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 exams 4.
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
Wein, R., The Federal Republic of Germany in Quinn and Russell Nursing the European
Dimension (Scutari Press, 1993 at p. 86).
2
Krankenpflegegesetz (KrPflG) 4 Juni 1985 (BGBl. I. S 893).
Gerd Dielmann, letter, 8 September 1999
This was passed on 16 October 1985.
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
Deutschmark 8.
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
1 (1) Krankenpflegegesetz
An exception is made for EEA origin general care nurses who are providing a temporary
service, 1(2) KrPflG.
8
25 KrPflG
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 nurses 14, namely:
1. Completion
of
an
intermediate
school
education
(Realschulabschlu) or equivalent, or completion of another

ten-year school education or
10
11
12
10 (1) KrPflG
10 (3) KrPflG
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-und
Sozialberufe e.V., letter 24 April 1999.
19
Krankenpflegeverordnung vom 28. September 1938 (RGBl. I., S. 1310)
20
Hermann Kurtenbach et al., Krankenpflegegesetz mit Ausbildungs- und
Prfungsverordnung fr die Berufe der Krankenpflege, Kommentar, Stuttgart, Berlin, Kln
1998
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 (elderly

care nurses) form no part of this study. It should however be noted that Altenpflegerinnen and
Altenpfleger are, like nurses and pediatric nurses, admitted to many courses of post basic
training. E.g., in Berlin in Ambulanter Pflege and Rehabiliation und Langzeitpflege, in Hessen
Psychiatrie and Rehabilitation etc. After successful completion of post basic training the title
will bear reference to the title they received after basic training; thus an Altenpflegerin
admitted to post basic training in oncology and palliative care in Schleswig-Holstein will after
successful completion be entitled to call herself Fachaltenpflegerin fr Onkologie und
Palliativpflege
22
A recent example is Schleswig-Holstein: Gesetz ber die Altenpflegeausbildung in
Schleswig-Holstein (Altenpflegeausbildungsgesetz APAG), 8. Mrz 1999 Gesetz- und
Verordnungsblatt fr Schleswig-Holstein, II, Gl. Nr. 2124 4, 25. Mrz 1999, Nr. 4, p. 62
23
Regina Fuchs, letter, 30. August 1999
24
The academic courses for Pflegelehrer / Pflegelehrerinnen (Diplom-Pflegepdagogik) have

come into existence only a few years ago. Most teachers in nursing have accomplished two
years of post basic training after completion of basic training. Academic course and post basic
training 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 1999
25
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 different
Lnder.
Legal regulation of post-basic training by the German States
Special Training
1 2 3 4 5 6 7 8 9 10 11
Lnder
Baden - Wrttemberg
x
Bayern
Berlin (also has:
X x x x x
x x x x
X
pediatrical intensive care)
Brandenburg
x
Bremen
X x x x
Hamburg
x x x
x
x x
X
Hessen
x x x x x x x x x x
X
Mecklenburgx x x
Vorpommern
Niedersachsen
x x x x
x x
X
Nordrhein-Westfalen
x x x
x
Saarland
x x x
Sachsen
Sachsen Anhalt
x x x
Schleswig- Holstein
x x x
x
x x
Rheinland- Pfalz
x x x x
x X x
X
Thringen
12
x
x
Key
1.Intensivpflege/Ansthesie = Intensive care nurse/Anaesthetic nurse

2.Funktionsdienste = working service (OP/Endoskopiedienst) = operating service/ endoscopy service
3. Psychiatrie = psychiatry
4. Gemeindekrankenpflege = District Nurse
5. Rehabilitation= rehabilitation
6. Nephrologie = Nephrology (kidneys)
7. Onkologie = Oncology (cancer)
8. Hygiene = Infection control nurse
9. Pflegedienstleitung = nurse manager
10. Lehrer = teacher/lecturer UKS (clinical instructor usually lower level qualification, see no. 12)
11. Stationsleitung = ward manager
12. Praxisanleitung = practice instructor26
26
Original table supplied by Gertrud Stcker, Executive Director, Federal Committee of Nurse
Teachers in Germany (Geschftsfhrender Vorstand, Bundesausschu der Lehrerinnen und
Lehrer fr Pflegeberufe)
Individual Lnder and the DKG

Regulation of the details of post basic training lies within the authority of the
Lnder (see supra). If a State opts to make use of this right, the legislative
form chosen is often that of a statutory order (Ordnung / Rechtsverordnung).
As such it will be based on a general Act (Gesetz) which describes the
general subject of the matter of regulation and authorizes a member of the
executive branch to exercise legislative power in this field.
Beyond that, regulations of the DKG, a private organization, exist and are
widely used.
I. The German Society of Hospitals (Deutsche

Krankenhausgesellschaft DKG)
When the State of Sachsen-Anhalt decided to privatise post basic training in
professions of health care, it based its decision on a report which contained
the following recommendation:
In the area of nursing tasks in connection with post basic training
which are currently executed by State institutions should be performed
by private suppliers. The task could be transferred to the Deutsche
Krankenhausgesellschaft or other suitable suppliers. 27
In fact the DKG already carries out many of the tasks which otherwise would
fall to the States. Traditionally, post basic training of nurses takes place in
hospitals. Over the years, the DKG as the umbrella organization has issued
several detailed directives which serve as guidelines for institutions of post
basic training and at the same time as recommendations for States wishing to
introduce 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 Neuorganisation
der Landesverwaltung in conjunction with Teil E des Berichtes der Projektgruppe
Verwaltungsreform
(2)
(3)
(4)
(5)
(6)
(7)
(8)
Community Health Care 28

Psychiatry29
Rehabilitation30
Nephrology31
Functional services (Operation department / endoscopy department) 32
Intensive care 33
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] / Krankenpfleger
fr Intensivpflege und Ansthesie [DKG]) and recognition of titles awarded
under the law of German States.
28
Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung von

Krankenschwestern, Krankenpflegern und Kinderkrankenschwestern fr
Gemeindekrankenpflege Empfehlung der Deutschen Krankenhausgesellschaft, 8
Dezember 1977, amended on 24 April 1991, Das Krankenhaus, 1978, no. 1, p. 31 ff.
29
Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung von

Krankenschwestern, Krankenpflegern und Kinderkrankenschwestern fr
Gemeindekrankenpflege Empfehlung der Deutschen Krankenhausgesellschaft (DKG), 22
Juni 1978, amended on 11 Mrz 1997, Das Krankenhaus, 1997, no. 6, p. 350 ff.
30
Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung zu

Krankenschwestern, Krankenpflegern und Kinderkrankenschwestern sowie Altenpflegerinnen
und Altenpflegern fr Rehabilitation DKG-Empfehlung zur Weiterbildung fr Krankenpflegeund Altenpflegepersonen fr Rehabilitation, 15 / 16 September 1994; Das Krankenhaus 1994,
no. 11, p. 513 ff.
31

Krankenschwestern, Krankenpflegern, Kinderkrankenschwestern und Kinderkrankenpflegern
in der Nephrologie DKG-Empfehlung zur Weiterbildung fr Krankenpflegepersonen in der
Nephrologie, 9 Mrz 1995, Das Krankenhaus 1995, no. 5, Redaktionsbeilage, p. 3 ff.
32

in den Funktionsdiensten (Operationsdienst / Endoskopiedienst) DKG-Empfehlung zur
Weiterbildung fr Krankenpflegepersonen in den Funktionsdiensten (Operationsdienst /
Endoskopiedienst), 2 Juni 1997; Das Krankenhaus, 1997, no. 9, p. 568 ff.
33

fr die Intensivpflege (Ansthesie / Pdiatrie) DKG-Empfehlung zur Weiterbildung fr
Krankenpflegepersonen in der Intensivpflege I, 16 November 1976, amended on 11 Mai
1998, Das Krankenhaus, 1998, no. 9, p. 537 ff.
34

fr die Pflege in der Onkologie DKG-Empfehlung zur Weiterbildung von
Krankenfplegepersonen fr die Pflege in der Onkologie, 26 November 1998, Das
Krankenhaus 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 postbasic 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 of
the 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 specialist
post-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. As
recently as August 1999, Schleswig-Holstein issued the most recent statutory order in this
respect (on the post basic training of nurses specialised in oncology and palliative care).
Intensive medicine and anesthesia 38 (Intensivmedizin und Ansthesie)
Pediatrical intensive care 39 (pdiatrische Intensivpflege)
Operation department40 (Operationsdienst)
Psychiatry41 (Psychiatrie)
Ambulatory care 42 (ambulante Pflege)
Rehabilitation and long-term care 43 (Rehabilitation und Langzeitpflege)
Oncology (Onkologie)44
Hygiene 45 (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,
st
15 January 1985, Gesetz- und Verordnungsblatt fr Berlin, 41 year, no. 24, 17 April 1985
39
Weiterbildungs- und Prfungsverordnung fr die Heranbildung von Pflegefachkrften in der

nd
pdiatrischen Intensivpflege, 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin, 52
year, no. 37, 27 July 1996, p. 276
40
Kinderkrankenschwestern und Kinderkrankenpfleger fr den Operationsdienst, 1 October
st
1985, Gesetz- und Verordnungsblatt fr Berlin, 41 year, no. 68, 2 November 1985, p. 2244
41

Kinderkrankenschwestern und Kinderkrankenpfleger in der Psychiatrie, 15 January 1987,
rd
Gesetz- und Verordnungsblatt fr Berlin, 43 year, no. 16, 4 March 1987, p. 847
42
Weiterbildungs- und Prfungsordnung fr die Heranbildung von Pflegefachkrften in der

nd
ambulanten Pflege, 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin, 52 year, no. 37,
27 July 1996, p. 283
43

Rehabilitation und Langzeitpflege, 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin,
nd
52 year, no. 37, 27 July 1996, p. 273
44

nd
Onkologie, 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin,52 year, no. 37, 27 July
1996
45
Weiterbildungs- und Prfungsverordnung fr die Heranbildung von Pflegefachkrften fr
nd
Hygiene (Hygienefachkrfte), 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin, 52
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 der
Altenpflege (Weiterbildungsgesetz WbG), 3 Juli 1995, Gesetz- und Verordnungsblatt fr
Berlin, 51. Jahrgang, Nr. 36, 11. Juli 1995, p. 401
47
2, Weiterbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,

Kinderkrankenschwestern und Kinderkrankenpfleger fr den Operationsdienst, 1 October
st
1985, Gesetz- und Verordnungsblatt fr Berlin, 41 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 fulltime courses; if the course takes place in tandem with the professional activity
it likewise ought to embrace 750 hours.
48

Kinderkrankenschwestern und Kinderkrankenpfleger in der Psychiatrie, 15 January 1987,
rd
Gesetz- und Verordnungsblatt fr Berlin, 43 Jahrgang, Nr. 16, 4 Mrz 1987, p. 847
49
3, Weiterbildungs- und Prfungsordnung fr die Heranbildung von Pflegefachkrften in

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

Kinderkrankenschwestern und Kinderkrankenpfleger in der Intensivmedizin und Ansthesie,
.
15 January 1985, Gesetz- und Verordnungsblatt fr Berlin, 41 Jahrgang, Nr. 24, 17 April
1985
51
3, Weiterbildungs- und Prfungsverordnung fr die Heranbildung von

Pflegefachkrften fr Hygiene (Hygienefachkrfte), 30 June 1996, Gesetz- und
Verordnungsblatt fr Berlin, 52. Jahrgang, Nr. 37, 27 Juli 1996, p. 269
52
3, Weiterbildungs- und Prfungsverordnung fr die Heranbildung von Pflegefachkrften in

der Rehabilitation und Langzeitpflege, 30 June 1996, Gesetz- und Verordnungsblatt fr
.
Berlin, 52 Jahrgang, Nr. 37, 27 Juli 1996, p. 273

years. It embraces
Pediatrical intensive care 53

years. It embraces
Oncology54
years. It embraces
53

.
der pdiatrischen Intensivpflege, 30 June 1996, Gesetz- und Verordnungsblatt fr Berlin, 52
Jahrgang, Nr. 37, 27 Juli 1996, p. 276
54
.
der 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 care 55. The regulation of other disciplines of
post-basic training follows the recommendations of the DKG.
1. Entry requirements
Ambulatory care 56
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 der
ambulanten 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 care 57
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 title 59 of a
legally regulated profession of health care may after training in an
57
2,APWBV
Gesetz ber die Weiterbildung in den Gesundheitsfachberufen vom 2. Juli 1991 (Brem.
GBl. S 209).
58
59
Title - here as well as in the relevant statutes of the other States - is used in the meaning
of description of profession [Berufsbezeichnung], as opposed to title protected by the
German penal code [Titel]. Certain Berufsbezeichnungen are also protected in such a way
that 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. In
Bremen they are protected in regional law code as in this statute (see para. 10). The same
applies 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

Kinderkrankenschwestern und Kinderkrankenpfleger in der Psychiatrie 22 March 1995
61

Kinderkrankenschwestern und Kinderkrankenpfleger im Operationsdienst, 24 February 1995
62

Kinderkrankenschwestern und Kinderkrankenpfleger in der Haus- und
Gemeindekrankenpflege, 12 August 1993
63

Kinderkrankenschwestern und Kinderkrankenpfleger in der Intensivpflege und Ansthesie, 27
August 1992
64
5 (1) Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,

August 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,

Gemeindekrankenpflege, 12 August 1993, Brem. GBl., p. 279
66

Kinderkrankenschwestern und Kinderkrankenpfleger im Operationsdienst, 24 February 1995,
Brem. GBl., p. 137
67

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

August 1992, Brem. GBl., p. 581.
70

Gemeindekrankenpflege, 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, of
these 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
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
71

Kinderkrankenschwestern und Kinderkrankenpfleger im Operationsdienst, 24 February 1995,
Brem. GBl., p. 137
72

