Nurses Germany En

Nursing in Germany

Introduction

Types of Nurse

Regulation of Nursing Basic Level

Titles Rules for take-up and pursuit of nursing activities

Training Scope of Activity Other titles in the profession of care

C. Regulation of Nursing Post basic level

Legal regulation of post-basic training by the German States

Individual Lnder and the DKG

EC Law

Deutschland General (All States)

Appendix 1A Training outline for the pediatric nurse

Appendix 2 POST-BASIC/POST-REGISTRATION NURSE TRAINING WITHIN THE

EU

Deutschland Berlin

Deutschland Bremen

Deutschland Hamburg

Deutschland Hessen

Deutschland Mecklenburg Vorpommern

Deutschland Niedersachsen

Deutschland Nordrhein-Westfalen

Deutschland Rheinland Pfaltz

Deutschland Saarland

Deutschland Sachsen

Deutschland Schleswig-Holstein

Introduction

The Federal Republic of Germany is a Federal state. The Lnder are

responsible for general hospital care, general medical care outside hospital,

care of elderly or chronically sick patients, health education and public health.1

Germany formally implemented the EEC sectoral nursing directives of 1977

by the Nursing Act of 4 June 1985 (the Krankenpflegegesetz).2

The federal structure accounts for a system of divided responsibilty. The

system of Rahmengesetzgebung applies in this legislative area according to

Art. 74, no. 19 of the Basic Law3. Federal law regulates the basic training for

nurses and sets out the framework for the training of nurses in general, but it

is for the Lnder to implement it within the guidelines of the Nursing Act and

the rules and regulations for the training and general provisions of exams4.

Post basic nurse education is left to the Lnder. This has resulted in different

Lnder recognising different types of speciality. In the post basic sector

various, mostly indepent, organisations and institutions are involved in

providing the training. The DKG (Deutsche Krankenhausgesellschaft) has

produced a series of recommendations that are generally used by the Lnder

which have not in fact legislated post basic nurse training.5

1 Wein, R., The Federal Republic of Germany in Quinn and Russell Nursing the EuropeanDimension (Scutari Press, 1993 at p. 86).

2 Krankenpflegegesetz (KrPflG) 4 Juni 1985 (BGBl. I. S 893).

3 Gerd Dielmann, letter, 8 September 1999

4 This was passed on 16 October 1985.

5 See below at page Error! Bookmark not defined.

Types of Nurse

At the basic level there are the general care nurses, and direct entry

paediatric nurses. At the post basic level there are a range of specialist titles

which vary from Land to Land. They are detailed in Appendix 2.

Regulation of Nursing Basic Level

Titles

The Nursing Act (Krankenpflegegesetz) protects three titles.

- Krankenschwester/Krankenpfleger (general female/male nurse)

- Kinderkrankenschwester/Kinderkrankenpfleger (pediatric female/male

nurse)

- Krankenpflegehelfer/Krankenpflegehelferin (assistant male/female

nurse).6

Persons wishing to bear one of these titles must have a licence to do so

according to 1 (1) Krankenpflegegesetz7. The titles are protected; bearing

them without a licence according to 1 (1) KrPflG is deemed an

administrative offence; this behaviour carries a fine of a maximum of 5,000

Deutschmark8.

The sectoral nursing directives are given effect by 2(3). The permission is

revocable if the conditions are not met.9

The law treats nurses and pediatric nurses in a similar way. The same period

of time is spent on the training of nurses and pediatric nurses (3 years), the

6 1 (1) Krankenpflegegesetz

7 An exception is made for EEA origin general care nurses who are providing a temporaryservice, 1(2) KrPflG.

8 25 KrPflG

9 Krankenpflegegesetz 3.

aims of training and entry requirements are the same, and both nurses and

pediatric nurses are equally admitted to most courses of post basic training.

The pediatric nurse is a direct entry branch nurse.

The nursing assistant (Krankenpflegehelferin / Krankenpflegehelfer) on the

other hand follows a different route of training (1 year10) and the entry

requirements are not as demanding 11; nursing assistants are not admitted to

courses of post basic training.

Rules for take-up and pursuit of nursing activities

The minimum age for persons wishing to be admitted to basic training is 17

years; their state of health must be suited to the exercise of the profession.

Permission to bear one of the protected titles presupposes, in addition to

successful completion of the training, the fulfilment of certain other

requirements: the applicant must not be guilty of any conduct indicating that

he or she is unreliable in the exercise of the profession12 and the applicant

must not be incapable or unsuited to exercising this profession (physical and

mental reasons are mentioned in the Act)13. The law sets out further

requirements referring to the previous training expected by applicants for

basic training leading to the titles of nurses / pediatric nurses14, namely:

1. Completion of an intermediate school education

(Realschulabschlu) or equivalent, or completion of another

ten-year school education or

10 10 (1) KrPflG11 10 (3) KrPflG12 2 (1) Nr. 1 KrPflG

13 2 (1) Nr. 2 KrPflG

14 6 Nr. 1 / Nr. 2 KrPflG

2. Completion of a secondary general school education

(Hauptschulabschlu) or equivalent schooling provided that

the applicant

a) has successfully attended a preparatory nursing school for at

least two years or

b) has completed vocational training with a required training

period of at least two years

There is also a provision enabling existing nurse assistants to start their

training towards the titles of nurses / pediatric nurses; their licence

automatically qualifies them15.

Training

Training for the basic nurse is in principle set out in the Federal Law, but

implemented in each Land. The tables in Appendix 1 show the training for the

Basic branch nurses in the various Lnder. Appendix 1a sets out the training

details for the pediatric nurse.

Nurse and pediatric nurse have to pass State exams which are taken after

three years of training; training involves theoretical and practical tuition as well

as a practical training16 Once passed the diploma is issued by the health

authority of the relevant Lnder. The permission to practice operates

throughout Germany. The Krankenpflegehelfer / Krankenpflegehelferin

(assistant nurse) has to pass State examination after one year of training (

10 (1) KrPflG).

Details on training and examination are set out in the Ausbildungs- und

Prfungsverordnung fr die Berufe in der Krankenpflege (KrPflAPrV), a

15 6 Nr. 3 KrPflG

16 5 (1) KrPflG

federal law passed on 16 October 198517. Its annex 1 deals with the training

of nurses (a total of 1,600 tuition hours and 3,000 hours of practical training),

annex 2 with the training of pediatric nurses (again 1,600 tuition hours and

3,000 hours of practical training) and annex 3 with the training of nurse

assistants (500 tuition hours and 1,100 practical hours).

Scope of Activity

4 KrPflG sets out, in very general terms, the aims that shall guide the

training of nurses and pediatric nurses and nurse assistants.

4 KrPflG

(1) The training of nurses and of pediatric nurses shall impart the requisite

knowledge, capabilities and skills to enable the student to provide assistance

in the prevention, detection and curing of diseases (training objective). In

particular, training shall be geared to:

1. informed and proficient, comprehensive, systematic nursing care of the

patient,

2. conscientious preparation, assistance and follow-up of diagnosis and

therapy measures

3. encouragement and instruction of patients in health-promoting behaviour

4. observation of the physical and mental condition of the patient and the

circumstances influencing his / her health as well as notifying those

participating in diagnosis, therapy and care of these observations

5. initiation of life-saving emergency measures until the arrival of the physician

6. execution of administrative functions where they are closely connected with

the nursing measures

(2) The training of nursing assistants (second level

nursing) shall impart the knowledge, capabilities

and skills required for the care of patients as well

as the related domestic and other auxiliary

17 Ausbildungs- und prfungsverordnung fr die Berufe in der Krankenpflege (KrPfAPrV) vom

functions in wards, functional units and other areas

of the health services (training objective).

However, there is no legally defined scope of activity for nurses in Germany. 18

Whilst the Krankenpflegegesetz protects titles, it does not protect the

functions and activities of the nurse.

