Complex care in Richmond usually starts with a discharge from Richmond Hospital: an IV, a wound vac, a feeding tube, sometimes a trach. Salve's HCP-licensed clinical team covers City Centre and Brighouse, Steveston and Seafair, Thompson and West Richmond and the rest of the city, with most procedures performed by a Registered Nurse and personal-care continuing alongside.
§IV therapy at home: IV antibiotics, IV hydration, PICC line dressing changes and flushes (with physician order), central line maintenance, using the client's hospital-issued or prescribed pump
§Tube feeding and PEG / G-tube management: feeding, site care, basic clog troubleshooting in collaboration with family; complex issues like tube replacement coordinated with the clinic or hospital
§Tracheostomy care: suctioning, airway maintenance, routine trach care alongside the respiratory therapist. We don't manage ventilator settings; that stays with the RT.
§Palliative nursing: pain and symptom management, comfort, family support (distinct from formal hospice, which runs under a separate BC framework)
§Oxygen, BiPAP and CPAP support, suctioning, compression therapy, mechanical-lift transfers
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Who it's for
Families whose loved one is being discharged from hospital with a complex plan (wounds, tubes, infusions, equipment), or whose ongoing condition has grown beyond what personal care alone can hold. Often arranged in coordination with a hospital social worker and the family's medical team.
Hours and schedule
Frequency depends on the plan. Some clients need a daily skilled-nursing visit, some weekly, some on a flexible schedule that wraps around personal care. Caregiver-led shifts have a four-hour minimum; standalone RN visits (a short, specific clinical task: wound change, IV flush, injection) can be as short as one hour. Days, evenings, overnights, and around-the-clock multi-shift coverage all available.
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The clinical visits, brought to the house.
Richmond's complex-care work splits between Richmond Hospital discharges and bigger procedures done at VGH that come home with equipment. Either way, our RNs bring the clinical schedule to the house: IV therapy on the prescribed pump, wound and post-surgical care, catheter and ostomy management, tube feeding, insulin and blood-glucose monitoring. Trained caregivers hold the daily routine around the nursing, and every clinical visit is documented for the physicians who own the plan.
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Complex care in Richmond: what families ask.
Can you handle insulin and blood-sugar monitoring?
Yes: diabetic care including blood-glucose monitoring and insulin administration is on our clinical list, RN-performed under the BC HCP license.
Do clinical visits need a doctor's order?
Clinical work runs on physician orders by design. We work from the discharge summary or your doctor's instructions, and document each visit back into that record.
Where in Richmond we deliver.
We see Richmond families in City Centre and Brighouse, Steveston and Seafair, Thompson and West Richmond, Hamilton and East Cambie, Broadmoor and Riverdale, and Ironwood and Hamilton.
What it costs, and how families pay for it (extended health, VAC, CSIL,
and more), is laid out in costs and coverage. The people behind the visits are here: meet our caregivers.
BCCPA-member agencyBC HCP-licensed (Health Care Professionals & Services)WorkSafeBC registeredICBC-certified Personal Care Assistance providerFully insured & bonded caregiversBLS-certified, First Aid trained15+ years caring for BC families since 2011
