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Sur le plan ordinal, la violation du secret professionnel entraîne fréquemment une [radiation pure et simple](/ressources/devenir-infirmiere-liberale/sanctions-deontologiques). Ce n'est pas une menace théorique : chaque année, des professionnels de santé font l'objet de poursuites pour avoir partagé des informations médicales sur les réseaux sociaux ou dans un cadre familial.\n\nLa loi prévoit toutefois des exceptions strictement encadrées par **l'article 226-14 du Code pénal**. Vous devez signaler les cas de maltraitance sur mineurs ou personnes vulnérables. Depuis la **loi n° 2020-936 du 30 juillet 2020**, vous pouvez aussi signaler des violences conjugales sans l'accord de la victime lorsqu'il existe un danger immédiat. Le **secret partagé** entre professionnels de santé participant à la prise en charge d'un même patient est autorisé par **l'article L1110-4 du CSP**, à condition de ne transmettre que les informations strictement nécessaires. 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Ce dossier doit contenir les prescriptions en cours, les particularités de prise en charge et les coordonnées des médecins prescripteurs.\n\nEnsuite, **l'interdiction de l'abandon thérapeutique**. Vous ne pouvez pas cesser de suivre un patient du jour au lendemain sans motif légitime. Si vous souhaitez mettre fin à une prise en charge — par exemple en raison d'un comportement menaçant —, un préavis raisonnable s'impose pour permettre au patient de trouver un autre professionnel. En pratique, un délai de 15 jours est souvent retenu, accompagné d'un courrier expliquant la situation au médecin traitant. Manquer à cette obligation expose à des poursuites devant la chambre disciplinaire de l'Ordre, et potentiellement à une mise en cause de votre [responsabilité civile professionnelle](/ressources/devenir-infirmiere-liberale/assurance-rc-pro) si le patient subit un préjudice. DPC, probité et confraternité : les piliers du quotidien: Le **[Développement Professionnel Continu (DPC)](/ressources/devenir-infirmiere-liberale/formations-obligatoires)** n'est pas une option. Chaque IDEL doit justifier, sur une période de 3 ans, d'au moins deux types d'actions parmi trois catégories : formation continue, évaluation des pratiques professionnelles et gestion des risques. En 2026, le contrôle s'est intensifié : l'Agence nationale du DPC croise désormais ses données avec celles de l'Ordre. Une IDEL qui ne satisfait pas à cette obligation s'expose à un signalement à la chambre disciplinaire.\n\nLa **probité** touche directement votre activité de facturation. Coter un AMI 4 quand l'acte réalisé correspond à un AMI 3, facturer un déplacement non effectué, accepter un avantage d'un laboratoire en échange de prescriptions orientées — ces pratiques relèvent de la fraude. 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Défini par ",["$","strong","strong-0",{"className":"font-semibold text-gray-900","children":"l'article R4312-5 du Code de la Santé Publique"}],", il couvre absolument tout ce que l'infirmier a ",["$","strong","strong-1",{"className":"font-semibold text-gray-900","children":"vu, lu, entendu, constaté ou compris"}]," dans l'exercice de ses fonctions. Cela va bien au-delà du simple diagnostic : la présence d'un patient à votre cabinet, ses conditions de vie observées lors d'une visite à domicile, une confidence faite pendant un soin — tout relève du secret."]}],"\n",["$","p","p-1",{"className":"mb-4 leading-relaxed","children":["Que risquez-vous concrètement ? ",["$","strong","strong-0",{"className":"font-semibold text-gray-900","children":"L'article 226-13 du Code pénal"}]," prévoit ",["$","strong","strong-1",{"className":"font-semibold text-gray-900","children":"1 an d'emprisonnement et 15 000 € d'amende"}],". 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Les conséquences vont du simple rappel à l'ordre au déconventionnement, en passant par des pénalités financières pouvant atteindre 200 % des sommes indûment perçues."]}],"\n",["$","p","p-2",{"className":"mb-4 leading-relaxed","children":["Quant à la ",["$","strong","strong-0",{"className":"font-semibold text-gray-900","children":"confraternité"}],", elle se traduit par des règles concrètes : ne pas dénigrer un confrère devant un patient, ne pas démarcher activement la patientèle d'un collègue, et collaborer loyalement lors des transmissions de dossiers. En tournée, cela signifie aussi respecter les secteurs géographiques tacitement établis entre IDEL d'un même territoire. Un différend ? 