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Community Health Representative

The purpose of a Community Health Representative (CHR) is to provide community health promotion services in Fort Simpson, Nahanni Butte, Trout Lake and Jean Marie River in accordance with the philosophy and objectives of the Deh Cho Health and Social Services Authority (DCHSSA) to promote the prevention of disease, maintenance of health and the overall health and well-being of the communities.

Community Health Promotion Services include the delivery of public health and homecare programs designed to promote community health and well-ness (i.e. including but not limited to Well-Child/Woman/Man clinics, pre and post-natal clinics, school health program, chronic disease clinic, communicable disease surveillance, etc.).

Services may be provided within the Health Station, community halls, schools or in a patients/residents home (i.e. elderly population) and are intended to promote a health way of life, and decrease the incidence of death and disease. Services may be provided on an individual basis or as part of a multi-disciplinary team.

In the absence of a Community Health Nurse or the NIC the CHR may be required to deliver medications that have already been dispensed (i.e. bubble pack) to individuals within the community.

Responsibilities of a CHR:

  1. To provide and participate in the delivery of community health programs (i.e. including but not limited to Well-Child/Woman/Man clinics, pre and post-natal clinics, school health program, chronic disease clinic, communicable disease surveillance) according to the GNWT Health Standards in order to protect, prevent and reduce the incidence of communicable disease, to promote a healthy life style and to reduce the incidence of disability and/or death to all community members.
  2. To facilitate patient and family educational/teaching based on the needs of the patient.
  3. To advocate practice environments that have the organization and resource allocations necessary for safe, competent and ethical nursing care.
  4. To record specifics of all encounters or services provided for statistical purposes and follow up.
  5. To assist the NIC, CHN or Medical Travel Clerk arrange for the transportation (including medivac and appointments for special clinics) of patients both to and from regional centers in order to ensure the patient receives appropriate care

Main Activities of a CHR:

  • Deliver community health programs (both pre-packaged and requiring development by the incumbent to fit community needs).
  • Encourage community members to participate and attend education and health promotion sessions.
  • Use and involve the media (such as local radio, T.V. and newspaper) to facilitate mass public education on health related topics.
  • Assist in the arranging of specialty clinics with physician specialists or other health care providers (i.e. make sure individuals scheduled for an appointment know they are scheduled and are aware of what services are being provided).
  • Assist in the evaluation of community health programs and offer suggestion for improvement where appropriate (culturally sensitive support).
  • Act as a local resource for other community based health care workers.
  • Promote a safe and healthy environment in homes, schools and throughout the community.
  • Determine a patients knowledge of their health, disease process and learning needs.
  • Participate in the development of community specific educational resources necessary to support patients.
  • Explain local culture, community health needs, and problems to health care professionals to encourage appropriate programming and communication techniques are used to meet DSCB goals.
  • Collaborate with nurses, peers and other members of the health care team to advocate health care environments that are conducive to ethical practice and to the health and well-being of patients and staff.
  • Participates in research (i.e. flu watch) and special projects related to the community's health status.