Post-Transplant & Complex Medical Recovery

Recovering from a transplant is not just another hospital discharge — it’s the start of an entirely new chapter that demands precision, vigilance, and trust.
At Scott Preferred Care, our ICU-trained nurses provide around-the-clock post-transplant support so that patients can heal safely in their own homes while maintaining the same level of clinical oversight they received in the hospital.

• Strict Medication Management & Timing
  Anti-rejection medications must be administered at precise intervals. A single delay or missed dose can compromise the graft. Our nurses manage every schedule down to the minute, verify dosing accuracy, and monitor for side effects.
   
• Infection Prevention & Environmental Control
  Newly transplanted patients are highly immunosuppressed. In hospitals and rehab facilities, exposure risk is unavoidable. At home, our nurses maintain a controlled, sanitized environment — minimizing outside exposure while providing dedicated care.
   
• Continuous Clinical Monitoring
  We track vital signs, fluid status, and wound sites in real time and communicate directly with your transplant coordinator or physician at the first sign of change.
   
• Nutritional & Hydration Oversight
  We guide and monitor dietary intake to support organ health, fluid balance, and recovery, adjusting as directed by your care team.
   
• Emotional Support & Family Education
  Our nurses teach families how to recognize early warning signs and help create a calm, confident home environment.
   

Transplant patients managed in their own homes experience:

• Fewer hospital readmissions
   
• Lower infection rates
   
• Greater emotional stability and rest
   
• Improved medication adherence
   
• Faster functional recovery
   

Because healing after transplant isn’t only medical — it’s personal.

A 58-year-old woman received a kidney transplant after years of dialysis. Her physicians recommended a short stay in a rehabilitation center, but her family feared exposure to infection. They contacted Scott Preferred Care within 24 hours of discharge.

Our transplant-trained nursing team established a 24-hour private duty rotation with direct coordination from her transplant coordinator.
During the first month:

• Every dose of immunosuppressant medication was timed and documented to the minute.
   
• The home was prepared as a sterile zone, with strict hand-hygiene protocols and limited visitor access.
   
• Her RN monitored fluid balance, wound integrity, and lab draws daily, relaying results directly to the transplant center.
   

Within six weeks, her lab values were stable, her incision fully healed, and her transplant physician noted that her recovery was “textbook perfect.” The patient described the experience as “the first time I felt truly safe outside of a hospital.”

Today, she enjoys an active lifestyle and has not required a single readmission since her transplant.