Registered Nurse Care Partner

The Client & Role

Handa Home Care Services is seeking an experienced and compassionate Registered Nurse Care Partner to join their home care team, supporting older people to live safely, independently and well in their own homes.

This is for a full-time basis with an annual salary set between $80,000 to $85,000 plus superannuation. This role is based at Wollert, VIC and involves regular travel to clients’ homes across the surrounding community.

Responsibilities

• Conducting comprehensive clinical assessments of Participants s, identifying their health conditions, care needs, preferences and risks, and developing person-centred care plans to support their health and wellbeing.
• Conducting Participants assessments and regular reviews, including reassessment following hospital discharge, falls, or changes in health, physical function or personal circumstances.
• Coordinating and reviewing nursing and personal care services delivered by Enrolled Nurses, personal care workers, allied health professionals and other healthcare providers to ensure care is safe, timely and aligned with Participants s’ care plans.
• Monitoring Participants s’ health and wellbeing, maintaining regular communication with Participants s and their families, and updating care plans as required.
• Liaising with General Practitioners, hospitals, allied health professionals, specialists and other healthcare providers regarding referrals, changes in Participants s’ health conditions and transitions of care.
• Completing comprehensive clinical assessments, including falls risk, pressure injury risk, cognition, continence, nutrition and swallowing, mobility, pain, skin integrity and general health, using appropriate assessment tools.
• Delivering and overseeing nursing care, including wound care, medication administration and management, diabetes management, insulin administration, catheter and continence care, palliative and end-of-life care, and post-hospital recovery support.
• Developing and implementing clinical care plans and risk management strategies, and providing clear instructions to Enrolled Nurses and personal care workers to ensure the safe delivery of nursing and personal care.
• Administering and monitoring medications in accordance with medication management policies, monitoring medication effectiveness and side effects, and liaising with General Practitioners and pharmacists regarding medication-related concerns.
• Recognising and responding to clinical deterioration, promptly escalating concerns to General Practitioners, emergency services or other appropriate healthcare professionals, and monitoring Participants s' conditions to ensure appropriate follow-up care.
• Managing clinical incidents and complaints in accordance with organisational policies and applicable aged-care requirements, including documenting incidents, reporting concerns and implementing preventative actions.
• Providing clinical leadership, supervision, training and guidance to Enrolled Nurses and personal care workers, ensuring care is delivered safely and in accordance with Participants s’ care plans, professional standards and scope of practice.
• Working collaboratively with General Practitioners, allied health professionals, specialists and other healthcare providers to deliver coordinated, multidisciplinary care that meets Participants s’ clinical and personal needs.
• Providing health education and emotional support to Participants s and their families regarding health conditions, treatment, dementia care, medication management, infection prevention, carer support and advance care planning.
• Maintaining accurate, timely and confidential clinical records, including Participants assessments, care plans, medication records, progress notes and incident reports, in accordance with privacy requirements and documentation standards.
• Contributing to clinical governance and continuous improvement through clinical audits, policy reviews, staff training and quality improvement activities, and supporting compliance with applicable aged-care legislation, quality standards and the Code of Conduct for Aged Care.
• Conducting community health assessments to identify clients’ healthcare needs, health risks and support requirements, and developing appropriate care plans to promote health, independence and wellbeing.
• Providing health education and guidance to clients and their families on disease prevention, chronic disease management, medication adherence and healthy lifestyle practices.
• Coordinating referrals and liaising with General Practitioners, community health services, allied health professionals and other healthcare providers to ensure continuity of care and timely access to appropriate health services.
• Monitoring clients’ health conditions and progress, identifying changes in their health status, and arranging appropriate clinical interventions or referrals when required.

Requirements

In order to be shortlisted for this position, the right candidate needs to have:

• A Bachelor degree in Nursing
• Current registration with the Australian Health Practitioner Regulation Agency (AHPRA)
• Possession of these other certificates gained in Australia:

o First Aid Certificate.

o Cardiopulmonary Resuscitation (CPR).

• At least 12 months’ professional nursing experience in aged care, community nursing or home care
• At least 12 months’ experience in case management, care coordination or care partner roles in home care or community aged care, ideally with Support at Home or Home Care Packages
• At least 12 months’ experience conducting comprehensive geriatric clinical assessments, including falls risk, pressure injury risk, cognitive decline, continence and mobility reviews
• At least 12 months’ experience managing complex geriatric presentations in the community, including dementia, delirium, frailty, chronic disease, wounds, dysphagia and end-of-life care
• At least 12 months’ experience administering and monitoring medications, including Schedule 4 and Schedule 8 medicines, insulin, PRN medication, anticoagulants and high risk medicines
• Committed to aged care documentation and Case Management.
• Reliable and able to maintain a safe and high standard of practice.
• Good time management and ability to lead a team.
• Excellent verbal and written communication skills.
• Undergo and maintain a current National Police Check and have no convictions that exclude you from working in aged care as per the Aged Care Act 1997.
• Have positive past employment work references