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must have ahpra

CMS also support the RACFs by providing vaccination services during the April to June months where we will be needing GPs for vaccinations clinics. We do also need nurse immunisers from time to time and mainly to support our regional work.

Our customers comprise of both public and private aged care operators with a national footprint.

This role will see the successful candidate:

• For VR doctors only: be employed as a salaried general practitioner with a $330,000 salary package (inclusive of super) on a 5 day a week basis or on a casual basis at $180 + GST per hour rate.
• solely focussed on providing primary care services to residents of RACFs.
• provide primary care services which includes:
• taking medical history
• undertaking clinical examination
• arranging any necessary investigations
• implementing a management plan
• providing appropriate preventive health care
• conduct regular reviews and follow ups with aged care residents.
• contribution to health assessments and medication management for new resident admissions.
• perform annual health assessment reviews for existing residents.
• review multidisciplinary care plans and participate in case conferences when needed.

This will ensure you have adequate work life balance and have your time away from work undisturbed.

Specialist Referral and Support

GPs can also use the specialists as a sounding board prior to a referral if required.

The successful candidate:

• is an unrestricted Vocationally Registered (VR) unrestricted or restricted - FRACGP or FACRRM is preferred.
• is currently AHPRA registered and is permitted to work in Australia.
• can apply for a Medicare Provider Number.
• must have their own professional indemnity insurance (a copy of your policy must be provided to Company Medical Services for record purposes).
• a great attitude and able to work under the guidance of our Senior Medical Officer.
• is committed to the company and a team player.
• has basic computer knowledge and good social and communication skills.

• General Health and Observations – BP, pulse, respiratory rate, oxygen saturations, temperature, blood glucose levels ( where applicable), weight etc
• Nutritional health
• adequate eating or and drinking; difficulties with chewing or swallowing (including aspiration or choking); dental health ( teeth, gums, and oral mucosal health; are dentures needed or used?)
• consider referral to dietician, speech pathologist or dentist.
• excessive consumption of sugary or high caloric food/ snacks/ drinks/ alcohol brought in by family resulting in obesity, poor diabetic sugar control, dental decay or drowsiness/ falls etc
• Excretory health – is the resident opening bowels and bladder; incontinence issues; hygiene and skin conditions; need for aperients and fibre supplements; UTIs; adequate hydration
• Skin health – pressure ulcers, skin cancers, non-healing wounds, fungal infections or rashes, groin, and perineal hygiene
• Cognitive function decline, Behavioural, and Mental Health issues
• exclude organic causes e.g. delirium from UTI or other infections; thyroid function, thiamine levels, medication side effects eg from sedatives, opiates; head injury; dehydration; alcohol consumption
• Medications – review medication charts regarding : unnecessary medications ( eg regular paracetamol and aperients), duplicated drugs ( eg multiple antihypertensives, analgesics, or sedatives), unnecessary or unused PRN medications ( eg eye drops, skin creams, aperients, analgesia etc – consider ceasing these, as many of these can be nurse initiated, and unused PRN medications that are paid for by the residents must be discarded once they expire and cannot be shared with other residents); drug interactions and side effects; ensure scripts are up to date. This also includes pre-empting palliative care medications following a palliative review for example.
• Mobility and Falls : discuss cause of falls and measures to prevent eg. Falls from bed – consider bed rails, low bed, floor pads; Physiotherapy referral for assessment of appropriate mobility aids and strengthening exercises; need for hip protectors; assessment and monitoring for injuries post fall;
• Sleep and Insomnia: review inappropriate or excess use of sleeping tablets; use of melatonin or Mirtazapine; excessive caffeine intake or evening food intake as a cause of insomnia ( eg coffee, hot chocolate and tea consumption, cola drinks, chocolate or chocolate cake consumption after midday etc); excessive sleeping/napping during the day – encourage resident to engage in daytime social or physical activities, and not stay in bed all day where possible
• Management and Palliation of Declining Residents: declining cognitive function and mobility, refusal of medications, inadequate oral intake, sustained weight loss
• is the Advanced Care Directive up to date; consider discussion with family members;
• early referral to Palliative Care Team for consideration of comfort medications or End -of– Life medication : better to do early and discuss with the family, than leave it too late and have angry family members to deal with
• Address specific health concerns.
• Blood testing and other Pathological screening where applicable: regular monitoring of diabetics ( Hb A1c) ; electrolytes and vitamin levels ( eg potassium, magnesium, B12, folate, iron, Vitamin D, calcium, phosphate, renal and liver function), endocrine ( eg TFT); tumour and other markers ( where applicable eg PSA); DEXA scan for osteoporosis); medication screening ( eg INR levels, TFT, medication therapeutic levels for Valproate, Digoxin etc); anaemia causes ( iron losses – urine MCS, FOBT, clotting profile, Helicobacter serology) etc
• Past medical history – may be incomplete, out of date, incorrect, or not exist on the summary provided by the RACF – seek or request previous GP, Specialist or Hospital summaries.

Work Location: On the road