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Our nurses are on call 24/7. Pediatric Home Care with Passion

Qualifications for Pediatric Home Care Services

Primary Healthcare providers are essential in the identification of children who requires home care services. Medicaid, the primary payor of pediatric home health care service, will deny any authorization request that does not have the doctor’s signature on it. If you believe that your young one has a physical trauma, chronic medical condition, other complex diseases, or discharge from the hospital from a long-term illness, in that case, you might benefit from home health services.

Some medical conditions that might make your child a candidate for home healthcare include:

  1. Requirement for a Feeding Tube:

The inability of a child to swallow foods, medicines, or liquid by mouth or not eating enough by mouth will sometimes result in the need for a feeding tube. Examples of a feeding tube include Nasogastric Tube ( NG Tube) and Nasojejunal Tube ( NJ Tube). No operation is required to insert these tubes.

Young happy child being cared for by a Physical Therapist

NG Tubes: This type of feeding tube allows your child to receive meals directly in their stomach temporarily. This process requires a soft polyurethane tube inserted into your child’s food canal through the nose by a qualified doctor or nurse.
NJ Tubes: Due to a particular disease process, some children may not tolerate feeding to their stomach, and as a result, may require the feeding tube to be inserted in a different part of the intestine. We refer to this type of tubing as Nasojejunal or NJ tube.
Note: NG and NJ tubes may be very irritating to your child’s nose, and some children may play with and pull the nose tube. For this reason, it is essential to have a tape close by and request proper training on how to insert the lines in case they come out.
Gastrostomy Tube ( G Tube): Most of the time, a child may find it very unpleasant to have a tube run through their nose, and some may require a more extended feeding tube period. In this case, a gastrostomy tube will be the most preferred. A line is inserted directly through your child’s stomach by a doctor during an endoscopy procedure or other operations with this type of feeding.
Note: The insertion of the G Tube may require your child to stay at the hospital for a few days for recovery. The endoscopy process requires that a flexible tube be inserted through the nose to the child’s stomach to examine the abdominal area for proper operation.

2. Infants born prematurely:

Complication may exist for most infants delivered between 24-32 weeks. If discharged home, these infants will benefit from the care of home health nurses.

3. Compromised Children with Neurological Disorders:

Home health care is a good recommendation for any child with disorders such as

  • cerebral palsy
  • Magraine Headache
  • seizure
  • Autism
  • Dysexia
  • Attention Deficit Hyperactivity Disorders ( ADHD)
  • complicated syndrome diseases
  • etc.
4. Compromised Children with Respiratory Disorders:

Respiratory issues are one reason a child will need home health. Some diseases to be aware of include:

  • Complicated traumatic brain injury
  • A child dependent on a ventilator
  • Bronchopulmonary dysplasia
  • Permanent or temporary tracheostomy
  • Complex syndrome disease, etc.

Pediatric Home Health Services and Staff Duties:

Primary Healthcare providers are essential in the identification of children who requires home care services. Medicaid, the primary payor of pediatric home health care service, will deny any authorization request that does not have the doctor’s signature on it. If you believe that your young one has a physical trauma, chronic medical condition, other complex diseases, or discharge from the hospital from a long-term illness, in that case, you might benefit from home health services.

Helpful young female nurse assisting a child while sitting beside her in room.

The list of healthcare professionals that may be involved in the care of your child at home include:

  • Primary Care Provider ( PCP)
  • Registered Nurse ( RN)
  • Licensed Vocational Nurse ( LVN)
  • Physical Therapist ( PT)
  • Occupational Therapist ( OT)
  • Speech Therapist ( ST)
  • Medical Social Workers (MSW)
  • Nutritionist
  • Personal Attendant Service ( PAS)

Home Rehabilitation for a Child with Longer Term Disability:

Rehabilitation of a child at home is the primary goal of pediatric home health care. Rehabilitation also requires a range of other vital services that a child needs for daily survival. These services include assisting the child when PT, OT, ST, or other team members are not working with them. In other words, the child might need assistance with bathing, grooming, toileting, feeding, cooking, and laundry assistance.
A child is receiving oxygen mask during a home health rehabilitation
  • Also, there must be a plan of care in place to properly manage the child’s care. Nurses are responsible for creating a plan of care for proper coordination of the child’s care.

There must be a 24 hrs pharmacy and durable medical equipment company available if there is a crisis that requires the child to need these services.

Some essential equipment that you may need during an emergency at home during care for a child include:

  • CPAP Machine
  • BiPAP Machine
  • Ventilators
  • Oxygen Concentrators
  • Feeding Tubes
  • IV Pumps etc.

Resources that may help the family cope with the long-term illness of their loved child include:

  • Chaplain/counselor referral
  • Education to Manage pain as
  • appropriate
  • Instructions on the use of feeding tubes
  • Instructions on the proper suctioning method
  • Education on tracheostomy care
  • Instruction on the use of respiratory equipment
  • Involvement in the child’s care
  • Provision of hospice care as needed.
An occupational therapy complete a session with a disabled child.

Our Services

Our pediatric services focus on the care of newborns to children of 21 years old. Our team members specialize in ensuring that these kids get all the care they need to recover quickly from their illness or live comfortably during the cause of their rehabilitation in our home health care.

Primary Care Provider (PCP)

 The PCP  oversees the care of every child in our pediatric home health agency. He ensures that every child  is appropriate for the the home service before admission. He writes the order for initiation of care, and directs the treatment of each child until discharge. 

A nurse hanging an IV to be infused

RN

The RN Creates the plan of care and coordinates the patient’s care based on the method of care. Supervises other healthcare teams who are involved in the care of the child. The RN Reports any change in condition to the PCP and follows the plan of care to assess patient improvement.
A pediatric LVN sitting with a child that she cares for.

LVN

The LVN plays a critical role in the care of a pediatric patient. The LVN reports to the RN and assists in the clinical evaluation and ongoing maintenance of the child. Depending on the child’s condition, the LVN may care for the child 24 hrs a day while following the care plan.
Pediatric therapist sticking kinesiology tape on boys leg

Physical Therapy (PT)

Our dedicated therapy staff is professionals with the training to care for children with disabilities. Providing regular therapy sessions allow each child to perform at their best, increasing the opportunity for recovery.

Medical Social Worker (MSW)

Medical Social Workers assist patients and families with psychosocial needs, including providing community and health resources to improve care. MSW ensures that the patient does not lack the essential resources needed to care for the child.
Social Worker Talking To Mother And Children At Home
Child exercising with young therapist during occupational therapy

Occupational Therapy (OT)

Our Occupational therapists create an individualized program of activities for the child. Some areas of focus by our OT include dressing, writing, holding, throwing and catching, organizing, and self-regulation.

Personal Care Attendant (PCA)

At iServe Healthcare, we provide the best in pediatric personal attendant service. Our dedicated personal attendants are trained to specifically care for children with special needs at their homes providing personal care as needed.
Home health aide smiling with a child with a heart shape sign
A speech impaired little girl at speech therapist office

Speech Therapy

Our dedicated Speech Therapist provides exceptional care to every child who has speech impairments such as oral muscle weakness, hearing impairment, autism, moto plaining problems, Cleft lip or cleft palate, etc.

Dietitian

Most children are malnourished due to their medical condition, which hinders their eating ability. Whether tube feeding or oral feeding, our professional dietitian ensures that children in our care get the proper nutrients in their meals to sustain life.
Pediatric dietitian writing down list of items in clipboard