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Skilled Nursing

Skilled Nursing Care — Delivered Where It Matters Most

Skilled nursing is the foundation of quality home health care. At Tricare, our licensed nurses bring clinical expertise, physician coordination, and genuine compassion directly to your door — helping patients recover safely, manage complex conditions, and maintain independence at home.

What Is Skilled Nursing?

Skilled nursing means care that requires the training, clinical judgment, and oversight of a licensed nurse. It is far more than checking in on a patient. It involves assessment, treatment, education, wound management, medication oversight, disease monitoring, and ongoing coordination with the physician — all delivered in the patient’s home. At Tricare, skilled nursing begins with a Registered Nurse completing a thorough in-home assessment of the patient’s medical needs, home environment, safety risks, and recovery goals. From that assessment, we work closely with the physician to establish and carry out a personalized plan of care built specifically around that patient — not a template, not a checklist. A real plan, for a real person, in a real home.

What Our Skilled Nurses Do

Assessment & Care Coordination

Assessment & Care Coordination

  • Initial comprehensive in-home nursing assessment
  • Ongoing nursing evaluation of patient progress and condition changes
  • Coordination with the attending physician and specialist orders
  • Development and management of the physician-approved plan of care
  • Communication with hospitals, discharge planners, and case managers
  • Coordination with therapy, social services, and other home health disciplines
  • Documentation and clinical reporting
  • Transition of care support following hospitalization or facility discharge
Medication Management

Medication Management

  • Medication reconciliation and review
  • Medication administration and oversight
  • Medication education for patient and caregiver
  • Management of complex medication regimens
  • Injectable medication administration
  • Intravenous (IV) therapy and infusion management
  • Anticoagulation monitoring and education
  • Monitoring for medication side effects and interactions
  • Coordination with pharmacy and physician on medication changes
Wound Care & Skin Management

Wound Care & Skin Management

  • Wound assessment and documentation
  • Wound cleaning and dressing changes
  • Surgical wound care and post-operative incision management
  • Pressure injury prevention and treatment
  • Diabetic wound care and ulcer management
  • Venous and arterial ulcer care
  • Ostomy care and education
  • Drain and tube site care
  • Wound vac (negative pressure wound therapy) management
  • Skin breakdown prevention education
Cardiac & Circulatory Care

Cardiac & Circulatory Care

  • Congestive heart failure (CHF) monitoring and management
  • Blood pressure monitoring and hypertension management
  • Cardiac rhythm monitoring and education
  • Post-cardiac surgery recovery support
  • Peripheral vascular disease care and education
  • Edema monitoring and management
  • Telemonitoring coordination and follow-up
Respiratory Care

Respiratory Care

  • COPD monitoring and management
  • Asthma management and education
  • Oxygen therapy management and education
  • Nebulizer treatment administration and instruction
  • Tracheostomy care and suctioning
  • Post-pneumonia recovery support
  • Monitoring for respiratory changes and deterioration
Diabetes Management & Endocrine Care

Diabetes Management & Endocrine Care

  • Blood glucose monitoring and management
  • Insulin administration and insulin therapy management
  • Diabetic foot care assessment and education
  • Diabetes self-management education
  • Hypoglycemia and hyperglycemia monitoring and response
  • A1C monitoring coordination with physician
  • Diabetic wound care
  • Nutrition and lifestyle education related to diabetes management
Neurological & Cognitive Conditions

Neurological & Cognitive Conditions

  • Post-stroke recovery support and monitoring
  • Parkinson’s disease management and safety education
  • Multiple sclerosis (MS) home care and monitoring
  • Dementia and Alzheimer’s care and caregiver education
  • Seizure monitoring and management
  • Traumatic brain injury (TBI) recovery support
  • Monitoring for neurological changes and decline
Post-Surgical & Orthopedic Recovery

Post-Surgical & Orthopedic Recovery

  • Post-surgical wound care and incision management
  • Post-hip replacement recovery support
  • Post-knee replacement recovery support
  • Post-spinal surgery recovery support
  • Pain management monitoring and coordination
  • Deep vein thrombosis (DVT) prevention education
  • Orthopedic hardware and implant site monitoring
Post-Hospitalization & Transitional Care

Post-Hospitalization & Transitional Care

  • Hospital-to-home transition support
  • Skilled nursing follow-up after acute care discharge
  • Reduction of preventable hospital readmissions
  • Monitoring for post-discharge complications
  • Medication reconciliation following hospital discharge
  • Communication with hospital care teams and attending physicians
  • Patient and caregiver education on post-discharge warning signs
Lab Work, Monitoring & Specimen Collection

Lab Work, Monitoring & Specimen Collection

  • Venipuncture and blood draw for lab work
  • Specimen collection and coordination with laboratory
  • PT/INR monitoring for anticoagulation management
  • Blood glucose and A1C coordination
  • Lab result follow-up and physician communication
  • Monitoring vital signs including blood pressure, pulse, temperature, oxygen saturation, and weight
Nutritional & GI Support

Nutritional & GI Support

  • Enteral nutrition management (feeding tube care)
  • Nasogastric (NG) tube and gastrostomy (G-tube) care and education
  • Nutritional assessment and monitoring
  • Dehydration monitoring and management
  • Bowel management and constipation care
  • Colostomy and ileostomy care and education
Urinary & Catheter Care

Urinary & Catheter Care

  • Urinary catheter insertion and management
  • Foley catheter care and education
  • Urinary tract infection (UTI) monitoring and prevention education
  • Bladder training and management
  • Incontinence care and education
  • Suprapubic catheter care
Patient & Caregiver Education

Patient & Caregiver Education

  • Disease-specific education tailored to the patient’s diagnosis
  • Medication education for patient and family caregiver
  • Safety education and fall prevention
  • Warning sign recognition and when to seek emergency care
  • Caregiver training for hands-on care tasks
  • Home environment safety education
  • Nutrition and hydration guidance
Chronic Disease Management

Chronic Disease Management

  • Congestive heart failure (CHF)
  • Chronic obstructive pulmonary disease (COPD)
  • Diabetes mellitus (Type 1 and Type 2)
  • Hypertension
  • Coronary artery disease (CAD)
  • Chronic kidney disease (CKD) and end-stage renal disease (ESRD)
  • Cancer and oncology-related home care
  • Chronic pain management support
  • Obesity-related condition management and education

Our Commitment to You

A Higher Standard of Nursing Care — At Home

At Tricare Home Health Services Inc., skilled nursing is not a single task. It is a comprehensive, coordinated clinical service built around the individual needs of each patient. Our nurses are experienced, thorough, and genuinely invested in the outcomes of the people they serve. We believe the best home health nursing happens when clinical excellence meets human compassion — when a nurse walks into a patient’s home not just to perform a task, but to truly understand where that patient is, what they need, and how to help them get better. That is the standard we have held ourselves to since 1996.