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nurses are “now considered as full-fledged health professionals”, welcomes the Sniil union

“It is with great satisfaction that nurses will now be able to be considered as full-fledged health professionals”, greeted Saturday March 27 on franceinfo Catherine Kirnidis, president of the Union of liberal nurses (Sniil). She is reacting to the authorization, included in a decree published this Saturday, for nurses to prescribe the vaccine against Covid-19. “It will help speed up the pace” in vaccination centers, she emphasizes. For the rest, “we are waiting for doses”, in particular to go and vaccinate people who have difficulty moving around at home.

franceinfo: Nurses in turn have the right to prescribe and perform injections of the Covid vaccine. Are you satisfied?

Catherine Kirnidis : We already had the right to do the injections. What we weren’t allowed to do was prescribe, that is, we had to refer it to a doctor, which slows down the process. So, yes, we are satisfied because with the Sniil we have been working since January to move the lines, so that nurses can prescribe and vaccinate. We were in discussion with the ministry and it was difficult to understand what was stuck. We have finally unblocked the situation and it is with great satisfaction that nurses will now be able to be considered as full-fledged health professionals.

What exactly was blocking in your opinion?

This is clearly the fact that nurses are still a “prescribed” profession. It did not occur to the legislator that, on a vaccination campaign, we could perhaps move the lines a little and increase the field of competence of nurses, even as in the context of influenza vaccination this step has been taken. I think it is a lack of consideration of the profession which is nevertheless historic. It is always a little difficult to be recognized as a full-fledged health profession. We are always in the image of prescribed profession, so behind a doctor and it is sometimes a little painful.

How are you going to go about collecting the doses and choosing the patients?

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It will depend first of all on the vaccines that will be available. Because yes we have vaccinators, arms, prescribers, but now we are waiting for the doses. For now, there will be two scenarios. There are the vaccines that we will be able to do in our offices, for that we find ourselves in the same situation as general practitioners and pharmacists. It will essentially be AstraZeneca, with a dose recovery procedure which is the same procedure as that of doctors, with allocations from dispensing pharmacists.
For the Pfizer vaccine, it is mainly in the vaccination center. But that will help speed up the pace since we will no longer need to wait until the patient has seen the doctor before coming to us for the injection. We can do the eligibility visit. So this will activate the flow. And then after, we will see how it will go according to the recommendations for the other vaccines, in particular the Johnson & Johnson. We hope that for homes, we will have procedures that are not too restrictive in relation to the conservation of Pfizer.

Because the advantage of private nurses is home travel?

Yes, we are the last health professionals to go to the homes of our patients, patients who are bedridden for some and who have people who revolve around them and who are just as exposed to Covid. It is important to vaccinate them, but they cannot be transported. I am in a vaccination center in Avignon, we see people arriving in stretcher with portable oxygen bottles. It’s very complicated to move some people. Being able to go to home is still the safest and above all the most comfortable for elderly and dependent or disabled patients.

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