6. Health services stream
A brief description of each type of health service is provided below. The description outlines the general nature of the services required. Individual request for proposals will elaborate on particular requirements within the context of the below description. For each category, the supplier must ensure that the proposed resource(s) meets the specific mandatory professional criteria. These criterions are defined in the Minimum mandatory criteria: 6. Health services stream.
6.1 Registered nurse
The required services/tasks may include, but are not limited to the following:
- Assessing the patients physical, emotional and mental health
- Performing basic exams and take vital signs, blood pressure, draw blood samples
- Carrying out treatment plans for patients which include giving medications, coordinating treatments, bandaging wounds and giving injections
- Operating and monitoring technical equipment
- Assisting with medical procedures or minor surgery
- Educating patients and informing them of different treatment options
- Assessing the needs of individuals, families and/or communities
- Instructing individuals, families and other groups on topics such as health education, disease prevention and childbirth, and developing health improvement programs
- Preparing rooms, and ensuring that stock of supplies is maintained
- Emergency labor and delivery
- Providing prenatal and postpartum care
- Performing physical examinations, making tentative diagnoses, and treating patients preparing to medivac
- Conducting specified laboratory tests
- Prescribing or recommending drugs, medical devices or other forms of treatment, such as physical therapy, inhalation therapy, or related therapeutic procedures
- Directing and coordinating infection control programs, advising and consulting with specified personnel about necessary precautions
- Performing administrative functions
- Maintaining accurate, detailed reports and records
- Monitoring, recording and reporting symptoms and changes in patients' conditions
- Recording patients' medical information and vital signs
- Modifying patient treatment plans as indicated by patients' responses and conditions
- Consulting and coordinating with health care team members to assess, plan, implement and evaluate patient care plans
- Ordering, interpreting, and evaluating diagnostic tests to identify and assess patient’s condition
6.2 Nurse practitioner
The required services/tasks may include, but are not limited to the following:
- Interviewing patients to get a medical history
- Conducting physical examinations
- Diagnosing injuries, illnesses, and disorders
- Prescribing certain medications to treat chronic or acute illness
- Teaching patients about illness prevention and a healthy lifestyle
- Communicating with other health care providers to achieve total health for patients
- Performing annual physicals
- Performing patient counselling (e.g., mental health, family planning, medication compliance)
- Promoting health (e.g., smoking cessation)
- Immunizing against disease, screening for diseases
- Treating for short-term acute illnesses (e.g., infections, minor injuries)
- Monitoring patients with chronic illnesses or conditions (e.g., diabetes)
- Referring patients to social services
- Counselling patients (e.g., understanding illness progression, treatments)
- Promoting health (e.g., infection control)
- Treating for acute / critical / urgent illness
- Demonstrating/Teaching Procedures (e.g., de-fibrillation)
- Referrals to other health and social services (e.g. social work, dieticians, pharmacists, home care facilities)
- Prescribing medications, and administers physical exams and preventive care
- Obtaining medical histories, provides immunizations, and manages chronic diseases such as diabetes and heart disease
6.3 Licensed practical nurse or registered practical nurse
The required services/tasks may include, but are not limited to the following:
- Perform within defined scope of practice in accordance with the regulatory organization in the province of work
- Perform triage assessment during walk-in hours and patient assessments that include medical or incident history, physical examinations, and Periodic Health Assessments (PHAs) Part I including vital signs measurement and vision acuity test
- Perform nursing interventions such as taking vital signs, applying aseptic techniques including sterile dressing, ensuring infection control, and conducting specimen collection
- Develop a nursing care plan based on the result of the assessment and refer to a physician or other health care provider
- Administer medication as per doctor’s order as per provincial scope of practice and observe and document therapeutic effects
- Complete nursing documentation immediately after each patient interaction
- Communicate any changes or abnormal findings of the patient’s status or condition to the senior clinician. Abnormal is defined as any deviation to the norm, average, or expected
- Perform therapeutic procedures such as injections and wound care
- Administer and monitor established respiratory therapy and intravenous therapy, where competency has been demonstrated
- Monitor patient’s progress and evaluate effectiveness of nursing interventions;
- Provide health education to patients
- Perform administrative tasks including written or telephone responses to patient queries, preparation of medical files for physicians or other health care providers, and to return of medical files to health record department
- Assist physicians or other health care providers with treatments and procedures
- Act as the point of contact for the care coordination and preparation of responses, information requests, and patient inquiries in the specialty clinic
- Monitor all medical supplies and inventory including ordering and replenishing
- Clean all patient care areas between patient
- Clean, sterilize and package surgical instruments
- Provide pre-operative and post-operative patient teaching such as clinical and procedural information or instructions and comfort care
- Prepare patients for minor surgery procedures by shaving and washing with antiseptic solution on the patient’s operative areas
- Other associated tasks relevant to this occupational group
6.4 Nurse aides
The required services/tasks may include, but are not limited to the following:
- Answer call signals; supply and empty bed pans; bathe, dress and groom patients; serve meal trays, feed or assist in feeding of patients and assist patients with menu selection; weigh, lift, turn, and position patients; shave patients prior to operations; supervise patients' exercise routines, set up and provide leisure activities for patients, accompany patients on outside recreational activities and perform other duties related to patient care and comfort
