Training and examination regulations for the occupation of the elderly nurse and the elderly care provider (Altennursing-Training and Examination Ordinance-AltPflAPrV)

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AltPflAPrV

Date of completion: 26.11.2002

Full quote:

" Altennursing-Training and Examination Ordinance of 26 November 2002 (BGBl. 4418), the most recent of which is Article 38 of the Law of 6 December 2011 (BGBl. 2515).

Status:

Last amended by Art. 38 G v. 6.12.2011 I 2515

For more details, please refer to the menu under Notes

Footnote

(+ + + Text evidence from: 25.10.2002 + + +) 

  

The V is gem. Section 22, first of which is 1.8.2001, in accordance with. Bek. v. 27.11.2002 I 4429. by way of derogation from this, mWv 25.10.2002 entered into force. Unofficial table of contents

Input formula

On the basis of § 9 of the Senior Care Act of 17 November 2000 (BGBl. 1513) in conjunction with Section 1 of the Jurisdiction Adjustment Act of 16 August 2002 (BGBl. 3165) and the organisational decree of 22. October 2002 (BGBl. 4206), the Federal Ministry for Family Affairs, Senior Citizens, Women and Youth, in agreement with the Federal Ministry of Health and Social Protection and the Federal Ministry of Education and Research, is responsible for: Unofficial table of contents

Content Summary

Section 1
Training
§ 1	Breakdown of training
§ 2	Practical training
Section 2
Performance Evaluation
§ 3	Annual certificates, certificate of attendance
§ 4	Benotung
Section 3
Audit
§ 5	State audit
§ 6	Audit Committee
§ 7	Specialist committees
§ 8	Approval for examination
§ 9	Prenotes
§ 10	Written part of the examination
§ 11	Oral part of the examination
§ 12	Practical part of the examination
§ 13	Transcript of the examination
§ 14	Existence of the examination, certificate
§ 15	Repeating the Review
§ 16	Resignation from the examination
§ 17	Consequences of failure, non-disclosure of the supervisory work, interruption of the examination
§ 18	Procedural violations, deception tests
§ 19	Examination documents
Section 4
Authorisation
§ 20	Permission certificate
Section 21	Special arrangements for persons with diplomas or certificates from another Member State of the European Community or of another State Party to the Agreement on the European Economic Area
Section 5
Final provision
Section 22	entry into force

Section 1
Training

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§ 1 Structure of training

(1) The three-year training course for the elderly nurse and the elderly nurse comprises at least the theoretical and practical teaching of 2,100 hours listed in Appendix 1 and the practical training of 2,500 hours indicated. (2) 2,500 hours of practical training are provided for at least 2,000 hours on the training in the institutions mentioned in § 4 (3) sentence 1 of the Elderly Care Act. (3) The training is carried out in alternation between sections of the teaching and the practical training. (4) The annual leave shall be granted in the non-teaching period . Unofficial table of contents

§ 2 Practical training

(1) The training institution in accordance with § 4 (3) of the German Geriatric Care Act must provide the guarantee for the proper implementation of the practical training. (2) The training institution shall provide for the period of practical training. Practical guidance of the student by a suitable specialist (practice instructor or practice instructor) based on a training plan. Appropriate

1.

an elderly nurse or an elderly nurse, or

2.

a nurse or a nurse

with at least two years of professional experience in the care of the elderly and the capacity for practice guidance, which is usually to be proved by a vocational education or training course. The task of the practice guidance is to gradually lead the student to the independent perception of the professional tasks and to keep in contact with the nursing school for the elderly. (3) The nursing school for the elderly is established by teachers For the period of practical training, the practical support of the students in the institutions is safe. It is the task of the teachers to supervise and assess the students through accompanying visits to the institutions and to advise the practical managers. (4) The training institution will be responsible for the development of the training programme. in the case of their training, a certificate. This information must contain information about the duration of the training, the training areas, the knowledge, skills and skills that have been provided and about the absence of the pupil or student. The certificate must be submitted to the nursing school at the latest by the end of the training year. If a training section is not completed within a training year, the training institution shall issue an additional certificate in accordance with the provisions of the second and third sentences. The institution of the practical training pursuant to § 13 (1) of the German Elderly Care Act and the pupil or the pupil will receive copies.

