Act No. 374 / 2011 Coll.
Law on medical emergency services
Valid
Law
Effective from 01.04.2012
Zobrazeno prvních 200 z celkem 245 ustanovení tohoto předpisu.
Zobrazit celý předpis →
Pro stažení celého znění použijte tlačítko Stáhnout výše.
374
THE LAW
of 6 November 2011
on medical emergency services
Parliament has decided on this law of the Czech Republic:
Subject matter
This Act regulates the conditions for the provision of emergency medical services, the rights and obligations of the emergency care provider, the obligations of emergency bed care providers to ensure the continuity of their medical services to the medical emergency service, the conditions for ensuring the preparedness of the emergency care provider (1) and emergency situations (2) and the performance of the public administration in the field of medical emergency services.
Basic provisions
(1) The emergency care service is a health service3), under which emergency care is provided, unless otherwise specified, in particular to persons with serious health disabilities or in direct danger of life. Other activities provided for by this Act are part of the medical emergency services.
(2) The provisions of the Health Services Act shall apply to the provision of medical emergency services, unless otherwise provided for in this Act.
Definition of certain terms
For the purposes of this Act:
(a) serious health impairment of sudden illness, injury or other deterioration of the health condition which causes a deepening of the disease changes which may result in long-term or permanent consequences, possibly up to sudden death, or sudden intense pain or sudden changes in behaviour and behaviour affecting health or the life of the person or person concerned, without delay;
(b) a direct risk to life of sudden illness, injury or other deterioration of the health condition leading or without immediate provision of medical emergency services could lead to a sudden failure of one of the essential functions of the human body;
(c) the emergency call evaluated by emergency communication to national emergency number 155 or the call transmitted by the operational centre to another component of the integrated rescue system;
(d) the target provider of emergency bed care, the closest available provider of emergency bed care, who is competent to ensure the continuation of healthcare to the patient, appropriate to the severity of the disability or to the direct threat of life;
(e) emergency care for pre-hospital emergency care provided to the patient at the site of a serious disability or direct threat to life ("site") and during its transport to the target provider of acute bed care.
Definition of medical emergency services
Medical emergency services shall comprise the following activities:
(a) the continuous, qualified emergency communication reception to national emergency number 155 and the calls submitted by the operational centre to another essential component of the integrated rescue system by the operator of the medical operating centre or auxiliary operating centre;
(b) assessing the degree of urgency of emergency communication, deciding on the most appropriate immediate emergency response to the patient's health, deciding on the deployment of the exit group, deciding on the redirection of the exit group and operational management of the exit groups;
(c) the management and organisation of pre-hospital emergency care on site and cooperation with the commander of the intervention of the integrated rescue system;
(d) cooperation with the target provider of emergency bed care;
(e) provision of instructions for first aid through an electronic communications network where it is necessary to provide first aid before the exit group arrives at the event site;
(f) the examination of the patient and the provision of health care, including, where appropriate, urgent life-saving performance, carried out at the site of the event to restore or stabilise the patient's essential vital functions;
(g) continuous health care and continuous monitoring of the patient's essential life-expectancy indicators during transport to the target provider of acute bed care, pending the personal transfer of the patient to the target provider of acute bed care,
(h) the carriage of a patient by aircraft between providers of emergency bed care under conditions of continuous provision of urgent care during transport, provided that there is a risk of delay and that transport cannot be otherwise ensured;
(i) the transport of tissues and organs to be transplanted by aircraft where there is a danger of delay and where transport cannot be otherwise ensured;
(j) the classification of persons affected by health problems according to the professional aspects of emergency medicine in the event of mass disability as a result of emergencies or emergency situations.
Availability of medical emergency services
(1) The availability of the medical rescue service is determined in particular by a plan to cover the territory of the region by the exit bases of the medical rescue service (the exit base).
(2) The plan to cover the territory of the region of the exit bases sets out the number and location of the exit bases, depending on the demographic, topographical and risk parameters of the territories of the individual municipalities and the urban areas of the capital of Prague, so that the location of the event on the territory of the individual municipalities and urban areas can be reached from the nearest exit base within 20 minutes. In determining the number and location of the exit bases, the provision of medical emergency services on the territory of the region shall also be taken into account by the medical emergency service provider established by another region in accordance with paragraph 5.