Kinderkrankenschwestern und Kinderkrankenpfleger in der Psychiatrie, Brem. GBl., p. 273

with regard to the main area psychiatry. As a part time course: professionalpractical 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- und
Verordnungsblatt, Teil 2, no. 94, 16 May 1990, p. 913, as amended by Ordnung zur nderung
der Ordnung zur Fortbildung zur Krankenschwester und zum Krankenpfleger in der
Annsthesie [sic], operativen und internistischen Intensivpflege, der Ordnung zur Fortbildung
zur Fachkrankenschwester und zum Fachkrankenpfleger, zur Fachkinderkrankenschwester
und zum Fachkinderkrankenpfleger im Operationsdienst und der Ordnung zur Fortbildung zur
Fachkrankenschwester, Fachkinderkrankenschwester und zum Fachkrankenpfleger,
Fachkinderkrankenpfleger in der Psychiatrie (Sozialpsychiatrische Fortbildung), 21 December
1994, Hamburgisches Gesetz- und Verordnungsblatt, Teil 2, no. 4, 5 January 1993
74
Ordnung zur Fortbildung zur Fachkrankenschwester und zum Fachkrankenpfleger, zur

Fachkinderkrankenschwester und zum Fachkinderkrankenpfleger im Operationsdienst, 23
November 1992, Hamburgisches Gesetz- und Verordnungsblatt, Teil 2, no. 227, 23
November 1992, p. 2385, as amended by Ordnung zur nderung der Ordnung zur
Fortbildung zur Krankenschwester und zum Krankenpfleger in der Annsthesie [sic],
operativen und internistischen Intensivpflege, der Ordnung zur Fortbildung zur
Fachkrankenschwester und zum Fachkrankenpfleger, zur Fachkinderkrankenschwester und
zum Fachkinderkrankenpfleger im Operationsdienst und der Ordnung zur Fortbildung zur
Fachkrankenschwester, Fachkinderkrankenschwester und zum Fachkrankenpfleger,
Fachkinderkrankenpfleger in der Psychiatrie (Sozialpsychiatrische Fortbildung), 21 December
1994, 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 March
1998, Hamburgisches Gesetz- und Verordnungsblatt, Teil II, no. 36, 25 March 1998, p. 754,
as amended by Ordnung zur nderung der Ordnung zur Fortbildung zur Krankenschwester
und zum Krankenpfleger in der Annsthesie [sic], operativen und internistischen
Intensivpflege, der Ordnung zur Fortbildung zur Fachkrankenschwester und zum
Fachkrankenpfleger, zur Fachkinderkrankenschwester und zum Fachkinderkrankenpfleger im
Operationsdienst und der Ordnung zur Fortbildung zur Fachkrankenschwester,
Fachkinderkrankenschwester und zum Fachkrankenpfleger, Fachkinderkrankenpfleger in der
Psychiatrie (Sozialpsychiatrische Fortbildung), 21 December 1994, Hamburgisches Gesetzund 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 / zum

Fachkrankenschwester / Fachkrankenpfleger in klinischer Geriatrie und Rehabilitation und fr
Altenpflegerinnen / Altenpfleger zur / zum Fachaltenpflegerin / Fachaltenpfleger in klinischer
Geriatrie 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 Ordnung
zur Fortbildung fr Krankenschwestern / Krankenpfleger zur / zum Fachkrankenschwester /
Fachkrankenpfleger in klinischer Geriatrie und Rehabilitation und fr Altenpflegerinnen /
Altenpfleger zur / zum Fachaltenpflegerin / Fachaltenpfleger in klinischer Geriatrie und
Rehabilitation, 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 July
1996, Hamburgisches Gesetz- und Verordnungsblatt, Teil II, no. 165, 26 August 1996, p.
2177
78
See footnote Error! Bookmark not defined.
79
80
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,

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 Rehabilitation 85
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
85
3, Fortbildungs- und Prfungsordnung see footnote Error! Bookmark not defined.
6, Ordnung zur Fortbildung see footnote Error! Bookmark not defined.

2, annex Lehrplan, Ordnung zur Fortbildung see footnote Error! Bookmark not
defined.
86
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
Post basic training takes place as a
course in tandem with professional
activity of two years. It embraces:

1. Theoretical training (theoretical and practical tuition) of at least 740 hours
87

7, Fortbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,
2177
88
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 Rehabilitation 90
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:
90
Intensive care and anesthesia (Intensivpflege und Ansthesie)92
Functional service (Funktionsdienst) 93
Psychiatrie (Psychiatry) 94
91
A provisional regulation for district nurses Vorlufige Weiterbildungs- und

Prfungsordnung fr Fachkrankenschwestern / Fachkrankenpfleger in der
Gemeindekrankenpflege, Staatsanzeiger fr das Land Hessen, 28 / 1977, p. 1400, was
issued 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- und

Verordnungsblatt fr das Land Hessen, Teil I, No. 16, 28 June 1996, p. 284, general
provisions and annex no. 4; as amended by: Verordnung zur nderung der Weiterbildungsund Prfungsordnung fr Pflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das
Land Hessen, Teil I, 27 March 1998, No. 4, p. 63
93

provisions; as amended by: Verordnung zur nderung der Weiterbildungs- und
Prfungsordnung fr Pflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land
Hessen, Teil I, 27 March 1998, No. 4, p. 63 and annex no. 12 therein
94

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

95

96

97

98

99

Verordnungsblatt 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, 4
March 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 fr
Pflegeberufe, 4 March 1998, Gesetz- und Verordnungsblatt fr das Land Hessen, Teil I, 27
March 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;
March 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 der
Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 4 March 1998, Gesetz- und
Verordnungsblatt 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,

March 1998, No. 4, p. 63
104
March 1998, No. 4, p. 63
105
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.
Rehabilitation 106
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 service 107
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
March 1998, No. 4, p. 63
106
March 1998, No. 4, p. 63
107

March 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, parttime tuition or in tandem with the professional activity. The course may not
last longer than three years.
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- 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 Pflegeberufe, 4
March 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 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
March 1998, No. 4, p. 63
110
3 and annex 5, no.2, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May
March 1998, No. 4, p. 63
111
3 and annex 6 no. 2, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May
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
Rehabilitation 114
March 1998, No. 4, p. 63
112
3 and annex 9, no. 2, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May

March 1998, No. 4, p. 63
113
March 1998, No. 4, p. 63
114

March 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 service 115
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:
Psychiatry117
Operation department118.
115
3 und Anlage 12 Nr. 2, Weiterbildungs- und Prfungsordnung fr Pflegeberufe, 24 May

March 1998, No. 4, p. 63
116
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 (PsychiatrieWeiterbildungsverordnung - WPrVO-Ps), 10 July 1996, GS Meckl.-Vorp. Gl. Nr. 212 - 3 - 3, p.
340
118
Kinderkrankenschwestern und Kinderkrankenpfleger fr den Operationsdienst (OPWeiterbildungsverordnung - 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.
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
Intensive Care and Anesthesia
121
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-V
S. 564)
120
4 (1) Gesetz ber die Weiterbildung in den Gesundheitsfachberufen, 5 Mai 1994, GVOBl.
M-V, p. 564
121
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 (PsychiatrieWeiterbildungsverordnung - 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
post
registrationstage:
Intensive care and anaesthesia, paediatric intensive care and anaesthesia

nurse 124
Community Health (Ambulatory Care) nurse 125
Care of Cancer Patients nurse 126
Psychiatry nurse 127
Operation theatre nurse 128
123
4 (1), Weiterbildungs- und Prfungsverordnung fr Krankenschwestern, Krankenpfleger,

Kinderkrankenschwestern und Kinderkrankenpfleger fr den Operationsdienst (OPWeiterbildungsverordnung - WPrVO - OpD), 9 May 1995, GS Meckl.-Vorp. Gl. Nr. 212 - 3 - 1,
p. 270
124
Weiterbildungsund
Prfungsordnung
zur
Fachkrankenschwester,
zum
Fachkrankenpfleger und zum Fachkinderkrankenpfleger in der internistischen und operativen
Intensivpflege und Ansthesie sowie in der pdiatrischen Intensivpflege und Ansthesie, 30
July 1993.
125
Weiterbildungsund
Prfungsordnung
zur
Fachkinderkrankenschwester, zum Fachkrankenpfleger, Fachkinderkrankenpfleger und zur
leitenden Pflegekraft in der ambulanten Krankenpflege (Gemeindekrankenpflege), 30 July
1993, as amended by nderung der Weiterbildungs- und Prfungsordnung zur
Fachkrankenschwester, Fachkinderkrankenschwester, zum Fachkrankenpfleger und
Fachkinderkrankenpfleger in der ambulanten Krankenpflege (Gemeindekrankenpflege),
RdErl. d. MS., 23 Okt. 1995, Nds. MBl., Nr. 42 / 1995
126
Weiterbildungs- und Prfungsordnung fr Fachkrankenschwestern, Fachkrankenpfleger,
Fachkinderkrankenschwestern und Fachkinderkrankenpfleger fr die Pflege tumorkranker
Patientinnen und Patienten, 30 July 1993.
127
Weiterbildungsund
Prfungsordnung
zur
zum
Fachkrankenpfleger
und
zur
Fachkinderkrankenschwester
und
zum
Fachkinderkrankenpfleger in der Psychiatrie, 30 July 1993
128
Weiterbildungs- und Prfungsordnung fr Fachkrankenschwestern, Fachkrankenpfleger

und 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 Patients 132
129

1993
130
5, Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester, zum
Intensivpflege und Ansthesie sowie in der pdiatrischen Intensivpflege und Ansthesie, 30
July 1993
131
5,
Weiterbildungsund
Prfungsordnung
zur
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, as amended by nderung der
Weiterbildungsund
Prfungsordnung
zur
Fachkinderkrankenschwester, zum Fachkrankenpfleger und Fachkinderkrankenpfleger in der
ambulanten Krankenpflege (Gemeindekrankenpflege), RdErl. d. MS., 23 Okt. 1995, Nds.
MBl., Nr. 42 / 1995
132
5,
Weiterbildungsund
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, zum
Fachkrankenpfleger
und
zur
und
zum
Fachkinderkrankenpfleger in der Psychiatrie, RdErl. d. MS., 30 Juli 1993, Nds. MBl., Nr. 25 /
1993, as amended by Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester, zum
Fachkrankenpfleger
und
zur
und
zum
Fachkinderkrankenpfleger in der Psychiatrie, RdErl. d. MS., 23 April 1996, Nds. MBl., Nr. 22/
1996
134
5,
Weiterbildungsund
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

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, zum
Intensivpflege 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 zur
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, as
amended by nderung der Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester,
Fachkinderkrankenschwester, zum Fachkrankenpfleger und Fachkinderkrankenpfleger in der
ambulanten 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 Patients 138
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 die
Pflege 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, zum
Fachkrankenpfleger
und
zur
und
zum
Fachkinderkrankenpfleger in der Psychiatrie, RdErl. d. MS., 30 Juli 1993, Nds. MBl., Nr. 25 /
1993, as amended by Weiterbildungs- und Prfungsordnung zur Fachkrankenschwester, zum
Fachkrankenpfleger
und
zur
und
zum
Fachkinderkrankenpfleger in der Psychiatrie, RdErl. d. MS., 23 April 1996, Nds. MBl., Nr. 22/
1996
140
7 (1), 7 (2), see 8, Weiterbildungs- und Prfungsordnung fr
Fachkrankenschwestern, Fachkrankenpfleger und Fachkinderkrankenschwestern fr den
Operationsdienst, 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-Westfalen recognises several post registration nurse specialised
titles. 142 These are;
the Anaesthesia and Intensive care nurses;
the psychiatric nurse;
the Operating theatre nurse;
the hygiene nurse (infection control).
Operation department 143
141
7 (1), 7 (2), 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
142
Weiterbildungs- und Prfungsverordnung zu Fachkrankenschwestern, -pflegern,
Fachkinderkrankenschwestern und -pflegern fr den Operationsdienst (WeiV - OP), 11 April
1995
143
4, Weiterbildungs- und Prfungsverordnung zu Fachkrankenschwestern, -pflegern,
1995, Gesetz- und Verordnungsblatt fr das Land Nordrhein-Westfalen, 49. Jahrgang, Nr. 33,
28. April 1995, p. 296

patient care, in general for at least one year; at least six months during this
period in the operation department.
Anesthesia and Intensive Care144
patient care, in general for at least one year; at least six months during this
period in intensive care or anesthesia
Psychiatric care 145

patient care, in general for at least two year; of these at least one year in the
psychiatric department, childrens psychiatric department, young peoples
psychiatric department or gerontological psychiatric department.
Hygiene146
144

Fachkinderkrankenschwestern und -pflegern in der Intensivpflege und Ansthesie
(WeiVIAPfl), 11 April 1995, Gesetz- und Verordnungsblatt fr das Land Nordrhein-Westfalen,
49. Jahrgang, Nr. 33, 28. April 1995, p. 305
145
Fachkinderkrankenschwestern, -pflegern, Fachaltenpflegerinnen und -pflegern in der
Psychiatrie (WeiVPsy), 11 April 1995, Gesetz- und Verordnungsblatt fr das Land NordrheinWestfalen, 49. Jahrgang, Nr. 33, 28. April 1995, p. 323
146
Fachkinderkrankenschwestern und -pflegern fr Krankenhaushygiene - Hygienefachkraft -

patient care, in general for at least two years; experiences in areas which
carry a special risk of infection are desired [erwnscht]
2. Training
Operation department 147
activity of two years or as a one year full-time course. It consists of a
theoretical and a practical part, embracing
1. Theory: at least 720 hours (one hour at 45 minutes each); of these: 500
hours theoretical lessons, 220 hours practical lessons under direct instruction
2. Practical part: at least 2,000 hours (one hour at 60 minutes each)
Anesthesia and Intensive Care148
activity of two years or as a full-time course. It consists of a theoretical and a
practical part under instruction. It embraces
(WeiVHygPfl), 11 April 1995, Gesetz- und Verordnungsblatt fr das Land NordrheinWestfalen, 49. Jahrgang, Nr. 33, 28. April 1995, p. 315
147

1995, Gesetz- und Verordnungsblatt fr das Land Nordrhein-Westfalen, 49. Jahrgang, Nr. 33,
28. April 1995, p. 296
148

Fachkinderkrankenschwestern und -pflegern in der Intensivpflege und Ansthesie
(WeiVIAPfl), 11 April 1995, Gesetz- und Verordnungsblatt fr das Land Nordrhein-Westfalen,
49. Jahrgang, Nr. 33, 28. April 1995, p. 305
1. Theory: At least 720 hours (one hour at 45 minutes each); of these: 500
hours theoretical lessons, 220 hours practical lessons under direct instruction
1. Practical part: at least 1200 hours (one hour at 60 minutes each)
activity of two years or as a full-time course. It embraces
1. Theory: At least 850 hours (one hour at 45 minutes each)
2. Practical part: At least 1540 hours (one hour at 60 minutes each)
149

