Send patient-facing after-visit message (plain language + red flags).

You send Ny. M and her daughter a clear after-visit message summarizing the plan in plain language.

The message reinforces that the sudden right-sided weakness and difficulty speaking require immediate assessment at the emergency department. It also reminds the family not to delay the referral and explains what to do if Ny. M develops worsening weakness, reduced consciousness, seizure, severe headache, or vomiting during transport.

Ny. M arrives at the emergency department, where the receiving team can review the telemedicine documentation and understand the reason for urgent referral.

The clear communication and complete EMR record support a smoother handover and continuity of care.

Outcome: safer escalation, clearer communication with the family, and better continuity between telemedicine and emergency care.