The first national regulation on health care in 1938 envisaged the requirement

of a licence for the exercise of care.19 The relevant provision however, was

suspended and never entered into force. When, in 1968 the regulation of care

was subject of parliamentary debate, the question occurred if legal protection

should be granted not only to nurse titles, but also to the exercise of care. This

however was denied; partly, because non-professional employees in health

care were still needed, partly, because it seemed hardly possible to

distinguish activities of care from other hospital-related activities.20

Other titles in the profession of care

As we have seen, the training for the basic nurse is in principle set out in the

Federal Law, but implemented in each Lnder. The tables in Appendix 1 show

the training for the Basic branch nurses in the various Lnder.

Members of other professions are also active in the realm of care. The

Hebamme / Entbindungshelfer is a midwife. The Altenpflegerin / Altenpfleger

(elderly care nurse) is styled as a branch nurse in Germany, but their primary

function is as a social rather than a nursing profession. The precise nature of

this profession social or medical is a subject of current discussion in

16 Oktober 1985 (BGBI.IS.1973)18 Christa Nowakiewitsch, Secretary General, CARITAS Gemeinschaft fr Pflege-undSozialberufe e.V., letter 24 April 1999.19 Krankenpflegeverordnung vom 28. September 1938 (RGBl. I., S. 1310)20 Hermann Kurtenbach et al., Krankenpflegegesetz mit Ausbildungs- undPrfungsverordnung fr die Berufe der Krankenpflege, Kommentar, Stuttgart, Berlin, Kln1998

Germany.21 The training of elderly care nurses, as opposed to that of nurses

and pediatric nurses, does not follow a uniform federal regulation individual

States have issued their own laws to regulate courses, examination etc.22

However, a draft for federal legislation on the training of elderly care nurses is

presently in parliamentary debate.23

There are also academic qualifications for nurses in Germany. Again these

vary between the Lnder but broadly they are as follows:

The Lehrerin / Lehrer fr Pflegeberufe (nursing teacher); the

Pflegedienstleitung (nurse manager) at a graduate diploma but vocational

level. At the vocational masters level there are three further qualifications

Diplom-Pflegelehrer24 (FH); Diplom-Pflegewirt (FH); and Diplom-

Pflegewissenschaftler (FH). Some universities also offer qualifications in this

field (masters-level)25: Berlin (Diplom-Medizinpdagogik / Diplom-

Pflegepdagogik), Bremen (Lehramt an ffentlichen Schulen Sekundarstufe

II Fachrichtung Pflegewissenschaft), Nordrhein-Westfalen

(Pflegewissenschaft), Sachsen-Anhalt (Pflegewissenschaft).

21 Hebammen / Entbindungshelfer (male midwives), Altenpflegerinnen / Altenpfleger (elderlycare nurses) form no part of this study. It should however be noted that Altenpflegerinnen andAltenpfleger are, like nurses and pediatric nurses, admitted to many courses of post basictraining. E.g., in Berlin in Ambulanter Pflege and Rehabiliation und Langzeitpflege, in HessenPsychiatrie and Rehabilitation etc. After successful completion of post basic training the titlewill bear reference to the title they received after basic training; thus an Altenpflegerinadmitted to post basic training in oncology and palliative care in Schleswig-Holstein will aftersuccessful completion be entitled to call herself Fachaltenpflegerin fr Onkologie undPalliativpflege22 A recent example is Schleswig-Holstein: Gesetz ber die Altenpflegeausbildung inSchleswig-Holstein (Altenpflegeausbildungsgesetz APAG), 8. Mrz 1999 Gesetz- undVerordnungsblatt fr Schleswig-Holstein, II, Gl. Nr. 2124 4, 25. Mrz 1999, Nr. 4, p. 6223 Regina Fuchs, letter, 30. August 1999

24 The academic courses for Pflegelehrer / Pflegelehrerinnen (Diplom-Pflegepdagogik) havecome into existence only a few years ago. Most teachers in nursing have accomplished twoyears of post basic training after completion of basic training. Academic course and post basictraining continue to exist alongside each other; the same is true about Pflegedienstleitung(post basic training) and Diplom-Pflegewirt (academic training). Letter, Gerd Dielmann, 8.September 199925 According to Helga-Bumeier-Lacey, Pflegereferentin, Hessisches Sozialministerium,letter, 21.September 1999

Regulation of Nursing Post basic level

Post basic specialisation is dealt with at the Lnder level. The table on page

Error! Bookmark not defined. sets out the types of specialist in each

Lnder. Appendix 2 gives a summary of the post-basic training in the different

Lnder. The section after the table deals with each Lnder in turn.

The essential point here is that the title of specialist nurse does not reserve

any particular sphere of activity to that specialist. The exception is the nurse

teacher; the Krankenpflegegesetz requires a specialisation as nurse teacher

for nurses wishing to become principal of a nursing school. Otherwise, all

nurses have access to all areas of nursing activity. The title itself may

however be protected. Clearly in the employment market there is value to be

gained from having specialist training (and titles). There is pressure to

designate spheres of competence to specialist nurses, but there is no

concrete result yet (nor expected imminently).

The following table shows the distribution of specialist nurses in the differentLnder.

Legal regulation of post-basic training by the German StatesSpecial TrainingLnder

1 2 3 4 5 6 7 8 9 10 11 12

Baden - Wrttemberg xBayernBerlin (also has:pediatrical intensive care)

X x x x x x x x x X

Brandenburg xBremen X x x xHamburg x x x x x x X xHessen x x x x x x x x x x X xMecklenburg-Vorpommern

x x x

Niedersachsen x x x x x x XNordrhein-Westfalen x x x xSaarland x x xSachsenSachsen Anhalt x x xSchleswig- Holstein x x x x x xRheinland- Pfalz x x x x x X x X xThringen

Key1.Intensivpflege/Ansthesie = Intensive care nurse/Anaesthetic nurse2.Funktionsdienste = working service (OP/Endoskopiedienst) = operating service/ endoscopy service3. Psychiatrie = psychiatry4. Gemeindekrankenpflege = District Nurse5. Rehabilitation= rehabilitation6. Nephrologie = Nephrology (kidneys)7. Onkologie = Oncology (cancer)8. Hygiene = Infection control nurse9. Pflegedienstleitung = nurse manager10. Lehrer = teacher/lecturer UKS (clinical instructor usually lower level qualification, see no. 12)11. Stationsleitung = ward manager12. Praxisanleitung = practice instructor26

26 Original table supplied by Gertrud Stcker, Executive Director, Federal Committee of NurseTeachers in Germany (Geschftsfhrender Vorstand, Bundesausschu der Lehrerinnen undLehrer fr Pflegeberufe)

Individual Lnder and the DKG

Regulation of the details of post basic training lies within the authority of theLnder (see supra). If a State opts to make use of this right, the legislativeform chosen is often that of a statutory order (Ordnung / Rechtsverordnung).As such it will be based on a general Act (Gesetz) which describes thegeneral subject of the matter of regulation and authorizes a member of theexecutive branch to exercise legislative power in this field.

Beyond that, regulations of the DKG, a private organization, exist and arewidely used.

I. The German Society of Hospitals (DeutscheKrankenhausgesellschaft DKG)

When the State of Sachsen-Anhalt decided to privatise post basic training inprofessions of health care, it based its decision on a report which containedthe following recommendation:

In the area of nursing tasks in connection with post basic trainingwhich are currently executed by State institutions should be performedby private suppliers. The task could be transferred to the DeutscheKrankenhausgesellschaft or other suitable suppliers.27

In fact the DKG already carries out many of the tasks which otherwise wouldfall to the States. Traditionally, post basic training of nurses takes place inhospitals. Over the years, the DKG as the umbrella organization has issuedseveral detailed directives which serve as guidelines for institutions of postbasic training and at the same time as recommendations for States wishing tointroduce State legislation on post basic training.

DKG recommendations exist in the following areas

27 Nr. 2 des Beschlusses der Landesregierung 19. Dezember 1995 ber die Neuorganisationder Landesverwaltung in conjunction with Teil E des Berichtes der ProjektgruppeVerwaltungsreform

(2) Community Health Care28

(3) Psychiatry29

(4) Rehabilitation30

(5) Nephrology31

(6) Functional services (Operation department / endoscopy department)32

(7) Intensive care33

(8) Oncology34

They meet regulations inter alia of the aims of training, entry requirements,course details, titles (e.g., nurse of intensive care and anesthesia [DKG] Krankenschwester fr Intensivpflege und Ansthesie [DKG] / Krankenpflegerfr Intensivpflege und Ansthesie [DKG]) and recognition of titles awardedunder the law of German States.

