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Order On The Planning Of Public Health Preparedness And The Pre-Hospital Emergency And Training Of Ambulance Personnel, Etc.

Original Language Title: Bekendtgørelse om planlægning af sundhedsberedskabet og det præhospitale beredskab samt uddannelse af ambulancepersonale m.v.

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Table of Contents
Chapter 1 Scope and so on
Chapter 2 Planning on the health response and the premedial action.
Chapter 3 Ambulance alert.
Chapter 4 Ambulance and training of ambulances and other outings for the training of the paramedics.
Chapter 5 Entry into force and transitional provisions
Appendix 1 Prehospital processing

Publication of the planning of health care and the premedial preparedness and the training of paramedics and so on.

In accordance with Clause 169 and § 210 (5), 4, in the health code, cf. Law Order no. 913 of 13. July 2010 shall be :

Chapter 1

Scope and so on

§ 1. This notice shall comprise the responsibility of the municipal management boards to plan the health care authorities and the responsibilities of the regional advisaders to plan the health response, including the preparedness of preparedness and the training of paramedics and so on. the health code.

Paragraph 2. The planning must be based on a daily preparedness and ensure a flexible response to the daily preparedness for possible emergency situations.

§ 2. Health Care shall include medical care, the medical emergency and the preparedness of the primary health care sector. In the health alert, there is a crisis-therapeutic preparedness and effort in connection with chemical, biological, radiological and nuclear events. In the hospital preparedness, the premedial preparedness is to be included, including emergency medical alert.

§ 3. Health Care must ensure that the healthcare system can widen and remake its treatment and care capacity, etc. in addition to the daily preparedness of major accidents and disasters, including war.

Paragraph 2. Hospital emergency alert, which is the preparedness of the entire hospital, including private hospitals, must in major accidents, disasters, and in the war conditions, ensure that sick and injured treatment may be treated in hospital or in therapeutic treatment, for the hospitals.

Paragraph 3. The medicinal products for medicinal products and medical equipment are to ensure that the required consumption, supply and distribution requirements, which must be foreseen in major accidents, disasters and in conditions of war, may be met.

Paragraph 4. Contingency in the primary health sector, which is the preparedness of health care, which is not part of the health care service, during major accidents, disasters, and in the war conditions, a continuation of the day-to-day tasks, adapted to them ; amended requirements, and further delivery of prevention, treatment and reordering tasks.

§ 4. The premedial action, which is the ante-up of emergency medical emergency, injured and suffering, is intended to save lives, improve health prospects, mitigate pain and other symptoms, shorten the overall disease flow, to provide assistance ; care and comfort.

Paragraph 2. An ambulance is understood to mean a vehicle that is designed to process acute sick, injured and suffering, and where certain types of treatment may be granted, cf. § 29.

Paragraph 3. Ambulance contingency shall form part of the overall pre-hospital organisation and include transport with an ambulance and the treatment associated with it, cf. the Annex.

Paragraph 4. In response time, the time taken from the technical component of the region ' s AMC security shall receive the task from the medical-disciplinary visitator and until the ambulance is at an emergency site, in an acute sick patient or in a feat of an acute illness.

§ 5. The rules of the Conventions on the police ' s alarm centres also apply to the City of Municipality of Copenhagen.

Chapter 2

Planning on the health response and the premedial action.

§ 6. The Regional Council and the municipalities shall be responsible for planning and building a health alert.

Municipal Administrative Board

§ 7. The city council shall prepare and adopt a plan for the health care programme once during each parliamentary term.

Paragraph 2. The local authorities shall coordinate the plan with the municipality ' s other plans in the emergency services area-including plans for the rescue mission, the regional council plan for the health response and the premedial action and the surrounding municipalities ; health contingency plans.

Paragraph 3. The local authority must obtain an opinion from the regional council and the municipal boards of the local authorities in advance of the health care plan. The local authorities shall, by the way, include the health coordination committee in coordinating the public health contingency plan of the municipality with the region's health contingency plan and the rest of the regional health emergency plans of the regional authorities.

Paragraph 4. The local authorities must, prior to the treatment of health emergency proposals, catch up with the advice of the health management and medical management board. Following the adoption of the municipal management board, the plan and subsequent amendments thereto shall be submitted to the Health Services and the region in which the municipality is situated.

