The designation of nurse is generic and refers to a group of professions in the health field other than that of general nurse and midwife.

The procedure applies exclusively in cases where nurses, established for the purpose of practicing the profession in another EU Member State, travel to the territory of Romania to temporarily or occasionally carry out professional activities.

Particularities:

-The temporary or occasional nature of carrying out professional activities as a nurse is determined, on a case by case basis, by the Order of General Nurses, Midwives and Medical Assistants of Romania (OAMGMAMR), depending on their duration, frequency, periodicity, and continuity.

-During the provision of services, the concerned nurses:

• practice the profession on the territory of Romania with the professional title established by OAMGMAMR and provided by law for the respective nursing profession;
• are exempt from the obligation to register with OAMGMAMR and from paying the membership fee;
• are automatically registered with OAMGMAMR during the period of providing those services;
• are subject to professional, regulatory, or administrative provisions regarding professional qualifications and the use of titles, provisions on serious professional acts that directly and specifically affect the protection and safety of the recipients of the provided services, as well as disciplinary provisions stipulated by law for Romanian citizen nurses, members of OAMGMAMR;
• are exempt from the accreditation procedure stipulated by health social insurance legislation.

Provider nurses are obliged to inform in advance the National Health Insurance House of the services they are to provide on the territory of Romania and, in case of emergency, within a maximum of 7 days from the provision of these services.

Procedure description:

I. On first provision of services in Romania, OAMGMAMR may check the provider's professional training in order to avoid causing serious harm to the patient's health due to the provider's lack of professional qualification and without exceeding what is necessary for this purpose.

Within 30 days from the date of receipt of the declaration and all mentioned documents, the OAMGMAMR Commission for the recognition of general nurse, midwife, and nurse qualifications obtained in another EU Member State, in a state belonging to the EEA or in the Swiss Confederation, analyzes the applicant's training.

Based on its conclusions, the President approves the manner of solving the applicant's request, namely:

• not to verify the provider's qualification, automatic temporary registration with OAMGMAMR and approval of temporary provision of nursing services in Romania;
• after checking the qualification:

1) to require the applicant to pass an aptitude test, or

2) to automatically register him/her temporarily with OAMGMAMR and grant approval for temporary provision of nursing services in Romania.

In cases where, upon verification of the applicant's qualification, situations that may lead to a delay in the decision-making arise, OAMGMAMR notifies the applicant, within the above-mentioned 30-day period, of the reasons for the delay. The identified situations are resolved within 30 days from notification, and the decision is finalized within 60 days from their resolution.

The aptitude test applies in case of an essential difference between the provider's nursing qualification and the training required in Romania, for the corresponding nursing specialization, insofar as this difference may negatively affect public health and cannot be compensated by the applicant's professional experience as well as by the knowledge, skills, and competences acquired through lifelong learning, formally validated for this purpose by a relevant body.

After the aptitude test is taken by the concerned nurse, OAMGMAMR decides regarding the provision of service by the applicant, and the provision of services may be performed within 30 days from the decision date.

The approval of the temporary provision of nursing services and the respective temporary automatic registration with OAMGMAMR is communicated to the applicant and to the OAMGMAMR branch in the territorial area of the healthcare facility where he/she is to provide the services in Romania.

II. In case of renewal of the declaration, after checking the temporary and occasional nature of the service provision by the OAMGMAMR Commission for the recognition of general nurse, midwife, and nurse qualifications obtained in another EU Member State, in a state belonging to the EEA or in the Swiss Confederation, the President approves the approval of temporary provision of midwifery services and respectively, temporary automatic registration of the applicant with OAMGMAMR, within 30 days from receipt of the declaration. These are communicated to the applicant and to the OAMGMAMR branch in the territorial area of the healthcare facility where he/she is to provide the services in Romania.

If OAMGMAMR does not make a decision within the established deadlines, the service may be provided.