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Training and examination regulations for the professions in nursing

Original Language Title: Ausbildungs- und Prüfungsverordnung für die Berufe in der Krankenpflege

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Training and Examination Ordinance for the professions in nursing (KrPflAPrV)

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KrPflAPrV

Date of completion: 10.11.2003

Full quote:

" Training and Examination Ordinance for the professions in nursing care of 10 November 2003 (BGBl. 2263), as last amended by Article 15 of the Regulation of 2 August 2013 (BGBl I). 3005) has been amended "

Status: Last amended by Art. 15 V v. 2.8.2013 I 3005

For more details, please refer to the menu under Notes

Footnote 

(+ + + Text evidence from: 1.1.2004 + + +)
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Input formula

On the basis of § 8 of the Health Care Act of 16 July 2003 (BGBl. I p. 1442), the Federal Ministry of Health and Social Protection, in agreement with the Federal Ministry for Family Affairs, Senior Citizens, Women and Youth, and in consultation with the Federal Ministry of Education and Research, is responsible for:

Section 1
Training and general examination regulations

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§ 1 Structure of training

(1) The training in health and nursing care, health care and paediatric care shall comprise at least the theoretical and practical teaching of 2 100 hours and the practical courses listed in Appendix 1. Training of 2 500 hours. The training consists of a 1 200-hour-wide differentiation phase in the classroom and in practical training, which is based on the skills to be provided for health and nursing care or health care and paediatric care. (2) In the classroom, pupils must be given sufficient opportunity to develop and practise the necessary practical skills and skills. (3) From the second half of the training period, the following shall be provided: Supervision of holders of a permit pursuant to Article 1 (1), first sentence, point 1 or 2 of the (4) The regular and successful participation in the training events referred to in paragraph 1 shall be accompanied by a certificate issued in accordance with the model of Appendix 2. Proof. Unofficial table of contents

§ 2 Practical training

(1) During the practical training in accordance with § 1 (1), the knowledge and skills required to achieve the training objective in accordance with § 3 of the Nursing Act are to be provided. It is an opportunity to deepen the knowledge acquired during teaching and to learn to apply them in the course of their subsequent professional activities. (2) The practical training institutions provide practical training for the pupils. Pupils in accordance with § 4 (5) sentence 3 of the Nursing Act are safe by suitable specialists. The task of the practice guidance is to gradually lead the pupils to the independent perception of the professional tasks and to ensure the connection with the school. To this end, it is necessary to ensure an adequate ratio between the number of pupils and the number of practical guides in the respective area of application in accordance with Annex 1 (B). Persons with a permit pursuant to § 1 (1) sentence 1 (1) or (2) of the Nursing Act, who have a professional experience of at least two years as well as an additional vocational education qualification in the scope of the practical guidance at least 200 hours. The competent authority may, up to five years after the entry into force of this Regulation, authorise derogations from the scope of the supplementary vocational education and training qualification. In so far as the training takes place in nursing facilities in accordance with § 71 of the Eleventh Book of Social Code, the second sentence of the second sentence of § 2 (2) of the Elder Care Training and Examination Ordinance applies. (3) The schools provide the practical support of the Pupils in the institutions of practical training in accordance with § 4 (5) sentence 2 of the Nursing Act are certain. The task of the teachers of the schools is to look after the students in the institutions and to advise the experts who are responsible for the practice guidance. This is also to be ensured by regular personal presence in the facilities. Unofficial table of contents

§ 3 State Examination

(1) The state examination for the training in accordance with § 1 (1) shall include a written, oral and practical part. (2) The examinee shall submit the examination at the school in which he concludes the training. The competent authority in whose area the examination or part of the examination is to be filed may, for important reasons, allow for exceptions. The chairpersons of the participating examination committees must be heard beforehand. Unofficial table of contents

§ 4 Examination Committee

(1) At each school an examination board shall be formed, consisting of at least the following members:
1.
a suitably qualified representative or representative of the competent authority or of a suitably qualified person responsible for the performance of that task by the competent authority,
2.
the head of the school, or the head of the school,
3.
Specialist examiners who teach at the school and of which
a)
at least two teachers and
b)
a doctor or a doctor or a diploma in medicine pedagogue or a diploma in medical education
, and
4.
at least one specialist examiner, who is active as a practice manual in accordance with Article 2 (2), second sentence, second sentence.
As specialist examiners, the teachers and persons of the practice guidance are to be appointed, who have trained the examinee for the most part. (2) The competent authority shall appoint the members referred to in paragraph 1 and their deputising representatives. Deputy. At least one deputy shall be appointed for each member. The members referred to in paragraph 1 (3) and (4) and their alternates shall be appointed on a proposal from the Executive Board. (3) The Member referred to in paragraph 1 (1) shall sit on the examination board. On the basis of a proposal from the school management, it shall determine the examiners and their alternates for the various subject areas of the examination. (4) The competent authority may participate in the participation of experts and observers in the examination. Send all audit procedures. Unofficial table of contents

