Nursing services
Adult Private Duty Nursing
Skilled nursing support for adults living with chronic illness, disability or complex medical needs — at home, on their own terms.
Care that fits an adult life
Adults who need nursing at home are often managing far more than a condition. There are jobs, studies, relationships, routines and independence worth protecting. Nursing support should work around those things rather than replace them.
Our role is to provide the skilled nursing part — safely and consistently — so that the rest of life stays as much the person's own as possible.
Living with complex or chronic conditions
Private duty nursing may be considered for adults whose conditions require skilled monitoring or intervention through the day or night rather than occasional visits.
This includes adults with long-term disabilities who have had nursing support since childhood and are continuing it into adult life, and adults whose needs have changed after an illness, injury or hospitalization.
- Respiratory support needs, including tracheostomy or ventilator dependence
- Neuromuscular and progressive neurological conditions
- Spinal cord injury and other complex physical disabilities
- Ongoing enteral feeding or infusion needs
- Complex medication regimens requiring nursing administration
- Post-hospital recovery with continuing skilled nursing needs
Dignity, privacy and self-direction
Care happens in someone's home, which means it happens in their space, on their schedule, around the people they live with. We expect our nurses to behave accordingly.
Adults direct their own care wherever they are able to. Where a guardian or healthcare agent is involved, we work with them while keeping the person at the center of the conversation.
Coordinating with the wider care team
We communicate with primary care providers, specialists, case managers and waiver coordinators so that nursing at home is part of a coherent plan rather than an isolated service.
How services may be authorized
Private duty nursing is usually authorized before care begins. A physician or other authorized provider orders the nursing care, the payer reviews the request, and the approved hours are written into the plan of care. We can walk families through what their own payer requires and what documentation is typically involved.
Questions
Frequently asked questions
What is private duty nursing?
Private duty nursing is skilled nursing care provided in the home by a registered nurse (RN) or licensed practical nurse (LPN) over an extended shift, rather than in short visits.
It is intended for people whose medical needs require ongoing nursing attention — monitoring, intervention and clinical judgment — throughout part or all of the day or night.
What does the nurse actually do during a shift?
They follow the written plan of care that your doctor ordered. In practice that usually means watching for changes, giving medications on schedule, looking after any medical equipment, and stepping in if something needs attention.
They also write down what they see, so the next nurse and your doctor know how the day or night went.
Can the nurse give medications?
Yes, when a doctor has ordered them. Our nurses give scheduled and as-needed medications, including ones given through a feeding tube or an IV, and record each one.
What a particular nurse can give depends on their license and the written plan of care.
How do we get started?
Call us, or email our intake team with a short, non-clinical description of what you are looking for. There is no form to fill in.
We will arrange a conversation to understand the situation, explain what would be involved, and tell you honestly whether we are able to help — including the staffing realities in your area.
Please do not send medical records, diagnoses or detailed health history by email or fax. We will tell you how to share clinical information securely when the time comes.
More in our resources and FAQs.
Related nursing services
Private Duty Nursing
Extended-shift skilled nursing at home for children, adults and seniors with ongoing medical needs.
Pediatric Nursing
Individualized skilled nursing for children with complex medical needs.
Senior Nursing
Compassionate skilled nursing for older adults, delivered at home.
Talk to us about nursing care at home
Tell us what is going on and we will tell you honestly whether we can help, and what the next step would be.