Table 2.

Sample schedule for transitional care unit program

Sample Schedule
Week 1: Welcome to the TCU
 Explain purpose of TCU and introduce team members
 Discuss patient’s goals, concerns, and fears
 Adjust hemodialysis prescription and medications
Week 2: Education
 Discuss benefits, risks, and expected outcomes associated with IHD, HHD, PD, kidney transplant, and conservative care
 Discuss vascular access types
 Discuss and address vaccination
 Adjust hemodialysis prescription and medications
Week 3: Ongoing education and selection
 Continue education with home therapies team
 Facilitate interaction with other patients on home dialysis
 Allow patients to see and experience HHD equipment
 Ascertain decisions about continuation of dialysis and dialytic modality
 Initiate referral for creation of vascular access (as applicable)
 Adjust hemodialysis prescription and medications
Week 4: Graduation
 Transition to appropriate dialysis setting
 Confirm plan for creation of vascular access
 Confirm transplant evaluation appointments
 If conservative management is selected, then arrange palliative care or hospice
 Discuss advanced care planning
  • TCU, transitional care unit; IHD, in-facility hemodialysis; HHD, home hemodialysis; PD, peritoneal dialysis.