§ 5 Approval for Examination

(1) The Chairman of the Audit Committee shall decide on the admission to the examination at the request of the examinee and shall set the examination dates in consultation with the school management. The start of the examination should not be less than three months before the end of the training period. (2) The admission to the examination shall be granted if the following evidence is available:
1.
the identity card or passport in an officially certified copy,
2.
the certificate in accordance with § 1 (4) concerning participation in the training events.
(3) The approval as well as the examination dates shall be communicated to the examinee in writing at the latest two 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

§ 6 Niederschrift

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

§ 7 Benotung

The written supervisory work, as well as the performances in the oral and practical tests, shall be envied as follows:
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"very good" (1), if the performance meets the requirements to a particular extent,
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"good" (2) if the performance is fully compliant with the requirements,
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"satisfactory" (3), if the performance in general meets the requirements,
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"sufficient" (4) if the performance does not have any defects, but is still in accordance with the requirements,
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"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,
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"insufficient" (6), if the performance does not meet the requirements and even the basic knowledge is so patchy that the deficiencies cannot be remedied in the foreseeable future.
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§ 8 existence and repetition of the examination

(1) The examination has been passed if each of the parts of the examination required pursuant to § 3 (1) has been passed. (2) A certificate shall be issued in accordance with the model of Appendix 3 on the state examination passed. In case of non-existence, the examinee receives a written notice from the chairman of the examination board, stating the examination notes. (3) Each supervisory work of the written examination, each subject area of the oral examination. The examination and the practical test may be repeated once the test item has received the grade "defective" or "insufficient". (4) If the test item has to repeat the practical part of the test or all parts of the test, it may be used for the examination of the test item. Repeat examination can only be admitted if he/she is involved in a further training , the duration and content of which shall be determined by the Chairman of the Audit Committee or the Chairman of the Audit Committee. The further training, including the time required for the examination, must not exceed the duration of one year laid down in § 14 para. 2 of the Nursing Act. A proof of further training must be attached to the application of the test specimen for approval for the reexamination. The re-examination must be completed no later than 12 months after the last examination, and the competent authority may allow exceptions in duly justified cases. Unofficial table of contents

§ 9 Resignation of the Examination

(1) If a test item returns after its admission from the examination or part of the examination, it shall inform the chairman of the examination board immediately in writing of the reason for his resignation. If the chairman approves the resignation, the examination or the corresponding part of the examination shall be deemed not to have been undertaken. 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 authorization for the resignation is not granted or if the examinee fails to inform the reason for his resignation without delay, the following shall apply: Examination or the corresponding part of the examination as not passed. Section 8 (3) shall apply accordingly. Unofficial table of contents

§ 10 Follow-up

(1) If a test specimen fails a test date, he does not issue a supervisory work or does not terminate the examination in time or if he interrupts the examination, the examination shall be deemed not to exist if there is not an important reason; § 8 (3) 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 examination board. The first sentence of Article 9 (1) and (4) shall apply accordingly. Unofficial table of contents

Section 11 Administrative infringements and attempts at deception

The chairman of the examination board, or the chairman of the examination board, may not, in the case of examinees who have seriously disturbed the proper conduct of the examination or have been guilty of deception, consider the part of the examination in question for not , Section 8 (3) shall apply accordingly. Such a decision shall be admissible in the event of disruption of the examination only until the completion of the entire examination, in the case of a deception trial only within three years after the conclusion of the examination. Unofficial table of contents

§ 12 Examination documents

Upon request, the examination participant shall be granted access to his examination documents after the examination has been completed. Written supervisory work is to be kept three, applications for admission to the examination and examination regulations for ten years.

Section 2
Examination regulations for training in health and nursing care

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Section 13 Written part of the examination

(1) The written part of the examination shall cover the following subject areas of Appendix 1 (A):
1.
Recognize, record and evaluate nursing situations in people of all ages,
2.
select, perform and evaluate care measures,
3.
To align care products with care scientific knowledge, quality criteria, legal framework conditions as well as economic and ecological principles.
The examinee has to deal with these subject areas in a respective supervisory work in writing. The supervisory work lasts 120 minutes each. The written part of the examination shall be carried out on three days. The supervisors are appointed by the school board. (2) The tasks for the supervisory work are selected by the Chairman of the Audit Committee on the proposal of the schools. In the selection of tasks, the differentiation phase in health care and nursing care must be taken into consideration appropriately. Each supervisory work must be bended by at least two specialist examiners. From the grades of the specialist examiners, the chairperson of the examination board, in consultation with the specialist examiners, forms the note for the individual supervisory work. From the notes of the three supervisory work, the Chairman of the Audit Committee forms the examination note for the written part of the examination. The written part of the examination has been passed if each of the three supervisory work is at least "sufficiently" bended. Unofficial table of contents

