Decree No. 424 / 2004 Coll.

Decree laying down the activities of health professionals and other professionals

Valid Order Effective from 20.07.2004
Text versions: 10.08.2006 20.07.2004
Contents
ČÁST PRVNÍ § 1 § 2 ČÁST DRUHÁ § 3 § 4 § 5 § 6 § 7 § 8 § 9 § 10 § 11 § 12 § 13 § 14 § 15 § 16 § 17 § 18 § 19 § 20 § 21 § 22 § 23 § 24 § 25 § 26 § 27 § 28 § 29 § 30 § 31 § 32 § 33 § 34 § 35 § 36 § 37 § 38 § 39 § 40 ČÁST TŘETÍ § 41 § 42 § 43 § 44 § 45 § 46 § 47 ČÁST ČTVRTÁ HLAVA I § 48 § 49 § 50 § 51 § 52 § 53 § 54 § 55 § 56 § 57 § 58 § 59 HLAVA II § 60 § 61 § 62 § 63 § 64 HLAVA III § 65 § 66 § 67 § 68 § 69 § 70 HLAVA IV § 71 § 72 § 73 § 74 § 75 § 76 § 77 § 78 § 79 § 80 § 81 HLAVA V § 82 § 83 § 84 HLAVA VI § 85 § 86 § 87 § 88 § 89 § 90 HLAVA VII § 91 § 92 § 93 § 94 § 95 § 96 HLAVA VIII § 97 HLAVA IX § 98 § 99 § 100 § 101 HLAVA X § 102 § 103 § 104 § 105 § 106 § 107 § 108 HLAVA XI § 109 § 110 HLAVA XII § 111 HLAVA XIII § 112 § 113 § 114 § 115 § 116 HLAVA XIV § 117 § 118 § 119 § 120 HLAVA XV § 121 § 122 § 123 § 124 § 125 § 126 § 127 § 128 § 129 § 130 § 131 HLAVA XVI § 132 § 133 § 134 § 135 § 136 § 137 § 138 HLAVA XVII § 139 § 140 § 141 § 142 § 143 § 144 HLAVA XVIII § 145 ČÁST PÁTÁ § 146 § 147
424
DECLARATION
of 30 June 2004
determining the activities of health professionals and other professionals
According to Section 90 (2) (f) of Act No. 96 / 2004 Coll., the Ministry of Health provides for the conditions for obtaining and recognising eligibility for the pursuit of non-medical medical professions and for the pursuit of activities related to the provision of medical care and for the amendment of certain related laws (Act on non-medical medical professions):

