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Nurse Services

RN Care Oversight is a free service for Personal Care Level clients. Experienced RN Care Managers oversee client care to help prevent hospitalizations and unneeded medical escalations.

A Catalina Nurse makes routine in-home visits with every Personal Care Level client. During these wellness checks, nurses take the time to build relationships with clients, family, and other care partners. In addition to monitoring existing health issues or concerns, the nurse will review the care plan and make updates as needed.  The frequency of nurse visits is determined by the number of care hours a client receives.

Nurses may make suggestions regarding health and wellness, recommend safety modifications to the home, or advise a visit to a doctor or specialist. Nurses provide clinical expertise when navigating complex decisions and transitions. Clients and families are always welcome to contact the nurse directly with clinical questions, concerns, or directives.

Catalina caregivers report directly to an RN Care Manager if there are clinical issues or if there is a change in a client’s condition. Through this reporting system, nurses are able to monitor and manage small health concerns. A nurse may perform an in-person visit to assess concerns and will communicate with clients or client representatives if concerns are escalating and further action is required.

A Catalina Nurses is available 24/7 for urgent needs on nights and weekends.

RN Care Management is an hourly service for clients who require an increased level of nursing coordination and advocacy. RN Care Management is provided by experienced care management nurses. In most cases, this level of care is only needed for a short time period.

Nurses make more frequent in-person home visits and increase communication with caregiver teams, clients, and families. Additional contact and reporting allows for careful monitoring and management of complex situations. Catalina nurses are available to attend appointments with other providers such as physical and occupational therapists or physicians, create enhanced reports, and coordinate family conferences to answer questions or address concerns.

Nurses perform strategic clinical coordination and communicate with physicians, pharmacists, or other providers such as fiduciaries and residential facilities. Nurse Care Management provides professional support through complex transitions such as changing living arrangements, stabilizing after a sudden and serious condition change, or initiating hospice care.

Medication Management may include communication with physicians and pharmacists, prescription reorders, and filling and organizing medication boxes. Nurses create simplified medication lists and instructions, and educate clients on proper use. When a new medication is introduced, a nurse addresses questions and concerns and assists in monitoring side effects.

Nurses assist clients to achieve the best possible outcome following procedures or hospitalizations. Nurses can help coordinate and implement physicians’ orders, visit regularly to monitor progress, and take swift action if complications arise. Careful planning and oversight by a Nurse Care Manager reduces the risk of readmission to the hospital.