Section 14 Oral part of the examination

(1) The oral part of the examination shall cover the following subject area of Appendix 1 (A):
1.
Provide support, advice and guidance in matters of health and care relevant to health and care,
2.
develop professional self-understanding and learn to cope with professional requirements,
3.
to participate in medical diagnostics and therapy and work together in groups and teams.
In the oral examination, the examinee has to prove application-ready vocational skills. The examination shall include the differentiation phase in health and nursing care as well as the knowledge bases referred to in Appendix 1 (A). (2) The test specimens shall be tested individually or in groups of up to four. The examination shall take at least 10 minutes and no more than 15 minutes for the individual test item for each subject area referred to in paragraph 1 (1) to (3). (3) The examination of each topic shall be carried out by at least two specialised examiners, or Specialist examiners have taken off and bended. A person in accordance with Article 4 (1) (3) (b) shall be required for the examination referred to in paragraph 1 (3) as a specialist examiner or examiner. The Chairman of the Audit Committee shall be entitled to participate in the examination on all subjects; it or he may also examine it. From the grades of the specialist examiners, the chairperson of the examination board, in consultation with the specialist examiners, forms the grade for the respective subject area. From the notes of the subject areas, the Chairman of the Audit Committee forms the examination note for the oral part of the examination. The oral part of the examination has been passed if each subject area is at least "sufficiently" bended. (4) The chairman of the examination committee may, with the consent of the examinee, the presence of audience members in the examination. permit an oral part of the examination if there is a legitimate interest. Unofficial table of contents

§ 15 Practical part of the examination

(1) The practical part of the examination shall cover the care of a group of patients of not more than four patients. In the field of its differentiation area according to Appendix 1 (B), in which he participates in the practical training at the time of the examination, the examinee shall carry out all the tasks of a process-oriented care, including the Documentation and submission. In an examination interview, the examinee has to explain and justify his/her care trade as well as to reflect on the examination situation. In doing so, he has to prove that he is able to apply the skills acquired during the course of the training and is able to perform the tasks in health and nursing care in accordance with § 3 (1) of the German Health Care Act (Nursing Act) (2) The selection of the patients as well as the selection of the specialist area in which the practical test is carried out shall be carried out by a specialist examiner in accordance with § 4 (1) (3) (a) of the Agreement with the patient or the patient and on the patient or the patient Patients responsible for professional staff. The practical part of the test should normally be completed in six hours for the individual test specimen; it may be distributed over two consecutive days. (3) The practical part of the test shall be carried out by at least one examiner, or a specialist examiner pursuant to § 4 (1) (3) (a) and a specialist examiner pursuant to § 4 (1) (4) and benotet. The examination note for the practical part of the examination is made up of the grades of the examiners ' grades, the chairperson of the examination board, in consultation with the specialist examiners. The practical part of the examination has been passed if the examination grade is at least "sufficient".

Section 3
Examination regulations for the training in health care and paediatric care

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Section 16 Written part of the examination

(1) The written part of the examination shall cover the following subject areas of Appendix 1 (A):
1.
Recognize, record and evaluate nursing situations in people of all ages,
2.
select, perform and evaluate care measures,
3.
To align care products with care scientific knowledge, quality criteria, legal framework conditions as well as economic and ecological principles.
The examinee has to deal with these subject areas in a respective supervisory work in writing. The supervisory work lasts 120 minutes each. The written part of the examination shall be carried out on three days. The supervisory boards are appointed by the school management. (2) § 13 para. 2 applies accordingly. In the selection of tasks, the differentiation phase in health care and paediatric care must be taken into consideration appropriately. Unofficial table of contents

Section 17 Oral part of the examination

(1) The oral part of the examination shall cover the following subject areas of Appendix 1 (A):
1.
Provide support, advice and guidance in matters of health and care relevant to health and care,
2.
develop professional self-understanding and learn to cope with professional requirements,
3.
to participate in medical diagnostics and therapy and work together in groups and teams.
In the oral examination, the examinee has to prove application-ready vocational skills. The examination shall include the differentiation phase in health care and paediatric care, as well as the knowledge bases mentioned in Appendix 1 (A). (2) § 14 (2) to (4) shall apply accordingly. Unofficial table of contents

Section 18 Practical part of the examination

(1) The practical test of the examination shall cover the care of a group of patients of not more than four children or adolescents. In the field of its differentiation area according to Appendix 1 (B), in which he participates in the practical training at the time of the examination, the examinee shall carry out all the tasks of a process-oriented care, including the Documentation and submission. In an examination interview, the examinee has to explain and justify his/her care trade as well as to reflect on the examination situation. In doing so, he has to prove that he is able to apply the skills acquired during the course of the training and is able to perform the tasks in the health and paediatric care system according to § 3 (1) of the Pursuant to Section 15 (2) and (3), the Health Care Act shall be carried out in accordance with its own responsibility.