(3) The running time shall be calculated from the time of receipt of the exit instruction by the exit team from the operator of the medical operating centre or auxiliary operating centre. The range must be respected except in cases of unexpected adverse traffic or weather conditions or other cases of particular concern; in such cases, the health-care services provider shall request assistance from the other components of the integrated emergency system referred to in Article 11 (4), where such assistance is possible and effective as appropriate.
(4) The departure base of the air travel groups may be established if the aircraft are provided for this base in accordance with § 21.
(5) The provision of medical emergency services on the territory of the region may also be attended by a medical emergency service provider established by another region, on the basis of a written contract concluded by the county.
(6) The plan to cover the territory of the region by the exit bases is issued by the region; the plan must be updated by the region at least every 2 years. Before issuing a plan to cover the territory of the region by the exit bases and before updating the region, the region shall discuss the draft plan and its update with the Regional Security Council and request the opinion of the Ministry of Health (hereinafter referred to as the Ministry) on the proposal. The documentation for the plan to cover the territory of the region shall be processed by the emergency care service provider.
Cooperation of emergency bed care providers in the provision of medical emergency services
(1) In order to ensure a smooth link between health services and medical rescue services, the provider of emergency bed care is obliged to:
(a) establish a contact point for cooperation with the health rescue service provider in order to ensure the patient's income and the prompt continuation of the provision of health services; where an emergency income is created by an acute bed care provider, the contact point shall be part of it;
(b) ensure continuous transmission of information on the number of available acute beds to their contact point;
(c) cooperate continuously through a contact point with a medical operating centre or auxiliary operating centre;
(d) promptly inform the medical operating centre or the auxiliary operating centre of operational defects and other factors which significantly restrict the provision of urgent care;
(e) at the request of the health rescue service provider, to provide synergies in rescue and disposal operations in emergency and emergency situations.
(2) The target provider of emergency bed care is obliged to take care of the patient if his / her contact point has confirmed the patient to a medical operating centre or an auxiliary operating centre. The target provider of emergency bed care is obliged to take care of the patient whenever the patient is in direct danger of life at the call of the medical operating centre or auxiliary operating centre. The target provider of emergency bed care is obliged to confirm in writing the taking over of the patient to the head of the exit group.
(3) The contact point is the workplace of the 24-hour emergency bed care provider, which receives calls from the medical operating centre or auxiliary operating centre for the reception of the patient, continuously records the number of available acute beds of the acute bed care provider and coordinates the patient's acceptance between the health rescue service provider and the target emergency bed care provider.
(4) The provisions of paragraphs 1 and 2 do not apply to providers of emergency bed care in medical facilities of the Czech Prison Service.
Trauma plan of the health rescue service provider
(1) The Trauma Plan of the Health Rescue Service Provider (hereinafter referred to as the "Trauma Plan") sets out the arrangements and procedures applied by the Health Rescue Service Provider in the provision and provision of pre-hospital emergency care in the event of mass accidents. Part of the trauma plan is an overview and evaluation of possible sources of risk to the life and health of persons. The traumatological plan shall be based on local conditions and possibilities and on the conclusions of the discussion of the draft plan referred to in paragraph 2.
(2) The medical emergency service provider shall process the trauma plan, update it at least every 2 years, and transmit one copy of the plan within 30 days of the date of its processing or updating to the county authority in whose territory it provides the medical emergency service. The design of the trauma plan and its amendment shall be subject to consultation with the Regional Authority by the health services provider.
(3) The implementing legislation shall specify the content of the traumatic plan and the procedure for its processing and consultation with the Regional Office.
Medical Rescue Service Provider
(1) The provider of the medical emergency services is a contributory organisation set up by the county (4), which is authorised to provide medical emergency services under the Health Services Act.
(2) A medical emergency service shall be provided on the territory of the region by one medical emergency service provider except where the medical emergency service provider established by another region also participates in the provision of the medical emergency service pursuant to Article 5 (5).
(3) The medical emergency service provider is obliged to provide medical emergency services continuously.
(4) The health emergency service provider is an essential component of the integrated rescue system1).
Organisation of medical facilities of the health rescue service provider
(1) Medical equipment of the health rescue service provider means premises and mobile means intended for the provision of medical emergency services (hereinafter referred to as "medical emergency services facilities').
(2) Medical emergency care facilities always consist of:
(a) the Directorate;
(b) the Health Operations Centre;
(c) exit bases with exit groups;
(d) a crisis preparedness workplace;
(e) the training and training centre.
(3) Part of the medical rescue services facilities is also auxiliary operational centres and workplaces for providing other health services, if they are established.
