DEPARTMENTAL POLICY
POLICY: Registered Nurse Extended Class
A. OVERALL PURPOSE OF THE JOB:
Position Identification
Job Title:
Registered Nurse Extended Class- Family Health Team
Employee Group:
ONA
Date Prepared:
Department:
Dryden Area Family Health
Team
Date Revised:
Title Of Immediate
Supervisor:
Director – Dryden Area Family Health Team
July 2012
The Registered Nurse Extended Class (RN-EC or NP) is a member of the Dryden Area Family Health Team (DAFHT) who
provides a high level of comprehensive care to meet the physical, emotional, social and spiritual needs of the individual,
under the direction and supervision of the DAFHT Director.
The role of the RN (EC) in the family practice partners with all members of the health care team to provide care to entire a
patient population. The RNEC follows the patient through all stages of growth and development, through degrees of
wellness and illness, from one setting to another, collaborating with other nurses, physicians, registered dietitians and
expert providers in various settings. The RN (EC) provides holistic assessments and creates linkages with appropriate
community resources.
The RN (EC) focuses on providing assessment, treatment, medication management, screening, healthy lifestyle support,
education, chronic disease management with a goal of improving health outcomes and facilitating access to services.
The RN (EC) participates in a team-oriented approach to patient care within the facility and in the promotion of
continuing, individual/family-centred care in the community.
Patients of the RN (EC) will have access to comprehensive primary health care with a range of health services that help
individuals and families maintain or improve their overall health. Programs and services can include but not limited to:
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Annual physicals/cancer screening/ pre-op/
medicals
Episodic illness care
Immunizations
Smoking cessation
Cognitive screening
Works with populations at risk
Senior health assessments
Prenatal/ well baby
INR
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Lifestyle counselling
Specialist referral
Muscular/ skeletal concerns
Sexual health counselling
SADV and follow up
Injury prevention and injury follow up
ER follow up
Pain management
Clozaril monitoring
Outreach clinics
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 Long Term Care/ Supportive Housing Care
 Form completion (WSIB, return to work etc.)
 Monitoring and management of chronic diseases such as diabetes, arthritis, asthma, heart disease, COPD,
fibromyalgia and mental health conditions etc.
The RN (EC) practice is grounded in the values, knowledge and theories of professional nursing practice. It emphasizes
health promotion and the prevention of illness, injury and complications for clients. The RN (EC) works with a diverse
client population and act as a resource to clients, other nurses and allied health professionals. They provide the
leadership and advocate for their clients. (Nurse Practitioner, Standard of Practice, 2011)
B. ORGANIZATIONAL DIMENSIONS OF JOB (e.g. annual operating budget of unit, number of clients served, number
and payroll of direct reports, number indirectly supervised, other measurable components).
(a) Please complete following organization chart indicating title of: supervisor, peer(s) and subordinate(s) as
applicable
Senior VP Patient Care Services & Chief Executive Nursing Officer
Director – Dryden Area Family
Health Team
FHT Nursing Team
Registered Nurse Extended Class
Registered Nurse
Registered Practical Nurse
C.
Diabetes Education Staff
Registered Nurse
Registered Dietitian
Program Assistant (s)
Allied Health Providers
Registered Dietitian
Pharmacist
Mental Health
Roles and Responsibilities
Accountability
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The RN (EC) is to practice within the scope and according to the standards of practice as outlined in the RN (EC)
scope of practice provided by the College – www.cno.org
The RN (EC) functions within the policies and procedures of the Dryden Regional Health Centre- Dryden Area
Family Health Team.
As a primary care provider, the RN (EC) is accountable to clients by maintaining confidentiality and acting in an
ethical and professional manner, in accordance with the professional code of ethics and in accordance with the
policies of the Dryden Area Family Health Team;
The RN (EC) is responsible to keep current in their practice to maintain competence in areas of health
assessments, treatments, diagnosis and therapeutics. This includes the use of advanced nursing knowledge,
decision making and skills.
The RN (EC) is accountable as a member of the DAFHT, to obtain appropriate physician consultation according to
the College of Nurses of Ontario Expectations for Consultation with Physicians by RN (EC).
