Client Care Resources and Who to Contact
Helping Clients Navigate Care With Confidence
Every client’s situation is unique. Communication pathways may vary depending on healthcare needs, physicians, specialty pharmacies, therapists, care managers, discharge planners, healthcare facilities, treatment plans, and other members of the client’s care team.
TLC Nurse Solutions is committed to helping clients, families, healthcare professionals, and referral partners feel supported through responsive communication, thoughtful coordination, and continuity-focused nursing services throughout California.
This guide provides a quick reference for who to contact, followed by practical information about private duty nursing, infusion therapy, healthcare facility support, medications, equipment, documentation, billing, and care coordination.
For a broader overview of available services, explore Private Duty Nursing Support Across California, Infusion Therapy Throughout California, and Healthcare Facility Nursing Support in California.
Who Should I Contact First?
| Question or Need | Best First Contact |
|---|---|
| Routine scheduling adjustments | Your nurse |
| Visit or shift confirmations | Your nurse |
| Arrival time questions | Your nurse |
| Additional nursing hours or shifts | TLC Nurse Solutions |
| New nursing services | TLC Nurse Solutions |
| Coverage, nurse replacement, or additional nurse needs | TLC Nurse Solutions |
| Changes in nursing needs or ongoing schedule | TLC Nurse Solutions |
| Care coordination involving TLC services | TLC Nurse Solutions |
| Infusion nursing schedule | TLC Nurse Solutions |
| Infusion medication or preparation questions | Specialty pharmacy or prescribing provider |
| Prescribed infusion premedications | Specialty pharmacy or prescribing provider |
| Medication storage or refrigeration instructions | Specialty pharmacy |
| Prescription refills | Prescribing provider or pharmacy |
| Medication or dosage questions | Prescribing provider or pharmacy |
| Physician orders or treatment-plan questions | Treating healthcare provider |
| Laboratory requirements | Treating healthcare provider or specialty pharmacy, as applicable |
| Medical equipment concerns | Equipment provider or appropriate healthcare provider |
| TLC nursing documentation | TLC Nurse Solutions |
| TLC billing or payment questions | TLC Nurse Solutions |
| Clinical recommendations | Treating healthcare provider |
| Urgent medical concerns | Healthcare provider or emergency services when appropriate |
| Unsure who to contact | TLC Nurse Solutions |
If you are uncertain where a question belongs, you are welcome to start with TLC. We can help identify the appropriate resource whenever possible.
Private Duty Nursing Resources
Nursing Services and Scheduling
Once private duty nursing services are established, routine matters such as visit or shift confirmations, expected arrival times, and minor adjustments to an established schedule may often be communicated directly between the client and nurse.
Please contact TLC when a change affects future coverage, continuity, the ongoing schedule, or the overall nursing arrangement. This includes requests for additional hours, extended daytime shifts, overnight nursing, additional nurses, replacement coverage, or other changes to services.
Clients and families considering substantial or ongoing nursing support can learn more about Private Duty Nursing Support Across California, 24-Hour & Ongoing Private Nursing Support Throughout California, and Overnight Nursing Support in California.
Post-Surgical, Hospital-to-Home, and Recovery Support
The period following surgery, hospitalization, rehabilitation, or serious illness can involve medications, mobility limitations, follow-up appointments, wound or dressing care as ordered, medical equipment, and significant adjustments for the client and family.
TLC coordinates Post-Surgical Private Duty Nursing in California for clients who would benefit from individualized nursing during recovery.
When nursing is being considered before discharge, Hospital-to-Home Transition Support in California explains how private nursing may fit into the transition home, while Hospital Advocacy and Private Nursing Support Throughout California provides information for families seeking additional support while a loved one is hospitalized.
For longer recovery periods, families may also find Private Nursing Support During Extended Recovery Throughout California and Long-Term Recovery Nursing Support Throughout California helpful.
Changing and Ongoing Nursing Needs
Nursing needs may change following hospitalization, surgery, rehabilitation, a new diagnosis, progression of a medical condition, changes in mobility, or increasing medical complexity.
