Helping Clients Navigate Care With Confidence
At TLC Nurse Solutions, we believe thoughtful communication, clear expectations, and personalized coordination help create a positive nursing experience.
Whether you are arranging nursing for yourself, supporting a loved one, or coordinating services as a healthcare professional, our goal is to help you feel informed, comfortable, and confident throughout the process.
TLC Nurse Solutions is a women-owned California nurse registry connecting clients, families, healthcare facilities, specialty pharmacies, and professional care partners with experienced independent Registered Nurses (RNs) and Licensed Vocational Nurses (LVNs).
This resource explains whom to contact, how to prepare for nursing services, and how TLC works alongside independent nurses and healthcare professionals to support continuity of care.
For an overview of available services, explore our Nursing Services Throughout California.
Who Should I Contact First?
Nursing care often involves several professionals, each with different responsibilities. This guide can help you identify the appropriate first contact.
| Question or Need | Best First Contact |
|---|---|
| New nursing services, additional hours, or extended coverage | TLC Nurse Solutions |
| Nursing services for another individual or family member | TLC Nurse Solutions |
| Nurse availability, replacement coverage, or new schedules | TLC Nurse Solutions |
| Changes affecting established nursing arrangements | TLC Nurse Solutions |
| Routine visit confirmations or arrival times | Your independent nurse |
| Minor adjustments within an established shift | Your independent nurse; keep TLC informed of confirmed changes |
| Questions about nursing care during an established visit | Your independent nurse |
| Independent RN case management or care coordination services | TLC Nurse Solutions |
| Questions about an established RN care coordination plan | Assigned independent RN |
| Infusion nursing scheduling | TLC Nurse Solutions |
| Infusion medications, delivery, supplies, or emergency kits | Specialty pharmacy |
| Medication refills, dosages, or prescription changes | Prescribing provider or pharmacy |
| Physician orders, treatment plans, or clinical recommendations | Treating healthcare provider |
| New symptoms or significant changes in condition | Treating healthcare provider |
| Medical equipment problems or replacement | Equipment provider or responsible healthcare professional |
| Nursing documentation or visit records maintained by TLC | TLC Nurse Solutions |
| TLC invoices, payments, or billing records | TLC Nurse Solutions |
| Urgent or emergency medical concerns | Appropriate healthcare provider or emergency services |
| Unsure whom to contact | TLC Nurse Solutions |
If you’re uncertain where to begin, please contact TLC. We’re happy to help identify the appropriate resource whenever possible.
Nursing Services, Scheduling, and Additional Care
Everyday Communication and Scheduling
Once nursing services are established, clients, families, and independent nurses may communicate directly about everyday care, personal preferences, visit confirmations, arrival times, and routine scheduling details.
Please keep TLC informed of confirmed schedules and changes affecting nursing services coordinated through our registry.
Contact TLC regarding additional hours, cancellations, extended shifts, overnight nursing, recurring schedule changes, replacement coverage, additional nurses, or other adjustments to an established arrangement.
This helps us maintain accurate scheduling and billing records while supporting continuity of care.
Families exploring ongoing coverage can learn more about Private Duty Nursing, Overnight Nursing Support, and 24-Hour Nursing Support.
Additional Nursing Services for You or Someone Else
Healthcare needs can evolve, and nursing services may expand beyond an original arrangement.
Independent nurses may recognize changing needs, discuss clinical observations, or recommend additional nursing support. Clients and families are also welcome to explore new services whenever their circumstances change.
When additional nursing services, nurse case management, care coordination, hospital advocacy, or other nursing arrangements are being considered, please contact TLC so we can review the request and coordinate the appropriate next steps.
This also applies when another person needs nursing services, including a spouse, parent, grandparent, other family member, or friend—even when an independent nurse already provides care within the household.
Each individual receiving nursing services through TLC requires a separate Client Service Agreement. New services and arrangements arising through TLC-coordinated client relationships must be established through TLC rather than arranged independently with a nurse.