28 Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung vonKrankenschwestern, Krankenpflegern und Kinderkrankenschwestern frGemeindekrankenpflege Empfehlung der Deutschen Krankenhausgesellschaft, 8Dezember 1977, amended on 24 April 1991, Das Krankenhaus, 1978, no. 1, p. 31 ff.

29 Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung vonKrankenschwestern, Krankenpflegern und Kinderkrankenschwestern frGemeindekrankenpflege Empfehlung der Deutschen Krankenhausgesellschaft (DKG), 22Juni 1978, amended on 11 Mrz 1997, Das Krankenhaus, 1997, no. 6, p. 350 ff.

30 Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung zuKrankenschwestern, Krankenpflegern und Kinderkrankenschwestern sowie Altenpflegerinnenund Altenpflegern fr Rehabilitation DKG-Empfehlung zur Weiterbildung fr Krankenpflege-und Altenpflegepersonen fr Rehabilitation, 15 / 16 September 1994; Das Krankenhaus 1994,no. 11, p. 513 ff.

31 Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung zuKrankenschwestern, Krankenpflegern, Kinderkrankenschwestern und Kinderkrankenpflegernin der Nephrologie DKG-Empfehlung zur Weiterbildung fr Krankenpflegepersonen in derNephrologie, 9 Mrz 1995, Das Krankenhaus 1995, no. 5, Redaktionsbeilage, p. 3 ff.

32 Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung zuKrankenschwestern, Krankenpflegern, Kinderkrankenschwestern und Kinderkrankenpflegernin den Funktionsdiensten (Operationsdienst / Endoskopiedienst) DKG-Empfehlung zurWeiterbildung fr Krankenpflegepersonen in den Funktionsdiensten (Operationsdienst /Endoskopiedienst), 2 Juni 1997; Das Krankenhaus, 1997, no. 9, p. 568 ff.

33 Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung zuKrankenschwestern, Krankenpflegern, Kinderkrankenschwestern und Kinderkrankenpflegernfr die Intensivpflege (Ansthesie / Pdiatrie) DKG-Empfehlung zur Weiterbildung frKrankenpflegepersonen in der Intensivpflege I, 16 November 1976, amended on 11 Mai1998, Das Krankenhaus, 1998, no. 9, p. 537 ff.

34 Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung zuKrankenschwestern, Krankenpflegern, Kinderkrankenschwestern und Kinderkrankenpflegernfr die Pflege in der Onkologie DKG-Empfehlung zur Weiterbildung vonKrankenfplegepersonen fr die Pflege in der Onkologie, 26 November 1998, DasKrankenhaus 1999, no. 2, p. 104 ff.

In four of the Lnder Bayern, Sachsen, Thringen and Baden-Wrttemberg

- there is currently no State regulation of specialist nurse titles.35 They use

the DKGs (Deutsche Krankenhausgesellschaft) recommendations.36

Sachsen-Anhalt decided in 1995 to privatise post-basic training in professions

on health care; in this State, the DKG recommendations are employed as

well.

With the exception of Hessen and Rheinland-Pfalz, all German States make

use of the recommendations, as far as they have not (yet) regulated post-

basic training themselves. In Saarland, statutory orders on post-basic training

are in progress, the DKG recommendations are used as well37. Beyond that, a

strong influence of the DKG regulations can often been seen in the statutory

orders of the individual Lnder.

II. Baden-Wrttemberg

In Baden-Wrttemberg, post-basic training follows the recommendations ofthe DKG

III. Bayern

In Bayern, post-basic training follows the recommendations of the DKG

IV. Berlin

Post-basic training is regulated by statutory order in the areas

35 This is true for Bayern, Sachsen, and Thringen. The latter is planning to regulate specialistpost-registration titles , but not imminently.

36 See DKG- Empfehlungen zur Weiterbildung fr Kranken- und Altenpflegepersonen -covering 7 specialised areas.

37 The legal regulation of post basic training is an ongoing process in other States, too. Asrecently as August 1999, Schleswig-Holstein issued the most recent statutory order in thisrespect (on the post basic training of nurses specialised in oncology and palliative care).

Intensive medicine and anesthesia38 (Intensivmedizin und Ansthesie)

Pediatrical intensive care39 (pdiatrische Intensivpflege)

Operation department40 (Operationsdienst)

Psychiatry41 (Psychiatrie)

Ambulatory care42 (ambulante Pflege)

Rehabilitation and long-term care43 (Rehabilitation und Langzeitpflege)

Oncology (Onkologie)44

Hygiene45 (Hygiene)

Titles of post-basic training are protected under 13 of that Act

(1) Persons commit an administrative offence, when they

38 Weiterbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Intensivmedizin und Ansthesie,15 January 1985, Gesetz- und Verordnungsblatt fr Berlin, 41st year, no. 24, 17 April 1985

39 Weiterbildungs- und Prfungsverordnung fr die Heranbildung von Pflegefachkrften in derpdiatrischen Intensivpflege, 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin, 52nd

year, no. 37, 27 July 1996, p. 27640 Weiterbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger fr den Operationsdienst, 1 October1985, Gesetz- und Verordnungsblatt fr Berlin, 41st year, no. 68, 2 November 1985, p. 2244

41 Weiterbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Psychiatrie, 15 January 1987,Gesetz- und Verordnungsblatt fr Berlin, 43rd year, no. 16, 4 March 1987, p. 847

42 Weiterbildungs- und Prfungsordnung fr die Heranbildung von Pflegefachkrften in derambulanten Pflege, 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin, 52nd year, no. 37,27 July 1996, p. 283

43 Weiterbildungs- und Prfungsverordnung fr die Heranbildung von Pflegefachkrften in derRehabilitation und Langzeitpflege, 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin,52nd year, no. 37, 27 July 1996, p. 273

44 Weiterbildungs- und Prfungsverordnung fr die Heranbildung von Pflegefachkrften in derOnkologie, 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin,52nd year, no. 37, 27 July199645 Weiterbildungs- und Prfungsverordnung fr die Heranbildung von Pflegefachkrften frHygiene (Hygienefachkrfte), 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin, 52nd

year, no. 37, 27 July 1996, p. 269

1. Bear a title of post-basic training without having permission

according to 7 (2) 1

2. Bear, in opposition to 7 (6) 2 a title of post-basic training not

alongside the professional title

[]

(2) This administrative offence can be punished by a penance of up to

5,000 Deutsche Mark

7 (2) 1

Persons wishing to bear a title of post-basic training need permission

by the State. On this permission a certificate is to be issued.

1. Entry requirements46

Persons can participate in courses of post basic training, if they

1. have the permission to bear a professional title of a qualified medical

profession [Krankenschwester, -pfleger, Kinderkrankenschwester, -pfleger] or

recognition by the State as an elderly care nurse

2. have already worked for (in general) two years in the learned profession, of

these at least 12 months immediately before the beginning of the post-basic

training

2. Training

Operation department47

Post basic training takes place as a full-time course of at least one year or as

a course in tandem with the professional activity of at least two years. It

embraces

46 3 (2) Gesetz ber die Weiterbildung in den Medizinalfachberufen und in Berufen derAltenpflege (Weiterbildungsgesetz WbG), 3 Juli 1995, Gesetz- und Verordnungsblatt frBerlin, 51. Jahrgang, Nr. 36, 11. Juli 1995, p. 401

47 2, Weiterbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger fr den Operationsdienst, 1 October1985, Gesetz- und Verordnungsblatt fr Berlin, 41st year, no. 68, 2 November 1985, p. 2244

1) Tuition of at least 780 hours at 45 minutes each. Of these about one third

as theoretical lessons and about two thirds as practical lessons; included in

the practical lessons is a training in cooperation.

2) Professional-practical part: Altogether 30 weeks, if the course takes place

in tandem with the professional activity, the professional-practical part is

performed in the context of the professional activity.