Section 4
Authorisation

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§ 19 Permits of approval

If the conditions laid down in § 2 of the Nursing Act are fulfilled for the granting of a licence to lead the professional title pursuant to Article 1 (1) (1) (1) (1) or (2) of this Act, the competent authority shall issue the certificate of approval in accordance with the Model of Appendix 4.

Section 4a
Special arrangements for holders of evidence of formal qualifications from a Member State of the European Union or of another State Party to the Agreement on the European Economic Area or a third country

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Section 20 Special arrangements for holders of evidence of formal qualifications from another Contracting State of the European Economic Area

(1) Applicants who apply for a permit pursuant to Section 1 (1), first sentence, number 1 or 2 of the Nursing Act may, for proof that the conditions pursuant to § 2 (1) (2) of this Act are in place, may be submitted by the competent authority of the a certificate issued by the Member State of origin or an extract from the register issued by such authority or, where such an extract may not be provided, provide equivalent proof. If the applicant has already pursued the profession in the home Member State, the competent authority of the competent authority of the competent authority of the Member State responsible for issuing the permit referred to in the first sentence of Article 1 (1) (1) or (2) of the Health Care Act may be granted. Member State of origin Information on, for example, penalties imposed on the applicant or other professional or criminal measures on the grounds of serious unlawful conduct or criminal acts which result in the exercise of the profession in the Member State of origin. Member State of origin shall be collected. If, in the cases of sentence 1 or sentence 2, the competent authority responsible for issuing the permit is aware of the facts which have occurred outside the scope of the law and in respect of the conditions set out in Article 2 (1) (1) (1) of the Act. 2 of the law, it shall inform the competent body of the home Member State and ask them to review these facts and to ask the competent authority of the home Member State and the result and the conclusions it has given to them in respect of the law 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 used if the exhibition does not exceed three months at the time of presentation. (2) Applicants who apply for a permit pursuant to Section 1 (1), first sentence, number 1 or 2 of the Nursing Act may be entitled to: , proof that the conditions laid down in Section 2 (1) (3) of this Act are met, provide proof of the condition of their home Member State. Where such proof is not required in the home Member State, an attestation issued by a competent authority of that State shall be recognised as a result of which the conditions laid down in Section 2 (1) (3) of the Health care law is fulfilled. The fourth and fifth sentences of paragraph 1 shall apply by analogy. (3) Applicants who have a training certificate in the profession of nurse or nurse responsible for general care or a training certificate in the profession of: Health and paediatric nurses who have been acquired in another Contracting State of the European Economic Area shall, after the recognition of their professional qualifications, carry out the professional title of "Health and Nursing Nurse" or "health care and nurses" or " health care and health care ' Children ' s nurse 'or' health and paediatric nurse '. (4) The certificates referred to in the first sentence of paragraph 1 shall not be issued by the competent body of the home Member State or the certificates referred to in the second sentence of paragraph 1 or the third sentence of paragraph 1 shall be replaced by the following: , the applicant may replace it with the competent authority of the home Member State by submitting a certificate to the competent authority of the home Member State by submitting a certificate of the discharge of a declaration. The competent authority shall have the service provider at the time of the initial notification a provision of services within the meaning of Section 19 of the Health Care Act within one month of receipt of the notification and of the accompanying documents relating to the result of their verification. 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. If 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. (6) Paragraphs 1 to 5 shall apply to third countries and Third-country nationals, insofar as they are equal in terms of the recognition of diplomacy in accordance with the law of the European Communities. Unofficial table of contents

§ 20a Recognition arrangements for evidence of formal qualifications from a Member State of the European Union or of another State Party to the Agreement on the European Economic Area