ČÁST PRVNÍ

GENERAL PROVISIONS
§ 1
Subject matter
This decree sets out, in accordance with the law of the European Community1) the activities of health workers and other professionals.
§ 2
Definition of terms
(1) For the purposes of this decree:
(a) nursing care shall cover a set of professional activities aimed at maintaining, promoting and restoring health and meeting the biological, psychological and social needs of the persons or groups affected or arising from a disability of the state of health of the individual or group, or in connection with pregnancy and childbirth, development, preservation or recovery of self-sufficiency; It also includes care for the terminally ill, alleviating their suffering and ensuring peaceful death and dignified death,
(b) basic nursing care provided by nursing care as referred to in (a) to patients over 6 years of age, through which their medical condition or therapeutic and diagnostic procedures allow normal daily life activities, the risk of which is at risk of life-threatening essential functions, in particular breathing, blood circulation, consciousness and excretion, is minimal and which are free from pathological changes of mental status, unless otherwise specified,
(c) specialised nursing care as referred to in point (a) provided to patients whose medical condition or medical and diagnostic procedures significantly restrict the normal activities of daily life, whose risk of disrupting or failing essential life functions is real, or who have pathological changes of mental status which do not require constant supervision or the use of restrictive measures due to the risk of life or health of the patient or its surroundings; care provided to patients with severe immune disorders and to patients with terminal chronic disease, where resuscitation is not expected, as well as basic nursing care provided to children under the age of 6, shall also be considered as specialised nursing care;
(d) highly specialised nursing care as referred to in point (a) provided to patients who are suffering from or are at risk of failure of essential life functions or who have pathological changes in mental status requiring permanent supervision or the use of restrictive measures in order to endanger the patient's life or health or its surroundings, as well as specialised nursing care as referred to in point (c) provided to children under 6 years of age;
(e) specific nursing care as referred to in (a) provided to patients in the defined section of healthcare (for example, care provided in radiological procedures or in the provision of nutritional needs for patients in the field of preventive and therapeutic nutrition);
(f) indication of the mandate to perform the activity on the basis of an order, practice, order or prescription;
(g) the nursing process to assess the individual needs of the patient or group of persons and to identify the nursing problems, to plan and implement nursing care, to evaluate the effectiveness of nursing care and to record in the medical file;
(h) a specialised procedure, method or performance in the provision of health care which is demanding in terms of increased risk to the patient or in terms of technological complexity of execution or are used in the care provided to the patients referred to in (d) and where special training of a healthcare worker is required through lifelong education2), including long-term training under previous legislation;
(i) a written procedure in writing, i.e. a procedure in the provision of health care or related to the provision of health care which corresponds to the current available knowledge of science, published in the Ministry of Health Bulletin or, where appropriate, in the means of publication of another central administration,
(j) good laboratory practice, a procedure in a laboratory which complies with the legislation, the CSN standards, or CEN and ISO standards, as appropriate, or standards governing the activities provided by laboratories in health establishments, including compliance with the quality assurance and improvement programme; This definition of good laboratory practice does not apply to good laboratory practice in the field of pharmaceuticals, which is governed by specific legislationm3),
(k) by a medical device, an apparatus which is a medical device pursuant to a special legislature4),
(l) the clinical responsibility for medical radiation5) the responsibility for the individual medical exposure borne by the practitioner, including in particular the responsibility for the justification of the medical exposure, its optimisation and clinical evaluation, practical cooperation with other healthcare professionals and, where appropriate, other professionals, including the acquisition of information on previous examinations, the provision of radiological information or records to other practitioners or to indicating experts at their request, and, where appropriate, information on the risk of ionising radiation to patients and other persons concerned;
(m) the practical part of the medical exposure, the specific performance of the medical exposure and all supporting activities related thereto, including the handling and use of radiological equipment, the evaluation of technical and physical parameters, including radiation doses, calibration, maintenance of equipment, the preparation and administration of radiopharmaceuticals and the production of films,
(n) a practitioner for medical exposure (hereinafter referred to as "the practitioner"), a doctor, a dental practitioner or another medical practitioner who is eligible under this decree or under special legislation6) to assume clinical responsibility for medical exposure;
(o) a physician indicating a medical exposure (hereinafter referred to as "the prescribing physician") by any treating physician or dental practitioner who advises the patient's applying physician for medical exposure with his written justification,
(p) quality assurance of all planned and systematic measures necessary to provide adequate guarantees for the satisfactory functioning of equipment, systems, components or procedures in accordance with approved standards;
(q) the designated person, the legal representative of the patient or another person designated by the patient or his legal representative.
(2) The definition of the exercise of activities without professional supervision, under professional supervision and under direct guidance is governed by specific legislation7).