Psychiatry48



embraces







Ambulatory care49


a course in tandem with the professional activity. In the latter form it may not

last longer than three years. The course embraces

1) Tuition of at least 900 hours at 45 minutes each.

2) Professional-practical part: At least 750 hours at 60 minutes each in full-

time courses; if the course takes place in tandem with the professional activity

it likewise ought to embrace 750 hours.

48 2, Weiterbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,

Kinderkrankenschwestern und Kinderkrankenpfleger in der Psychiatrie, 15 January 1987,Gesetz- und Verordnungsblatt fr Berlin, 43rd Jahrgang, Nr. 16, 4 Mrz 1987, p. 847

49 3, Weiterbildungs- und Prfungsordnung fr die Heranbildung von Pflegefachkrften inder ambulanten Pflege, 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin, 52. Jahrgang,Nr. 37, 27 Juli 1996, p. 283

Intensive care and anesthesia50



embraces







Hygiene51

Post basic training takes place as a full-time course of at least 12 months or

as a course in tandem with the professional activity of no more than three

years. It embraces



time courses. If the course takes place in tandem with the professional

activity, it likewise ought to embrace 750 hours.

Rehabilitation and long-term care52

50 2, Weiterbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Intensivmedizin und Ansthesie,15 January 1985, Gesetz- und Verordnungsblatt fr Berlin, 41. Jahrgang, Nr. 24, 17 April1985

51 3, Weiterbildungs- und Prfungsverordnung fr die Heranbildung vonPflegefachkrften fr Hygiene (Hygienefachkrfte), 30 June 1996, Gesetz- undVerordnungsblatt fr Berlin, 52. Jahrgang, Nr. 37, 27 Juli 1996, p. 26952 3, Weiterbildungs- und Prfungsverordnung fr die Heranbildung von Pflegefachkrften inder Rehabilitation und Langzeitpflege, 30 June 1996, Gesetz- und Verordnungsblatt frBerlin, 52. Jahrgang, Nr. 37, 27 Juli 1996, p. 273



years. It embraces





Pediatrical intensive care53



years. It embraces





Oncology54



years. It embraces





53 3, Weiterbildungs- und Prfungsverordnung fr die Heranbildung von Pflegefachkrften inder pdiatrischen Intensivpflege, 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin, 52.

Jahrgang, Nr. 37, 27 Juli 1996, p. 27654 3, Weiterbildungs- und Prfungsverordnung fr die Heranbildung von Pflegefachkrften inder Onkologie, 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin, 52. Jahrgang, Nr. 37,27 Juli 1996

V. Brandenburg

Titles of post-basic training in Brandenburg are protected according to the

following provisions

3 (Professional title of post basic training)

Titles of post basic training within the meaning of this statute are titles

which point out specialised knowledge and abilities in a specific area of

a profession of the health service. The titles can be borne according to

the condition of 4 Nr. 1 besides the basic professional title.

4 Bearing of a title of a post basic training

(2) Persons have permission to bear a title of post-basic training

According to 3, if they demonstrate that they

i. Have permission entitling them to bear the

professional title of a legally regulated profession of

the health service

ii. Have completed the required course of post-basic

training at a state approved institution of post-basic

training

iii. Have passed the prescribed exam.

The permission for the bearing of one of the post basic training

specialist titles is to be confirmed according to 7 Abs.4 in the

certificate for the successful final examination of the post basic training

of an official post basic training institute.

(2) The permission within the meaning of Abs.1 lapses if

1. the permission of bearing on of the professional titles as listed

in Abs. 1 Nr.1 is taken away or

2. the post basic training is subsequently declared to be void.....

(3) Post basic training specialist titles, which are obtained in other

German states according to statutory or generally recognised

regulations, may be borne in the state of Brandenburg.

13 Administrative Offences

(1) A person commits an administrative offence if he/she deliberately or

negligently

1. bears a post basic training specialist title without a permission

according to 4 and 5

(2) The administrative offence according to Abs. 1 Nr.1 can be

punished with a fine of up to 5000 DM....

In 1997, Brandenburg issued a statutory order regulating training and title of

nurses specialised in ambulatory care55. The regulation of other disciplines of

post-basic training follows the recommendations of the DKG.

1. Entry requirements

Ambulatory care56

Required is completed professional training in patient care or childrens

patient care or three years of training in care of the elderly and

professional activity of at least two years as

55 Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern, Kinderkrankenpfleger, Altenpflegerinnen und Altenpfleger in derambulanten Pflege (Ambulante Pflege Weiterbildungsverordnung APWBV), 21 April 1997,Gesetz- und Verordnungsblatt fr das Land Brandenburg, Teil II, Nr. 13 vom 10. Juni 1997, p.317

56 2 APWBV

nurse [Krankenschwester / Krankenpfleger]

childrens nurse [Kinderkrankenschwester / Kinderkrankenpfleger]

or elderly care nurse [Altenpflegerin / Altenpfleger], of these at least 1 year in

ambulatory care

2. Training

Ambulatory care57

Post basic training takes place in courses in tandem with the professional

activity or in courses with full-time tuition. The former last a minimum of 2

years and a maximum of 4 years; courses with full-time tuition last a minimum

of 12 months.

Post basic training embraces

1) 800 hours at 45 minutes each of theoretical tuition

2) 920 hours at 60 minutes each of practical post-basic training under

professional instruction.

VI. Bremen

In Bremen the Law protects post registration specialist titles for nurses.58

3

Persons who have been granted permission to bear the title59 of a

legally regulated profession of health care may after training in an

57 2,APWBV58 Gesetz ber die Weiterbildung in den Gesundheitsfachberufen vom 2. Juli 1991 (Brem.GBl. S 209).

59 Title - here as well as in the relevant statutes of the other States - is used in the meaningof description of profession [Berufsbezeichnung], as opposed to title protected by theGerman penal code [Titel]. Certain Berufsbezeichnungen are also protected in such a waythat bearing them without permission constitutes a federal offence, which can be punished.The Berufsbezeichnungen of post basic training in health care count not among them. InBremen they are protected in regional law code as in this statute (see para. 10). The sameapplies to many other Lnder.

acknowledged institution for post basic training in professions of health

care bear beyond their professional title titles of the post basic training

which point out specialised knowledge in a specific area within the

profession.

10 (1)

Persons bearing, deliberately or negligently, a title of post basic training

according to para. 3, without having permission according to para. 4,

commit an administrative offence.

(2)

This administrative offence can be punished by a penance of up to

2,000 Deutsche Mark.

Bremen recognises specialities in four areas:

Psychiatry60

Operating theatre,61

Community Health Care,62

Intensive care and Anaesthesia63


Intensive Care and Anesthesia 64

60 Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Psychiatrie 22 March 1995

61 Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger im Operationsdienst, 24 February 1995

62 Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Haus- undGemeindekrankenpflege, 12 August 1993

63 Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Intensivpflege und Ansthesie, 27August 1992 64 5 (1) Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Intensivpflege und Ansthesie, 27August 1992, Brem. GBl., p. 581

Persons are admitted to courses of post-basic training if they hold the titles of

nurse or childrens nurse according to para. 1 (1) No. 1 / 2 KrPflG; and if, after

award of one of these titles they have worked professionally in patient care or

child patient care for at least two years, of these at least six months in

intensive care or anesthesia

Community Health Care65




child patient care for in general at least two years





child patient care for in general at least two years, of these at least six months

in the operation department

Psychiatry67




65 5, Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Haus- undGemeindekrankenpflege, 12 August 1993, Brem. GBl., p. 279 66 5, Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger im Operationsdienst, 24 February 1995,Brem. GBl., p. 137 67 5, Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Psychiatrie, Brem. GBl., p. 273

child patient care for in general at least two years, of these at least six months

in the psychiatric department

2. Training

General provisions 68

Post basic training shall take place in courses in tandem with the professional

activity or in full time courses


Post basic training in intensive care and anesthesia can be performed in a

full-time course of at least one year or in a course in tandem with the

professional activity of at least two years. It embraces

1) Theoretical and practical lessons of at least 800 hours (one hour at 45

minutes each), of these 320 hours theoretical lessons and 480 hours practical

lessons.

