NON-medical homecare provided by LPN

[Busia]

Hoping I can find some advice on a couple things on this forum. I am an LPN looking to provide non-medical supportive homecare services. NOT nursing services.

I have been approached by a few potential clients, and one of the questions that keeps coming up is whether or not, legally, I can provide certain services that do not require a nurse to do if a family member can do it. Specifically simple dressing changes or lovenox injections after a person returns home from a hospital stay. These are things a person could do for themselves or a family member could do, but the patient is not comfortable doing it themselves, and there is no family available to do it for them. Would something like this be considered skilled, even though they can do it themselves or have family assist?

Also, what other areas do I need to be careful to ensure I am not crossing over into skilled nursing services? These are the services I am wanting to provide:

Appointment accompaniment

Outings/shopping assistance

Light housekeeping and laundry

Meal preparation

Medication reminders, assistance filling med planners (I don't believe I can fill for them, but I can guide the client to fill their own correctly)

Walking/Exercise

ADL assistance such as dressing, bathing, toileting

Companionship

Any advice or guidance is appreciated. There is a lot of info on the internet for started a medical home health service, but not so much to guide on a non-medical service. To be clear- I am not looking to start an agency or hire other people, this is strictly for myself to provide services.

Thank you!

[JustBeachyNurse, LPN]

The dressing, injections etc are still skilled care and as a licensed nurse you would need a physician's prescription and RN oversight for the plan of care . Just like parents can administer their children's medication or GT feeds but any non parent/guardian must be a licensed nurse.

[Busia]

Thank you for the clarification! That was what I was thinking, but wanted another's input! Thanks!