ČÁST DRUHÁ

ACTIVITIES OF HEALTH WORKERS AFTER DISTRIBUTION OF COMPETITION
§ 3
Activities of a professional health professional
(1) A health professional referred to in Sections 4 to 20 without professional supervision and without indication to the extent of his professional competence
(a) provide health care in accordance with legislation and standards;
(b) ensure compliance with the hygiene-epidemiological regime in accordance with specific legislation8;
(c) keeps a health file and other documentation resulting from specific legislation9), works with the health establishment information system;
(d) provide the patient with information in accordance with his / her competence or doctor's instructions;
(e) participate in practical training in the fields of study to be eligible for the medical profession of secondary schools and higher vocational schools, in accredited medical study programmes to be eligible for the medical profession of universities in the Czech Republic and in the training programmes of accredited qualification courses;
(f) participate in the preparation of standards.
(2) The health professional referred to in paragraphs 21 to 26 shall, within the scope of his or her professional competence, carry out the activities referred to in paragraph 1 under the professional supervision of a professional worker who is fit to pursue the profession without professional supervision in the relevant field.
(3) The health worker referred to in § 27 to 40 after obtaining professional competence 11) under the professional supervision of a healthcare professional who is fit to pursue a profession without professional supervision within the scope of his professional competence
(a) provide health care in accordance with legislation and standards;
(b) works with medical documentation and the health care establishment information system.
(4) If a health professional carries out activities of particular importance in terms of radiation protection, he must comply with specific requirements laid down in specific legislation12).
§ 4
General nurse
(1) The general nurse shall carry out the activities referred to in Article 3 (1) and shall provide, where appropriate, basic and specialised nursing care through the nursing process without professional supervision and without indication in accordance with the diagnosis established by the doctor. In particular:
(a) evaluate the needs and level of self-sufficiency of patients, the manifestations of their disease, risk factors, including using measurement techniques used in nursing practice (such as self-sufficiency tests, bed risks, pain intensity measurements, nutrition status);
b) monitor and orient the physiological function of patients, that is breath, pulse, electrocardiogram, body temperature, blood pressure and other body parameters,
(c) observe, evaluate and record the patient's condition,
d) ensure the gaming activities of children;
(e) provide and perform an examination of biological material obtained by a non-invasive route and capillary blood by semi-quantitative methods (diagnostic strips);
(f) performing suction of upper respiratory secretions and ensuring their passability;
g) evaluate and treat skin integrity and chronic wound disorders and treat stomia, central and peripheral venous inputs;
h) perform in cooperation with physiotherapist and ergotherapist rehabilitation treatment, that is in particular positioning, posturing, breathing exercises and basal stimulation methods in order to prevent and correct movement and tonus variations, including the prevention of other immobilisation disorders;
(i) conduct self-service exercises to increase self-sufficiency;
(j) educate patients and, where appropriate, other persons in nursing procedures and prepare information material for them;
(k) an indicative assessment of the patient's social situation, identifying the need for cooperation between social or health workers and facilitating assistance on social and social law issues,
(l) provide activities related to the reception, transfer and release of patients;
(m) carry out psychological support for the dying and their loved ones and after determining death by the doctor, provide care for the deceased's body and activities associated with the death of the patient;
(n) ensure the taking, control, storage of medicinal products, including addictive substances (13) (hereinafter referred to as "medicinal products") and the handling and supply of medicinal products;
o) ensures the taking, checking and storage of medical devices (14) and laundry, handling, disinfection, sterilisation and adequate supply.
(2) The general nurse shall participate under the professional supervision of a general nurse with a specialised competence or midwife with a specialised competence in the field or focus, in accordance with a diagnosis established by the doctor to provide highly specialised nursing care. In particular, it shall carry out the activities referred to in points (b) to (i) of paragraph 1.
(3) The general nurse is involved without professional supervision on the basis of the doctor's indication of the provision of preventive, diagnostic, medical, rehabilitation, immediate and dispensary care. In particular, it prepares patients for diagnostic and therapeutic procedures, according to the doctor's indication, performing them or assisting them, providing nursing care in and after these procedures; in particular:
(a) administering medicinal products13) with the exception of intravenous injections or infusions in neonates and children under 3 years of age and with the exception of radiopharmaceuticals; unless otherwise specified,
(b) introducing and maintaining oxygen therapy;
(c) carry out screening and depistation tests, take biological material and make an indicative assessment of whether the results are physiological;
(d) treat acute and surgical wounds, including drain treatments;
