Why this role is different
UHNWI care blends clinical precision with household choreography. The candidate must be clinically excellent and trusted in privacy, security and etiquette. Success depends on three aligned pillars: licence, insurance (with domiciliary rider) and privileges explicitly listing home/hotel/yacht.
Role mapping (no ambiguity)
Title: Private Nurse (Registered Nurse) — mapped to DHA/DOH/SCFHS/QCHP category.
Scope (Day 1): assessment, medication administration, early warning recognition, post-op care, infusion support per protocols.
Advanced (post sign-off): IV therapies, complex wound care, device-specific tasks with named proctors (N cases).
Out of scope: procedures beyond privileges; no unlabelled meds; no crowd-sourced advice.
Insurance & privileges (non-negotiables)
Policy: occurrence preferred; if claims-made, tail in writing.
Settings listed: hospital/clinic/home/hotel/yacht.
Privileges: mirror settings; domiciliary explicitly written.
Medication safety: independent double-check (IDC) for insulin, anticoagulants, opioids, concentrated electrolytes.
Transfer plan: named receiving hospital, tested route and ETA.
MST recruitment flow (30–45 days; signals, not promises)
Brief & household profile: health needs, travel patterns, language, privacy expectations.
Shortlist with evidence: case-log denominators, incident learning, VIP etiquette examples, life-support cards.
Panel (clinical + household): SBAR with numeric escalation lines; scenario for night deterioration; privacy choreography.
Compliance: DataFlow/PSV, Good Standing, Prometric (if required).
Offer & onboarding: malpractice schedule with domiciliary rider, rota, kit list, Day-0 access, mentor.
First 60 days: supernumerary shadowing, advanced sign-offs, weekly stability checks.
Discreet rota that prevents burnout
Coverage: two-person model; max 3 consecutive nights; post-call protected.
Visibility: four-week rota published; changes by clinical necessity only.
Handover: SBAR with two numeric triggers (e.g., SpO₂ <92% for 5 min; MAP <65), owner named.
Travel mode: kit custody and cold-chain rules for flights/yacht days.
Privacy choreography (household interface)
One medical lead is the sole clinical voice.
Household PA/security = logistics only; no clinical instructions.
Neutral language in shared areas; no clinical content on personal apps.
Documentation lives in the approved record, not in chats.
Kit & documentation (signals, not promises)
Tiered kit with AED/oxygen if case mix justifies; IFUs handy; temperature data logger for cold chain.
Custody log: item, lot/expiry, issued/used/returned.
SBAR notes with thresholds and escalation owner.
Red flags—and calm fixes
Domiciliary implied but uninsured/unspecified → add rider and privilege variation before start.
Single-nurse model → convert to two-person coverage; publish the relief plan.
VIP WhatsApp updates → move to approved channel; file the update.
All-in salary with no components → publish total compensation breakdown (housing, flights, licensing, CPD).
What you receive from MST
Three-candidate shortlist with governance evidence and etiquette fit.
Compliance calendar (DataFlow/PSV/exams) and start-date tracker.
Privilege-ready offer pack and 60-day onboarding plan.
Weekly stability note (90-day retention, rota hygiene, micro-audits closed).