The Community Nurse (Home Care) is responsible for planning; coordinating, directing and evaluating the patient care services and provides supervision serving as the vital link between the vision of CWA and a team of Community Caregivers (CCGs). It served as the unit-based delivery of effective, cost-efficient high quality patient care. It also includes providing quality care to clients under the Home Monitoring System.
The Community Nurse (Home Care) is also responsible for managing and providing direct patient care through care management, assessment, providing home personal care services, nursing procedures and evaluation of nursing care to meet the needs of the patients, including educating patients & families and caregiver training.
DUTIES AND RESPONSIBILITIES
1) Home Personal Care (HPC)
a) Patient Care
· Assess, plan, implement and evaluate patients’ needs
· Provide management and supervision to a team of Community Caregivers (CCGs) and in-house training of CCGs
· Development, implementation and review of clients’ home care plans
· Facilitate patient flow and patient education
· Refer patients for further care or services, when necessary
· Serve as a clinical resource person for CWA and CCGs
· Provide direct home nursing care and procedures
· Conduct home and hospital visits
· Ensure level of standard in patient care
· Ensure quality standards and up-to-date healthcare trend
b) Expansion of HPC Service (Business Model)
· To plan and assist in the development of the HPC service targeting both subsidized and non-subsidized clienteles
· Ensure new programme/projects are rolled out successfully to Clients/CCGs
· Work with various internal depts to achieve the HPC’s team goals.
· Conducting of surveys to ensure service quality, when necessary
2) Community Outreach Programme
· There will be community outreach programmes that will requires HPC’s team support.
· Be part of the team player to ensure programme(s) objectives are met.
3) Digtial Health/Care Programme(s)
· Roll out new initiated care management programme(s) to clients
· To assist, plan and co-ordinate such Programmestargeting both subsidized and non-subsidized clienteles
· Conducting of surveys to ensure service quality, when necessary
4) Administration and Reports
· Plan and co-ordinate the recruitment, and retention of CCGs, inclusive of CCGs engagement programmes
· Development and co-ordination of training for CCGs
· Planning of CCGs roster, deployment of CCGs, as well as provide in-service training for CCGs, whenever necessary
· Manage 3-party and their CCGs resource needed to support CWA’s HPC operations.
· Ensure smooth daily operation flow
· Development and review/revise of Home Personal Care and CCGs Standard of Operations (SOPs) manual regularly
· Handle administration work and reports:
- Manage and maintain clients/cases database and communications.
- Supervise the maintenance of CCG records, time sheets, medical treatments, SBAR and related services
- Handling of client’s Service Contract and collection of payment
- Handling of CCGs’ Contract and mass briefing / interview
- To prepare weekly/monthly activity and statistic reports
- Preparation and submission of patients’ subvention to MOH/AIC
- HPC, Outreach Programme reports and statistics, including Home Monitor System
· Provide administrative and support to other staff members in programmes and coverage.
5) Other Duties
· Assist and support all ad-hoc events organised by CWA and/or third party organisers when assigned, and assist in any other events of the CWA which may be held in the evenings and possibly on Saturdays, Sundays and Public Holidays.
· Any duties that may be assigned from time to time
Requirements criteria:
- Registered Nurse with the Singapore Nursing Board
- Degree or Diploma in Nursing
- Minimum 3 to 5 years working experience with at least 1 year working in community nursing setting is an advantage
- Possess good communication and interpersonal skills
- Good team player and also able to work independently
- Able to make clinical judgements regarding client care with minimal guidance.