(e) catatrify the bladder of women and girls over 10 years of age, care for the urinary catheters of patients of all ages, including bladder lavage,
(f) carry out the replacement and treatment of tracheostomic cannula, introducing nasogastric and jejunal probes to patients conscious of 10 years of age, taking care of them and feeding with the probe, possibly stomach or duodenal stomies in patients of all ages;
(g) perform gastric lavage in patients who are conscious over 10 years of age.
(4) General nurse under medical supervision
a) Inhibits blood derivatives 15),
(b) co-operates with the initiation of transfusions (16) and with no professional supervision, based on the doctor's indication, to treat and stop the patient during the application.
§ 5
Midwife
(1) The midwife shall carry out the activities referred to in Article 3 (1) and shall provide and provide without professional supervision and without indication basic and specialised nursing care to pregnant, bearing-up women and six Sundays through the nursing process. In particular:
(a) provide guidance on breast-feeding and breast-feeding, childbirth preparation, neonatal treatment and contraception; provide advice and assistance on social and legal issues and, where appropriate, mediate such assistance;
(b) carry out visits in the families of pregnant, six-children and gynaecologically ill, monitoring their health,
(c) promote and educate a woman in the care of a newborn, including support for breastfeeding and prevention of complications;
(d) diagnoses, prescribes, recommends or conducts examinations necessary to monitor physiological pregnancy, monitors women with physiological pregnancy, provides them with information on prevention of complications; in the event of an identified risk, it shall place the woman under the care of a doctor with specialised competence in the field of gyno and obstetrics,
(e) monitor the condition of the fetus in utero by all appropriate clinical and technical means, recognise signs of pathology in the mother, foetus or newborn, requiring the intervention of the physician and assist him in the event of intervention; in the absence of a doctor, take urgent measures;
(f) prepares and takes care of the parents at all times of birth and conducts physiological childbirth, including, where appropriate, the trimming of the dam; in cases of urgency, it shall also lead the delivery at the end of the pelvis; an urgent case means an investigative or therapeutic exercise necessary to save life or health,
(g) treat birth and postpartum injuries and care for six Sundays;
(h) ensure the taking, checking and storage of medicinal products13), handling and adequate supply of medicinal products;
(i) ensure the taking, checking and storage of medical devices (14) and the handling, handling, disinfection and sterilisation of the laundry products and their supplies.
(2) The midwife provides nursing care for physiological infants through the nursing process without professional supervision and without indication and carries out their first treatment, including, where appropriate, the initiation of immediate resuscitation.
(3) A midwife under the direct guidance of a doctor with specialised competence in the field of gyno and obstetrics
(a) assists in complicated childbirth;
(b) assist in gynaecological performance;
c) instructs in the operating room during delivery by caesarean section.
(4) The midwife shall participate under the professional supervision of a midwife with specialised competence in the field or a general nurse with specialised competence in the field or focus, in accordance with a diagnosis established by the doctor to provide highly specialised nursing care. In particular, it carries out the activities referred to in § 4 (1) (b) to (i).
(5) Furthermore, the midwife carries out the activities referred to in Article 4 (1), (3) and (4) in pregnant and childbearing women, six children and gynecological patients.
§ 6
Ergotherapy
(1) The Ergotherapist shall carry out the activities referred to in Article 3 (1) in the field of ergotherapy (treatment of work) and shall further establish and perform without professional supervision, on the basis of the doctor's indication, in accordance with the diagnosis and recommended practice of the physician and on the basis of his own examination, the optimal variant and combination of ergotherapeutic procedures in order to achieve the objective required by the doctor. In particular:
(a) carry out an ergotherapeutic examination aimed at analysing the patient's activities, assessing sensomotor, mobility and locomotive, indicative examination of cognitive functions in relation to the analysis of routine daily activities (ADL);
(b) carry out evaluation and training of day-to-day activities (ADL) in hospital and in its own social environment;
(c) carry out evaluations in the field of work and interest activities in the context of the physical and social environment;
d) on the basis of ergotherapeutic examination and analysis of functional capabilities, compiles a short-term and long-term plan of ergotherapy, selects specific ergotherapeutic procedures and methodologies, as part of the multidisciplinary team participates in the processing of a long-term plan of comprehensive rehabilitation;
e) applies ergotherapeutic procedures and methodologies in both individual and group ergotherapy to improve the patient's performance;
(f) design and, where appropriate, manufacture compensatory and technical equipment and teach patients, persons designated by them and nursing staff to use such equipment;
(g) provide advice and advice on adaptation, compensation and substitution of disorders and diseases;
h) participates in ergodiagnostics, analyses the remaining working potential, practices load tolerance and endurance, and recommends appropriate work and study integration of the disabled in cooperation with other professionals;
