Collaborates with the health care team on all aspects of service delivery;
Receives and sends referrals, conducts nursing assessments and creates care plans to meet client needs and follow treatment orders;
Works with the health team to develop a client work plan where required that promotes the client and family ability to function at the highest level of independence possible;
Completes referrals for clients requiring additional services;
Advocacy role for clients to community and institution-based services;
Performs nursing tasks as required in the client’s home that are in line with the Home and Community Care Program
Performs nursing assessments on new and continuing clients (at minimum yearly);
Coordinates case management with client, family, and other service providers;
Provides interdisciplinary, needs-based palliative care to clients
Direct supervisor for the Home Support Workers which includes new hire orientation, work tasks distribution, performance and time management.
Facilitates the Nunatsiavut Home Support Worker training program with Home Support Workers as needed;
Carries out Diabetes care, including foot care, and follow up according to the HCCP policy;
Maintains linkages with Community Clinics, Labrador Grenfell Health (LGH) and other client service providers as required;
Promotes self-care and independence of clients through a population health approach and the adoption of Primary Health Care principles;
Maintains records on clients, and prepares and submits monthly reports;
Participates in research and evaluation as requested;
Acts as a preceptor and actively participates in the coordination of education programs for nursing students as required;
Participates in local, regional, or national committees as required to promote excellence in client care and professional development;
Coordinates to meet client’s needs through the ordering of supplies and equipment in concert with the NIHB program
Participates in professional development to maintain high professional standards;
Is involved in the development and maintenance of nursing policy as requested;
Provides coverage for the Public Health Nursing program as required;
Works flexible hours where required;
Other related duties as required;
Travel as required.
