Subsection 4: Chronic renal failure

The patient’s home or place of residence is suitable for the practice of peritoneal dialysis in sufficient conditions of safety and comfort. When the patient’s condition requires the assistance of a third party who cannot be found in the patient’s usual environment, a nurse is called in. The patient and the third party are trained in peritoneal dialysis. Patients are trained in the technique of peritoneal dialysis, under the supervision…

The establishment enlists the help of a team of nephrologists, each member of which is qualified or competent in nephrology. Where there is a peritoneal dialysis training and monitoring unit, the medical team may be shared by the managing health establishment and this unit. The aforementioned team of nephrologists is on call twenty-four hours a day to respond to any medical emergencies for peritoneal dialysis patients treated by the managing…

The healthcare establishment managing the peritoneal dialysis will, at the patient’s request or on medical prescription, temporarily transfer the patient to a haemodialysis centre, or, if necessary, refer the patient to another treatment modality or to hospital. When peritoneal dialysis is no longer suited to the patient’s condition, the patient is always transferred to a haemodialysis centre and then, if his condition allows, to a haemodialysis method outside the centre….

The healthcare establishment has a healthcare team, which may be shared with that of the peritoneal dialysis training and monitoring unit. This team includes nurses who must be trained in peritoneal dialysis. Members of the healthcare team may visit patients at home. Any healthcare establishment that provides all the services for the care of peritoneal dialysis patients, as mentioned in article R. 6123-67, has one full-time nurse for every ten…

The provisions of this sub-section do not apply to the territorial collectivity of Saint-Pierre-et-Miquelon.