Private Duty Nursing
RN or LPN one-to-one nursing for medically complex children, in the home.
Pediatric Private Duty Nursing · Northeast Florida
Skilled pediatric nursing, every hour of every day.
Marvallous Always Cares.
Skilled in-home nursing for medically complex children — vent, trach, G-tube, seizures — delivered by RNs and LPNs trained in pediatric private duty. Shifts run up to 12 hours, and we build round-the-clock coverage from a small, consistent rotation of nurses your child knows.
Shift length
Up to 12 hr
Coverage
Up to 24 / 7
Rotation
A small, fixed team
Same nurse, every shift.
Trained on your child's plan before day one.
Level 2 background screened
FDLE fingerprint · licence verification
Pediatric PDN trained
Vent, trach, G-tube, seizure protocols
Hospital-to-home coordination
We work with your discharge planner
Shifts up to 12 hours
Round-the-clock coverage by rotation
Please note: our home health agency licence application is pending with Florida AHCA. We are taking enquiries now and will confirm coverage and start dates once licensure and payer enrolment are complete.
Our standard
The Marvallous Promise.
Every nurse we put on your child's case has to pass a single question first: would we trust them with our own child? If the answer is anything but an absolute yes, they don't make it onto the schedule.
Level 2 background screen
FDLE fingerprint, drug testing, licence verification, AHCA exclusion check.
Pediatric PDN required
Minimum one year of pediatric private duty. Hospital floor RN experience preferred.
Trained on your child's plan
Vent settings, seizure protocol, feed rates, communication device — before the first shift.
Family trains the nurse
You teach us your child's cues. We don't move to solo shifts until you say go.
Types of care
Skilled nursing built around a real child's day.
Pediatric Private Duty Nursing (PDN) and the supporting hours that hold your family together.
Vent & Trach Care
Ventilator management, trach changes, suctioning, and emergency response.
G-Tube & Feeding
Pump management, bolus feeds, button site care, and refeed protocols.
Seizure Care
Protocol-driven response, rescue medication, and post-ictal monitoring.
Respite Care
Planned breaks for parents, with a trained nurse holding every routine and protocol.
Hospital-to-Home
Discharge coordination, equipment setup, and a nurse at home for the day you come home.
Around the nursing hours
The support that wraps around your child's clinical care.
Because a care plan that only covers the medical hours leaves the rest of family life to fend for itself.
- Respite for parents
- Overnight coverage
- Family caregiver training
- Therapy reinforcement
- Appointment escort
- Equipment troubleshooting
- Sibling support presence
- Care coordination
- Medication admin & refills
- Wound care
- Central line care
- Catheter & ostomy care
Conditions we support
Trained for the diagnoses our families are actually living with.
Our pediatric nurses don't get assigned to your home until they've trained on your child's specific equipment, protocols and routines.
Ventilator Dependent
Trilogy, LTV, Astral. Settings management, alarm response, weaning support.
Tracheostomy
Inner cannula changes, suctioning, emergency response, decannulation.
Seizure Disorders
Refractory epilepsy, Lennox-Gastaut, VNS, rescue protocols.
Cerebral Palsy
Positioning, transfers, feeding support, therapy reinforcement.
Congenital Heart
Single ventricle, HLHS, post-surgical recovery, saturation monitoring.
NICU Graduates
Apnoea monitors, oxygen, NG/G-tube feeds, growth tracking.
Spina Bifida
Catheterisation, bowel programme, shunt monitoring, skin care.
Don't see it? Ask us.
SMA, muscular dystrophy, oncology, rare genetic diagnoses — and more.
The Care Match
From discharge planning to first shift at home.
Most of our families come from the hospital. We coordinate with your discharge planner so home is ready before you are.
DAY 0
01
Tell us about your child
A short call or hospital meeting. Diagnoses, equipment, schedule, hopes for home life.
EARLY
02
Free RN assessment + authorisation
An RN meets your child and builds the plan, and our team will handle the authorisation paperwork with your payer.
PRE-DISCHARGE
03
Nurse trains with you
Your assigned nurses train with you and your child's discharge team. You sign off before solo shifts begin.
DISCHARGE
04
Home, with your nurse.
We aim to have the nurse in place and the equipment set up for the day your child comes home.
What care looks like
Three children. Three plans.
Illustrative examples of how a plan of care comes together. Not real clients.
Vent + trach + G-tube
An 18-month-old NICU graduate
Ventilator-dependent, trach, G-tube. Discharged home at 14 months after the family trained alongside the nursing team in the unit. Mum went back to work part-time once overnight coverage was stable.
Hours
18 hrs / day
Care level
RN/LPN private duty
Coverage type
Medicaid private duty nursing
A week in the life
M–F 7a–3p
Day RN: vent checks, G-tube feeds, suctioning, therapy visits, developmental play.
M–F 11p–7a
Overnight LPN: vent monitoring, four-hourly feeds, position changes, alarm response.
SAT day
Backup RN the family has already met. Mum takes his sister to football.