(1) Applicants who apply for a permit pursuant to Section 1 (1), first sentence, point 1 of the Health Care Act; and
1.
have completed their training in a Member State of the European Union or in another State Party to the Agreement on the European Economic Area, but which are not covered by Article 2 (4) of the Health Care Act or § 25 of the health care law, or
2.
a certificate of training as a nurse responsible for general care from a Member State which is not a Member State of the European Union or a State Party to the Agreement on the European Union (a third country), but which has been recognised in a Member State of the European Union or another State Party to the Agreement on the European Economic Area,
in order to compensate for the substantial differences identified by the competent authority in the course of the examination of their application for the authorisation to conduct the professional title, and not through knowledge and skills The applicant has been able to take up an adaptation period in accordance with paragraph 2, or take an aptitude test in accordance with paragraph 3. (2) The adaptation period shall be used to compensate for the adjustment of the course of the adaptation period. the significant differences identified by the competent authority (Course target). It shall be in the form of theoretical and practical instruction, practical training with theoretical instruction or both in the case of institutions pursuant to § 4 (2) sentence 1 or sentence 3 of the Nursing Act or on the basis of the teaching programme objective. shall be carried out by the competent authority as comparably recognised bodies. On the theoretical instruction, practical managers who meet the requirements of § 2, paragraph 2, sentence 4 or sentence 6, should be involved in an appropriate manner. The competent authority shall determine the duration and content of the adaptation period in such a way that the course objective can be achieved. The performance of the adaptation period must be verified by a certificate issued in accordance with the model of Appendix 5. (3) In the case of aptitude test, the applicants must prove that they have been identified in order to compensate for the results of the assessment of the have the necessary knowledge and skills. The aptitude test extends to a practical examination, which is connected to an examination interview. The examinee must demonstrate in at least one and at most four care situations that he/she plans, take over the measures required for the overall care process, document their implementation as well as the transfer can be made. The competent authority shall determine the number of care situations and the supply areas, areas or subjects referred to in Annex 1 (B) to which the examination extends, in accordance with the essential differences identified. The test should not take longer than 120 minutes for each care situation and should be designed as a patient examination. It shall be taken up and evaluated by a specialist examiner in accordance with Article 4 (1), first sentence, point 3 (a) and a specialist examiner in accordance with Article 4 (1), first sentence, point 4. During the examination, the examiners are allowed to ask questions relating to the concrete practical approach. The aptitude test is completed successfully if the specialist examiners evaluate each care situation in accordance with "passed". The existence of the test shall at least require the performance of the test item to meet the requirements in spite of its shortcomings. If the specialist examiners come to a different evaluation, the chairman of the examination board shall decide on the existence of the examination after consultation with the examiners. The aptitude test is to be offered at least twice a year and should be repeated once in each care situation that has not been passed. A certificate issued in accordance with the model of Appendix 6 shall be issued in respect of the aptitude test passed. Unofficial table of contents

Section 20b Recognition schemes for evidence of formal qualifications from a third country

(1) Applicants applying for a permit in accordance with the first sentence of Article 1 (1) (1) (1) or (2) of the Nursing Act shall complete an adaptation period referred to in paragraph 2 which shall be subject to an examination of the content of the adaptation period or a proficiency test as referred to in paragraph 3, if they have a certificate of training acquired in a third country and that their training has substantial differences in the German training provided by the competent authority in the context of the examination of its application for authorisation to conduct the professional title has been established and could not be compensated for by the knowledge and skills acquired by the applicants in the course of their proven professional practice. The first sentence shall apply in cases where an examination of the equivalence of the level of training is not carried out on the basis of the circumstances under Section 2 (3), sentence 5 of the Health Care Act. (2) The adaptation period shall be used together with the final discussion of the finding that the applicants have the knowledge and skills required to pursue the profession of health care and nursery or the profession of health and paediatric nurse (Course target). It shall be in the form of theoretical and practical instruction, practical training with theoretical instruction or both in the case of institutions pursuant to § 4 (2) sentence 1 or sentence 3 of the Nursing Act or on the basis of the teaching programme objective. shall be carried out by the competent authority as comparably recognised bodies and shall conclude with an examination of the content of the adaptation period. On the theoretical instruction, practical managers who meet the requirements of § 2, paragraph 2, sentence 4 or sentence 6, should be involved in an appropriate manner. The competent authority shall determine the duration and content of the adaptation period in such a way that the course objective can be achieved. The successful performance of the adaptation period must be verified by means of a certificate issued in accordance with the model of Appendix 7. The certificate shall be issued if, in the examination carried out in the form of a final interview, it has been established that the applicants have achieved the aim of the course. The final interview shall be conducted by a specialist examiner in accordance with § 4 (1), first sentence, point 3, together with the teacher or the practical instructor according to sentence 3, which the applicant has taken care of during the course of the course. If, in the final interview, the applicant has not successfully completed the adaptation period, the specialist examiner decides, in accordance with § 4 (1), first sentence, point 3, in consultation with the teaching force participating in the interview or the Practical guide on an appropriate extension of the adaptation period. An extension is only allowed once. The extension will be followed by another final interview. If the certificate referred to in the fifth sentence cannot be issued even after the result of the interview, the adaptation period may be repeated only once. (3) In the case of the examination of knowledge, the applicants have to prove that they are responsible for the exercise of the Occupational health and health care professionals or the profession of health care and paediatric nurse. The proficiency test shall include an oral and practical part. It has been successfully completed when each of the two parts of the examination has been passed. (4) The oral part of the proficiency examination shall cover the subject areas 3 and 8 of Appendix 1 (A) and the following excerpts from the thematic areas 7, 10 and 12:
1.
reflect legal framework conditions and take them into account in their care trade,
2.
deal constructively with crisis and conflict situations,
3.
explain, adequately and safely represent nursing needs in an intra-as well as an interdisciplinary team, as well as to participate in the negotiation of joint treatment and care concepts, as well as
4.
to comply with the limits of one's own area of responsibility and, if necessary, to demand and organize support and participation by other experts in the healthcare sector.
The oral part of the test shall last at least 15 minutes for the individual test specimen and not more than 60 minutes. It shall be taken up and assessed by two specialist examiners, one of whom must meet the conditions laid down in Article 4 (1) (3) (b). The oral part of the proficiency test shall be completed successfully if the specialist examiners, in an overall view, are concerned with the subject areas 3 and 8 of Appendix 1 (A) and the extracts listed in the first sentence of the first sentence of paragraph 1 to 4 of Annex 1 to this Regulation. Subject areas 7, 10 and 12 of Appendix 1 (A) shall be assessed in a consistent manner with "passed". The provisions of Article 20a (3) sentence 9 shall apply accordingly. If the specialist examiners come to a different evaluation, the chairman of the examination board shall decide on the existence of the exam after consultation with the examiners. (5) For the practical part of the examination, § 20a (3) sentence 2 to 10 applies (6) The proficiency test shall be offered at least twice a year and may be repeated once in the oral part and in any care situation of the practical part which has not been passed. (7) On the passing of the examination A certificate of knowledge shall be issued in accordance with the model of Appendix 8. Unofficial table of contents