Our team welcomes these conversations and will be happy to explore appropriate nursing options.
Changing Care Needs and Continuity
Nursing needs may change following surgery, hospitalization, rehabilitation, a new diagnosis, or progression of an existing condition.
A client initially receiving occasional nursing visits may later benefit from longer shifts, recurring coverage, specialized care, or additional clinical oversight.
TLC considers nursing qualifications, relevant experience, location, scheduling preferences, availability, and compatibility when coordinating independent nurses.
For recurring services, continuity with familiar nurses can be especially valuable whenever availability allows.
Learn more about High-Acuity Nursing Care, Hospital-to-Home Transition Support, and Thoughtful Nurse Matching.
Preparing for Your Nursing Visit
Thoughtful preparation helps nursing visits begin comfortably, efficiently, and with clear expectations.
Preparation varies according to the nursing service, clinical requirements, and care environment.
Your Nurse’s Pre-Visit Confirmation
For scheduled nursing visits, your independent nurse should contact you or your authorized representative the evening before the appointment to confirm details and review any relevant preparations.
Depending on the service, this conversation may include recent health changes, medications, treatment supplies, equipment, physician instructions, or other information important to the visit.
For recurring nursing shifts and facility assignments, confirmation procedures may differ according to the established arrangement.
If an important medical concern arises before the confirmation call, contact the appropriate healthcare professional promptly rather than waiting.
Before Your Visit
A few simple preparations can help everyone feel more comfortable:
- Confirm the appointment. Review the date, time, location, parking, entry instructions, and relevant contact information.
- Review care needs. Have available physician orders, discharge instructions, medication lists, or other relevant information when applicable.
- Check medications and supplies. Confirm that required medications, treatment supplies, and equipment are available, appropriately stored, and ready for use.
- Share health changes. Inform the appropriate healthcare professional about new symptoms, recent illness, hospitalization, medication changes, or other developments that may affect care.
- Prepare the care environment. Provide a reasonably clean, accessible, well-lit space suitable for the requested nursing services.
- Share routines and preferences. For longer shifts, information about mobility, household routines, communication preferences, and the location of supplies can support continuity.
- Keep important contacts available. Include treating providers, pharmacies, equipment suppliers, and authorized family representatives.
If essential medications, supplies, or equipment are missing, expired, damaged, or not functioning properly, contact the responsible provider before the visit whenever possible.
TLC coordinates independent nursing services but does not supply medications, treatment supplies, or medical equipment.
Pets in the Home
Pets are welcome in many care environments and do not automatically need to be removed during nursing visits.
Please let TLC know in advance if pets will be present. Independent nurses may have allergies, personal preferences, or clinical considerations that affect their ability to work comfortably around animals.
When necessary for safe access, sterile procedures, equipment, or nursing care, a nurse may request that a pet remain in another room.
Advance communication helps everyone prepare appropriately.
Infusion Therapy and Specialty Pharmacy Support
TLC coordinates experienced independent RNs for physician-directed infusion services in collaboration with specialty pharmacies, prescribing providers, and other healthcare partners.
These services may include IVIG, SCIG, biologics, IV antibiotics, enzyme replacement therapies, immunotherapies, and other prescribed specialty treatments.
Learn more about Infusion Therapy Throughout California and IVIG and Specialty Infusion Nursing Support.
Preparing for an Infusion Appointment
Infusion treatments require medication-specific preparation and coordination.
Your independent infusion nurse should contact you or your authorized representative the evening before the scheduled visit to confirm the appointment and review relevant requirements.
Before treatment, please confirm that:
- Prescribed medications have been delivered and stored according to pharmacy instructions.
- Required infusion supplies are available.
- Any prescribed emergency or anaphylaxis kit is present, accessible, and unexpired.
- Prescribed premedications are available, with instructions regarding timing and administration.