Section 2
Performance Evaluation

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§ 3 Annual certificates, certificate of attendance

(1) At the end of each year of training, the student's nursing school will give a certificate of achievement in teaching and practical training to the pupil. The grade for practical training is determined in consultation with the institution of the practical training. (2) The nursing school for the elderly confirms the regular and successful participation in the training by means of a training programme in accordance with § 8. Certificate in accordance with the model of Appendix 2. If a nursing school is concerned with the school law of the country, the certificate can be replaced by a certificate. Unofficial table of contents

§ 4 Benotung

The following notes shall apply to the services to be assessed in accordance with this Regulation:

"very good" (1),	if the performance meets the requirements to a particular extent (for values up to below 1.5),
"good" (2),	if the performance is fully compliant with the requirements (for values of 1.5 to less than 2.5),
"satisfactory" (3),	if the performance in general meets the requirements (for values of 2.5 to less than 3.5),
"sufficient" (4),	if the performance has defects, but as a whole still meets the requirements (for values of 3.5 to less than 4.5),
"defective" (5),	if the performance does not meet the requirements, but makes it clear that the necessary basic knowledge is available and that the deficiencies can be remedied in the foreseeable future (for values of 4.5 to less than 5, 5),
"insufficient" (6),	if the performance does not meet the requirements, and even the basic knowledge is so patchy that the defects cannot be remedied in the foreseeable future (for values from 5, 5).

Section 3
Audit

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§ 5 State Examination

(1) The state examination comprises a written part, an oral part and a practical part. (2) The written and oral part of the examination shall be taken at the nursing school for the elderly in which the training is completed. (3) The The competent authority may, for important reasons, allow exceptions to the rules referred to in paragraph 2. The chairmen of the participating examination committees are to be heard beforehand. (4) The practical part of the examination is filed:

1.

in an institution pursuant to § 4 (3) sentence 1 no. 1 of the Senior Care Act, in which the pupil or pupil has been trained, or

2.

in the home of a person in need of care, who is cared for by an institution in accordance with § 4 (3) sentence 1 No. 2 of the Senior Care Act, in which the pupil or pupil has been trained.

(5) The practical part of the examination may be carried out with the consent of the competent authority at the nursing school for the elderly, in the context of a simulated care situation, if its proper implementation is ensured. Unofficial table of contents

§ 6 Examination Committee

(1) An examination board shall be formed at each nursing school for the elderly, who shall be responsible for the proper conduct of the examination. It consists of the following members:

1.

a representative, a representative, a representative or a representative of the competent authority, as a member of the chairperson,

2.

the head of the nursing school, or the head of the nursing school,

3.

at least three teachers as specialist examiners, at least two of whom have mainly taught the pupil or the pupil in the examination-relevant learning fields.

Members must be knowledgeable and suitable for participation in examinations. (2) The competent authority shall appoint the Member referred to in the second sentence of paragraph 1, second sentence, and its deputy or deputy. It shall appoint the members referred to in the second sentence of paragraph 1 (3) and their alternates on a proposal from the head of the nursing school for the elderly. (3) The oral and practical parts of the examination may be carried out by the members of the Examination Committee shall form specialised committees, which shall carry out the tasks of the Audit Committee in this respect. (4) The competent authority may send experts and observers to participate in all examinations. Unofficial table of contents

Section 7 Technical committees

(1) If specialised committees are formed, the following members shall belong to each of the following:

1.

the Chairman of the Audit Committee or any other member of the Audit Committee as a leading member,

2.

as medical examiners or specialist examiners:

a)

a teacher who has recently taught the pupil in the fields of study relevant to the examination or who has an experienced teacher in the relevant subject,

b)

another teacher as a co-sitter or a co-sitter and for the management of the log.

(2) The members of the specialised committees shall be appointed by the Chairman of the Audit Committee. Unofficial table of contents

§ 8 Approval for Examination

(1) The chairperson of the examination board shall decide on the admission to the examination at the request of the pupil or the pupil. It shall determine the dates of the examination in consultation with the nursing school for the elderly. (2) The admission to the examination shall be granted if the following proof of approval is available:

1.

the identity card or passport in an officially certified copy,

2.

the certificate or the certificate in accordance with § 3 (2).