Directorate
The Directorate is a central management and coordination centre for the provision of medical emergency services and for the preparedness of the emergency care provider and emergency situations in the region, which provides in particular economic, organisational and technical activities. The Directorate must be located at the headquarters of the health-care services provider.
Medical Operational Centre and Assistant Operational Centre
(1) The Health Operations Centre is a central operational management centre operating in continuous mode. Medical Operations Centre is the center of emergency communication to national emergency number 155.
(2) For the purposes of this Act, operational procedures shall mean in particular:
(a) receiving and evaluating emergency communication;
(b) taking over and evaluating the calls and notifications received from the essential components of the integrated rescue system and from the crisis managementauthorities (2);
(c) issuing instructions to exit groups on the basis of the emergency calls received;
(d) the provision of instructions for first aid through an electronic communications network where it is necessary to provide first aid before the exit group arrives at the event site;
(e) cooperation with other health operational centres, ancillary operational centres and operational and information centres of the integrated rescue system;
(f) coordination of the activities of the ancillary operational centres;
(g) provision of communication between the emergency care provider and the emergency bed care provider;
(h) coordinating the transfer of patients to target providers of acute bed care;
(i) coordination of the transport of patients with urgent care between health service providers under the Health Services Act.
(3) The Auxiliary Operations Centre is an operational management centre within the scope of points (a) to (e) and (g) and (h) of paragraph 2 and is subordinate to the Health Operations Centre.
(4) The medical emergency service provider may request assistance on request from other components of the integrated emergency system in the framework of operational management, on the basis of a pre-agreed assistance procedure in writing.
(5) The health rescue service provider shall determine the organisational operating rules of the health operational centre of activity, the working procedures and the organisational and operational conditions of the work of staff at the health operational centre and at the ancillary operational centre and define the operational management area by the ancillary operational centre where the ancillary operational centre is established.
(6) The implementing act provides for:
(a) the content of the operational management activities referred to in paragraph 2 and the degree of urgency of emergency communication;
(b) details of the content of the organisational operating rules of the medical operating centre;
(c) the rules of communication of the health rescue service provider, containing minimum requirements for the equipment of the medical operating centre, the ancillary operational centre, the exit base and the exit groups by means of communication and the rules on their use.
Exit bases
The exit base is the workplace from which an exit group is usually broadcast on the instruction of the operator of the medical operating centre or auxiliary operating centre.
Exit groups
(1) The exit group shall consist of health professionals performing the medical emergency services referred to in Sections 4 (d) and 4 (f) to (j). The exit group shall have at least 2 members; the members of the exit group shall be designated by the health care services provider of its manager.
(2) Depending on the composition and nature of the activity, the exit group shall be subdivided into:
(a) the exit group of medical assistance the doctor is a member of,
(b) exit groups of emergency medical assistance, members of which are non-medical health professionals.
(3) According to the type of means of transport they use for their activities, exit groups are divided into ground, air and water.
(4) The exit groups may also operate in a meeting system where the operator of a medical operating centre or ancillary operating centre sends one or more exit groups of rapid medical assistance and one or more exit groups of rapid medical assistance where they meet. The exit groups shall operate on the site of the event separately or together, depending on the situation.
(5) Detailed provisions on the activities of exit groups and the designation of their members at the scene of an emergency involving the multiple disability of persons are laid down in implementing legislation.
(1) The health rescue service provider may also ensure the operation of ground-based exit groups through a health service provider authorised to provide the transport of patients with urgent care under the Health Services Act by agreement with that health service provider. The first health service provider authorised to provide the transport of patients with urgent care shall be subject to the provisions of this Act mutatis mutandis, unless otherwise specified.
(2) The agreement referred to in paragraph 1 shall include in particular the composition of the ground exit groups, the conditions for the inclusion of ground exit groups in the exit bases of the health rescue service provider and the scope and conditions for the operation of those exit groups. The agreement may be concluded only with the prior agreement of the county which is the founder of the health-care services provider, otherwise it shall not be valid.
(3) The medical emergency service provider shall integrate the ground exit groups referred to in paragraph 1 into the exit bases in accordance with the exit base coverage plan. The head of the ground exit group shall be designated by the health service provider who set up the exit group.
(1) The activity of air travel groups can also be ensured through the Czech Army by agreement between the Ministry of Defence and the Ministry of Defence. These air travel groups and their members shall be subject to this law mutatis mutandis, unless further specified otherwise.