- Required laboratory testing has been addressed with the appropriate healthcare provider or specialty pharmacy.
- Previous infusion reactions, recent illnesses, new symptoms, hospitalizations, or medication changes have been reported to the appropriate healthcare professional.
- The treatment space is clean, accessible, and suitable for the planned infusion.
Follow your individualized physician and specialty pharmacy instructions regarding hydration, meals, medication preparation, and other treatment requirements.
For longer appointments, comfortable clothing and permitted personal items may help make the experience more pleasant.
Important Infusion Safety Information
Independent infusion nurses provide treatment according to applicable physician orders, pharmacy protocols, professional nursing standards, and their scope of practice.
Before treatment, the nurse should verify the applicable orders, medication, supplies, and required emergency medications.
If essential medication, supplies, or a required emergency kit are missing, expired, or unsuitable, treatment should not begin until the applicable requirements have been satisfied and appropriate clinical guidance has been obtained.
Contact your specialty pharmacy or prescribing provider promptly regarding medication delivery problems, storage concerns, missing supplies, previous treatment reactions, or significant changes in health.
Following treatment, continue to follow your healthcare team’s instructions regarding medications, activity, monitoring, and when to seek medical assistance.
Who Handles What During Infusion Therapy?
The prescribing provider establishes the medical treatment plan and physician orders.
The specialty pharmacy dispenses medications and provides applicable protocols, supplies, storage instructions, and medication-specific guidance.
The independent RN performs the prescribed nursing services within the nurse’s professional scope of practice.
TLC Nurse Solutions coordinates the nursing referral, scheduling, nurse availability, and registry-related communication.
For recurring treatments, providing future infusion dates as early as possible helps TLC explore nurse availability and support continuity.
Healthcare Facility Nursing Support
TLC Nurse Solutions also coordinates independent nursing support for healthcare facilities, surgery centers, rehabilitation environments, treatment centers, and other aligned healthcare organizations throughout California.
Facilities and professional partners should contact TLC regarding new assignments, requested shifts, additional coverage, recurring schedules, specialized nursing requirements, and changes affecting existing arrangements.
Helpful information includes the facility location, requested dates and shift times, required nursing qualifications, clinical expectations, documentation requirements, and anticipated duration of coverage.
For recurring programs, providing schedules in advance allows additional time to explore appropriate nurse availability and continuity.
Facility-specific clinical policies, medical orders, treatment decisions, and procedures remain the responsibility of the facility and appropriate healthcare professionals.
TLC coordinates the registry relationship, nursing opportunities, scheduling, and related administrative communication.
Explore Healthcare Facility Nursing Support for additional information.
Clinical Responsibilities, Documentation, and Billing
Medications, Physician Orders, and Medical Equipment
Questions about prescriptions, medication changes, dosages, laboratory requirements, treatment plans, or clinical recommendations should be directed to the appropriate prescribing provider or treating healthcare professional.
Medical equipment questions, including maintenance, replacement, and manufacturer instructions, should generally be directed to the responsible equipment provider or healthcare professional.
Independent nurses provide nursing services within their professional scope of practice and according to applicable physician orders, treatment plans, and pharmacy protocols when required.
TLC does not prescribe medications, modify physician orders, or independently direct medical treatment.
For additional guidance, review Do You Need Physician Orders for Private Duty Nursing?.
Nursing Documentation and Records
Independent nurses document nursing services, relevant assessments, clinical observations, and communications according to applicable professional requirements and the established arrangement.
For documentation, visit verification, or records maintained by TLC, please contact our coordination team.
Records maintained by physicians, hospitals, specialty pharmacies, laboratories, or other healthcare organizations should generally be requested from the organization responsible for those records.
Billing and Payments
For private-duty nursing arrangements established directly with TLC, clients receive invoices from TLC and make payments to TLC according to their Client Service Agreements.
Independent nurses submit their billing to TLC and do not separately bill clients or collect payment directly for nursing services coordinated through our registry.