(3) The admission and the examination dates shall be communicated to the student in writing at the latest four weeks before the start of the examination. (4) The special interests of disabled examinees are to safeguard their equal opportunities in the implementation of the Take into account the tests. Unofficial table of contents

§ 9 Prenotes

(1) The Chairman of the Audit Committee shall, on a proposal from the Senior Caregiver School, set a preliminary note for each field of learning which is the subject of the written and oral part of the examination, and a preliminary note for the practical part of the examination Check. The respective preliminary notes are obtained from the certificates in accordance with § 3 (1). (2) The preliminary notes are taken into consideration in the formation of the notes of the oral, written and practical part of the examination, each with a proportion of 25 of the hundred. In the cases of § 10 (1) (1) and (2) and § 11 (1) (3), an arithmetic mean must be formed from the two previous notes. (3) The previous notes shall be the pupil or the student at the latest three working days before the beginning of the first Verification part communicated. Unofficial table of contents

Section 10 Written part of the examination

(1) The written part of the examination shall comprise a supervisory work in each of the learning fields:

1.

"Include theoretical foundations in the management of the elderly" and "plan, conduct, document and evaluate the care of old people",

2.

"Old people caring for persons and persons in a situation" and "participating in medical diagnostics and therapy",

3.

"The worlds of life and social networks of old people take account of old people's actions".

(2) The supervisory work shall take 120 minutes each. They are usually to be carried out on three consecutive days. (3) The tasks for the supervisory work shall be determined by the competent authority on the proposal of the nursing school for the elderly or the nursing school for the elderly. Each supervisory work is to be independently bended by two specialist examiners. In the case of different grades, the chairperson of the examination board shall decide in consultation with the examiners. (4) The chairman of the examination board shall form the note for the written part of the examination from the arithmetic mean of the grades of the specialist examiners and the preliminary notes in accordance with § 9 (1) and (2). Unofficial table of contents

Section 11 Oral part of the examination

(1) The oral part of the examination shall cover the following learning fields:

1.

"Old people caring for persons and persons in a situation related to the situation",

2.

"taking into account the institutional and legal framework for the management of the elderly" as well as

3.

"Develop professional self-understanding" and "deal with crises and difficult social situations".

(2) The oral part of the examination shall be carried out as an individual examination or group examination with up to four pupils. In the case of points 1 to 3 of paragraph 1, the pupil shall not be examined for more than ten minutes. (3) The examiners within the meaning of section 7 (1) (2) shall take the examination and enact the performance of the examination. Points 1 to 3 of paragraph 1. The chairperson of the Audit Committee is entitled to participate in the examination and to examine it himself. (4) The Chairman of the Audit Committee shall form the note for the oral part of the examination from the arithmetic mean the grades of the examiners and the preliminary notes in accordance with § 9 (1) and (2). (5) The Chairman of the Audit Committee may allow the presence of listeners at the oral part of the examination, if a legitimate person is entitled to There is interest and the student agrees with this. Unofficial table of contents

§ 12 Practical part of the examination

(1) The practical part of the examination consists of a task for comprehensive and planned care, including the advice, supervision and support of an elderly person. It refers to the learning areas "Tasks and Concepts in the Care of the Elderly" and "Support of old people in the design of life". (2) The examination task consists of the written preparation of the care planning, from the implementation of the Care including advice, care and support of an elderly person and from a final reflection. The task is to be prepared, carried out and taken off in a period of not more than two working days. The examination part of the care shall not exceed 90 minutes. The pupils are examined individually. (3) At least two technical examiners take the exam and benoten the performance. The chairperson of the Audit Committee is entitled to participate in the examination and to examine it himself. The selection of the institution pursuant to § 5 (4) and the person in need of care shall be carried out by the specialist examiners. The inclusion of the person in need of care in the examination situation presupposes their consent and the consent of the care service management. (4) For the acceptance and grading of the practical part of the examination, a practice manager or a Practical Leader

1.

in the case of Section 5 (4) (1) of the institution in which the examination is carried out,

2.

in the case of § 5 (4) (2) of the institution responsible for caring for the person in need of care,

3.

in the case of § 5 (5) of the institution, in which the pupil or pupil has been mainly trained,

(5) The chairperson of the examination board shall form the grade for the practical part of the examination from the grade of the examiners and the preliminary note in accordance with § 9 (1) and (2). Unofficial table of contents

Section 13 Niederschrift on the examination

The examination shall be carried out to produce a transcript from which the subject matter, sequence and results of the examination and any irregularities occurring shall be produced. Unofficial table of contents

§ 14 Existence of the Examination, Certificate

(1) The examination has been passed if each of the parts of the examination provided for in Article 5 (1) has been evaluated at least with the grade "sufficient". (2) A certificate is issued according to the model of Appendix 3 on the state examination passed. In the event of non-existence, the student receives a written notice from the chairman of the examination board, stating the grades. Unofficial table of contents

