Table 5 Criteria of the planned neurological care of level II and III progressivity by hospital organisational, architectural, medical technological as well as human resource system level
Neurology II | Neurology III | ||
|---|---|---|---|
Inpatient and chronic care | Required healthcare area (×1000 patients) | 150–300 | 1800 |
Professional environment (partner professions required for care) | Intensive therapy unit, radiology, central laboratory | Intensive therapy unit, (neuro)radiology, neuro-intervention., otolaryngology, ophthalmology, central laboratory, neurosurgery | |
Presence of the profession in the institution (independent area/background consultation) | Independent area | Independent area | |
Minimum number of beds required | 20–30 | 60–70 | |
Minimum number of physicians required (per 10 beds, broken down by specialists and residents) | 3 Specialists, 2 general physicians | 6 Specialists 2 general physicians, with the competences listed in Table 6 | |
Level of medical competence (proficiency, according to the professions detailed) | Neurology | Neurology, stroke-licence, neuroradiology, neuro-inervention, neurosurgery | |
Minimum number of nurses required (per 10 beds, broken down by specialist and assistant nurses) | 4 specialist nurses 2 assistant nurses | 4 specialist nurses, 2 assistant nurses | |
Other professional staff (per 10 beds, indicating the profession) | Physiotherapist/20 beds | Physiotherapist/10 beds Neuroradiological professional assistant | |
Competence level of professional staff (proficiency, by profession) | – | ||
Technical requirements (operating theatre, gym, etc.) | Gym | Gym | |
Diagnostic requirements (at the level of the institution) | CT | MR, CT,DSA, X-ray, neurointervention | |
Diagnostic requirements (at the level of the profession) | Ultrasound, microscope | Neurosonology (Doppler ultrasound, TCD, soft tissue ultrasound) neurophysiology, neuropsychology | |
Special requirements for the building (e.g. heliport, optimal volume requirement) | Heliport | ||
Duty service (continuous, rotation) | Continuous | Continuous | |
Comments | The presence of basic professions must be ensured at consultation level if the institution lacks them (cardiology, surgery, urology, gynaecology, psychiatry, paediatrics) | The presence of basic professions must be ensured at consultation level if the institution lacks them (cardiology, surgery, urology, gynaecology, psychiatry, paediatrics) | |
Specialist outpatient unit | Minimum consulting hours of physicians (consulting hours in a daily breakdown) | 24 h/week | 266 h/week, according to the breakdown shown in Table 7 |
Level of medical competence (proficiency, according to professions) | |||
Minimum number of nurses required (broken down by specialist and assistant nurses) | 1 Specialist nurse | 2 Specialist nurses | |
Other professional staff | 1 Administrator | 3 Administrators | |
Technical requirements (operating theatre, gym, etc.) | Gym | Gym | |
Diagnostic requirements (at the level of the profession) | Access to inpatient diagnostic level | Access to inpatient diagnostic level | |
Is the presence of the profession compulsory or optional in the given institution? | Compulsory | Compulsory | |
Minimum number of hours required | 8 h/day | 8 h/day | |
Availability (broken down by day parts and days) | 5 Full working days, during working hours | 5 Full working days, during working hours |