports
playground.
3.4. Psychiatry, Sexology
Facilities:
a) positioning beds for immobile patients
b) alkotest.
Does not require a source of electrical energy at the bedside, communication devices
between the patient and the nurse, sink in the room of a patient on monitor for
digital transfer of images or film viewer.
There is hereby established:
a) insulating the room where does not require a source of electrical power and
local lighting for beds and a sink (at least one in a medical
device),
(b)) a room for group psychotherapy with a minimum area 15 m2
(at least one in a medical facility).
If care is provided in the field of Sexology, must be ensured
availability of services spermiologické laboratory and pletysmografického
examination of sexual reaction to another workplace medical equipment
in a medical facility or contracted another provider and equipment
shall be added
and urological and gynecological examination) table,
(b)), pelvimetr
(c)) testimetr.
3.5. Rehabilitation and physical medicine
Facilities:
a) positioning beds,
b) Anti-decubitus pads or mattress,
c) Chair with armrests,
(d)), positioning AIDS
e) exercise tools
f) AIDS for walking both static and dynamic,
g) TOILET Chair mobile and stable,
h) mechanical wheelchair,
I) shower Chair, bed or wheelchair,
j) inhaler.
If they are treated with a fully disabled patients permanently dependent on a bed,
the following equipment on
and electrical positioning beds),
b) Anti-decubitus systems-mats or mattresses including active,
c) devices for the lifting the patient from the bed,
d) equipment for oxygenotherapy.
Not required:
and) or monitor with Pulse Oximeter features pulse ox,
b) infusion pump,
(c)) the dispenser stříkačkový.
There is hereby established the workplace physical therapy with the following equipment:
and deck-chair with adjustable height) or rehabilitation of height
adjustable table width at least 90 cm,
(b) equipment for the exercise) in tow,
(c)) special care verticalization table or other device for vertikalizaci,
d) apparatus for passive and active practicing of momentum,
e) apparatus for physical therapy and physical therapy by focus
the workplace.
Furthermore, according to the focus of hospital rehabilitation care shall establish:
and physiotherapy departments meeting the requirements of) the facilities referred to in
part i. (B) point 2.4 of annex 2 to this Decree,
(b) the workplace, occupational therapy) has basic facilities for practicing fine
and gross motor skills, grappling and postury training of the whole body, for walking
on a different surface and walking on uneven terrain, AIDS for training
self-sufficiency, and spaces equipped for training and self-sufficiency
therapeutic activities, eg. ergoterapeutická workshop
(c)) for individual workplaces equipped with inhaler, inhalation
d) site for the Group equipped with a cabin for the common inhaled
inhalation and inhaler,
(e)) of the workplace for dry CO2 baths equipped with individual applicator
CO2 or dry pools,
f) workplace for water bath equipped with a bathtub for CO2 carbon dioxide
baths, or CO2, saturátorem
g) site for the application of subcutaneous gas injection.
There must be an outdoor area with facilities for walking on
various surface and walking on uneven terrain and on a longer route, in
children's health-care facilities with equipment game elements for children
within six years and sports a playground.
3.6. The Spa sanatorium rehabilitation care
Rooms for patients may not be part of the inpatient Department, admits
rooms are in separate buildings equipped only for accommodation
(accommodation).
Not required:
and) communication device between the patient and the nurse, in the case of a fully
self sufficient patients
(b) a dedicated space for dining) walking in the rooms for patients
patients,
(c)) or monitor with Pulse Oximeter features pulse ox,
d) monitor for digital transfer of images or film Viewer,
e) infusion pump,
f) dispenser stříkačkový.
According to the focus of the Spa sanatorium rehabilitation care is further establish:
and physiotherapy departments meeting the requirements of) the facilities referred to in
part i. (B) point 2.4 of annex 2 to this Decree,
(b) the workplace, occupational therapy) has basic facilities for practicing fine
and gross motor skills, practice of the postury of the whole body, walking on different
surface and walking on uneven terrain,
c) workplaces for application of gas injection, subcutaneous
d) workplace for application of proceeds from natural healing resources
equipped for preparation and administration procedures, storage, proceeds from
natural medicinal resources and space and equipment for their application,
Toilet and shower for patients and swapping clothes.
