Decree No. 92 / 2012 Coll.
Decree on requirements for minimum technical and material equipment of health care facilities and home care contact centres
Valid
Effective from 01.04.2012
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92
DECLARATION
of 15 March 2012
on requirements for minimum technical and material equipment for medical devices and contact centres
According to Section 120 of Act No. 372 / 2011 Coll., on Health Services and Conditions of Provision (Health Services Act), the Ministry of Health provides for the implementation of Section 11 (6) of the Act:
(1) The general requirements for minimum technical and material equipment (hereinafter referred to as "technical and material equipment") of medical equipment are set out in Annex 1 to this Decree.
(2) Additional requirements for technical and material equipment for medical devices
(a) outpatient care is laid down in Annex 2 to this Decree;
(b) day care is laid down in Annex 3 to this Decree;
(c) bed care is laid down in Annex 4 to this Decree;
(d) medical care is laid down in Annex 5 to this Decree;
(e) health transport services are set out in Annex 6 to this Decree;
(f) medical emergency services are set out in Annex 7 to this Decree;
(g) the transport of patients with urgent care is set out in Annex 8 to this Decree;
(h) the alcohol and toxic containment services are set out in Annex 9 to this Decree;
(i) the urgent income is set out in Annex 10 to this decree;
(j) mental health centres are set out in Annex 12 to this Decree.
(3) The requirements for technical and material equipment of home and nursing contact centres in social services facilities are set out in Annex 11 to this Decree.
(4) This decree is without prejudice to the requirements for healthcare establishments and home care contact centres laid down by other legislation1).
(1) A medical establishment in which the provider of health services (hereinafter referred to as the provider) is entitled to provide health services at the date of entry into force of this Decree must be technically and factually equipped in accordance with that decree.
(a) within 12 months of the date of entry into force of this Directive, if that provider is the person referred to in Section 121 (1) of the Health Services Act;
(b) within 9 months of the date of entry into force of this Directive, if that provider is the person referred to in Section 122 (1) of the Health Services Act.
(2) A medical establishment in which the provider is entitled to provide health services on the basis of a decision given in a procedure under Section 121 (6) of the Health Services Act must be technically and factually equipped under this Decree within 12 months of the date of the acquisition of the legal power of this Decision.
(3) The medical establishments referred to in paragraphs 1 and 2 must comply with the technical and material equipment requirements laid down in this Decree in accordance with existing legislation until the requirements are met.
(1) The contact point of the provider authorised to provide home care on the date of entry into force of this Order must be technically and factually equipped in accordance with this Order within 12 months of its entry into force.
(2) The contact point of the provider, who is entitled to provide home care on the basis of a decision given in the procedure under Section 121 (6) of the Health Services Act, must be technically and factually equipped under this Order within 12 months of the date of the acquisition of the legal power of the decision.
(3) The contact centres referred to in paragraphs 1 and 2 must comply with the technical and material equipment requirements of the present legislation until the technical and material equipment requirements laid down in this Decree are met.
This Decree shall take effect on 1 April 2012.
Minister:
Doc. MUDr. Heger, CSc., v. r.
Příloha č. 1
Annex No 1 to Decree No 92 / 2012 Coll.
General requirements for technical and material equipment of medical devices
1. Medical devices shall allow functional and safe operation in terms of building-based technical requirements for the premises and their functional and disposition arrangements.
2. In addition, medical devices must:
(a) constitute an operationally closed and functionally linked whole;
(b) be located in non-residential areas meeting the general construction requirements;
(c) to have the supply of drinking water and the supply of hot water provided that its on-site heating is not ensured;
(d) to have waste water discharge provided;
(e) be equipped with a system of natural or forced ventilation and heating,
(f) have a connection to the public electricity distribution;
(g) be equipped with a connection to a public telephone network, whether fixed or mobile, unless otherwise specified;
(h) be equipped with a computer with Internet connection; This equipment is not required if it is a medical facility listed in Part I of Annex 2 to this Decree, unless otherwise specified below.
3. Spaces designed for
(a) handling of biological material;
(b) the performance of operational tasks; or
(c) performing endoscopic performance with a breach of body surface integrity or an increased risk of infection;
it shall have a washable wall surface of at least 180 cm high and the surface of furniture and floors easily cleaned, washable and disinfected, unless otherwise specified.
Příloha č. 2
Annex No 2 to Decree No 92 / 2012 Coll.
Requirements for technical and physical equipment of outpatient care facilities
I.
