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⚖️ Forensic🧠 Mental Health🏥 Complex Physical🤝 In-Home Support🏛️ Clinical Governance
🏥 Service Area 3 of 4

Complex Physical
& Degenerative
Care SIL in Adelaide

Specialist supported independent living for NDIS participants with high intensity physical support needs — ventilator management, PEG feeding, tracheostomy care, ABI, MND, and other degenerative conditions — delivered by Module 1 trained staff under RN oversight.

For hospital discharge teams  ·  Treating neurologists  ·  Occupational therapists  ·  Support coordinators  ·  Families

📋 Refer a Participant View Clinical Framework
At a Glance
Admission Protocol
🫁 Ventilator🧪 PEG / Enteral✂️ Tracheostomy🩹 Complex Wounds
M1
Module 1 Trained
24/7
RN On Call
RN
Clinical Oversight
OT
Allied Health Coord.
100%
NDIS Registered
Clinical Profile

Who These Participants Are

Complex physical SIL covers a wide range of conditions — each requiring specific clinical training and equipment capability from the support team.

🫁
Ventilator-Dependent Participants
Requiring continuous or intermittent ventilatory support in the home setting. Staff trained in ventilator management, circuit changes, alarm response, and emergency protocols.
🧠
Acquired Brain Injury
ABI participants requiring complex daily support across physical, cognitive, and behavioural domains. Care plans developed with the treating neuropsychologist and allied health team.
📉
Degenerative Neurological Conditions
MND, MS, Huntington's, and other progressive conditions where support needs change over time. Care plans reviewed regularly to anticipate functional decline.
🩺
Complex Medical Needs
Participants requiring PEG or enteral feeding, tracheostomy care, urinary catheter management, subcutaneous injections, complex wound management, or bowel care delivered in the SIL environment.
Module 1High Intensity Daily Personal ActivitiesNDIS funded
SIL + SDASpecialist Disability Accommodation eligibleComplex needs housing
Allied HealthOT, physio, speech, dietitian coordinationIntegrated planning
Clinical Capability

High Intensity Supports We Deliver

Module 1 supports delivered by staff assessed against NDIS High Intensity Support Skills Descriptors. RN oversight across all clinical activities.

🫁
VENT
Ventilator Management
Non-invasive and invasive ventilatory support in the home. Circuit management, alarm response, emergency protocols. Staff trained participant-specific before first shift.
🧪
PEG
Enteral & PEG Feeding
Percutaneous endoscopic gastrostomy and nasogastric feeding management. Feed preparation, pump programming, site care, and complication monitoring.
✂️
TRACH
Tracheostomy Care
Tracheostomy management including inner cannula changes, suctioning, stoma care, and emergency response. Participant-specific training and competency assessment required.
🩹
WOUND
Complex Wound Management
Complex chronic wound care, pressure injury prevention and management, negative pressure wound therapy support where applicable.
💉
SUBQ
Subcutaneous Injections
Subcutaneous and intramuscular injection administration per prescribed regimen. Documented by RN, staff trained and assessed before delivery.
👩‍⚕️
RN
RN Clinical Oversight
Every high intensity support is delivered under registered nurse oversight. The RN reviews care plans, assesses staff competency, and is available 24/7 for clinical escalation.
Clinical Governance

Our Complex Physical Care Framework

Three phases from admission through to ongoing clinical oversight — with documented protocols for every high intensity support delivered.

