Our Services

What we do: Our licensed nurses follow prescriber orders and the “five rights” of medication safety—right patient, right medication, right dose, right time, and right route—on every visit. In the home setting we commonly administer oral medications, inhalers and nebulized therapies, and enteral medications through G‑tubes or J‑tubes. When a child requires insulin or other time‑sensitive therapies, we coordinate dosing windows with meals, school schedules, and therapy appointments so your family’s routine stays predictable. We never supply medications or devices; our role is professional nurse staffing to carry out the plan of care, document in real time, and alert the care team if something changes.

How it supports your child: Families tell us the hardest part of complex care is keeping everything consistent. Our nurses check medication lists against discharge papers and pharmacy labels, clarify questions with the prescriber’s office, and teach practical habits like using a weekly pill organizer, labeling syringes for G‑tube use, and setting reminder timers. With medically fragile children, small changes—missing a dose, doubling a dose, or mixing up routes—can set progress back. By tracking vitals, symptoms, appetite, sleep, and behavior alongside dosing times, we catch early patterns (for example, drowsiness after a new medication, or stomach upset when feeds and meds are too close together) and share those observations with your providers so they can adjust orders if needed.

Safety and documentation: Every visit includes identity checks, allergy review, expiration checks, and a quick inspection of medication storage. For enteral routes, nurses verify placement per policy and flush as ordered. We document what was given, the time, the route, and the child’s tolerance, then note any caregiver teaching performed that day. If a dose is held due to provider guidance (for instance, low blood glucose for insulin or low blood pressure for certain medications), that rationale is documented and communicated. Our nurses follow hand hygiene and infection‑prevention steps throughout, especially when working around feeding tubes or respiratory support equipment.

For parents and caregivers in Georgia: This service is designed to relieve mental load while keeping you in control. We’ll set up simple calendars or checklists that match how you like to manage your home, whether that’s a paper binder or a secure digital note. We don’t overwhelm families with medical jargon; we teach by connecting each step to your child’s comfort and safety. If new medications are ordered after a hospital or clinic visit, we help that transition feel smooth by confirming availability with your pharmacy, reviewing the label with you, and scheduling the first home dose at a time that fits your routine.

Bottom line: Medication administration is about more than handing a dose. It’s about predictability, safety, and partnership—so your child can heal, grow, and participate in family life while professional nurses carry out the details correctly every time.

What we do: Our hygiene care focuses on dignity, routine, and prevention. Trained caregivers provide age‑appropriate bathing (tub, shower, or bed‑bath as appropriate), oral care, hair and scalp care, nail hygiene, diapering or toileting support, and fresh linens. We pay close attention to skin folds, pressure points, and areas around devices so moisture doesn’t linger and small irritations don’t become infections. If your child uses braces, orthotics, or a wheelchair, we clean the skin under contact points and check for early redness. Because many children have sensory preferences, we take the time to learn what water temperature, washcloth textures, shampoos, and routines feel calming to your child.

Why it matters in everyday life: Clean, moisturized skin is the first layer of defense against rashes and breakdown. Families managing complex care have a lot on their plates—feeds, therapies, appointments—and hygiene can become a struggle when a child resists or when caregivers are exhausted. We make care feel predictable by scheduling hygiene at your preferred time of day and pairing it with comforting activities like music or a favorite show. For children with mobility challenges, we respect body mechanics and use gentle repositioning, pillows, and wedges so the process is safe and comfortable from start to finish.

Observation and communication: Hygiene time is also observation time. While assisting, our caregivers watch for changes in skin, swelling, bruising, unusual odors, signs of fungal irritation, or any discomfort your child shows when certain areas are touched. We report observations promptly so your nurse or provider can decide whether treatment is needed. We can also reinforce therapy carryover (for example, hand‑over‑hand toothbrushing) to build independence step by step.

Respect for your home and culture: Your family sets the standards for privacy and modesty, and we follow them. We tidy the area when finished, dispose of waste appropriately, and help set up a small hygiene “station” so supplies are always at hand—soap, clean towels, wipes, diapers, barrier creams, toothbrushes, and a simple caddy. If your child has a favorite bath routine or needs visuals to understand steps, we’ll use those tools consistently to reduce anxiety.

In Georgia, for your family: Our role is support, not judgment. Some days are hard; we meet your child where they are. Whether your goal is a quick refresh before school or an unhurried evening bath with hair care, we adapt. Over time, many families find hygiene becomes a positive, connecting part of the day—your child feels fresh and comfortable, and you feel the relief of having consistent help you can trust.

