Private duty nursing is a type of nursing care provided by licensed nurses, either Registered Nurses (RNs) or Licensed Practical/Vocational Nurses (LPN/LVNs), to clients who require skilled nursing services outside of a hospital setting. Private duty nursing is often provided one-on-one with individual clients, either in their home or in an institution such as a hospital, nursing home, or other facilities. Private duty nursing may be paid by private pay, private insurance, managed care organizations, or Medicaid. Private duty nursing is a specialized type of home healthcare that provides hands-on, in-depth nursing care for individuals who need skilled nursing services outside of a hospital setting. Private duty nurses provide long-term, comprehensive hourly nursing care and are skilled in managing medical equipment and technology. Private duty nursing is also sometimes referred to as continuous skilled nursing or block shift nursing. Private duty nursing covers the age spectrum and includes home health services for patients with a variety of health conditions. Private duty nursing is often used for pediatric patients on Supplemental Security Income (SSI) who have long-term illnesses such as Cerebral Palsy (CP) and Traumatic Brain Injuries (TBI) . Private duty nursing is also an option for short-term care, such as post-surgical wound care, when a faster turnaround than home health can provide is needed.