The transplant case manager and the transplant nurse coordinator make arrangements for reporting test results and follow-up examinations to transplant surgeons, the referring nephrologist and the local physician. Post-transplant outpatient care is provided in the transplant clinics at The Johns Hopkins Hospital and the Johns Hopkins Bayview Medical Campus by the Transplant Team. The Transplant Team also discusses the progress of post-transplant patients at its weekly team meeting. The transplant nurse coordinators continue to educate and inform the patient after discharge. All patients have 24-hour access to the transplant nurse coordinator and physicians for telephone consultation.
Some patients have their long-term care provided by their local physician or nephrologist.
Copies of clinic notes and labs must be sent to the transplant office for these patients. The transplant team is always available for consultation. Clinic visits are weekly for six weeks, then every 2 weeks until 3 months, and then every 1 to 3 months. Blood tests will include a complete blood count with differential, chemistry panel, electrolyte panel, and magnesium and drug level measurements. Additional tests may be necessary depending on the patient's status.