- Private duty nursing (PDN) is medically necessary continuous, substantial and complex skilled nursing services provided by a licensed nurse (RN or LVN) in a patient’s home and ordered by a physician
- PDN services provide nursing care and parent/guardian/responsible adult training and education intended to:
- Optimize client health status and outcomes
- Promote family-centered, community-based care as a component of an array of service options by:
- Preventing prolonged and/or frequent hospitalizations or institutionalization
- Providing cost-effective and quality care in the most appropriate, least restrictive environment
- PDN is not meant to replace parents or other legally responsible adults
- PDN versus other supportive care
- Skilled vs unskilled tasks
- Skilled tasks
- Use educated, professional nursing judgment, critical thinking and experience to make decisions and perform tasks
- Unskilled tasks
- Do not require nursing judgement
- Usually considered activities of daily living (ADLs)
- Skilled tasks
- Home health skilled nursing/home health aide
- Home health skilled nursing (SN) and home health aide (HHA) visits are when a client requires nursing services for an acute condition or an acute exacerbation of a chronic condition that can be met on an intermittent or part-time basis.
- Personal care services
- PCS are provided to clients who meet the definition of medical necessity and require assistance with activities of daily living (ADLs), instrumental activities of daily living (IADLs), and health maintenance activities (HMAs)
- PCS are necessary when a client is unable to accomplish these activities due to physical, cognitive, or behavioral limitation caused by a disability or chronic health condition
- Skilled vs unskilled tasks
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