§ 8. Based on the preparedness of the daily preparedness, it is planned for the expansion of preparedness to meet further needs in a disaster situation in accordance with the conditions laid down in the emergency situation. Section 3, using the total resources of the health care system.

§ 9. The plan shall be drawn up on the basis of national threat assessment and a local risk and vulnerability assessment in accordance with the rules of section 13.

§ 10. The plan shall describe the municipality ' s objective of health care, including in the case of :

1) action against exceptional, prescribed patients and other sick, injured and infected people who are staying in their own homes,

2) cooperation with the Regional Council and the surrounding areas of health care,

3) communication between persons participating in health care, including the region ' s actors ;

4) enabling the health alert, including cooperation with the Akut Medical Coordination Centre (AMK),

5) quality and quality assurance, and

6) training and exercise activities, if any ; in cooperation with region and in-frontier municipalities.

Region of the Regions

§ 11. The Committee of the Regions must once again draw up and adopt a plan for the health response and the prevention of the health care and the prevention of the health care programme.

Paragraph 2. The Regional Council must coordinate the plan with the planning of the police-including emergency-centers, the plans for the regions of the region, the health contingency plans and plans of the local authorities, and in the case of the rescue contingency plans, as well as in the region of the reduced region ; planning procedure for the epidemiological commission. measures in accordance with the epidemiological law. The plan forms part of the region's overall health planning, cf. $206 to the health code.

Paragraph 3. The Committee of the Regions must, prior to the adoption of the Health Plan, obtain an opinion from the municipalities in the region. The Committee of the Regions may, by the way, involve the health coordination committee in coordinating the regional health emergency plan of the region with the health contingency plans of the regional authorities.

Paragraph 4. The Committee of the Regions must take precedence over the Council's treatment of proposals for the health response plan and the premedial response to the advice of health services and the Medicinal Products Agency. Following the adoption of the plan of the region, the plan and subsequent amendments thereto shall be forwarded to the Board of Health and the municipality boards in the region.

§ 12. Based on the preparedness of the daily preparedness, it is planned for an extension of the preparedness to meet further needs in a disaster situation in accordance with the conditions laid down in the disaster. Section 3, using the total resources of the health care system.

§ 13. The plan shall be drawn up on the basis of national security and emergency hazelups and a locally taken risk and vulnerability assessment.

Paragraph 2. The risk of risk and vulnerability shall include the following elements :

1) Map-to-critical functions and tasks in the health care system, i.e. a description of goods, activities and services necessary for the viability of the health service and to be ensured or maintained by accidents and disasters.

2) Identification of threats / events which may prevent the functioning of the health care system or put it under considerable pressure, such as pandemics, mass damage and biological terrorism. In the case of identification of such threats and incidents, particular attention shall be taken in the area of population density, industry in the area, handling and transport of dangerous goods, the presence of large quantities of human quantities and so on.

3) Analysis of the capacity of the health response in relation to hospitals, for example, with emergency preparedness, the ability to perform advanced premedial treatment, as well as an assessment of the interdependence of health care and other sectors, including water, electricity, it- and telecommunications, transport, the nature of the road network, etc.

4) Analysis of likelihood that specific events will occur and possible consequences of this, taking into account the capabilities of health care, cf. no. 3.

5) The risk and vulnerability profile, which comprises a comprehensive assessment of the results of the subparagraphs of the Commission. 1-4 of the analyses referred to.

§ 14. The plan shall describe the Regional Council's objective of health care and the premedial action, including those for :

1) scopes, development, quality and quality assurance,

2) action by means of ambulances, emergency vehicles, emergency vehicles, emergency teams and the like and the involvement of health professionals from the primary health services and so on ;

3) the distribution of tasks between health care services, the premedial preparedness, including emergency services, and the primary health service ;

4) guidelines for the overall performance of the performance, including the instructions for the disponers and the vibration,

5) enabling the health response and the preventive action, including a clear health response entry, via the Emergency Medical Coordination Centre (AMK), coordinated with border regions and between the regions and municipalities ;

6) the establishment and use of coordinating physician (COM),

7) the activation of additional pre-hospital support in the need for this ;

8) extension of capacity, including extraordinarily printable of patients ;

9) the receipt of larger number of sick or injured,

10) the activation of crisis-therapeutic preparedness, including cooperation with the local authorities ' crisis therapists,

11) communication between the actors in the health response and the preventive action, including those from adjacency to the emergency services,

12) cooperation between the various actors in the preparedness, including municipalities, border regions, police and rescue preparedness ; and

13) training and exercise activities, if any ; in cooperation with the municipalities and the adjaculsive regions.