A client who initially needs limited support may later benefit from extended daytime nursing, overnight care, recurring shifts, or around-the-clock nursing. When that happens, please contact TLC so we can understand the current needs and explore appropriate nurse availability.
Families managing more complex situations can also explore High-Acuity Nursing Care in California, Nurse Support for Complex Medical Conditions Throughout California, Complex Medication Management Support Throughout California, and Nursing Support for Chronic Illness Management Throughout California.
For older adults whose needs are changing gradually, Aging in Place Nursing Support Throughout California provides additional information about individualized nursing while remaining at home.
Preparing Your Home for a Nursing Visit
A little practical preparation can help a nursing arrangement begin comfortably and with clear expectations.
Please share any relevant arrival information in advance, including gate codes, parking restrictions, building access, security procedures, or another person the nurse should contact upon arrival.
TLC Nurse Solutions coordinates nursing services only. All medications, medical supplies, equipment, and other items required for the scheduled nursing service should be available in the home before the nurse arrives. These items are provided or arranged by the client, family, prescribing provider, pharmacy, medical equipment provider, or other appropriate healthcare organization, depending on the individual care arrangement.
Independent nurses referred through TLC provide the nursing services requested and appropriate to the established healthcare plan, applicable physician orders, their qualifications, and scope of practice. TLC and the independent nurse are not responsible for supplying medications, medical equipment, or treatment supplies.
A reasonably clean and uncluttered area where the nurse can work and organize necessary supplies is helpful. The home does not need to be perfect. For extended or recurring shifts, it can also be useful to share information about the household routine, where supplies are kept, and who is normally present in the home.
Pets in the Home
Pets are an important part of many households and do not automatically need to be removed because a nurse is coming to the home.
Please let TLC know in advance if pets will be present. Some nurses are completely comfortable working around animals, while others may have allergies or prefer that pets remain in another room during the nursing visit or shift.
If a pet could interfere with nursing care, equipment, supplies, sterile procedures, or safe access to the client, the nurse may request that the pet remain separated during that portion of care. Sharing this information in advance helps everyone plan appropriately.
Nurse Matching and Continuity
Finding an appropriate nurse involves more than matching a nursing license to a schedule.
TLC considers the client’s nursing needs, location, requested schedule, relevant clinical experience, nurse availability, household environment, and other information that may be important to the working relationship.
For substantial or recurring schedules, continuity can be especially valuable. Whenever possible, TLC works to coordinate a familiar independent nurse or small group of nurses whose experience and availability align with the client’s needs.
Our Thoughtful Nurse Matching for Complex Care Needs resource provides additional information about nurse experience and matching considerations.
Infusion & Specialty Pharmacy Resources
Infusion Nursing Support
TLC coordinates independent RNs for physician-directed infusion therapies supplied through specialty pharmacies and other healthcare partners.
Depending on the prescribed therapy and referral, nursing support may include IVIG, SCIG, biologics, IV antibiotics, enzyme replacement therapies, immunotherapies, transplant-related therapies, and other specialty medications according to applicable physician orders and pharmacy protocols.
Clients and families can learn more through Infusion Therapy Throughout California, Home Infusion Nursing Support Throughout California, and IVIG and Specialty Infusion Nursing Support California.
For referral partners, additional information is available through Home Infusion Nursing Through Specialty Pharmacies and Nursing Support for Specialty Pharmacy Infusions California.
When infusion therapy is part of a broader private nursing arrangement, Private Duty Infusion Nursing in California provides additional context.
Preparing for an Infusion Nursing Visit
Clients receiving infusion therapy should follow the preparation instructions provided by their prescribing provider and specialty pharmacy. Because medications, treatment protocols, and individual healthcare needs vary, preparation may be different for each client and therapy.
Before the scheduled visit, confirm that the prescribed medication and necessary supplies have been delivered and stored according to pharmacy instructions.
If medication requires refrigeration or other specific storage, follow the medication-specific instructions from the dispensing pharmacy regarding when or whether it should be removed from refrigeration before administration. Medication should not be heated, mixed, opened, or otherwise handled differently from the instructions provided by the pharmacy.
