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Miami Dade College Health Care Transition Planning Discussion

Miami Dade College Health Care Transition Planning Discussion

Question Description

I’m trying to study for my Nursing course and I need some help to understand this question.

Planning for our patients during times of transitions (for example: hospital to home, home to rehabilitation facility) involves collaboration with a number of healthcare professionals. Please address the following questions:

****PLEASE KEEP IN MIND THAT IN MY PREVIOUS I WAS A IN OFFICE REGISTERED NURSE CASE MANAGER, AND THE PATIENTS WE HAD IN THE AGENCY WERE POST DISCHARGE FROM THE HOSPITAL AND WERE IN STABLE CONDITION. THE NURSES WILL GO TO PATIENTS HOME, TO DO AN INITIAL ASSESSMENT AND FOLLOW PLAN OF CARE WITH ORDERS BY THE PHYSICIAN TO FOLLOW POST DISCHARGE, NOW THAT THE PATIENT WILL BE HOME TO PREVENT FURTHER DETERIORATION AND READMISSION TO THE HOSPITAL OR REHABILITATION FACILITY****

  • How does your facility promote interprofessional collaboration during times of patient transitions?
  • What is the role of the nurse in patient transitions?
  • What gaps can you identify in this process related to quality of care? (If you are not currently in practice, please use a previous role or clinical experience in your answers.)

REFERENCES

APA FORMAT

1 OUTSIDE SCHOLARLY SOURCE

American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.).

  • pp 63-68; 73-74

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