Decree No. 240 / 2012 Coll.
Decree implementing the Health Rescue Service Act
Valid
Order
Effective from 03.08.2012
Text versions:
03.08.2012
04.07.2012
240
DECLARATION
of 26 June 2012
implementing the Law on Medical Rescue Service
The Ministry of Health provides, pursuant to § 30 of Act No. 374 / 2011 Coll., on the Medical Rescue Service, for the implementation of § 7 (3), § 11 (6), § 13 (5) and § 17 (4) of the Health Rescue Service Act:
Definition of terms
For the purposes of this decree:
(a) a person affected by a person whose medical condition requires the provision of hospital emergency care;
(b) a place of emergency with a mass disability of persons where it is usually necessary for the nature or extent of the event to be sent to provide hospital emergency care of 5 or more exit groups at the same time, or a place where more than 15 people are affected;
(c) the health component of the exit group and the health professionals and other persons of the health service providers and of the integrated emergency care system involved in the provision or provision of emergency care at an emergency site with a mass disability of persons pursuant to § 11 (4) of the Health Rescue Service Act or § 46 (1) (e) or § 87 of the Health Services Act;
(d) the head of the medical service unit leading the exit group of the medical emergency service provider of the region in whose territory an emergency has occurred, determined in accordance with Article 19 (5) of the Health Rescue Service Act.
Emergency level
(1) A distress call shall have the following degrees of urgency:
(a) first step if
1. a person who has failed or is in imminent danger of failing essential functions; or
2. an exceptional event with a mass disability of persons,
(b) second degree, if it is a person who is likely to have a life-cycle failure;
(c) a third degree, if it is a person who is not immediately in danger of failure of essential life functions but whose condition requires the provision of medical emergency services;
(d) the fourth stage, if not the cases referred to in points (a) to (c), where the operator of the medical operating centre or the ancillary operating centre decides to send a group.
(2) The operator of the medical operating centre or auxiliary operating centre sends exit groups to the point of occurrence according to the urgency level of the emergency call, in order of first urgency. In the event of a first-degree emergency call urgency, the nearest exit group shall be sent or redirected to the event site; If this exit group is an exit group of rapid medical assistance, an exit group of rapid medical assistance is simultaneously sent or redirected to the site of the event.
(3) When receiving an emergency call with an assessed degree of urgency from a medical operating centre or an auxiliary operating centre of another medical emergency service provider, an already specified degree of urgency shall be assumed.
Operational management of the flight team
(1) Operational management of the air travel group is carried out by the medical operating centre of the health rescue service provider, the flight exit group of which is incorporated.
(2) The Health Operations Centre, which carries out the operational management of the air travel group, accepts the requirements for the deployment of the air travel group from the medical operating centres or auxiliary operating centres of other emergency care providers.
(3) The Health Operations Centre which carries out the operational management of the air travel group shall decide on the deployment of the air travel group in particular:
(a) in the case of the first or second degree of urgency of an emergency call, where the place of the event cannot be reached by the ground exit group at the time necessary for the effective provision of hospital emergency care;
(b) if it is possible to foresee a shortening of the patient's transport time to the target acute bed care provider by an air exit group by more than 15 minutes compared to a ground exit group;
(c) where the location of the event for the ground exit group is inaccessible or difficult to access; or
(d) if it is possible to assume that transport by an air travel group will significantly reduce the risk of a possible deterioration in the patient's health, which is at risk of other modes of transport.
Content of the organisational operating rules of the Health Operations Centre
(1) Organisational operating rules of the Health Operations Centre include, in particular, working procedures for:
(a) an assessment of the urgency of emergency calls and the transmission of exit groups, including their composition and number;
(b) broadcasting of exit groups at the request of a medical operating centre or an auxiliary operating centre of another medical emergency service provider;
(c) coordinating the transfer of patients to target providers of emergency bed care;
(d) coordinating the transport of patients with urgent care between health service providers;
(e) carrying out checks on the bodies of the deceased in cases where the death occurred in the provision of pre-hospital emergency care;
(f) coordination of the activities of the ancillary operational centres where they are established;
(g) requiring planned assistance on request from other components of the integrated rescue system;
(h) the use of the type-activities of components of the integrated rescue system in joint action;
(i) taking over and evaluating the calls and notifications received from the essential components of the integrated rescue system and from crisis management bodies;
(j) case
1. emergencies with mass disability;
2. failure of the communication means of the medical operating centre;
3. decommissioning of the medical operating centre;
(k) the case of publication
1. individual alarm levels of an integrated rescue system;
2. the central coordination of rescue and liquidation operations;
3. emergency situations,
(l) the re-evaluation of the procedures of the operators of the Health Operations Centre in order to improve operational management.
