Section 1: Professional acts.

The nurse is authorised to perform the following acts either in application of a medical prescription or its renewal by a nurse in advanced practice under the conditions provided for in article R. 4301-3 which, except in emergencies, is written, qualitative and quantitative, dated and signed, or in application of a written protocol, qualitative and quantitative, drawn up in advance, dated and signed by a doctor:

1° Scarifications, injections and infusions other than those mentioned in the second paragraph of Article R. 4311-9, instillations and sprays ;

2° Scarifications and injections intended for vaccinations that he or she cannot carry out in application of article R. 4311-5-1 or tuberculin tests;

3° Insertion and removal of a short catheter or needle for perfusion in a superficial vein of the limbs or in an epicranial vein;

4° Monitoring central venous catheters and implantable vascular access devices put in place by a doctor;

4° bis Monitoring and removal of perineural catheters for postoperative analgesia set up by a doctor;

5° Injections and infusions, excluding the first, into these catheters as well as into central venous catheters and fittings:

a) Products other than those mentioned in the second paragraph of Article R. 4311-9 ;

b) Products that do not contribute to the general or locoregional anaesthesia techniques mentioned in article R. 4311-12.

These injections and infusions are the subject of a written report of execution, dated and signed by the nurse and transcribed into the nursing care record;

6° Administration of medicines without prejudice to the provisions of Article R. 4311-5 ;

7° Fitting transcutaneous devices and monitoring their effects;

8° Renewal of medicated dressing material;

9° Making and monitoring specific dressings;

10° Removal of skin repair equipment;

11° Fitting compression bandages;

12° Removal of immobilisation and restraint devices;

13° Renewal and removal of medicated dressings, tamponade and drainage systems, with the exception of pleural and mediastinal drains;

14° Placement of gastric tubes for tubing, aspiration, lavage or gastric feeding;

15° Placement of bladder catheters for urine collection, washing, instillation, irrigation or drainage of the bladder, subject to the provisions of the third paragraph of article R. 4311-10 ;

16° Intra-urethral instillation ;

17° Vaginal injections;

18° Placement of rectal probes, enemas, extraction of faecal impaction, placement and monitoring of rectal drip;

19° Dressing, irrigation and monitoring of a wound, fistula or stoma;

20° Care and monitoring of a plasty;

21° Participation in scar or stoma dilatation techniques;

22° Care and monitoring of an intubated or tracheotomised patient, the first change of tracheotomy tube being carried out by a doctor;

23° Assisting with hyperthermia and hypothermia;

24° Administration of aerosols and sprays of medicinal products;

25° Mouth care with the application of medicinal products and, where necessary, instrumental assistance;

26° Sinus cleaning through catheters fixed by the doctor;

27° Ear baths and medicated instillations;

28° Simple recordings of electrocardiograms, electroencephalograms and evoked potentials, subject to the provisions of article R. 4311-10 ;

29° Measurement of central venous pressure;

30° Checking the operation of assisted ventilation or monitoring equipment, checking the various parameters and monitoring patients on this equipment;

31° Fitting an oxygen probe;

32° Installation and supervision of persons placed under normobaric oxygen therapy and inside a hyperbaric chamber;

33° Connecting, monitoring and disconnecting renal or peritoneal dialysis or a plasma exchange circuit;

34° Bleeding;

35° Taking blood samples by venipuncture, capillary puncture or venous catheter;

36° Blood sampling by arterial puncture for gasometry;

37° Bloodless samples taken from directly accessible integuments or mucous membranes;

38° Sampling and collection of secretions and excretions;

39° Aseptic collection of urine;

40° Transmission of technical instructions relating to samples taken for medical biology analyses;

41° Care and monitoring of persons during scheduled medical transport between care establishments;

42° Individual interview and use within a multidisciplinary team of mediation techniques with a therapeutic or psychotherapeutic aim;

43° Implementation of therapeutic commitments involving the doctor, nurse and patient, and isolation protocols.