Nursing Services

Private Duty Nursing

Private Duty Nursing is a shared program with the Aging and Long-Term Support Administration to provide in home skilled nursing care to Medicaid clients 18 years of age and older who would otherwise be served in an institutional setting.  These services can be provided through a Home Health or Home Care agency or by independent contracted RN’s. Clients must:

  • Meet the Private Duty Nursing rule
  • Require four hours continuous nursing care on a daily basis with complex medical needs
  • Have informal family support

Private Duty Nursing (PDN) hours are determined by DDA for up to 16 hours per day.  PDN can be provided in specialized adult family homes.  

Medically Intensive Nursing

Medically Intensive Nursing provides skilled nursing service to children ages 17 and younger.  These children have complex medical needs that requires a registered nurse to provide support.  Nursing services may be provided in the family home, foster home and in contracted medically intensive children’s group home and staffed residential homes.

Skilled Nursing

Skilled Nursing consists of independent nurses who are contracted with DDA to provide direct care services, consultation and nursing care for chronic long term nursing tasks.

Nurse Delegation

Nurse Delegation is a specific program where a non-nurse legally performs nursing tasks such as giving medication in a client’s home, an adult family home (AFH) or an Assisted Living home, in supported living, group training home or companion homes.  Nurse delegation is where a provider is “delegated” by a registered nurse to provide tasks that are usually performed only by a licensed nurse.  State law requires that when a task is “delegated” specific rules are followed, both by the nurse delegating the care and by the provider who performs the task.  The rules are written by the Nursing Commission, to make sure the public is safe, and that everyone who participates in nurse delegation does it in the same way.

Skin Observation Protocol

Skin Observation Protocol is the method used to check if there is a potential for a pressure injury. The CARE assessment is completed the skin observation protocol (SOP) may be triggered.  It is the policy for DDA to have the case manager refer to the appropriate nurse or nursing agency that SOP was triggered in CARE.  The nurse must perform a direct skin observation.

Health Home

Health Home is a network of services that provide coordination of primary, mental health and long-term services and supports.  Health home is focused on serving individuals with one or more chronic health condition who have been determined as frequent utilizers of emergency services and hospitalization, thus identified as high-risk/high-cost Medicaid clients.