What we do: Getting dressed should feel calm and predictable. Our caregivers assist with dressing and undressing, from choosing outfits to fastening zippers and buttons, always respecting your child’s preferences and sensory needs. If your child uses orthotics, casts, braces, or has lines and tubes, we adapt clothing (like side‑snapped onesies or loose tops) to reduce friction and keep devices undisturbed. We can help with seasonal layering, school uniforms, adaptive shoes, and spare outfits packed for clinic or therapy days. While we assist, we encourage small steps of independence: picking socks, pulling up a sleeve, or closing one zipper—whatever feels achievable today.

Why it matters: Dressing is more than a task; it’s part of identity and confidence. Children who experience frustration with clothing can begin to resist school, community outings, or therapy. By making dressing predictable and comfortable, we lower stress for the whole household. We also protect your child’s skin and devices by avoiding tight waistbands near G‑tubes, keeping trach ties clear when shirts go over the head, and guiding slow, safe movements for children with limited range of motion. If a child fatigues easily, we break the process into short steps and build rest in between.

For parents in Georgia: We keep communication simple—what worked today, what didn’t, and what we can try tomorrow. If mornings are busy, we can prep outfits the evening before. If school staff use different routines, we’ll align so your child experiences the same steps everywhere. We respect your laundry preferences and keep dressing areas tidy so everyone can find what they need. Over time, many families notice fewer meltdowns and smoother transitions because the first routine of the day starts off right.

Safety and teamwork: While dressing, we use gentle positioning and support safe transfers if a child needs help standing or moving. We watch for redness at brace contact points, skin irritation around devices, and signs of discomfort when certain joints are moved. We share those observations with your nurse or provider so small concerns never become big ones. Most importantly, we pace ourselves to your child—celebrating small wins and making sure they feel seen, comfortable, and proud.

Bottom line: With the right support, dressing turns from a daily struggle into a moment of confidence and calm that sets the tone for the day.

What we do: Our RNs and LPNs collect and trend vital signs at ordered intervals, interpret results in the context of your child’s baseline, and escalate per the plan of care. We commonly track heart rate, respiratory rate, blood pressure as ordered, oxygen saturation, temperature, and observable pain cues. For children with respiratory needs, we verify pulse‑ox sensors are placed correctly and note any changes related to position, activity, or treatments. We do not supply equipment, but we help ensure that the devices you already use are clean, functioning, and used according to instructions.

Why it matters: Subtle changes in vitals can tell a story before symptoms appear. A gradual rise in resting heart rate may signal dehydration or early infection. A drop in oxygen saturation during feeds may suggest reflux or aspiration risk. By pairing vitals with notes about sleep, intake, stooling, secretions, and comfort, we create a full picture for your providers. That level of detail leads to better decisions—sometimes averting an ER visit because a small adjustment at home solves the issue.

Communication and documentation: We document readings in real time with exact times and device details (for example, “SpO₂ 95% on room air; probe rotated to left foot”). When numbers fall outside parameters, we follow your care plan—reposition, suction if ordered, pause feeds, or recheck after rest—and contact the provider when thresholds are met. For school‑aged children, we can coordinate with school nurses so plans remain consistent across settings. Families receive clear summaries: what we watched, what we did, and what to look for overnight.

For Georgia families: Vital signs can feel scary when you’ve had a stressful hospitalization. Our nurses explain what each number means for your child specifically, not just the textbook range. We keep the atmosphere calm and child‑friendly, turning checks into quick, predictable steps. If your child is sensitive to touch or medical equipment, we pace slowly, use simple choices, and celebrate cooperation. Over time, children often feel proud of “helping,” and parents gain confidence reading their child’s patterns alongside us.

Bottom line: Vital signs monitoring is a safety net. With professional eyes on daily trends—and quick action when something changes—your child can stay home, comfortable, and connected to the activities that matter most.

What we do: Breathing should feel easy. Our nurses administer inhaled medications via nebulizer or metered‑dose inhaler with spacer per provider order, confirm device hygiene and filters, and evaluate response with pulse oximetry and symptom tracking. When chest physiotherapy or airway‑clearance techniques are ordered, we perform them at the best times of day for your family’s routine—often before school or bedtime. We do not provide or sell equipment; we staff licensed nurses who use the equipment you already have and ensure it’s used correctly.

