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. 2022 Jan 7;40(1):27–39. doi: 10.1097/NHH.0000000000001035

Table 3. Skilled Nursing Treatments (Nursing Hours Added to Table 2).

Risk Level Nursing Hours/Week Interventions
High 21
  • Dialysis (performed by nurse)

  • Second- or third-degree burn care (>10% of the body)

  • 3 or more medium complex treatments listed under Medium (below)

  • Vascular catheter (accessed by nurse)

Medium 9
  • Tracheostomy care/change

  • Chemotherapy (administered by nurse)

  • Intermittent urinary catheterization (insertion/maintenance by nurse)

  • Open stage 3 or 4 decubitus ulcer or open surgical site wound care

  • Second- or third-degree burn care (<10% of the body)

  • Wound vac (managed by nurse)

Low 5
  • Scheduled pulmonary toileting program (includes respiratory vest, chest physiotherapy, insufflation-exsufflation device)

  • Turning/repositioning program

  • Ileostomy, colostomy care

  • External catheter (condom catheter; insertion/maintenance by nurse)

  • Indwelling catheter care, bladder irrigation

  • Bowel program, enemas

  • Stasis ulcer

  • Intake/output measurement