Nurse Resources and Who to Contact
Supporting Professional, Organized, and Continuity-Focused Nursing Care
Every client’s situation is unique. Communication pathways may vary depending on the client’s physician, healthcare team, specialty pharmacy, facility requirements, treatment plan, and individual care needs. The information below is intended as a general guide to help support communication, continuity of care, and professional collaboration throughout the nursing process.
TLC Nurse Solutions is committed to helping independent nurses feel supported through clear communication, thoughtful coordination, and responsive guidance.
Because care often involves multiple providers, specialty pharmacies, physicians, clients, families, and healthcare organizations, knowing who to contact for different situations can help ensure questions are addressed efficiently and directed to the most appropriate resource.
The following guidelines may help support smooth communication and continuity throughout the care process.
Scheduling Questions
For questions involving:
• Visit scheduling
• Schedule changes
• Visit confirmations
• Future nursing visits
• Coverage requests
• Availability updates
• Client scheduling needs
Nurses are encouraged to communicate directly with the client whenever appropriate.
When scheduling changes occur, early communication helps support continuity, coverage planning, and a positive experience for everyone involved.
If scheduling changes affect continuity, future coverage, staffing needs, or ongoing coordination, please also contact TLC Nurse Solutions.
Many nurses providing Private Duty Nursing Support, Overnight Nursing Support, Hospital-to-Home Transition Support, Post-Surgical Recovery Support, and other continuity-focused services may communicate directly with both the client and TLC Nurse Solutions regarding scheduling needs.
Specialty Pharmacy, Medication, and Treatment Questions
For questions involving:
• Medication deliveries
• Infusion supplies
• Specialty pharmacy shipments
• Prescription refills
• Physician orders
• Treatment plan changes
• Weight-based therapy adjustments
• Medication dosing questions
• Infusion rate or protocol questions
• Laboratory monitoring requirements
• Prior authorizations
• Supply shortages or replacement supplies
• Questions regarding prescribed therapies
Please contact the specialty pharmacy, prescribing physician, or healthcare provider responsible for the treatment plan.
Nurses supporting clients receiving IVIG and Specialty Infusion Nursing Support, Home Infusion Nursing Support, or Infusion Therapy Support should communicate directly with the specialty pharmacy and prescribing provider regarding treatment-related questions whenever appropriate.
TLC Nurse Solutions should be contacted regarding scheduling, continuity, and coordination needs.
Nurses should notify the specialty pharmacy, prescribing provider, or appropriate healthcare team regarding treatment-related concerns, medication questions, supply issues, or changes that may affect the client’s prescribed therapy.
Documentation and Invoice Submission
For questions involving:
• Nurse notes
• Documentation requirements
• Weekly submissions
• Invoice submissions
• Payment processing
• Documentation timelines
• PDF formatting requirements
Please contact TLC Nurse Solutions.
Timely documentation and invoice submission help support continuity of care, specialty pharmacy requirements, billing processes, and contractor payment timelines.
To help support timely processing:
• Documentation should be submitted promptly following visits
• Weekly submissions should be sent according to current TLC Nurse Solutions guidelines
• Nurse notes and invoices should accurately reflect visit dates, times, and services provided
• Documentation and invoices should remain consistent with the care provided and scheduled visit times
Nurses supporting clients receiving Infusion Therapy Support, Private Duty Nursing Support, High-Acuity Nursing Care, and Hospital-to-Home Transition Support should ensure documentation remains timely and complete to support continuity and coordination across care teams.
Clear and timely documentation helps support continuity of care, billing processes, specialty pharmacy requirements, and communication among healthcare teams.
Changes in Client Needs
Care plans and support needs may evolve over time.
Examples include:
• Additional nursing hours
• Changes in mobility
• New equipment needs
• Expanded care schedules
• Recovery-related needs
• Changes in physician recommendations
• Additional continuity-focused support
When appropriate, nurses should communicate with both TLC Nurse Solutions and the appropriate healthcare team so everyone involved remains informed and coordinated.
Clients receiving High-Acuity Nursing Care, Neurological Nursing Support, Stroke Recovery Nursing Support, Spinal Cord Injury Nursing Support, or Ventilator and Tracheostomy Care may especially benefit from ongoing communication regarding evolving care needs.
Early communication often helps support smoother planning and continuity across the care team.
Safety and Clinical Concerns
Professional clinical judgment, client safety, and appropriate communication remain important priorities throughout the care process.
For urgent clinical concerns, nurses should follow the appropriate clinical chain of communication and physician-directed protocols for the specific situation.
Depending on the circumstances, this may involve communication with:
• Prescribing physicians
• Specialty pharmacies
• Healthcare facilities
• Established healthcare teams
• Emergency services when appropriate
TLC Nurse Solutions should also be notified regarding significant care coordination updates when appropriate.
Communication and Care Coordination
Many clients benefit from ongoing communication among physicians, specialty pharmacies, family members, fiduciaries, care managers, discharge planners, therapists, and nursing professionals.
TLC Nurse Solutions helps support continuity through services such as:
• Nurse Care Coordination Support
• Case Manager Nursing Support
• Discharge Planner Nursing Support
• Professional Fiduciary Nursing Support
Early communication often helps support smoother coordination among all members of the care team.
Thoughtful communication often helps create a more seamless experience for clients, families, nurses, and healthcare teams alike.
Additional Clinical Resources
Nurses may also find the following resources helpful:
• Private Nursing Support During Hospitalization
• Medication Management Support
• Aging in Place Nursing Support
• Pediatric Private Duty Nursing Support
• Healthcare Facility Nursing Support
• Home Health Agency Nursing Support
These resources may provide additional guidance regarding various care environments, patient populations, and continuity-focused nursing services coordinated through TLC Nurse Solutions.
Who Should I Contact First?
| Question | Best First Contact |
|---|---|
| Schedule change | Client and/or TLC Nurse Solutions |
| Future scheduling needs | TLC Nurse Solutions |
| Coverage request | TLC Nurse Solutions |
| Medication delivery | Specialty Pharmacy |
| Infusion supplies | Specialty Pharmacy |
| Prescription refill | Prescribing Physician or Pharmacy |
| Treatment plan questions | Prescribing Physician |
| Dosing questions | Specialty Pharmacy or Prescribing Physician |
| Equipment concerns | Equipment Provider |
| Documentation questions | TLC Nurse Solutions |
| Invoice questions | TLC Nurse Solutions |
| Care coordination questions | TLC Nurse Solutions |
| Clinical treatment questions | Prescribing Provider or Specialty Pharmacy |
| Safety concerns | Appropriate Healthcare Provider and Clinical Chain of Communication |
We Are Here to Help
TLC Nurse Solutions is committed to helping independent nurses feel supported through responsive communication, professionalism, and thoughtful coordination.
For scheduling, documentation, invoices, continuity planning, and care coordination support, please contact TLC Nurse Solutions.
Phone: 510-780-1800
For medication-related questions, supplies, physician orders, treatment plans, infusion deliveries, specialty pharmacy services, or prescribed therapies, please contact the healthcare provider, specialty pharmacy, or prescribing physician responsible for managing those services.
If you are ever unsure who to contact, please reach out to TLC Nurse Solutions. We are always happy to help