After the hospital
The plan made in the hospital should survive the trip home.
The riskiest days of a hospital stay are the ones after it ends. Medications change, the wound plan lives on a printout, and the follow-up appointment is three weeks out. We fill that gap with clinician visits at home, starting when discharge happens, not when the calendar allows.
What the follow-up covers
The first weeks home, handled.
Wound assessment and continued treatment where a wound was part of the stay. Medication reconciliation against what the person is actually taking. Vitals and symptom checks that catch trouble while it is still small. And communication back to the discharging team and the primary physician, so nobody finds out at readmission what a home visit would have caught in week one.
Discharge planners can hand cases to us directly through the referral page. Families can call the moment a discharge date is set, even before the person is home.
Contact
care@nycwoundbridge.org877-48-WOUND · (877) 489-6863
Email the details, or call and talk it through. A real person follows up either way.