Requirements for technical and material equipment of medical and dental workplaces, workplaces of other healthcare professionals and workplaces of other professional staff
A. Common requirements
1. The basic operating premises of outpatient care facilities are:
(a) practitioners' and dental practitioners' operations2) (hereinafter referred to as "medical practitioners'), workplaces of other healthcare professionals or workplaces of other practitioners (3) where medical performance is performed (hereinafter referred to as" performance ');
(b) the waiting room;
(c) a toilet for patients,
(d) the intervention hall, if any
- operational performance, or
- endoscopic performance with impaired body surface integrity or increased risk of infection,
(e) preparation for performance, if any.
2. The secondary operating premises of the outpatient care facilities are:
(a) sanitary facilities for staff (4);
(b) storage facilities;
(c) the staff rest room, if any.
The secondary operating areas may be common to more than one doctor's and another healthcare worker's and other professional staff's offices.
3. The doctor's and the workplace of other healthcare professionals and other professional staff shall have a minimum floor area (hereinafter referred to as "area ') of 13 m2.
4. Performance preparation means a room where the patient is prepared for performance and where medical devices, medicinal products and active substances are prepared before they are administered to the patient and other activities related thereto. The performance room shall have a minimum area of 10 m2.
5. The waiting room shall have a minimum area of 7 m2, unless otherwise specified, and shall be equipped with seat furniture. The waiting room may be common to several doctor and workplace offices of other healthcare professionals and other professionals, provided it has a minimum area of 10 m2. Where healthcare is provided to infants, the waiting room shall have a minimum area of 8 m2 and be equipped with a changing table, unless this table is in the doctor's office.
6. The patient toilet shall have a hall equipped with a sink, unless the sink is located in the toilet cabin. The toilet may be common to workers and patients where the outpatient care facility consists of a maximum of 2 medical or workplace offices of other healthcare professionals and other professionals, unless otherwise specified. The WC for patients can be common to multiple surgeries of doctors and workplaces of other health professionals and other professionals.
7. The control room must have a minimum area of 10 m2 and have floors, ceilings and walls resistant to damage during regular cleaning, washing and disinfection.
8. Storage facilities are reserved for separate storage of material, laundry and cleaning and disinfectants. Storage spaces may be replaced by appropriate cabinets. The storage of goods must be such as to avoid contamination of clean goods with contaminated goods.
9. Equipment of the doctor's office, the workplace of other health professionals and the workplace of other professional staff:
(a) an examination chair,
(b) a sink,
(c) washing sink, provided that washing and cleaning of equipment used for handling biological material is carried out;
(d) furniture for the work of health workers and other professionals;
(e) a chair or a chair for the patient,
(f) a medicine cabinet,
(g) tables for apparatus and instruments,
(h) a non-portable lockable metal box where narcotic or psychotropic substances or preparations containing 5) are stored;
(i) a toolbox,
(j) a filing cabinet, unless the medical file is kept exclusively in electronic form or a central filing cabinet is established;
(k) a thermometer-equipped refrigerator where medicinal products or devices which require a temperature lower than room temperature for their preservation are stored, and a biological material cooler equipped with a thermometer when the biological material is stored;
l) Tonometer, fonendoscope, thermometer, personal weight, altimeter,
(m) a changing table provided that care is given to infants and infants;
(n) first-aid supplies and medicinal products, including cardiopulmonary resuscitation, i.e. resuscitation cloth or self-opening bag including mask, air ducts, gloves, bleedings and venous entry equipment; the workplaces of non-medical health professionals need not be equipped with medicinal products for the provision of first aid and venous entry devices;
(o) a steriliser when tools and aids requiring sterility are used and the central sterilisation service or the supply of all material for single use is not provided or all material is not supplied sterilised. If formaldehyde or ethylene oxide sterilisation is used, the steriliser shall be located outside the performance room;
(p) the local lamp being tested,
(q) room for undressing the patient and putting off the clothing.
The equipment referred to in points (h), (j), (n) and (o) may be common to more than one practice of doctors and workplaces of other healthcare professionals and other professionals.
The equipment referred to in points (a) to (c) and (e) to (q) may be located in any of the essential operating areas referred to in point 1 (a), (d) or (e) of Part I.A of this Annex. The cabinet, personal weight and altimeter can also be located in the waiting room.
10. Equipment of the intervention hall:
(a) a sink,
(b) an operating table or chair with an operating lamp;
(c) sterile containers and sterile tools;
(d) container for the operational material used,
(e) an infusion stand or other device allowing the safe suspension of the infusion bottles and bags (hereinafter referred to as the infusion stand);
(f) instrumentation table,
(g) other instruments and instruments by field of care.
