Decree of the Ministry of Health No. 106 / 2001 Coll.
Decree of the Ministry of Health on hygiene requirements for rehabilitation events for children
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Order
Effective from 26.03.2001
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106
DECLARATION
Ministry of Health
of 2 March 2001
on sanitary requirements for rehabilitation actions for children
According to Section 108 (1) of Act No. 258 / 2000 Coll., on the Protection of Public Health and on the amendment of certain related laws (hereinafter referred to as "the Act"), the Ministry of Health provides for the implementation of Sections 8 (2), 23 (3) and 24 (1) (d) of the Act:
Subject matter
This decree regulates the hygiene requirements for the location, spatial conditions and functional breakdown of buildings and equipment, including their equipment, and for accommodation, lighting, cleaning, water supply, waste and waste water disposal, catering and day-of-recovery arrangements. In addition, Annex 1 to this Order sets out the conditions for the administration and use of certain foods and the preparation of meals, Annex 2 to this Decree provides for the completion of the first-aid course for the medical practitioner of recovery actions and schools in nature, Annex 3 to this Decree provides for a model for the medical assessment of the fitness of the child to participate in the recovery action and school in nature, and Annex 4 to this Regulation provides for the minimum extent of equipment for the medical kit for rehabilitation events for children and schools in nature.
Location
Recovery actions shall be located outside the territory where air pollution may be expected to be above the specified limits (1) or exceeding the hygiene limit for protected outdoor space (2). The land on which the recovery operation is located must be accompanied by an access route.
Space conditions
(1) Recovery events are organised in construction or tents.
(2) The spaces in construction sites (3) must be dry, with natural ventilation and lighting; the area per child staying must be at least 2,5 m2. In buildings and tents, the number of children staying must correspond to the condition of maintaining the space for storing personal items and the possibility of moving between beds.
(3) The tents intended for the accommodation of children must have a fixed waterproof tarp. The sleeping spaces shall be insulated from the ground against moisture and cold and the storage spaces for personal items shall be insulated from moisture.
(4) The conditions for the personal hygiene of the whole body must be created at recovery events. There must be a sink in the washroom with running water and drain or a discharge cock with a drain of used water outside the place of personal cleaning. The possibility of bathing or showering in warm water at least once a week must be further ensured at recovery events. Intimacy must be ensured for children when bathing or showering.
(5) In recovery operations, toilets are set up. The use of toilets may not be divided by gender, but intimacy must always be ensured when using toilets. There shall be a possibility of washing hands in running water near the toilets.
(6) An infirmary shall be established in the buildings; where no isolation is established, the conditions for its establishment shall be established where necessary. The treatment room, in case of installation and isolation, is set up in a separate room equipped with a sink with running drinking water and with the possibility of heating and using hot water. In the case of the installation of insulation, insulation shall have its own toilet with the possibility of washing hands in running water and shall be equipped with beds. The isolation or treatment facility shall not be equipped with patrols, nor shall it be used for other purposes. If there are recovery events organised in tents, the infirmary and isolation can be placed in dedicated tents. Medicines and medical documentation shall be provided in such a way that neither children nor other unauthorised persons have access to them.
(7) In buildings where winter recovery events are organised, microclimatic conditions 4) corresponding to the requirements for living rooms, hot water for personal hygiene, as well as rooms for drying clothing and footwear and storage of sports goods must be ensured.
Accommodation, equipment and cleaning
(1) Children's accommodation shall be provided separately by gender except where the statutory representative of the child gives his consent to the joint accommodation. Persons active in a recovery operation as a supervisor shall be accommodated separately in the vicinity of children. The nurse will stay in the immediate vicinity of the infirmary.
(2) The bunk beds can be used for children from 7 years of age. The upper bed shall be securely accessible and equipped with an anti-fall barrier and an impermeable mattress.
(3) The change of bed linen must always be done before the bed is used by another child, after pollution and after leaving the child due to illness. Bed linen may only be handled by a health care professional or, in the event of an epidemic, by an additional person over 18 years of age who is active in recovery operations. When using beds with repeatedly used mattress or straw, the bed shall be equipped with replaceable coating or clean textiles covering the entire area of the bed. Repeated mattresses or mattresses shall be maintained in undamaged and clean condition. Clean bed linen must be stored in such a way that it is not contaminated. Used bed linen, which must always be stored separately from clean, must be stored in protective storage or transport packages.