§ 15. The Committee of the Regions must regularly assess the quality of health care and the premedial action.

§ 16. The Committee of the Regions is setting up a medical and pre-hospital board of health care. The Committee shall coordinate cooperation on the health response and overall premedial action between health care services, emergency services, the primary health service, the border regions, the local authorities, the police and rescue emergency services.

Paragraph 2. The Health and Pre-Medical Committee shall be composed of representatives of the regional health care services of the region, the EMT, the local authorities, the police, state regional rescue preparedness and possible private ambulance contractors. In addition, the head of health care and the premedial preparedness are also required, cf. Section 17, member of the committee.

§ 17. The Committee of the Regions shall designate a person as head of the health alert and the premedial preparedness to ensure a high level of health care level of the action. The leader of the health alert and the premedial preparedness have, among other things, the task of

1) coordinating the coordinated planning of the performance and health care services,

2) collect and process data for the quality assurance and development of health preparedness and the premedial preparedness, including emergency medical alert ;

3) develop proposals for guidelines relating to the overall performance of the performance, cf. § 14, no. 4, in cooperation with AMK security headquarters, emergency medical alert, medical and health care and health care committee, including the guidelines for the technical call for the emergency call, which relates to the need for a premeditation service ;

4) carry out a check on personnel taking part in the health alert and the premedial preparedness, including the paramedics, receive the necessary training and maintenance training, including participating in exercises,

5) ensure the identification of the guidelines concerning the medical delegation of treatment tasks for the EMA and medical prescription for treatment, cf. the attachment, telemeditation and teleportation of patient transport, etc.,

Chapter 3

Ambulance alert.

§ 18. The Committee of the Regions shall be obliged to provide emergency services for persons who need it because of acute illness, accident or birth. The paramedics are part of the region's total health care and form part of the health care contingent, cf. § 2.

Paragraph 2. The Committee of the Regions may choose to set up paramedics with its own ambulances or ambulances, which by agreement are made available to other regions, municipalities or private paramedics.

§ 19. The paramedics must include a 24-hour alert. As a complement to the regular state of emergency, the regionalisation council can establish preparedness that covers only part of the year or part of the day.

Paragraph 2. The region of the region shall determine the extent to which the individual geographical areas are given in the context of the local needs referred to in the region. § 13.

Paragraph 3. The Committee of the Regions shall determine the response times in each preparedness area. These respondents can be supplemented with differentiated response times. The final respondents shall be made public and the region's region is regularly followed by the actual response times.

Chapter 4

Ambulance and training of ambulances and other outings for the training of the paramedics.

20. An ambulance shall be manled with at least two persons. A person must have examined the training for the ambulance handler, cf. section 23 or similar training. By the way, the EMTs should have examined the training for the outpatient in accordance with the training of the paramedics. section 22 or equivalent training.

Paragraph 2. The Committee of the Regions shall lay down the number of persons to be trained for the ambulance handler with particular competence, cf. Paragraph 24, taking into account the organisation of the pre-regional effort in the region, by the way.

§ 21. The EMA must be able to be able to

1) initiate treatment with the equipment, as a minimum, in accordance with the Annex, in particular. A,

2) managing a damage situation,

3) control driving techniques, including indentation and extraneous transport of emergency injured, sick and feeders ;

4) assess different types of misfortune in order to provide correct feedback to ensure a proper and adequate assistance ;

5) keep a promise and support technique ;

6) carry out life-saving activities in the event of accidents, including the initiation of injury to casualties, and

7) enter into a proper cooperation with other participants in the premedian effort, hospitals, police, and municipal and state emergency services and others.

Paragraph 2. The paramedics must be informed of any applicable legal basis at all times.