If premedications have been prescribed, follow the medication, dosage, and timing instructions provided by the prescribing provider or specialty pharmacy. Do not add, skip, substitute, or change prescribed premedications without appropriate clinical direction.
Hydration, meals, food or fluid restrictions, and other treatment-specific preparation vary by therapy and individual healthcare needs. Follow the instructions provided by your prescribing provider and specialty pharmacy.
Keep an up-to-date medication and allergy list available when appropriate. If there has been a significant change in health, new symptoms, a recent infection or hospitalization, medication changes, or a previous infusion reaction, contact the appropriate healthcare professional as directed before treatment.
For treatment at home, prepare a comfortable, reasonably uncluttered area where the nurse can work and organize supplies. For longer treatments, consider practical comfort needs such as restroom access and having permitted food, fluids, or personal items nearby, consistent with instructions from your healthcare team. When possible, wear clothing that allows convenient access to the planned infusion site or vascular access device.
Questions about premedications, hydration, meals, medication storage or handling, or other treatment-specific preparation should be directed to the prescribing provider or specialty pharmacy.
Who Handles What During Infusion Therapy?
The prescribing provider establishes the medical treatment plan and applicable physician orders.
The specialty pharmacy dispenses the prescribed medication and provides medication-specific protocols, supplies, storage and handling instructions, and other pharmacy guidance related to the therapy.
The independent RN provides the prescribed nursing service according to applicable physician orders and pharmacy protocols and within the nurse’s appropriate scope of practice.
TLC Nurse Solutions coordinates the nursing referral, nurse availability, scheduling, and registry-related communication.
For recurring therapies, providing future treatment dates as early as possible gives TLC additional time to explore nurse availability and support continuity whenever possible.
Healthcare Facility Nursing Resources
Facility Nursing Support
Healthcare facilities and organizations should contact TLC regarding requested shifts, schedule changes, additional nursing needs, recurring coverage, ongoing programs, and questions involving independent nurses coordinated through the registry.
Providing requested dates and shift times, location, nursing qualifications, clinical requirements, documentation expectations, and other relevant information helps TLC understand the need and explore appropriately experienced independent nurse availability.
For recurring programs and full-shift coverage, providing future schedules allows additional time for thoughtful coordination and continuity.
Healthcare organizations can learn more through Healthcare Facility Nursing Support in California, including support for full shifts, recurring schedules, ongoing programs, and specialty nursing needs.
Healthcare organizations with more specialized needs can also explore resources for Nursing Support for Surgery Centers Throughout California and Nursing Support for Rehabilitation and Treatment Centers Across California.
Facility-specific policies, clinical direction, medical orders, and procedures remain with the facility and appropriate treating healthcare professionals. TLC coordinates the registry relationship, nursing opportunities, scheduling, and related communication.
Resources for All TLC Clients and Healthcare Partners
Medications, Prescriptions, and Treatment Plans
Questions involving prescriptions, medication refills or changes, dosages, physician orders, laboratory requirements, treatment plans, or clinical recommendations should be directed to the prescribing provider, specialty pharmacy, or healthcare professional responsible for that aspect of care.
TLC Nurse Solutions does not prescribe medications, modify physician orders, or independently direct medical treatment plans. Independent nurses provide nursing services according to applicable physician orders, established treatment plans, pharmacy protocols when applicable, and their appropriate scope of practice.
For more information about when orders may be needed, review Do You Need Physician Orders for Private Duty Nursing in California?.
Medical Equipment
Questions involving medical equipment, oxygen equipment, durable medical equipment, maintenance, replacement, manufacturer instructions, or equipment-specific training should generally be directed to the equipment provider or healthcare professional responsible for the equipment.
Independent nurses may provide nursing support involving prescribed equipment when appropriate to the established healthcare plan, physician orders, nurse qualifications, and applicable scope of practice.
Nursing Documentation and Visit Records
For nursing visit documentation, visit or shift verification, or records maintained by TLC Nurse Solutions, please contact TLC directly.
