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The Royal Decree 619/1998, of April 17, went on to set technical, sanitary equipment and staffing of medical transports by road vehicles.
The time elapsed since their adoption advisable to check its contents, in order to adapt the characteristics and conditions required technical destined to progress medical transportation vehicles and personnel and the development of current training offerings in the field of vocational training.
From the technical point of view, in the process of elaboration of this standard has taken into account that the Spanish Association for standardisation and certification (AENOR), entity recognized as Agency standards in accordance with the provisions of the Royal Decree 2200 / 1995 of 28 December, which approves the regulation of the infrastructure for quality and Industrial safety , adopted the standard UNE-IN 1789:2007 + A1: 2010, version Spanish of the approved by the Committee European of standardization, in matter of vehicles of transport health and their equipment. This standard has been published in the «Official Gazette» decision dated September 7, 2010, the General direction of industry, by which publishes the relationship of standards LINKS approved by AENOR for the month of July 2010.
From the point of view training, the present standard, with the purpose of increase the level of qualification of them workers of the sector, has had in has both the title of technical in emergency health, regulated by Real Decree 1397 / 2007, of 29 of October, by which is sets the title of technical in emergency health and is set their teachings minimum the certificate of professionalism of medical transport, established by Royal Decree 710/2011 may 20, which establishes two certificates of professionalism of the professional family health that are included in the National Repertory of professional certificates.
On the other hand should be pointed out that this new rule is in its most basic law of the State dictated according to the title of competence referred to in article 149.1.16. ª of the Spanish Constitution, having gone to regulations because they understand that it is a matter with a distinctly technical character which makes it more suitable to its regulation by law , according to doctrine of the Court constitutional.
This Royal Decree has been subject to the procedure of information in the field of technical standards and regulations, laid down in the Royal Decree 1337 / 1999 of 31 July, which regulates the submission of information in the field of standards and technical regulations and regulations on information society services and in Directive 98/34/EC of the European Parliament and of the Council , of 22 of June of 1998, by which is established a procedure of information in matter of rules and regulations technical.
By virtue, on the proposal of the Minister of development and the Minister of health, social services and equal, according to the Council of State and after deliberation by the Council of Ministers at its meeting of May 25, 2012, AVAILABLE: article 1. Object.
This Royal Decree aims to establish technical, sanitary equipment and staffing of vehicles intended for the realization of medical transports by road services.
Article 2. Kinds of medical transports by road vehicles.
It transport health by road, defined in the article 133 of the regulation of the law of management of them transport land, approved by the Real Decree 1211 / 1990, of 28 of September, may be made by them following categories of vehicles of transport health: 1. ambulances not care, that not are upgraded for the assistance health in route. This category of ambulances includes the following two classes: 1.1 class A1 ambulances, or conventional, intended for the transport of patients in camilla.
1.2 ambulances class A2, or carpool, upgraded for the joint transportation of patients whose transfer magazine not a matter of urgency, or are suffering from infectious diseases.
2. ambulance care, upgraded to allow assistance health in route. This category of ambulances comprises the two following classes: 2.1 ambulances of class B, aimed to provide support vital basic and care health initial.
2.2. the class C ambulances, aimed at providing advanced life support.
Article 3. Characteristics of the vehicles.
1 all medical transport vehicles, regardless of class, must meet the following requirements, without prejudice to the provisions of the legislation of traffic, circulation of motor vehicles and road safety: to) identification and signage.
(to) identification outside that allow differentiate clearly that is is of an ambulance, through the registration of the word «ambulance» back and front. The front registration will take place in reverse so that it can be read by reflection.
(b) acoustic and luminous signalling of right of way adjusted to the provisions of current regulations.
(B) mandatory documents.
(a) registration of disinfection of the cockpit and of the equipment.
(b) book of claims.
(a) vehicle with fiscal power, suspension and brake systems adapted to the current regulations for the transport of persons.
(b) anterior and posterior fog.
(c) indicators stop flashing.
(d) fire extinguisher, pursuant to the provisions of current regulations.
(e) tyres winter, or failing that chains for snow and ice, at least for the period between November and March, both included.
(f) tools for the care of the vehicle.
(g) triangular warning signs.
(D) sanitary cell.
(a) translucent moons. In the case of collective transport vehicles eligible by another device that will eventually ensure the privacy of the patient.
(b) independent of the driver's compartment air conditioning and lighting.
(c) measures of insulation and soundproofing on the bodywork.
(d) interior wall finishes smooth and without cutting elements and non-slip flooring, all of them are waterproof, self-extinguishing, washable and resistant to common disinfectants.
