HI 00601.145 Skilled Nursing Services

Skilled nursing services include but are not limited to the following:

  1. Intravenous or intramuscular injections and intravenous feeding. (Injections which can usually be self-administered, for example, the well-regulated diabetic who receives a daily insulin injection, do not require skilled services.)

  2. Levine tube and gastrostomy feedings.

  3. Naso-pharyngeal and tracheotomy aspiration.

  4. Insertion, replacement or sterile irrigation of catheters (see HI 00601.150.)

  5. Application of dressings involving prescription medications and aseptic techniques (see HI 00601.150 for exception).

  6. Care of extensive decubitus ulcers or other widespread skin disorders (see HI 00601.150 for exception).

  7. Heat treatments specifically ordered by a physician as part of active treatment and which require observation by skilled nursing personnel to adequately evaluate the patient's progress (see HI 00601.150 for exception).

  8. Initial phases of a regimen involving administration of medical gases.

  9. Restorative nursing procedures, including the related teaching and adaptive aspects of skilled nursing, which are part of active treatment and require the presence of licensed nurses at the time of performance, e.g., teaching the skills and facts necessary for understanding adherence to a regimen such as bowel and bladder training.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0600601145
HI 00601.145 - Skilled Nursing Services - 09/15/1989
Batch run: 01/27/2009
Rev:09/15/1989