3.6.1. If the diagnosis of diseases is carried out of the circulatory system, establishes a
a workplace that meets the requirements for facilities listed in part I and
Annex No. 2 to this Decree and is further equipped with ECG device,
echokardiografem, ergometrem, and a defibrillator.
3.6.2. If the diagnosis of respiratory diseases is carried out, establishing the
the site meets the requirements for facilities listed in part I and
Annex No. 2 to this Decree and is also equipped with an inhaler and
spirometrem for examination of the flow-volume curves.
3.7. The subsequent intensive care
Facilities:
resuscitation beds),
b) defibrillator,
(c) the ECG device)
(d)), the monitoring centre,
e) pump 1 on enteral 3 beds,
f) fans for artificial lung ventilation 8 DC on 10 beds,
g) transport ventilator.
Equipment at the bedside:
and vital signs) monitor (ECG/RESP, NIBP, SpO2)
(b) the breast-not required) if the central vacuum distribution,
(c)) the airway humidification
d) infusion pump,
e) stříkačkový dispenser.
The Department must be equipped with a source of oxygen and gas Central
vacuum for ventilated patients. Distribution of vacuum is not required if the
equipped with electrical odsávačkami Department at the bedside.
4. long-term inpatient care
Department must be equipped with means for positioning and
hygiene of immobile patients and handling; as a rule,
establish bathrooms equipped with jacks and shower room.
Facilities:
a) positioning beds,
(b) Anti-decubitus mattress pads or) including active,
c) Chair with armrests,
(d) the TOILET chairs) mobile and stable,
e) walkers mobile low and high,
f) mechanical wheelchair,
g) mobile bed to the shower,
h) stříkačkové dispensers.
4.1. If the care provided to patients with a specific disease-also
disease, the following equipment on
spirometer for examination) flow-volume curve,
b) inhalers,
(c)) decontamination, disinfection and sterilization of instruments,
tools and utilities, if you do not supply all the material on the
single use or, if not supplied all the material
-sterilised. If formaldehyde sterilization is used, it must be
the sterilizer is placed outside the room for the implementation of the procedures.
There is hereby established:
and to isolate sick room) with infectious TB with efficient air conditioning
or ventilation with vacuum or natural ventilation Windows,
(b)), separate WC and shower for patients with infectious TB.
4.2. If it is provided also in patients with severe disabilities
the spinal cord, the following equipment on
and electrical positioning beds),
b) devices for the lifting the patient from the bed,
c) therapeutic apparatus for passive as well as active treatment of subscripts and superscripts
in extremity,
d) apparatus for electrotherapy,
e) apparatus for laser therapy.
4.3. If the care provided to patients who require long-term
intensive nursing care about basic life functions, facilities
the following:
and monitor vital functions) 1 3 beds (ECG/RESP, NIBP, SpO2)
b) pump 1 piece on enteral 3 beds,
(c)) for artificial lung ventilation fan,
d) defibrillator,
an ECG machine,)
(f)), stříkačkový dispenser
g) infusion pump.
Equipment at the bedside:
and Anti-decubitus mattresses or pads),
(b) the breast-not required) if the central vacuum distribution,
(c)) airway humidification.
Distribution of vacuum is not required if the Department is equipped with electrical
odsávačkami at the bedside.
4.4. If palliative care is provided, equipment is the following:
and automatic positioning beds),
(b) Anti-decubitus mattress pads or) including active,
c) Chair with armrests,
(d) the TOILET chairs) mobile and stable,
e) walkers mobile low and high,
f) mechanical wheelchair,
g) mobile bed to the shower,
h) stříkačkové dispenser,
even the oxygen concentrator), if not the central oxygen distribution,
j) blood glucose meter,
k) breast pump,
l) Pulse Oximeter.
Patients in the room must be the Chair or bed for the accompaniment of patients.