The RN (EC) considers the following criteria in the clinical decision making: (Standards of Practice, Nurse
Practitioner 2011)
o The best available evidence to guide client care decisions
o Whether the interventions is clinically indicated
o Contraindications and precautions
o Risks and benefits
o Specific client needs and circumstances
Health Assessment
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Each interaction with a patient offers an opportunity to complete a comprehensive assessment of the presenting
problem as well as a complete assessment of health status, risks and opportunities that can affect long-term health.
This may be completed during one visit or over a series of visits depending on the circumstances and should be
updated in the patient’s record.
The Registered Nurse Extended Class:
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Obtains a history of the presenting health issue (s)
Performs a comprehensive and focused health assessment that includes health history and complete physical
evaluation; considers the patient’s psychosocial, emotional, ethnic, cultural and spiritual dimensions of health,
including his/her understanding of their health/illness experience and how their daily life is affected.
Initiates and manages the care of clients with diseases or disorders within the RN (EC) scope of practice and / or
monitors the ongoing therapy of clients with chronic illnesses by providing effective pharmacological,
complementary or counseling interventions.
Uses and adapts assessment tools and techniques based on the patient’s unique needs.
Assesses the presence of or the need for advance care directives or “do not resuscitate” documents. Advocates
for the client as appropriate.
Completes and documents a thorough medication assessment, including over the counter medications,
alternative medications, intolerances and allergies.
Prescribes medication included in the Schedules of the Regulations to treat diseases or disorders within the RN
(EC) scope of practice.
Orders and performs tests within scope of practice
Orders and performs procedures and treatments within scope of practice
Obtains consent when ordering or performing client care, tests and interventions
Documents all aspects of care in the DAFHT EMR including: assessments, tests ordered or performed and the
review of results, diagnoses, treatments ordered or administered, procedures or interventions ordered or
performed, consent (s), communication with client, consultation with others, referrals made to and received from
others
Assesses access to medications and treatment by determining health coverage.
Synthesizes health assessment information and uses critical thinking and clinical reasoning skills to identify health
concerns and potential screening issues.
Applies recognized clinical practice guidelines and best practices to screening, monitoring, and assessment of
patient’s physical and emotional well-being.
Incorporates objective findings such as laboratory and diagnostic findings, specialist reports and past history in a
comprehensive assessment.
Change dressings, remove sutures and staples, remove catheters and change colostomy appliances when
required.
Health-care management and therapeutic interventions
The registered nurse extended class provides care and management for patients with a wide range of health issues.
As an integral member of the health team, RN (EC) provides care for complex patients and those that require extra
time and attention to develop a plan of care.
The registered nurse extended class:
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Initiates and/or contributes to the development of a health plan in collaboration with the patient and
other members of the interdisciplinary team.
Encourages maximum independence and accountability for self-care.
Synthesizes information from individual clients to identify broader implications within the family.
Assesses and manages care of families in conjunction with community support agencies when
appropriate.
Recognizes the need for and initiates effective interventions and treatments.
Discusses treatment options with patients and involves them in decision-making and self-management.
Assists and supports patients with implementation of the health plan including interventions and
diagnostic testing. This may involve setting up supports such as medication delivery/adherence programs
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for medications, assisting with transportation etc. This can be supported with the FHT Community Service
Guide.
 Determines the need for and initiates consultations with other services and health-care providers in a
timely and supportive manner.
 Monitors, evaluates and adjusts the health plan based on effectiveness of interventions and/or changes in
condition or environment, in collaboration with the patient and team members.
 Provides telephone care, follow-up and consultation. Documents this care in patient record.
 Informs and educates patients regarding the meaning and implications of test results and interventions.
 Counsels patients on drug therapies, side-effects and interactions.
 Counsels and guides patients on symptom management, health maintenance and rehabilitation
strategies, as well as risk factors and lifestyle changes.
 Co-ordinates services and care with the patient and health care team to ensure continuity and follow-up.
 As requested, initiates or participates in patient care case conferences to ensure co-ordinated,
comprehensive and holistic services.
 Provides care in collaboration with family physician and allied health care providers for patients in
supportive housing, long term care, assisted living or independent homes that include home visits as
required.
 Provides care utilizing outreach clinics to target populations i.e. supportive housing, long term care, First
Nation communities etc.
 Provides home visits to patients that would benefit from the service and as set out by the agency.
 Documents accurate and pertinent patient information in a timely manner, including maintaining a
comprehensive health summary or patient profile.
 Communicates with secondary and tertiary providers to ensure the continuity of care when appropriate.