(i) propose and, where appropriate, implement preventive measures against complications and structural changes in immobile patients, cooperate and educate the general nurse, patients and persons designated by them, acting as an expert in the nursing team to meet patients' specific needs;
j) familiates patients with social welfare options, participates in social rehabilitation of people with disabilities.
(2) Ergotherapy without professional supervision and without indication
(a) carry out advisory and briefing activities in the field of preventing occupational diseases and adapting the working environment;
b) applies the principles of ergonomics in the primary and secondary prevention of musculoskeletal disorders; recommends appropriate adjustments to the home and work environment in relation to the patient's functional capabilities to the barriers to this environment;
(c) ensure the taking, checking and storage of medical devices (14) and laundry, handling, disinfection, sterilisation and adequate supply.
(3) The Ergotherapist is involved in the training of communication and mental functions on the basis of an indication of a clinical psychologist, a clinical speech or a physician.
§ 7
Radiological assistant
(1) The radiological assistant shall carry out the activities referred to in Article 3 (1) and without professional supervision and without indication
(a) carry out and evaluate operational stability tests of sources of ionising radiation and related equipment in all types of medical radiological centres;
(b) ensure that medical exposure is not contrary to the principles of radiation protection, is involved in its optimisation17), including quality assurance;
(c) carry out activities of particular importance in terms of radiation protection if they comply with the requirements of special legislation18);
(d) perform specific nursing care provided in connection with radiological procedures;
(e) ensure the taking, control and storage of, and handling of, medicinal products13), and their adequate supply;
(f) ensure that medical devices are taken over, checked and stored (14) and laundry, handled, disinfected and sterilised, and a sufficient supply thereof.
(2) The radiological assistant shall, in general justified cases, carry out individual medical exposure on the basis of a doctor's request, as an applicant expert, without professional supervision, on a case-by-case basis,
(a) skiagical imaging processes including screening;
(b) a surgical skiascopier;
(c) bone densitometry;
and bears clinical responsibility for them.
(3) The radiological assistant shall perform, without professional supervision, a practical part of the individual medical exposure, in particular its specific implementation, on the basis of the doctor's request and the indication of the practitioner who is the practitioner.
(a) carry out radiological imaging procedures for medical exposure;
(b) assist and assist in the procedures of intervention radiology;
(c) perform therapeutic irradiation techniques;
d) conduct nuclear medical imaging and non-imaging procedures;
and assumes clinical responsibility for this part.
(4) Radiological assistant without professional supervision based on doctor's indication
(a) carry out therapeutic and imaging procedures which use physical principles other than ionising radiation;
(b) apply medicinal products13) necessary to perform the performance referred to in (a) or paragraph 2 by the digestive tract, airways, subcutaneous, skin and nitromuscular injections.
(5) The medical practitioner shall apply the intravenous medicinal products necessary to carry out the procedures referred to in paragraph 2 or paragraph 3 (a) under medical supervision.
(6) The radiological assistant is involved in radiotherapy planning under the expert supervision of radiological physics.
§ 8
Medical laboratory
(1) The medical laboratory shall carry out the activities referred to in § 3 (1) and without professional supervision and without indication in accordance with a diagnosis established by the treating physician and good laboratory practice
(a) identify samples of biological material or other materials examined, assess their quality for the laboratory tests required or other purposes, ensure their processing, storage and subsequent disposal;
(b) operate and maintain laboratory techniques;
(c) prepare the materials necessary for laboratory and diagnostic activities;
(d) be responsible for the correct storage of laboratory chemicals and sets and check their shelf life;
(e) carry out sampling in relation to the protection of public health;
(f) provide care for laboratory animals;
(g) ensure the taking, control and storage of, and handling of, medicinal products13), and their adequate supply;
(h) ensure the taking, checking and storage of medical devices (14) and laundry, handling, disinfection, sterilisation and adequate supply.
(2) A medical laboratory without professional supervision on the basis of the indication of the doctor shall carry out:
(a) non-invasive sampling of biological material and venous and capillary blood;
(b) basic laboratory measurements and tests.
(3) Medical laboratory under the professional supervision of a healthcare professional with specialised competence in the field concerned
(a) carry out specialised laboratory tests;
(b) perform an examination of the biological material using radioimmunoanalytical methods, while respecting the principles of radiation protection;
(c) participate in the presentation and evaluation of new laboratory diagnostic procedures and their validation;
(d) analyse laboratory methods and procedures in terms of errors and interference, assess and quantify restrictive, complicating and interfering factors;
(e) participate in the organisation of internal quality control programmes and inter-laboratory comparisons.
§ 9