5. the children's home for children under 3 years of age
Facilities:
heated bed) or heating pads, if care is provided by the
infants,
b) monitors the breath of "baby sens", if the care is provided for infants,
(c)) and suction airway humidification,
d) inhaler,
e) refrigerator,
f) freezer.
Does not require a defibrillator, electrocardiogram, Pulse Oximeter, infusion pump,
SOAP dispenser stříkačkový, meter and communication device between the patient and the
sister.
There is hereby established:
and clinical psychologist, workplace)
(b)) the workplace physical therapist equipped with height-adjustable table width
at least 90 cm,
c) room for visits with the gaming space for a child,
d) room for isolation of children with infectious diseases or suspected
infectious diseases,
e) room for a joint residence of the mother and child,
f) milk kitchen, if care is provided for children up to one year,
(g) for the preparation of) the kitchen toddler diet, if care is provided by the
children under two years of age.
----------------------------------------
Abbreviations used:
EKG-electrocardiogram
Or-expressions of wind activities
NIBP-non-invasive measurement of blood pressure
IBP-invasive blood pressure measurement
ICP-invasive measurement of intracranial pressure
SpO2-arterial oxygen saturation in the blood, measured by the pulse
ox
CPAP (Continuous Positive Airway Pressure)-continuous pressure in the
Air way
Temp-temperature measurement
X-RAY-x-ray
ENT-Otolaryngology
TB-tuberculosis
CT-computer tomograph
-Universal transport stretcher bed
Annex 5
The requirements on the technical and material equipment of medical institutions
pharmaceutical treatments
I. Pharmacy
1. basic premises pharmacy are:
and) a room for the supply of medicinal products and medical devices
for the public,
(b)) for the preparation and modification of room of medicinal products,
c) shower room,
(d) the retention) a place for medicinal products and medical
resources,
(e) a room for the reception of supply) stocks,
(f)) space for the supply of medicinal products and medical devices
medical facilities-bed care, if they are medicines and
medical devices to these medical institutions issued,
(g) support for the preparation of the workplace) of sterile medicinal products,
medical gas and radiopharmaceuticals, should this be prepared,
h) support site for the control of medicinal products and the preparation of
zkoumadel if the review and preparation are carried out,
I) space for consultancy and evaluation of appropriate therapy or for
the provision of drug information, if these operations are carried out,
j) specialized for the provision of drug information, if this
activity is carried out.
Additionally, they may establish such other basic premises:
and specialized for dispensing) medical devices,
(b) separated Department for picking) of medicinal products and medical
resources.
2. secondary premises pharmacies are:
and space for work) as a pharmacist,
(b) sanitary facilities for employees) ^ 4),
c) space for cleaning products.
3. Room for medicinal products and medical devices
the public must have a minimum area of 28 m2 and broken down the space for
dispensing with a distribution point, the space for the public, equipped with chairs and
space for consulting activities, if the consultancy
being implemented.
4. a room for the preparation and presentation of medicinal products must have a minimum
area 12 m2; If you are prepared medicines for health care
bed care establishments must have a minimum area of 20 m2. The room must
be equipped with a sink, a refrigerator and apparatus for the preparation of purified
the water supply is not ensured if proprietary pure water or
water for use in a different way. Apparatus for the preparation of purified
water can be located in another room of the pharmacy.
5. Bathroom must have a minimum area of 6 m2 and be equipped with a sink and
device for drying of laboratory instruments and containers; If they are
prepared or adapted medicinal products for healthcare facilities
inpatient care, must have a minimum area of 15 m2 and be dealt with as a
a separate room. If used returnable transport packaging for
the supply of medicinal products to health care facilities, bed care
must have space for their disinfection. If the pharmacy prepared
sterile medicinal products, must be equipped with a device to also wash room
sterilization.
6. space for the storage of medicinal products and medical
funds must have a minimum area of 18 m2; If they are held or
dispensed medicines medical facilities, bed care must
have a minimum area of 28 m2. The room must be equipped with a chladnicím
equipment and non-transferable lockable box made of metal, if
stored narcotic or psychotropic substances or preparations is
containing ^ 5).
