Our case management staff is available to help you prepare for continuing
care after your hospital stay. These arrangements may include ordering
equipment such as wheelchairs, hospital beds, etc. for your home use,
supplying lists of rehabilitation centers, skilled nursing facilities
and board and care homes, or arranging details of your transfer home or
to another facility. Depending on your needs, case managers may also refer
you to the home health liaison nurse.
To reach the case management department, dial the operator. Or you may
ask your nurse for the case manager overseeing your discharge.
Checkout Time/Preparing for Discharge
Please plan to check out by 11 am. Your doctor will write your discharge
orders on your chart. If you stay in your room after 11 am, additional
charges may be necessary. Insurance usually will not cover an extra stay
after a patient has been released by the doctor. Please make transportation
arrangements prior to discharge, so the transition from hospital to home
will be as smooth as possible. Before discharge, your nurse will review
with you, your doctor’s instructions about diet, activity, medications
and follow-up care.
Some patients need more care, especially if they have had major surgery,
or have a complex medical problem that needs to be watched a little longer.
They do not require acute care services, but are not ready to be cared
for by their families at home.
These patients may only need a few more days of the skilled care of nurses,
or a couple of weeks to start learning new skills for living with the
help of physical and occupational therapists. They may need important
education about diabetes or dialysis. Sometimes families need to be there,
learning information that will be important in the weeks to come, because
they will be helping to care for the patient at home. If you need this
level of care, your case manager will assist in making the arrangements
for subacute care.
The St. Joseph Health – Sonoma County provides subacute services
at the Sotoyome Campus of Santa Rosa sites. An Acute Rehabilitation Unit
is located at the Fulton Campus.
Sometimes patients require home care following their discharge from the
hospital. St. Joseph Home Care provides services in your home including
case management, medication management, dietary counseling and symptom
management. Home care professionals include nurses, therapists, home health
aides, social workers and chaplains. If you think you might need home
care, please ask your doctor or nurse to contact your case manager early
in your hospital stay to arrange for a consultation. If you wish to make
the contact yourself, please dial 206-9124, or ask the operator for assistance.