Medical records maintained by physicians, hospitals, specialty pharmacies, healthcare facilities, laboratories, or other healthcare organizations should generally be requested from the organization maintaining those records.
Billing and Payments
Billing arrangements vary depending on how nursing services are coordinated.
For private-duty clients who contract directly with TLC Nurse Solutions, questions regarding TLC invoices, payment methods, receipts, account balances, private-pay service rates, billing records, or reimbursement documentation should be directed to TLC. TLC coordinates service agreements, invoicing, payment processing, and billing communication, and independent nurses do not separately bill clients or collect payment directly for nursing services coordinated through TLC.
TLC Nurse Solutions coordinates private-pay nursing support and does not bill health insurance directly. For additional information, review Understanding Private-Pay Nursing Support in California.
When nursing services are coordinated through a specialty pharmacy, healthcare facility, or other healthcare organization, billing is handled according to TLC’s agreement with that organization. Patients receiving nursing services through those arrangements are not responsible for TLC’s organizational billing.
For your security, TLC Nurse Solutions will never contact you by email or text asking you to change payment instructions or send payment to a different account. If you receive a communication requesting a change to TLC’s payment instructions, do not send payment. Please call TLC directly at 510-780-1800 to verify the request.
Communication and Care Coordination
A client’s healthcare may involve physicians, specialists, therapists, hospitals, specialty pharmacies, facilities, case managers, fiduciaries, discharge planners, equipment providers, family members, and independent nurses. Each remains responsible for its respective role.
TLC coordinates the nursing services arranged through our registry and related communication. When broader organization of an established healthcare plan is needed, Nurse Care Coordination Support Across California provides additional information.
TLC also works collaboratively with case managers, discharge planners, professional fiduciaries, families, and other trusted advisors involved in coordinating an individual’s care. Additional information is available through Nursing Support for Professional Care Teams Throughout California.
Planning Ahead for Future Nursing Needs
Many families first contact TLC Nurse Solutions before nursing support is immediately needed. Planning ahead provides an opportunity to explore available services, discuss scheduling preferences, understand the referral process, and coordinate care before an upcoming surgery, hospital discharge, medical treatment, relocation, or anticipated change in healthcare needs.
Early planning also allows more time to thoughtfully match clients with independent nurses whose experience aligns with their clinical needs, personality, schedule, and continuity goals. While some situations require immediate coordination, others benefit from having a plan already in place when the need arises.
Whether you’re gathering information for yourself, preparing for an upcoming procedure, supporting a loved one, or assisting a client in a professional capacity, our team is happy to answer questions, discuss your situation, and help you explore available options whenever the time feels right. We believe informed decisions begin with clear communication, personalized guidance, and the opportunity to thoughtfully plan ahead whenever possible.
Learn more about Advance Planning for Private Nursing Support Throughout California.
Nursing Support Throughout California
TLC Nurse Solutions coordinates nursing referrals throughout California. Availability varies according to location, requested schedule, nursing needs, clinical requirements, and independent nurse availability.
Tell us where nursing support is needed, the type of care being considered, and the anticipated schedule. Our team can then explore available options.
Visit Statewide Nursing Services and Support Across California for additional information about geographic coverage.
Urgent Medical Concerns
TLC Nurse Solutions coordinates nursing services but is not an emergency response service. For urgent or emergency medical concerns, contact the appropriate treating healthcare provider or emergency services based on the situation.
We Are Here to Help
If you are unsure whether a question belongs with TLC, your independent nurse, prescribing provider, specialty pharmacy, healthcare facility, equipment provider, or another member of the healthcare team, please contact TLC. We are happy to help identify the appropriate resource whenever possible.
To learn more, explore our Nursing Services, visit Explore Our Nursing Resources, review our Frequently Asked Questions, or Contact TLC Nurse Solutions.
Call or Text: 510-780-1800
Email: info@tlcnursesolutions.com
Serving All of California
Thoughtfully coordinated private-pay nursing support throughout California, built around transparency, collaboration, and continuity for clients, nurses, and healthcare partners.