11. Where outpatient care is provided in a healthcare facility in several fields, the requirements for equipment laid down for each field of care provided must be met.
12. Where outpatient care is provided in a health care establishment in a field not listed in Part B of this Annex, the requirements for the equipment specified for the most relevant field shall be met.
13. If outpatient care is provided in a health care facility for children, the medical equipment must be adapted to those patients.
14. Where a medical device is equipped with devices or devices which prove to be fully functionally replacing or making part of the technical and material equipment referred to in Part I of this Annex superfluous, the equipment thus replaced or a part thereof shall not be required.
15. Where additional or different requirements are set out below as specific requirements for the equipment of individual medical practice, workplaces of other healthcare professionals and other professional staff and other operating premises of emergency care facilities.
B. Specific requirements
1. Special requirements by field of care
1.1. Allergology and Clinical Immunology
Equipment:
- a spirometer for testing the flow-volume curve, unless the examination is provided at another health facility or contractually in another provider's health facility.
1.2. Algesiology
Equipment:
(a) syringe or infusion pump dispenser,
(b) a pulse oxymeter.
1.2.1. Stationary care - Algeziology
Equipment:
(a) beds or chairs,
(b) an infusion stand,
(c) syringe or infusion pump dispenser,
(d) pulse oxymeter;
e) suction pump.
1.3. Angiology
Equipment:
(a) ultrasonic flow indicator;
(b) a sonograph with a Doppler module, unless a sonographic examination is provided at another medical facility or contracted at another provider's health facility;
(c) an ECG device, unless an electrocardiographic examination is provided at another medical establishment or contracted at another provider's medical establishment;
(d) the syringe injector.
1.4. Vascular surgery
Equipment:
(a) a monitor, if digital image transfer, or negatoscope;
(b) an instrumentarium for surgical procedures.
1.5. Dermatoenerology
Equipment:
(a) lupa,
(b) a gynecological examination desk, provided that venerological care is provided.
If venerological care is provided, the toilet cannot be shared for employees and patients.
1.5.1. Stationary care - dermatoenerology
Equipment:
(a) beds or chairs,
(b) phototherapy equipment;
(c) baths for the application of cleansing and therapeutic baths, provided that hydrotreatment or synchronous balnephototherapy is provided;
(d) infusion stand.
1.6. Diabetes
Equipment:
(a) a glucometer;
(b) the tuner.
1.7. Adolescent Medicine
Equipment:
(a) optotypes,
(b) colour-cite equipment.
1.8. Endocrinology
Equipment:
- a sonograph with a thyroid probe unless a sonographic examination is provided at another medical facility or contractually in another provider's medical facility.
1.9. Phoniatry
Equipment:
(a) the chair of inquiry;
(b) a doctor's seat;
(c) a microscope,
(d) cold light source,
(e) endoscopic optics for examination of the nose and larynx;
(f) laryngostroboscope,
(g) suction pump,
(h) orl tool sets;
(i) a silent chamber;
(j) clinical audiometer,
(k) a thympanometer,
(l) word audiometry devices in open fields when hearing aids are tested and issued.
No examination deck, personal weight and altimeter required.
1.10. Gastroenterology
Equipment:
(a) an endoscopic table or reclining table,
(b) gastroscope or colonoscope,
(c) cold light source,
d. Electrosurgical generator,
(e) vacuum cleaner,
(f) basic endoscopic instrumentarium,
(g) infusion stand,
(h) effluent for biological and contaminated waste;
(i) a washing and disinfection apparatus, unless the washing and disinfection of the tools is ensured at another place of work of the healthcare establishment or contractually in another provider's medical establishment.
The equipment referred to in point (d) shall not be required in the health facilities of the Czech Prison Service (hereinafter referred to as the "Prison Service"), provided that the performance carried out by the electrosurgical generator is contracted in the healthcare facility of another provider.
1.11. Geriatrics
Equipment:
(a) an examination chair with adjustable height,
(b) an ECG apparatus, unless an electrocardiographic examination is provided at another medical establishment or contracted at another provider's medical establishment;
(c) tools for self-sufficiency training and functional mobility assessment.
1.11.1. Stationary care - geriatrics
Equipment:
(a) an examination chair with adjustable height,
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Regulation Information
| Citation | Decree No. 92 / 2012 Coll., on the requirements for minimum technical and material equipment of health care facilities and home care contact centres |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 26.03.2012 |
|---|---|
| Effective from | 01.04.2012 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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