Fachkinderkrankenschwestern, -pflegern, Fachaltenpflegerinnen und -pflegern in der
Psychiatrie (WeiVPsy), 11 April 1995, Gesetz- und Verordnungsblatt fr das Land NordrheinWestfalen, 49. Jahrgang, Nr. 33, 28. April 1995, p. 323
Hygiene150
activity of two years or as a full-time course, consisting of a theoretical part
and a practical part under instruction. It embraces
1. Theory: At least 720 hours (one hour at 45 minutes each)
2. Practical part: at least 1155 hours (one hour at 60 minutes each)
XII. Rheinland-Pfalz
Rheinland-Pfalz recognises several post registration nurse specialised
titles. 151
2 Post basic training specialist titles

(1) Persons having the permission for bearing the professional title of a
legally regulated profession in the health service may after training
in an officially acknowledged institution for post basic training bear
beyond their professional title titles of post basic training which
point out specialised knowledge in a specific area within the
profession. It is possible to bear more then one post basic training
titles.
(2)
The second section of 2 protects the titles be requiring authority to bear the
title,152 which authority depends on having done the specialised training and
150

Fachkinderkrankenschwestern und -pflegern fr Krankenhaushygiene - Hygienefachkraft (WeiVHygPfl), 11 April 1995, Gesetz- und Verordnungsblatt fr das Land NordrheinWestfalen, 49. Jahrgang, Nr. 33, 28. April 1995, p. 315
151
Landesverordnung zur Durchfuehrung des Landesgesetzes ueber die Weiterbildung in
den Gesundheitsfachberufen (GFBWBGDVO) vom 13.2.1998.
152
This is reinforced by 7 Administrative offences
(1) Persons commit a administrative offence, if they, deliberately or negligently,
1. bear a post basic training specialist title contrary to 2 without official appreciation
(2) These administrative offences can be punished with a penance of up to 10.000 DM.
passed the examinations.153 Section 4 indicates that this is subject to the

legally recognised titles from other Lnder.
(4) Post basic training specialist titles which are obtained in other
German states in accordance to official legal regulations can be borne
in Rheinland-Pfalz.
Section 5 indicates that this is subject to the legally recognised titles from
other member States of the EEA.
(5) Nationals of a Member State of the EEC or of another Member
State of the EEA, who bear a post basic training title which is
acknowledged according to the legal provisions of the EEC, may obtain
the relevant appreciation according to Abs.2 on request.
However the EC - EEA does not currently have any specific legal rules on
specialist titles, though the wording would also seem to cover the application
of the general Treaty law or the horizontal directives (89/48/EEC and
92/51/EEC).
The specialities recognised are:
Part 1: Post basic training for the special nurse, special childrens nurse or the
special childrens nurse for intensive care
Part 2: Post basic training for special childrens nurse for paediatric intensive
care
Part 3: Post basic training for special nurse, special childrens nurse for
nursing in the operating theatre
Part 4: Post basic training for the special nurse, the special childrens nurse
for hospital hygiene
Part 5: Post basic training for the special nurse, special childrens nurse for
psychiatric care
153
Op. Cit. 2(2).
Part 6: Post basic training for the special nurse, special childrens nurse for
community nursing/care
The tasks of the nurse and the detailed training regimes are then set out.
Persons wishing to participate in post basic training must have the permission
to bear a title of the legally defined profession of health care to which postbasic training relates. They also must have worked in the learned profession
of at least 2 years
Intensive care 155
At least 6 months employment in intensive care, anesthesia or dialysis in the

context of the professional activity that far
Pediatric Intensive Care 156
At least 6 months employment in intensive care in the context of the

professional activity that far
Operative functional services157
At least 6 months employment in operative functional areas in the context of

the professional activity that far
154
2, Landesverordnung zur Durchfhrung des Landesgesetzes ber die Weiterbildung in

den Gesundhetisfachberufen (GFBWBGDVO), 13 Februar 1998.
155
Anlage 1, Teil 1, Nr. 3 GFBWBGDVO
156
157
Hospital hygiene
No entry requirements are specified; only the general entry requirements (see
supra) apply.
Employment of at least 12 months in the care of the mentally ill or

psychosomatically ill in the context of the professional activity that far
Ambulatory care 159
Employment of at least 6 months in ambulatory care in the context of the

professional activity that far
2. Training
General provisions
Post-basic training takes place in courses with full-time tuition or in courses

with part-time tuition. Courses with part-time tuition can be conducted in
tandem with the professional activity; they shall last no longer than 4 years 160
Post basic training in general takes place in courses with theoretical and
practical tuition; one teaching hour shall last 45 minutes. Practical tuition takes
place under the instruction of a qualified employee [Fachkraft] who has
completed the post basic training specific to the profession or has a
comparable qualification, practical tuition shall be accompanied by regular
practice conversations 161.
158

160
3, Landesgesetz ber die Weiterbildung in den Gesundheitsfachberufen (GFBWBG), 17
November 1995, Gesetz- und Verordnungsblatt fr das Land Rheinland-Pfalz, 25 / 1995, 27.
November 1995, p. 471
161
3 GFBWBGDVO
159
Intensive care
Theoretical tuition embraces at least 720 hours ; practical tuition embraces at

least 2,500 hours in those diagnostical and therapeutical functional units of
hospitals which are of importance for intensive care, anesthesia or dialysis 162.
Pediatric intensive care
Theoretical tuition embraces at least 720 hours; practical tuition embraces at

least 2,500 hours in those diagnostical or therapeutical functional units of
hospitals which are of importance for pediatric intensive care 163.
Operative Department

least 2,500 hours in those diagnostical or therapeutical functional units of
hospitals which are of importance to care in operative functional areas 164.
162
163
164

Anlage 1, Teil 2, Nr. 4, GFBWBGDVO
Hospital Hygiene

least 840 hours in the hygiene department in different areas of hospitals; up to
120 hours can be served in an institute of hygiene or a comparable
institution165
Psychiatric care
Theoretical tuition embraces at least 720 hours, practical tuition embraces at

least 1,280 hours in diagnostical and therapeutical institutions which are
important for psychiatric care 166
Ambulatory care
Theoretical tuition embraces at least 720 hours, practical tuition embraces at

least 2,000 hours in employment in ambulatory care167.
165
166
167

XIII. Saarland
Saarland recognises the following disciplines of post-basic training:
Intensive care (Intensivpflege) 168
Operation department (Operationsdienst) 169
Psychiatric care (Psychiatriekrankenpflege)170
However, implementation and regulation of further disciplines of post-basic

training is left to the DKG-recommendations.
The title is protected.
7
(1) Persons commit an administrative offence if they, deliberately or
negligently, bear a title of post-basic training according to 2 (1)
without having recognition according to 2 (2).
5,000 DM
Persons can be admitted to post basic training, if they have the permission to
bear the professional title of a legally regulated profession of health care /
care for the elderly171
2. Training
168
Erla vom 30. April 1982, Intensivpflege

Erla vom 12. November 1991, Operationsdienst
170
Erla vom 1. August 1983, Psychiatriekrankenpflege
171
2 Gesetz Nr. 1419, ber die Weiterbildung in den Gesundheits- und
Altenpflegefachberufen und die Ausbung des Berufes der Hebamme und des
Entbindungshelfers (WuHG), 25 November 1998, Amtsblatt des Saarlandes, 4 February
1999, p. 142
169
Post-basic training in professions of health care, general provisions 172
Post-basic training shall be performed at State approved institutions of postbasic training in courses in tandem with the professional activity or in full-time
or part-time courses. Post-basic taining can be passed on through
correspondence tuition, if the aim of post-basic training admits this.
Correspondence courses must be in accord with the Act on the protection of
correspondence tuition [Fernunterrichtsschutzgesetz]
XIV. Sachsen
In Sachsen, post-basic training follows the recommendations of the DKG
XV. Sachsen-Anhalt
In the past, Sachsen-Anhalt has issued statutory orders covering the post
basic disciplines of
Anesthesia and intensive care 173
Psychiatry175.
On 19 December 1995 however, the cabinet of Sachsen-Anhalt decided to

transfer the tasks of post-basic training in the area of professions of health
care to private institutions; the DKG was expressly mentioned 176. The DKG
recommendations are applicable.
172
3, Gesetz Nr. 1419, ber die Weiterbildung in den Gesundheits- und

Altenpflegefachberufen und die Ausbung des Berufes der Hebamme und des
Entbindungshelfers (WuHG), 25 November 1998, Amtsblatt des Saarlandes, 4 February
1999, p. 142
173
Weiterbildungsordnung fr die Fachkrankenfpelge im Bereich Ansthesie und
Intensivpflege, RdErl. des MS, 12. Februar 1994 25 41064, MBl. LSA. Nr. 36 / 1994, p.
1268
174
Weiterbildungsordnung fr die Fachkrankenpflege im Bereich Operationsdienst, RdErl.
des MS vom 12. Februar 1994 Az. 25 / 41064, MBl. LSA. Nr. 36 / 1994, p. 1257
175
Weiterbildungsordnung fr die Fachkrankenpflege im Bereich Psychiatrie, RdErl. des MS,
12 Februar 1994 25 41064 / 4
176
Nr. 2
des Beschlusses der Landesregierung 19. Dezember 1995 ber die
Neuorganisation der Landesverwaltung in conjunction with Teil E des Berichtes der
Projektgruppe Verwaltungsreform
XVI. Schleswig-Holstein
Schleswig-Holstein recognises the following disciplines of post basic training:
Psychiatry179
Rehabilitation and long-term care 180
Hygiene 181
Oncology and palliative care 182
In its Law183 at 2 The term post basic training

is defined as :
(1) Post basic training within the meaning of this statute is the
resumption of organised and regulated learning after the successful
177
Landesverordnung ber die Weiterbildung und Prfung von Krankenschwestern,

Krankenpflegern,
Kinderkrankenschwestern
und
Kinderkrankenpflegern
fr
die
Funktionsdienste Operationsdienst und Endoskopie (WBFOuEVO), 2 September 1998, GS
Schl.-HY. II, Gl. Nr. 2122 - 5 - 3, Gesetz- und Verordnungsblatt fr Schleswig-Holstein 1998,
No. 14, p. 260
178
Krankenpflegern, Kinderkrankenschwestern und Kinderkrankenpflegern fr Intensivpflege und
Ansthesie (WBIuAVO), 2 September 1998, GS Schl.-H. II, Gl. Nr. 2122 - 5 - 2, Gesetz- und
Verordnungsblatt fr Schleswig-Holstein 1998, No. 14, p. 252
179
Krankenpflegern, Kinderkrankenschwestern und Kinderkrankenpflegern fr die Psychiatrie
(WBPsychVO), 2 September 1997, GS Schl.-H. II, Gl. Nr. 2122 - 5 - 1, Gesetz- und
Verordnungsblatt fr Schleswig-Holstein 1997, No. 16, p. 447
180
Krankenpflegern, Kinderkrankenschwestern und Kinderkrankenfplegern fr Rehabilitation und
Langzeitpflege (WBRuLVO), 7. Mrz 1999, GS Schl.-H. II. , Gl. Nr. 2122 5 4, Gesetz- und
Verordnungsblatt fr Schleswig-Holstein, 1999, 25. Mrz 1999, p. 73
181
Landesverordnung ber die Weiterbildung und Prfung zu Fachkrften fr Hygiene
(WBHygVO), 29. Mrz 1999, GS Schl.-H. II., Gl. Nr. 2122 5- 5, Gesetz- und
Verordnungsblatt fr Schleswig-Holstein 5 / 1999, 15. April 1999, p. 88
182
Krankenpflegern, Kinderkrankenschwestern, Kinderkankenpflegern, Altenpflegerinnen und
Altenpflegern fr Onkologie und Palliativpflege (WBOuPVO), 26 Juli 1999, GS Schl.-H. II., Gl.
Nr. 2122 5- 6, Gesetz- und Verordnungsblatt fr Schleswig-Holstein 10 / 1999, 19. August
1999, p. 238
183
Gesetz ber die Weiterbildung in Gesundheitsberufen, 27 November 1995, GS Schl.-H. II,

Gl. Nr. 2122-5, Gesetz- und Verordnungsblatt fr Schleswig-Holstein 1995, No. 19, p. 380
finished basic training in order to achieve additional knowledge,

which increases the professional qualifications and which enables a
person to work within specific areas.
The title is recognised and protected:
2 (2) A person who has finished successfully a post basic training

according to Abs. 1 is according to this statute and the statutory orders
enacted according to this statute permitted to bear the post basic
training specialist title beyond the professional title, if the post basic
training specialist title points out specialized knowledge in a specific
area within the profession.
9 Administrative offences
(1) Persons bearing, deliberately or negligently, a title of post basic

training without appreciation according to 6 in connection with a
statutory order which was enacted according to this statute, as long as
this statutory order expressly points out this provision.

