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Continuing Care Clinic After a Hospital Stay

Nobody wants to return to the hospital shortly after being discharged. Saint Francis Medical Center’s Continuing Care Clinic aims to help patients take the necessary steps to stay out of the hospital.

“We provide ongoing management for their chronic disease,” says clinical coordinator, Bernadette Huston, MSN, RN, ACNS-BC, ACCNS-AG. “I am the patients’ advocate as they navigate the medical system.”

Bernadette Huston, APRN
Bernadette Huston, APRN

“I follow up with patients after a heart attack and with patients who have congestive heart failure,” says Huston. “I coordinate follow-up calls for discharged patients and provide information about nutrition, exercise and medication.”

When possible, patients see their primary care physicians shortly after discharge from the hospital. However, if that proves difficult, they can receive follow-up care at the Continuing Care Clinic. The clinic acts as a point of contact after discharge as the patient works to keep their disease under control.

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