Private Duty Nursing Coordination
Licensed nursing support for clients requiring skilled observation, recovery assistance, medication oversight, IV therapy, wound care, or higher-level clinical attention, coordinated and overseen by a critical-care-trained registered nurse.
Skilled nursing care delivered and overseen in the home.
Private duty nursing refers to one-on-one skilled nursing care delivered to a single client, typically in the home setting. Unlike hospice or home health (which are time-limited and insurance-driven), private duty nursing is ongoing, flexible, and structured around the specific medical needs of the client.
WholeHealth Concierge coordinates licensed private duty nurses for clients who require professional clinical attention that exceeds what a caregiver, companion, or home health aide can provide. Every engagement is overseen by a critical-care-trained registered nurse who supervises the clinical work, communicates with the family, and adjusts the care plan as conditions change.
Clinical situations that call for private duty nursing.
Private duty nursing is appropriate when a client's needs exceed routine support and require licensed clinical judgment.
- Post-surgical recovery requiring wound monitoring, drain management, or IV antibiotic therapy
- Complex medication regimens with high-risk drugs (insulin, anticoagulants, opioids)
- Chronic conditions with frequent clinical changes (CHF, COPD, advanced kidney disease)
- Tracheostomy, feeding tube, or ventilator support at home
- Active cancer treatment with infusion, port care, or symptom management
- Hospice or palliative scenarios requiring continuous skilled monitoring
- Recovery from stroke, traumatic injury, or neurological events
Clinical oversight, not just a scheduled nurse.
Hiring a private duty nurse on your own is logistically possible but clinically risky. Most families lack the training to evaluate competency, supervise care plans, catch clinical errors, or know what to do when conditions change.
WholeHealth Concierge's private duty nursing model is built around three coordinated layers:
- Vetted nursing staff. Licensed registered nurses and licensed vocational nurses screened for skill alignment with the client's needs.
- Clinical supervision. A critical-care-trained RN reviews the care plan, communicates with the family, and oversees clinical decisions across shifts.
- Family communication. Structured updates and a single clinical point of contact so the family is never left in the dark about how their loved one is doing.
This structure is the difference between buying a nursing shift and getting clinically organized care.
Coordinate skilled nursing care at home.
Speak with our team about private duty nursing for your situation. We will assess clinical needs and structure a care plan that works for your home and your family.
Researched. Factual. From the field.
Direct answers grounded in current healthcare practice and research.
What is the difference between private duty nursing and home health?
Home health is a Medicare-defined benefit, typically physician-ordered, short-term, and structured around specific recovery goals. Private duty nursing is private-pay, ongoing, flexible, and structured around continuous client need rather than insurance authorization. Many families layer private duty nursing on top of home health to add the continuity insurance does not cover.
Do you provide 24-hour care?
Yes. Engagements range from a few hours per day for medication oversight and wound checks to 24-hour shifted nursing for clients with complex needs. Staffing is built around what the client actually requires.
What is the difference between an RN and an LVN in private duty nursing?
Registered Nurses (RNs) are trained for the broadest scope of clinical assessment, care planning, and complex medication management. Licensed Vocational Nurses (LVNs) work under the direction of an RN and handle routine clinical tasks, wound care, medication administration, and observation. WHC coordinates the right level based on the clinical scenario.
How is private duty nursing billed?
Services are billed privately, typically hourly. Specific rates depend on the level of nursing required (RN versus LVN), shift length, and any specialty services included. Some long-term care insurance policies reimburse for private duty nursing when criteria are met.
Can you start private duty nursing right after a hospital discharge?
Yes. Hospital discharge is one of the most common entry points. We can coordinate skilled nursing to begin the same day or next day to ensure recovery is supported during the highest-risk first week post-discharge.