(2) In particular, the Ministry and the Ministry of Defence shall agree on the conditions for the inclusion of the air travel groups referred to in paragraph 1 in the exit bases of the health rescue service providers and the scope and conditions for the operation of these air travel groups.
(3) The Ministry shall inform the health rescue service providers and regions of the conditions for using the air travel groups referred to in paragraph 1. Medical emergency service providers shall integrate these air travel groups into the exit bases in accordance with the exit base coverage plan. The head of the flight crew referred to in paragraph 1 shall be designated by the Chief of the relevant military medical establishment.
Crisis preparedness workplaces
(1) Crisis preparedness workplaces are intended for coordination
(a) the tasks arising from the regional crisis plan, emergency planning and documentation of the integrated rescue system for health-care services providers;
(b) psychosocial intervention services for staff of the emergency care provider and other healthcare professionals in the event of an emergency or emergency when carrying out rescue and disposal work;
(c) education and training for the performance of the tasks of the emergency management health rescue service provider, emergency medicine and disaster medicine;
(d) the training and training of components of the integrated rescue system for emergency resuscitation;
(e) means of communication for the performance of the tasks of the emergency care provider in the integrated emergency system and in crisis management.
(2) Crisis preparedness workplaces process the draft trauma plan and the proposal for its change.
Name of the health rescue service provider and designation of the facilities of the medical emergency services, means of transport and working clothes of the members of the exit groups
(1) The name of the health rescue service provider consists of the words "Medical emergency service" for which the name of the region which has set up the health rescue service provider is added in the appropriate language form. The name or business name of a legal or business natural person other than the health emergency service provider shall not include the word "medical emergency service ', including shapes derived from it, unless it is a professional association of medical emergency service providers or their employees.
(2) The health rescue service provider shall designate the medical emergency services equipment, the means of transport used to provide medical emergency services and the working clothing of members of the exit groups by its name. The first sentence is not required for aircraft; the working clothing of the members of the flight group referred to in Section 15 shall be marked only by the words "medical emergency services'.
(3) Only the health-care-service provider may use the words "emergency services," including the forms derived from them, to designate objects, means of transport or clothing in a place accessible to the public.
(4) The implementing act shall lay down the means of identification of the medical rescue services facilities and of the working clothes of the members of the exit groups referred to in paragraph 2.
Authorisations and obligations of members of exit groups
(1) The members of the exit groups are entitled to enter into foreign premises, dwellings and foreign parcels for the purpose of providing hospital emergency care, provided that, according to the information available, there is a person to whom emergency care is to be provided.
(2) The members of the exit groups are entitled, if required by the effective protection of human life and health, to request from natural persons who are present at or near the site of an event, personal or in-kind assistance necessarily and immediately necessary for the provision of the medical emergency service, to the extent necessary and provided that such or other persons are not put at risk of life or health.
(3) The members of the exit groups are entitled, if required by the effective protection of human life and health, to request from natural and legal persons the information necessary to provide the medical emergency services.
(4) Where personal or material assistance referred to in paragraph 2 gives rise to a demonstrable damage to the persons who have provided the assistance, the health-care services provider shall be liable for the damage, unless the damage is otherwise done, or where the damage was caused by the wrongful conduct of the injured party.
(1) The members of the exit group are required to comply with the instructions of the operator of the medical operating centre or ancillary operating centre for the exit within 2 minutes of receiving the order; This is without prejudice to the right of the commander to decide on the conduct of a flight under another legislation (5) in the case of an air travel group.
(2) Members of the exit group are obliged to provide pre-hospital emergency care even without an emergency call. In this case, the head of the exit group shall report without delay the time at which the pre-hospital emergency care is started and the place of the event to the medical operating centre or auxiliary operating centre.
(3) The head of the exit group shall be entitled to decide not to provide hospital emergency care at the site of the event if:
(a) the lives or health of members of the exit group are at imminent risk when providing pre-hospital emergency care; or
(b) pre-hospital emergency care should be provided under conditions for which members of the exit group have not been trained, trained or equipped with appropriate technical or personal protective equipment and the provision of pre-hospital emergency care requires this.
(4) If the head of the exit group decides not to provide emergency pre-hospital care as referred to in paragraph 3, he shall immediately notify the medical operating centre or auxiliary operating centre, including the reason for this Decision.
(5) In the case of the provision of pre-hospital emergency care by several exit groups at one point of the event, their activities shall be coordinated by the head of the exit group designated by the medical operating centre or auxiliary operating centre.