(e) right side door and rear door with sufficient opening to allow easy access to the patient.
(f) material, instruments and linen cabinets.
(g) wedge and unbreakable bottle.
2. as with the previous requirements, each of the different kinds of ambulance must satisfy the conditions which are specifically designated in the standard UNE-EN 1789:2007 + A1: 2010.
Care ambulances must have, in addition, devices for data transmission and GPS location with its centre of coordination of emergency (CCU).
The location of the vehicle communication with the management of the corresponding traffic centre, either by direct communication from the vehicle or from the Centre must be ensured at all times.
The provision of stretcher will be optional in the ambulances of class A2.
3. without prejudice to the provisions of the preceding paragraphs, medical transport vehicles shall comply with the requirements for type-approval of vehicles set out in accordance with Directive 2007/46/EC of the European Parliament and of the Council of 5 September 2007, which created a framework for the approval of motor vehicles and trailers systems, components and separate technical units intended for such vehicles, as well as the regulations issued in Spain for its transposition.
Article 4. Staffing.
1 minimum manning of vehicles: vehicles intended for the provision of medical transportation services must have during his performance the following staffing: to) not care ambulances of A1 and A2 classes, must have, at least, with a driver who holds, at a minimum, the certificate of professionalism of medical transport provided for in Royal Decree 710/2011 , May 20, and when the type of service requires, other functions of Assistant with the same qualification.
(b) class B care ambulances, must have, at least, with a driver who is in possession of the title of emergency medical technician training, provided for in Royal Decree 1397 / 2007, of October 29, or corresponding foreign degree accredited or recognized and other functions of helper who holds, at a minimum, the same qualification.
(c) welfare class C ambulances, must have, at least, with a driver who is in possession of the above mentioned sanitary emergency technician training or corresponding foreign degree accredited or recognized, with a nurse who has the degree of diploma in nursing or degree enabling for the exercise of the profession regulated nursing , or corresponding foreign degree accredited or recognized. In addition, when required to provide assistance there must be a doctor who is in possession of the degree of Bachelor of medicine or Bachelor's degree that enable the exercise of the profession regulated health care provider, or corresponding foreign degree approved or recognized.
2 staffing companies:
The Endowment minimum of personal with that must count in all case it company or entity, of conformity with what, for this purpose, determine jointly them Ministers of promotion and of health, services social e equality, will belong to the template of it company or entity holder of the authorization of transport health that must accredit find is in situation of high and to the current of payment in them quotas of the regime that corresponds of it security Social.
First additional provision. Sanctioning regime.
1. the breach of the conditions of the authorization of medical transport shall be punished in accordance with provisions of title V of the law 16/1987, of 30 July, management of the terrestrial transport.
2. the breach of the conditions of the technical certification shall be punished in accordance with the provisions of Chapter VI of title I of the Act 14/1986 of 25 April, General health.
Second additional provision. Conditions minimum.
Requirements and technical conditions regulated in this Royal Decree and considered as basic have the character of minimum, and can be improved by the companies in the provision of services.
In addition, the administrations of the autonomous communities may require many other requirements and technical conditions deem appropriate in connection with vehicles that are to be used by companies that hire medical transport services, as well as the staffing that have have.
Third additional provision. Vehicles coming from other States.
Provisions of this Royal Decree shall not prevent the use in Spain of health transport vehicles manufactured or legally marketed in other Member States of the European Union or lawfully manufactured in other Member States of the European Free Trade Association are signatories to the agreement on the European economic area, provided that to guarantee sanitary characteristics equivalent to the contained in article 3.
It willing in the paragraph previous will be also of application to them vehicles of transport health manufactured or marketed legally in a State that has an agreement of Association customs with the Union European, when this Agreement recognizes to those vehicles the same treatment that to them made or marketed in a State member of the Union European.
Provision additional fourth. Official transport of the armed forces.
The provisions of this Royal Decree shall not apply to health official transport carried out by the armed forces, which will be governed by its specific rules, to be adjusted as soon as permitted by its peculiar characteristics, the sanitary conditions laid down a general rule.
Fifth additional provision. References to the standard UNE-EN 1789:2007 + A1: 2010.
References made to the standard UNE-EN 1789:2007 + A1: 2010, be construed as references to that other standard LINKS to, in your case, come it to replace since its entry into force.
First transitional provision. Term of adaptation of those vehicles.
Compliance with the requirements provided for in article 3 of the present Royal Decree for each of the classes of vehicles will be obligatory from two years from the entry into force of this Royal Decree.
