Job Order Detail

Description

Working in the community of Deschambault Lake and reporting directly to the Home and Community Care Nurse Manager for all clinical matters and to the Health Director for all administrative matters, the Home and Community Care Assessor/Nurse will use her nursing, teaching and assessment skills effectively assist clients to attain their optimum level of independent functioning. The Home Care Nurse/Assessor is responsible for providing nursing care within the Scope of Practice and in accordance PBCN guidelines and policies.

Supervision
    To provide direction and supervision to Home and Community Care staff who report directly to the Home Care Nurse/Assessor for clinical matters.
    To be responsible for the planning, coordination and evaluation of the Home and Community Care services provided in the community.
    To provide the Home and Community Care Nurse Manager with a monthly report of statistics, admissions and discharges.

Program Delivery/Assessment:
    Perform assessments in the clients home using appropriate assessment tool.
    Interviews members of the clients support system as required.
    Develops client centered care plans
    Provides continuity of care by doing reviews and re-assessments according to the clients changing needs.
    Initiates emergency services when deemed necessary.
    When necessary coordinates client admission to long term care
    Makes referrals to other agencies, services as necessary.

Home Care Nursing:
    To utilize effective interpersonal communication and physical assessment skills in the development of a client centered nursing care plan;
    Provide active or palliative nursing care to clients in their home based on physician instructions;
    To continually assess the clients progress, using the nursing process, providing input for changes in the clients care plan.