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“Consulta”, “right of prescription”, medical deserts … towards a reform of the nurse’s profession?

The studies of the National Assembly, as of Monday, March 10, to First Reading, a bill aimed at renewing the nurse’s profession. Its objective is to expand the professionals of the profession, in particular to fight the medical deserts.

Creation of a “nursing consultation”, right of prescription, new “missions”: the National Assembly examines on Monday, March 10 to the first reading of a bill aimed at renewing the nurse profession, expected for almost two years by the profession.

This text must “improve the recognition” of the 640,000 professionals (active) in activity “, who” in our care system governed by the medical monopoly, often feels a bit forgotten, prevented from working completely their skills, “said Wednesday that the Social Affairs Committee of the Social Affairs Committee.

The profession has been governed for a long time by a “rigid” decree, which “lists the authorized acts, and is” little in phase today “with the reality of the profession, he continued.

Fight against medical deserts

Given medical desertification, nurses, according to some to resolve certain difficulties in accessing care, have delegated in recent years more medical tasks (vaccination, death certificates, followed by chronic patients for nurses in advanced practice …).

Promote vaccination, help make an appointment, verify the adaptation of the accommodation, the undesirable effects of a treatment … They also ensure “global support” without being paid, unions underline.

Written with the former Minister of Health, Frédéric Valtoux (Horizons) and amended in the Committee, the bill lists “Missions of Socles”: the realization of the nursing care “curative, palliative, relational and destined for clinical surveillance”, monitoring of patients “health course and their” orientation “,” prevention “, including detection and therapeutic education”, “,”, “. Companions and research.

Authorization to prescribe certain products

The expected evolution, but very criticized by doctors’ unions, the text creates “nursing consultation” and the concept of “nursing diagnosis”, terms generally reserved for medical professions. It gives nurses the authorization to “prescribe” certain products whose list will be defined by decree.

By amendment, the Commission added an experiment, in five departments, of “direct access” to nurses without a medical recipe, when exercising in a health establishment or certain multiprofesional structures.

New practice fields are also offered to nurses in advanced practice (IPA): Maternal and Child Protection Services (PMI), School Health and Child Assistance.

In the committee, the deputies have largely adopted the text, sometimes calling to go further. “The revaluation of the profession cannot be done without serious work on remuneration, training and taking into account arduity,” said Karen Erodi (LFI).

Author: FR with AFP
Source: BFM TV

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