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