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R1112-7 CSP). Sécurisez-les physiquement et numériquement, tenez un registre des traitements RGPD et notifiez toute violation de données à la CNIL sous 72 heures."}]]}],["$","svg",null,{"ref":"$undefined","xmlns":"http://www.w3.org/2000/svg","width":24,"height":24,"viewBox":"0 0 24 24","fill":"none","stroke":"currentColor","strokeWidth":2,"strokeLinecap":"round","strokeLinejoin":"round","className":"lucide lucide-chevron-right w-5 h-5 text-gray-400 group-hover:text-purple-600 transition-colors mt-1 flex-shrink-0","children":[["$","path","mthhwq",{"d":"m9 18 6-6-6-6"}],"$undefined"]}]]}]}]}],["$","$L7","sanctions-deontologiques",{"href":"/ressources/devenir-infirmiere-liberale/sanctions-deontologiques","className":"block group","data-related-faq":"sanctions-deontologiques","children":["$","div",null,{"ref":"$undefined","className":"rounded-lg bg-card text-card-foreground shadow-sm p-6 border-2 border-gray-100 hover:border-purple-200 transition-all duration-300 group-hover:shadow-lg","children":["$","div",null,{"className":"flex items-start justify-between","children":[["$","div",null,{"className":"flex-1","children":[["$","div",null,{"className":"inline-flex items-center rounded-full border px-2.5 py-0.5 text-xs font-semibold transition-colors focus:outline-none focus:ring-2 focus:ring-ring focus:ring-offset-2 border-transparent hover:bg-primary/80 mb-2 bg-gray-100 text-gray-700","children":"Aspects déontologiques et réglementaires"}],["$","h4",null,{"className":"text-lg font-semibold text-gray-900 group-hover:text-purple-600 transition-colors","children":"Quelles sanctions en cas de manquement déontologique ?"}],["$","p",null,{"className":"text-gray-600 mt-2 line-clamp-2","children":"Les sanctions disciplinaires, prévues par l'article L4124-6 du CSP, vont de l'avertissement à la radiation. Elles sont prononcées par la chambre disciplinaire de première instance après conciliation obligatoire, avec possibilité d'appel sous 30 jours."}]]}],["$","svg",null,{"ref":"$undefined","xmlns":"http://www.w3.org/2000/svg","width":24,"height":24,"viewBox":"0 0 24 24","fill":"none","stroke":"currentColor","strokeWidth":2,"strokeLinecap":"round","strokeLinejoin":"round","className":"lucide lucide-chevron-right w-5 h-5 text-gray-400 group-hover:text-purple-600 transition-colors mt-1 flex-shrink-0","children":[["$","path","mthhwq",{"d":"m9 18 6-6-6-6"}],"$undefined"]}]]}]}]}],["$","$L7","registre-soins-conformite",{"href":"/ressources/devenir-infirmiere-liberale/registre-soins-conformite","className":"block group","data-related-faq":"registre-soins-conformite","children":["$","div",null,{"ref":"$undefined","className":"rounded-lg bg-card text-card-foreground shadow-sm p-6 border-2 border-gray-100 hover:border-purple-200 transition-all duration-300 group-hover:shadow-lg","children":["$","div",null,{"className":"flex items-start justify-between","children":[["$","div",null,{"className":"flex-1","children":[["$","div",null,{"className":"inline-flex items-center rounded-full border px-2.5 py-0.5 text-xs font-semibold transition-colors focus:outline-none focus:ring-2 focus:ring-ring focus:ring-offset-2 border-transparent hover:bg-primary/80 mb-2 bg-gray-100 text-gray-700","children":"Aspects déontologiques et réglementaires"}],["$","h4",null,{"className":"text-lg font-semibold text-gray-900 group-hover:text-purple-600 transition-colors","children":"Comment tenir son registre des soins conforme ?"}],["$","p",null,{"className":"text-gray-600 mt-2 line-clamp-2","children":"Le registre des soins doit contenir la date, l'heure, l'identité du patient, les actes réalisés, le prescripteur et les observations cliniques. 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R1112-7 CSP)."}]]}],["$","svg",null,{"ref":"$undefined","xmlns":"http://www.w3.org/2000/svg","width":24,"height":24,"viewBox":"0 0 24 24","fill":"none","stroke":"currentColor","strokeWidth":2,"strokeLinecap":"round","strokeLinejoin":"round","className":"lucide lucide-chevron-right w-5 h-5 text-gray-400 group-hover:text-purple-600 transition-colors mt-1 flex-shrink-0","children":[["$","path","mthhwq",{"d":"m9 18 6-6-6-6"}],"$undefined"]}]]}]}]}]]}]]}]]}],["$","aside",null,{"className":"lg:col-span-1","children":["$","div",null,{"className":"sticky top-24 space-y-6","children":[["$","$L7",null,{"href":"/ressources/devenir-infirmiere-liberale","className":"inline-flex items-center gap-2 text-purple-600 hover:text-purple-700 transition-colors","children":[["$","svg",null,{"ref":"$undefined","xmlns":"http://www.w3.org/2000/svg","width":24,"height":24,"viewBox":"0 0 24 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