Responsibilities:
A. Home base Patient Care
1. Home Nursing Care Plan
- Assess on the general health condition of client & record in care plan
- Assess on social history – financial constraints and make necessary referral / recommendation.
- Assess home environment – make necessary referral / recommendations.
- Advise client or care-giver on the plan of care to ensure continuity of care.
- Anticipate and resolve problems where possible otherwise refer to supervisor.
- Document visit observations, procedure and actions plans accurately within 1 workday post visit
- Import and upload wound images, home vital signs recording as necessary
2. Nursing Procedure
- Wound dressing and management (including NPWT),
- Change and management of indwelling urinary catheters (IDC)
- Change and management of nasogastric feeding tubes (NGT)
- Management of Stoma/s and its appliances
- Perform Digital Rectal Examination (DRE) as necessary
- Medication packing and reconciliation
- Flushing of PICC lines and site dressing change
- Oral and Tracheostomy suctioning
3. Health Education
- Customised caregivers’ training as appropriate and necessary for safe or improved care
4. Referral
- Liaise with RHSO team, AIC, other community service provider as necessary
- Customised caregivers’ training as appropriate and necessary for safe or improved care
5. Patient review
- Plan routine homecare visits as per acuity and need
- Respond to sub-acute needs as necessary in a timely manner
- Conduct joint-visit with Home Medical doctor as necessary on case by case basis
6. Management of Resources
- Able to care, maintain and monitor the availability and usage of supplies and equipment
- Evaluate new equipment as requested by HOD for possibility of care and functional improvement of person needing care (PNC)
B. Caregiver
- Build therapeutic relationships and empower caregivers for self-management through training and support
- Assess training needs and implement in a systematic manner after discussion with Caregiver and Next of Kin of PNC
C. Administrative Duties
- Secondary coverage for outpatient clinics (1 Saturday per month 0830 to 1230)
- Collect fees in cash, issue receipts as necessary and submit to HC OPSA post visit
Requirements:
- Registered with Singapore Nursing Board
- Minimum of 3 years’ experience working in Medical/surgical ward in Acute setting OR geriatric experience in community hospital setting.
- Possess good communication skills
- Possess good learning attitude in learning and receiving feedback
- Able to make good clinical judgements regarding patient care and care givers’ competencies
- Has a keen interest in supporting End of Life care for homebound seniors
