PAGC’s Nursing Services provide first-level nursing services in Public Health, Home & Community Care, and Primary Care to six PAGC First Nations communities, including Shoal Lake Cree Nation, Red Earth Cree Nation, Hatchet Lake Denesuline, Little Red River Reserve, Wahpeton Dakota Nation and Cumberland House Cree Nation. Support at the secondary level is also provided Sturgeon Lake Cree Nation, James Smith Cree Nation, and Montreal Lake Cree Nation. Comprehensive nursing services are provided through an integrated, holistic Population Health and Primary Health Care models. These models empower and promote wellness and independency amongst individuals, families and communities.
PAGC Nursing Services are responsible for the following functions:
Nursing administration, including management/supervision of nursing and diabetes initiative personnel, obtaining supplies and equipment, and capital resources;
- Recruitment and retention of Registered Nurses and Licensed Practical Nurses for PAGC communities;
- Program development and implementation that reflects current Standards of Practice;
- Program monitoring and evaluation to ensure high quality nursing service delivery;
- PAGC representation on NITHA Working Groups, FNIH and FSIN Working Groups;
- Liaising with other health agencies, including three regional health authorities; and,
- Collaboration with other PAGC service providers in ensuring an interdisciplinary team approach.
Public Health (Community Health) focuses on these essential nursing functions: health promotion, disease and injury prevention, health protection, health surveillance, population health assessment, and, emergency preparedness and response.
Public Health nurses complete these functions through programming in immunization, communicable disease, maternal child health, school health and the chronic disease program.
Communicable diseases, including immunization, are mandatory programs. This year, our Influenza Program included an “immunize or mask” policy similar to the province and other jurisdictions across the country. This program requires that any staff having contact with clients must either receive the influenza vaccine or wear a mask during client care from October to April. Most of our communities were successful in implementing this program, resulting in better health for our communities.
PAGC also had a successful Community Influenza Program. As we work to encourage more individuals to be immunized, this year most communities have been immunized at a similar rate as previous years.
One of the goals of our immunization program is to achieve rates over 95%. Once this rate is achieved, we will have herd immunity, which means that enough people have been immunized to prevent the bacteria or virus from being able to spread.
Home & Community Care
The Home & Community Care Program is based on five essential elements, including assessment (case management, linkages, referrals, medical supplies and equipment), nursing services (education, medication monitoring and health assessment), personal care (by Certified Home Health Aides), home management (house cleaning, water delivery, reassurance visits), and in-home respite. Program management, supervision, and data collection are also included.
The goal of the Home & Community Care is to assist clients to maintain optimum health and remain living independently in their communities by assisting clients and family members to meet the client-assessed care needs. The program supports and improves the care provided by family and community but should not replace it.
Services for primary care are provided in the community of Hatchet Lake Denesuline Nation. Generally, these services are provided by Registered Nurses with advanced clinical skills under the Transfer of Medical Function. These services include 24-hour medical emergency care and advanced clinical nursing services.
The policies and procedures for Transfer of Medical Function will soon be replaced by Clinical Decision Tools, developed by various health professionals, including the Saskatchewan Registered Nurses Association and physicians. The implementation of clinical decision tools will begin in December 1, 2016. Registered Nurses currently working in this expanded role have also been taking extra courses to meet the competencies required by the Saskatchewan Registered Nurses Association in order to obtain the Advanced Authorized Practice in December 1, 2016.
PAGC’s Registered Nurses with advanced clinical skills dedicate their services to the community of Hatchet Lake Denesuline Nation.