2) Professional-practical part: under professional instruction and supervision,

bearing respect of the main areas, intensive care / anesthesia. As a part time

course: professional-practical part in context of the professional activity.

Community Health Care70

68 5 (1), Gesetz ber die Weiterbildung in den Gesundheitsfachberufen, 2. Juli 1991, Brem.GBl., p. 209. 69 3, Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Intensivpflege und Ansthesie, 27August 1992, Brem. GBl., p. 581. 70 3, Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Haus- undGemeindekrankenpflege, 12 August 1993, Brem. GBl., p. 279

Post basic training in community health care can be performed in a full-time

course of at least one year or in a course in tandem with the professional

activity of at least two years. It embraces

1. Theoretical and practical lessons: at least 800 hours at 45 minutes each, ofthese 600 hours theoretical lessons, 200 hours practical lessons. 2. Professional-practical part: under professional instruction and supervision

with regard to the main areas home and community health care. As a part

time course: professional-practical part in context of the professional activity.


Post basic training in the operative services can be performed in a full-time

course of at least one year or in a course in tandem with the professional

activity of at least two years. It embraces

1. Theoretical and practical lessons: at least 800 hours at 45 minutes each, of

these 320 hours theoretical lessons, 480 hours practical lessons.

2. Professional-practical part: under professional instruction and supervision

with regard to the main area operation department. As a part time course:

professional-practical part in context of the professional activity.

Psychiatry72

Post basic training in intensive care and anesthesia can be performed in a

full-time course of at least one year or in a course in tandem with the

professional activity of at least two years. It embraces

1. Theoretical and practical lessons: at least 800 hours at 45 minutes each, of

these 320 hours theoretical lessons, 480 hours practical lessons.

71 3, Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger im Operationsdienst, 24 February 1995,Brem. GBl., p. 137 72 3, Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Psychiatrie, Brem. GBl., p. 273

2. Professional-practical part: under professional instruction and supervision

with regard to the main area psychiatry. As a part time course: professional-

practical part in context of the professional activity.

VII. Hamburg

Hamburg recognises the following disciplines of post-basic training

Anesthesia, operative and internist intensive care (Ansthesie, operative

und internistische Intensivpflege)73

Operation Department (Operationsdienst)74

Psychiatry (Psychiatrie)75

73 Ordnung zur Fortbildung zur Krankenschwester und zum Krankenpfleger in der Ansthesie,operativen und internistischen Intensivpflege, 2 April 1990, Hamburgisches Gesetz- undVerordnungsblatt, Teil 2, no. 94, 16 May 1990, p. 913, as amended by Ordnung zur nderungder Ordnung zur Fortbildung zur Krankenschwester und zum Krankenpfleger in derAnnsthesie [sic], operativen und internistischen Intensivpflege, der Ordnung zur Fortbildungzur Fachkrankenschwester und zum Fachkrankenpfleger, zur Fachkinderkrankenschwesterund zum Fachkinderkrankenpfleger im Operationsdienst und der Ordnung zur Fortbildung zurFachkrankenschwester, Fachkinderkrankenschwester und zum Fachkrankenpfleger,Fachkinderkrankenpfleger in der Psychiatrie (Sozialpsychiatrische Fortbildung), 21 December1994, Hamburgisches Gesetz- und Verordnungsblatt, Teil 2, no. 4, 5 January 1993

74 Ordnung zur Fortbildung zur Fachkrankenschwester und zum Fachkrankenpfleger, zurFachkinderkrankenschwester und zum Fachkinderkrankenpfleger im Operationsdienst, 23November 1992, Hamburgisches Gesetz- und Verordnungsblatt, Teil 2, no. 227, 23November 1992, p. 2385, as amended by Ordnung zur nderung der Ordnung zurFortbildung zur Krankenschwester und zum Krankenpfleger in der Annsthesie [sic],operativen und internistischen Intensivpflege, der Ordnung zur Fortbildung zurFachkrankenschwester und zum Fachkrankenpfleger, zur Fachkinderkrankenschwester undzum Fachkinderkrankenpfleger im Operationsdienst und der Ordnung zur Fortbildung zurFachkrankenschwester, Fachkinderkrankenschwester und zum Fachkrankenpfleger,Fachkinderkrankenpfleger in der Psychiatrie (Sozialpsychiatrische Fortbildung), 21 December1994, Hamburgisches Gesetz- und Verordnungsblatt, Teil 2, no. 4, 5 January 1993

75 Fortbildungs- und Prfungsordnung zur Fachkrankenschwester / zum Fachkrankenpfleger,zur Fachkinderkrankenschwester / zum Fachkinderkrankenpfleger und zur Fachaltenpflegerin/ zum Fachaltenpfleger in der Psychiatrie (Sozialpsychiatrische Zusatzausbildung), 25 March1998, Hamburgisches Gesetz- und Verordnungsblatt, Teil II, no. 36, 25 March 1998, p. 754,as amended by Ordnung zur nderung der Ordnung zur Fortbildung zur Krankenschwesterund zum Krankenpfleger in der Annsthesie [sic], operativen und internistischenIntensivpflege, der Ordnung zur Fortbildung zur Fachkrankenschwester und zumFachkrankenpfleger, zur Fachkinderkrankenschwester und zum Fachkinderkrankenpfleger imOperationsdienst und der Ordnung zur Fortbildung zur Fachkrankenschwester,Fachkinderkrankenschwester und zum Fachkrankenpfleger, Fachkinderkrankenpfleger in derPsychiatrie (Sozialpsychiatrische Fortbildung), 21 December 1994, Hamburgisches Gesetz-und Verordnungsblatt, Teil 2, no. 4, 5 January 1993

Geriatrics and Rehabilitation (klinische Geriatrie und Rehabilitation)76

Hygiene (Hygiene)77

Several of the statutory orders deal with the question of recognition of titles

awarded or training performed in other German States. Thus, in the discipline

of the operation department, post-basic training acquired in another German

State will be recognised, if its level is of equal value ( 4 (2)78). Post-basic

training or recognition acquired in a different State in the discipline of

psychiatry will be considered equal to recognition in Hamburg if the statutory

order regulating training in that State corresponds to the minimum

requirements of the Rahmenordnung der Lnder fr die Weiterbildung in den

verschiedenen Fachrichtungen der Krankenpflege ( 2 (2)).79 Under the

same requirement, training in the field of hygiene will be recognised, but the

training must also have been performed according to the recommendations of

the Robert-Koch- Institut ( 2 (2)). 80

76 Ordnung zur Fortbildung fr Krankenschwestern / Krankenpfleger zur / zumFachkrankenschwester / Fachkrankenpfleger in klinischer Geriatrie und Rehabilitation und frAltenpflegerinnen / Altenpfleger zur / zum Fachaltenpflegerin / Fachaltenpfleger in klinischerGeriatrie und Rehabilitation, 21 June 1990, Hamburgisches Gesetz- und Verordnungsblatt,Teil II, no. 118, 21 June 1990, p. 1129, as amended by Ordnung zur nderung der Ordnungzur Fortbildung fr Krankenschwestern / Krankenpfleger zur / zum Fachkrankenschwester /Fachkrankenpfleger in klinischer Geriatrie und Rehabilitation und fr Altenpflegerinnen /Altenpfleger zur / zum Fachaltenpflegerin / Fachaltenpfleger in klinischer Geriatrie undRehabilitation, 13 January 1995, Hamburgisches Gesetz- und Verordnungsblatt, Teil II, no.16, 23 January 1995, p. 146

77 Fortbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger fr Hygiene (Hygienefachkraft), 26 July1996, Hamburgisches Gesetz- und Verordnungsblatt, Teil II, no. 165, 26 August 1996, p.2177 78 See footnote Error! Bookmark not defined. 79 See footnote Error! Bookmark not defined. 80 See footnote Error! Bookmark not defined.



