Home nursing care · Échirolles and southern Grenoble · 7 days a week
What we can do at home, where it comes from, how we keep it current — and what we do not do. Written to be checked, not to persuade.
The practice
Six fields from the hospital wards where the practice's two nurses practised, transposed to the conditions of a home.
Chronic and acute wounds: venous ulcers, pressure sores, diabetic foot wounds, post-operative scars, compression therapy. Dressing chosen by healing stage, dated photographs and tracking between visits.
A wound is judged over time. Seeing the same bed, chair and shoes that explain the wound often reveals what a dressing alone will never fix.
Insulin-treated diabetes, heart failure, COPD, anticoagulant therapy: administration, monitoring of vital signs and warning signs, teaching the patient and family the technique and self-monitoring.
The aim is to make the nursing visit unnecessary wherever possible: once a person can do it alone, they take back control of their illness.
Implantable ports, PICC lines, central catheters, home antibiotic therapy and hydration, parenteral nutrition: access, dressing changes, flushing, and detection of infectious and mechanical complications.
These are the procedures where asepsis is non-negotiable. Hospital protocol is applied identically in a living room, with the same single-use equipment and the same traceability.
Assessment-led personal care, prevention of pressure sores and falls, monitoring of malnutrition and dehydration, medication preparation and safety, early detection of cognitive decline.
Personal care is a dense observation window: skin, appetite, mood and balance can all be read there before any examination.
Taking over a discharge prescription, treatment continuity, drains, post-operative monitoring, anticoagulant injections, and contact with the ward and GP within 24 hours.
The break happens in the first 48 hours. That is when an incomplete prescription or missing equipment sends someone back to A&E.
Pain assessment and relief, mouth care, morphine pumps, family support, and coordination with the mobile palliative care team and hospital-at-home services.
Staying at home to the end has to be prepared: prescriptions anticipated, equipment ready before it is needed, and a number that answers at night.
What applies to every private nurse in France, and what you can verify yourself with the relevant bodies.
Practising as a private nurse in France requires a state diploma, registration with the national nursing council, and an identification number anyone may ask to verify.
Every health professional must complete a continuing professional development pathway over a three-year cycle: training, practice review, risk management. It is not optional, and it must be evidenced.
Care is billed at national agreement rates with direct health-insurance billing: the fee depends neither on the neighbourhood, nor the time of day, nor the length of the visit.
Every visit is recorded in the care file kept at the patient's home, readable by the patient, the GP and any professional taking over. Health data never leaves that circle.
Four stages, a stated cadence, and evidence for each. A skill that is never re-examined expires.
Reading national health authority guidance and nomenclature updates that apply to the care we actually deliver — no decorative watch over fields we do not practise.
An annual continuing-education plan built from the situations actually met on the round, not from a catalogue.
The two partners review difficult situations together: a wound that will not heal, refused care, a handover that never travelled, a visit that overran. The cause is sought in the organisation before it is sought in a person.
What patients, carers, GPs and local pharmacists say. A remark heard three times is not a mood: it is a service design defect.
Commitments you can observe without taking our word for it: a deadline, a phone call, a written record.
A stated limit beats an approximate service. In each of these cases we say who to turn to instead.
The background of the practice's two nurses, the detail of each type of care, and how a first visit is arranged.
The nursing duo behind the practiceOur care at homeContact us
Public sources cited on this page — 6