Health-social worker
The health-care worker shall carry out the activities referred to in Article 3 (1) and without professional supervision and without indication
(a) carry out social prevention, including depisting activities, aimed at targeted and timely searching of individuals who, as a result of their illness or illness close to persons (19), may find themselves or are already in an unfavourable social situation;
(b) carry out a social investigation in patients and assess the patient's life situation in relation to or its consequences; it shall, as appropriate, objective the analysis of the social situation by the visiting service in the families, on the basis of cooperation with public authorities and, where appropriate, other bodies, and shall process a report on the assessment of the patient's living situation,
(c) draw up a plan for psychosocial intervention in the patient's life situation, including the extent, type and need of social measures, in cooperation with other health professionals, implementing such measures;
d) provides social legal advice in relation to the disease or its consequences;
(e) facilitate the integration of patients who need such assistance due to lack of physical, psychological or social capacity, disturbed social relations or other obstacles into the social environment; It receives patients and their social surroundings to participate actively in this integration,
(f) participate in the preparation and organisation of recovery stays;
(g) participate in the preparation of the release of patients, including the provision of further care and services;
(h) in the event of death of patients, carry out professional advice in the social field; in the case of lonely patients who are deceased, it ensures matters related to death.
§ 10
Optometrist
(1) The optometrist carries out the activities referred to in Article 3 (1) and without professional supervision and without indication
(a) recommends appropriate types and modifications of lenses;
(b) carry out advisory services in the field of refractive defects, including the types of contact lenses and their appropriate use;
(c) ensure the taking, control and storage of, and handling of, medicinal products13), and their adequate supply;
(d) ensure the taking, checking and storage of medical devices (14) and laundry, handling, disinfection and sterilisation of them and sufficient supplies.
(2) Optometrist without professional supervision and without indication in persons over 15 years of age
(a) examine visual functions and perform metric examination of eye refraction, determine the refractive defect, correct them and decide whether dioptra glasses, contact lenses or special optical devices should be used to correct the refractive defect, prescribe, manufacture and repair them;
(b) investigate the front segment of the eye for correction of refractive defects;
(c) conduct advisory activities in the field of refractive defects;
(d) if an eye disease is suspected, patients are advised to check with a physician with specialist competence in ophthalmology;
e) apply contact lenses and transmit them with instructions and additional assortment to patients and carry out subsequent checks.
(3) Optometrist under the professional supervision of an eye doctor with specialised competence in ophthalmology
(a) the activities referred to in paragraph 2 for persons under the age of 15;
(b) Ophthalmological diagnostic instruments; However, they do not evaluate and make a diagnosis.
§ 11
Orthoptist
(1) The orthoptist carries out the activities referred to in Article 3 (1) and provides specific nursing care to patients with an eye disorder, in cooperation with the physician involved in preventive, therapeutic, diagnostic and dispensary care to achieve the best possible visual acuity and to induce simple binocular vision in congenital and acquired eye defects. In particular, without professional supervision and without indication
(a) design, manufacture and maintain exercise orthoptic aids, care for orthoptic investigative and medical devices;
(b) educate patients and their parents and, where appropriate, other caregivers on treatment and medical training;
(c) conducting screening of child eye defects;
d) inform the doctor of the course of treatment, proposing changes and additions to the doctor's office on the basis of his own findings,
(e) when working in stationary institutions, ensure a safe environment in relation to the health of children, ensure that children stay outside adequately; preparing and carrying out educational work;
(f) ensure the taking, checking and storage of medicinal products13), handling and adequate supply of medicinal products;
(g) ensure the taking, checking and storage of medical devices (14) and laundry, handling, disinfection, sterilisation and adequate supply of laundry.
(2) Without professional supervision on the basis of the indication of the physician, specialised competence in ophthalmology is performed and evaluated
Zobrazit všechna ustanovení (1644)

Sign in for notes, favorites and notifications

Register Free Sign In
Rating:

Comments 0

To write comments, please sign in.

Regulation Information

CitationDecree No. 424 / 2004 Coll.
Regulation TypeOrder
Author-
CollectionCode of Laws
Date of Promulgation20.07.2004
Effective from20.07.2004
Effective until-
Status Valid
Legal Areas: Labour law Administrative law Health Eligibility for the pursuit of certain professions (activities)
The regulation text is for informational purposes only.

Partner Websites

Založení s.r.o. Virtual offices and company formation
MojeDatovka.cz Data box database and search
ČeskéFirmy.online Czech company directory and reviews
Favorites
Browsing History
This website uses cookies to ensure proper functionality, analyze traffic and display advertising. More information
Cookie Settings

Choose which cookie categories you want to allow.