24 Hour Availability Skilled Nursing Restorative Therapy Medical Social Services Home Health Aide

Skilled Nursing

The following skilled nursing services are available through HomeCare of Hutchinson.

Observation and Assessment
Observation and assessment clinical indicators may include:

• Abnormal / fluctuating vital signs
• Weight changes
• Edema
• Symptoms of drug toxicity
• Abnormal / fluctuating laboratory values
• Respiratory changes on auscultation
• Medication changes

Management and Evaluation of the Care Plan

Teaching and Training Activities
Teaching activities requiring the skills of a nurse may include:

• Administration of injectable medications, or complex range of medications
• Complete diabetes management for newly diagnosed diabetic or caregiver
• Wound care where the complexity of the wound, overall condition of the patient, or ability of the caregiver makes teaching necessary
• Care of a recent ostomy or reinforcement of ostomy care if needed
• Self-catheterization
• Administration of gastrostomy or enteral feedings
• Administration of intravenous medications
• Performance of activities of daily living when the patient or caregiver must use special technique and adaptive devices due to a loss of function
• Transfer techniques and adaptive devices due to a loss of function
• Proper body alignment, positioning, and turning techniques for a bed-bound patient
• Prosthesis care and gait training

Administration of Medications

• Intravenous
• Intramuscular
• Subcutaneous injections and infusions
• Intravenous feedings

Nasogastric tube and percutaneous tube feedings

Nasopharyngeal and Tracheal suction - training is usually indicated

Catheters - Insertion, sterile irrigation, and replacement of catheters

Wound Care

• Direct hands-on wound care treatment
• Teaching of the wound care
• Skilled observation and assessment of the wound

Ostomy Care

• Teaching of ostomy care
• Treatment, observation and assessment of complications