Section 15 Repeal of the examination

(1) Each of the parts of the examination referred to in Article 5 (1) may be repeated once it has been rated "deficient" or "insufficient" with the grade. (2) The Chairman of the Audit Committee shall decide in consultation with the Specialist examiners on an extension of the training and their duration and content. Unofficial table of contents

Section 16 Resignation of the Examination

(1) If the pupil or the pupil withers from the examination after admission, the reasons for the resignation shall be notified immediately to the Chairman of the Audit Committee in writing. If the chairman of the Audit Committee approves the resignation, the examination shall be deemed not to have been made. The authorisation shall only be granted if there is an important reason. In the event of a disease, the submission of a medical certificate may be required. (2) If the permission for the resignation is not granted or if the student fails to inform the reasons for the resignation immediately, he/she shall the examination or the part of the examination in question shall be deemed to have failed. Section 15 (1) shall apply accordingly. Unofficial table of contents

§ 17 Consequences of failure, non-disclosure of oversight work, interruption of examination

(1) If the pupil fails to carry out a review, does not issue a supervisory work or fails to do so in due time, the examination or the relevant part of the examination shall be deemed to have failed, if not a important reason. Section 15 (1) shall apply accordingly. If there is an important reason, the examination or the relevant part of the examination shall be deemed not to have been made. (2) The decision as to whether there is an important reason shall be taken by the chairman of the Audit Committee. § 16 (1) sentence 1 and 4 shall apply accordingly. Unofficial table of contents

§ 18 Administrative infringements, attempts at deception

The Chairman of the Audit Committee may, in the case of pupils who have seriously disturbed the proper conduct of the examination or have been found guilty of an attempt to deceive, the part of the examination in question to declare not passed; § 15 (1) shall apply accordingly. Such a decision shall only be admissible in the event of disruption of the examination until the conclusion of the examination as a whole. The withdrawal of an examination decision for deception shall be admissible only within three years of the conclusion of the examination. Unofficial table of contents

Section 19 Examination documents

Upon application, the student is to be granted access to his/her own examination documents after the examination has been completed. Written supervisory work is three years, and applications for admission to the examination and examination regulations are to be kept for ten years.

Section 4
Authorisation

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§ 20 Certificate of approval

If the conditions laid down in § 2 (1) of the Altennursing Act are fulfilled for the granting of a licence to lead the professional title, the competent authority shall issue the certificate of approval in accordance with the model of the Appendix 4. Unofficial table of contents

Section 21 Special arrangements for persons with evidence of formal qualifications acquired outside the scope of the geriatric care law

(1) If you apply for a permit pursuant to § 1 of the Senior Care Act, proof that the condition is in accordance with § 2 (1) No. 2 of the German Geriatric Care Act is a corresponding one issued by the competent authority of the home state. a certificate or an extract from the register issued by such an authority or, if such an extract cannot be provided, a certificate of equivalent value. If the applicant has already exercised the profession in the country of origin, the competent authority of the competent authority of the State of origin may, for example, provide the competent authority of the competent authority of the State of origin for the purposes of the granting of the licence to the competent authority of the State of origin. (a) to obtain penalties or other measures of professional or criminal law on the grounds of serious unlawful conduct or criminal acts involving the pursuit of the profession in the Member State of origin. If the authority responsible for issuing the permit is aware of the facts in the cases of sentences 1 and 2 which have occurred outside the scope of the old-age care law and with regard to the condition of section 2 (1) (2) of the Act of the old-age care law, it must inform the competent body of the State of origin and ask them to review these facts and to ask them the result and the conclusions which they have made concerning the in the case of certificates and certificates issued by the Commission. The certificates and communications referred to in sentences 1 to 3 shall be treated as confidential. They may only be assessed if the exhibition does not exceed three months on presentation. (2) Any person applying for a permit pursuant to § 1 of the German Geriatric Care Act and another Member State of the European Union A member of the Community or another State Party to the Agreement on the European Economic Area may, for proof that the condition laid down in Section 2 (1) (3) of the Geriatric Care Act is present, provide appropriate evidence of the competent authority. the authority of its home Member State. If such proof is not required in the country of origin, a certificate issued by a competent authority of that State must be recognised, which results in the fulfilment of the conditions laid down in Section 2 (1) (3) of the Elderly Care Act (Altennursing) . The fourth and fifth sentences of paragraph 1 shall apply by analogy. (3) Applicants who have a certificate of formal qualifications in the occupation of the elderly nurse or caregiver who has been acquired outside the scope of the old-age care law shall lead to: after the recognition of their professional qualifications, the professional title "Altenpflegerin" or "Senior Caregiver". (4) The competent authority confirms to the applicant within one month of receipt of the application the receipt of the application and the receipt further documents and tell her which documents are missing. The competent authority shall decide on the application within a very short period of time, but no later than four months after the submission of the complete dossier, and shall duly justify its decision. Where the competent authority of the home Member State does not issue the certificates referred to in the first sentence of paragraph 1 or does not make the notifications referred to in the second sentence of paragraph 1 or the third sentence of the third sentence of paragraph 1 within two months, the (5) The competent authority shall have the service provider at the time of the first-time presentation of a certificate. (5) The competent authority shall: Display of a service provision within the meaning of § 10 of the Altennursing Act within a The following shall be notified of the results of the verification of the results of the investigation and of the accompanying documents. If it is not possible to verify within that period in exceptional exceptional circumstances, the competent authority shall inform the service provider within one month of the reasons for the delay and the timetable for its Decision which must be taken before the end of the second month from the date of receipt of the complete dossier. Where the service provider does not receive any feedback from the competent authority within the time limits set out in the first and second sentences, the service may be provided.