How we keep care child‑centered: Many kids dislike masks, noise, or the feeling of mist. We make treatment time predictable with soft verbal cues, gentle countdowns, and choices that build buy‑in: “blue mask or dinosaur mask,” “song A or song B.” We pause if your child coughs, reassure them, and resume when ready. For older children, we teach spacer technique and how to breathe slowly so medication reaches the right parts of the lungs. We also track what makes breathing better or worse—seasonal triggers, lying flat, excitement after school—and share those patterns with your provider.

Prevention and escalation: Consistency prevents setbacks. We help set a simple schedule that aligns with meals, school, and therapies. If we notice rising work of breathing, increased secretions, fevers, or dropping saturations, we follow your plan of care for suctioning if ordered, repositioning, humidification checks, and timely provider calls. If your child uses non‑invasive support like CPAP/BiPAP under a physician’s plan, we can reinforce mask fit, skin protection at contact points, and cleaning routines while monitoring comfort and tolerance.

For Georgia families managing respiratory conditions: Our goal is fewer crises and more good days. We explain the “why” behind each step in everyday language: clean equipment reduces infections; slow breaths help medication reach small airways; sitting upright during feeds can reduce coughing. We provide calm, reliable help so you don’t feel alone. Over time, parents tell us their child coughs less at night, tolerates activities better, and misses fewer school days because treatments are done right and done on time.

Bottom line: Respiratory treatments work best when they’re comfortable, consistent, and well‑coordinated. With nurse support at home, children breathe easier—and families do, too.

What we do: Tracheostomy care is detailed and time‑sensitive, so our pediatric nurses keep it calm and predictable. We perform site care using clean or sterile technique per order, change ties as directed, monitor skin under the flange, and verify that humidification is adequate for comfort. When suctioning is ordered, we assess need (audible secretions, increased work of breathing, dropping SpO₂), pre‑oxygenate per plan, suction using the prescribed catheter size and technique, and document tolerance and secretion characteristics. We ensure spare trach tubes, ties, and emergency supplies are within reach and not expired. We do not supply equipment; we staff nurses who follow your physician’s plan.

Teaching and teamwork: Families are the constant in trach care. We reinforce what your hospital team started—hand hygiene, suction depth, frequency, and recognizing plugs early. We review emergency steps calmly and practice what‑ifs so everyone, including siblings or alternate caregivers, knows where supplies are and what to do. If a child attends school, we communicate with the school nurse to keep routines consistent across settings. We also coordinate with respiratory therapy and ENT when your provider schedules changes like downsizing or capping trials.

Comfort and dignity: Children can live full, joyful lives with a trach. We help treatment fit into family life—reading a favorite book during ties change, using soft lighting at night, and protecting skin with gentle barrier products approved by your provider. For children with sensory differences, we move slowly, explain each step, and validate feelings so care feels safe rather than scary. We celebrate progress: fewer plugs, easier sleep, and more comfortable days.

For Georgia families at home: Home is where children recover best when support is consistent. Our role is to make trach care feel manageable day after day. We track patterns—more secretions with pollen, dryness after heater use, coughing during certain positions—and share them with your provider so small adjustments can keep your child comfortable. With reliable nurse support, families tell us they sleep better, feel prepared for emergencies, and see their child enjoy everyday moments without fear.

Bottom line: Safe trach care is about skilled hands and steady hearts. We bring both—so your child can breathe easier and your family can focus on life together.

What we do: Our nurses support safe, consistent enteral feeding so your child grows and feels comfortable. We verify placement according to policy and the prescriber’s plan, set up pump or bolus feeds, and time water flushes to protect the tube and stoma. We track intake and output, record tolerance (gagging, coughing, retching), and watch for signs of reflux or constipation that could make feeds uncomfortable. We do not provide equipment or formula; we staff licensed nurses who use your existing supplies, teach best practices, and document thoroughly. We also protect skin around the stoma with gentle cleaning and barrier products recommended by your provider, and we note redness, leakage, or granulation tissue so the care team can respond early.

Comfort and routine: Many children associate feeding time with stress after a long hospital stay. We slow things down, keep lights soft, and pair feeds with soothing activities—story time, music, or a favorite show. For daytime bolus feeds, we build a simple routine that fits school or therapy schedules. If your child uses a pump overnight, we help you create a safe setup that prevents tangles and keeps alarms easy to hear without waking the household all night. We also help families organize supplies so the space stays clean and calm.