 Networks with community agencies and groups.
 Follows the DRHC infection control policy.
Health education
The registered nurse extended class provides education that is responsive to the needs of the patient to optimize
health, enhance understanding of health status, and engage the patient in managing their own health while
anticipating challenges and barriers.
The registered nurse extended class:
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Assesses health education requirements and readiness of the patient as a component of an overall health
assessment.
Assesses current knowledge, education and literacy levels, social supports, learning preferences and other
factors that may affect the education approach and plan.
Utilizes teaching materials and tools, with consideration for cultural, language, physical, intellectual, and
environmental factors.
Employs education strategies and motivational interviewing skills to support behaviour changes to
enhance health (e.g., smoking cessation, physical activity, and healthy eating).
Provides education related to healthy living, prevention of injury, illness and communicable diseases, care
and treatment, individual and family adjustments, and support systems as appropriate to the patient
situation.
Engages patients in education regarding chronic illnesses such as diabetes, lung disease hypertension,
cardiac disease and self-management.
Utilizes all health-care encounters as an opportunity to identify educational needs and provide health
education or referral to FHT allied health provider as follow up (e.g., immunizations, screening, health
lifestyle, smoking)
Uses a variety of communication strategies, e.g., written, verbal, non-verbal, visual, Internet, and group
education.
Creates or advocates for an environment that facilitates patients’ learning and maximizes their
participation and control in meeting their health-care goals.
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Health promotion and prevention of illness, injury and complications
Screening and monitoring is completed to ensure early identification of health issues and complications associated
with chronic or communicable diseases. The RN (EC) can play a key role in the prevention of illness and promotion
of health by ensuring screening mechanisms are in place and patient-management of health is encourage
The registered nurse extended class:
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Plans to prevent the onset of health issues and minimize complications arising from disease.
With the Family Health Team, assesses the community for strengths and opportunities to enhance health
and monitors trends that may have an impact on health.
Conducts risk assessments in collaboration with the patient and other service providers and develops
appropriate health plans to promote health and prevent illness and complications.
Assesses the immunization status of all patients and ensures immunizations are current.
Administers medications topically, through natural body orifices, through tubes, by subcutaneous and
intramuscular injection; as specified by College of Nurses of Ontario guidelines; records accordingly in
chart.
Participates in a strategy to recall patients for monitoring and screening (e.g., planned recall for diabetes,
cervical screening, hypertension)
Builds on patient and community resources in planning health promotion and illness prevention
strategies.
Collaborates with patients, interdisciplinary teams and communities to develop, implement and evaluate
health promotion and illness prevention programs.
Provides screening for health issues such as diabetes, hypertension, cholesterol, cancer screening,
cardiovascular health, mental health, cognitive function and osteoporosis.
Provides counseling on health promotion and illness prevention strategies.
Assists and supports the patient in life transitions, including palliation and death.
Refers patients to the Community Service Guide to ensure the appropriate connections to other services
and programs are established that would enable the patient to achieve their health goals.
Monitors patient progress with respect to risk reduction and self-management plans.
Participates in the maintenance of an accurate comprehensive health record.
Documents according to standards for completing electronic medical records.
Professional role and responsibility
The registered nurse extended class works in an ever-changing environment and, as such, invests considerable time
in maintaining their professional expertise and maintaining a strong evidence-based approach. The RN (EC)
acquires and maintains a comprehensive understanding of health and social services as well as referral processes,
including diagnostic services, specialists, hospital care, rehabilitation and support programs, educational programs,
and community-based health agencies. They are also involved in many initiatives aimed at improving the healthcare practice, identifying risk and safety issues and facilitating resolution. They are strong and visible role models
for their profession.
The registered nurse extended class:
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Recognizes personal attitudes, beliefs, feelings and values about health in their interactions with patients
and their families.
Maintains and applies evidence-based knowledge to the nursing process.
Leads or participates in research initiatives.
Leads or participates in conference presentations.
Demonstrates the ability to reflect on personal and team practice through a systematic evaluation of
professional competencies, acceptability, quality, efficiency, and effectiveness of practice.
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 Participates in the development, implementation, and maintenance of medical directives, and policies
and procedures that guide practice.
 Uses research findings and evidence to guide the delivery of services.
 Seeks professional development opportunities consistent with current primary care practice, new and
emerging issues, changing needs of patient populations, and research.
