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NURSING · SERVICE GUIDE

Direct Clinical Care.

Clinical nursing care, done where you live. By nurses who do this every day.

So the feed, the dressing or the injection is not the thing that organises your week.

Direct clinical care is the hands-on nursing work. Feeding and medication through a tube, injections, wound care and compression, catheter support, blood glucose monitoring and insulin. Our nurses do it in clinic or at home, at a time that fits around everything else.

A lot of this used to mean a trip to a hospital or a GP clinic, sometimes weekly. For most people it no longer has to, and the care is usually better for happening in the place where it is actually being managed the other six days.

Funding options for Clinical Care.

Nursing supports may be funded through an NDIS plan, depending on how that plan is set up.

Plan-managed, self-managed and agency-managed participants can all access our nurses, and we handle the service agreements.


Providers can also engage us directly, which is common where a participant’s clinical needs sit above what the support team is authorised to do.

What the Nurse Does

Five categories of care. Most people need one or two of them, not all five.

01

Enteral Feeding and Medication Through a Tube

PEG, PEJ or NG. Setting up and running feeds, giving medication through the tube, flushing, checking the site, and dealing with the small problems that come up: a blocked tube, a site that looks irritated, a pump that keeps alarming overnight.

02

Medication Administration, Including Injections

Subcutaneous, intramuscular and intravenous. Given by a nurse, recorded properly, and reported back to the prescriber. This covers the regular scheduled medicines and the ones that only come up occasionally, and it covers people whose support team cannot administer by injection.

03

Wound Care and Compression Therapy

Assessment, dressing selection, dressing changes, and compression bandaging or garments where they are indicated. Wounds are tracked over time rather than looked at once, so the record shows whether it is healing or not, which is the information the GP or the wound clinic actually needs.

04

Catheter Support

Indwelling catheter changes and care, and intermittent catheterisation. Includes teaching self-catheterisation where the person wants to manage it themselves, and knowing the signs that something is going wrong early enough to act on them.

05

Diabetes Support

Blood glucose monitoring, insulin administration, and helping the people around the person understand what the numbers mean and when to be concerned. Where support workers monitor and administer, our nurses can train them and assess their competency.
INSIDE THE CLINIC

Who This Helps

Anyone with an ongoing clinical need that does not stop when the hospital discharges them. A tube, a wound, a catheter or insulin does not become simpler at home, it just becomes someone’s responsibility.

People coming out of hospital. This is where clinical care most often falls over, because the arrangement that worked on a ward does not survive contact with a real house, a real morning, and a support team who were not there when it was set up.

People who would rather not spend the week in waiting rooms. A dressing change is fifteen minutes. Getting to it and home again is often three hours.

Available in clinic or at home.

What the nurse does not do

Our nurses deliver the care and report what they find, they do not prescribe medication, and they do not change a treatment plan on their own.

All wound management plans, insulin doses, catheter regimens and feeding regimens are set or overseen by your treating team.

WHAT OUR NURSES CONTRIBUTE IS accurate delivery, an accurate record, and early warning when something is heading the wrong way.

This may also include stakeholder engagement with the treating team to find what works best for the person receiving care.

We love Indigenous Australians - inclusive community support and health services.
NDIS

What the nurse does not do

Our nurses deliver the care and report what they find, they do not prescribe, and they do not change a treatment plan on their own. Wound management plans, insulin doses, catheter regimens and feeding regimens are set or overseen by the treating team. What our nurses contribute is accurate delivery, an accurate record, and early warning when something is heading the wrong way. This may also include stakeholder engagement with the treating team to find what works best for the person receiving care.

Optimum NDIS
Referrals.

Optimum NDIS
Referrals.

If you are a Support Coordinator, LAC officer, Plan Manager or another health care professional and you would like to submit a referral for one of your participants, please select one of the below options.

a speech pathologist works with toddlers and children who deal with stuttering,
START THE CONVERSATION

Get in Touch.

12 clinics across NSW & Tasmania

Email us

hello@opt.net.au

Speak to us

1800 678 647

Where to Access Medication Reconciliation and Support

Medication reconciliation and support is available in clinic, at home, or by telehealth. Most of the process can be completed by video or phone because it involves gathering information from different sources and talking it through.
COMMON QUESTIONS

Common Questions About Direct Clinical Care

What is direct clinical care?
It is the hands-on nursing work a person needs on an ongoing basis, delivered outside a hospital. In our case that means enteral feeding and medication through a tube, injections, wound care and compression, catheter support, and diabetes support.
Yes. Most of this work is done at home, because that is where the tube, the dressing or the insulin actually lives. Clinic appointments are available where that suits better.
Some of it, once they have been trained on the specific task and assessed as competent, and where the task is one a support worker is permitted to do. Our nurses do the training and the assessment, and keep doing the parts that sit outside it.

Not always. Call 1800 678 647 and we will work out what is needed for your situation. Where a treating team is already involved, we will ask for the current plan so we are working from the same instructions they are.

Yes, with your consent. The nurse records what was done and what was found, and sends it to the people managing your care. A wound that is not healing or a glucose pattern that has shifted is only useful information if it reaches them.

It depends entirely on the task. A weekly dressing change looks nothing like daily insulin. We will work it out with you and the treating team, and change it when the need changes, rather than locking in a schedule that stops making sense.

The hands-on work cannot, and we would not pretend otherwise. Reviews, training sessions and check-ins with families and support teams often can, and we use it where it saves someone a trip.
CLINICALLY REVIEWED BY

Renata Bell

RN, BNSc, GradCertPH, Cert II Business
HEAD OF CLINICAL DEVELOPMENT (Nursing and compliance)
OPTIMUM HEALTH SOLUTIONS
Renata is a Registered Nurse with extensive experience across disability, aged care, emergency, urgent care, community, primary health care and clinical governance. Renata has worked in various clinical settings in Australia and the UK and has a passion for Chronic and Complex Healthcare. She reviews all Nursing content for clinical accuracy and compliance.

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