WEEKLY
RN supervisor on-site review, family update, paediatrician communication.
Seizure care + respite
A nine-year-old with refractory epilepsy
Refractory epilepsy, VNS, mild cerebral palsy. An LPN covers days at home so her mother can work, plus overnight respite blocks so both parents can actually sleep.
Hours
12 hrs / day + respite
Care level
1:1 private duty + respite
Coverage type
Medicaid private duty nursing
A week in the life
M–F 7a–7p
Day LPN: morning meds, VNS checks, rescue protocol ready, therapy reinforcement.
M–F 7p
Evening handoff to mum, full-day report, meds reconciled for the night.
2× / MONTH
Overnight respite nurse, so her parents get a full night's sleep or an evening out.
ON-CALL
RN supervisor available for appointments, med changes, family questions.
24-hr complex care
A fourteen-year-old with cerebral palsy
Cerebral palsy, G-tube, scoliosis after rod placement, a complex medication regimen. He lives at home with both parents and two siblings. The family wanted real life back without losing continuity of care.
Hours
24 / 7 coverage
Care level
RN-led complex care
Coverage type
Medicaid private duty nursing with secondary coverage
A week in the life
DAY
Day LPN: morning routine, transfers, school-age routines, therapy reinforcement.
EVENING
PM RN: med pass, evening feeds, brace fit checks, family dinner together.
OVERNIGHT
Night LPN: turns, vital checks, sleep monitoring — and parents who actually sleep.
WEEKEND
The same three-nurse rotation he knows. The family gets to his siblings' games.
Insurance & payment
We'll fight the paperwork battle. You stay with your kid.
Prior authorisations, secondary coordination, the forms nobody explains — our intake team will handle them. You should never have to wait on hold with a managed care plan to find out where your hours stand.
Our home health agency licence application is pending with Florida AHCA. We are taking enquiries now and will confirm coverage and start dates once licensure and payer enrolment are complete.
Talk to us about coverageCoverage we expect to work with
Medicaid PDN
Florida Medicaid private duty nursing, through the statewide managed care plans.
CMS Plan
Children's Medical Services, for chronic and complex conditions statewide.
Florida Healthy Kids
Children's coverage tier with skilled nursing benefits when authorised.
TRICARE
Active duty and veteran families — ECHO and standard PDN benefits.
Private & secondary
Most commercial insurance with nursing benefits, secondary coordination, and private pay.
RN response within 1 business hour
Let's get your child home.
Talk to us before discharge, or after. Either way we'll coordinate with the hospital, work the authorisation, and have a nurse trained on your child's plan before they walk in.
Serving these counties
Baker
Clay
Duval
Flagler
Nassau
St. Johns
Volusia
Common questions
Pediatric care, answered.
Will my child have the same nurse every shift?
Yes — that's the whole point of private duty nursing. We staff a primary nurse for each shift, plus a backup nurse who has met your child and trained on their plan, for when the primary is off.
How will Medicaid PDN authorisation work?
Once our licensure and payer enrolment are complete, our intake team will submit the prior authorisation to your Medicaid managed care plan with the RN assessment, physician orders and care plan. We track it, respond to denials, and pursue fair hearings where needed. You sign — we do the rest.
Can we get respite coverage on short notice?
Once your nurse is trained on your child's protocols, we can schedule respite blocks — a few hours or overnight — so you can rest, work, or spend time with your other children.
What shift lengths do you offer, and can we get 24-hour coverage?
A single nurse works up to 12 hours. Round-the-clock coverage is built from a rotation — typically two or three nurses your child knows — rather than one person on an unsafe shift. Most families start with an overnight or a daytime 12-hour shift and add hours as the authorisation grows.
What if my child is coming home from NICU or PICU?
Tell us as soon as discharge is on the table. We coordinate with the case manager, train the nurses with your team in the hospital, and work to have everything ready at home for the day you walk in.
Are your nurses trained for our specific equipment?
Yes — and you train them too. Every nurse on your case completes vent, trach, pump and protocol training before solo shifts. You sign off when you're ready. We don't move to independent shifts until you do.
Can our nurse go to school with our child?
Where the authorisation covers school hours and the district agrees, yes — a nurse can accompany your child to school and manage equipment, feeds and rescue medication during the day. We'll work it through with you, the school and the payer.
What happens if our nurse calls out?
Every case is staffed with a named backup who has met your child and trained on the plan — not whoever is free. If we genuinely cannot cover a shift we tell you as early as we can rather than leaving you to discover it, and the on-call line is staffed 24/7.
Will you work with our child's doctors and therapists?
Yes. The nurse documents each shift and reports to a supervising registered nurse, who coordinates with your paediatrician, specialists and therapy team. Therapy reinforcement between visits is part of the plan, so the work carries on the other six days.
How many hours will be authorised?
That's set by your payer based on your child's clinical needs, not by us. We build the assessment and the clinical documentation to support the hours your child actually requires, we track the authorisation, and we appeal when hours are cut. If you're approved for fewer hours than you need, tell us — that's a fight we're used to.