2000 DM.
One can see that the titles are thus protected in Schleswig-Holstein. The way
the Law defines the specialist indicates that the specialisation is not a
separate profession from that of the nurse.
General Provisions 184
184
3 (1) Gesetz ber die Weiterbildung in Gesundheitsberufen, 27 November 1995, GS

Schl.-H. II, Gl. Nr. 2122-5, Gesetz- und Verordnungsblatt fr Schleswig-Holstein 1995, No.
19, p. 380
Post-basic training may in general only be commenced, if at least two years of

professional activity in the learned pofession have preceeded it. In general,
one year of continuous professional activity shall have preceeded the
beginning of post-basic training. The period of two years shall be extended in
the case of a part-time professional activity which does not cover at least half
of the regular period of work.
Nurses and childrens nurses can be admitted to post basic training in

professions of health care. They must have worked for at least two years in
their respective professions; in this period they must have worked for at least
6 months in the operation department or endoscopy

6 months in intensive care or anesthesia
Psychiatry187
185
1 (1), 4, Landesverordnung ber die Weiterbildung und Prfung von

fr die Funktionsdienste Operationsdienst und Endoskopie (WBFOuEVO), 2 September
1998, GS Schl.-HY. II, Gl. Nr. 2122 - 5 - 3, Gesetz- und Verordnungsblatt fr SchleswigHolstein 1998, No. 14, p. 260
186
fr Intensivpflege und Ansthesie (WBIuAVO), 2 September 1998, GS Schl.-H. II, Gl. Nr.
2122 - 5 - 2, Gesetz- und Verordnungsblatt fr Schleswig-Holstein 1998, No. 14, p. 252
187

fr die Psychiatrie (WBPsychVO), 2 September 1997, GS Schl.-H. II, Gl. Nr. 2122 - 5 - 1,
Gesetz- und Verordnungsblatt fr Schleswig-Holstein 1997, No. 16, p. 447

6 months in psychiatric institutions.
Rehabilitation and Long-term care 188

6 months in rehabilitation or long-term care.
Hygiene189

6 months in an area which carries, under aspects of hygiene, increased risk
Oncology and palliative care 190

188

Krankenschwestern, Krankenpflegern, Kinderkrankenschwestern und Kinderkrankenfplegern
fr Rehabilitation und Langzeitpflege (WBRuLVO), 7. Mrz 1999, GS Schl.-H. II. , Gl. Nr.
2122 5 4, Gesetz- und Verordnungsblatt fr Schleswig-Holstein, 1999, 25. Mrz 1999, p.
73
189
1 (1), 4, Landesverordnung ber die Weiterbildung und Prfung zu Fachkrften fr
Hygiene (WBHygVO), 29. Mrz 1999, GS Schl.-H. II., Gl. Nr. 2122 5- 5, Gesetz- und
Verordnungsblatt fr Schleswig-Holstein 5 / 1999, 15. April 1999, p. 88
190

Krankenschwestern, Krankenpflegern, Kinderkrankenschwestern, Kinderkankenpflegern,
Altenpflegerinnen und Altenpflegern fr Onkologie und Palliativpflege (WBOuPVO), 26 Juli
1999, GS Schl.-H. II., Gl. Nr. 2122 5- 6, Gesetz- und Verordnungsblatt fr SchleswigHolstein 10 / 1999, 19. August 1999, p. 238
6 months in oncology or palliative care
2. Training
Post-basic training in professions of health care, general provisions 191
Post-basic training shall be performed in courses of full-time tuition or in

courses in tandem with professional activity in approved institutions of postbasic training; it can also embrace practical instruction.
Post-basic training embraces at least 480 hours.
Post basic training takes place in a course with full-time tuition of at least one
year or in a course in tandem with the professional activity of at least two
years. If the course is a part-time course, the period shall be extended
accordingly.
The course embraces
1) Theoretical and practical tuition of at least 800 hours at 45 minutes each
2) Professional-practical part under professional instruction and supervision,
having regard to the core subjects operation department and endoscopy. If
the course takes place in tandem with the professional activity this part of the
training shall be performed in the context of the professional activity.
191
3 (2), 3 (3), Gesetz ber die Weiterbildung in Gesundheitsberufen, 27 November 1995,

GS Schl.-H. II, Gl. Nr. 2122-5, Gesetz- und Verordnungsblatt fr Schleswig-Holstein 1995,
No. 19, p. 380
192
3 WBFOuEVO
193
3 WBIuAVO

accordingly.
The course embraces
having regard to the core subjects intensive care and anesthesia for adult
patients or intensive care and anesthesia in the pediatrical area. If the course
takes place in tandem with the professional activity this part of the training
shall be performed in the context of the professional activity.
Psychiatry194
accordingly.
The course embraces
having regard to the aim of post basic training. If the course takes place in
tandem with the professional activity this part of the training shall be
Rehabilitation and Long-term Care195
accordingly.
The course embraces
194
3 WBPsychVO
195
3 WBRuLVO

Hygiene196
accordingly.
The course embraces
Oncology and Palliative Care 197

accordingly.
The course embraces
1) Theoretical and practical tuition - at least 800 hours at 45 minutes each.
tandem with the professional activity, this part of the training shall be
196
3 WBHygVO
197
3 WBOuPVO
XVI. Thringen
In Thringen, post-basic training follows the recommendations of the DKG
EC Law
The (direct entry) branch paediatric nurses and psychiatric nurses are listed
in Annex C of directive 92/51/EEC).
The post registration specialist nurses are not considered to comprise
separate professions and thus the sectoral nurses directives should operate
initially. This should be followed by the application of the Treaty and case
law in order to get a migrants knowledge and experience in a speciality
area recognised.

BASIC NURSE TRAINING WITHIN THE EUROPEAN UNION
COUNTRY NURSE QUALIFICATION
e.g. nurse speciality

Krankenpflege
Kinderkrankenpflege
LEVEL
Basic
DURATION
3 Jahre
ENTRY QUALIFICATIONS
Realschulabschlu oder gleichwertige

Schulausbildung
Oder
Hauptschulabschlu +
a) 2jhrige abgeschlossene Berufsausbildung
b) 2 jhrige Pflegevorschule
oder
Erlaubnis als Krankenpflegehelferin/helfer
ENTRY REQUIREMENTS
e.g. medical, dental reports, police checks
references (character/employers)
rztliches Gesundheitszeugnis
Polizeiliches Fhrungszeugnis
AGE
MINIMUM
MANDATORY COMPONENTS (HOURS) FOR

QUALIFICATION
CLINICAL 3000
17
MAXIMUM
THEORETICAL 1600
TECHNICAL TITLE OF THE AWARD
e.g. Certificate/Diploma etc.
Krankenschwester/pfleger
Kinderkrankenschwester/pfleger
TITLE AWARDED BY
Responsible authority of the German State in

which the examination was taken (para. 24 (1)
KrPflG)
STUDENT
STATUS OF THE TRAINEE
APPRENTICE
EMPLOYEE
Appendix 1A Training outline for the pediatric nurse

Ausbildungs und Prfungsverordnung fr die Berufe in der Krankenpflege
(KrPflAPrV)
Vom 16 Oktober 1985 (BGBI.IS.1973)
Auf Grund des 11 des Krankenpflegegesetz vom 4 Juni 1985 (BGB1.IS.893) wird im
Benehmen mit dem Bundesminister fr Bildung und Wissenschaft mit Zustimmung des
Bundesrates verordnet
Pediatric nurse
Anlage 2 (Zu 1 Abs.1)
Theory Hours
1. Occupational legislation and accountability
2. Hygiene and related microbiology
3. Biologie, Anatomy and Physiology
4. Physics, chemistry and Biochemistry
5. Medications
6. General & specialised investigations, diagnosis
Therapies and epidemiology
7. Foundation in psychology, sociology & pedagogics
8. Childrens nursing
9. Foundation in rehabilitation
10. Hospital documentation & organisation
11.Nursing terminology and documentation
12. First Aid
100 additional hours to be assigned to the subjects
nos. 1 12
120
120
120
40
60
360
100
480
20
30
20
30
100
1600
Practice Hours
1. General care of paediatrics & neonates, infectious children
2. General and specialist surgery
3. Newborn
4. Neuropaediatrics including young psychiatric clients,
Community care
600 hours to be assigned to the subjects nos. 1 4
1230
600
220
350
600
3000
Appendix 2 POST-BASIC/POST-REGISTRATION NURSE TRAINING

WITHIN THE EU
Baden-Wrttemberg makes use of the DKG recommendations

Bayern makes use of the DKG recommendations
POST-BASIC/POST-REGISTRATION
EUROPEAN UNION
NURSE
TRAINING
WITHIN
THE
Deutschland Berlin
COUNTRY Deutschland Berlin
NURSE QUALIFICATION/SPECIALITY Intensivmedizin und Ansthesie
LEVEL
Post basic
DURATION
12 Monate Vollzeit oder 24 Monate
berufsbegleitend
Krankenschwester / Krankenpfleger /
Kinderkrankenschwester /
Kinderkrankenpfleger
ENTRY REQUIREMENTS & ENTRY
2 Jahre Ttigkeit in der Krankenpflege /
EXPERIENCE
Kinderkrankenpflege, davon mindestens 12
Monate unmittelbar vor Beginn der
Weiterbildung
AGE
MINIMUM MAXIMUM MANDATORY COMPONENTS (HOURS) professional-practical part 30 weeks
FOR QUALIFICATION #1
Tuition (theoretical and practical) 780 hours
at 45 minutes each
TITLE OF THE AWARD
Staatlich anerkannte Krankenschwester fr
Intensivmedizin und Ansthesie / Staatlich
anerkannter Krankenpfleger fr
anerkannte Kinderkrankenschwester fr
anerkannter Kinderkrankenpfleger fr
Intensivmedizin und Ansthesie
TITLE AWARDED BY
Landesamt fr Gesundheit und Soziales
STUDENT b
APPRENTICE
EMPLOYEE
#1: Distribution of hours:
500 Intensivpflege
100 Ansthesiologie
120 Gertetechnik
60 Sozialwissenschaftliche Grundlagen
The practical training includes Co-operation training
Classes are taught in sets of at least 120 hours
the practical training is held in sets totalling 30 weeks
EUROPEAN UNION
COUNTRY -
NURSE
TRAINING
WITHIN
THE
NURSE QUALIFICATION/SPECIALITY
Deutschland Berlin
Ambulante Pflege
LEVEL
Post basic
DURATION
1 Jahr Vollzeit, maximum 3 Jahre

berufsbegleitende Teilzeit
Krankenschwester / Krankenpfleger
Kinderkrankenpflege, davon mindestens
12 Monate unmittelbar vor Beginn der
Weiterbildung
MINIMUM MAXIMUM -

EXPERIENCE
AGE
MANDATORY COMPONENTS
(HOURS) FOR QUALIFICATION
professional-practical part 750 hours at

60 minutes each
Tuition (theoretical and practical) 900
hours at 45 minutes each
TITLE OF THE AWARD

TITLE AWARDED BY
Staatlich anerkannte Krankenschwester /

Staatlich anerkannter Krankenpfleger fr
ambulante Pflege
Staatlich anerkannte
Kinderkrankenschwester / Staatlich
ambulante Pflege
STUDENT b
APPRENTICE
EMPLOYEE b
EUROPEAN UNION
COUNTRY -
NURSE
TRAINING
WITHIN
Deutschland Berlin
Hygiene
LEVEL
Post basic
DURATION
12 Monate Vollzeit, maximum 3 Jahre

berufsbegleitende Teilzeit .
THE
EXPERIENCE
AGE

Weiterbildung
MINIMUM MAXIMUM -
TITLE AWARDED BY
professional-practical part 750 hours at

60 minutes each
Staatlich anerkannte Krankenschwester
fr Hygiene / Staatlich anerkannter
Krankenpfleger fr Hygiene / Staatlich
Hygiene
/
Staatlich
anerkannter
Kinderkrankenpfleger fr Hygiene
STUDENT
TITLE OF THE AWARD

APPRENTICE
EMPLOYEE b
POST-BASIC/POST-REGISTRATION NURSE TRAINING WITHIN THE

EUROPEAN UNION
COUNTRY NURSE QUALIFICATION/SPECIALITY
Deutschland Berlin
Onkologie
LEVEL
Post basic
DURATION


EXPERIENCE
AGE

Weiterbildung
MINIMUM MAXIMUM professional-practical part 750 hours at
60 minutes each
TITLE OF THE AWARD

Staatlich anerkannte Krankenschwester fr

Onkologie / Staatlich anerkannter Krankenpfleger
fr
Onkologie
/
Staatlich
anerkannte
Kinderkrankenschwester fr Onkologie / Staatlich
anerkannter Kinderkrankenpfleger fr Onkologie
TITLE AWARDED BY

STUDENT b
APPRENTICE
EMPLOYEE b
EUROPEAN UNION
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
NURSE
TRAINING
WITHIN
THE
Deutschland Berlin
Operationsdienst
Post basic
1 Jahr Vollzeit oder minimum 2 Jahre
Weiterbildung
MINIMUM MAXIMUM professional-practical part
30 weeks
fr den Operationsdienst / Staatlich
anerkannter Krankenpfleger fr den
Operationsdienst / Staatlich anerkannte
Kinderkrankenschwester fr den
Operationsdienst / Staatlich anerkannter
Kinderkrankenpfleger fr den
Operationsdienst
STUDENT
APPRENTICE
EMPLOYEE
#1: Distribution of hours:

250 Methoden und Techniken endoskopischer, diagnostischer und therapeutischer
Eingriffe
250 Pr- intra- und postoperative Manahmen und Verhaltensweisen im OP-dienst
140 Sozialwissenschaftliche und hygienische Grundlagen im OP-dienst
140 rechtliche, organisatorische und betriebswirtschaftliche Grundlagen im OPdienst
EUROPEAN UNION
LEVEL
DURATION
NURSE
TRAINING
WITHIN
THE
Deutschland Berlin
Psychiatrie
Post basic
1 Jahr Vollzeit / 2 Jahre
EXPERIENCE
AGE
(HOURS) FOR QUALIFICATION #1
TITLE OF THE AWARD

TITLE AWARDED BY

Weiterbildung
MINIMUM MAXIMUM professional-practical part
30 weeks
fr Psychiatrie / Staatlich anerkannter
Krankenpfleger fr Psychiatrie / Staatlich
Psychiatrie / Staatlich anerkannter
Kinderkrankenpfleger fr Psychiatrie
STUDENT b
APPRENTICE
EMPLOYEE b
#1 Distribution of hours:
370 Psychiatrie, Psychosomatik und psychiatrische Krankenpflege
180 Psychologie und Soziologie
170 Psychiatrische Versorgung und Rehabilitation
60 Rechtliche, organisatorische und betriebswissenschaftliche Grundlagen
EUROPEAN UNION
COUNTRY -
NURSE
TRAINING
WITHIN
THE
Deutschland Berlin
Rehabilitation und Langzeitpflege
LEVEL
Post basic
DURATION

Krankenschwester
/
Krankenpfleger
Kinderkrankenschwester

EXPERIENCE

Weiterbildung
MINIMUM MAXIMUM -
AGE
/
/
Professional-practical part
750 hours at 60 minutes each
TITLE OF THE AWARD

TITLE AWARDED BY

fr Rehabilitation und Langzeitpflege /
Staatlich anerkannter Krankenpfleger fr
Rehabilitation und Langzeitpflege /
Staatlich
anerkannte
fr
Staatlich
anerkannter
Kinderkrankenpfleger fr Rehabilitation
und Langzeitpflege
STUDENT b
APPRENTICE
EMPLOYEE b
EUROPEAN UNION
NURSE
TRAINING
WITHIN
THE
Deutschland Berlin
Pdiatrische Intensivpflege
LEVEL
Post basic
DURATION

