Clinical Governance & High-Acuity Care

Complex Clinical Care Capabilities

Prestige is organized, authorized, and clinically staffed to evaluate and accept high-acuity pediatric and adult cases that require specialized nursing oversight.

Refer a Hospital Discharge Case Submit Case Manager Referral Intake: 614-826-0222

Physician-Ordered Complex Protocols

Hospital-Grade Clinical Governance in the Home

Managing life-sustaining medical equipment and unstable clinical conditions at home demands specialized clinical expertise, rigorous nursing competency, and flawless communication.

Every complex care patient at Prestige receives comprehensive clinical oversight led by our Registered Nurse Director of Nursing. We validate every nurse's competencies on the patient's specific equipment, establish emergency action plans, and maintain 24/7 clinical on-call support.

Competency Validation

Hands-on equipment orientation and skills checklist sign-off.

24/7 Clinical On-Call

Immediate triage for active patients, families, and field nurses.

High acuity nursing care provided by Prestige Health Care Services

High-Acuity Home Nursing

Trach, Vent & Complex Care

Allowing technology-dependent children and adults to live safely with their families.

Clinical Protocols

Clinical Procedures & High-Acuity Competencies

Every procedure is executed in strict compliance with attending physician orders, clinical scope of practice, and established hospital-to-home protocols.

Respiratory ProtocolRN Oversight

Tracheostomy Airway Management

Routine & emergency inner cannula replacement

Sterile inline and open airway suctioning

Stoma skin assessment, cleaning & barrier maintenance

Emergency re-cannulation kit and obdurator standby protocol

Humidified collar & oxygen titration monitoring

Life-Support ProtocolRN Oversight

Mechanical In-Home Ventilation

In-home ventilator alarm verification & circuit maintenance

Dedicated backup ventilator and emergency battery testing

BiPAP, CPAP, and high-flow humidification oversight

Continuous pulse oximetry and capnography monitoring

Power failure utility priority registration support

Nutritional SupportRN Oversight

Enteral Nutrition & Infusion Management

Mic-Key button and PEG tube continuous pump feedings

Bolus feeding administration with gastric residual checks

Strict tube flushing and site granuloma prevention

Crushed & liquid medication delivery via enteral access

Port-a-Cath / PICC line sterile dressing changes & flushes

Neurology ProtocolRN Oversight

Neurological & Seizure Rescue Action Plans

Customized emergency seizure rescue action plans

VNS (Vagus Nerve Stimulator) magnet application

Emergency rescue medication administration (Diastat / Nayzilam)

Continuous post-ictal airway management and event documentation

Direct communication with treating pediatric/adult neurologists

Wound ManagementRN Oversight

Complex Wound Care & Sterile Dressings

Stage III and IV pressure injury sterile dressing changes

Negative Pressure Wound Therapy (Wound VAC) oversight

Surgical site care and drain management (JP / Hemovac)

Skin barrier protection and moisture management

Urological / Bowel ProtocolRN Oversight

Catheter & Elimination Management

Foley and straight intermittent catheterization (clean/sterile)

Suprapubic catheter site care and tube management

Colostomy and ileostomy appliance changes and skin protection

Strict bowel management regimens and neurogenic bowel routines

DME & Technology

Durable Medical Equipment (DME) Supported

Our clinical nurses are oriented and trained across industry-standard pediatric and adult life-support technologies.

Ventilators

Philips Trilogy (100/200/EV300), ResMed Astral (100/150), LTV series

Suction Machines

DeVilbiss, Drive, Medela high-vacuum continuous and portable units

Enteral Pumps

Moog EnteraLite Infinity, Cardinal Kangaroo Joey & ePump

Airway Clearance

Respironics CoughAssist T70, The Vest airway clearance systems

Oxygen Delivery

Continuous stationary & portable concentrators, liquid O2, BiPAP/CPAP

Patient Mobility

Invacare & Hoyer power lifts, ceiling track systems, standing frames

Scope of Practice & Safety Disclaimer: All nursing care is delivered strictly pursuant to an authorized plan of care signed by a licensed physician. Prestige nurses operate within the limits of the Ohio Board of Nursing Nurse Practice Act.

Hospital Discharge Planner Portal

Discharge Planners: Looking for a complex home care provider?

Fax clinical summaries directly to 380-215-3788 or submit a discharge referral online for prompt case review.

Hospital Discharge Referral 614-826-0222