Experienced RN providing comprehensive community-based care for older adults transitioning from hospital to home. Skilled in holistic assessment, care planning, wound and medication management, and chronic disease support. Strong background in coordinating multidisciplinary care, educating clients and families, and navigating aged care pathways (My Aged Care, CHSP, Home Care Packages).
Work collaboratively with a multidisciplinary team (physiotherapists, occupational therapists, social workers, allied health assistants).
Liaise with GPs, hospitals, community services, and families to coordinate ongoing care.
Contribute to discharge planning and transitions to long-term services (My Aged Care, CHSP, Home Care Packages, Residential Aged Care).
Provide education and support to clients, carers, and families about health conditions, medications, and self-management strategies.
Advocate for clients’ needs, ensuring services are culturally safe and person-centred.
Maintain accurate, timely clinical documentation in line with NSW Health standards.
Comply with NSW Health policies, procedures, and clinical governance frameworks.
Participate in risk management, infection control, and quality improvement activities.
Maintain AHPRA registration and CPD requirements.
Participate in supervision, team meetings, and ongoing education relevant to aged and community nursing.
Provide holistic nursing assessment, care planning, and interventions in the community.
Deliver evidence-based nursing care including wound management, continence support, medication management, pain management, chronic disease monitoring, and palliative support where appropriate.
Monitor and evaluate care outcomes, adjusting interventions as needed.