gilberte deltour - home nurse experience
TRANSCRIPT
DELTOUR, GILBERTE
INDEPENDENT REGISTERED NURSE (A1) FROM 1970 to 2010 and...
PRESIDENT of the AIIB-VUKB 1988 - 2010
PRESIDENT of the CBII/BCZV 1992 - 2010
‘GROUP PRACTICE’
28 years solo
12 years in a ‘health clinic’
We are 3 colleagues, independent nurses (A1)
I organise and coordinate care
I bill everyone by remote transmission
Using ‘my care net’
COMMUNICATION
By mobile phone
By e-mail
Paper patient file, but mainly electronic (SPF).
Coordination meetings
‘QUALITY of CARE’
In-service training that I organise at the IFAPME.
Training cheques reimburse the 3-hour training modules.
QFOR certified attestation
CONTINUATION OF CARE
24-7
Specific care
Palliative care
Peritoneal dialysis
Enteral nutrition
Parenteral nutrition in implantable chamber
MULTIDISCIPLINARITY
Collaboration with the treating physician
Collaboration with the kinesitherapist
Collaboration with the home-help aid
Collaboration with the family
Collaboration with the nursing unit (oncology –dialysis service - pediatrics)
Etc.
ALL THE HOSPITAL’S CARE
Can not only be done at home, but also has to be done at home.
In Liège excellent collaboration with the Pediatrie 50 and 57 rooms of the CHR of Liège.
With the dialysis service of the CHR.
Some opposition from oncologists of the CHU of Liège.
SATISFACTION
Satisfaction of the patient
Satisfaction of the family
It costs 50% less at the Social security system (see statistics)
Satisfaction of the care team (treating physician, nurses, kinesitherapist, speech therapist, home-help aid, etc.).
Probes
Vesical probe B2 Kt supra-pubic (OK, second after fistulization B2)
Gastric probe B2 gastrostomy (OK, second after fistulization B2)
In conclusion…
“Nothing is ever finished”
“Nothing is ever definite”Everything is a matter of
choice!