We are looking for a PDN at night. Case management, agencies etc all state that it is difficult to find PDN willing to work nights. What gives? The lack of differential (we do have private insurance, but most of her nursing is paid thru state Medicaid), difficulty staying awake? My daughter requires about 2 hrs of care before bed, monitoring at night (vent pt) and about the same 2 hrs in the morning.....chest percussion, feedings, trach care, etc. Maybe 2-3 nights/wk she's 'difficult' while on the vent and needs suctioning. I'm just wondering if I'm searching for the Holy Grail.