Private duty nursing (PDN) is skilled, continuous nursing care for children who demonstrate a medical need to have a nurse care for them in the home.  PDN is performed by a licensed Registered Nurse (RN) or Licensed Vocational Nurse (LVN) under the supervision of an RN.  It requires physician’s orders and approval to determine the medical necessity and to determine the number of hours the child needs each week.  The purpose of PDN is to prevent prolonged and frequent hospitalizations and to provide nursing services in the most appropriate, least restrictive environment.  In other words, PDN helps keep a child at home where he or she belongs.  PDN consists of direct nursing care in addition to caregiver training and education designed to optimize the child’s health status and outcomes.  PDN can take place in the child’s home, a family member’s home, the child’s school, or the child’s daycare.

Possible diagnoses that would benefit from PDN services (all children must be approved by a physician and the child’s insurance company in order to qualify for PDN services, regardless of diagnosis) include, but are not limited to:


  • Ventilator Dependent
  • Tracheostomy
  • Seizure Disorder
  • G-tube Feedings
  • Esophageal Reflux
  • Oxygen Dependent
  • Acute or Chronic Respiratory Failure
  • Cardiac Conditions Requiring Skilled Monitoring
  • Hydrocephalus
  • Spinal Cord Injuries