Nhsfpx4050__assessment3_1.docx NHS-FPX4050 Care Coordination Presentation to Colleagues

nhsfpx4050__assessment3_1.docx  NHS-FPX4050  Care Coordination Presentation to Colleagues  Capella University  NHS-FPX4050  Care Coordination Presentation to Colleagues  We as nurses play a pivotal role in the coordination and continuum of care for their patients.  Nurses understand that care coordination is not just discharging a patient and telling them to follow up with their primary healthcare provider.  Understanding physical, psychological, religious, mental, financial and cultural factors, help the nurse better organize patient care coordination.  Care coordination is patient-centered, meaning it is tailored to that specific patient, no matter how many times we see that particular disease process cross our threshold.  It involves organizing patient care activities, including sharing of patient information to the appropriate parties, in order to achieve safe and effective continuum of care.  Nurses should be well educated and well-rounded in order to understand how effective proper care-coordination can be.  Collaborate with Patients and Families to Achieve Desired Outcomes  Care coordination planning, same as with discharge planning, begins with the admission of the patient.  All plans need to include the patient and their families, especially if their loved ones will be their primary care provider.  Patients who are admitted to our hospital will see a revolving door of nurses, therapists and providers for any number of days.  This can be overwhelming for any one patient.  The patients on our Inten