Part four: Health professions

Advanced practice nurses have broader skills than state-qualified nurses, validated by the state diploma for advanced practice nurses awarded by universities under the conditions defined in articles D. 636-73 to D. 636-81 of the Education Code. They take part in the overall care of patients whose follow-up is entrusted to them by a doctor. However, in the “emergencies” field, the procedures for patient management are specified by the provisions of…

The field(s) of intervention open to advanced practice nursing, for which the corresponding entry is included in the advanced practice nursing State diploma, are as follows: 1° Stabilised chronic pathologies; prevention and common polypathologies in primary care. The list of stabilised chronic pathologies is drawn up by order of the Minister for Health; 2° Oncology and haemato-oncology; 3° Chronic renal disease, dialysis, renal transplantation; 4° Psychiatry and mental health; 5°…

Subject to the provisions of the second paragraph of article R. 4301-3-1 relating to the “emergencies” field of intervention, in the field or fields of intervention defined in article R. 4301-2 included in his diploma and under the conditions laid down in article D. 4301-8: 1° The advanced practice nurse is competent to conduct an interview with the patient entrusted to him/her, take a history of his/her situation and carry…

In the “emergencies” field of intervention, the provisions of articles R. 4301-1 and R. 4301-3 are applicable when the advanced practice nurse is involved in patient management, for the most serious or complex reasons for referral and clinical situations, as defined by an order of the Minister for Health. However, by way of derogation from the provisions of articles R. 4301-1 and R. 4301-3, for reasons for referral and clinical…

As part of the teamwork between the doctor(s) and the advanced practice nurse(s) in accordance with article R. 4301-1, an organisational protocol is drawn up. In the “psychiatry and mental health” field of intervention, the organisational protocol is drawn up between one or more psychiatrists and one or more advanced practice nurses. This protocol specifies: 1° The area(s) of intervention concerned; 2° The arrangements for the care by the advanced…