IM Medications Other Specialized Services Provided

• Physical Therapy (PT)
• Speech language
• Pathology (SLP)
• Occupational Therapy (OT)
• Medical Social workers (MSW)
• Home Health Aides (HHA)

Catheter

• Inserting or changing Foley catheter
• Observing contents, amounts etc.
• Observe hydration
• Obtaining sterile urine
• Teaching-catheter care, including irrigation
• Straight cath for residual

Diabetic Teaching

• Signs and symptoms of hyper/hypoglycemia
• Skin and foot care
• Insulin injection technique
• Diet teaching

Wound Care

• Remove sutures, care of drain, packing etc (with specific orders)
• Observing surgical incision
• Teaching aseptic procedure
• IVAC Certified

Eye Care (Post Cataracts)

• Sterling dressing
• Assess interactions of drops & medications with an additional skilled need

Ostomy Care (case-by-case basis)

• Change of new stoma, dressing, observation of discharge, care of skin
• Teaching ostomy care
• Irrigation
• Diet of colostomy patient
• Skin and wound assessment and care

Vital Signs

• Assess BP readings, apical/radial pulse quality and rate, respiratory rate and temperature. If patient is stable, vital signs alone are not alone skilled care.

NG Tube, J Tubes, G Tubes

• Inserting or changing NG Tube
• Instructing care of tube, feeding formula, etc.
• Instruction on use of pump.

Lab WorkOnly in conjunction with an additional skilled need. Venipunctures to determine blood levels but not necessarily limited to:

• Protime
• Blood glucose
• CBC
• Blood specimens
• Chemistry profile
• Drug levels--diagoxin--theophylline and dilanti

Bowel & Kidneys

• Digital removal of fecal impactions
• Bowel and bladder training

Orthopedic Care

• Post-up (i.e. TKR, THR) care and observation
• Cast care
• Teaching, rehabilitation measures