Section 20c Time limits, notice, implementing provisions

(1) The competent authority shall have applications for the grant of a permit as a nurse or nurse or health and nurse pursuant to Section 1 (1) (1) of the Health Care Act or as a nurse responsible for health and children's care or health and paediatric nurses in accordance with Section 1 (1) (2) of the Health Care Act, in conjunction with § 2 (3), 3a, 4, 5 or 6 of the Health Care Act in the short term, at the latest four months, in the case of applications pursuant to § 2 Paragraph 4 of the Health Care Act not later than three months after the submission of the (2) The determination of significant differences leading to the imposition of a proficiency test, an adaptation period or an aptitude test shall be taken into consideration. give applicants a right to appeal, which shall contain the following information:
1.
the level of qualification required in Germany and the level of qualification submitted by the applicants in accordance with the classification in Article 11 of Directive 2005 /36/EC of the European Parliament and of the Council of 7 September 2005 on the recognition of professional qualifications (OJ C 327, 30.4.2004 22, L 271 of 16.10.2007, p. 18), as last amended by Regulation (EU) No 623/2012 (OJ L 327, 22.12.2012, p. 9), as amended by the Commission,
2.
the subject areas or training components where significant differences have been identified,
3.
an explanation of the substance of the main differences as well as the reasons why they result in the applicant not being sufficiently informed about the person in Germany to pursue the profession of health care and nurse or the health and paediatric nurses, and have the necessary skills and skills; and
4.
an explanation as to why the main differences could not be compensated by the knowledge and skills acquired by the applicants in the course of their proven professional practice.
(3) The aptitude test in accordance with § 20a (3) and the proficiency test in accordance with § 20b, paragraph 3, shall take the form of a state examination before a state examination board. The countries can use the regular examination dates of the state examination in accordance with § 3 (1) for the performance of the examinations. Unless otherwise specified in this section, § § 6, 9 to 12 shall apply in accordance with the provisions of the first sentence of the first sentence.

Section 5
Transitional and final provisions

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Section 21 Transitional provisions

A training initiated before the entry into force of this Regulation on the "nurse", the "nurse", the "nurse nurse" or the "paediatric nurse" shall be completed in accordance with the rules which have been applied to date. Unofficial table of contents

Section 22 Entry into force, external force

This Regulation shall enter into force on 1 January 2004. Unofficial table of contents

Final formula

The Federal Council has agreed. Unofficial table of contents

Appendix 1 (to § 1 (1))