Section 5
Final provision

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Section 22 Entry into force

This Regulation shall enter into force on 1 August 2001. Unofficial table of contents

Final formula

The Federal Council has agreed. Unofficial table of contents

Appendix 1 (to § 1 (1))

Source of the original text: BGBl. I 2002, 4423-4425

A.	Theoretical and practical training in the care of the elderly
			Number of hours
1.	Tasks and concepts in the care of the elderly
1.1.	Include theoretical foundations in the management of nursing care		80
	-	Age, health, illness, disability and need for care
	-	Concepts, models and theories of care
	-	Relevance of concepts and models of care based on concrete care situations
	-	Nursing research and implementation of research results
	-	Health promotion and prevention
	-	Rehabilitation
	-	Biographical work
	-	The foundation of the ethics of ethics
1.2.	Planning, carrying out, documenting and evaluating the care of old people		120
	-	Perception and observation
	-	Care Process
	-	Care diagnostics
	-	Planning, implementation and evaluation of care
	-	Limits of care planning
	-	Care documentation, EDP
1.3.	Old people caring for people-and situation-related		720
	-	Basic principles of nursing, in particular anatomy, physiology, geriatrics, gerontopsychiatry, psychology, drug science, hygiene and nutrition
	-	Support of old people in self-care
	-	Support of old people in preventative and rehabilitative measures
	-	Participation in geriatric and gerontopsychiatric rehabilitation concepts
	-	Dealing with aids and prostheses
	-	Care of old people with impaired function of sensory organs
	-	Care of old people with disabilities
	-	Care of old people with acute and chronic diseases
	-	Care for infectious diseases of old people
	-	Care of multimorbider old people
	-	Care of old people with chronic pain
	-	Care of old people in existential crisis situations
	-	Care of demented and gerontopsychiatry of altered old people
	-	Care of old people with search diseases
	-	Care for severely ill-ill old people
	-	Care of dying old people
	-	Acting in emergencies, First Aid
	-	Overguidance, Casemanagement
1.4.	Leading, advising and holding discussions		80
	-	Communication and discussion
	-	Advice and guidance of old people
	-	Advice and guidance of relatives and reference persons
	-	Guidance of caregivers who are not nursing staff
1.5.	Participating in medical diagnostics and therapy		200
	-	Implementation of medical regulations
	-	Legal bases
	-	Framework conditions
	-	Cooperation with doctors and doctors
	-	Interdisciplinary collaboration, participation in the therapeutic team
	-	Participation in rehabilitation concepts
2.	Support of old people in the way of life
2.1.	Taking into account the worlds of life and social networks of old people in the event of old-age nursing		120
	-	Aging as a change process
	-	Demographic trends
	-	Ethniespecific and intercultural aspects
	-	Questions of faith and life
	-	Everyday life and living in old age
	-	Family relationships and social networks of old people
	-	Sexuality in old age
	-	People with disabilities in old age
2.2.	Support old people in the housing and residential environment		60
	-	Nutrition, household
	-	Creation of a conducive and safe living space and living environment
	-	Living forms in old age
	-	Aids and housing room adaption
2.3.	Support old people in the day-to-day design and self-organized activities		120
	-	Day-to-day measures
	-	Arts, cultural and craft employment and education
	-	Fixed and event offers
	-	Media Offers
	-	Voluntary commitment of old people
	-	Self-help groups
	-	Senior citizens ' representatives, senior councils
3.	Legal and institutional framework conditions of nursing care
3.1.	Taking into account the institutional and legal framework in the case of the management of nursing care		120
	-	Social security systems
	-	Health and social services providers, services and facilities
	-	Networking, coordination and cooperation in the health and social sector
	-	Care transfer, interface management
	-	Legal framework for nursing work
	-	Business environment of nursing care
3.2.	Take part in quality assurance measures in the care of the elderly		40
	-	Legal bases
	-	Concepts and methods of quality development
	-	Professional supervision
4.	Elderly care as a profession
4.1.	Developing a professional self-image		60
	-	History of nursing professions
	-	Occupational health and safety laws
	-	Professionalisation of care for the elderly; vocational training and fields of work
	-	Professional associations and organisations of care for the elderly
	-	Teamwork and collaboration with other professional groups
	-	Ethical challenges of care for the elderly
	-	Reflection of the professional role and of the company's own actions
4.2.	Learning to learn		40
	-	Learning and learning techniques
	-	Learning with new information and communication technologies
	-	Working methodology
	-	Time Management
4.3.	Dealing with crises and difficult social situations		80
	-	Professional conflicts and sensitivities
	-	Tensions in the care relationship
	-	Violence in care
4.4.	Maintaining and promoting your own health		60
	-	Personal health promotion
	-	Occupational safety
	-	Stress prevention and management
	-	Collegial advice and supervision
For the free design of the teaching			200
Total number of hours			2.100
			= = = = = = = =
B.	Practical training in the care of the elderly
1.	Getting to know the field of practice, taking into account institutional and legal framework conditions and professional concepts.
2.	Work in the comprehensive and planned care of old people, including advice, support and care, and help with medical diagnostics and therapy under guidance.
3.	Take on self-employed partial tasks according to the level of training in the comprehensive and planned care of old people, including advice, support and care, and participate in medical diagnostics and therapy under supervision.
4.	Take on self-contained project tasks, e.g. For example, in the day-to-day design or in the design of the home care situation.
5.	Self-planning, conduct and reflect on the care of old people, including advice, support and care and assist in medical diagnostics and therapy under supervision.
Total number of hours			2.500
			= = = = = = = =

