Quality approach in service of paediatric haematology: accreditation JACIE1 in 2006--Assessment of an experience

The service of oncohematologie pediatrique of CLERMONT FERRAND'S FALLEN was accredited JACIE in 2006. The whole medical team participated in the elaboration of procedures on the care of the sick, on the rules of hygiene necessary for the care of the children having a transplantation of marrow. A methodology was defined to have a coherent initiative and in adequacy with repository JACIE. We worked on the skills of the professionals to estimate objectively the interventions with the transplanted child. For 2 years, 2 nurses, an engineer-quality and the nurseleader assure the follow-up and the preservation of the quality approach. This follow-up has to remain steady because distances between the rule and the ground appeared (non compliance with the procedures, the lack of motivation). Thus, our commitment in such a initiative must be consolidated. Indeed, it is important to remind that the quality approach brought advantages for the professionals and for the child: 1. Security of acts, 2. Respect for the standards of hygiene, 3. Formalization and standardization of the care, 4. Empowerment of the agents, 5. Improvement of the communication and the collaboration professional inter, 6. Development of the specific skills in the transplant. Also, we have to re-make sensitive the staff through time of dialogue, format. This accreditation allowed us to go farther by working on the theorization of the care of support (nutrition, psychology, animation, schooling, care of the pain, taken into account by the social, family and relational dimension of the care of the child, the palliative care) and to approach the child transplanted in a holistic initiative.