MediHealth Connect delivers high intensity supports in Logan: complex care at home for NDIS participants who need tracheostomy or ventilator management, PEG feeding, complex bowel care, catheter or stoma care, seizure management or injections. Registered nurses lead the care and train the support workers who share it.
When personal care includes a procedure that could cause serious harm if it is done incorrectly, the NDIS classifies it as a high intensity daily personal activity, usually shortened to HIDPA. Providers need a specific registration for it, and the NDIS Practice Standards attach a set of High Intensity Support Skills Descriptors that spell out what a worker must know and be able to do before they perform each procedure.
The descriptors cover complex bowel care, enteral feeding and management, severe dysphagia, tracheostomy management, ventilation, urinary catheter management, subcutaneous injections, complex wound care, diabetes management and seizure management. For a Logan participant, the practical meaning is that the people providing this care must be trained to a defined standard and supervised by a nurse. MediHealth Connect holds registration for high intensity daily personal activities and for community nursing, which lets us provide both the nursing and the trained daily support from one team.
Every procedure is delivered under a nurse-written care plan agreed with your specialist team, in your own home or supported accommodation anywhere in Logan City.
Routine suctioning, inner cannula and stoma care, humidification, and a rehearsed emergency plan for tube displacement or blockage that everyone on your roster knows.
Support for participants using invasive or non-invasive ventilation at home, with circuit care, settings verified against the prescription at every shift and staff trained on your particular ventilator.
Feeds and water flushes by bolus or pump, tube site checks, medications given through the tube correctly and the dietitian's plan followed to the letter. Read our guide to PEG feeding and enteral nutrition.
Scheduled bowel programs using digital stimulation, suppositories or enemas, with close attention to autonomic dysreflexia risk for participants with spinal cord injury.
Suprapubic and indwelling catheter management, catheter changes by a nurse, intermittent catheterisation support and early detection of infection. Our catheter and stoma care article covers the basics.
Appliance changes for colostomy, ileostomy and urostomy, peristomal skin protection and liaison with your stomal therapy nurse about products and problems.
Observation, seizure first aid and emergency medication given according to your epilepsy management plan, with each seizure documented for your neurologist.
Insulin, blood thinners and other subcutaneous medications administered with dose verification, site rotation and glucose monitoring where required.
Not every high intensity task needs a nurse at the bedside, but every one of them needs a nurse in charge. That is the principle behind delegation, and it is how we staff complex care in Logan.
A registered nurse assesses your needs, writes your care plan and carries the clinical responsibility. Where a task can safely be delegated, the nurse trains your support workers on your care specifically, observes them performing it, signs off their competence and sets a reassessment date. The nurse visits on a regular schedule, is on the phone to your workers during shifts and takes over whenever something changes. Tasks that must remain with a nurse, such as catheter changes, are marked clearly in the plan so there is never any doubt about who does what.
Most complex care in Logan begins with a hospital stay, and for many of our participants that means Logan Hospital at Meadowbrook or one of the Metro South Health specialist services. The handover from hospital to home is where things go wrong if nobody owns it, so we take ownership of it.
Before you leave, we obtain the care plan, prescriptions and equipment list, train our staff on your specific care with the ward team where the hospital permits, and organise consumables so nothing runs out in the first week. Afterwards, your GP receives our care plan and regular updates, the hospital specialists receive reports at the intervals they ask for, and any change in your regime is communicated to every worker on your roster the same day it is made.
We provide high intensity supports across Logan City Council's area, using nurses and support workers based as close to you as possible so that rosters are reliable and cover is available at short notice.
Central: Logan Central, Woodridge, Kingston, Slacks Creek
North: Springwood, Rochedale South, Shailer Park
South: Beenleigh, Eagleby, Waterford
West: Browns Plains, Regents Park, Boronia Heights
East: Loganholme, Cornubia
See also community nursing in Logan, wound care in Logan and medication management in Logan, or the high intensity supports overview for South East Queensland.
High intensity daily personal activities are funded from Core at the high intensity rates in the NDIS Pricing Arrangements, which reflect the extra training and nurse supervision involved. The nursing part of your care is funded from Core as a disability-related health support. What the NDIA needs to see is evidence: a specialist or hospital report that describes each procedure, how often it is needed and what the consequences would be if it were done wrongly.
Our nurses write the clinical reports that support these requests, and a Logan support coordinator can help you present them at a plan review or ask for a variation when your care needs change part way through a plan.
Personal care that includes a clinical procedure with significant risk, as listed in the NDIS High Intensity Support Skills Descriptors: complex bowel care, enteral feeding, severe dysphagia management, tracheostomy care, ventilation, urinary catheter management, subcutaneous injections, complex wound care, diabetes management and seizure management. Only providers registered for high intensity daily personal activities may deliver these supports.
Support workers can carry out PEG feeding and some catheter care once a registered nurse has trained them on your specific care, assessed them as competent and remains responsible for supervision, and provided your treating team agrees. Catheter changes and several other tasks stay with the nurse. Your care plan states which tasks are nurse-only.
We can build overnight and 24-hour rosters for Logan participants whose plans fund them, combining nurses and trained support workers as the care requires. Whether we can commit depends on the procedures involved and staff availability in your part of Logan, so we confirm this before signing a service agreement.
We get involved before the discharge date wherever we can: obtaining the care plan, prescriptions and equipment list, training staff on your care with the ward team, arranging consumables and confirming the first shifts. After discharge we update your GP and the hospital team, reconcile your medication chart against the discharge summary and review the care plan after the first week at home.
Support workers complete training mapped to the NDIS High Intensity Support Skills Descriptors for tracheostomy management and ventilation, followed by participant-specific training and competency sign-off by a registered nurse on your equipment and plan, with scheduled reassessment. Our nurses are AHPRA-registered and complete the same participant-specific training before working with you.