Persons can be admitted to post basic training, if they have permission

according to 1 KrPflG and permission to perform patient care under the title

nurse [Krankenschwester / Krankenpfleger] or childrens nurse

[Kinderkrankenschwester / Kinderkrankenpfleger] and if they have, after

completion of the basic training, professionally worked for at least half a year

in the operation department

Intensive care and Anesthesia 82



nurse [Krankenschwester / Krankenpfleger] and if they have, after completion

of the basic training, professionally worked for at least half a year in

anesthesia or intensive care

Hygiene83


according to 1 Nr. 1 / 2 KrPflG (i.e., the title of nurse or childrens nurse) and

if they have, after award of the permission, professionally worked in patient

care, respectively child patient care for in general two years.

81 3 (1) Ordnung zur Fortbildung see footnote Error! Bookmark not defined. 82 3 (1), Ordnung zur Fortbildung see footnote Error! Bookmark not defined. 83 5, Fortbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger fr Hygiene (Hygienefachkraft), 26 July1996, Hamburgisches Gesetz- und Verordnungsblatt, Teil II, no. 165, 26 August 1996, p.2177

Psychiatry84



nurse [Krankenschwester / Krankenpfleger] or childrens nurse

[Kinderkrankenschwester / Kinderkrankenpfleger] or state-approved training

as elderly care nurse [Altenpflegerin / Altenpfleger] and if they have for at

least half a year professionally worked in psychiatry

Geriatrics and Rehabilitation85

Persons can be admitted to post basic training, if they have permission to

perform patient care under the title nurse [Krankenschwester /

Krankenpfleger] or if they have completed training in the state-approved

proession of elderly care nurse [Altenpflegerin / Altenpfleger] and if they have

professional experience in the above named professions of at least half a

year. A further requirement is the professional suitability [Geeignetheit] for

post-basic training.

2. Training

Operation Department 86

Post basic training takes place as a course in tandem with professional

activity of two years. It embraces

1. Theoretical tuition, 510 hours

2. Mandatory practical employment in various operation departments, 49

weeks; during this employment:

3. Practical instruction, about 500 hours

84 3, Fortbildungs- und Prfungsordnung see footnote Error! Bookmark not defined. 85 6, Ordnung zur Fortbildung see footnote Error! Bookmark not defined. 86 2, annex Lehrplan, Ordnung zur Fortbildung see footnote Error! Bookmark notdefined.

Intensive care and Anesthesia 87


activity of two years

It embraces:

1. Theoretical training of at least 400 hours

2. Practical tuition and practice conversations of at least 720 hours

3. Mandatory practice employment in the context of the practical training

through assistance in areas of specialised empoyment in full-time activity,

under professional instruction. At least 40 weeks

Hygiene88


activity of two years. It embraces:

1. Theoretical and practical tuition of at least 720 hours at 45 minutes each

2. Practical post-basic training in areas of employment (areas of future tasks)

of at least 30 weeks

Psychiatry89


activity of two years. It embraces:

1. Theoretical training (theoretical and practical tuition) of at least 740 hours

87 2, Ordnung zur Fortbildung see footnote Error! Bookmark not defined. 88 7, Fortbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger fr Hygiene (Hygienefachkraft), 26 July1996, Hamburgisches Gesetz- und Verordnungsblatt, Teil II, no. 165, 26 August 1996, p.2177 89 2, annex 1, Lehrplan, Fortbildungs- und Prfungsordnung see footnote Error!Bookmark not defined.

2. Practical training of at least 46 weeks in acute psychiatry, long-term

psychiatry, geriatrical psychiatry as well as in day clinics and areas outside

the clinic

Geriatrics and Rehabilitation90

Post basic training takes place as a course of one year. It embraces:

1. Theoretical and practical tuition of at least 720 hours

2. Practical post-basic training of at least 900 hours

VIII. Hessen

Hessen recognises the following disciplines of post-basic training 91:

Intensive care and anesthesia (Intensivpflege und Ansthesie)92

Functional service (Funktionsdienst)93

Psychiatrie (Psychiatry) 94

90 1, Ordnung zur Fortbildung see footnote Error! Bookmark not defined. 91 A provisional regulation for district nurses Vorlufige Weiterbildungs- undPrfungsordnung fr Fachkrankenschwestern / Fachkrankenpfleger in derGemeindekrankenpflege, Staatsanzeiger fr das Land Hessen, 28 / 1977, p. 1400, wasissued in 1977 but is no longer in use. Letter, Helga Bumeier-Lacey, Pflegereferentin,Hessisches Sozialministerium, 21. September 1999 92 Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996, Gesetz- undVerordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284, generalprovisions and annex no. 4; as amended by: Verordnung zur nderung der Weiterbildungs-und Prfungsordnung fr Pflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr dasLand Hessen, Teil I, 27 March 1998, No. 4, p. 63

93 Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996, Gesetz- undVerordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284, generalprovisions; as amended by: Verordnung zur nderung der Weiterbildungs- undPrfungsordnung fr Pflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das LandHessen, Teil I, 27 March 1998, No. 4, p. 63 and annex no. 12 therein

94 Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996, Gesetz- undVerordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284, generalprovisions; as amended by: Verordnung zur nderung der Weiterbildungs- und

Rehabilitation (Rehabilitation) 95

Nephrology (Nephrologie)96

Oncology (Onkologie)97

Hygiene (Hygiene)98

Recognition of training completed outside the State of Hessen will be

accepted under the conditions of para. 20 99

20 (3)

State recognition granted in a different State of the Federal Republic

shall be considered State recognition according to these provisions, as

far as [this] post-basic training or the studies are of equal value

Prfungsordnung fr Pflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das LandHessen, Teil I, 27 March 1998, No. 4, p. 63 and annex no. 10 therein



97 Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996, Gesetz- undVerordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284, generalprovisions and annex no. 5; as amended by: Verordnung zur nderung der Weiterbildungs-und Prfungsordnung fr Pflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr dasLand Hessen, Teil I, 27 March 1998, No. 4, p. 63

98 Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996, Gesetz- undVerordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284, generalprovisions and annex no. 6; as amended by: Verordnung zur nderung der Weiterbildungs-und Prfungsordnung fr Pflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr dasLand Hessen, Teil I, 27 March 1998, No. 4, p. 63 99 Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996, Gesetz- undVerordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284, as amended by:Verordnung zur nderung der Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 4March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27 March 1998, No.4, p. 63

20 (4)

Persons may obtain State recognition after application, if their domicile

or place of employment is within the State of Hessen and if they

demonstrate post-basic training of equal value in a different State of

the Federal Republic or studies of equal value

20 (5)

sub-para. 4 shall be applied accordingly to certificates acquired outside

the Federal Republic of Germany.


General provisions100

Persons may be admitted to post-basic training if they can demonstrate

completed professional training in patient care, children patient care, obstretic

nursery or care of the elderly and if they have, for at least two years, worked

in [this] profession.

100 2 (1), 2 (5), Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996,Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284,amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung frPflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63

Intensive care and anesthesia 101

Persons may be admitted to post-basic training in intensive care or

anesthesia if they have State recognition as nurse [Krankenschwester /

Krankenpfleger] or childrens nurse [Kinderkrankenschwester /

Kinderkrankenpfleger] and have worked for at least two years in this

profession. The professional activity ought to show at least six months of

employment in intensive care or anesthesia.

Oncology102

Persons may be admitted to post-basic training in oncology, if they have State

recognition as nurse [Krankenschwester/ Krankenpfleger] or childrens nurse

[Kinderkrankenschwester / Kinderkrankenpfleger] and have worked for at

least two years in this profession. The professional activity ought to show at

least six months of employment in oncological care

101 Anlage 4 Nr. 1, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996,Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284;amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung frPflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63 102 Anlage 5 Nr. 1, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996,Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284,general provisions and annex no. 5; amended by: Verordnung zur nderung derWeiterbildungs- und Prfungsordnung fr Pflegeberufe, 4 March 1998, Gesetz- undVerordnungsblatt fr das Land Hessen, Teil I, 27 March 1998, No. 4, p. 63

Hygiene103

Persons may be admitted to post-basic training in hygiene, if they have State

recognition as nurse [Krankenschwester / Krankenpfleger] or childrens nurse

[Kinderkrankenschwester / Kinderkrankenpfleger] and have worked for at

least two yeasrs in this profession. The professional activity ought to show at

least 6 months in an area of increased risk. As areas of increased risk shall

count, e.g. , units for the care of cases of transplantation or cases of burns or

for intensive medicine, operation departments, sterile cells, units of central

sterilization, isolation wards, dialysis departments, wards of the prematurely

born.

