We are looking for a compassionate and highly attentive Evening LPN/RN/PAB to provide full-time care for a person living with paralysis/quad or paraplegic care needs and diabetes. This is a private home position for someone experienced, calm under pressure, and comfortable supporting complex daily medical and personal care needs. Private Duty Caregiver / Nurse (LPN, RN, or PAB with Bill 90) Location: Position Sherbrooke West (Downtown Montreal) & Alburgh (Vermont) Type: Full-Time, Permanent (upon completion of training), Live-Out Hours: Follows a 24-hour straight every fourth day schedule Start Date: Immediate preferred Job Summary We are seeking a detail-oriented, observant, and emotionally resilient care professional to provide comprehensive, high-quality support for a paralyzed patient. The ideal candidate has nursing experience as an LPN or RN, or is a Preposé aux bénéficiaires (PAB) holding a Bill 90 certification with hands-on experience in paraplegic care. This role balances advanced medical monitoring, daily physical support, complex scheduling, and companion care. Key Qualifications & Requirements Professional Credentials: Licensed Practical Nurse (LPN), Registered Nurse (RN), or PAB with active Bill 90 certification. Specialized Experience: Proven hands-on experience working with paraplegic or paralyzed patients. Experience with colostomy bags and suprapubic catheters is strongly preferred. Legal & Travel Readiness: Permanent residency in Canada, a valid passport, and the ability to travel internationally with the patient for at least one week at a time (with advance notice). Transportation: Valid driver’s licence. Language: Full fluency in English with excellent listening and communication skills. Core Responsibilities Medical & Clinical CareManage blood sugar tracking and Dexcom CGM monitoring. Administer insulin injections and accurately calculate carbohydrate intake. Monitor blood pressure and execute protocols for low blood pressure episodes. Provide routine wound dressing and skin care management. Daily Living Assistance & Mobility Execute safe patient transfers and positioning using a Hoyer lift. Manage in-bed positioning and wheelchair repositioning to prevent pressure sores. Provide daily personal hygiene support: dressing/undressing, daily full sponge baths, a weekly full shower, and comprehensive oral care (brushing and flossing). Assist with feeding, paying strict attention to safe food temperatures. Household & Social Support Handle meal planning, grocery preparation, and light housekeeping to maintain a clean, hygienic environment. Coordinate and facilitate social visits or outings with neighbours, friends, and family. Maintain regular, clear communication and provide health updates to the family and wider care team. Schedule & Availability This position operates on a four day cycle requiring high adaptability during scheduled blocks and including a weekend rotation. Requires a minimum of 24 consecutive hours on-site (starting at 9AM) every fourth day. Note: Round-the-clock availability is required during these specific consecutive blocks. Sleeping on-site is permitted with a baby monitor nearby to respond to overnight emergencies. Compensation & Benefits Competitive salary based on experience and credentials. Free on-site parking. Comprehensive onboarding and specialized training period.