 Advances primary care nursing through participation in professional development and practice
development activities, mentoring students, orientating staff and participating in research and quality
assurance initiatives.
 Provides supervision, mentorship, orientation, observational and teaching opportunities to students
ensuring that program goals and objectives are met.
 Demonstrates leadership in areas such as chronic disease management, reproductive health, shared care
models, safety and health.
 Participates in relevant meetings and committees.
 Establishes and maintains effective professional relationships and partnerships with other organizations
to benefit system integration, efficient service utilization, effective collaboration and optimal patient care
 Identifies and collects performance and quality improvement data and initiates or participates in a
process to address identified issues.
 Completes documentation, accurate statistical data, and reports.
 Participates or leads quality improvement programs or initiatives in the practice.
 Maintains a membership with professional organizations and interest groups.
Knowledge:
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Knowledge of primary health care and the social determinants of health
Knowledge of concepts of health promotion, disease prevention, behaviour change counselling, program
planning, individual and group counselling
Knowledge and awareness related to cultural competence
Nursing care knowledge related to primary care/community health/chronic disease management
Knowledge of the principles of the Stanford model of self-management
Understanding of the principles of collaboration
In-depth knowledge of health assessment and interventions in the family practice context
Knowledge of acts or legislation that govern practice:
o Personal Health Information Protection Act
o Protection for Persons in Care Act
o Mental health act
o Workplace Hazardous Material Information System (WHMIS)
o Principles of routine practices (universal precautions)
o Child protection act
General
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Functions within human resources and guidelines of DRHC policy and procedure.
Has good knowledge of DAFHT/clinic Fire, Disaster/Evacuation plan and WHMIS. Participates in yearly
education.
Promotes DAFHT mission statement within the organization and works to achieve goals and objectives as
specified in the organization’s strategic plan.
Preserves confidentiality of all clients with the DAFHT.
Maintains competence in all clinical skills pertaining to his/her area of work. Maintains ongoing
awareness of change in technology, treatment of illness and nursing practices.
Utilizes the nursing process to assess, plan, implement and evaluate patient care, in consultation with the
physician/ nurse practitioner, on an ongoing basis.
Participates as needed in formulation of new policies and procedures, based on evidence-based practice
and best practice guidelines.
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 Prepare reports and displays and make recommendations related to chronic disease management/
prevention/ primary care as required by DAFHT program and Director. This includes collaborating with
staff in the development of promotional materials and activities to ensure that the information is in a
form that is appropriate to the intended audience.
 Statistical reports are prepared monthly or as requested by the MOHLTC or as required by the DRHC / FHT
 When required, prepares room for clients according to the needs of the physician/ nurse practitioner
when required. Ensure trays and instruments for minor surgical procedures are set up and assist when
required. Ensure room is clean when procedure is complete.
 Has access to a vehicle for outreach activities. Examples include but not limited to outreach education,
outreach primary care clinics, home visits etc.
 Can work flexible hours are deemed necessary by the patient population needs and / or organization
 Other duties that are deemed appropriate and assigned by the Director from time to time.
b. Human Resources
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Participates in the orientation process. Provides mentorship, additional skills training for co-workers
where requested.
Provides supervision of volunteers as required.
Provides supervision of, and/or mentorship of nursing student (s) as assigned.
Participates in the Performance Development Process with Director every year or as required.
Maintains required skills and educational components required specific to area of work.
Encourages co-operation between all staff in the work environment.
Promotes a safe and healthy working environment. Advocates for a quality practice setting.
Has knowledge of functioning of other departments within the organization, to plan effective utilization of
staff resources in the inter-disciplinary process.
Participates in recruitment/retention initiatives.
Demonstrates behaviours consistent with Dryden Regional Health Centre’s Code of Conduct
Demonstrates DRHC Core Values; accountability, integrity, humility, compassion and respect
c. Community Partners & Resources
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Participates as a community stakeholder in client centered programs as required.
Is familiar with programs working closely with the organization; IE: DAFHT, CCAC, DRMH&A Services, Crisis
Response. Has knowledge of, and collaborates with other community organizations and services to
improve client care or provide continuing care
Co-operates with other agencies in education regarding services and care available in the community.
d. Budget
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Assists in planning capital equipment expenditures for the DAFHT for each fiscal year.
Responsible to practice appropriate equipment and supply utilization.
