Home Care Liaison Nurses and Home Care Coordinators

Our role is to work with the interdisciplinary team to coordinate a safe, cohesive discharge plan. Patients and families are included in this plan and are offered choices of available nursing agencies for patients who live outside of Monroe County or New York State. For patients who live within Monroe County or in Livingston County the 4 agencies listed below are available. Our nurses also assist with nursing home placement by preparing the assessment tool called the Patient Review Instrument or PRI.

For home care needs within Monroe County you may choose:

  • Visiting Nurse Service (VNS): You may need the assistance of a nurse, physical therapist or nurse's aide once you arrive home. Visiting Nurse Service, an affiliate of the University of Rochester Medical Center, provides quality home care for newborns to seniors, whether acutely ill, temporarily disabled, or requiring long-term care. Many services are covered by insurance, including Medicaid, Medicare, and private insurance. Call VNS at (585) 787-2233 or ask your nurse for more information.
  • Lifetime Care
  • Home Care of Rochester (HCR)
  • Livingston County Health Department

Home Care Liaison nurses or Home Care Coordinators are on site every day from 8 a.m. – 4:30 p.m. and are able to arrange for everything you will need at home. Our nurses are easily contacted via phone and pager by the nursing staff on all units in the hospital. They will then meet with you and arrange for:

Visits by:

  • Nursing
  • Physical, Occupational and Speech Therapy
  • Social Worker
  • Home Health Aides

Services:

  • IV Infusion
  • Tube Feeding (all formulas)
  • Wound Care
  • Medication Management
  • Symptom Management
  • Lab draws
  • Evaluation and Assessment throughout your recovery
  • Oxygen: for travel and in the home

Your potential needs for home care will be assessed throughout your hospital stay and all of your questions and concerns will be addressed quickly and efficiently by the home care staff.