(2) Organisational operational rules of the medical operational centre shall include the working procedures referred to in paragraph 1 (a) to (e), (i), (j) and (l) also for the ancillary operational centre, if established.
Communication rules of the medical emergency service provider
(1) The Health Operations Centre and the Auxiliary Operational Centre are equipped with means of communication (1) for:
(a) continuous reception of calls to national emergency number 155;
(b) the connection with:
1. exit groups,
2. contact points of emergency bed care providers,
3. Providers of patient transport urgent care,
4. providers of health transport services,
5. medical operating centres and auxiliary operating centres of other providers of medical emergency services and other components of an integrated emergency system;
(c) receiving calls and notifying the essential components of the integrated rescue system.
(2) Voice communication between the health centre or the ancillary operational centre and the exit groups is carried out in particular through a radio network; the centre of the medical operating centre or auxiliary operating centre shall be the control station.
(3) When intervening at an emergency site with a mass disability, the voice communication between the head of the medical component and the head of the medical component groups shall take place mainly through the radio network. Priority communication shall be carried out between the Health Operations Centre and the Head of the Health Component and the Heads of Health Component Groups. If necessary, the head of the health service may suppress other radiocommunications of the health service by declaring the peace of radio operation.
Activity of the medical component at the emergency site with mass disability
(1) The head of the exit team, who arrives at an emergency site with a mass disability of persons, shall specify to the medical operating centre how the emergency site is to be reached by other exit groups and ensure an indicative medical survey of the emergency site in order to estimate the number of people affected by health (hereinafter referred to as the affected person) and the deceased, and identify the potential risks and hazards to the members of the exit teams. On the basis of a survey carried out in accordance with the first sentence of the head of the exit group, it shall lay down a preliminary requirement for the deployment of further exit groups and means of the health rescue service provider and, where appropriate, on request, the cooperation and assistance of other health service providers and other components of the integrated rescue system and shall transmit it to the health operating centre without delay.
(2) The activity of the medical component at an emergency site with a mass disability of persons is organised within
(a) sorting groups;
(b) pre-hospital emergency care groups;
(c) groups of redeployment of disabled persons.
(3) The activities of the groups referred to in paragraph 2 shall be managed by their heads. Sorting groups and pre-hospital emergency care group have a joint manager, a doctor.
(1) The activities of the medical component shall be coordinated by the head of the medical component which:
(a) designate the persons included in the medical component to perform the tasks in the groups referred to in Article 6 (2);
(b) determine the group leaders;
(c) determine the tasks of the groups;
(d) where necessary, propose to the commander of the intervention, or, where appropriate, he shall, within the framework of the organisation, establish the breakdown of the emergency site with a mass handicap, instead of:
1. the entry of the medical component, which is the point of concentration of exit groups and other persons integrated into the medical component and medicinal products, medical devices and other equipment for the activity of the medical component (hereinafter referred to as "medical material"),
2. for the provision of pre-hospital emergency care, which is broken down into units of groups pursuant to § 6 (2);
3. for the location and identification of the deceased;
4. for the rest of persons included in the medical component.
(2) If it is necessary to supplement its medical equipment in order to ensure the operation of the medical component, the head of the medical component shall require the necessary medical material and its transport to an emergency site with a mass disability through the medical operating centre.
(1) The classification groups shall seek and classify disabled persons at an emergency site with a mass disability.
(2) The classification of persons affected shall be made where there is a significant discrepancy between the number of persons affected and the intervening health workers. Identification and sorting carta2 shall be used for the rapid identification and diagnosis of disabled persons.