Nephrology104

Persons can be admitted to post-basic training in nephrology if they have

State recognition as nurse [Krankenschwester / Krankenpfleger] or childrens

nurse [Kinderkrankenschwester / Kinderkrankenpfleger] and have worked for

at least two years in [this] profession. The professional activity ought to show

at least six months of employment in nephrological care.

Psychiatry105

Persons may be admitted to post-basic training in psychiatry if they have

State recognition as nurse [Krankenschwester / Krankenpfleger], childrens

103 Anlage 6, Nr. 1, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996,Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284;amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung frPflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63 104 Anlage 9, Nr. 1, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996,Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284;amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung frPflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63 105 Anlage 10, Nr. 1, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996,Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284;amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung fr

nurse [Kinderkrankenschwester / Kinderkrankenpfleger] or elderly care nurse

[Altenpflegerin / Altenpfleger] and have worked for at least two years in this

profession. The professional activity ought to show employment in the area of

care for mentally ill people.

Rehabilitation106

Persons may be admitted to post-basic training in rehabilitation, if they have

State recognition as nurse [Krankenschwester / Krankenpfleger], childrens

nurse [Kinderkrankenschwester / Kinderkrankenpfleger] or elderly care nurse

[Altenpflegerin / Altenpfleger] and have worked for at least two years in this

profession.

Functional service107

Persons may be admitted to post-basic training in the functional service, if

they have State recognition as nurse [Krankenschwester / Krankenpfleger] or

child nurse [Kinderkrankenschwester / Kinderkrankenpfleger] and have

worked for at least one year in this profession. The professional activity ought

to show at least six months of employment in the functional service (operation

department or endoscopy)

2. Training

Pflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63 106 Anlage 11, Nr. 1, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996,Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284;amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung frPflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63 107 Anlage 12, Nr. 1, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996,Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284;amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung frPflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63

General provisions 108

Post basic training is offered as a coherent course embracing theoretical and

practical tuition and a professional-practical part.

The post basic training course can be conducted with full-time tuition, part-

time tuition or in tandem with the professional activity. The course may not

last longer than three years.

Intensive care and anesthesia 109

Post-basic training shall take place in tandem with professional activity. It

embraces 800 hours of theoretical and practical tuition in a proportion of 2 : 3

Oncology110


embraces 800 hours of specialised theoretical and specialised practical tuition

in a proportion of 2 : 3

Hygiene111

108 3, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May 1996, Gesetz- undVerordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284, amended by:Verordnung zur nderung der Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 4March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27 March 1998, No.4, p. 63 109 3 and annex 4, no. 2, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May1996, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p.284; amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung frPflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63 110 3 and annex 5, no.2, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May1996, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p.284; amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung frPflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63 111 3 and annex 6 no. 2, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May1996, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p.284; amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung fr

Post-basic training embraces 720 hours of specialised theoretical and

specialised practical tuition.

Nephrology112


embraces 720 hours of specialised theoretical and specialised practical

tuition, of these at least 280 hours of specialised theoretical tuition.

Psychiatry113

Post-basic training shall take place in tandem with the professional activity. It

embraces 800 hours of theoretical and practical tuition in a proportion of 2 : 3

as well as 160 hours for supervision, counselling among collegues and other

procedures of reflection as a permanent offer during post-basic training

Rehabilitation114

Pflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63 112 3 and annex 9, no. 2, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May1996, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p.284; amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung frPflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63 113 3 and annex 10 no. 2, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May1996, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p.284; amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung frPflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63 114 3 and annex 11 no. 2, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May1996, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p.284; amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung frPflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63

Post-basic training shall take place in tandem with the professional activity. It

embraces 800 hours of specialised theoretical and specialised practical tuition

in a proportion of 2 : 3

Functional service115

Post-basic training shall take place in tandem with the professional activity.

It embraces 800 hours of specialised theoretical and specialised practical

tuition in a proportion of 2 : 3

IX. Mecklenburg-Vorpommern

Mecklenburg-Vorpommern recognises the following disciplines of post basic

training:

Intensive care and anesthesia116

Psychiatry117

Operation department118.

115 3 und Anlage 12 Nr. 2, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May1996, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p.284; amended by: Verordnung zur nderung der Weiterbildungs- und Prfungsordnung frPflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27March 1998, No. 4, p. 63116 Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger fr Intensivpflege und Ansthesie(Weiterbildungsverordnung fr Intensivpflege und Ansthesie - WPrVO - IuA), 10 July 1996,GS Meckl.-Vorp. Nr. 212 - 3 - 2, p. 329

117 Weiterbildungs/ und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Psychiatrie (Psychiatrie-Weiterbildungsverordnung - WPrVO-Ps), 10 July 1996, GS Meckl.-Vorp. Gl. Nr. 212 - 3 - 3, p.340118 Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger fr den Operationsdienst (OP-Weiterbildungsverordnung - WPrVO - OpD), 9 May 1995, GS Meckl.-Vorp. Gl. Nr. 212 - 3 - 1,p. 270

The specialist titles are protected by law119; 7 sets out an administrative

offence.

7

(1) A person bearing, deliberately or negligently, a title of post basic

training according to 6, without having the required permission

according to 2 Abs.2, commits an administrative offence.

(2) This administrative offence can be punished by a fine of up to 2000

DM.


General provisions120

Persons wishing to participate in post basic training must have the permission

to bear a title in a legally regulated profession of health care (nurse /

childrens nurse). After award of one of these titles they must have worked in

the respective profession for, in general, at least 18 months full time or a

comparable period part-time.

2. Training


Post basic training in principle takes place as a course of 2 years in tandem

with the professional activity; appropriately longer, if the profession is

performed part-time.

119 Gesetz ber die Weiterbildung in den Gesundheitsfachberufen 5 May 1994 (GVOBl. M-VS. 564)120 4 (1) Gesetz ber die Weiterbildung in den Gesundheitsfachberufen, 5 Mai 1994, GVOBl.M-V, p. 564121 4, Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger fr Intensivpflege und Ansthesie(Weiterbildungsverordnung fr Intensivpflege und Ansthesie - WPrVO - IuA), 10 July 1996,GS Meckl.-Vorp. Nr. 212 - 3 - 2, p. 329

The course embraces the core subjects intensive care and anesthesiology for

adult patients for nurses, or intensive care and anesthesiology in the pediatric

area for child nurses. It embraces

1. 800 hours of theoretical and practical lessons

2. 1600 hours of practical training

Psychiatry122


with the professional activity; appropriately longer if the professional activity is

performed part-time. It embraces

1. 800 hours of theoretical and practical lessons,

2. 1600 hours of practical post-basic training

122 4, Weiterbildungs/ und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger in der Psychiatrie (Psychiatrie-Weiterbildungsverordnung - WPrVO-Ps), 10 July 1996, GS Meckl.-Vorp. Gl. Nr. 212 - 3 - 3, p.340



with the professional activity; appropriately longer, if the professional activity is

performed part-time. It embraces

1. 800 hours of theoretical and practical lessons

2. 1600 hours of practical post-basic training

X. Niedersachsen

Niedersachsen recognises the following specialities at a post

registrationstage:

