Compassionate in-home nursing care for pediatric and adult patients with complex medical needs.
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Private Duty Nursing (PDN) is skilled hourly care provided by an RN or LVN. In coordination with the patient’s family and as ordered by a physician, care is delivered one on one in the comfort of the patient’s home for periods of 8-12 hours per day. Depending on their diagnosis and medical needs, most patients can qualify for 40 hours to 168 hours per week of PDN.
To help patients live safely, confidently, and as independently as possible.
Private Duty Nursing provides one-on-one skilled nursing care in the home, delivered by an RN or LVN, for patients who require ongoing medical support beyond what can be provided through intermittent home health visits.
Eligibility is based on medical necessity and is determined by your physician and insurance plan. Children on Medicaid STAR Kids and adults on Medicaid STAR+PLUS may qualify if they require continuous skilled care. Many commercial insurance plans also offer PDN benefits.
PDN can support a wide range of diagnoses, including:
• Prematurity and complex neonatal conditions
• Genetic and metabolic disorders
• Developmental disabilities
• Neurological disorders
• Respiratory conditions requiring trachs or ventilators
• Feeding tube dependence
• Chronic illnesses requiring continuous monitoring
Hours are determined by the patient’s medical needs and insurance authorization. Care can range from 8-hour nursing shifts up to 24-hour continuous care, depending on what is approved for your loved one.
Home health typically provides short, intermittent visits (30–60 minutes).
PDN delivers extended, hourly, one-on-one nursing care, often several hours a day, and is designed for medically fragile individuals requiring continuous monitoring and intervention.
Care is delivered by licensed RNs and LVNs who undergo specialized training. At Strive, all nurses receive ongoing competency training in our in-office labs to ensure skills match the patient’s specific needs.
Yes. Depending on insurance approval and the patient’s needs, PDN may be provided at home, school, daycare, or other approved locations.
Our clinical team reviews your loved one’s medical needs, care plan, equipment, and daily routines. We then match nurses based on their training, experience, and comfort level with the required skills.
Strive works to provide coverage whenever possible. If your primary nurse is unavailable, we may offer a qualified substitute nurse who has completed required competencies for your child or loved one.
All nurses go through hands-on skills training and ongoing competency checks in Strive’s dedicated training labs. This includes ventilator management, trach care, feeding tubes, seizure protocols, emergency response, and more.
A referral is typically initiated by your physician. Our team will contact you, review the clinical documentation, submit requests to insurance, and guide you step-by-step until services are approved and staffed.
Strive is in network with most Medicaid Managed Care Organizations and multiple commercial insurance plans. You can review our full list of accepted plans on our Insurance & Coverage page. Our team can also help review your benefits and determine eligibility for PDN.
Your nurse will follow your physician’s orders and care plan, support daily routines, monitor health status, and communicate closely with your family and Strive’s clinical team. You can expect consistent updates and collaborative care.
Yes. Strive provides PDN for pediatric and adult patients, each with age-appropriate goals, considerations, and care plans.