Kinderkrankenschwester/
Weiterbildung
MINIMUM MAXIMUM -

EXPERIENCE
AGE
professional-practical part
TITLE OF THE AWARD


fr pdiatrische Intensivpflege / Staatlich
anerkannter
Krankenpfleger
fr
pdiatrische Intensivpflege / Staatlich
anerkannte
pdiatrische Intensivpflege / Staatlich
pdiatrische Intensivpflege
TITLE AWARDED BY
STUDENT b
APPRENTICE
EMPLOYEE b
NURSE TRAINING
WITHIN THE
EUROPEAN UNION
Deutschland - Brandenburg
[legislation on statutory orders regulating the disciplines of post-basic training is in
process. DKG recommendations are applicable]
COUNTRY Deutschland Brandenburg
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
Ambulante Pflege
Post basic
Mindestens 1 Jahr Vollzeit / 2 Jahre bis
maximal 4 Jahre berufsbegleitend
2 Jahre Ttigkeit in der Krankenpflege
od.Kinderkrankenpflege, davon mind. 1
Jahr in der ambulanten Pflege
MINIMUM MAXIMUM Professional-practical part
Fachkrankenschwester fr ambulante
Pflege
Fachkrankenpfleger fr ambulante Pflege
Fachkinderkrankenschwester fr
ambulante Pflege
Fachkinderkrankenpfleger fr ambulante
Pflege
Vorsitzende
/
Vorsitzender
des
Prfungsausschusses
STUDENT
APPRENTICE
EMPLOYEE
Theoretical tuition: (800 hours)

Basics of ambulatory care and mental care
Structures of ambulatory care, cooperation and network
Communication and interaction
Basics of learning and teaching
Legal basics
Personal and professional identity
Hours at the disposition [of the training institution]
Practical post-basic training: (920 hours)
Practical training in an institution of ambulatory care
Practical training in a psychiatric institution
Practical training in an institution according to the
Interests of the nurse
Study trips etc. at public institutions
360 hours
80 hours
100 hours
100 hours
80 hours
40 hours
40 hours
720 hours
80 hours
80 hours
40 hours
Deutschland Bremen
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
Deutschland Bremen
Intensivpflege und Ansthesie
Post basic
1 Jahr Vollzeit / 2 Jahre berufsbegleitend
Kinderkrankenpflege, davon mind. 6
Monate in der Intensivpflege oder
Ansthesie
MINIMUM MAXIMUM Professional-practical part
460 + 380 hours or 920 + 760 hours, see
infra.
Fachkrankenschwester fr Intensivpflege
und Ansthesie
Fachkrankenpfleger fr Intensivpflege
und Ansthesie
Fachkinderkrankenpfleger fr
Senator fr Gesundheit, Jugend und
Soziales
STUDENT b
APPRENTICE
EMPLOYEE b
Ansthesie und intensiv- Bremen Theory Hours

Foundation in intensive care nursing
Specific skill in intensive care nursing
Foundation in anaesthetics
Techiques in intensive care & anaesthetics
Foundations of sociology and ethics
Management of intensive care services
Clinical hours (minimum)
(Anlage 2 Zu 3 Abs. 4)
Intensive care
Anaesthetics
240
290
100
60
60
50
800
460
380
EUROPEAN UNION
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
NURSE
TRAINING
WITHIN
THE
Deutschland Bremen
Haus- und Gemeidekrankenpflege
Post basic
1 Jahr Vollzeit / 2 Jahre berufsbegleitend
2 jhrige Ttigkeit in der Krankenbzw. Kinderkrankenpflege
MINIMUM -
MAXIMUM -
professional-practical part
460 + 230 + 70 hours or 920 + 460 + 140
hours, see infra.
Fachkrankenschwester fr Haus- und
Gemeindekrankenpflege
Fachkrankenpfleger fr Haus- und
Fachkinderkrankenschwester fr Hausund Gemeindekrankenpflege
Fachkinderkrankenpfleger fr Haus- und
Soziales
STUDENT b
APPRENTICE
EMPLOYEE b
Haus- und Gemeidekrankenpflege- Bremen

Theory hours
Home care for adults and children
With consideration to older children and
Adolescents
Foundations of social knowledge (sociology)
And ethics
Social communication
Aspects of management of care in the house and community
Clinical practice hours (minimum)
(Anlage 2 Zu 3 Abs.4)
outpatients, health care services in the community, home care
short or long term care
health care centre/general practice
500
150
50
100
800
460
230
70
EUROPEAN UNION
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
NURSE
TRAINING
WITHIN
Deutschland Bremen
Operationsdienst
Post basic
1 Jahr Vollzeit oder 2 Jahre
berufsbegleitend
oder Kinderkrankenpflege, davon
mindestens 6 Monate im
Operationsdienst
MINIMUM -
MAXIMUM -
250 + 150 + 150 + 100 + 50 hours or 500
+ 300 + 300 +200 +100 hours, see infra.
Fachkrankenschwester im
Operationsdienst
Fachkrankenpfleger im Operationsdienst
Fachkinderkrankenschwester im
Operationsdienst
Fachkinderkrankenpfleger im
Operationsdienst
Soziales
STUDENT b
APPRENTICE
EMPLOYEE b
Operationsdienst Bremen
Theory Hours
Foundation ii medicine, pharmacology, anaesthesia & rehabilitation
Foundation in caring and management of the pre/post operative patient
foundation in hospital infection control
managing instruments/materials in the operating department
care of patients who have had accidents
foundation of social knowledge & ethics
aspects of theatre management
190
250
120
100
30
60
50
800
Clinical practice
Anlage 2 (zu 3 Abs. 3)
General surgery
Specialist surgery (gynaecology or urology)
Specialist surgery (orthopaedic or accident/trauma)
Central sterilisation department
THE
250
150
150
50

EUROPEAN UNION
COUNTRY Deutschland Bremen
Psychiatrie
LEVEL
Post basic
DURATION
1 Jahr Vollzeit oder 2 Jahre berufsbegleitend
2 jhrige Ttigkeit in der Kranken- bzw.
EXPERIENCE
Kinderkrankenpflege, davon mindestens 6
Monate in der Psychiatrie
AGE
MINIMUM MAXIMUM MANDATORY COMPONENTS (HOURS) Professional-practical part
FOR QUALIFICATION
150 + 150 + 150 + 150 + 100 hours or 300 +
300 + 300 +300 +200 hours, see infra.
Tuition (theoretical and practical) 800 hours
at 45 minutes each
TITLE OF THE AWARD
Fachkrankenschwester in der Psychiatrie

Fachkrankenpfleger in der Psychiatrie /
Fachkinderkrankenschwester in der
Psychiatrie /
Fachkinderkrankenpfleger in der Psychiatrie
Senator fr Gesundheit, Jugend und Soziales
TITLE AWARDED BY
STUDENT b
APPRENTICE
EMPLOYEE b
Psychiatrie- Bremen
Theory Hours
Psychiatric nursing care
Foundations of psychiatry
Social knowledge & foundations
Ethics
Organisation of psychiatric services
Reflection on clinical practice
(Anlage 2 Zu 3 Abs.4)
Clinical practice hours (minimum)
General psychiatry
Psychogeriatric experince,
Children & young people,
Forensic or high dependency
Ward management
Outpatients, rehabilitation or
Complimentary therapy
Continuing education
480
110
110
60
40
800
150
150
150
150
100
EUROPEAN UNION
NURSE
TRAINING
WITHIN
THE
Deutschland Hamburg
LEVEL
DURATION
EXPERIENCE
Deutschland Hamburg
Ansthesie, operative und internistische
Intensivpflege
Post basic
1 Jahr berufsbegleitend
Mindestens ein halbes Jahr Ttigkeit in
der Ansthesie oder der Intensivpflege
AGE
MINIMUM MAXIMUM practice employment at least 40 weeks

Theoretical tuition: 400 hours
Practical tuition: 720 hours
TITLE OF THE AWARD

Fachkrankenschwester in der Ansthesie,

operativen und internistischen
Intensivpflege / Fachkrankenpfleger in
der Ansthesie, operativen und
internistischen Intensivpflege
TITLE AWARDED BY
Die Behrde fr Arbeit, Gesundheit und

Soziales [no authority mentioned in
statutory order]
STUDENT
APPRENTICE
EMPLOYEE
[remark - entry requirement changed by statutory order, 21 Dec 1994]
Ansthesie, operative und internistische Intensivpflege Hamburg(Anlage 2)

Theory & Clinical Hours as above but specific topics/subjects not identified
EUROPEAN UNION
NURSE
TRAINING
WITHIN
Deutschland Hamburg
Operationsdienst
THE
LEVEL
DURATION
Post basic
2 Jahre berufsbegleitend
Mindestens ein halbes Jahr Ttigkeit im
EXPERIENCE
Operationsdienst
AGE
MINIMUM MAXIMUM MANDATORY COMPONENTS
practice employment at least 49 weeks
Theoretical tuition: 510 hours
Practical instruction: 500 hours
TITLE OF THE AWARD
Operationsdienst /
Fachkrankenpfleger im Operationsdienst
Operationsdienst /
Operationsdienst
TITLE AWARDED BY
statutory order]
STUDENT
APPRENTICE
EMPLOYEE
Operationsdienst Hamburg
Anlage 2, 3 & 4
Theory hours
Foundation in medicine
Surgery
Specialist subjects
Clinical hours
General surgery
Trauma/orthopaedics
Gynaecology
Urology
Specialist Surgery
Cardiac surgery,ambulance or anaesthetics
205 hours
137 hours
169 hours
14 weeks
12 weeks
6 weeks
6 weeks
5 weeks
6 weeks
EUROPEAN UNION
COUNTRY -
NURSE
TRAINING
WITHIN
Deutschland Hamburg
Geriatrie und Rehabilitation
LEVEL
Post basic
THE
DURATION
1 Jahr

EXPERIENCE
Ein halbes Jahr Erfahrung in der

Krankenpflege und berufliche Eignung
AGE
MINIMUM -
Practical training 900 hours

Theoretical and practical tuition: 720
hours
TITLE OF THE AWARD

Fachkrankenschwester
in
klinischer
Geriatrie
und
Rehabilitation
/
Fachkrankenpfleger
in
klinischer
Geriatrie und Rehabilitation
statutory order]
STUDENT
TITLE AWARDED BY
MAXIMUM -
APPRENTICE
EMPLOYEE
Geriatrie und Rehabilitation Hamburg (Anlage 13)
Theoretical
&
Clinical
Hours
as
above
but
specific
topics/subjects
not
identified
EUROPEAN UNION
NURSE
TRAINING
WITHIN
THE
Deutschland Hamburg
Psychiatrie
LEVEL
Post basic
DURATION

EXPERIENCE
Mindestens ein halbes Jahr Ttigkeit in
der Psychiatrie
AGE
MINIMUM -
practical training 46 weeks

hours
TITLE OF THE AWARD


/ Fachkrankenpfleger in der Psychiatrie /
Psychiatrie / Fachkinderkrankenpfleger in
der Psychiatrie
TITLE AWARDED BY

Soziales
STUDENT
MAXIMUM -
APPRENTICE
EMPLOYEE
Psychiatrie Hamburg
EUROPEAN UNION
LEVEL
DURATION

EXPERIENCE
AGE
NURSE
TRAINING
WITHIN
THE
Deutschland Hamburg
Hygiene
Post basic
2 Jahre Ttigkeit in der Krankenpflege,
beziehungsweise Kinderkrankenpflege
MINIMUM MAXIMUM -
MANDATORY
COMPONENTS practical training 46 weeks
hours
TITLE OF THE AWARD
Fachkrankenschwester fr Hygiene
(Hygienefachkraft) /
Fachkrankenpfleger fr Hygiene
Fachkinderkrankenschwester fr Hygiene
Fachkinderkrankenpfleger fr Hygiene
(Hygienefachkraft)
TITLE AWARDED BY
Behrde fr Arbeit, Gesundheit und
Soziales
STUDENT
APPRENTICE
EMPLOYEE
Hygiene Hamburg (Anlage 3 (zu 7Absatz 2)
Theory Hours
Foundation in Hygiene, Microbiology & Parasites
Foundation in Hospital Hygiene
Techniques & hospital infection control policy
Foundation in Hospital organisation
Foundation of Social policy
Clinical Hours
4 weeks
Intensive care settings
operation settings
surgical settings
general settings
2 weeks
central sterile supplies kitchen
3 weeks in general hospital settings
EUROPEAN UNION
160 hours
240 hours
160 hours
80 hours
80 hours
NURSE
TRAINING
WITHIN
THE
Deutschland Hessen
LEVEL
DURATION

EXPERIENCE
AGE
Deutschland Hessen
Gemeindekrankenpflege 198
Post basic
12 Monate Vollzeit / 24 Monate
berufsbegleitend
2 Jahre Ttigkeit in der Krankenpflege,
beziehungsweise Kinderkrankenpflege,
davon mindestens 6 Monate in der
MINIMUM MAXIMUM CLINICAL 600 (total)
TITLE OF THE AWARD

Fachkrankenschwester
in
Fachkrankenpfleger
in
in
Fachkinderkrankenpfleger
in
TITLE AWARDED BY
Regierungsprsident
STUDENT
APPRENTICE
EMPLOYEE
Deutschland Hessen
LEVEL
Post basic
DURATION
Berufsbegleitend, maximum 3 Jahre
198
No longer in use, see above
der
/
der
/
der
/
der

EXPERIENCE
2 Jahre Ttigkeit in der Krankenpflege/
Kinderkrankenpflege davon mindestens 6
Monate in Intensivpflege oder Ansthesie
AGE
MINIMUM MAXIMUM Theoretical and practical tuition 800

hours
TITLE OF THE AWARD

Fachkrankenschwester in der
Intensivpflege und Ansthesie /
Fachkrankenpfleger in der Intensivpflege
und Ansthesie /
Fachkinderkrankenpfleger in der
TITLE AWARDED BY
Der Regierungsprsident
STUDENT
APPRENTICE
EMPLOYEE
Intensivpflege und Ansthesie Hessen, (Anlage 4)

Theory Hours
Foundation in Intensive medicine
220 hours
100 hours
Intensive & Anaesthetic Care
260 hours
Medical techniques
50 hours
Sociology, teaching & psychology of intensive care
60 hours
Rights and occupational accountability
30 hours
Clinical hours
As above in appropriate intensive care settings
EUROPEAN UNION
LEVEL
DURATION

