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, treatment plan, care environment, and individual clinical 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 or the client’s authorized family representative whenever appropriate, as many routine scheduling matters can be addressed quickly through direct communication.

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.

Accurate and timely documentation helps support continuity of care, communication among healthcare providers, specialty pharmacy requirements, billing processes, and timely contractor payments.

To help ensure efficient processing, nurses are encouraged to:

• Submit documentation and invoices according to current TLC Nurse Solutions guidelines

• Ensure nurse notes accurately reflect visit dates, times, services provided, and any clinically relevant observations within the nurse’s scope of practice

• Verify that documentation and invoices are complete, consistent, and aligned with the care provided

If you have questions about documentation requirements, submission timelines, invoice formatting, or payment processing, our team is happy to help.

Thoughtful documentation supports continuity of care while helping clients, healthcare partners, specialty pharmacies, and the TLC Nurse Solutions coordination team remain informed throughout the care process.

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 of significant clinical events that may affect ongoing scheduling, continuity of care, or future nursing coordination.

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

• Concierge 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 Nursing 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

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 supporting independent nurses through clear communication, professionalism, thoughtful coordination, and continuity-focused collaboration throughout every assignment.

For scheduling, documentation, invoices, continuity planning, client coordination, or other registry-related questions, 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 guide you to the most appropriate resource.