Teaching: Caregivers learn hands‑on skills at a relaxed pace: priming tubing, venting, burping the button as ordered, and keeping formula handling sanitary. We explain the ‘why’ for each step—flushes prevent clogs; upright positioning reduces reflux; slow rate increases comfort—so you feel confident adapting to your child’s needs. We provide simple checklists you can share with school nurses or respite caregivers, keeping routines consistent across settings.

Troubleshooting: When something feels off—slower flow, frequent alarms, or tenderness at the site—we assess and take appropriate steps within the plan of care: pausing a feed, checking for kinks, repositioning, or contacting the provider if parameters are not met. If dislodgement occurs, we follow your provider’s instructions, protect the site, and coordinate next steps promptly. Early communication prevents small issues from becoming emergencies.

For families across Georgia: G‑tube care becomes manageable with steady, respectful support. Our goal is to bring comfort back to feeding and give you back family time. With consistent nurse staffing, children often tolerate feeds better, gain energy for play and therapy, and experience fewer urgent trips to the hospital.

What we do: Clear airways help children rest, feed, and play. When suctioning is ordered, our nurses assess need based on breath sounds, visible secretions, work of breathing, cough effectiveness, and oxygen saturation trends. We perform oral, nasal, or tracheal suctioning using clean or sterile technique per order, with the correct catheter size and depth. Before and after suctioning, we observe color, heart rate, and comfort, and we allow recovery time between passes. We never supply equipment; instead, we ensure your existing machines, tubing, and canisters are clean and set up correctly according to your provider’s instructions.

Comfort‑first approach: Suctioning can feel startling. We keep the process predictable with calm voices, gentle positioning, and a brief explanation or countdown so your child knows what to expect. For children with sensory sensitivities, we use soft desensitization strategies—presenting the catheter to touch first, pairing with a favorite song, and stopping if distress escalates. Our goal is effective clearance with the least stress possible.

Prevention and hygiene: Good routines reduce how often suctioning is needed. We encourage hydration as allowed, verify humidification if ordered, and support airway clearance therapies that thin secretions. Equipment hygiene matters: we reinforce the provider’s instructions for rinsing, replacing, and storing supplies. We also track when suction tubing or filters were last changed so nothing is forgotten during busy weeks.

Observation and escalation: We document secretion color and thickness, frequency of suctioning, SpO₂ response, and your child’s tolerance. If we notice patterns—thicker secretions with seasonal allergies, coughing during feeds, or increased suctioning at night—we share them with your provider so the plan can be adjusted. We follow the care plan for when to call the provider or seek urgent care, and we make sure families know those steps too.

For Georgia families: With regular nurse support, many parents report fewer nighttime scares and more confidence handling airway needs at home. Suctioning becomes one part of a calm routine, not a crisis, and children can focus on being kids.

What we do: Observation is the steady presence that keeps home care safe. Our team tracks the small patterns that add up: sleep quality, appetite, intake and output, comfort, mood, device status, skin condition, and response to routines. Unskilled caregivers observe and report; licensed nurses assess, interpret, and intervene within scope according to the plan of care. We use simple, family‑friendly logs so you can see changes at a glance without feeling buried in paperwork.

Why it matters: Kids change quickly—growth spurts, new therapies, seasonal illnesses. A shift in behavior or energy level can be the earliest sign your child needs a tweak to the care plan. Because we see your child regularly, we notice when “normal” starts to drift and we share that with your provider before issues become emergencies. That proactive approach prevents unnecessary ER visits and helps families feel in control.

How we communicate: We summarize observations in clear, everyday language and connect them to your goals: more comfortable nights, better school mornings, fewer missed therapies. When families consent, we coordinate with school nurses and therapists so everyone follows the same plan. If a provider requests documentation for authorizations or follow‑up, our nurses support that process by sharing accurate, timely notes from the home.

Respect for family life: Observation should never feel intrusive. We fit into your routine, support privacy, and keep common areas tidy. We offer gentle ideas—like adjusting calming activities before bedtime or trying a different feeding position—so home life gets easier over time. You choose what works for your family; we’re here to support and report back.

For homes across Georgia: With consistent observation, families gain peace of mind. Children feel seen and supported, and small course corrections keep care on track between provider visits.

What we do: Gentle, regular repositioning protects skin, supports comfort, and helps breathing and digestion. Our caregivers follow your child’s prescribed turning schedule—often every two hours during the day and as directed at night—using pillows, wedges, and careful body mechanics. We assist with safe transfers to wheelchairs or adaptive seating and make sure lines, tubes, and devices remain secure. We also tidy bedding, smooth wrinkles, and replace damp linens to keep the skin dry and comfortable.

