Foundations Module 3.3: Care Transitions and Roles of the Rehabilitation Nurse

This course includes one recorded video and two Behavioral Scenarios. You will need to review all of this course content, then receive a 70% or higher passing grade on a quiz, and lastly complete an evaluation to receive your certificate and complete this course. You will have access to this course for 1 year, starting on the purchase date.

As stated in the ARN Core Curriculum, care transitions are “The movement of patients with acute or chronic illnesses across the continuum of care between various healthcare settings as care needs change.” This course provides valuable teachings so you have the knowledge to facilitate effective care transitions for your rehabilitation patients. In addition, the program will guide you on the development of interprofessional relationships and fostering effective interprofessional collaboration. 

Learn more about the Foundations Curriculum >

Learning Objectives

  • Define the patient and system factors of care transitions along the health care continuum
  • Identify the role of the rehabilitation nurse in facilitating the patient through the care transitions
  • Develop interprofessional relationships
  • Recognize the roles of the interprofessional team members
  • Participate in the interprofessional team process
  • Foster effective interprofessional collaboration
  • Represent the discipline of nursing while participating on the interprofessional team
  • Communicate pertinent information regarding the client to the interprofessional team
  • Recognize and respect diversity and roles within the interprofessional team
Available credit: 
  • 1.00 CNE
    ANCC The Association of Rehabilitation Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
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Barbara Winters-Todd DNP, RN, CRRN has been with Encompass Health since 2006. She has had a varied nursing career to include Rehabilitation, ICU, Home Health and Oncology. She has held positions with the organization as Director of Education, Employee Health, Infection Control and Safety Officer in North Alabama, a member of the ACE IT team, and currently Manager, Clinical Documentation. In addition she works with the Nursing Leadership Board and Quality Leadership Board focusing on developing a Quality Dashboard. Barbara has actively participated in numerous Joint Commission surveys and served as a past Co-Chair for the Joint Commission disease specific Hip Fracture program in North Alabama.




Sue Bolyard, RN, CRRN, WCC has 33 years experience as an LPN, 12 years as an RN with 29 years in Rehabilitation Nursing. Sue graduated from Excelsior College in September of 2008 with an Associate Degree in Nursing.  Sue was the Hospital Educator from April of 2005 to April 2016. She was the SCI Team Leader. PASC coordinator for several years and taught FIMS for 14 years. She is a Clinical Excellence Educator for Encompass Health for the CRRN, Hip Fracture Course and also the SCI Course. She was a Super user for HealthStream and a now the Nurse Manager since April 2018. She also received her Wound Care Certification in 2016.




Mary Ullrich, MSN, RN, CRRN

Kristen L. Mauk, PhD, DNP, RN, CRRN, GCNS-BC, GNP-BC, FAAN

Christine Cave, RN MSN CRRN HFS

None of the planners or presenters for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Notice of requirements to receive contact hours:

1 Nursing Contact Hours will be awarded for individuals who participate in the full activity and complete the post-evaluation for the activity. The ability to view or accept credit for this product expires on 7/2/2024.

The Association of Rehabilitation Nurses (ARN) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Available Credit

  • 1.00 CNE
    ANCC The Association of Rehabilitation Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.


Member cost:
Non-member cost:
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