Nurse Coordinator
Short Description
The nurse coordinator is your first call after transplant. They triage symptoms, arrange labs and visits, manage refills, translate instructions into plain English, and route you to the right clinician fast.
Main Priorities
- Triage & next steps: decide if something needs home care, a same-day lab, a clinic visit, or the ER.
- Labs & scheduling: place standing orders (e.g., troughs before morning dose), book clinic, imaging, or biopsy.
- Medication flow: process refills, prior-auth follow-ups, pharmacy routing, and clarify timing around labs.
- Education: wound care basics, activity/lifting limits, hydration goals, and what to watch for.
- Care coordination: loop in your nephrologist, pharmacist, surgeon team, or social work as needed.
Issues They Work With
- Symptoms: fever, GI upset, less urine, swelling/rapid weight gain, wound redness or drainage, high BP.
- Lab logistics: missing orders, “do I take meds before labs?”, when and where to draw, how results are shared.
- Refills: running low, specialty pharmacy delays, mail-order hiccups, travel overrides.
- After-hours or outside care: you were seen in an ER/urgent care—what to do next and what records they need.
When to Go to Them
- New or worsening symptoms (not a 911 level emergency): call for triage and clear instructions.
- Before labs when timing is unclear (e.g., trough draw before the morning dose).
- Refills: request with a few business days’ lead time; sooner for specialty meds.
- Planning travel: lab schedule, extra doses, and what to do across time zones.
- Efficient call/message: have your med list with times, last doses, home BP/weight, pharmacy info, and symptom timeline.
What They Don’t Handle (Boundaries)
- Final diagnoses and dose changes — those come from your provider.
- Insurance approvals, copays, billing questions — financial coordinator/insurer.
- Ongoing counseling or complex social needs — social worker.
- Emergencies (chest pain, severe breathing trouble, confusion) — use 911 or ER per on-call guidance.