After lengthy and complex hospital stays, follow-up care is exceedingly important. Unfortunately, it’s not uncommon for patients and their families to head home without a full understanding of what they are supposed to do next. This week’s episode highlights the work of Diane Bassett, RN, who recently helped a patient set up home care, find a primary care physician, and set up appointments with specialists after a patient was discharged without clear instructions after a catastrophic accident.