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Private Duty Nursing Services

Access Nursing Services provides personalized care in the community or the comfort of your own home. From custodial care including assistance with activities of daily living provided by a Certified Nursing Assistant to technical nursing services provided by a Registered Nurse or Licensed Practical Nurse, our Registered Nurse Supervisors will customize a care plan specifically for you or your loved one under the direction of a Physician. We’re experienced in providing quality care to pediatric, adult, and geriatric patients.

After discussing your needs, our Registered Nurse Supervisor will perform an assessment and develop a written Plan of Care specific to you and your family’s preferences. Then, nurses or nursing assistants are carefully selected to meet your needs and execute the plan. The Registered Nurse Supervisor will follow up with regular visits to supervise the care and adjust the plan as needed. These supervisory visits take place every 30–90 days or as regulations require. Each client is assigned a designated Care Coordinator. Your Care Coordinator is a valuable resource who will: monitor the client and caregiver relationship, assist with scheduling replacement caregivers as needed, and provide patient and family support.

Skilled Nursing Services

Access Nursing provides skilled nursing services to both pediatric and adult patients, especially medically fragile children. Skilled nursing consists of complex medical care which is performed by either a Registered Nurse (RN) or a Licensed Practical Nurse (LPN) to achieve the medically desired result. Skilled nursing services are ordered by a Physician, and are directly related to the Plan of Care established by the Physician and our Registered Nurse Supervisor. These services include but are not limited to:

  • Ventilator Dependent
  • Tracheostomies
  • Respiratory Diseases/Disorders
  • Gastrointestinal Disorders
  • IV Therapies
  • Transplant Patients
  • Gastrostomies
  • Neurological Disorders
  • Chromosomal Abnormalities
  • Cardiac Anomalies
  • Endocrine Diseases/Disorders
  • Quadriplegic/Paraplegic
  • Arthrogryposis Multiplex Congenita
  • Mitochondrial Disease
  • Cystic Fibrosis
  • Traumatic Brain Injury (TBI)
  • Spinal Cord Injury (SCI)

Custodial Care Services

Custodial services are provided to a person to improve skills for activities of daily living. They include measures which can be safely and adequately performed by someone without the technical skills of a Registered Nurse or a Licensed Practical Nurse. They are usually delivered to the disabled and the elderly. This type of services may or may not be ordered by a Physician. These services are typically provided by a Certified Nursing Assistant (CNA) or Geriatric Nursing Assistant (GNA). To ensure quality of care, these caregivers are routinely monitored by our Registered Nurse Supervisors. These services include but are not limited to:

  • Activities of Daily Living
  • Bathing, Toileting, Dressing
  • Meal Preparation
  • Medication Reminders
  • Laundry
  • Light Housekeeping
  • Respite Care
  • Home Safety
  • Mobility Assistance
  • Alzheimer’s/Dementia care
  • Hospice Care Assistance