Staff Nurse (Home Care) - Rapid Progression

Responsibilities and Duties:

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 – according to Standard of Clinical Practice

· Wound dressing and management (including NPWT- training will be provided),

· 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 care and suctioning

3. Health Education

· Customised caregivers’ training as appropriate and necessary for safe or improved care

4. Referral

- Internal

· Liaise with interdepartmental service to support clients’ well being

- External

· Liaise with RHSO team, AIC, other community service provider as necessary

5. Patient review

· Plan routine homecare visits as per acuity and clinical need

· Respond to sub-acute needs as necessary in a timely manner

· Conduct joint-visit with Home Medical doctor, Social worker as necessary on case by case basis

· Do phone call follow up and document accordingly

6. Management of Resources

· Able to care, maintain and monitor the availability and usage of supplies,

Equipment, including monthly calibration of Glucometer

· Evaluate new equipment as requested by HOD for possibility of care and

functional improvement of Person Needing Care (PNC)

B. Care-giver

· 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)

· Triaging of new referrals

· Facilitate application of healthcare financial scheme such as Senior Mobility Funds for consumables as required.

· Collect fees in cash, issue receipts as necessary and submit to HC OPSA post visit

Job Requirements:

• Registered with Singapore Nursing Board with valid practicing certification
• Minimum of 3 years’ nursing experience working in a Medical OR Geriatric ward or in community setting within the past 3 years
• Experience in Oncology or Palliative Care will be an advantage
• Possess good communication and interpersonal skills, comfortable in interacting with people from all walks of life
• Possess good attitude towards learning and receiving feedback
• An adaptable and collaborative team player
• Independent and highly reliable, who consistently performs well in all aspects of work
• Able to make good clinical judgements regarding patient care in a home-care setting
• Has keen interest in supporting End of Life (EOL) care for homebound seniors
• Willing to support After Office Hour (AOH) care for EOL patients on rotational basis