Private Duty Nursing for Medically Complex Children & Adults
RN and LPN care at home for individuals requiring extended skilled nursing, technology-dependent care, complex medication management, and continuous clinical monitoring.
Continuous Clinical Oversight in the Comfort of Home
Prestige Health Care Services provides continuous, scheduled nursing care delivered by licensed Registered Nurses (RN) and Licensed Practical Nurses (LPN). We specialize in managing technology-dependent care, fragile airways, and complex clinical regimens so that patients can thrive safely at home.
Specialized High-Acuity Home Nursing
Every case is matched to nurses trained specifically in the patient's diagnoses and equipment.
Pediatric Complex Care at Home
Medically fragile infants, children, and adolescents require gentle, attentive, and highly competent nursing. Prestige supports families with school attendance, home life, and continuous medical routines.
Tracheostomy Care
Airway suctioning, cannula changes, and continuous monitoring.
Mechanical Ventilation
In-home ventilator alarm checks, circuit care, and backup battery safety.
G-Tube / Enteral Nutrition
Mic-Key button feeding, pump calibration, and medication administration.
Seizure Precautions
Rescue medication protocols (Diastat / Nayzilam) and rapid neurological triage.
Oxygen & Respiratory Monitoring
Pulse oximetry oversight, BiPAP / CPAP, and high-flow humidification.
Complex Medication Regimens
Multi-drug schedules, sterile line infusions, and precise dosing.
Congenital & Genetic Conditions
Bronchopulmonary dysplasia, cardiac anomalies, and metabolic disorders.
Neuromuscular Disorders
SMA, muscular dystrophy, cerebral palsy, and specialized mobility assistance.
Transitioning a Child from Children's Hospital to Home?
Our clinical intake team coordinates with children's hospital discharge planners, attending pediatricians, payers, and family members to evaluate home nursing needs and staffing capacity before discharge.
Procedures & Clinical Interventions We Provide
Every Prestige nurse is oriented to the patient's specific plan of care and validated for clinical competency by our Director of Nursing.
Tracheostomy & Airway Management
Suctioning, cannula cleaning and replacement, emergency stoma care, and continuous airway assessment.
Mechanical Ventilator Support
Monitoring ventilator settings, circuit maintenance, emergency power protocols, and respiratory assessment.
G-Tube & Enteral Nutrition
Continuous pump feeds, bolus feeds, tube site care, residual monitoring, and medication administration via tube.
Seizure Precautions & Protocol
Emergency rescue medication administration (Diastat/Nayzilam), VNS therapy, and seizure event logging.
Catheter & Ostomy Care
Foley and straight intermittent catheterization, colostomy/ileostomy pouch management, and skin integrity.
Central Line & Infusion Oversight
Port/PICC line site dressing management, sterile technique flushes, and intravenous medication coordination.
Oxygen Therapy & Pulse Oximetry
Continuous O2 titration, pulse oximetry monitoring, nebulizer treatments, and airway suctioning support.
Complex Medication Regimens
Multiple daily scheduled and PRN medications, injectable therapies, and detailed clinical documentation.
How Private Duty Nursing Starts
From clinical evaluation to scheduled shift coverage, our Director of Nursing manages every phase of case transition:
Clinical Referral & Record Intake
Case managers, hospital discharge planners, or families submit physician orders, active 485 plans, and diagnosis summaries.
RN Comprehensive In-Home Assessment
Our Director of Nursing conducts an in-depth clinical evaluation of patient acuity, airway protocols, equipment, and routine.
Payer Authorization & Nurse Matching
We secure prior authorization through Ohio Medicaid, MyCare, or OWCP and match experienced RNs/LPNs to the family's schedule.
Supervised Orientation & Start of Care
Nurses undergo case-specific shadowing and equipment validation before independently beginning scheduled shift coverage.
How Private Duty Nursing is Covered in Ohio
Most continuous nursing services are funded through Ohio Medicaid programs, waiver allocations, MyCare Ohio, or Federal OWCP / Private Pay.
Ohio Medicaid State Plan PDN
Covers continuous skilled nursing services for Medicaid-eligible children and adults meeting clinical necessity criteria.
Ohio Home Care Waiver (OHCW)
Provides waiver nursing and personal care for individuals age 59 and under requiring intermediate or nursing facility level of care.
MyCare Ohio / Medicaid MCOs
Direct coordination with CareSource, Buckeye, Molina, AmeriHealth, and Humana for authorized in-home nursing hours.
Federal OWCP & Commercial Insurance
Coverage through Federal OWCP programs or commercial insurance for work-related conditions and extended skilled care.
Private Duty Nursing Questions & Answers
Common questions from families, physicians, and case managers regarding continuous home nursing in Ohio:
Need to Evaluate a Medically Fragile Case?
Our clinical intake coordinators and Director of Nursing evaluate medical summaries and assess regional nurse capacity promptly.