With the Director, program targets are set each year in accordance with the MOHLTC fiscal year.
e. Equipment
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Provides input into plans for purchase of all equipment for the DAFHT.
Ensures adequate supplies and equipment are available for daily patient care, and emergency situations.
Ensures he/she is appropriately educated in use of all equipment prior to using. Cares appropriately for all
equipment in use on unit.
Assists with or takes responsibly in updating of policy and/or procedure regarding use and care of
equipment on the unit.
f. Health and Safety
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Consistently works in a safe manner
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Follows safe work practices
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Reports any unsafe conditions
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Maintains a safe working environment
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Patient Safety
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Anticipate changes in the patient’s condition and the likely need for support or medical assistance
Adhere to accepted standards of care
Adopt an attitude of mindfulness and hazard awareness
Adhere to protocols and guidelines related to patient care
Recognize, respond and report adverse events
Communicate effectively for patient safety
D. JOB COMPONENTS
1.
a) Communications/Interpersonal Dimensions: Indicate the frequency as daily (D), weekly (W), monthly (M),
quarterly (Q) and annually (A).
How Often
Within
Organization
Title of Person
D
RD
x
Support staff
Director – Dryden
Area Family Health
Team
Inpatient- Discharge
Planner
Purpose
Oral
Discuss client care plans
x
X
Scheduling/day to day
management
x
x
Program direction
x
x
X
As needed client
referrals/care
x
x
X
As needed discuss client
referral
x
x
F/U client care
X
X
W
M
Registered Nurse (s)Ambulatory
Patricia Region
Senior Servicessupportive/ senior
housing
Keewatin Patricia
School Board
Outside
Organization
Communication
Q
X
x
Community Outreach
X
Pharmacists
X
A
Organize/implement
group education sessions
On site education/
screening- as approved
by Director
F/U clients’
pharmaceutical needs
and onsite clinics
x
x
b) Nature of Supervision Received:
This position will receive direction from the DAFHT Director. Items under discussion may be patient care issues,
patient/family complaints and/or concerns, staffing issues, policy and procedure formulation, continuing education
and teams/committees.
Written
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On-going communication with Physicians, Registered Nurses, Registered Dietitian, Mental Health Therapist,
Diabetes Program, Registered Practical Nurses and other Registered Nurses Extended Class is required for advice,
consultation and direction. On-going communication with all DAFHT members is also essential in order to ensure
information is shared appropriately.
c) Supervisory Responsibilities
The RN (EC) will participate in preceptorship programs for nursing students.
He/she may also assist in supervision of volunteers and Co-Op students working with the DAFHT.
2.
Initiative: List a few major examples of proactive actions/decisions expected/required of this job where the
incumbent is expected to:
(a) Act on own (i.e. incumbent can commit and decide without further authorization).
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Uses knowledge base and critical thinking skills in everyday activities.
Initiates CQI processes.
Plan, implement and evaluate in collaboration with other agencies and services.
Advocate on behalf of clients and families.
Supervision of day to day management of program/ services
(b) Act and report (i.e. has the authority to decide but reports significant commitments to supervisor).
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Meets with Director on regular basis to discuss program issues/ direction – follows through with
suggestions with assistance of team.
(c) Act on consultation (i.e. generally there is prior discussion with immediate supervisor before any significant
action is taken or commitments are made).
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Any program initiative/projects/budget requests which require hospital approval.
Changes in patient status.
Patient/family complaints.
Issues/problems involving other departments.
Incident reports –unusual occurrence, and staff incidents.
Issues involving physicians, other care givers.
(d) State any financial responsibilities (and amounts) that your job involves (eg. Petty cash, budgets)
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Awareness of unit/facility operating budget, appropriate utilization of equipment, supplies, staff and
other resources.
3. Challenges: List a few major examples of complex or challenging issues or situations expected of this job where:
(a) Independent action is encouraged.
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Delegates tasks as required and encourages independent, progressive thought and action on the part
of all caregivers.
Practice within scope as defined by CNO.
Effective and efficient time management to ensure patient care activities are completed and
documented.
Maintain education as required by CNO. Continuing competence with complex skills. Awareness of
best practice guidelines and changing technology in an environment of constant change.
Working and coping with ethical issues related to patient care.
(b) Action requires approval and/or consultation with supervisor or others.
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Initiation and implementation of Protocols and Care plans to address care needs of specific patient
groups.