(3) The classification of disabled persons shall consist of establishing the order for the provision of emergency pre-hospital care to individual disabled persons and their transfer to the post of a pre-hospital emergency care group.
(4) Disabled persons marked with an identification and sorting card are collected at the post of the pre-hospital emergency care group.
(1) The pre-hospital emergency care group ensures at its post the provision of pre-hospital emergency care to disabled persons.
(2) The post of the pre-hospital emergency care group shall always carry out a reclassification of the affected persons, which shall take account of the development of their health status, and the order of their transfer to the health facilities of the health service providers shall be determined. The activities of the pre-hospital emergency care group shall be organised in such a way as to ensure one-way operation at the unit of the group.
(1) The group of redeployment of disabled persons ensures the transport of disabled persons from their post to health facilities of health service providers. The decision of the Head of the Group on the redeployment of disabled persons may be amended by the Health Operations Centre.
(2) If possible, the post of the group of redeployment of disabled persons shall be linked to the post of the group of pre-hospital emergency care. The activity at the unit of the group of redeployment of disabled persons shall be organised in such a way as to allow the disposal of the affected persons in multiple means of transport at the same time and also to allow their current departure.
(1) The head of the health service shall process a report on the activities of the health service at the emergency site with a mass disability.
(2) The report on the activity of the medical component at the emergency site with a mass disability contains in particular:
(a) details of the time of commencement and cessation of the health component;
(b) an assessment of the situation at the scene of an emergency with a mass disability at the time of arrival of the first exit group;
(c) a description of the deployment of other exit groups;
(d) an overview of the number of persons affected, indicating the types of health disability transferred to the care of health service providers and a list of those providers;
(e) an overview of the number of persons and of the means provided by health service providers and the integrated rescue system components to ensure hospital emergency care on the site of an emergency with a mass disability;
(f) details of the provision of personal and factual assistance;
(g) a description of any circumstances affecting the activity of the medical component.
(3) The report on the activity of the medical component at the emergency site with a mass disability shall be submitted by the head of the medical component to the medical operating centre no later than 7 days after the date of cessation of the activity of the medical component at the emergency site with a mass disability.
Designation of members of the medical component and of groups at the emergency site with mass disability
(1) The members of the medical service shall be identified as follows at the emergency site with a mass disability:
(a) the head of the medical component on the back of the reflective vest shall bear the inscription "HEALTH HEADING,"
(b) heads of sorting groups and pre-hospital emergency care groups on the back of the reflective vest by the inscription "LEADER" or by a white sleeve with the red "VL" on the left arm,
(c) the head of the group of relocations of the affected persons on the back of the reflective vest by means of the inscription "LEADER SUNU" or a white sleeve with the red sign "VO" on the left arm,
(d) a member of the sorting group on the rear part of the reflective vest marked "CLASS" or a white sleeve tape marked "TR" on the left arm.
(2) The units of the groups shall be marked with portable folding reflex marks at the emergency site with a mass disability as follows:
(a) the stations of the sorting groups shall bear the mark "CLASS,"
(b) the post of the pre-hospital emergency care group by a mark bearing the word "STANOVIC INSTALLATION,"
(c) the station of the group of redeployment affected by the person with the sign "THE STANDARDS OF THE SUSPENSION."
The positions shall be marked simultaneously with a stapling tape.
(3) The marking and marking marks for group positions and reflective vests and sleeves for health component members are included in the equipment of the health rescue service provider; they are transported to an emergency site with a mass disability at the request of the head of the health service via the medical operating centre.
Trauma plan of the health rescue service provider
(1) The Trauma Plan of the Provider of the Medical Rescue Service (hereinafter referred to as the "Trauma Plan") is broken down into the essential part, the operational part and the auxiliary part.
