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.