§ 22. The basic training for the ambulance sistent must include at least six months of theoretical training with a health professional content, four months of internship, cf. paragraph 4, and 2 months of ambulances.

Paragraph 2. The training must enable the person concerned to assist ambulance handlers and paramedics with special competence.

Paragraph 3. Training must include training in anatomy, physiology, hygiene, symptoms of disease, disease teachings, including infectious diseases, observation techniques, elementary care and care, birth teacher and care of newborns, pharmacology, handgrip, including defibrillating, ergonomics, psychology, psychiatric, social and legal relationship, ethnology, health care organisation, business partners, and information technology.

Paragraph 4. The training includes clinical practice with the introduction of skills that are part of the theoretical instruction. The practice is in hospital, possibly in medical, nursing homes, home care, social and psychiatric institutions.

Paragraph 5. The training shall be set out in addition to the provisions of paragraph 1. 1 mentioned, medical training, including driving techniques, lifting and litter techniques, basic life-saving work by accident, and any applicable legal basis, including in order to ensure that the paramedic site must be able to cooperate in proper cooperation ; with other participants in the premedian effort, hospital, police and municipal and state emergency services and others.

-23. Training for ambulance processing requires completed training for ambulance sistent, cf. Section 22, similar training or basic training, according to previously applicable training rules, and act as an EMA for at least one and a half years. The training has a duration of at least five weeks and includes theoretical and practical training at a training institution, cf. ~ 27, hospital-sprained, skill and simulation training and paramedics.

Paragraph 2. The training must enable the person concerned to perform pre-hospital treatment, etc., cf. the annex, point. A.

Paragraph 3. In addition, the training must place the ambulance handler in a position to carry out surveillance and treatment during the transportation of patients after medical delegation and coordination, including in the case of telemedical surveillance.

Paragraph 4. The training shall include further training in anatomy, physiology, hygiene, symptoms of disease, disease teachings, including infectious diseases, observation techniques, pharmacology, and handling of medicine, patient handling, transmission of 12-relief EKG to hospital, monitoring and defibrillating, and information technology in the field of telecommunications.

§ 24. Training for the ambulance handler with particular competence requires the training to be carried out to the ambulance handler, cf. section 23, or equivalent training and act as an ambulance handler for at least three years. The training has a duration of at least five weeks and includes theoretical and practical training at training institution, cf. Section 27, hospital spray tactics, skill and simulation training and paramedics with emergency medical vehicles or similar medical professional supervision.

Paragraph 2. The training must enable the person concerned to perform advanced pre-hospital treatment, including to administer certain medicines intravenously, cf. the annex, point. B.

Paragraph 3. In addition, the training shall enable the person concerned to assist the doctor in an emergency medical vehicle or similar, and to carry out surveillance and treatment in connection with certain patient rangers to specialized departments after medical delegation and ordination, including in the case of telecamedicinal monitoring.

Paragraph 4. The training shall include further training in anatomy and physiology, hygiene, symptomatic, symptoms of disease, including infectious diseases, observation techniques, pharmacology, and handling of medicine, patient handling, transmission of 12-exledgeal EKG to hospital, surveillance and defibrillment.

Paragraph 5. Ambulance handlers with particular competence shall participate in maintenance training for one week once a year.

§ 25. In order to be able to be included in the ambulance and performance of the outpatient, ambulance handler or ambulance handler with special competence, the person concerned must have carried out the training referred to in this area ; publication or equivalent foreign training approved by the Board of Health.

Paragraph 2. In the event of a temporary or occasional person practised by a person with a temporary or occasional service provider, the health inspector must have approved the training of the person concerned with the training of an ambulance or an ambulance worker with particular competence.

SECTION 26. The Board of Health shall lay down detailed rules on the training for ambulance handler and ambulance handler with special competence, including access requirements and requirements for equivalent training after section 23 (3). 1, and section 24 (4), 1.

Paragraph 2. The place of education determines which additional training will provide merit in the training of the paramedics in accordance with section 22-24. The decision can be taken to Health Services.

§ 27. Training for the EMTs is an integral part of vocational training for the rescue. Training for ambulance handler and ambulance handler with special competence, cf. section 23-24 takes place in a school for social and health education, a nursing school or something like that.

