Hospital & discharge referrals
Helping people transition from hospital back home
SA Community Support provides Support at Home services and community nursing across Metropolitan Adelaide, Adelaide Hills, Barossa and Clare Valley.
Returning home after hospital can create new clinical and practical challenges.
SA Community Support can discuss appropriate community nursing and Support at Home pathways for people who require additional support following discharge.
We may assist with:
- Post-hospital nursing
- Wound care
- Medication support
- Continence and catheter care
- Diabetes management
- PEG and enteral feeding support
- Personal care
- Daily living support
- Transport and appointments
- Community access
- Ongoing support at home
Referral information
Where available, please provide the discharge summary, medication information, relevant clinical documentation, current support arrangements and the person's immediate support needs.
The process
What happens after you refer?
1. Referral received
Our team receives and reviews the referral information provided.
2. Information clarified
Where necessary, we contact the appropriate person to clarify the referral, current services, needs and next steps.
3. Pathway confirmed
We identify the appropriate service pathway based on the person's circumstances, approved arrangements and service requirements.
4. Assessment and planning
Where nursing assessment or other assessment is required, the appropriate professional completes the relevant assessment and contributes to care planning.
5. Services commence
Once the appropriate arrangements are confirmed, agreed services can commence.
6. Ongoing communication
Where appropriate and authorised, we communicate with relevant members of the person's healthcare team and respond to changes in needs.
Refer a client
You can make a referral online or contact our team directly.