Nursing
Clinical care delivered where someone lives, by registered nurses working from the same plan as everyone else on the team.
Nursing is what turns a care plan into something that actually happens. A plan written in a consulting room is a set of intentions; a nurse in the house is the dressing changed, the medication reconciled, the blood pressure taken on a Tuesday because something looked off on the Friday. What makes it work is not the visit but the continuity - the same small team, reading the same notes, reporting back to the same physician, so a change is noticed by someone who knows what it is a change from.
What it includes
A small nursing team who know the plan
The same registered nurses wherever it is possible, working from the clinical plan rather than from a task list handed over at the door.
Wound, catheter and ostomy care
Routine clinical care done properly at home, on a schedule, without a trip to a clinic for something that does not need one.
Medication management
Reconciliation, administration where it is needed, and a check on what has actually been taken - which is where most avoidable trouble starts.
Monitoring between appointments
Observations recorded and passed to the physician, so the months between visits are not a blank page.
The weeks after a hospital stay
The period when readmission is most likely, covered by someone who has the discharge summary and can reach the physician.
What this is not
- This is not a substitute for publicly funded home and community nursing. Where someone is eligible for those services, we help them access them.
- It is not 24-hour care, residential care, or an emergency service.
- It does not provide faster access to MSP-covered tests, treatments or specialist referrals.
How it is arranged
Nursing is delivered within a Monarch Health membership, so the clinical plan and the support at home are one arrangement rather than two.
Monarch Ageing in Place
Typically age 65 and over, or earlier when support is needed
An annual assessment weighted to function and independence, monthly contact at home, and someone steering when care becomes several things at once - so that staying independent stays the plan.
What it includes
Publicly insured services remain publicly insured. Where an independently practising physician provides an MSP-insured service, that service is separate from Monarch Health and is billed through MSP in accordance with applicable requirements. Membership fees do not cover or provide priority access to MSP-insured services. Coordination, planning, monitoring and nursing time beyond what the public system provides are uninsured services delivered within a Monarch Ageing in Place membership.
Your information, your care team
With your consent, Monarch can exchange relevant health information with your physicians and other healthcare providers.
This may help your care team understand your health goals, assessments, results and recommendations and support continuity across different parts of your healthcare.
Information is shared only as authorized and in accordance with applicable privacy requirements.