7. The room for receiving supplies of stocks must have a minimum area of 8 m2;
If you are prepared or dispensed medicines to health care
bed care facilities must have a minimum area of 15 m2.
8. Space for the supply of medicinal products and medical devices
medical facilities-bed care must have a minimum area of 10 m2.
9. The professional workplace for the preparation of sterile medicinal products
and gene therapy),
(b)) containing cytotoxic compounds, or
(c)) other-without additives, antimicrobial medications for regular
must have room for the preparation of medicinal products,
documentation and a room for the storage of medicinal products.
10. The professional workplace for the preparation of medical gases must have
room for the preparation of medicinal products, a room for the documentation and
a room for the storage of medicinal products.
11. Professional workplaces for preparation of radiopharmaceuticals must have room for
the preparation of medicinal products, documentation, and a room for
the storage of medicinal products.
12. Specialized for the control of medicinal products and the preparation of
zkoumadel must have a minimum area of 10 square meters and be equipped with a sink,
wash basin and Extractor hood.
13. Specialized for providing pharmaceutical information
minimum area of 6 m2 and be equipped with furniture for work health
workers.
14. Specialized for supply of medical devices must have
minimum area of 18 m2 and be equipped with a test box with space for
seating.
15. A separated unit for dispensing of medicinal products and medical
funds must have a room for the supply of medicinal products and
medical devices for the public space for the adjustment of the medicinal
preparations for the reception of inventory supply room, space for work
as a pharmacist, sanitation facilities for employee ^ 4) and space for
cleaning supplies.
A room for the supply of medicinal products and medical devices for
the public must have a minimum area of 24 m2, and divided the space for
dispensing with a distribution point, the space for the public, equipped with chairs,
space for storage of medicines and medical devices, and space for
consultancy, if the consulting activities carried out.
Space for adjustment of the medicinal products must have a minimum area of 6 m2 and
be equipped with a washbasin.
Room for receiving supplies of stocks must have a minimum area of 6 m2.
Separated Department for the dispensing of medicinal products and medical
resources is located away from other areas of the Pharmacy and must be
operationally closed and functionally coherent unit. Must have a separate entry
for the public, and a separate entrance for employees and income stocks.
Separated Department for the dispensing of medicinal products can be set up in the village, or
in the city part where the pharmaceutical care is provided and where is
health care facility that provides outpatient medical services.
16. The Pharmacy must have a separate entrance for the public and a separate input for
employees and income stocks.
17. If the pharmacy is fitted with devices or device that
shown to be functionally fully replaced by technical and material facilities referred to
in this annex or part of it and it makes them redundant, superseded as follows
equipment or part thereof shall not be required.
II. the dispensing facility for medical devices
1. basic premises dispensaries of medical devices are:
and room for dispensing) medical devices,
(b)) a room for the picking of the requisition if they are medical devices
issued by a medical institution bed care,
c) storage of medical devices,
d) space to receive the supplies.
2. secondary premises dispensaries of medical devices are:
and administrative actions) a place for health care professionals
(b) sanitary facilities for employees) ^ 4),
c) space for cleaning products.
3. Room for supply of medical devices shall have a minimum
area 18 m2 and be equipped with a test box with room for seating.
4. a room for picking on requisitions must have a minimum area of 10 m2.
5. space for the storage of medical devices shall have a minimum
area 15 m2.
6. the dispensing facility for medical devices must have a separate entrance for
the public, and a separate entrance for employees and income stocks.
Annex 6
The requirements on the technical and material equipment of medical institutions
medical transport services
1. the basic premises of medical equipment medical
transport services are:
and means of transport, unit)
(b) for communicating with the workplace) Medical Center and the operating
auxiliary emergency operating Center providers
services with other providers of health care services and custom
means of transport. This place does not establish in health care
facilities of the transport service of the armed forces, if they are to
provision of medical transportation services used solely to vehicle
the armed forces), and in health facilities medical transport
services of the prison service.