(4) The cleaning and modification of all premises serving the recovery action must be carried out before the start of the recovery operation, between its individual runs and after the end of the recovery operation.
(5) During the recovery operation daily cleaning and maintenance of all premises serving the recovery operation must be carried out. All premises must be kept in clean and user-friendly condition throughout the day. Day-to-day cleaning may also be attended by children under the direction of persons active in the recovery operation. However, children may not clean toilets.
Water supply
(1) The recovery action shall be provided with drinking water complying with hygiene requirements under the legislation governing drinking waterrequirements (5) so that it is sufficient to drink, brush teeth, cook, wash dishes, clean kitchen areas, personal hygiene of the hands of persons performing epidemiological activity and to operate the infirmary and isolation.
(2) Only clean, closed containers made of materials intended for direct contact with drinking water which satisfy the requirements applicable to them under the Law (18) must be used for the provision or import of drinking water if necessary. Marked containers with supplied or imported drinking water shall be stored in a cool and shady place.
Waste disposal and waste water management
(1) Waste can only be disposed of and handled under conditions laid down by specific legislation. 10) Solid waste shall be stored in closed containers that can be easily cleaned and disinfected or in disposable plastic packaging. Wastes are stored outside the premises where food is handled.
(2) Waste water and harmful water substances can only be handled and handled under conditions laid down by specific legislation. 11)
Meals
(1) The dining areas, with the exception of the fireplace, must always be covered and secured against adverse external effects; must include at least the premises for preparing meals, eating dishes, washing dishes and storing food. In the area of food preparation, there shall be no cross-linking between clean and unclean activities or processes and operations which may adversely affect each other.
(2) The working areas, tools and dishes must be of food contact material which complies with the requirements laid down in specific legislation6). The working areas, which may include plates, shall be marked and separated in such a way that, at all stages of production, processing and distribution, food or food is protected from contamination which could cause food or food to be disabled.
(3) Equipment, working areas, tools and dishes must be thoroughly cleaned and, if necessary, disinfected. Cleaning must be carried out often enough to avoid the risk of contamination of food or food. Appropriate conditions must be provided for the hygiene washing of foodstuffs, kitchen, dining and own dishes of children and the hands of persons carrying out epidemiological activities. The washing of kitchen and dining utensils must be separated. The last rinsing of the dishes and children's own dishes intended for repeated use shall be carried out under running drinking water.
(4) Foodstuffs must be stored under conditions specified by the manufacturer or by special legislation7). Stored foods or meals shall not affect each other and shall not be adversely affected by external effects. The food provided for in Annex 1 to this Decree shall not be used during the recovery operation or for the preparation of meals; Furthermore, the conditions under which certain foodstuffs may be administered or used are laid down in the Annex.
(5) Breakfast, breakfast, lunch, snack and dinner must be provided daily for children at the recovery event. During the meal, you can combine the breakfast with breakfast and lunch with snack. The breakfast must include a warm drink. One of the main dishes must be warm. The diet given to children must correspond to their age and physical stress. The health care professional is involved in the compilation of the menu.
(6) Drinks must be available throughout the day for the participants in the recovery event. They are stored in covered containers with faucet or spilled directly from the original packaging.
(7) Children may participate in the preparation and distribution of food. The health status of children involved in the preparation and supply of food must be assessed by the health care professional.
(8) Even if catering is provided through catering facilities, compliance with the requirements laid down in paragraphs 4, 5 and 6 shall be ensured.
Day Scheme
(1) The time for sleep, personal hygiene and eating must be defined in the day-time regime. The time defined for sleep shall be at least 9 hours for children up to and including 10 years and 8 hours for children older. The day regime must correspond to the age and health of children.
(2) The physical and psychological burden on children must be proportionate to their age, abilities and possibilities. In the case of continuous physical stress on children in the first two days of the recovery operation, the third day of rest must be reserved. A day of rest is set for a travelling recovery event, taking into account the fitness and the current state of health of children.
