How do I start my own Private duty nursing?

  1. I would like to do homecare nursing on my own. I am just not sure where to begin
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  2. 55 Comments

  3. by   meanmaryjean
    May I ask why you don't want to work for an established agency? I think finding clients on your own would be difficult at best, and I'm assuming you would only be eligible to take on private-pay clients, as you would not possess the necessary regulatory licenses to participate in Medicare/ Medicaid/ private insurers.
  4. by   SDALPN
    That requires lots of money. A friend of mine used to own an agency. She said at minimum you need 6 months salary for you and any other employees because reimbursement can take a long time. On your own, you will need an RN if you are an LPN. Its not easy. I've chosen to work for agencies because there is too much involved.
  5. by   PerfectlyPlump
    But, if you ARE able to start your own company, you will earn a much better hourly rate for your services.
  6. by   LPN2RN2BE
    If I understand what you're asking. I researched how to do private duty nursing without working through an agency. Basically all you need is: (1) Complete a training program and receive a nursing degree (RN or LPN) (2) Become licensed in the state you wish to practice (3) Buy your local and state business licenses [this allows you to operate as an independent contractor (4) Find an individual in need of private duty nursing [advertise your services in clinics, hospitals or nursing home, or newspapers] and, (5) Create a contract with the patient who hires you to provide care. Include length of service, scope of work you perform and cost. Also include information such as a hold harmless clause to protect against liability [contact a corporate attorney to build a legally binding contract for your clients to sign and obtain liability insurance]. I assumed that being an LPN I could go about the same route without having to go through the headache of establishing a business. My Board of Nursing also informed me that I would have to work under the direction of a RN or a physician. Hope this information helps.
    Last edit by LPN2RN2BE on Nov 27, '13
  7. by   systoly
    a couple of other nurses and i looked into it
    workers comp was a big problem for us
    and we would not have been able to offer
    any benefits
  8. by   ceebeejay
    Are you asking to work for yourself as a PDN directly to a client without an agency or to open your own agency?

    You would need to check the requirements for your state because the rules and regulations for either would vary from state to state. Try checking for the state's website for medicaid providers for more information; in NY they have a whole section about Private Duty Nursing and a separate sub section for agencies.
  9. by   msdee1226
    Not true at all. I happen to own an agency. I'm a registered nurse and I provide HHA/COMPANION SERVICES and this pays a lot more than working for someone else. Clients are plentiful, insurance does not pay for this service and your staff does not need any type of nursing license to work. You can earn on average $72+/client/day. Requires very little start up costs because clients pay for their services IN ADVANCED which is a lot better that waiting to be reimbursed from an insurance company!
  10. by   NightNurseRN13
    72$ a day? Are you talking home health or private duty?
  11. by   brillohead
    Quote from msdee1226
    Not true at all. I happen to own an agency. I'm a registered nurse and I provide HHA/COMPANION SERVICES and this pays a lot more than working for someone else. Clients are plentiful, insurance does not pay for this service and your staff does not need any type of nursing license to work. You can earn on average $72+/client/day. Requires very little start up costs because clients pay for their services IN ADVANCED which is a lot better that waiting to be reimbursed from an insurance company!
    There is a HUGE difference between "home health aide / companion" agencies versus Private Duty Nursing agencies.

    Of course HHA/companion employees don't need to be licensed -- because it's not a licensed position. However, for Private Duty NURSING agencies, licenses most certainly are required of the employees, because they are NURSES, not unlicensed assistive personnel (aides/companions).

    Administering medications, providing trach care, monitoring ventilators -- all are nursing jobs requiring nursing licensure (and paying significantly more than $72/day!). Any regular individual can cook meals, mop floors, scrub toilets, or play cribbage without a license (for $72/day).
  12. by   msdee1226
    You have OBVIOUSLY misunderstood my post. No TN would work for $72/day but when you multiply that by 10=$720/day which is more than the average FLOOR NURSE. We are talking about being an AGENCY OWNER not going out and doing the work yourself. This is passive income. Meaning all you do is schedule your caregivers, bill and sign up new clients. Client pays $16/hr. You pay the caregiver $10/hr. Owner earns $6/hour/12th day/client×10=$7210/day. You can run this business from home and still work as a slave in a hospital IF YOU CHOOSE TO. I. Arnold on average $250,000/yr. I don't know of any run job that pays that and I only work about 12 hours/week. Doing scheduling & payroll.
  13. by   msdee1226
    Meant RN...not TN.
  14. by   msdee1226
    Meant... $72/day×10clients=$720/day×365days=$262,8000/year after payroll is met! It's THAT simple!

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