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HOW DOES IT WORK ?
When you or your loved one is in the hospital, speak with a hospital social worker or contact the Transitions Care Referral Coordinator, Karen MacKay, at (360) 788-6408.
Karen will match you with a Transition Care Nurse who is also a Faith Community Nurse (FCN). This Nurse may be from your own church or the wider community, as you prefer, and will work with you, your loved ones, doctor, therapists and others to make your transition from the hospital setting as smooth and comfortable as possible.
WHAT ARE THE BENEFITS ?
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An FCN will visit you in hospital or rehab to help plan your transition. |
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Your FCN will make a home visit two to three days after your discharge. |
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Your FCN will go over your medicines with you. |
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Your FCN will make sure you know what to do if your condition gets worse or complications arise. |
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Your FCN will help you get ready for follow-up visits with your doctor. |
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Your FCN will check in with you by phone two or three times to answer your questions and check on your progress. |
DO I QUALIFY ? Referrals are especially for people ...
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Of all ages |
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With limited support |
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Any hospital patient in any transition |
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With many doctors |
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With complex medical needs |
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With many hospital admissions or emergency room visits |
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Who need help getting and taking the right medicines |
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Who desire to be contacted by a Faith Community Nurse |
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Karen MacKay, RN
Transitions Care
Referral Coordinator
(360) 788-6408
Find out more
about the
Transitions Care
Program
Click here
for a patient's
perspective.
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