2. secondary premises medical equipment medical
transport services are:
and a room for the rest of the staff),
(b) sanitary facilities for employees) ^ 4),
c) storage areas.
3. equipment of the workplace to communicate with health care operating
the Centre and the auxiliary medical service provider operating Centre
emergency services with other providers of health services and
own means:
and) connection to the public telephone network, fixed and mobile,
(b)) of the radio station radio communication with means of transport, if not
communication with the means of transport provided exclusively through
the public telephone network, mobile,
c) recording devices telephone or radio sessions with the time
an indication,
d) replacement source of electrical energy.
4. Other equipment medical equipment medical transport services:
and) sink,
(b) sink for washing equipment), if it is done washing and cleaning equipment
used to manipulate biological material,
c) furniture for the work of health workers,
(d)), a computer with Internet access and printer.
This equipment can be placed freely in the rooms referred to in point 1
(b)) or point 2 (a)), or (c)) of this annex.
5. Storage areas shall be established for the separate storage:
medical devices, laundry, cleaning and disinfecting needs
resources; storage spaces can be replaced by appropriate wardrobes.
Storage of materials must be ensured so as to avoid contamination of
pure material polluted material.
Annex 7
The requirements on the technical and material equipment of medical institutions
emergency medical services
(I).
Common requirements for the technical and material facilities of the medical
emergency device
1. the basic premises of medical equipment medical
emergency services are:
and workplace health operating centres),
(b) the relief operations centre) the offices, if it is established,
c) space for computing and communications,
(d) emergency preparedness) the offices,
e) base unit of the departure of means of transport,
f) educational and training centre.
2. secondary premises medical equipment medical
emergency services are:
and the room for the rest of the staff),
(b) sanitary facilities for employees) ^ 4),
c) storage areas.
Departure bases have side premises referred to in subparagraphs (a)
(b)), and (c)).
3. Storage areas shall be established for the separate storage of personal
protective equipment, medical devices, household linen, cleaning
needs and disinfectants; storage spaces can be replaced
appropriate wardrobes. Storage of materials must be ensured so that the
avoid contamination of the pure material polluted material.
II.
Special requirements to the technical and material facilities of the medical
emergency device
1. Workplace Health operations centre
Facilities:
and wireless communication means) signalling and notification of the
the exit of the departure of the Group
(b)) the input of the telephone line to receive calls from fixed and mobile public
the telephone network to the national emergency number 155 (hereinafter referred to as "number
emergency call ") and calls the passed base operating centre other
components of the integrated rescue system, at least
-three lines, if the average number of inbound calls to the emergency number
the call is up to 10 calls per hour,
-four line, if the average number of inbound calls to a number
an emergency call is up to 20 calls per hour,
-six lines, if the average number of inbound calls to the emergency number
the call is up to 40 calls per hour,
-seven lines, if the average number of inbound calls to the emergency number
the call is up to 60 calls per hour,
-eight lines, if the average number of inbound calls to the emergency number
the call is for more than 60 calls per hour,
(c)) of the radio station radio communication with all the groups
the health care facility emergency medical services in the territory of
operational management of the health operations centre,
(d)) with the option of bi-directional telephone call on each
operator workplace,
e) a direct connection with the regional operating centre of the police of the Czech
Republic and the operating and information centre of the fire rescue
the choir of the region available on each operator console,
f) at least one telephone line for communication with other
Health operating centres at each of the operator,
g) panel organizationally-operational radio
h) digital recording device with the possibility of recording and archiving time
data, IE. facilities for the permanent record of the content of all calls on all
phone lines used for providing emergency medical
the service and all the radio sessions with the record of the time and the possibility of
Instant access to calls and sessions for at least 4 hours after
each time the operator console,
I) technology to receive and display the data messages from a phone
112 emergency call centre on each operator workplace,
j) device for communicating with deaf people,
k) device for receiving faxes,
l) computer with Internet access and printer,
m) furniture for the work of health care professionals and other professional
workers,
n) replacement power supply system is capable of
unlimited traffic technology workstations of the medical
the operations centre at least 24 hours,
about) tv receiver and radio receiver,
p) basin.
