They were waiting impatiently for him. State-certified nurse anesthetists (IADE) were able to read, Wednesday, January 5, the report of the General Inspectorate of Social Affairs (IGAS), commissioned by the Minister of Health, Olivier Véran, in a context of improving access to care and demands for autonomy from paramedical professionals. On strike since November 2021 to denounce a lack of recognition of their profession, IADEs are generally satisfied with the conclusions drawn by the report, unlike anesthetists-resuscitators, worried about seeing their profession “sold off”.
The claims of the IADE are above all statutory. They believe that the simple status of nurse does not correspond to the reality of their daily life or to the extent of their skills. They claim access to that of advanced practice nurse (IPA), created in 2016. Accessible to bac + 5, the profession of IPA is, in a way, an intermediary between the nurse in general care and the doctor. . Intended to improve access to care, especially for chronically ill patients, IPAs can be entrusted with the follow-up of patients and thus renew, adapt or even prescribe treatments.. In 2021, the goal of the Ministry of Health was to train 1,000 new ones.
“Swiss Army Knives of the Pandemic”
The feeling of exclusion of IADEs, “First mastered paramedical professionals”, in the words of Christophe Paysant, has therefore grown since the appearance of these new super-nurses. “For the moment, we do not have a status where we are recognized at our fair value and where the added value that we bring to the health system is valued. We lack visibility, our profession is little known to the public ”, regrets the president of the National Union of Nursing Anesthesiologists. A feeling of lack of recognition crystallized by the pandemic, during which the IADEs were on the front line.
In addition to supporting anesthetists-resuscitators in operating theaters, IADEs can intervene in SAMU-SMUR services, in intensive care and in pain treatment. “It is this multi-skill that has made us shock absorbers of the health crisis”, judge the president of the union. “We were the first paramedical profession to take care of patients with respiratory distress”, insists, for her part, Aurélie Langlet, nurse anesthetist at Ambroise-Paré hospital in Boulogne-Billancourt (Hauts-de-Seine) and member of the collective of nursing anesthetists graduates of the Ile-de-France State.
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