Planning of care for a client with a complex medical and/or surgical problem, involving multiple
caregivers and resources.
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Physician issues
4. Adaptability:
(a) Identify a few major areas of your job that are relatively structured.
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Review of patient careplans, medication profiles.
Patient teaching pertinent to specific situations
Program mandate
Role of department within the organization
(b) List a few major examples that require this job to apply professional knowledge (i.e. skills) easily from one
issue/situation to another, in order to quickly adjust to new or different situations/conditions.
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Must have knowledge of multiple patient care areas, have ability to adapt thinking from one area to
another. Recognise that some knowledge and skills may or may not be applicable to all areas.
Be familiar with skills and expertise of all staff; utilise all for maximum efficiency and competence of
patient care.
Nursing practice issues - use of Standards of Nursing Practice.
Critical thinking skills.
Leadership skills
5. Teamwork:
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Plays a major role on the health care team. Is required to work professionally and effectively with
employees from all levels of the organization. Is required to work with other professionals and
representatives of other groups and organizations in the community.
6. Guidelines: What procedures/guidelines, manuals, policies, objectives, etc. are available to guide the decisionmaking and actions that this job is accountable for?
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College of Nurses of Ontario Standards of Practice;
Canadian Nurse’s Association Code of Ethics;
DAFHT Organization's mission, goals;
Regulated Health Professionals Act;
DAFHT Policy Manuals: Administrative Policy;
Nursing Service Manual;
Policies & Procedures specific to DAFHT;
7. Impact of Errors: Describe examples of typical major errors
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Adverse outcome for patient as result of decision(s) made in relation to care.
Failure to follow hospital policy and or procedure/protocol in regards to patient care, leading to
adverse outcome for patient, family of staff.
Absence of, incomplete, inaccurate, inappropriate documentation of patient care
Failure to recognise situations where risk management is an issue, leading to potential litigation.
Violations of the Occupational Health and Safety Act, Employment Standards Act, Human Rights Code
8. Leadership Expectations: What leadership role is this job expected to assume in the unit, projects, etc.?
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Expected to take a leadership role in initiatives within the DAFHT.
This position works closely with the all members of the health care team to deal with all patient care
issues and provide a positive and progressive environment.
Participates in and encourages progressive, evidence based practice by all unit staff.
E. WORKING CONDITIONS
9. Physical Effort: Specify how often and for how long each of these physical efforts occurs.
 Minimal exertion – variety of sitting, walking, standing.
 Office setting
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10. Physical Environment: Please indicate how often and for how long each of the environmental exposures
occurs.
 Office setting
11. Sensory Attention: Specify how often and for how long each use of sensory attention occurs.
 Intense mental concentration
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Computer screen – intense visual concentration
12. Mental Stress: Indicate approximately how often and for how long (percentage of time) these disruptions
occur.
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Interruptions, frequent
F. REQUIRED KNOWLEDGE AND COMPETENCIES
 Minimum requirements to successfully perform the job
13.
Formal Education
 Undergraduate Nursing degree, BScN
 Valid certificate of Registration in the Extended Class from the College of Nurses of Ontario
 Maintains certificate in CPR
14.
Experience
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Experience/skill in various areas of primary and acute care
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Experience/skill with Chronic Disease Management and Health Promotion/Prevention
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Experience in Chronic Care/Rehab.
15.
Professional Affiliation
 Current registration with the College of Nurses of Ontario
 WHMIS
16.
Other Qualifications
 Effective organizational and written skills.
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Ability to work a flexible work week (days, evenings, nights)
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Ability to adjust to organizational changes
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Ability to work with multiple priorities
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Participate in local and out of town travel, use of own vehicle and valid Ontario drivers license
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Excellent communication and interpersonal skill
Proficient computer skills.
Able to work well independently and within a team environment
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Demonstrated superior written and verbal communication skills.
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Knowledge in research

Excellent communication and group facilitation skills, experience and knowledge of chronic
disease/health promotion and education, community organizing techniques, social marketing and
program design & evaluation in a rural northern setting.

2-4 years’ experience in a community-based organization

Ability to lead community development
POLICY APPROVAL
Approving Authority:
Director Family Health Team, Senior V-P Patient
Care Services
Date of Last Review:
17/06/2010
Date of Approval:
17/06/2010
Date of Next Review:
17/06/2013
POLICY
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