Hands-on nursing care for the defined window after a hospital or surgical discharge.
Discharge instructions can feel overwhelming, and medication lists are unfamiliar. Andreen Robinson, MSN, RN visits your home directly, by appointment, for a defined recovery episode, up to 30 days following discharge, with hands-on care where appropriate and a clear plan for what comes after.
Families bringing a loved one home after a hospital, rehab, or surgical stay
- A medically stable patient returning home with new instructions, medications, or equipment
- Patients recovering from surgery who need nursing support until specific recovery goals are met
- Families who received discharge paperwork but didn’t have time to fully understand it
- Adult children coordinating a parent’s recovery, including from a distance
What this is
- Hands-on wound care, drain management, or medication administration, when provider-ordered
- Reviewing discharge instructions and clarifying what each one means
- Organizing questions about new or changed medications
- Explaining what a typical recovery looks like and what to watch for
- Preparing caregivers for routines they’ll carry between visits
What you’ll leave with
A defined recovery episode with a clear end point: nursing care while it’s needed, and a written plan for what changes once the goals are met.
Up to 30 days following hospital discharge, or until recovery goals from surgery are met, whichever fits your situation.
A safe, well-understood transition home, with discharge instructions followed correctly and early warning signs caught before they become a problem.
Each engagement ends with a written summary and a clear plan: continued self-management at home, a referral to ongoing services if needed, or step-down to an as-needed basis.
Situations this program helps with
A woman home after knee replacement with a folder of discharge paperwork she hasn’t had time to read. Her daughter is flying in for three days. They want to use that time well.
An older man discharged after a pneumonia hospitalization with four new medications, a follow-up with a pulmonologist in two weeks, and a wife who wasn’t at the discharge meeting.
A family managing drain output measurements and a wound check schedule from the discharge nurse. They wrote it all down but aren’t confident they understood it correctly.
What families ask before scheduling
What is included in the first visit?
We review all discharge paperwork together, go through the medication list, assess how you or your loved one is managing at home, and identify any specific concerns. You leave with written notes and clear next steps.
Do I need a physician referral to schedule?
No referral is required to schedule a consultation. If hands-on clinical care is needed—such as wound care or medication administration—your provider may need to issue orders prior to that care being provided.
Can you attend a follow-up appointment with us?
We help you prepare for follow-up appointments: organizing questions, clarifying what each visit is for, so you walk in ready. We do not accompany you to the appointment itself.
How many visits are typically needed?
This depends on your situation. Some families need one or two visits to feel confident. Others have clinical needs requiring visits across several weeks. We scope this together at the start.
What if something concerns me between visits?
We establish a clear plan at each visit for what to do if something changes—including which situations warrant a call to the provider, urgent care, or 911. HVPN does not provide on-call or same-day emergency response.
Is this covered by insurance?
HVPN is a private pay practice. Some long-term care insurance policies may reimburse private nursing services; documentation can be provided to support an inquiry.
When another provider may be more appropriate
HVPN does not provide emergency care, same-day dispatch, nurse staffing, overnight or continuous nursing coverage, personal care aide services, or home health agency services, and does not replace the treating physician, hospital, hospice, or a licensed home care provider. See our Terms of Use for full service scope.
Request a consultation
A brief, no-obligation conversation to confirm fit and schedule your appointment.
Request a ConsultationYou may also need: Medication Understanding & Safety Consultation, Caregiver Education & Coaching, or, for a wound that needs ongoing clinical attention, Complex Wound Recovery Program.
A defined recovery episode, not open-ended nursing coverage.
Request a consultation to discuss your situation. No obligation after a first conversation.
Request a Consultation