EXPERIENCE
NURSE
TRAINING
WITHIN
THE
Deutschland Hessen
Psychiatrie
Post basic
Krankenschwester/Krankenpfleger
Kinderkrankenpflege, Ttigkeit soll
Beschftigung in der Pflege psychisch
Kranker zeigen
AGE
MINIMUM -
MAXIMUM -
Theoretical and practical tuition 800

hours
procedures of reflection 160 hours
TITLE OF THE AWARD

TITLE AWARDED BY

in
der
der Psychiatrie
STUDENT
APPRENTICE
EMPLOYEE
Psychiatri- Hessen
Theory Hours
Psychiatric nursing
Psychiatric medicine
Teaching, psychology & sociology
Hospital policy
Supervision, profesional development & continuing care provision
400 hours
120 hours
120 hours
80 hours
160 hours

EUROPEAN UNION
Deutschland Hessen
Hygiene
LEVEL
Post basic
DURATION
maximum 3 Jahre

EXPERIENCE
AGE

Kinderkrankenpflege, davon sollen 6
Monate in Risikobereichen verbracht
worden sein
MINIMUM MAXIMUM -

hours
TITLE OF THE AWARD

(Hygienefachkraft) / Fachkrankenpfleger
fr Hygiene (Hygienefachkraft) /
(Hygienefachkraft)
TITLE AWARDED BY
STUDENT
APPRENTICE
EMPLOYEE
Hygiene Hessen
(Anlage 6)
Theory Hours
Foundation in Hygiene, Microbiology & Parasites
Foundation in Hospital Hygiene
Techniques & hospital infection control policy
Foundation in Hospital organisation
Foundation of Social policy
Clinical Hours
30 weeks in a variety of clinical settings
160 hours
240 hours
160 hours
80 hours
80 hours
EUROPEAN UNION
NURSE
TRAINING
WITHIN
THE
Deutschland Hessen
Onkologie
LEVEL
Post basic
DURATION
Kinderkrankenpflege, die Ttigkeit soll
6 Monate Beschftigung in onkologischer
Pflege aufweisen
hours

EXPERIENCE
AGE
TITLE OF THE AWARD
TITLE AWARDED BY
Onkologie- Hessen
(Anlage 5)
Specialist nursing care
Related medicine
Communication & psychosocial care
Patients rights professional care delivery
Fachkrankenschwester in der Onkologie /

Fachkrankenpfleger in der Onkologie /
Onkologie / Fachkinderkrankenpfleger in
der Onkologie
STUDENT
APPRENTICE
EMPLOYEE
340 hours
160 hours
160 hours
60 hours
Clinical hours
Hours as above in a variety of medical/surgical settings (Adults or children)
EUROPEAN UNION
LEVEL
NURSE
TRAINING
WITHIN
THE
Deutschland Hessen
Funktionsdienst
Post basic
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD
TITLE AWARDED BY

1 Jahr Ttigkeit in der Krankenpflege /
Kinderkrankenpflege, die Ttigkeit soll
6 Monate Beschftigung in den
Funktionsdiensten (Operationsdienst /
Endoskopiedienst) aufweisen
hours
Funktionsdienst / Fachkrankenpfleger im
Funktionsdienst /
Funktionsdienst /
Funktionsdienst
STUDENT
APPRENTICE
EMPLOYEE
Funktionsdienst Hessen
(Anlage 12)
Theory Hours
Specialist nursing theory
490 hours
Rights and occupational accountability
30 hours
Sociology, teaching & psychology
60 hours
Pathophysiology
140 hours
Clinical hours
24 weeks in general and abdominal surgery
10 weeks in accident surgery
12 weeks investigations
24 weeks specialist practice
EUROPEAN UNION
NURSE
TRAINING
WITHIN
THE
Deutschland Hessen
Rehabilitation
LEVEL
Post basic
DURATION
Kinderkrankenpflege
hours

EXPERIENCE
AGE
TITLE OF THE AWARD
TITLE AWARDED BY
Rehabilitation Hessen
(Anlage 11)
Theory Hours
Related medicine
Psychology, sociology & teaching
Hospital policy
Interdisciplinary studies
Rehabilitation / Fachkrankenpfleger in
der Rehabilitation /
Rehabiliation / Fachkinderkrankenpfleger
in der Rehabilitation
STUDENT
APPRENTICE
EMPLOYEE
300 hours
120 hours
120 hours
60 hours
120 hours
Clinical hours
8 weeks in rehabilitation ward acute neurology or geriatric or padiatric or inner medicine
4 weeks in specialist rehabilitation settings cardiology, orthopaedics, neurosurgery or other
areas with specialist rehabilitation experience
8 weeks in clinics, outpatient or community
EUROPEAN UNION
COUNTRY -
NURSE
TRAINING
WITHIN
THE
Deutschland Hessen
Nephrologie
LEVEL
Post basic
DURATION

Kinderkrankenpflege. Die Ttigkeit soll
6 Monate Beschftigung in
neprologischer Pflege aufweisen
hours

EXPERIENCE
AGE
TITLE OF THE AWARD
TITLE AWARDED BY
Nephrologie / Fachkrankenpfleger in der
Nephrologie /
Nephrologie / Fachkinderkrankenpfleger
in der Nephrologie
STUDENT
APPRENTICE
EMPLOYEE
Nephrologie- Hessen
(Anlage 9)
Theory Hours
Related medicine
Communication, psychosociology & teaching
Hospital policy
Clinical Hours
8 weeks nephrology
8 weeks dialysis & intensive medicine
12 weeks chronic renal failure
1 week peritoneal translation
1 week outpatient clinic
360 hours
120 hours
120 hours
60 hours
POST-BASIC/POST-REGISTRATION NURSE TRAINING WITHIN THE EUROPEAN UNION
Deutschland Mecklenburg Vorpommern

COUNTRY -
Deutschland Mecklenburg-Vorpommern
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD
TITLE AWARDED BY
Post basic
Berufsbegleitend 2 Jahre; Teilzeit
entsprechend lnger
Berufsbezeichnung
eines
Gesundheitsfachberufes
(Krankenschwester / Krankenpfleger /
/
Kinderkrankenpfleger)
18 Monate vollzeitliche berufliche
Ttigkeit, vergleichbare Teilzeitttigkeit
MINIMUM MAXIMUM practical training: 1,600 hours
hours
und Ansthesie / Fachkrankenpfleger fr
the responsible authority para. 17,
annex 3
STUDENT
APPRENTICE
EMPLOYEE
Intensivpflege und Ansthesie Meckl.-Vorp, (Anlage 1 teil A zu 4)

Theory hours
Foundation in intensive medicine & pharmacology
200 hours
120 hours
Patient management in intensive care and anaesthetics
230 hours
Hospital hygiene
40 hours
Medical techniques inintensive therapy and anaesthetics
40 hours
Psychological & sociological aspects of anaesthetics & intensive care 60 hours
Professional development and the organisation of services
60 hours
Optional studies
50 hours
Clinical hours (Anlage 1 teil B zu 4)
Intensive care
400 hours
Operative intensive care
400 hours
Experience in endoscopy, dialysis, function diagnostics & anaesthetics 200 hours

EUROPEAN UNION
LEVEL
DURATION
ENTRY REQUIREMENTS &

ENTRY EXPERIENCE
AGE
TITLE OF THE AWARD
TITLE AWARDED BY
Deutschland Mecklenburg-Vorpommern
Operationsdienst
Post basic
entsprechend lnger
Berufsbezeichnung eines
Gesundheitsfachberufes (Krankenschwester /
Krankenpfleger / Kinderkrankenschwester /
18 Monate vollzeitliche berufliche Ttigkeit,
vergleichbare Teilzeitttigkeit
MINIMUM MAXIMUM practical training: 1,600 hours
Theoretical and practical tuition: 800 hours
Fachkrankenschwester fr den
Operationsdienst / Fachkrankenpfleger fr den
Operationsdienst /
Fachkinderkrankenschwester fr den
Operationsdienst / Fachkinderkrankenpfleger
fr den Operationsdienst
the responsible authority, para. 17, annex 3
STUDENT
APPRENTICE
EMPLOYEE
Operationsdienst Meckl.-Vorp, (Anlage 1 Teil A zu 4)

Theory Hours
190 hours
Nursing care
40 hours
Specialised pharmacology and anaesthetics in the operation department 30 hours
Psychology, sociology & foundation ethics
50 hours
Hospital policy
80 hours
Hospital hygiene
70 hours
Pre/post operative management
200 hours
Instruments & equipment
90 hours
Optional studies
50 hours
Clinical Hours
(Anlage 1 Teil B zu 4)
1600 hours in practice with a minimum of 600 in general operations
COUNTRY Vorpommern
Deutschland Mecklenburg-
Psychiatrie
LEVEL
Post basic
DURATION

entsprechend lnger
Berufsbezeichnung eines
Gesundheitsfachberufes
(Krankenschwester / Krankenpfleger /
18 Monate vollzeitliche berufliche
Ttigkeit, vergleichbare Teilzeitttigkeit
MINIMUM MAXIMUM Practical training: 1,600 hours
hours

EXPERIENCE
AGE
TITLE OF THE AWARD
Fachkrankenschwester fr psychiatrische
Pflege / Fachkrankenpfleger psychiatrische
Pflege / Fachkinderkrankenschwester fr
psychiatrische Pflege /
Fachkinderkrankenpfleger fr psychiatrische
Pflege
TITLE AWARDED BY
the responsible authority, para. 17,

annex 3
STUDENT
APPRENTICE
EMPLOYEE
Psychiatrie Meckl.-Vorp., (Anlage 1 teil A zu 4)

Theory Hours
Psychiatric care
Psychology, sociology, teaching for psychiatric care
Communication, oral presentation, group work
Social psychiatry
Hospital policy
Optional speciality study
120 hours
220 hours
80 hours
80 hours
40 hours
60 hours
200 hours
Clinical Hours (Anlage 1 teil B zu 4) 1600 hours in practice with a minimum of 400 in general
psychiatry, minimum of 200 hours in outpatient or community psychiatric clinic & 200 ours specialist
psychiatric nursing

EUROPEAN UNION
Psychiatrie
LEVEL
DURATION
Post basic
18 Monate Ttigkeit in der
EXPERIENCE
Krankenpflege/Kinderkrankenpflege,
davon mindestens 6 Monate in einer
psychiatrischen Einrichtung
AGE
360 hours per year
practical training
Tuition 720 hours
TITLE OF THE AWARD
der Psychiatrie
TITLE AWARDED BY
Bezirksregierung
STUDENT
APPRENTICE
EMPLOYEE
Psychiatric nurse, Anlage 3 (zu 7 Abs.1 & 2)
Nursing care
Psychiatry
Psychology, teaching & sociology
Communication 7 social science
Professional/occupational development
Treatments/Organisation of specialist services
Clinical hours
360 hours/year in the following areas
Acute & chronic psychiatric illness
In/outpatients
Pschogeriatric nursing
Rehabilitation
Extra mural choice
160
160
160
100
40
40

EUROPEAN UNION
COUNTRY Deutschland Niedersachsen
Internistische und operative
LEVEL
Postbasic
DURATION
EXPERIENCE
Krankenpflege/
Kinderkrankenpflege davon mindestens 6
Monate in einer Intensivpflege- oder
Ansthesieabteilung
AGE
CLINICAL practical training
Tuition -720
TITLE OF THE AWARD
Fachkrankenschwester in der operativen
und internistischen Intensivpflege und
Ansthesie / Fachkrankenpfleger in der
operativen und internistischen
pdiatrischen Intensivpflege und
Ansthesie / Fachkinderkrankenpfleger in
der pdiatrischen Intensivpflege und
Ansthesie
TITLE AWARDED BY
Bezirksregierung
STUDENT
APPRENTICE
EMPLOYEE
Intensive Care and Anaesthesia nurse, Anlage 3 (zu 7 Abs.1 Nr.1)
Theory Hours
Nursing care
280
Medical care
200
Occupational legislation, accountability & ethics 40
Teaching, communication & pyschosocial
Behaviour
110
Sociology
20
Health care organisation
30
Clinical hours ( 8)
A minimum of 12 weeks in the following areas;
Anaesthetics
Intensive care
Intensive care operating settings
In all areas nurses will learn diagnostics, therapy and blood tests (Reanimation)

EUROPEAN UNION
COUNTRY Deutschland Niedersachsen
Ambulante Krankenpflege
(Gemeindekrankenpflege)
LEVEL
Post basic
DURATION
Vollzeitkurs oder berufsbegleitender
Kurs; berufsbegleitend mindestens 2
Jahre und maximum 3 Jahre
EXPERIENCE
Krankenpflege / Kinderkrankenpflege
AGE
practical units: 14 weeks
Tuition: 800 hours
TITLE OF THE AWARD
Fachkrankenschwester in der ambulanten
Krankenpflege(Gemeindekrankenpflege)
/ Fachkrankenpfleger in der ambulanten
Krankenpflege(Gemeindekrankenpflege)
+ Fachkinderkrankenschwester in der
ambulanten Krankenpflege
(Gemeindekrankenpflege) /
ambulanten Krankenpflege
(Gemeindekrankenpflege)
TITLE AWARDED BY
Bezirksregierung
STUDENT
APPRENTICE
EMPLOYEE
District nurse Anlage 3 (zu 7 Abs.2)
Theory Hours
Nursing care
Medical & social medicine
Communication & psychosocial skills
Teaching & social policy
Professional & occupational responsibilities
Pastoral/spiritual care
Organisation of services
Self directed study
240
100
140
90
40
30
160
50
850
Clinical hours
8 weeks in a psychiatric hospital/unit or addiction centre
6 weeks in community service eg. Young peoples health or rehabilitation
EUROPEAN UNION
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD
TITLE AWARDED BY
NURSE
TRAINING
Bezirksregierung
STUDENT
APPRENTICE
EMPLOYEE
Theory Hours
160
240
160
80
80
720
Part B
4 weeks in - intensive care
- operation department
- surgery settings
- medical settings
2 weeks in central sterilisation department and the kitchen
3 weeks in hospital ward settings
THE
Hygiene
Post basic
Krankenpflege / Kinderkrankenpflege
MINIMUM MAXIMUM practical training
Tuition: 720 hours
(Hygienefachkraft) / Fachkrankenpfleger
fr Hygiene (Hygienefachkraft) /
(Hygienefachkraft)
Infection control nurse (Hygiene)

