Hospital-Level Clinical Care in the Comfort of Home
When a senior or medically fragile adult requires specialized medical intervention—such as central line maintenance, enteral nutrition, complex surgical wound irrigation, or catheter irrigation—traditional companion care is not enough.
OnPoint’s Complex Home Nursing service bridges the hospital-to-home divide. Directed by Risper Murunga (RN, BSN, MPH), our registered nursing team executes intricate clinical care plans with sterile precision, close physician communication, and vigilant monitoring to keep your loved one medically stable and out of the emergency room.
"High clinical complexity should never mean being confined to a hospital bed. With the right nursing leadership, sophisticated medical care can be safely and warmly delivered at home."
High-Acuity Procedures We Manage at Home
Our Registered Nurses and Licensed Practical Nurses are certified in advanced clinical procedures.
IV Therapy & Central Lines
Sterile administration of intravenous medications, hydration, PICC line dressing changes, heparin flushes, and port-a-cath maintenance.
Enteral Nutrition (G-Tube / J-Tube)
Gastrostomy and jejunostomy tube feeding administration, pump calibration, stoma skin barrier protection, and tube patency flushing.
Tracheostomy & Respiratory Care
Airway suctioning, tracheostomy tube cuff checks, inner cannula cleaning, oxygen titration, and nebulizer therapy administration.
Complex Catheter & Ostomy Care
Suprapubic and Foley catheter insertion/irrigation, urinary tract infection monitoring, and colostomy/ileostomy stoma care.
How Our Complex Nursing Pathway Works
A rigorous, physician-aligned process ensuring safety and medical stability.
Specialist & Hospital Physician Alignment
Before home nursing starts, our Lead Registered Nurse conducts a thorough clinical review with hospital discharge planners, attending physicians, or community specialists to translate medical directives into home-executable care protocols.
- Review of laboratory results, imaging, and post-surgical directives
- Verification of medical supply inventory and infusion pharmacy setup
- Establishment of physician escalation triggers and emergency action plans
Medical Setup & Home Sterility Audit
We ensure your home is equipped with hospital-grade hygiene standards, proper medical equipment (suction units, infusion pumps, sterile dressing packs), and safe biohazard disposal.
- Calibration of medical infusion and oxygen delivery devices
- Placement of sterile barrier fields and PPE supplies
- Emergency resuscitation and bedside backup supply setup
Licensed Nursing Execution & Health Surveillance
All complex procedures are performed by licensed RNs or LPNs adhering to British Columbia College of Nurses and Midwives (BCCNM) clinical standards.
- Strict aseptic technique for sterile dressings, lines, and catheterizations
- Multi-system vital signs assessment (SpO2, blood pressure, blood glucose, temperature)
- Early symptom detection to prevent sepsis, fluid overload, or acute decline
Continuous Physician Sync & Family Reporting
We provide clear, detailed clinical shift logs to both family members and treating physicians, ensuring all stakeholders are synchronized on patient stability.
- Real-time digital charting accessible by designated family members
- Formal nursing summaries provided to primary care providers
- Regular clinical reassessments to adjust dosages and care intensity
Request a Complex Nursing Clinical Assessment
Discuss your loved one's medical requirements directly with our Registered Nurse leadership.
Questions About Complex Home Nursing
Complex home nursing involves high-acuity medical procedures requiring licensed Registered Nurses (RNs) or Licensed Practical Nurses (LPNs). This includes central venous line care, IV antibiotics, enteral tube feeding (G-tube/J-tube), tracheostomy suctioning, indwelling catheter management, and multi-system chronic disease stabilization.
Yes. Proactive clinical monitoring, timely physician coordination, sterile line dressing changes, and continuous vital signs surveillance keep medically fragile clients safe at home, reducing preventable ER visits by over 70%.
Our Lead Registered Nurse coordinates directly with your hospital discharge team, family physician, internist, or nephrologist. We translate medical orders into clinical protocols and provide regular progress reports.
Yes. Our registered nurses are trained in sterile central venous line protocols, PICC dressing changes, heparin/saline flushes, and nocturnal TPN infusion management.
Every complex care client has an individualized clinical escalation plan signed off by our Lead RN. In case of acute vitals changes, respiratory distress, or line blockage, our nurses follow predetermined emergency protocols and coordinate immediate physician or paramedic intervention.
Yes. We provide skilled nursing blocks ranging from targeted 2-hour clinical procedure visits to 12-hour continuous day/overnight shifts and comprehensive 24/7 nursing care.
We coordinate with your hospital clinic, community health unit (Vancouver Coastal Health / Fraser Health), and specialized medical supply pharmacies to ensure all sterile consumables are fully stocked at home.
Yes. Our nurses possess advanced training in airway management, inner cannula replacement, subglottic suctioning, and home ventilator monitoring.
Need Complex Nursing Care at Home?
Our Registered Nurses are available for clinical consultations across Metro Vancouver.