Review the webpage provided on transitions of care standards and implementation.

https://transitionsofcare.org/

Also review materials on the use of the interprofessional team and of nursing case management.

Write a patient scenario case study. Each of you have completed case studies before. They have a story line and questions that follow. In this case, it is best to use one unfolding case with embedded questions. With a transition of care, it is necessary to include different points in time to capture the full transition. It is essential to set the stage or present the case to your group. The detailed patient scenario should include the patient’s chief complaint, diagnosis, a summary of care and status, medications, cultural implications, resource needs, financial/insurance status, discharge plan/goal. This is for the facts only.

The working of the interprofessional team and the proper transition of care across the continuum will play out as your case unfolds. Always remember to keep in mind, safety, and quality.

 

Once the scenario case study is written, insert questions that illicit critical thinking and application of learning. Students need a minimum of 10 questions for the case. The questions should capture and display an understanding of the standards and implementation discussed in the source provided in the lesson.

 

Develop an answer key for the questions providing the answers and rationale for each question

 

The end product should allow each pair to show a full ability to meet the transition of care course outcome in this lesson (see lesson information above).