  • ✓Full clinical review: medical history, current diagnosis, all active high intensity supports required, medication regimen, equipment list, allied health team contacts
  • ✓RN develops participant-specific care plan for every high intensity support — reviewed and signed before admission
  • ✓Staff trained and assessed against NDIS High Intensity Support Skills Descriptors for each specific support type before first shift
  • ✓SIL environment assessed with OT — equipment in place, accessibility confirmed, emergency egress documented before move-in
  • ✓Transition meeting with treating team, OT, support coordinator — Nurse Aid documents outcomes and shares with all parties
📋
Complex Care Admission Pack
Prepared for every complex physical admission. Contains: participant-specific clinical care plans for each high intensity support, staff competency assessment records, equipment list and maintenance schedule, emergency protocol, treating team contacts, and RN sign-off.
  • ✓RN present or on call — not on standard roster — for the first 72 hours post-admission
  • ✓Clinical observation log completed every four hours — vital signs, equipment function, participant comfort and presentation documented
  • ✓All high intensity supports delivered and documented — any variations from the care plan escalated to the RN immediately
  • ✓Equipment function confirmed — any faults or concerns escalated to the supplier and treating team within required timeframes
  • ✓Check-in with referring team or treating clinician at 72 hours to confirm stability and any care plan adjustments required
⏱
72-Hour Clinical Log
Four-hourly structured documentation of the participant's clinical presentation, equipment status, all high intensity supports delivered, and any notable events. Shared with the treating team at 72 hours.
  • ✓Monthly clinical review with RN, treating clinician, and allied health team — care plan updated to reflect any changes in the participant's condition
  • ✓All high intensity supports documented at every delivery — records available to the treating team and support coordinator on request
  • ✓Equipment maintenance tracked and documented by Quality Lead — servicing completed per manufacturer and clinical requirements
  • ✓30-day outcome report to the referring coordinator and treating team: clinical stability, support delivery summary, equipment status, RN assessment
  • ✓For degenerative conditions: proactive care plan review as the participant's needs progress — no reactive-only model
📊
30-Day Clinical Report
Sent to the referring coordinator and treating team at 30 days: clinical stability indicators, all high intensity support delivery records, equipment status, any incidents, and the RN's assessment of the participant's trajectory.
Allied Health Coordination

We work with
your clinical team —
not around them.

We attend allied health reviews and provide structured SIL clinical updates
We implement OT recommendations in the SIL environment and document compliance
We notify the treating team of any clinical changes within required timeframes
For degenerative conditions: we proactively flag functional changes — we don't wait for a crisis.
What this means for referring teams
"We don't just implement the care plan — we contribute to it. Our RN's clinical observations from daily support delivery are a data source your treating team should have access to."
FAQ

Questions From Complex Physical Referrers

Nurse Aid delivers Module 1 high intensity daily personal activities including ventilator management, tracheostomy care, PEG and enteral feeding, complex wound management, urinary catheter care, subcutaneous injections, and bowel care. All are delivered by staff assessed against the NDIS High Intensity Support Skills Descriptors, with RN oversight.
Yes. We support participants with MND, MS, Huntington's disease, acquired brain injury, and other degenerative neurological conditions. Care plans are reviewed regularly as needs progress. We work with the treating neurologist and allied health team to anticipate clinical changes.
Yes. Staff delivering high intensity daily personal activities are trained to the NDIS High Intensity Support Skills Descriptors for each specific support type. Training is participant-specific — competency for one participant does not transfer to another without separate assessment.
We work with the participant's OT and equipment suppliers to ensure the SIL environment is set up before move-in. Staff are trained on participant-specific equipment before the first shift. Equipment maintenance schedules are tracked by our Quality Lead.
Due Diligence

Supporting Your Referral Decision

Available on request for referrers assessing Nurse Aid for a complex physical placement.

On Request
📋 Complex Care Admission Pack
Our clinical credentialing document for complex physical placements — shared with the treating team before move-in.
  • Module 1 staff competency assessment process
  • RN oversight structure and clinical sign-off model
  • Participant-specific care plan framework
  • Equipment management and maintenance process
  • Emergency escalation and clinical incident protocol
Request This Pack
On Request
📞 Clinical Feasibility Conversation
A direct conversation between our RN and the treating clinician or discharge team for complex physical placements.
  • Confirm which high intensity supports we can deliver
  • Discuss equipment and environment requirements
  • Walk through the staff training and competency process
  • Confirm RN oversight arrangements for this placement
📞 1300 413 663

Ready to discuss a complex physical referral?

Our RN and intake coordinator are available directly. We'll confirm which high intensity supports we can deliver for a specific participant before you submit a formal referral.

📋 Submit a Referral📞 1300 413 663