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Annex 2 (to § 3 para. 2)

(Fundstelle des Originaltextes: BGBl. I 2002, 4426)

................................... 
Name of the nursing school 
  
 Certificate 
 on participation in training 
  
............................................................................... 
Name, first name 
............................................................................... 
Birth Place Date of Birth 
has in the time of the .......... to ..................................... 
  
Regularly and successfully on the theoretical and practical lessons 
and the practical training as an elderly care professional/elderly care professional *) 
. 
  
The training is not about the according to § 8 of the Altennursing Act 
In addition to permissible absences,  Days *)-was interrupted. 
  
............................ (stamp) 
Place Date 
............................ 
Signature of the management 
of the nursing school 
----- 
*) Delete as appropriate.   

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Annex 3 (to section 14 (2))

(Fundstelle des Originaltextes: BGBl. I 2002, 4427)

The Chairperson/Chairperson *) 
of the Audit Committee 
  
 Certificate 
 on the state examination in the care of the elderly 
  
............................................................................... 
Name, first name 
............................................................................... 
Birth Place Date of Birth 
  
has the state examination in the care of the elderly in accordance with § 2 
1 no. 1 of the German Geriatric Care Act of 17 November 2000 (BGBl.  I p. 1513) 
in the current version before the State Examination Board at the 
  
........................................ in ....................................... 
Altenpflegeschule Location 
  
passed. 
  
You/He *) has received the following exam grades: 
1. in the written part of the examination "................." 
2. in the oral part of the examination "................." 
3. in the practical part of the examination ".................". 
  
................................ (Siegel) 
Place Date 
................................ 
Signature 
----- 
*) Delete as appropriate.   

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Appendix 4 (to § 20)

(Fundstelle des Originaltextes: BGBl. I 2002, 4428)

 Certificate 
 on the authorisation to conduct the professional title 
  
 "........................." 
  
............................................................................... 
Name, first name 
............................................................................... 
born on the 
  
is given on the basis of the Senior Care Act of 17 November 2000 (BGBl.  I S. 
1513) with effect from the present day the licence, the professional title 
  
 "........................." 
, 
  
..................... (Siegel) 
Place Date 
............................. 
Signature