Section 1: Advanced practice nursing

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…

The doctor, after consultation with the advanced practice nurse(s), determines the patients to whom monitoring by an advanced practice nurse is proposed. This decision is taken after examining the patient’s medical records and with reference to the skills attested by the advanced practice nurse’s state diploma, awarded by the university. The provisions of the first paragraph do not apply when the advanced practice nurse intervenes in application of the second…

The doctor informs the patient of the planned arrangements for his or her care by the advanced practice nurse. When the patient is an adult subject to a legal protection measure relating to the person, this protocol is also given to the person in charge of such a measure with representation and, if the person concerned expressly consents, to the person in charge of such a measure with assistance. These…

As part of the team, the advanced practice nurse contributes to the analysis and evaluation of professional nursing practices and to their improvement, as well as to the dissemination and appropriation of evidence-based data. He/she participates in the evaluation of the team’s training needs and in the development of training initiatives. He/she contributes to the production of knowledge by participating in research work relating to nursing practice.

Nurses are authorised to work in advanced practice in one of the areas of intervention provided for in article R. 4301-2, if they meet the following conditions: 1° Obtain the State diploma in advanced practice nursing awarded by universities under the conditions defined in article D. 636-81 of the Education Code, in the field corresponding to the area of intervention; 2° Provide proof of at least three years’ full-time equivalent…

The nurse in training for the advanced practice nurse State diploma may take part in the activities and acts mentioned in article R. 4301-3 within the framework specified in article R. 4301-1, in the presence of a nurse holding the advanced practice nurse State diploma or, if not, a doctor.