Activities to prepare a health rescue service provider for emergency and emergency situations
(1) Activities to prepare the emergency care service provider for emergency and emergency situations are activities which provide for tasks
(a) to prepare for emergency and emergency situations in the field of the provision of medical emergency services;
(b) to prepare for joint intervention by the components of the integrated rescue system;
(c) resulting from the documentation of the integrated rescue system.
(2) The medical emergency service provider is obliged to:
(a) ensure continuous emergency and crisis preparedness activities;
(b) to process the documentation supporting the integrated rescue system.
(3) Emergency and crisis preparedness activities are provided by the emergency care service provider through the emergency preparedness centre. The emergency and emergency preparedness activities shall be carried out by the emergency service provider in accordance with the procedures set out in the planning documents of the emergency management authorities, emergency planning and documentation of the integrated emergency system.
Provision of aircraft for medical emergency services
(1) Aircraft for medical emergency services are contracted by the Ministry with aircraft operators.
(2) The Ministry shall inform the Region and the health rescue service providers of the conditions for the use of aircraft by the health rescue service provider under contracts concluded by the Ministry with aircraft operators.
(3) The medical emergency service provider shall cooperate with the aircraft operator referred to in paragraph 2 in the provision of medical emergency services.
(4) The medical emergency service provider shall not be liable for damage caused in the provision of the medical emergency service by the operation of the aircraft, unless it is its operator.
Financing of the activities of the health rescue service provider
The activities of the health rescue service provider in the provision of medical emergency services and of the preparedness of the emergency care service provider for emergency and emergency situations shall be financed by:
(a) public health insurance, in respect of medical services covered;
(b) the State budget from which the costs of:
1. preparedness to deal with emergencies and crisis situations; the amount of remuneration shall be determined by the Government by means of a regulation, depending on the number of persons resident or reported in the territory of the relevant region;
2. the operation of aircraft for medical emergency services, including the cost of ensuring the operation and use of the single information system in the air rescue service,
(c) from the budgets of the regions from which costs not covered under (a) and (b) are borne,
separate from other health services and other activities.
Scope of the Ministry and Region
Scope of the Ministry
Ministry
(a) manage methodically the activities of health-care emergency service providers;
(b) manage methodically the cooperation of health-care emergency service providers with the components of the integrated emergency system and crisis management bodies under the Integrated Rescue System and Crisis Management Act;
(c) coordinate the preparation and planning of medical emergency services in the context of emergency and emergency preparedness activities;
(d) organise and coordinate, in cooperation with the Ministry of the Interior, in relation to health-care emergency services providers and the Czech Telecommunications Authority, a single system of radio connection between the health-rescue service providers and the use of national emergency number 155, in particular to ensure their tasks in an integrated emergency system and their connection to contact points;
(e) coordinate the synergies between emergency care providers and regional authorities in preparing for emergency and crisis situations;
(f) methodically directs the implementation of national projects to unify and improve the provision of medical rescue services;
(g) methodically guide the focus of preventive education, promotion and editorial activities on the medical emergency services sector and contribute to its security;
(h) finance the costs referred to in Article 22 (b).
Scope of the region
(1) The Region is obliged to ensure the continuous availability of the health rescue service to the extent provided for by a plan to cover the territory of the region by the exit bases; This obligation shall be fulfilled by the Region through the health emergency service providers.
(2) The Region controls the fulfilment of the obligations laid down by this Act to health-care providers, acute bed care providers and other natural and legal persons.
(3) The scope laid down by this Law of the Region is a separate competence.
Transfers
Transfers of natural persons
(1) A natural person commits an offence by deliberately using on the premises, means of transport or clothing in the place of public use an accessible word link "medical rescue service," including shapes derived therefrom, in breach of Paragraph 17 (3).
(2) A fine of up to CZK 250,000 may be imposed for the offence referred to in paragraph 1.
Transfers of legal persons and business natural persons
(1) A legal or commercial natural person commits an offence by:
(a) in contravention of Paragraph 17 (3), it shall use on the premises, means of transport or clothing available to the public the word link "medical emergency services," including forms derived therefrom; or
(b) in contravention of Paragraph 17 (1), it shall use for its name or business the word link "medical rescue service," including forms derived therefrom.
Sign in for notes, favorites and notifications
Regulation Information
| Citation | Act No. 374 / 2011 Coll., on Medical Rescue Service |
|---|---|
| Regulation Type | Law |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 08.12.2011 |
|---|---|
| Effective from | 01.04.2012 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
Comments 0