(3) The persons involved in the recovery operation as supervision shall keep under constant control the clothing, footwear and bedding of children in order to protect them from moisture and to avoid cooling of children. They also check that children comply with personal hygiene.
(4) Bathing children must be adapted to the weather, the physical fitness of children and their swimming skills. Children can only bathe under the supervision of a person active in a recovery operation as supervision. Only a person who is able to provide rescue to the drowning may be supervised. Children should not bathe for more than 1 hour after a main meal or intensive exercise.
(5) In winter recovery operations, training or other continuous physical burden on children shall not exceed 6 hours per day.
Final provision
They shall be deleted:
1. Decree of the Ministry of Health and Social Affairs of the Czech Republic No. 185 / 1990 Coll., on rehabilitation and other similar events for children and adolescents.
2. Decree of the Ministry of Health of the Czech Republic No. 445 / 1992 Coll., amending and supplementing Decree of the Ministry of Health and Social Affairs of the Czech Republic No. 185 / 1990 Coll., on rehabilitation and other similar events for children and adolescents.
Efficacy
This decree shall take effect on the day of its publication.
Minister:
Prof. MUDr. Fisher, CSc.
Příloha č. 1
Annex No 1 to Decree No 106 / 2001 Coll.
Conditions for administration and use of certain foods and preparation of meals
1. Food or food that may be disabled may not be administered or used in recovery operations.
2. The technology of food production and putting into circulation shall comply with good manufacturing practice.
3. Foodstuffs which cannot be stored under the conditions of the manufacturer or the requirements of a specific legislature7) must be heat-treated immediately after purchase (e.g. frozen vegetables, meat) or immediately issued for consumption.
Příloha č. 2
Annex No 2 to Decree No. 106 / 2001 Coll.
First aid course for health care professionals of recovery events and schools in nature
Scope of training
| Téma | Počet hodin | ||
|---|---|---|---|
| Teorie | Praxe | Celkem | |
| 1. Základy stavby a funkce lidského těla | 3 | - | 3 |
| 2. První pomoc – teoretická část | 10 | - | 10 |
| 3. První pomoc – praktická část | - | 17 | 16 |
| 4. Péče o nemocné | 2 | 2 | 4 |
| 5. Základy zdravotnické dokumentace | 1 | - | 1 |
| 6. Práva a povinnosti zdravotníků zotavovacích akcí | 2 | 0 | 2 |
| 7. Hygiena a epidemiologie | 3 | - | 3 |
| Celkem | 21 | 19 | 40 |
Content of training
1. Basics of the construction and function of the human body
1.1. Construction and function of the human body
1.2. Movements
1.3. Blood circulation, blood
1.4. Digestive tract
1.5. Respiratory system
1.6. Excretion gear
1.7. Skin system
1.8. Male and Female Sexual System
1.9. Sensory system
1.10. Nervous system
1.11. Substance control of the organism
2. First aid - theoretical part
2.1. Types of medical first aid:
2.1.1. first aid
2.1.2. First aid
2.1.3. Professional medical assistance
2.1.4. Specialised medical assistance
2.1.5. technical first aid
2.1.6. call for emergency care, telephone-assisted emergency services (TAPP)
2.1.7. transport of wounded
2.2. Basic types of medical sorting:
2.2.1. indication
2.2.2. local, remote
2.2.3. prognostic
2.3. Prevention of accidents:
2.3.1. for sports and interest activities, in transport and in the field
2.3.2. binding to age specialities of children
2.4. First aid:
2.4.1. primary medical tasks (bleeding, large blood loss, respiratory and circulatory failure, shock relief measures)
2.4.2. electric shock
2.4.3. drowning (types of drowning, means of rescue and their use, provision of first aid on the surface, urgent resuscitation of melting)
2.4.4. Unconsciousness
2.4.5. convulsions and intoxication
2.4.6. internal organ injury, cerebrovascular injury, chest and abdominal injury
2.4.7. injury to the movement system
2.4.8. sudden abdominal and chest pain
2.4.9. allergic reaction, anaphylactic shock
2.4.10. wounds, heat damage, cold damage, etching
2.4.11. Shock states
2.4.12. sudden mobility and speech disorders (FAST)