The average number of inbound calls on the emergency call number shall be
as the average number of inbound calls including calls forwarded from
emergency call centre 112 per 24 hours.
2. The workplace of the auxiliary operations centre
Facilities:
and wireless communication means) signalling and notification of the
the exit of the departure of the Group
(b)), at least two entry phone line to receive calls to a number
emergency calls from fixed and mobile public telephone networks,
(c)) of the radio station radio communication with all the groups
the health care facility emergency medical services in the territory of
the operating management of auxiliary operations centre,
d) digital recording device with the possibility of recording and archiving time
data, IE. facilities for the permanent record of the content of all calls on all
phone lines used for providing emergency medical
the service and all the radio sessions with the record of the time and the possibility of
Instant access to calls and sessions for at least 4 hours after
each time the operator console,
e) replacement power supply system is capable of
unlimited traffic technology workstations of the medical
the operations centre at least 24 hours,
f) sink,
g) furniture for the work of health care professionals and other professional
workers.
3. Workplace emergency preparedness
Facilities:
and) connection to the public telephone network, fixed and mobile,
(b)) a computer with Internet access and printer,
(c)), photocopying,
d) scanning device,
e) wall display device connecting to a computer (e.g..
data projector, projection tv, monitor or tv with a large
diagonal measurement),
(f)) of the radio station radio communication with all the groups
equipment emergency medical services within the specified catchment area,
g) furniture for the work of health care professionals and other professional
workers,
h) replacement source of electrical energy,
I) basin.
4. The departure base
Facilities:
and) connection to the public telephone network, fixed and mobile,
b) wireless communication means for signalling and notification of the
the exit of the departure of the Group
(c)) of the radio station radio communication with all the groups
emergency medical facility within the prescribed
the catchment area of the region's territory, according to the plan cover the bases,
d) sink,
(e) the sink for washing equipment), if it is done washing and cleaning equipment
used to manipulate biological material; sink for washing equipment
cannot be placed in sanitary equipment for an employee ^ 4),
f) furniture for the work of health workers.
Annex 8
The requirements on the technical and material equipment of medical institutions
the transport of patients, urgent care
1. the basic premises of the medical device to transport patients
urgent care are:
and means of transport, unit)
(b) for communicating with the workplace) Medical Center and the operating
auxiliary emergency operating Center providers
services with other providers of health care services and custom
means of transport. This place does not establish in health care
the transport of patients, urgent care facilities of the armed forces, if
they are to provide the transport of patients, urgent care used exclusively
vehicles of the armed forces ' ^ 9), and in medical devices, transportation
patients with urgent care of the prison service.
2. secondary premises medical facility transport of patients
urgent care are:
and a room for the rest of the staff),
(b) sanitary facilities for employees) ^ 4),
c) storage areas.
3. equipment of the workplace to communicate with health care operating
Centre of the emergency medical services provider, with other
the providers of health services and own means:
and) connection to the public telephone network, fixed and mobile,
(b)) of the radio station radio communication with means of transport,
c) recording devices of radio and telephone sessions with the time,
d) replacement source of electrical energy.
4. Other equipment:
and) sink,
(b) sink for washing equipment), if it is done washing and cleaning equipment
used to manipulate biological material,
c) furniture for the work of health workers,
(d)), a computer with Internet access and printer.
This equipment can be placed freely in the rooms referred to in point 1
(b)) or point 2 (a)), or (c)) of this annex.
5. Storage areas shall be established for the separate storage:
medical devices, laundry, cleaning and disinfecting needs
resources; storage spaces can be replaced by appropriate wardrobes.
Storage of materials must be ensured so as to avoid contamination of
pure material polluted material.
