Émilie Martinet begins her tour at Paray-Vieille-Poste (Essonne) at Jacqueline, 90 years old. “We are going to take the blood test together, but in any case the doctor saw it, validated it and therefore there is nothing abnormal.“, reassures the advanced practice nurse (APN) in front of the patient. Her intervention allows doctors in the sector to refer to other more complex care, and thus guarantee better coverage of the department.
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“Everything is stable, so we don’t change anything. I’m just going to take you through the constants as usual, put everything in your medical file and then we’ll have a little chat, explains Émilie Martinet to Jacqueline. I will give you a return of what I saw with your niece“. This advanced practice nurse can read test results, renew a prescription, but also auscultate the heart and lungs. Émilie Martinet did two years of study in addition to her initial training to be able to follow chronic patients: diabetics, heart disease, Alzheimer’s…
She receives them at the nursing home or she goes to their home once a month, which helps relieve the doctor, Marie-Laure Salviato: “It allows me to refocus on my more medical activity. Thanks to her, I managed to resume an activity in a retirement home, which is a very heavy activity. It pays for part of the visits to Ehpad. She has more time, she has the look of a nurse, which is a really rewarding collaboration.”
After each consultation, Émilie Martinet writes a report for the doctor: “I always put a note in the medical file, it’s completely transparent. That is to say that each consultation gives a consultation report on which is drawn what I was able to see, detect, the issues that I have been able to raise. And also notify ‘stable patient’ since it is still my core business”.
“I can only intervene if the person is stabilized. As soon as there is something that questions me about his state of health, I will immediately refer it to the doctor.”
Émilie Martinet, advanced practice nurseFrance Info
If a case gets worse, the doctor takes over. These advanced practice nurses should be developed, an experiment will even be launched so that patients have direct access to these APNs for non-serious pathologies.
Advanced practice nurses come to the rescue of overworked doctors – the report by Anne-Laure Dagnet
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