Your Trusted Eyes and Ears in the Patient's Home
Managing complex geriatric, post-surgical, or multi-morbid patients in a 15-minute clinic visit is challenging. Clinicians often lack clear visibility into whether patients are taking their medications correctly, maintaining adequate hydration, or experiencing silent physical decline.
OnPoint Nurse & Home Care acts as a direct extension of your practice. Led by Risper Murunga, RN, BSN, MPH, our clinical team implements your treatment plans, monitors vital trends, and alerts you early to subtle clinical shifts—long before they escalate into an emergency department visit.
"We give physicians complete clinical confidence that medical orders are executed accurately and that patient progress is tracked rigorously at home."
Why Primary Care & Specialist Physicians Refer to OnPoint
Structured medical support designed to improve patient adherence and clinical outcomes:
Closed-Loop Clinical Charting
Receive bi-weekly nursing progress notes, vital sign logs (BP, SpO2, glucose, weight), and wound measurement records transmitted directly to your clinic.
Medication Compliance Oversight
Eliminate missed doses and double-dosing. Our nurses reconcile complex regimens with dispensing pharmacies and verify daily blister-pack compliance.
Chronic Disease Surveillance
Proactive monitoring for CHF (daily weight, edema), COPD (dyspnea, oxygenation), and Diabetes (glucometry, sliding scale insulin, skin checks).
Clinic Escort & Note-Taking
Our Senior Escort caregivers accompany your frail patients directly to their clinic visits with you, taking notes and relaying instructions to family.
In-Home Clinical Surveillance for Complex Patients
Specialized nursing protocols that keep multi-morbid patients medically stable in the community:
Congestive Heart Failure (CHF) & Cardiac Surveillance
Daily dry weight logs, pedal edema grading, orthopnea checks, strict sodium-controlled meal prep, and immediate physician notification for weight gains >2 lbs in 24 hours.
- Diuretic timing and fluid restriction adherence monitoring
- Resting heart rate, blood pressure, and pulse oximetry tracking
- Coordination with regional Heart Function Clinics
Type 1 & 2 Diabetes Glycemic Management
Licensed RN/LPN blood glucose testing, sliding scale insulin administration, hypoglycemia prevention, and routine diabetic foot inspections to prevent neuropathic ulcers.
- Glycemic trend logs transmitted for quarterly HbA1c reviews
- Carbohydrate-managed meal planning and hydration routines
- Diabetic skin barrier and pressure relief care
COPD, Asthma & Respiratory Disease
SpO2 monitoring, oxygen concentrator checks, nebulizer/metered-dose inhaler compliance, and energy conservation coaching during personal care.
- Sputum color and volume tracking for early detection of bacterial exacerbations
- Paced breathing and pursed-lip ventilation support
- Emergency action plan triggers for acute dyspnea
Refer a Patient or Request Clinical Consultation
Submit clinical directives or connect with our Lead Registered Nurse regarding a patient under your care.
Questions from Referring Physicians
We provide formal nursing intake summaries, bi-weekly progress charts (vitals, blood glucose, wound measurements), and immediate telephone or encrypted fax alerts if clinical red flags arise.
Yes. Our Registered Nurses and LPNs execute physician orders precisely in accordance with British Columbia College of Nurses and Midwives (BCCNM) clinical standards.
Our Lead RN conducts an in-person audit of all prescription bottles, over-the-counter supplements, and pharmacy blister packs, identifying expired drugs, duplicate therapies, or dangerous drug interactions.
Yes. Through our Senior Escort service, a certified caregiver or nurse accompanies the patient to your office, takes detailed clinical notes, and relays post-visit directives directly to the family.
We provide daily weight monitoring, SpO2 tracking, blood pressure surveillance, sliding scale insulin administration, diabetic foot care, and dietary sodium coaching to prevent acute exacerbations.
Physicians can submit referrals via our secure online portal at onpointhomecare.care/refer-a-patient.html, or telephone our direct provider desk at (778) 244-1332.
Yes. Our Registered Nurses coordinate with mobile laboratory services (such as LifeLabs Mobile) to collect blood and urine requisitions directly in the client's home.
Our Lead RN performs an initial cross-specialist medication reconciliation, identifying duplicate therapies between hospital discharge scripts and community clinic orders, and liaising directly with dispensing pharmacists.
Discuss a Patient with Our Lead RN
Call our direct healthcare professional line for immediate clinical consultation.