A Theoretical and practical teaching
The theoretical and practical lessons include the following topics:
1.
Recognize, record and evaluate nursing situations in people of all ages.
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on the basis of knowledge in the fields of science, anatomy, physiology, gerontology, general and special disease, medicine, hygiene, and nursing science medical microbiology, nutrition, social medicine as well as the humanities and social sciences to perceip and reflect on care situations, as well as to recognize changes in care situations and to react appropriately,
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-taking into account the causes of origin from illness, accident, disability, or in the context of life and development phases, the need for care to identify the need for health care and advice,
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to identify and justify the need for care, taking into account objective, personal and situational requirements,
-
to make their caregivers after the care process.
2.
Select, carry out and evaluated caring measures The pupils are to be able to
-
to align nursing interventions in terms of their objective, type and duration of care needs,
-
the immediate vitality risk, acute or chronic condition in the case of individual or multiple diseases, disability, damage as well as physical and mental limitations and in the final phase of life in nursing care to take account of interventions accordingly,
-
to carry out the care measures in the context of the nursing relationship with appropriate interaction and communication in accordance with the age-and development-appropriate conditions,
-
to include in the planning, selection and implementation of the nursing measures the respective background of the stationary, part-inpatient, outpatient or other care area,
-
to evaluate the success of nursing interventions and to adapt targeted actions to the changing needs of care.
3.
Support, advice and guidance in health and care-related questions expertly guaranteed The students are to be able to
-
to support those in need of care of all age groups in the management of vital or existential threatening situations arising from illness, accident, disability or in the context of life or development phases,
-
encourage health care measures, maintain, promote and restore health, and provide appropriate assistance and support for this purpose;
-
advise, guide and integrate members of the caregivers and the caregivers in the care trade,
-
The competent authorities should be responsible for the transmission of patients or patients to other institutions or areas in cooperation with other professional groups, as well as advice for patients and relatives or persons with reference to the patient. Link to be ensured.
4.
Participate in the development and implementation of rehabilitation concepts and integrate them into the care trade The students are to be able to
-
to systematically identify the need for care-related offers for the maintenance, improvement and recovery of health, and to derive targeted action from this,
-
To promote them in their self-employment and to enable them to participate in society.
5.
Caregivers are designed to enable pupils to be able to
-
take account, in particular, of the right of self-determination and the individual situation of persons to be cared for in their care-related activities,
-
to include in their caregivers the social environment of persons to be cared for, ethnic, intercultural, religious and other group-specific aspects, as well as basic ethical questions.
6.
Caregivers in nursing science The students are to be empowering,
-
to obtain access to the methods of care, methods and research results,
-
To explain, critically reflect, and to relate the subject areas to the knowledge level of the nursing home, with the help of concepts of care theory,
-
To integrate research results into quality standards.
7.
The students must be able to apply quality criteria, legal framework conditions, and economic and ecological principles.
-
to participate in the development and implementation of quality concepts,
-
reflect legal framework provisions and take them into account in their care trade;
-
To share responsibility for developments in the health care system in terms of effectiveness and efficiency,
-
To deal with material and human resources economically and ecologically.
8.
In medical diagnostics and therapy, the students are able to be able to
-
, in cooperation with doctors and other health professionals, to make the necessary preparations and preparations for the respective medical measures and to assist in the implementation of the measures,
-
to support patients in medical diagnostics and therapy measures,
-
to carry out medical measures independently in the context of the nursing care context and to take into account the relevant legal aspects.
9.
Emergency support measures up to the time of arrival of the doctor or doctor. The pupils are to be able to
-
to act adequately in acute emergency situations,
-
to provide first aid in disaster situations and to participate.
10.
Develop professional self-understanding and learn to cope with professional requirements The students are able to
-
to position the nursing profession in the context of health care professions,
-
to take a critical look at the profession,
-
to contribute to their own health care,
-
deal constructively with crisis and conflict situations.
11.
To influence the development of the nursing profession in the social context The pupils are able to be able to
-
to perceivate developments in the health sector, to assess the consequences for the nursing profession and to contribute to the discussion,
-
to understand the nursing profession in its independence, to act and develop it,
-
to take a critical look at your own training and to take on your own initiative and responsibility for your own learning,
12.
Working together in groups and teams The students are to be able to
-
explain, adequately and safely represent nursing needs in an intra-as well as an interdisciplinary team, as well as to participate in the negotiation of joint treatment and care concepts,
-
to respect the limits of one's own area of responsibility and, if necessary, to demand and organise the support and participation of other health experts,
-
in the context of concepts of integrated supply.
Within these thematic areas, various technical knowledge bases are to be conveyed. In the planning of the teaching, these are to be assigned to the individual subject areas.
Number of hours
The knowledge bases include:
1. Knowledge of health and nursing care, health care and paediatric care, and nursing and health sciences 950
2. Nursing-relevant knowledge of natural sciences and medicine 500
3. Nursing-relevant knowledge of the humanities and social sciences 300
4. Knowledge of law, politics and the economy 150
For distribution 200
------
Total number of hours 2.100