TLC coordinates nursing services on a private-pay basis and does not bill Medicare, Medi-Cal, or private health insurance companies or submit insurance claims.
Clients may independently explore reimbursement through applicable insurance policies or other funding arrangements.
For additional information, visit Understanding Private-Pay Nursing and Pricing in California.
When nursing services are coordinated through a specialty pharmacy, healthcare facility, or another healthcare organization, billing follows TLC’s agreement with that organization. Patients receiving nursing through those arrangements are not responsible for TLC’s organizational billing.
Payment security: TLC will never contact you by email or text requesting that you change payment instructions or send funds to a different account. If you receive such a request, do not send payment. Call TLC directly at 510-780-1800 to verify the communication.
Nurse Case Management, Care Coordination, and Hospital Advocacy
Some clients benefit from additional nursing guidance when navigating complex medical needs, multiple specialists, frequent appointments, hospitalizations, or transitions between care settings.
TLC coordinates appropriately qualified independent Registered Nurses who may provide professional nurse case management, clinical communication, care coordination, and hospital advocacy as part of an established nursing arrangement.
Depending on the client’s circumstances and agreed-upon services, independent RN support may include:
- Nursing assessments and review of available clinical information.
- Communication with physicians, specialists, pharmacies, and other healthcare professionals.
- Assistance organizing existing treatment instructions and healthcare information.
- Coordination surrounding hospital discharge, rehabilitation, recovery, and follow-up appointments.
- Identification of clinical questions requiring clarification from the treating healthcare team.
- Assistance coordinating medical equipment, appointments, and healthcare resources when included in the arrangement.
- Nursing documentation, clinical communication, and continuity support when multiple professionals are involved.
Treating healthcare providers remain responsible for diagnoses, prescriptions, medical orders, and treatment decisions.
Independent RNs exercise their own professional clinical judgment within their licensure and the services established for the client.
TLC coordinates the registry relationship, nursing arrangements, scheduling, and administrative communication.
For more information, explore Nurse Case Management and Care Coordination and Hospital Advocacy and Private Nursing Support.
Planning Ahead for Nursing Support
You do not need to wait until nursing services are immediately required to contact TLC.
Advance planning provides time to discuss clinical needs, explore scheduling options, consider nurse qualifications, review service arrangements, and prepare for upcoming care.
This may be especially helpful before surgery, hospital discharge, specialty treatments, relocation, or an anticipated change in medical needs.
Early conversations also allow families and healthcare partners to ask questions and make informed decisions without unnecessary pressure.
Although short-notice nursing requests are welcome, nurse availability depends on the location, schedule, clinical requirements, and qualifications needed.
Our Advance Planning for Private Nursing Support resource offers additional guidance.
Nursing Support Throughout California
TLC Nurse Solutions coordinates independent nursing services throughout California, including private homes, healthcare facilities, recovery environments, and other appropriate care settings.
Availability varies according to the requested services, location, schedule, clinical requirements, and independent nurse availability.
Explore our California Service Area to learn more.
We Are Here to Help
Every client’s circumstances are different, and navigating nursing services can involve important decisions, unfamiliar terminology, and multiple healthcare professionals.
You are always welcome to contact TLC Nurse Solutions with questions about nursing arrangements, scheduling, coordination, or the next steps in exploring care.
We value open communication and want clients, families, independent nurses, and healthcare partners to feel informed, comfortable, and supported.
TLC Nurse Solutions coordinates scheduled nursing services and is not an emergency response provider. For medical emergencies, call 911.
Whether you are preparing for an upcoming nursing visit, considering additional support, or planning for future needs, our team welcomes the opportunity to help.
Contact TLC Nurse Solutions to discuss your needs.
TLC Nurse Solutions
Call or text: 510-780-1800
Email: info@tlcnursesolutions.com
Thoughtfully coordinated nursing support throughout California, with clarity, professionalism, and care.