Skilled Pediatric Nursing (GAPP-Approved Care)

Our licensed pediatric nurses provide skilled, clinically-directed care for medically fragile children, following your child’s Physician’s Plan of Treatment (PPOT) and the standards outlined by the Georgia Pediatric Program (GAPP). Our skilled nursing services support children with trachs, vents, feeding tubes, seizure disorders, developmental disabilities, and other medically complex needs across Georgia.

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Skilled Nursing Services Include:

• Medication administration & documentation

• G-tube / J-tube feeding management, site care, troubleshooting

• Pediatric tracheostomy care, suctioning, and airway support

• Ventilator and respiratory monitoring (oxygen, CPT, vest treatments)

• Seizure monitoring and emergency response protocols

• Skilled observation, assessments, and vital signs charting

• Infection control, safety monitoring, and home medical oversight

• Clinical communication with your child’s physician and the GAPP clinical review team

Supportive Daily Living Care (Non-Skilled Tasks)

These are non-skilled tasks that support your child’s comfort, safety, and development. They are performed by a caregiver or nurse within their scope of practice and only as outlined in the PPOT. These essential care tasks help medically fragile children remain safe, stable, and comfortable at home while receiving GAPP-approved nursing services in Georgia.​

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Supportive Care Includes:

• Bathing, grooming, oral care, and personal hygiene

• Dressing and safe repositioning for medically fragile children

• Transfers and mobility assistance (bed → wheelchair, adaptive seating)

• Support with sensory, motor, or adaptive feeding needs

• Assistance with therapy-directed exercises (ROM, gait training, standers)

• Encouraging age-appropriate activities and independence

• Routine monitoring for safety, comfort, and developmental engagement

• Non-skilled tasks performed in alignment with the Physician’s Plan of Treatment (PPOT)

Care Coordination & GAPP Navigation for Families

We work alongside your child’s physician and therapy team to make the Georgia Pediatric Program (GAPP) process as smooth and stress-free as possible — from the first phone call to ongoing care. Families trust Opulent Private Care Services because we combine clinical expertise with hands-on guidance throughout the GAPP review and nursing approval process in Georgia.

Our Coordination Includes:

• Helping families understand GAPP eligibility & approval

• Supporting physicians with the clinical info needed to complete the PPOT

• Explaining how nursing hours are determined by the GAPP review team

• Coordinating with PT, OT, and SLP providers for therapy-directed goals

• Organizing equipment, supplies, and home medical needs

• Providing ongoing communication and education for families