However the above, companies or institutions which are holders of medical transport authorizations referred to vehicles which do not comply with the requirements laid down in article 3, on the date of entry into force of this Royal Decree can continue serving with them for five years, without prejudice to the application of the term of two years, provided for in the preceding paragraph , for new vehicles purchased.
After five years without the company has proceeded to adapt the vehicle to the requirements of this Royal Decree or its replacement by another that meets them, such vehicle shall be excluded from under the authorization, leading to the cancellation of the copy refers to one in which their registration is specified.
Second transitional provision. The process of adaptation of the staff to the new training requirements.
1. vacant and squares of new creation: starting from the entry in force of this real Decree, them drivers and helpers again income in them companies of transport health must own the certificate of professionalism in transport health or title of technical in emergency sanitary in them terms expected in the article 4.
2 enablement of experienced workers who do not have the training required in article 4: persons attesting of informing more than three years of work experience in the last six years from the entry into force of this Royal Decree, performing the functions of ambulance driver will be enabled as a class A1 and A2 not care ambulance drivers.
They would also be enabled as ambulance drivers care of class B and C wires showing, truthfully, as a work experience in the conduct of care ambulances, five years in the last eight years from the entry into force of this Royal Decree.
Individual certificates evidencing the enabling cases referred to in this section shall be issued by the autonomous communities subject to the procedure which is regulated by the provisions cited in paragraph 4 and shall be valid throughout the national territory.
3 the entry into force of this Royal Decree who are serving in jobs affected by the provisions of article 4 and do not meet the training requirements laid down therein, or professional experience referred to in the preceding paragraph, may remain in their jobs developing the same functions, without such reasons can be removed from them.
4. corresponds to them communities autonomous, respect to them companies of transport health authorized in their respective areas territorial, adopt in the term of two months from the entry in force of this real Decree, them measures necessary for the application, control and development of it planned in them previous paragraphs 1 and 2.
Public administrations, in the context of the provisions concerning vocational training, promote and facilitate the training of workers in companies of medical transports, in the terms provided for in this Decree.
Sole repeal provision. Repeal legislation.
The Royal Decree 619/1998, 17 April, by which establish technical, sanitary equipment and staffing of medical transports by road vehicles, and many other provisions of equal or lower rank to oppose provisions of this Royal Decree shall be repealed.
First final provision. Modification of the regulation of the law of management of the terrestrial transport.
1. is modifies the point 1 of the article 135 of the regulation of the law of management of them transport terrestrial, approved by the Real Decree 1211 / 1990, of 28 of September, whose content is drafted in them following terms: «1. for the realization of transport health will be required the prior obtaining of the corresponding authorization administrative, granted well for transport public or for transport private.» For the purposes of control, the Administration issued a copy of such authorization referred to each one of the vehicles that the company intends to use under its auspices, subject to verification that is regulated in the previous article health certified.»
2 modify the third paragraph of the letter to) Article 137 of the regulation of the law of management of the transport land, approved by the Royal Decree 1211 / 1990, 28 September, whose content is worded as follows: «3. provision of the minimum number of vehicles to be determined by order of the Minister of the Presidency, issued on the proposal of the Ministers of development and health» Social services and equality. «Said minimum not may in no case be higher to 10.»
Second final provision. Skill-related title.
This Royal Decree has the character of basic rule in accordance with the provisions of article 149.1.16. ª of the Constitution, on bases and general coordination of the health, and articles 2.1 and General Health Act 14/1986 of 25 April, 40.7.
((Except for the above, paragraphs A), B), C) of article 3(1), established in accordance with article 149.1.21. ª of the Constitution, on traffic and circulation of motor vehicles, while characteristics referred to therein shall apply to all vehicles that protect health, public or private transportation authorizations, granted by the General Administration of the State or by the administrations of the autonomous communities in the exercise of powers delegated by the State in accordance with the provisions of article 16(1) of the law 5/1987, of 30 July.
Neither will have the character of basic rule 3rd and 4th additional provisions of this Royal Decree, issued in accordance with article 149.1.3. 2nd and 4th of the Constitution.
Available to finish third. Enabling legislation.
Is empowers to the Minister of promotion and to the Minister of health, services social e equality for approve, in the field of their competencies, through order joint, them provisions necessary for the application and development of this real Decree, as well as to resolve them doubts that is arise in relation to its content.
Available to finish fourth. Entry into force.
He present Royal Decree will enter in force the day following to the of your publication in the «Bulletin official of the State».
Given in Madrid, on May 25, 2012.
JUAN CARLOS R.
The Vice President of the Government and Minister of the Presidency, SORAYA SAENZ DE SANTAMARIA ANTON
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