Part A
Foundation in hygiene & microbiology
Hospital acquired infection/control
Techniques for infection control
Hospital organisation
Foundation in social knowledge
WITHIN
EUROPEAN UNION
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD
TITLE AWARDED BY
NURSE
TRAINING
WITHIN
THE
Operationsdienst
Post basic
2 Jahre Ttigkeit [nachBerufsabschlu] in
der Krankenpflege /
6 Monate im Operationsbereich
rztliches Zeugnis ber das Freisein von
Tuberkulose]
MINIMUM MAXIMUM Practical training
Theoretical tuition 240 hours
Practical tuition 480 hours
Operationsdienst / Fachkrankenpfleger
fr den Operationsdienst /
Operationsdienst /
Fachkinderkrankenpfleger fr den
Operationsdienst
Bezirksregierung
STUDENT
APPRENTICE
EMPLOYEE
Operation department nurse (Theatre nurse)

Theory Hours
Foundation in Medicine
Teaching, sociology and psychological aspects of operation service
Organisational aspects of operation department service
Foundation of pharmacology, anaesthesiology and Reanimation
Principles of infection control
Clinical practice
Practice under instruction
Aseptic technique
Instrument/material management
Pre/post operative care
Extra mural practice
Practice presentation
145
30
25
20
20
440
70
90
200
60
40
EUROPEAN UNION
LEVEL
DURATION

EXPERIENCE
AGE
NURSE
TRAINING
WITHIN
THE
Pflege tumorkranker Patientinnen und
Patienten
Post basic
18 Monate Ttigkeit in der Kranke
Kinderkrankenpflege
MINIMUM MAXIMUM -
TITLE OF THE AWARD
practical training
Tuition 720 hours
Fachkrankenschwester fr die Pflege
tumorkranker Patientinnen und Patienten
/ Fachkrankenpfleger fr die Pflege
tumorkranker Patientinnen und Patienten
/ Fachkinderkrankenschwester fr die
Pflege tumorkranker Patientinnen und
Patienten / Fachkinderkrankenpfleger fr
die Pflege tumorkranker Patientinnen und
Patienten
TITLE AWARDED BY
Bezirksregierung
STUDENT
APPRENTICE
EMPLOYEE
Tumour nurse specialist , Anlage 3 (zu 7 Abs.2)
Theory hours
Medical care
180
Nursing care
280
Occupational legislation, accountability & ethics 40
Pastoral/spiritual care
30
The organisation and co-operation of care
Provision
70
720
Clinical Hours
For the nurse
Experience in;
Caring for patients with tumours
Surgery for tumours
Radiology
Options for gynaecology, urology or outpatients/altered body image experience
For childrens nurses experience in;
Children with cancer
Children with tumours and their removal
Outpatient care
EUROPEAN UNION
NURSE
TRAINING
WITHIN
THE
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
Operationsdienst
Post basic
berufsbegleitend
6 Monate im Operationsbereich
MINIMUM MAXIMUM practical part at least 2,000 hours at 60
minutes each
Theoretical tuition: 550 hours at 45
minutes each
Practical tuition: 220 hours at 45 minutes
each
Operationdienst / Fachkrankenpfleger fr
den Operationsdienst
Operationdienst /
Operationsdienst
Kreis / Kreisfreie Stadt
STUDENT
APPRENTICE
EMPLOYEE
Operationsdienst- Nordrhein-Westfalen, Anlage 1 zu 3)
Theory hours
Continuing education
Health care structures
Patients rights/law
Hospital policy
Multidisciplinary teamwork
Organisation in the operating department
Surgical techniques & patient care
Health education & disease prevention
Communication and self knowledge
Communication and teaching
Work related psychology
Foundation nursing theory/law
Nursing knowledge
Care management & organisation
280
10
30
20
10
20
80
10
20
50
20
80
30
50
operating department services

ethics in the operating department
pre/post operative care of patients
related psychology
infection control in hospitals
nursing in the operating department
foundation in medicine
special pathology and invasive investigations
operations with specialised pathophysiology
Clinical Hours
practice in the operating department
2 speciality experiences with a minimum
of 300 hours each
negotiate own placement
students must also experience a minimum of;
50 major operations
100 average operations
120 minor operations
240
20
220
20
80
120
120
40
80
720
1100
600
300
EUROPEAN UNION
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
NURSE
TRAINING
WITHIN
THE
Post basic
2
Jahre
berufsbegleitend
oder
Vollzeitkurs
6 Monate in der Intensivpflege oder
Ansthesie
MINIMUM MAXIMUM Practical training at least 1,200 hours at
60 minutes each
Theoretical tuition 500 hours
Practical tuition 220 hours
und Ansthesie / Fachkrankenpfleger fr
STUDENT
APPRENTICE
EMPLOYEE
Intensivpflege und Ansthesie- Nordhein Westfalen, (Anlage 3 zu 7 Abs.1 Nr 1)

Theory Hours
General foundation
150
General foundation for intensive
& anaesthetic care
50
communication, psychology & self
understanding
100
continuing education
20
communication & teaching
50
teaching & learning methods
20
occupational self understanding
10
nursing law/accountability
50
nursing theory
30
care management/organisations
20
management of patients in intensive care 250
ethics & intensive care
10
Care planning, communication,

Regulations/documentation of critically
Ill patients and their treatments
Diagnostics, therapy and management
Accident/emergency intensive care
Alternative methods in intensive care
Foundation of anaesthetics
Intensive care medicine
Specialised anaesthesiology
150
10
50
30
40
190
40
720
Clinical practice hours

Paediatric intensive care (for paediatric nurses)
Anaesthetics
2X2 weeks in endoscopy, dialysis,
cardiac catheterisation
450
150
150
Similar for Intensive Care & Anaesthetic nurse with adults (Anlage 3)
EUROPEAN UNION
COUNTRY -
NURSE
TRAINING
WITHIN
THE
LEVEL
DURATION
Hygiene
Post basic
2 Jahre berufsbegleitend oder Vollzeitkurs
18 Monate Ttigkeit in der Krankenpflege /
EXPERIENCE
Kinderkrankenpflege, Berufserfahrung in
infektionsgefhrdeten Bereichen ist
erwnscht
AGE
MINIMUM MAXIMUM MANDATORY COMPONENTS (HOURS) practical training at least 1,155 hours at 60
FOR QUALIFICATION
minutes each(Theoretical) Tutition at least
TITLE OF THE AWARD
Fachkrankenschwester fr
Krankenhaushygiene (Hygienefachkraft) /
Fachkrankenpfleger fr Krankenhaushygiene
Krankenhaushygiene (Hygienefachkraft) /
Krankenhaushygiene (Hygienefachkraft)
TITLE AWARDED BY
STUDENT
APPRENTICE
EMPLOYEE
Hygiene Nordrhein Westfalen, Anlage 3 zu 7 Abs.2
Theory Hours
General foundation
General hospital organisation/services
communication, psychology & self
understanding
continuing education
communication & teaching
teaching & learning methods
occupational self understanding
foundation in hygiene & microbiology
foundation in hospital/ward hygiene
Clinical Hours
Intensive Care, operating department,
Surgical, Medical wards
Central sterilisation,
Kitchen
Hospital techniques
180
80
100
20
50
20
10
150
240
720
minimum 154 hours

minimum 77 hours
minimum 115.5 hours
EUROPEAN UNION
COUNTRY -
NURSE
TRAINING
WITHIN
THE
Psychiatrie
LEVEL
DURATION
Post basic
2 Jahre berufsbegleitend oder
Vollzeitkurs
1 Jahr in der Psychiatrie,
Kinderpsychiatrie, Jugendpsychiatrie
oder Gerontopsychiatrie
MINIMUM MAXIMUM practical training 1,540 hours at 60
minutes each
(Theoretical) tuition 850 hours at 45
minutes each
Fachkrankenschwester fr psychiatrische
Pflege / Fachkrankenpfleger fr
psychiatrische Pflege
STUDENT
APPRENTICE
EMPLOYEE

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
Theory Hours
1st part
General foundation in psychiatric care
Psychiatric & Psychosocial research
Care planning, communication
Supervision
Presentation
2nd part
Specialised concepts in Psychiatry
General instruction
Supervision
Presentation
Clinical Hours
290
10
100
50
20
270
40
50
20
850
In the 1st part:

Three placements of 8 weeks
924 hours
In the 2nd part

Two placements of 8 weeks 616 hours
Optional Inpatients;
Addictions, forensic, psychotherapy,
Psychogeriatric, children & young people
Day patients/outpatients/social problems

EUROPEAN UNION
Deutschland Rheinland Pfaltz

LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
Deutschland Rheinland-Pfalz
Intensivpflege
Post Basic
Vollzeitunterricht oder Teilzeitunterricht,
letzterer auch als berufsbegleitender Kurs
mglich, nicht lnger als 4 Jahre
nurse / childrens nurse
[Krankenschwester / Krankenpfleger /
Kinderkrankenpfleger]
Professional activity in patient care /
child patient care of at least 2 years, of
these at least 6 months in intensive care
MINIMUM MAXIMUM Theoretical tuition of 720 hours at 45
minutes each
Practical tuition of 2,500 hours at 45
minutes each
Fachkrankenschwester / Staatlich
anerkannter Fachkrankenpfleger fr
Intensivpflege / Staatlich anerkannte
Fachkinderkrankenschwester / Staatlich
anerkannter Fachkinderkrankenpfleger
fr Intensivpflege
Landesamt fr Soziales, Jugend und
Versorgung
STUDENT
APPRENTICE
EMPLOYEE
Ansthesie und Intensiv - Rheinland Pfalz
Theory Hours
Intensive care theory
150 hours
Intensive care
50 hours
Intensive medicine
210 hours
Anaesthetics
40 hours
Dialysis
40 hours
Specific intensive care medicine practice, ie inner medicine, surgery & accident 150 hours
Anaesthetics & intensive care
40 hours
Methods for dialysis in intensive care
40 hours
Clinical Hours
2500 in intensive care and anaesthetic settings
EUROPEAN UNION
NURSE
TRAINING
WITHIN
THE
Pdiatrische Intensivpflege
LEVEL
DURATION
Post basic
EXPERIENCE
AGE
Theoretical tuition of 720 hours at 45
minutes each
minutes each
TITLE OF THE AWARD
anerkannter Fachkinderkrankenpfleger
fr pdiatrische Intensivpflege
TITLE AWARDED BY
Versorgung
STUDENT
APPRENTICE
EMPLOYEE
Pdiatrische Intensivepflege - Rheinland Pfalz
Theory Hours
Intensive care theory 150 hours
Intensive care
210 hours
Specific intensive care medicine practice, ie inner medicine, surgery & accident & neonatology and
paediatrics 230 hours
Clinical Hours
2500 in intensive care and anaesthetic settings
of which 1200 intensive care
neonatoloy 840
120 crisis intervention settings
EUROPEAN UNION
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
NURSE
TRAINING
WITHIN
THE
operative Funktionsbereiche
Post basic
these at least 6 months in areas of
operative functions
minutes each
minutes each
operative Funktionsbereiche / Staatlich
anerkannte Fachkinderkrankenschwester /
Staatlich anerkannter
Fachkinderkrankenpfleger fr operative
Funktionsbereiche
Versorgung
STUDENT
APPRENTICE
EMPLOYEE
Operationsdienst - Rheinland Pfalz

Theory Hours
Operation theory
120 hours
Nursing care in the operating theatre 520 hours
Hospital policy
80 hours
Clinical Hours
2500 hours of which;
360 hours in the endoscopy department
360 hours day surgery
200 hours instruments and theatre equipment
EUROPEAN UNION
COUNTRY -
NURSE
TRAINING
WITHIN
THE
Krankenhaushygiene
LEVEL
Post Basic
DURATION

child patient care of at least 2 years
minutes each
Practical tuition of 840 hours at 45
minutes each
Krankenhaushygiene / Staatlich
Krankenhaushygiene
Versorgung
STUDENT
APPRENTICE
EMPLOYEE

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
Hygiene- Rheinland Pfalz

Theory Hours
Hygiene & microbiology

Hospital hygiene
Hospital policy/practice
Social Medicine
160 hours
240 hours
160 hours
80 hours
Clinical Hours
840 hours in hospital seetings and central sterile unit
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
Psychiatrische Pflege
Post Basic
minutes each
minutes each
psychiatrische Pflege / Staatlich
psychiatrische Pflege
Versorgung
STUDENT
APPRENTICE
EMPLOYEE
Psychiatrische Pflege - Rheinland Pfalz

Theory Hours
Psychiatric nursing theory
420 hours
Social policy
160 hours
Psychiatric medicine
140 hours
Clinical Hours
1280 hours of which a minimum of 210 hours to be spent in acute psychiatric settings
EUROPEAN UNION
NURSE
TRAINING
WITHIN
THE
COUNTRY -
NURSE QUALIFICATION/SPECIALITY Ambulante Pflege
LEVEL
DURATION
EXPERIENCE
AGE
TITLE OF THE AWARD
TITLE AWARDED BY
Post basic
nurse / childrens nurse [Krankenschwester /
Krankenpfleger / Kinderkrankenschwester /
Professional activity in patient care / child
patient care of at least 2 years, of these at
least 6 months in ambulatory care
MINIMUM MAXIMUM Theoretical tuition of 720 hours at 45 minutes
each
Practical tuition of 2,000 hours at 45 minutes
each
Staatlich anerkannte Fachkrankenschwester /
Staatlich anerkannter Fachkrankenpfleger fr
ambulante Pflege / Staatlich anerkannte
anerkannter Fachkinderkrankenpfleger fr
ambulante Pflege
Versorgung
STUDENT
APPRENTICE
EMPLOYEE
Ambulante/Gemeidekrankenpflege Rheinland Pfalz

Theory Hours
Nursing theory
Social policy, sociology, ethics, psychology & teaching
Professional development
Medicine, social medicine, gerontology, rehabilitation and oncology
Social rights, working rights and civil rights
Clinical hours
2000 hours in ambulatory care settings
240 hours
270 hours
80 hours
40 hours
90 hours