2.5. Principles of providing first aid under difficult conditions (night, rain, etc.)
2.6. Principles of first aid with improvised resources
3. First aid - practical part
3.1. Training for cardiopulmonary resuscitation on a resuscitation phantom, telephone assisted emergency resuscitation (TANR)
3.1.1. cardiopulmonary resuscitation training using an automated external defibrillator (AED)
3.1.2. Training for cardiopulmonary resuscitation in children
3.2. Working with bandages according to the type of material:
3.2.1. shawls, obinadas, of flexible materials, of non-stick materials
3.2.2. finished bandages No. 1, 2, 3, 4, burn bandage - package
3.3. Working with bandages by purpose:
3.3.1. cover, pressure, immobilizing, improvisation
3.3.2. bandage training using classic materials and improvisation
3.4. Handling, positioning and transport:
3.4.1. positioning of injured persons according to the nature of the injury including training of appropriate procedures
3.4.2. manipulation training by one or more saviors
3.4.3. methods of loading wounded on different types of means of transport
(utilization of improvisation and typical means of transport)
3.4.4. methods of investigation
3.4.5. principles of medical transport (targeting, timeliness, friendliness)
4. Care for the sick
4.1. Medical ethics, access to the sick
4.2. Basic Psychology of the Sick
4.3. Monitoring of patient's vital signs and condition (heartbeat, breath, temperature, blood pressure, consciousness, intake and dispensation)
4.4. Adjustment of the bed, care of the sick in the bed
4.5. Drug administration, application of heat, cold, flushing
4.6. Meal for the sick
4.7. Principles of treating patients in the presence of infectious diseases
4.8. Effects of the environment on the patient
5. Basic health documentation
5.1. Evidence of infection-free
5.2. Evidence of medical certificates
5.3. Health Diary Management
5.4. Working with a vaccination card
6. Rights and obligations of health professionals in recovery actions
6.1. Medical activities before going to camp
6.2. Departure activity
6.3. Activity on arrival - Check conditions
6.4. Health Filter
6.5. Equipment of the infirmary
6.6. Isolation
6.7. Responsibilities of the health care professional in recovery
7. Hygiene and Epidemiology
7.1. Personal hygiene, daily regime, body and environment relationship
7.2. Environmental hygiene
7.3. Waste disposal
7.4. Food hygiene (food service)
7.5. Prevention of disease spread:
7.5.1. Principles for combating infectious diseases, measures for their occurrence, early diagnosis, isolation, quarantine
7.5.2. most common alimental diseases, air-borne diseases, transmissive diseases, anthropopoleonosis, contact diseases, veneric diseases, mycoses
Příloha č. 3
Annex 3 to Decree No. 106 / 2001 Coll.
Model assessment on the fitness of the child to participate in the recovery event and school in nature
Příloha č. 4
Annex No. 4 to Decree No. 106 / 2001 Coll.
Minimum size of first aid kit for rehabilitation events for children and schools in nature
I. Medicinal products (only those not subject to medical prescription)
- medicines against temperature and pain (antipyretics, analgesics)
- tablets against nausea while driving by means of transport (antiemetics)
- Diarrhoea products
- cough products (antitusics, expktorants)
- a gargle for oral disinfecting and pharyngeal pain (dental surgery)
- eye drops or eye ointment with disinfectant effect, eye water for eye lavage (ophthalmology)
- ointment or gel in insects (local antihistamines)
- tablets in a systemic allergic reaction (total antihistamines)
- skin disinfectant
- inert ointment or vaseline
II. Panty and other medical material
- gauze hydrophilic folded compressions sterile, various dimensions
- patch on coil, various dimensions
- quick bandage for wounds, various dimensions
- Elastic bandage, various dimensions
- sterile bandage, various dimensions
- rubber choke bandage (60 × 1250 mm)
- Three-pointed scarf
- cotton bandage and cellulose
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Regulation Information
| Citation | Decree of the Ministry of Health No. 106 / 2001 Coll., on sanitary requirements for rehabilitation events for children |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 26.03.2001 |
|---|---|
| Effective from | 26.03.2001 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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