§ 28. The Committee of the Regions shall make available to their own hospitals or in agreement to other hospitals as part of the training of paramedics.

The directions and equipment of the ambulance shall be :

§ 29. Ambulances must be equipped in such a way as to provide for sick, injured and commanders, such as recording, monitoring and treatment and transfer of goods to the hospital or other therapeutic facilities.

Paragraph 2. Ambulances must be equipped with tools to enable the basic emancipation of patients, as well as fire-extinguishing equipment for the fight against minor fires.

Paragraph 3. Ambulances are to be used by radio, mobile or similar communications with emergency services, AMK security and relevant medical departments, etc.

Paragraph 4. Ambulances must also be put in place and equipped to be provided in section 21, cf. the annex, indicated emergency assistance.

Chapter 5

Entry into force and transitional provisions

-$30. The announcement shall enter into force on 1. January 2012.

Paragraph 2. At the same time, notice No 977 of 26. September 2006 on the planning of the prevention and training of paramedics and so on as amended by announcement No 2. 22 of 9. January, 2007.

The Ministry of Health and Prevention, the 9th. December 2011

Astrid Krag

/ John Erik Pedersen


Appendix 1

Prehospital processing

The medical delegation shall mean the transfer of a specific processing task which, in accordance with the legislation, is reserved for doctors and, at the medical point of view, the specific position of a doctor for the treatment to be carried out shall be construed as being read.

A)

Ambulance harness that has received training for the ambulance handler must be able to perform :

1) Basal assessment of the patient's condition.

2) Spirits recording the injury with special equipment.

3) Establishment and maintenance of free airways.

4) Reanimation by artificial respiration of oxygen and ventrification of oxygen and ventrification of the heart.

5) EKG surveillance and resuscitation using a defibrillator.

6) Lifedation and antishock treatment.

7) The use of the whole body or parts of the body, including the cervical vertebrae, can be supported.

8) Acute treatment of a torn body parts.

9) Acute treatment of damage caused by injury, cascade damage, cold damage, etc.

10) Birthtime help and care for newborns.

11) Medicine pain relief, for example, by inhalation of oxygen and nitrous gas.

12) Lind of heart-collar merges, for example, with nitroglycerine managed in the mouthcave.

13) Disedation of asthma seizures by inhalation of bronchieexpelled substances.

14) Debugging of convulsion to the administration of cramping medicines (benzodiazepine) in the final intestine.

15) Preliminary treatment for signs of blood clot in the heart with acetylsalicylic acid.

16) Intrusion of insulin shock with the glue-on as an intramucular injection.

17) Exhaust of allergic reactions to adrenaline like intramuscular injection.

18) Debutation of consequences after the dose of morphine-like substances with naloxas as an intramucular injection of non-injections.

(19) Instruction and retaliation of intravenous access.

20) The start-up of intravenous liquid treatment of hard casualties and patients with severe circuitous circuits due to a hypovocamic anemia.

Processing tasks under point A, number 11 to 20 may be carried out only after the medical delegation.

B)

Ambulance harness that has received training for the ambulance handler with special competence after section 24 of the notice on the planning of the health care contingency and the preventive work and training of paramedics and so on or equivalent ; education shall be able to carry out :

1) The one in the pool. "A" mentioned ambulance help.

2) Intravenous submission of painkillers (morphine-like substances) in the case of pain.

3) Deburation of the following intake of morphine-like substances, benzodiazepine or similar substances, in the case of intravenous medicine, as an antidote.

4) Debuing the accumulation of liquid in the lungs of an intravenous diurement of water-driving medicine.

5) Disgusting of nausea at intravenous submission of anguthmetical medicine.

6) Intravenous submission of medicinal products in the case of cardiac stop-treatment, cf. Guidelines from the Danish Council for Reanimation.

7) Intruvenous submission of second medicine.

8) The closure of certain treatments on the spot, for example, for low blood sugar diabeteers.

Processing tasks under point B, number 2-6 may only be carried out after the medical delegation, after the following medical delegation, subject to the proviso that it is carried out in accordance with specific processing protocols, and processing after number 8 ; can only take place after medical oration