Job Summary:

Provide home nursing services to clients and support their caregivers. Collaborate with internal and external key stakeholders to facilitate more effective care of clients so as to allow them to age in place of their choice.

Principal Responsibilities and Duties:

• Conduct home visits for assigned clients to assess and develop nursing intervention and care plan for clients.
• Perform nursing procedures in home environment with resources that are available and implement where necessary with safety.
• Provide patient education for improved health outcome.
• Liaise with internal and external healthcare partners for efficient and effective care plan for common clients.
• Provide caregivers training.
• Carry out care and plan discharge process on admission of clients.
• Participate in case conferences with restructured hospital community teams to facilitate care of client and to support caregivers.

Other Responsibilities:

• Screen home medical and nursing referrals from external agencies.
• Participate in new initiatives / projects as assigned.
• Knowledge sharing on care for common clients with complex medical/ social/ mental issues.
• Complete initial assessment for Home Personal Care (HPC) clients with HPC supervisor.