EUROPEAN UNION
The recommendations of the DKG are applicable.
COUNTRY -
NURSE QUALIFICATION/SPECIALITY Psychiatrische Pflege
LEVEL
Post basic
DURATION
24 Monate berufbegleitend
2 Jahre Ttigkeit nach Berufsabschluin
EXPERIENCE
der Kranken, bzw. Kinderkrankenpflege,
davon mindestens 1 Jahre in der
Psychiatrie
AGE
MINIMUM MAXIMUM CLINICAL 480

THEORETICAL 240
TECHNICAL -
TITLE OF THE AWARD


der Psychiatrie
Ministerium fr Frauen, Arbeit,
Gesundheit und Soziales
TITLE AWARDED BY
STUDENT
APPRENTICE
EMPLOYEE
Psychiatrische Pflege- Saarland

Theory & clinical hours as above but not specific topics/subjects

EUROPEAN UNION
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
Operationsdienst
Post basic
24 Monate berufsbegleitend
2 Jahre Ttigkeit nach Berufsabschlu in
der Kranken- bzw, Kinderkrankenpflege,
davon mindestens 6 Monate im
Operationsbereich
THEORETICAL 240
TECHNICAL Fachkrankenschwester im
Operationsdienst / Fachkrankenpfleger
im Operationsdienst /
Operationsdienst /
Operationsdienst
STUDENT
APPRENTICE
EMPLOYEE
Operationsdienst - Saarland

EUROPEAN UNION
COUNTRY Deutschland Saarland
LEVEL
DURATION
Post basic
24 Monate berufsbegleitend

EXPERIENCE
2 Jahre Ttigkeit nach Berufsabschlu

davon mindestens 6 Monate in
Intensivpflege
THEORETICAL 240
TECHNICAL -
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
Intensivpflege / Fachkrankenpfleger in
der Intensivpflege /
Intensivpflege /
Intensivpflege
STUDENT
APPRENTICE
EMPLOYEE
Intensivpflege und Ansthesie - Saarland

EUROPEAN UNION
NURSE
TRAINING
WITHIN
THE
TRAINING
WITHIN
THE
Deutschland Sachsen
Sachsen makes use of the DKG recommendations
EUROPEAN UNION
NURSE
Deutschland Sachsen-Anhalt
Post-basic training in Sachsen-Anhalt now follows the recommendations of the DKG,
see above.
EUROPEAN UNION
NURSE
TRAINING
WITHIN
THE
COUNTRY -
NURSE QUALIFICATION/SPECIALITY Intensivpflege und Ansthesie

Post Basic
LEVEL
1 Jahr Vollzeit oder 2 Jahre berufsbegleitend.
DURATION
Entsprechend lnger bei Teilzeitkurs
2 Jahre Ttigkeit in Krankenpflege /
Kinderkrankenpflege, davon wenigstens 6
EXPERIENCE
Monate in Intensivpflege oder Ansthesie
MINIMUM MAXIMUM AGE
Professional-practical part 400+ 400 + 600
+ 140 + 40, see infra
Theoretical and practical tuition 800 hours
at 45 minutes each
Fachkrankenschwester fr Intensivpflege und
TITLE OF THE AWARD
Ansthesie / Fachkrankenpfleger fr
Fachkinderkrankenpfleger fr Intensivpflege
und Ansthesie
Landesamt fr Gesundheit und
TITLE AWARDED BY
Arbeitssicherheit des Landes SchleswigHolstein
STUDENT
APPRENTICE
EMPLOYEE
Theory Hours(Anlage 2 zu Abs. 3)
Foundation in nursing knowledge, ethics,psychology, teaching 100 hours
Intensive care nursing and anaesthetic nursing theory
280 hours
Intensive care apparatus training
60 hours
Law and hygiene & microbiology
30 hours
Foundation in intensive care medicine and Anaesthesiology
270 hours
Option
60 hours
Clinical Hours
Intensive care/neurology or paediatric/neonatal intensive care
400 hours
Chirurgical intensive care or pediatric chirurgical intensive care 400 hours
Anaesthetics experience
600 hours
Optional areas in endoscopy, dialysis, diagnostics, rescue anaesthetics 140 hours

EUROPEAN UNION
COUNTRY -
NURSE QUALIFICATION/SPECIALITY Funktionsdienste Operationsdienst und
Endoskopie
LEVEL
Post Basic
DURATION
berufsbegleitend. Entsprechend lnger bei
Teilzeitkurs
EXPERIENCE
Kinderkrankenpflege, davon wenigstens
6 Monate im Operationsdienst /
Endoskopiedienst. Ausnahmen mglich.
AGE
Professional-practical part 440 + 320 +
280 + 320 + 180 + 40 hours, see infra.
TITLE OF THE AWARD
Fachkrankenschwester fr den operativen
Funktionsdienst / Fachkrankenpfleger fr
den operativen Funktionsdienst /
operativen Funktionsdienst /
operativen Funktionsdienst /
Fachkrankenpfleger fr den
endoskopischen Funktionsdienst /
endoskopischen Funktionsdienst
TITLE AWARDED BY
STUDENT
APPRENTICE
EMPLOYEE
Theory Hours, (Anlage 3 zu Abs. 4)
Nursing care
Specialist apparatus
Medicine
Hygiene
250 hours
110 hours
220 hours
60 hours
Hospital policy and aspects of operation management in endoscopy 50 hours

Foundation of social knowledge
50 hours
Option
50 hours
Clinical Hours
1) If the chosen core subject is the operation department:
General surgery
440 hours
Specialist operations
320 hours + 320
hours
Endoscopy
280 hours
Practical training in agreement with the interests of the nurse
180 hours
Practice conversations
40 hours
2) If the chosen core subject is the endoscopy department:
Gastroenterology endoscopy
Endoscopy practice
hours
Operation department
Practical training in agreement with the interests of the nurse
Practice conversations
440 hours
320 hours + 320
280 hours
180 hours
40 hours

EUROPEAN UNION
COUNTRY -
Deutschland Schleswig Holstein
NURSE QUALIFICATION/SPECIALITY Psychiatrie

LEVEL
Post basic
DURATION
EXPERIENCE
AGE
MANDATORY COMPONENTS (HOURS)
FOR QUALIFICATION
TITLE OF THE AWARD
TITLE AWARDED BY

Kinderkrankenpflege, davon wenigstens 6
Monate in psychiatrischen Einrichtungen
MINIMUM MAXIMUM Professional-practical part 5 x 8 weeks + 40
hours, see infra
at 45 minutes each
Fachkrankenschwester fr Psychiatrie /
Fachkrankenpfleger fr Psychiatrie /
Fachkinderkrankenschwester fr Psychiatrie /
Fachkinderkrankenpfleger fr Psychiatrie
STUDENT
APPRENTICE
EMPLOYEE
Theory Hours, (Anlage 1 zu 3 Abs.3)

Psychiatric nursing 400 hours
Psychiatric medicine 150 hours
Social sciences
150 hours
Optional theme
100 hours
Clinical Hours
1) 8 weeks in 4 of the following areas
general psychiatry
children and young people with psychiatric conditions
geriatric areas
outpatient/ambulant psychiatric care
ward based psychiatric medical therapies or rehabilitation for psychiatric care or
psychosocial care
2) 8 weeks in a subject area to be determined by the institution of post-basic training (e.g.,
addiction, forensic science)
3) 40 hours of practice conversations

EUROPEAN UNION
COUNTRY -
NURSE QUALIFICATION/SPECIALITY Onkologie und Palliativpflege
LEVEL
DURATION

EXPERIENCE
AGE
TITLE OF THE AWARD

TITLE AWARDED BY
Post Basic
Teilzeitkurs
Kinderkrankenpflege, davon 6 Monate in
der Onkologie oder Palliativpflege
MINIMUM MAXIMUM Professional-practical part 3 x 320
hours + 100 (= 1060) + 3 x 120 + 120 (=
480) + 40
Fachkrankenschwester fr Onkologie und
Palliativpflege / Fachkrankenpfleger fr
Onkologie und Palliativpflege /
Fachkinderkrankenpfleger fr Onkologie
und Palliativpflege / Fachkrankenpfleger
fr Onkologie und Palliativpflege /
Fachkrankenschwester fr Onkologie und
Palliativpflege /
Onkologie und Palliativpflege
STUDENT
APPRENTICE
EMPLOYEE
Theoretical tuition (800 hours)

Basics of care
Medical basics
Psychosocial basics and ethical questions
Legal, organisational, economical aspects in oncology and
palliative care
Hours at the disposal [of the teaching institution], to be
Assigned to the four mentioned subject areas
260 hours
220 hours
220 hours
50 hours
50 hours
Professional-practical part:
1. At least 320 hours in inner medicine
320 hours in chirurgical oncology
320 hours in radiology
100 hours in one of the three mentioned subject areas
2. At least 120 hours in an ambulatory or partly stationary institution
120 hours in a hospice or a palliative station
120 hours in an institution of after-care or rehabilitation
120 hours in one of the three mentioned subject areas
3. 40 hours of supervision

EUROPEAN UNION
COUNTRY -
NURSE QUALIFICATION/SPECIALITY Hygiene
LEVEL
Post Basic
DURATION
Teilzeitkurs
EXPERIENCE
Kinderkrankenpflege, davon 6 Monate in
einem (unter Hygieneaspekten)
Risikobereich
AGE
professional-practical part 3 weeks + 4
weeks + (4 x 4 weeks)_ + (2 x 2 weeks) +
3 weeks
TITLE OF THE AWARD
Fachkraft fr Hygiene
TITLE AWARDED BY
STUDENT
APPRENTICE
EMPLOYEE
Theoretical Tuition (720 hours)
Basics of hygiene and microbiology
160 hours
Basics of hospital hygiene
240 hours
Basics of technical hospital hygiene and hospital construction
160 hours
Basics of the organisation of hospital management
80 hours
Basics of social science
80 hours
1. At least 3 weeks of initial practical training in a hospital
2. At least 4 weeks of praktical training in a bacteriological laboratory
3. Practical employment in different areas of the hospital, at least 4 weeks in a station of
intensive care, the operation department, the chirurgical department and the inner department,
2 weeks in central sterilisation and the kitchen, 3 weeks in the technical department of the
hospital
Of the periods mentioned under number 3), at least 3 weeks must be spent in a hospital
different from the employing hospital.

EUROPEAN UNION
LEVEL
DURATION
EXPERIENCE
AGE
TITLE OF THE AWARD
TITLE AWARDED BY
Rehabilitation und Langzeitpflege
Post Basic
Kinderkrankenpflege, davon 6 Monate in der
Rehabilitation oder Langzeitpflege
MINIMUM MAXIMUM professional-practical part 4 x 320 hours +
120 + 40
at 45 minutes each
Fachkrankenschwester fr Rehabilitation und
Langzeitpflege / Fachkrankenpfleger
Fachkinderkrankenpfleger fr Rehabilitation
und Langzeitpflege
STUDENT
APPRENTICE
EMPLOYEE
Theoretical tuition
Care in rehabilitation and care of the long-term ill
280 hours
Medical basics and basics of the science of rehabilitation
240 hours
Social sciences and ethical questions
160 hours
Basics of social law and economics of rehabilitation and
care of the long-term ill
120 hours
1. At least 320 hours in four of the following areas:
Neurological and neurochirurgical rehabilitation, Oncological rehabilitation
Cardiological and angiological rehabilitation, Pulmonal and allergological rehabilitation
Orthopaedic and / or rheumatological rehabilitation, Geriatric rehabilitation
Psychiatric and psychosomatic rehabilitation
Rehabilitation at other special illnesses, e.g., gastrointestinal illnesses, metabolism diseases
2. 120 hours in an area in agreement with the interests of the nurse
3. 40 hours of practice conversations

EUROPEAN UNION
Deutschland Thringen
Thringen makes use of the DKG recommendations

Nurses Germany en

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Nursing in Germany

Legal regulation of post-basic training by the German States

Deutschland General (All States)

Appendix 1A Training outline for the pediatric nurse

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

In the post basic sector

various, mostly indepent, organisations and institutions are involved in

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

Gerd Dielmann, letter, 8 September 1999

This was passed on 16 October 1985.

See below at page Error! Bookmark not defined.

Regulation of Nursing Basic Level

Krankenschwester/Krankenpfleger (general female/male nurse)

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

The nursing assistant (Krankenpflegehelferin / Krankenpflegehelfer) on the

Rules for take-up and pursuit of nursing activities

(Realschulabschlu) or equivalent, or completion of another

2 (1) Nr. 2 KrPflG

6 Nr. 1 / Nr. 2 KrPflG

2. Completion of a secondary general school education

period of at least two years

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

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

functions in wards, functional units and other areas

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

16 Oktober 1985 (BGBI.IS.1973)

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

Pflegedienstleitung (nurse manager) at a graduate diploma but vocational

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

Pflegepdagogik), Bremen (Lehramt an ffentlichen Schulen Sekundarstufe

(Pflegewissenschaft), Sachsen-Anhalt (Pflegewissenschaft).

Hebammen / Entbindungshelfer (male midwives), Altenpflegerinnen / Altenpfleger (elderly

The academic courses for Pflegelehrer / Pflegelehrerinnen (Diplom-Pflegepdagogik) have

Regulation of Nursing Post basic level

1.Intensivpflege/Ansthesie = Intensive care nurse/Anaesthetic nurse

Individual Lnder and the DKG

I. The German Society of Hospitals (Deutsche

Community Health Care 28

Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung von

Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung von

Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung zu

Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung zu

Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung zu

Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung zu

Muster fr eine landesrechtliche Ordnung der Weiterbildung und Prfung zu

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

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

Intensive medicine and anesthesia 38 (Intensivmedizin und Ansthesie)

Pediatrical intensive care 39 (pdiatrische Intensivpflege)

Operation department40 (Operationsdienst)

Ambulatory care 42 (ambulante Pflege)

Rehabilitation and long-term care 43 (Rehabilitation und Langzeitpflege)

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

(1) Persons commit an administrative offence, when they

Weiterbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,

Weiterbildungs- und Prfungsverordnung fr die Heranbildung von Pflegefachkrften in der

Weiterbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,

Weiterbildungs- und Prfungsordnung fr die Heranbildung von Pflegefachkrften in der

Weiterbildungs- und Prfungsverordnung fr die Heranbildung von Pflegefachkrften in der

Weiterbildungs- und Prfungsverordnung fr die Heranbildung von Pflegefachkrften in der

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

2, Weiterbildungs- und Prfungsordnung fr Krankenschwestern, Krankenpfleger,