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Innovations & Thérapeutiques en Oncologie

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The role of the pivot nurse: the key to successful outpatient surgery? Volume 9, issue 1, January-February 2023

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Authors
* Tirés à part : M. Gilles-Baray
Remerciements et autres mentions :Financement : aucun.Liens d’intérêts : l’auteur déclare ne pas avoir de lien d’intérêt.

Mastectomies are performed on an outpatient basis at the Henri Becquerel Centre in more than 80% of cases, which is by far the highest percentage in France. This is possible due to a significant resource, the pivot nurse, who brings together all the stages between the hospital and community care. This position was initially created to improve the rate of outpatient surgery for disorders of the breast, which was stagnating at 40%. The innovative idea to create this post was to remove obstacles in order to increase this rate, in particular, obstacles related to management following mastectomy. The role of the state-registered pivot nurse is more than simply coordination. A pivot nurse monitors and, in particu lar, anticipates a patient’s surgical pathway from the anesthesia consultation. The objective is to ensure the safe return of the patient via connections with community nurses. This involves detailed explanations, helping choose the community nurse, and even being contactable at all times to reassure the patients of their pathway. Both patients and community carers have reported satisfaction with this approach (via supporting surveys, E Satis, etc.). Broadening the indications and involvement of state-registered pivot nurses is a secondary aim.