Intensive care and anaesthesia, paediatric intensive care and anaesthesia

nurse124

Community Health (Ambulatory Care) nurse125

Care of Cancer Patients nurse126

Psychiatry nurse127

Operation theatre nurse128

123 4 (1), Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger fr den Operationsdienst (OP-Weiterbildungsverordnung - WPrVO - OpD), 9 May 1995, GS Meckl.-Vorp. Gl. Nr. 212 - 3 - 1,p. 270124 Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester, zumFachkrankenpfleger und zum Fachkinderkrankenpfleger in der internistischen und operativenIntensivpflege und Ansthesie sowie in der pdiatrischen Intensivpflege und Ansthesie, 30July 1993.125 Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester,Fachkinderkrankenschwester, zum Fachkrankenpfleger, Fachkinderkrankenpfleger und zurleitenden Pflegekraft in der ambulanten Krankenpflege (Gemeindekrankenpflege), 30 July1993, as amended by nderung der Weiterbildungs- und Prfungsordnung zurFachkrankenschwester, Fachkinderkrankenschwester, zum Fachkrankenpfleger undFachkinderkrankenpfleger in der ambulanten Krankenpflege (Gemeindekrankenpflege),RdErl. d. MS., 23 Okt. 1995, Nds. MBl., Nr. 42 / 1995126 Weiterbildungs- und Prfungsordnung fr Fachkrankenschwestern, Fachkrankenpfleger,Fachkinderkrankenschwestern und Fachkinderkrankenpfleger fr die Pflege tumorkrankerPatientinnen und Patienten, 30 July 1993.127 Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester, zumFachkrankenpfleger und zur Fachkinderkrankenschwester und zumFachkinderkrankenpfleger in der Psychiatrie, 30 July 1993

128 Weiterbildungs- und Prfungsordnung fr Fachkrankenschwestern, Fachkrankenpflegerund Fachkinderkrankenschwestern fr den Operationsdienst, 16 April 1981

Hygiene nurse (infection control)129


Intensive care and anesthesia, pediatric intensive care and anesthesia 130

Persons can be admitted to post basic training if they are, according to 1

(1) No. 1 / 2 KrPflG nurses (Krankenschwester / Krankenpfleger) or childrens

nurses (Kinderkrankenschwester / Kinderkrankenpfleger). After award of one

of these titles, they must have worked professionally in patient care or child

patient care, in general for at least 18 months, of these at least six months in

a department of intensive care or anesthesia

Community Health (Ambulatory Care)131





patient care, in general for at least 18 months.

Care of Tumorous Patients132

129 Weiterbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger fr Hygiene (Hygienefachkraft), 30 July1993 130 5, Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester, zumFachkrankenpfleger und zum Fachkinderkrankenpfleger in der internistischen und operativenIntensivpflege und Ansthesie sowie in der pdiatrischen Intensivpflege und Ansthesie, 30July 1993 131 5, Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester,Fachkinderkrankenschwester, zum Fachkrankenpfleger, Fachkinderkrankenpfleger und zurleitenden Pflegekraft in der ambulanten Krankenpflege (Gemeindekrankenpflege), RdErl. d.MS., 30 July 1993, Nds. MBl. Nr. 25 / 1993, p. 728, as amended by nderung derWeiterbildungs- und Prfungsordnung zur Fachkrankenschwester,Fachkinderkrankenschwester, zum Fachkrankenpfleger und Fachkinderkrankenpfleger in derambulanten Krankenpflege (Gemeindekrankenpflege), RdErl. d. MS., 23 Okt. 1995, Nds.MBl., Nr. 42 / 1995 132 5, Weiterbildungs- und Prfungsordnung fr Fachkrankenschwestern,Fachkrankenpfleger, Fachkinderkrankenschwestern und Fachkinderkrankenpfleger fr die






Psychiatry133






a psychiatric institution







the operation department

Pflege tumorkranker Patientinnen und Patienten, RdErl. d. MS., 30 Juli 1993, Nds. MBl., Nr.25 / 1993, p. 716 133 5, Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester, zumFachkrankenpfleger und zur Fachkinderkrankenschwester und zumFachkinderkrankenpfleger in der Psychiatrie, RdErl. d. MS., 30 Juli 1993, Nds. MBl., Nr. 25 /1993, as amended by Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester, zumFachkrankenpfleger und zur Fachkinderkrankenschwester und zumFachkinderkrankenpfleger in der Psychiatrie, RdErl. d. MS., 23 April 1996, Nds. MBl., Nr. 22/1996 134 5, Weiterbildungs- und Prfungsordnung fr Fachkrankenschwestern,Fachkrankenpfleger und Fachkinderkrankenschwestern fr den Operationsdienst, RdErl. d.MS., 16 April 1981, Nds. MBl., Nr. 21 / 1981, p. 459

Hygiene 135






2. Training

Intensive care and anesthesia, pediatric intensive care and anesthesia 136

Post basic training takes place as a course in tandem with the professional

activity of two years, consisting of

1. 720 hours of lessons

2. practical training in the anesthesia department, in intensive care wards, and

in those departments of diagnosis and therapeutics which are of particular

significance to intensive medicine and intensive care

Community Health (Ambulatory Care)137

Post basic training takes place as a full-time course or a course in tandem

with the professional activity; in the latter form it lasts couse at least two years

135 5, Weiterbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,Kinderkrankenschwestern und Kinderkrankenpfleger fr Hygiene (Hygienefachkraft), RdErl. d.MS., 30 Juli 1993, Nds. MBl., Nr. 25 / 1993, p. 711 136 7 (1), 7 (2), Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester, zumFachkrankenpfleger und zum Fachkinderkrankenpfleger in der internistischen und operativenIntensivpflege und Ansthesie sowie in der pdiatrischen Intensivpflege und Ansthesie,RdErl. d. MS., 30 July 1993, Nds. MBl. Nr. 25 / 1993, p. 722 137 7 (1), 7 (2), appendix 3, Weiterbildungs- und Prfungsordnung zurFachkrankenschwester, Fachkinderkrankenschwester, zum Fachkrankenpfleger,Fachkinderkrankenpfleger und zur leitenden Pflegekraft in der ambulanten Krankenpflege(Gemeindekrankenpflege), RdErl. d. MS., 30 July 1993, Nds. MBl. Nr. 25 / 1993, p. 728, asamended by nderung der Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester,Fachkinderkrankenschwester, zum Fachkrankenpfleger und Fachkinderkrankenpfleger in derambulanten Krankenpflege (Gemeindekrankenpflege), RdErl. d. MS., 23 Okt. 1995, Nds.MBl., Nr. 42 / 1995

and no longer than three years. Both full-time course and course in tandem

with the professional activity consist of


2. Three practical units, the three practical units forming a period of 14 weeks

of training

Care of Tumorous Patients138


activity of two years, consisting of theoretical and practical lessons; the

participant will also assist in areas of future tasks. The course embraces


2. practical training

Psychiatry139


activity of two years, consisting of 360 hours per year. It embraces


2. Practical training in subjects of psychiatry


138 7 (1), 7 (2) Weiterbildungs- und Prfungsordnung fr Fachkrankenschwestern,Fachkrankenpfleger, Fachkinderkrankenschwestern und Fachkinderkrankenpfleger fr diePflege tumorkranker Patientinnen und Patienten, RdErl. d. MS., 30 Juli 1993, Nds. MBl., Nr.25 / 1993, p. 716 139 7 (1), 7 (2), Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester, zumFachkrankenpfleger und zur Fachkinderkrankenschwester und zumFachkinderkrankenpfleger in der Psychiatrie, RdErl. d. MS., 30 Juli 1993, Nds. MBl., Nr. 25 /1993, as amended by Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester, zumFachkrankenpfleger und zur Fachkinderkrankenschwester und zumFachkinderkrankenpfleger in der Psychiatrie, RdErl. d. MS., 23 April 1996, Nds. MBl., Nr. 22/1996 140 7 (1), 7 (2), see 8, Weiterbildungs- und Prfungsordnung frFachkrankenschwestern, Fachkrankenpfleger und Fachkinderkrankenschwestern fr denOperationsdienst, RdErl. d. MS., 16 April 1981, Nds. MBl., Nr. 21 / 1981, p. 459


activity of two years, consisting of theoretical and practical lessons. The


1. Theoretical tuition: Lessons of at least 240 hours

2. Practical tuition, Exercises and conversations of at least 480 hours

3. Practical training

Hygiene141


activity of two years, consisting of theoretical and practical lessons. The



2. practical training

XI. Nordrhein-Westfalen

Nordrhein-Westfa

Documents

Nurses Germany En