1. Shadowing program The collaborative agreed that a good way appreciate others viewpoints is to see what is involved with their job. This allows for understanding and mutual respect.The collaborative agreed that a good way appreciate others viewpoints is to see what is involved with their job. This allows for understanding and mutual respect. Holly Fuscaldo and Kelly Cookson set up the programHolly Fuscaldo and Kelly Cookson set up the program Staff of rehab/nursing home nurses and admission coordinators followed hospital nurses and case managers through their morning in the spring.Staff of rehab/nursing home nurses and admission coordinators followed hospital nurses and case managers through their morning in the spring. In the fall rehab/nursing home nurses and admission coordinators invited the hospital nurses and the case manager to follow their morningIn the fall rehab/nursing home nurses and admission coordinators invited the hospital nurses and the case manager to follow their morning

2. Outcomes of the program The nurses together determined that nurse to nurse report would be valuable. This would allow for a better understanding of the patient that they would be receiving.The nurses together determined that nurse to nurse report would be valuable. This would allow for a better understanding of the patient that they would be receiving. It would give the nurses a chance to have a direct communication on a nursing level.It would give the nurses a chance to have a direct communication on a nursing level. This provides time to ask questions that would be valuable to help with smooth transition of the patient to the next level of careThis provides time to ask questions that would be valuable to help with smooth transition of the patient to the next level of care

3. Outcomes of the program SCH added Nurse to Nurse report into the nursing policy and procedures manualSCH added Nurse to Nurse report into the nursing policy and procedures manual Over all it has been well received and has effectively continued to improve the communication across settingsOver all it has been well received and has effectively continued to improve the communication across settings The nurses bonded and reciprocated attending the facility whom they had been paired with.The nurses bonded and reciprocated attending the facility whom they had been paired with.

4. Outcomes of the program Allowed staff from each care setting to appreciation each others roles, challenges, and necessary skill sets.Allowed staff from each care setting to appreciation each others roles, challenges, and necessary skill sets. Case Managers have begun quick meetings twice a week to review patients. “A take away” from the Nursing Home Experience.Case Managers have begun quick meetings twice a week to review patients. “A take away” from the Nursing Home Experience. All agree that the paperwork on discharge is overwhelming.All agree that the paperwork on discharge is overwhelming. SCH Case manager have developed a sticker to identify the difference between the hospital medications and the doctors orders to help clarify the discharge paperwork until we are able to have electronic discharge instructions and Inter agencies.SCH Case manager have developed a sticker to identify the difference between the hospital medications and the doctors orders to help clarify the discharge paperwork until we are able to have electronic discharge instructions and Inter agencies.