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Skilled Nursing Care

Skilled Nursing Care is provided by a Licensed Practical Nurse (LPN) or a Registered Nurse (RN) The following are examples of skilled nursing services:
  • Administration of intravenous medication
  • Administration of intramuscular injections, hypodermoclysis, and subcutaneous injections only when not able to be self-administered appropriately
  • Insertion, replacement, and sterile irrigation of catheters
  • Colostomy and ileostomy care, excluding care performed by recipients
  • Treatment of decubitus ulcers when:
    • deep or wide without necrotic center
    • deep or wide with layers of necrotic tissue
    • infected and draining
  • Treatment of widespread infected or draining skin disorders
  • Administration of prescribed heat treatment requiring observation by licensed nursing personnel to adequately evaluate the recipient’s progress
  • Restorative nursing procedures (including related teaching and adaptive aspects of nursing), which are a part of active treatment and require the presence of licensed nurses at the time of performance
  • Complex wound care requiring packing, irrigation, and application of an agent prescribed by the physician.


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