Annex 9
The requirements on the technical and material facilities contact home
care
1. the contact points of the nursing care
Facilities:
furniture for work) General nurses,
(b)) index Cabinet, unless medical documentation is kept
exclusively in electronic form,
c) connected to the public telephone network, mobile,
(d)) blood
e) stethoscope,
f) medical thermometer,
g) AIDS to the collection of biological material,
h) AIDS for the treatment of chronic wounds,
I) AIDS for catheterization of the urinary bladder of a woman
j) blood glucose meter,
k) if the irrigator, care provided to patients with difficulty in
emptying,
l) AIDS for first aid, including cardio-pulmonary
resuscitation, IE. resuscitation drape, gloves, equipment for building
bleeding,
m) box for the transport of biological material.
Contact points shall have a minimum area of 10 m2 and the sanitary
equipment for an employee ^ 4).
1.1. the contact points of the nursing care in Gynecology and obstetric
assistance
Facilities:
furniture for work) and midwives,
(b)) index Cabinet, unless medical documentation is kept
exclusively in electronic form,
c) connected to the public telephone network, mobile,
(d)) for the detection of sounds of the fetus,
e) disposable equipment for testing of pregnant women
f) blood pressure,
g) stethoscope,
h) medical thermometer,
I) AIDS for first aid, including cardio-pulmonary
resuscitation, IE. resuscitation drape, gloves, equipment for building
bleeding,
j) box for the transport of biological material.
Contact points shall have a minimum area of 10 m2 and the sanitary
equipment for an employee ^ 4).
2. contact the workplace hospital rehabilitation care
Facilities:
furniture for work) of health workers,
(b)) index Cabinet, unless medical documentation is kept
exclusively in electronic form,
c) connected to the public telephone network, mobile,
d) AIDS for examination and training in functional capacities and activities
skills in a home environment,
e) AIDS for first aid, including cardio-pulmonary
resuscitation, IE. resuscitation drape, gloves, equipment for building
bleeding.
Contact points shall have a minimum area of 10 m2 and the sanitary
equipment for an employee ^ 4).
3. the contact points of palliative care
The equipment is identical to equipment referred to in point 1 of this annex and
the equipment must be:
stříkačkový dispenser, and)
b) breast pump,
(c)) box for the transport of biological material.
Contact points shall have a minimum area of 10 m2 and the sanitary
equipment for an employee ^ 4).
1) for example, Decree No. 268/2009 Coll., on technical requirements for
the construction work, as amended by Decree No. 20/2009 Coll., Decree No. 398/2009 Coll., on
General technical requirements for securing the barrier-free use
buildings, Decree No. 246/2001 Coll., on the determination of the conditions of the fire
the safety and performance of State Fire supervision (Decree on fire
Prevention), Government Decree No. 361/2007 Coll., laying down the conditions
health at work, as amended by Government Decree No. 68/2010 Coll.,
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 medicinal products,
Decree No 307/2002 Coll., on radiation protection, as amended by Decree No.
499/2005 Coll., Decree No. 195/2005 Coll., which will govern the conditions for
the prevention of the emergence and spread of infectious diseases and public health
requirements for the operation of health facilities and social care,
Decree No. 6/2003 Coll., laying down the limits of chemical,
physical and biological indicators for the residential indoor environment
the rooms of some of the Buildings Decree No. 381/2001 Coll., on details of the
the waste facility, as amended.
2) 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.
3) Law No 96/2004 Coll., on conditions for the acquisition and recognition of eligibility
to the exercise of paramedical professions and to pursue activities
related to the provision of health care and on amendments to certain
related laws (the law on the paramedical professions),
in the wording of later regulations.
4) of Decree-Law No 361/2007 Sb.
5) Act No. 167/1998 Coll., on addictive substances and amending certain
other acts, as amended.
6) Decree No 307/2002 Sb.
7) Law No. 378/2007 Coll., on pharmaceuticals and on changes of some
related laws (law on medicinal products), as amended.
Decree No 143/2008 Coll., laying down detailed requirements to ensure
the quality and safety of human blood and its components (the Decree on the human
the blood), as amended by Decree No. 351/2010 Sb.
9) § 2 (2). 10 (a). a) of Act No. 219/1999 Coll., on the armed forces
Of the Czech Republic.
