Clinical assessment and nursing review
Assessment, monitoring and review of health needs within the community setting.
Community Nursing
Community Nursing in South Australia
Professional nursing care delivered at home
SA Community Support provides community nursing services for people who require nursing care in their home or community.
Our nursing team supports people with ongoing health needs, clinical care requirements, post-hospital recovery and changes in health that require assessment, monitoring or nursing intervention.
We work collaboratively with GPs, hospitals, allied-health professionals, families and carers where appropriate.
When community nursing may help
Community nursing can support people who:
- Need nursing care at home
- Are returning home following hospitalisation
- Have wounds requiring assessment or ongoing care
- Require medication management
- Need continence or catheter support
- Require diabetes management
- Have complex or ongoing health conditions
- Require PEG or enteral feeding support
- Need ongoing clinical review
- Require support with end-of-life care
- Have changing health needs that require nursing assessment
Services
Our community nursing services
Wound and skin integrity care
Assessment, treatment and monitoring of wounds and skin integrity, including complex wound care where appropriate.
Learn moreMedication management
Nursing support with medication-related needs within the person's care arrangements and clinical requirements.
Learn moreContinence and catheter care
Support with continence needs and catheter management according to clinical requirements.
Learn moreDiabetes management
Nursing support for people managing diabetes at home, including monitoring, education and care within the appropriate clinical scope.
Learn moreChronic health management
Ongoing nursing support for people living with chronic health conditions.
Learn morePEG and enteral feeding support
Nursing support for people requiring PEG or enteral feeding care within appropriate clinical arrangements.
Learn morePost-hospital care
Support following discharge from hospital to help establish safe and appropriate care at home.
Learn moreGeneral nursing care
Nursing services tailored to the person's assessed needs and care arrangements.
Care management and review
Ongoing nursing review where required to monitor changes and support appropriate care planning.
End-of-life care
Compassionate nursing support for people receiving end-of-life care at home, working with the person's existing healthcare team.
Learn moreSupporting people after hospital
Hospital discharge does not end at the front door
The transition from hospital to home can involve medication changes, wound care, mobility concerns, new equipment, altered routines and increased support needs.
Our community nursing team can provide appropriate nursing and support services after discharge, according to the person's needs and arrangements.
Where appropriate and authorised, we can work with the person's GP and other healthcare professionals to support continuity of care.
For GPs and health professionals
A local nursing team you can refer to
We welcome referrals from:
- General practitioners
- Hospital medical teams
- Hospital discharge planners
- Nurse practitioners
- Allied-health professionals
- Care coordinators
- Other health professionals involved in the person's care
When referring, useful information may include:
- Reason for referral
- Current clinical concerns
- Relevant diagnoses
- Recent hospitalisation
- Current medications
- Wound or skin information
- Continence or catheter requirements
- Diabetes or chronic disease information
- Current services
- Relevant care plans
- GP and treating-team details
- Relevant clinical documentation
Communication and coordination
Good community nursing depends on good communication.
Where appropriate and authorised, we aim to maintain clear communication with the relevant healthcare professionals involved in the person's care.
We value:
- Clear referral information
- Timely communication
- Appropriate escalation
- Respect for clinical roles
- Accurate documentation
- Person-centred decision-making
- Continuity of care
Clinical leadership
Clinical leadership
SA Community Support is led by Matt Satler, Director and Clinical Care Manager, an AHPRA Registered Nurse with extensive experience across nursing, aged care and community services.
Our clinical approach is supported by nursing leadership, structured service governance and a strong commitment to safe, respectful and person-centred care.
Funding
Funding and service arrangements
Community nursing may be available through approved Support at Home arrangements, depending on the person's assessment, care plan and individual circumstances.
SA Community Support provides Support at Home services as an Associate Provider of Vitalcare Support Pty Ltd, the registered Support at Home provider.
We can discuss the relevant pathway with the client, family or referring professional.
Refer a client
If you are a GP, hospital clinician, discharge planner, allied-health professional or other health professional, you can refer a client to our team.
- Office: 08 6388 0982 (Dial # 2)
- Phone: 0494 722 663
- Email: connect@sacommunitysupport.com.au