In the course of the teaching, 500 hours are spent on the differentiation phase in health and nursing care or health care and paediatric care.
B Practical training
Number of hours
I. General area
1. Health and nursing care of people of all ages in inpatient care in curative areas in the fields of internal medicine, geriatrics, neurology, surgery, gynecology, pediatrics, weekly and newborn care, as well as in at least two of these subjects in rehabilitative and palliative areas 800
2. Health and nursing care of people of all ages in outpatient care in preventative, curative, rehabilitative and palliative areas 500
II. Differencing area
1. Health and nursing care In the fields of Internal Medicine, Surgery, Psychiatry or 700
2. Nursing care in the fields of pediatrics, neonatology, pediatric surgery, Neuropediatrics, children's and youth psychiatry
III. For distribution to the areas I and II. 500
-----
Total number of hours 2.500
Unofficial table of contents

Annex 2 (to § 1 (4)) 

...................................... 
(name of school) 
  
 Certificate 
 on participation in the training events 
  
Name, first name 
............................................................................... 
Birth Place Date of Birth 
............................................................................... 
  
has in the period from .......................... to ......................... 
Regularly and successfully on the theoretical and practical lessons 
and practical training for health and nursing care workers, and 
Health care and nurses/health care and paediatric hospitals 
and health and paediatric nurse *) pursuant to § 4 (1) of the 
Health care law. 
The training is-not-on the basis of the health care law 
In addition to permissible absences-to ...  Hours *)-was interrupted. 
  
Place Date 
........................................ (stamp) 
  
.................................... 
Signature (s) of the school board 
----- 
*) Delete as appropriate.
Unofficial table of contents

Appendix 3 (to § 8 (2) sentence 1) 

The Chairman 
of the Audit Committee 
  
 Certificate 
 on the State Examination 
 for 
  
Name, first name 
............................................................................ 
Birth Place Date of Birth 
............................................................................ 
  
has the state examination in accordance with § 2 para. 1 no. 1 of the 
Health care law before the state examination board at the 
............................................................................ 
  
in ........................................ passed. 
She/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 "........." 
  
Place Date 
........................................... (Siegel) 
........................................... 
(Signature of the Chairman of the Audit Committee
Unofficial table of contents

Appendix 4 (to § 19) 

 Certificate 
 on the authorisation to conduct the professional title 
 ".........................................................." 
  
Name, first name 
............................................................................... 
born on the 
............................................................................... 
  
is granted on the basis of the Health Care Act with effect from the present day 
Permission to use the professional title 
  
 "  ................................................................. " 
  
, 
  
Place Date 
....................................... (Siegel) 
....................................... 
(Signature)
Unofficial table of contents

Annex 5 (to section 20a (2))

...........................................................................
(designation of the institution)
Certificate
on participation in the adaptation period
Name, first name
......................................................................................................................................................
Date of birth Birthplace
........................................................................... ...........................................................................
has in the period from................. up to......... Regularly and with success in accordance with § 20a (2)
The Training and Examination Regulation for the professions in nursing care provided by the competent authority
the required adaptation period.
Place Date
............................................................ (Stamp)
............................................................
Signature (s) of the institution
Unofficial table of contents

Annex 6 (to § 20a (3))

The Chairman
of the Audit Committee
Certificate
on the state aptitude test
for
..........................................................................................
Name, first name
....................................................................................................................................................................................
Date of birth Birthplace
............................................................ ............................................................
has on................ the state aptitude test in accordance with § 20a (3) of the training and
Examination regulations for the professions in nursing passed/did not pass. *
*
Delete not applicable.
Place Date
........................................................................... (seal)
...........................................................................
(Signature (s) of the Chairman of the Audit Committee)
Unofficial table of contents

Appendix 7 (to § 20b, paragraph 2)

...........................................................................
(designation of the institution)
Certificate
on participation in the adaptation period
Name, first name
................................................................................................................................................................................................ ......
Date of birth Birthplace
........................................................................... ...........................................................................
has in the period from................. up to......... on a regular basis in accordance with § 20b, paragraph 2
The Training and Examination Regulation for the professions in nursing care provided by the competent authority
the required adaptation period.
She/he passed the final interview/did not pass * .
Place Date
.......................................................................................... (Stamp)
..........................................................................................
Signature (s) of the institution
Place Date
.......................................................................................... (Stamp)
..........................................................................................
Signature (s) of persons pursuant to § 20b, paragraph 2, sentence 7
*
Delete not applicable.
Unofficial table of contents

Appendix 8 (to § 20b, paragraph 7)

The Chairman
of the Audit Committee
Certificate
on the examination of the state's knowledge
for
..............................................................................................................................................................
Name, first name
................................................................................................................................................................................................ ...
Date of birth Birthplace
........................................................................... ..............................................................
has on................ the State knowledge assessment in accordance with Article 20b (3) of the training and
Examination regulations for the professions in nursing passed/did not pass. *
*
Delete not applicable.
Place Date
.......................................................................................... (seal)
..........................................................................................
(Signature (s) of the Chairman of the Audit Committee)