Home Health Care

Criteria for Home Health Care under Medicare:

  • Patient must be Home-bound and unable to function outside of the home without a considerable and taxing effort (i.e. with the aid of another person and/or device).
  • Have an exacerbation of an existing illness of onset of a new disease process
  • SN, PT, or SLP need on an intermittent basis
  • Administer IM injections
  • Teach administration when appropriate
  • Supervise administration

The patient must be post hospitalization or referred for home health from the physician's office.

Services Available:

Diabetic Teaching

  • Signs and symptoms of hyper/hypoglycemia
  • Skin and foot care
  • Insulin injection technique
  • Diet teaching

Wound Care

  • Remove sutures, care of drain, packing etc (with specific orders)
  • Observing surgical incision
  • Teaching aseptic procedure
  • IVAC Certified

Eye Care (Post Cataracts)

  • Sterling dressing
  • Assess interactions of drops & medications with an additional skilled need


  • Inserting or changing Foley catheter
  • Observing contents, amounts etc.
  • Observe hydration
  • Obtaining sterile urine
  • Teaching-catheter care, including irrigation
  • Straight cath for residual

Vital Signs

  • Assess BP readings, apical/radial pulse quality and rate, respiratory rate and temperature. If patient is stable, vital signs alone are not alone skilled care.

NG Tube, J Tubes, G Tubes

  • Inserting or changing NG Tube
  • Instructing care of tube, feeding formula, etc.
  • Instruction on use of pump.

Lab Work

Only in conjunction with an additional skilled need. Venipunctures to determine blood levels but not necessarily limited to:

  • Protime
  • Blood glucose
  • CBC
  • Blood specimens
  • Chemistry profile
  • Drug levels--diagoxin--theophylline and dilanti

Ostomy Care (case-by-case basis)

  • Change of new stoma, dressing, observation of discharge, care of skin
  • Teaching ostomy care
  • Irrigation
  • Diet of colostomy patient
  • Skin and wound assessment and care

Bowel & Kidneys

  • Digital removal of fecal impactions
  • Bowel and bladder training

Orthopedic Care

  • Post-up (i.e. TKR, THR) care and observation
  • Cast care
  • Teaching, rehabilitation measures

IM Medications Other Specialized Services Provided

  • Physical Therapy (PT)
  • Speech language
  • Pathology (SLP)
  • Occupational Therapy (OT)
  • Medical Social workers (MSW)
  • Home Health Aides (HHA)

Volunteer Opportunities

If you are interested in volunteering at Guardian, please call us: 510-742-8700

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