(2) The basic part of the traumatic plan contains:
(a) the name, address and identification number of the health care services provider;
(b) the name and address of the provider of the emergency care service,
(c) an overview of the links to the health emergency service provider, such as telephone, fax and e-mail address;
(d) the definition of the subject matter of the medical emergency service provider's activities;
(e) an overview and evaluation of possible sources of risk and threats in the territory of the region, which may lead to a mass accident and an analysis of their possible impact on the provision of medical emergency services; This is based on an overview of possible risk sources and risk analyses carried out under the Crisis Act (3),
(f) an overview and evaluation of potential internal and external sources of risk and of the health-care facility of the health-care emergency service provider, with the exception of those referred to in point (e), and an analysis of their possible impact on the provision of the health-care emergency service;
(g) the characteristics of the types of health disability for which the trauma plan is being processed;
(h) the definition of the measures to be implemented by the health rescue service provider in the event of mass accidents following the analysis of the sources of risk and threats referred to in points (e) and (f) and the type of disability referred to in point (g).
(3) The operational part of the traumatic plan contains:
(a) the procedures for implementing the measures referred to in paragraph 2 (h);
(b) the definition of measures in the event of a mass accident resulting from the Trauma Plan of the Region and the Trauma Plan of the external emergency plans and how they are implemented;
(c) the way in which pre-hospital emergency care is provided following the type of disability referred to in paragraph 2 (g);
(d) the way in which the health of the members of the exit groups and other persons providing pre-hospital emergency care in the event of a mass accident or involved in the provision of such care,
(e) procedures for sending out exit groups and coordinating their activities in a place of mass disaster;
(f) procedures for the classification of disabled persons in a place of mass disaster;
(g) procedures for the coordinated transfer of disabled persons from a place of mass disaster to health facilities of health service providers;
(h) procedures for requesting assistance from other health-care emergency services providers and integrated emergency system components;
(i) procedures for requesting assistance from other health service providers;
(j) procedures for ensuring cooperation with health service providers under Section 46 (1) (e) of the Health Services Act;
(k) procedures for the transmission of information to providers of day-old and berth health care on the requirements for the provision of health care to disabled persons and the acquisition of information from such providers on their ability to take such persons into their custody;
(l) an overview of the links to persons involved in ensuring the implementation of the measures under the trauma plan, such as telephone, fax and e-mail address.
(4) The auxiliary part of the traumatic plan contains:
(a) an overview of the contracts concluded by the health care services provider with other persons to ensure that the measures are implemented in accordance with the trauma plan;
(b) an overview of the number of health workers and of the resources required by the health emergency service provider from other health service providers in the event of a mass accident;
(c) a list of medicinal products, medical devices and medical techniques for providing pre-hospital emergency care in a mass accident;
(d) other documents related to the preparedness of the health rescue service provider to implement measures in the event of major disasters, such as geographical documentation.
(1) The provider of the medical emergency services in the processing of the trauma plan cooperates with the regional authority of the region in whose territory it provides medical emergency services.
(2) The Provider of the Medical Rescue Service shall consult the Regional Authority of the Region in whose territory he provides the Medical Rescue Service,
(a) a draft trauma plan;
(b) the scope of cooperation in the processing of the draft traumatic plan with other persons who may be affected by the measures provided for in that plan.
(3) The provisions of paragraphs 1 and 2 shall apply mutatis mutandis for the updating of the traumatic plan.
Designation of the medical facility of the health rescue service provider
The medical equipment of the emergency care provider shall be visibly marked with the name of the emergency care provider. The name shall be indicated on the board located in a visible place outside the premises of the medical establishment; the pane may take the form of a light panel.
Labelling of working clothes of a member of the exit group
The working clothes of a member of the exit group shall be visibly marked on the outside by the name of the health care services provider. The name shall be placed on the back of the working clothing.
Efficacy
This Decree shall take effect on the 30th day following its publication.
Minister:
Doc. MUDr. Heger, CSc., v. r.
1) Annex No. 7 to Decree No. 92 / 2012 Coll., on the requirements for minimum technical and material equipment for health care facilities and home care contact centres.
2) § 4 (d) of Decree No. 98 / 2012 Coll., on Health Documentation.
3) Act No. 240 / 2000 Coll., on crisis management and amending certain laws (Crisis Act), as amended.
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Regulation Information
| Citation | Decree No. 240 / 2012 Coll., implementing the Act on Medical Rescue Service |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 04.07.2012 |
|---|---|
| Effective from | 03.08.2012 |
| Effective until | - |
| Status | Valid |
Legal Areas:
Administrative law
Health
The regulation text is for informational purposes only.
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