- Take patients' blood pressure, temperature and pulse; report or record fluid intake and output; observe or monitor patients' status and document patient care on charts; administer first aid in emergency situations; collect specimens such as urine, faeces or sputum; administer suppositories, colonic irrigations and enemas and perform other procedures as directed by nursing and hospital staff
- Transport patients by wheelchair or stretcher for treatment or surgery
- Carry messages, reports, requisitions and specimens between departments
- Make beds and maintain patients' rooms
- Maintain inventory of supplies
- May perform maintenance tasks such as assisting with the set-up and maintenance of traction equipment, cleaning or sterilizing equipment, maintaining and repairing equipment, and assembling, setting-up and operating job-related equipment
- May transport patients between care facilities
- Other associated tasks relevant to this occupational group
6.5 Primary care paramedic
The required services/tasks may include, but are not limited to the following:
- Assisting health care personnel
- Perform triage assessment during walk-in hours and patient assessments that include medical or incident history, physical examinations
- Perform medical interventions such as taking vital signs, applying aseptic techniques including sterile dressing, ensuring infection control, and conducting specimen collection
- Develop a medical care plan based on the result of the assessment and refer to a physician or other health care provider
- Administer medication as per doctor’s order as per provincial scope of practice and observe and document therapeutic effects
- Provide medical coverage and support as required. This will include patient assessment, initial triage, urgent medical care, stabilization and handover to other paramedics or healthcare professionals
- Cleaning, wrapping and sterilizing instruments as per instructions
- Maintaining an up-to-date list of general supplies, taking requests to inventory management group and bringing back supplies as required
- Cleaning treatment rooms and replacing equipment and supplies
- Perform medical duties escort
- Communicate any changes or abnormal findings of the patient’s status or condition to the senior staff. Abnormal is defined as any deviation to the norm, average, or expected
- Perform therapeutic procedures such as injections and wound care
- Administer and monitor established respiratory therapy and intravenous therapy
- Monitor patient’s progress and evaluate effectiveness of nursing interventions
- Provide health education to patients
- Other associated tasks relevant to this occupational group
6.6 Physician
The required services/tasks may include, but are not limited to the following:
- Interviewing patients to get a medical history
- Conducting physical examinations
- Diagnosing injuries, illnesses, and disorders
- Prescribing certain medications to treat chronic or acute illness
- Teaching patients about illness prevention and a healthy lifestyle
- Communicating with other health care providers to achieve total health for patients
- Performing annual physicals
- Performing patient counselling (e.g., mental health, family planning, medication compliance)
- Promoting health (e.g., smoking cessation)
- Immunizing against disease, screening for diseases
- Treating for short-term acute illnesses (e.g., infections, minor injuries)
- Monitoring patients with chronic illnesses or conditions (e.g., diabetes)
- Referring patients to social services
- Counselling patients (e.g., understanding illness progression, treatments)
- Promoting health (e.g., infection control)
- Treating for acute / critical / urgent illness
- Demonstrating/Teaching Procedures (e.g., de-fibrillation)
- Referrals to other health and social services (e.g. social work, dieticians, pharmacists, home care facilities)
- Prescribing medications, and administers physical exams and preventive care
- Obtaining medical histories, provides immunizations, and manages chronic diseases such as diabetes and heart disease
6.7 Psychologist
The required services/tasks may include, but are not limited to the following:
- Assessing and treating individuals
- Developing care plans
- Participating in discharge and release planning as requested
- Providing consultation to other health care providers to ensure continuity of care
- Providing consultation and advice on mental health services to staff
- Participating in meetings including medical advisory committees, case conferences and other related activities as requested
- Administering and interpreting a range of psychological tests; this includes but is not limited to clinical personality, career interests, occupational stress and distress and clinical diagnosis; Bidders must list the psychological tests they have administered for the experience to be evaluated
- Providing counselling to individuals; this includes but is not limited to interviewing, making clinical analysis and drawing conclusions assessing risks, providing written reports
6.8 Clinical social worker
The required services/tasks may include, but are not limited to the following:
- Provide individual, family, and crisis or emergency assessments
- Perform psychosocial and mental health interventions such as individual, family or group assessment, treatment planning and therapy, followed by evaluation of treatment and therapeutic outcome
- Analyze clients’ needs and provide information and advice to them and their families related to access to appropriate services and resources
- Present client’s case with recommendations to the inter-disciplinary health care teams to develop an individualized treatment plan
- Provide advice and support with and on behalf of clients in relation to rights, services and resources to ensure that clients are receiving the full spectrum of care
- Participate in the provision of multi-disciplinary care by ensuring clients receive prescribed treatment and services by the multi-disciplinary team and monitor the clients’ progress
- Facilitate educational activities and group interventions, psychosocial services overview presentations, and group psycho-educational sessions
- Implement new interventions or treatment approaches such as telemedicine and virtual reality therapy
- Document client interactions in accordance with relevant policies and standards and with the provincial regulatory organization’s Standards of Practice for Social worker’s related to documentation
- Distribute local outreach material such as mental health awareness materiel
- Provide clinical advice, within social work scope of practice, to other health care providers
- Other associated tasks relevant to this occupational group
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