Why it matters: Children who spend more time sitting or lying down are at risk for pressure injuries on heels, hips, sacrum, and shoulders. Early redness is the first sign skin needs relief. We check those areas frequently and adjust positions so pressure doesn’t build. Repositioning can also reduce reflux during or after feeds and make breathing easier by opening the chest. Over time, consistent routines decrease discomfort and help children tolerate school and therapy activities longer.

Comfort and safety first: We move at your child’s pace, explaining steps and using gentle touch. If a child startles easily or has spasticity, we pause and support joints carefully. We watch for changes in tone, pain cues, or dizziness and document responses. For children with braces or orthotics, we protect skin under contact points and pad edges that rub. Our staff are trained in transfer safety to protect both your child and the caregiver.

Partnering with families in Georgia: We work with your preferences—preferred pillows, favorite blanket, the playlist that makes nighttime turns calmer. We suggest simple systems like placing a small clock card or phone reminder for the next turn time so everyone stays on the same page. If school or therapy uses different seating, we communicate so positioning strategies stay consistent across settings.

Bottom line: Repositioning is a quiet but powerful part of home care. Done well, it prevents injuries, eases breathing and digestion, and makes daily life more comfortable for the whole family.

What we do: Clear communication keeps everyone aligned—family, nurses, therapists, and prescribers. Our nurses gather accurate information from each visit (vitals, symptoms, tolerance of treatments, device status) and share concise updates with the provider’s office when the plan of care calls for it. We help coordinate paperwork the provider requests for authorizations or orders and make sure messages include the details clinicians need to act quickly. We do not replace your provider; we support their decisions by giving a real‑time picture from home.

Why it matters: Many setbacks in complex care are communication problems—messages missed, changes not documented, or families repeating stories. By channeling observations into clear, timely updates, we shorten the time from “something’s changing” to “the plan is adjusted.” That means fewer frustrating calls, fewer duplicative appointments, and care that actually reflects what your child is experiencing day to day.

How we partner with you: You decide your preferred communication flow—email summaries, a shared binder, or structured notes you can take to clinic. If English isn’t your first language or you prefer plain terms, we use wording that’s comfortable for you. We can also provide simple logs to send with your child to school or therapy so every setting reflects the same plan. When your provider wants additional data (for example, a week of oxygen saturations during sleep), we help you collect it in a manageable way.

Respect and boundaries: We protect your family’s privacy. We only share information with clinicians and partners you authorize and follow HIPAA expectations in how we handle documentation. If a provider’s office is closed and the plan of care requires action, we follow on‑call instructions and document the steps we take so everyone is informed the next business day.

For Georgia families: Navigating multiple specialists can be overwhelming. With consistent, professional communication, families tell us they feel heard and supported—and that their children’s plans match real life at home.

What we do: Activities of Daily Living (ADLs) are the building blocks of independence—eating, mobility, toileting, grooming, and simple routines that make a day flow. Our caregivers provide calm, respectful assistance tailored to your child’s abilities and preferences. That may include mealtime setup and cueing, safe use of mobility aids, toileting or diapering with dignity, hand‑washing and toothbrushing, and support during transitions like getting ready for school or winding down for bed. We align with your therapy team’s strategies so small skills grow over time.

Family‑centered approach: Every child is unique. We learn what motivates your child—stickers, songs, choices—and we use those motivators to turn ADLs into positive habits. For children who become overwhelmed by transitions, we rely on visual schedules, timers, and consistent language to reduce uncertainty. If a child avoids certain textures or smells, we adapt tools and products to keep the routine tolerable while still effective.

Safety and health: During ADLs we watch for signs of fatigue, pain, skin irritation, or device concerns and report them promptly. We protect skin with barrier creams as instructed, keep hydration in mind during warm Georgia days, and support safe body mechanics during transfers. We keep bathrooms and common areas tidy after care so the home stays organized and calm.

Building skills over time: The goal isn’t perfection; it’s progress. We break tasks into simple steps and celebrate small wins—holding a spoon a little longer, taking two more steps with a walker, washing hands with fewer prompts. We share what worked so you can repeat successes when we’re not there. When school or therapy teams use different techniques, we coordinate so your child experiences the same sequence everywhere.

Bottom line: With steady support, ADLs become less stressful for the whole household. Your child experiences more success each week, and you gain the breathing room to enjoy family life between appointments and therapies.