Inside the SNCF, nurses multiply the caps between prevention, care, and occupational drugs. This various job presents in-house coaching to specialize. Article revealed in ActuSoins Journal n ° 32.
On the primary flooring, the ready room of the SNCF medical workplace. With almost 4000 brokers working within the Brittany area, the conferences observe each other. © Natacha Soury
Just a few steps from Rennes station, the SNCF medical workplace occupies a complete flooring. Adeline Frangeul is the regional paramedical director. Surrounded by eight nurses, 13 medical doctors and eighteen specialist medical doctors, she manages the Breton sector, or almost four,00zero brokers within the area. "We do prevention to keep away from pathologies linked to carrying hundreds, musculoskeletal problems … We additionally handle all kinds of accidents in service and folks below stress, says Adeline Frangeul, This morning we had an epileptic match and a severed finger, for instance. "
Working at SNCF as a nurse means being versatile, versatile. They’re aimed toward six classes of jobs: administrative, industrial, these associated to infrastructure, tools, supplies and driving. To fulfill all of those wants, nurses profit from a complete in-house coaching course.
The profiles recruited typically come from the hospital and personal sector. One of many nurses went by way of retirement houses, one other went by way of the nurseries. Adeline Frangeul studied in hospital earlier than being employed by the SNCF in 1991. Few profiles had been skilled in occupational drugs from the beginning. "As a result of there are few individuals recruited with this profile, the primary 12 months is devoted to integration and teamwork, explains Anne-Sophie Jouannon, supervisor of the West paramedical sector which extends from Hauts-de-France to Occitania. Then, we launch the coaching in order that the individual refines their profile and may specialize. We’re advancing step-by-step ”
To specialize
Olivier is among the nurses with an uncommon path. He was a controller earlier than turning to the medical area. This data of the sphere permits him, all of the extra simply, to dialogue and set up a relationship of belief with the staff. © Natacha Soury.
The in-house coaching course consists of a standard core to study the fundamentals of occupational drugs within the sector. Which incorporates railway dangers, hearth coaching, reception of attacked brokers …
Thereafter, particular modules are proposed: incapacity, laws, danger evaluation and even prevention. Nurses can proceed their coaching by specializing in alcoholology, dietary steadiness, workstation ergonomics or endure coaching to be a primary support coach. Every of those modules spans a number of days.
"There are additionally themes that reduce throughout all professions, akin to alcoholology, explains Anne-Sophie Jouannon, herself a nationwide referent on this problem. We’re a nationwide community inside the firm. We’re assembly to share our experiences and enhance regional actions on the prevention and dangers linked to alcohol, but additionally to the usage of medication or hashish. " A nationwide community of SNCF nurses additionally exists round gestures and postures tailored in technicentres.
High quality of life
"Everybody can specialize in response to the wants of the location but additionally their needs, it's very wealthy"sums up Françoise Dandine, nationwide paramedical advisor, based mostly in Saint-Denis.
Being a nurse on the SNCF means that you can observe from three totally different angles. Certainly, every nurse can have his specialty: occupational drugs, care or prevention. "However for scheduling causes, typically an occupational well being nurse can provide a alternative in nursing drugs"says Adeline Frangeul who appreciates this versatility.
The career additionally presents a number of important benefits. Foremost amongst that are mounted working hours. "It’s very comfy, I’ve a household life, I depart my work on the workplace, and I can proceed to care ", She says.
versatility
Occupational drugs session: the nurse performs an ophthalmological verify and opinions the affected person's file. © Natacha Soury
Interviews with brokers punctuate the group of the times. Beginning with the obligatory aptitude interviews for the safety professions, eyesight, listening to and cardiac capability being examined with an knowledgeable physician.
Prevention is one other important axis for medical and paramedical employees and it’s clearly seen even within the supply room the place this maxim seems, repeated consistently on prevention posters: "Allow us to respect the principles that save".
Nurses might also need to go to the sphere to go to work stations. Certainly, the decree of software of the labor legislation of 1st January 2017 authorizes the paramedical physique to hold out info and prevention visits. "The aim is that the office doesn’t hurt the well being of workers and, in some instances, changes are mandatory and potential ”, explains Adeline Frangeul. For instance, if a group complains of an excessive amount of ambient noise, the protecting tools will be tailored. Such a go to have to be carried out by a health care provider, however he can delegate this process to a nurse, relying on the coaching adopted.
Nurses additionally journey to the sphere in an emergency. Within the occasion of an accident or discomfort within the office, close to the corporate's medical places of work, they take out the emergency package and, relying on the case, name the Samu.
Prevention is among the three expertise of nurses with occupational well being and care. It’s on the coronary heart of the work of the medical group. © Natacha Soury.
Coping with occupational well being, care and prevention on the identical time presents quite a lot of duties for the nurse involved. "There may be definitely a strict partitioning between these three medicines, says Adeline Frangeul. VSNonetheless, the nurse stays versatile and should be capable of adapt to the constraints of timetables. " At some point you will be in care drugs and the opposite in occupational drugs. Confidentiality is then strictly revered and stays omnipresent in everybody's thoughts. "The employees are very attentive to this, every time they meet an agent", She mentioned.
Julie Lallouët-Geffroy
SNCF is recruiting
Regardless of the range of the duties, the coaching potentialities and the standard of life provided by a place inside the SNCF, the turnover is critical. Particularly, in Paris and Bordeaux, the 2 most necessary facilities of France. Occupational well being will not be the drugs most studied by nurses they usually suppose little of turning to the SNCF. Nonetheless, the scale of the corporate makes it potential to observe a diversified coaching course which provides a license stage and makes it potential to boost one's wage.
Psychology, a brand new taking part in card
Past care and prevention, nurses now have a brand new string to their bow: psychology. This clearly issues assaults on station officers, verbal or bodily, and monitor accidents which traumatize the officers current on the spot. However there are additionally the inner tensions inherent in any enterprise and any teamwork. Françoise Dandine, nationwide paramedical advisor, travels repeatedly to the totally different areas to make connections and clarify inner developments inside the firm. "These create tensions and socio-professional stress ; brokers marvel about their future. That is now a part of the wants that we should meet ”, Does evaluation. The coaching course has additionally included a number of modules devoted to those themes, such because the one entitled "assaulted brokers" or the one devoted to "serving to relationship".
This text appeared in N ° 32 of ActuSoins Journal.
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