We are currently looking for 2 female health care assistace who have the below skill set:
Package of care:
POC – QDS x2 carers
Call pattern: 120 mins / 60 mins / 60 mins / 60 mins + 60 mins
Total weekly hours: 84
Package summary:
AR is tetraplegic following a spinal cord injury and requires assistance with all daily living needs. Her needs are intense and complex, with key risks including breathing concerns, skin breakdown/pressure damage, UTI/constipation, falls, autonomic dysreflexia, and deterioration if care is not delivered consistently.
Agency must provide carers with the following skills/experience:
2:1 care support
Medication administration
Suprapubic catheter care, including connecting/disconnecting night drainage and monitoring for blockage
Bowel care including:
digital rectal check
administration of glycerine suppositories
digital stimulation / manual evacuation
Autonomic Dysreflexia awareness and symptom management
Blood pressure monitoring and ability to act on readings / escalate concerns appropriately
Hoist transfers and safe repositioning
Pressure area care / skin checks
Splint application/removal
Physiotherapy exercises support
Inspiratory Muscle Trainer / cough assist awareness
Call details:
AM call – 120 mins
Light breakfast, hot drink, medication
Disconnect night drainage bag from suprapubic catheter
Remove upper and lower limb splints and check for marking
Full skin check, including pressure areas
Digital rectal check for faeces
Insert 2 glycerine suppositories if required
Digital/manual evacuation
Sit upright for breakfast and assist as required
Exercises
Lunch call – 60 mins
Administer prescribed medication
Prepare lunch and drink, assist as required
Hoist transfer as required
Exercises
Tea call – 60 mins
Prepare evening meal and drink, assist as required
Medication support
Wheelchair repositioning / hoist transfers as needed
Exercises
Evening call – 60 mins
Full assistance with undressing
Remove abdominal binder
Thorough skin check
Personal hygiene / teeth brushing
Assist with drink if needed
Position for bed
Connect catheter night drainage bag
Administer medication
Check BP as required
Turn to preferred side and check pressure areas
Apply night lower and upper limb splints
Settle for the night
Additional notes:
AR has a suprapubic catheter and neurogenic bowel/bladder dysfunction
She is at risk of Autonomic Dysreflexia, and BP monitoring plus prompt intervention are important parts of care
She requires repositioning, pressure relief, and close observation of skin integrity