The Home Care Registered Nurse provides skilled nursing care to patients in their homes in accordance with physician orders, individualized care plans, and applicable regulatory and organisational requirements. The role includes comprehensive nursing assessments, wound management, catheterisation, insulin management, monitoring of falls risk and nutrition, oversight of restrictive practices, and coordination of care with physicians, allied health professionals, patients, and families. The RN demonstrates professionalism, adaptability, and diplomacy when managing complex clinical and interpersonal situations.
Key Responsibilities
Comprehensive Nursing Assessments
- Conduct initial, ongoing, and reassessments of patients in the home setting
- Assess physical, functional, psychosocial, cognitive, and environmental factors affecting care
- Monitor and document falls risk, nutritional status, skin integrity, mobility, and safety concerns
- Identify changes in patient condition and escalate concerns appropriately
Wound Management
- Perform wound assessments and monitor healing progress
- Provide wound care and dressing changes in accordance with care plans and physician orders
- Educate patients and caregivers on wound care, pressure injury prevention, and skin integrity maintenance
Skilled Nursing Care
- Perform catheterisation and provide ongoing urinary catheter care as prescribed
- Provide insulin management, including administration, blood glucose monitoring, and patient education
- Deliver skilled nursing interventions within home care scope, organisational policy, and professional standards
Falls Risk, Nutrition & Restrictive Practices
- Assess and monitor falls risk and implement appropriate risk-reduction strategies
- Monitor nutritional intake, hydration status, and weight changes, and report concerns to the care team
- Identify, document, and monitor restrictive practices in accordance with legislation, organisational policy, and care plans
- Advocate for least-restrictive, person-centred care and escalate concerns as required
Care Coordination & Liaison
- Liaise with treating physicians, allied health professionals, case managers, and support staff
- Communicate assessment findings, risks, and care needs in a timely and professional manner
- Participate in interdisciplinary care planning, reviews, and case conferences
Patient, Family & Team Communication
- Establish and maintain therapeutic relationships with patients and families
- Manage dynamic and complex family or team situations with sensitivity, professionalism, and diplomacy
- Address concerns, differing expectations, or conflicts using respectful, solution-focused communication
Documentation & Compliance
- Maintain accurate, timely, and compliant clinical documentation
- Ensure care delivery aligns with physician orders, approved care plans, and regulatory requirements
- Contribute to audits, reviews, and quality improvement activities
Professional Practice
- Practice within Registered Nurse scope, home care guidelines, and ethical standards
- Maintain confidentiality and professional boundaries
- Demonstrate accountability, sound clinical judgment, and adaptability
- Participate in mandatory training and ongoing professional development
Qualifications
Required
- Current Registered Nurse (RN) license in the state of practice
- Graduate of an accredited nursing program
- Current CPR/BLS certification
- Valid driver’s license and reliable transportation
Preferred
- Experience in home care, community nursing, or aged care
- Competence in wound management, catheterisation, insulin management, and risk assessment
- Strong communication and coordination skills
Skills & Competencies
- Strong assessment and clinical reasoning skills
- Ability to identify and manage clinical and environmental risks
- Effective communication with patients, families, and multidisciplinary teams
- Ability to work independently in the community
- High level of professionalism, emotional intelligence, and diplomacy
- Administered medications and treatments according to care plans and physician orders.
- Monitored patient vital signs and documented changes in health status.