Our team of registered nurses and licensed practical nurses provides expert, compassionate medical care for children with complex health needs. From medication administration to ventilator management, your child receives hospital-level nursing in a warm, nurturing environment.

Skilled nursing refers to medical care that must be provided or supervised by licensed nursing professionals due to its complexity and the clinical judgment required. For children with complex medical needs, skilled nursing encompasses a broad range of services that go far beyond basic caregiving, including continuous health monitoring, medication management, medical device operation, wound care, and emergency intervention.
At Elite PPEC, our nursing team serves as the cornerstone of every child's care. When your child arrives each morning, a nurse performs a comprehensive head-to-toe assessment, checking vital signs, skin integrity, respiratory status, neurological function, and general well-being. Throughout the day, nurses administer scheduled medications, manage tube feedings, perform tracheostomy care, monitor seizure activity, and respond to any acute changes in your child's health status.
Our nurses maintain an exceptionally low nurse-to-patient ratio, ensuring that every child receives the individualized attention their medical condition demands. This is not a school nurse office. Our nursing team consists of professionals with extensive pediatric experience who are skilled in managing the most complex medical needs, from multiple intravenous medications to emergency tracheostomy changes.
Skilled nursing at Elite PPEC is essential for children whose medical needs exceed what a standard childcare setting can safely provide. This includes children who are ventilator-dependent and require continuous monitoring of respiratory parameters, alarm response, and circuit management. Children with tracheostomies need skilled suctioning, stoma care, and the ability to perform emergency trach changes if the tube becomes dislodged or obstructed.
Children who receive nutrition through gastrostomy tubes (G-tubes), gastrojejunostomy tubes (GJ-tubes), or nasogastric tubes (NG- tubes) require nurses who can manage feeding pumps, verify tube placement, monitor for complications such as aspiration or tube displacement, and adjust feeding rates as prescribed by the child's gastroenterologist. Children with seizure disorders need nurses who can recognize seizure activity, administer rescue medications like diazepam or midazolam, monitor post-ictal recovery, and document seizure characteristics for the neurology team.
Other children who benefit from skilled nursing include those requiring central line care, insulin monitoring for diabetes, oxygen therapy management, catheterization, wound care for pressure injuries or surgical sites, and management of chronic conditions like sickle cell disease, congenital heart disease, or immunodeficiency disorders.
Elite PPEC's nursing program operates under physician- directed standing orders and individualized care plans that are reviewed and updated regularly. Each child's care plan specifies their diagnoses, medications with dosages and schedules, feeding protocols, respiratory parameters, seizure management procedures, positioning requirements, skin care needs, and emergency action plans. This level of detail ensures continuity of care regardless of which nurse is assigned to a child on a given day.
Medication administration is one of the most critical nursing functions at our PPEC. Many of our patients take multiple medications on precise schedules, including anticonvulsants, bronchodilators, cardiac medications, GI motility agents, and pain management drugs. Our nurses follow strict medication administration protocols with multiple verification steps to ensure the right medication, right dose, right route, right time, and right patient. Medication records are maintained meticulously and shared with families and physicians.
Our nursing team also plays a vital role in supporting each child's participation in therapy. Before a physical therapy session, the nurse may pre-medicate a child with a muscle relaxant as prescribed. During feeding therapy with the speech therapist, the nurse monitors vital signs and aspiration risk. After a particularly active session, the nurse assesses the child's recovery and ensures they are comfortable and stable. This constant medical oversight allows therapists to push toward developmental goals with the confidence that the child's health is being carefully monitored.
For families of medically complex children, the skilled nursing provided at Elite PPEC fills a critical gap between hospital-level care and what is feasible at home. Many parents of technology- dependent children describe an exhausting cycle of constant vigilance at home, where they must monitor equipment alarms, suction airways, administer medications around the clock, and remain alert to subtle changes in their child's condition that could signal an emergency. At our PPEC, licensed nurses assume these responsibilities during the day, providing parents with essential relief while ensuring their child receives expert medical care.
The PPEC nursing model also reduces hospital readmissions by catching health changes early. Our nurses see your child every day, which means they develop a deep familiarity with each child's baseline. A nurse who knows that a particular child typically has clear secretions can immediately recognize when secretions become thick and discolored, potentially indicating an infection. Early intervention by our nursing team, in coordination with the child's physician, can often prevent a condition from progressing to the point of hospitalization.
Perhaps most importantly, our nursing care is provided in a child-friendly environment that prioritizes warmth, comfort, and developmental engagement. Your child is not lying in a hospital bed. They are in a colorful, stimulating space surrounded by peers, participating in therapies and activities while receiving the medical care they need. This balance of medical support and developmental enrichment is what makes the PPEC model truly transformative, and it is all fully covered by Florida Medicaid.
Hospital-level nursing care in a warm, developmental environment that your child deserves.
Our nursing team includes registered nurses and licensed practical nurses with specialized training in pediatric complex care and medical technology.
Each child's nursing care plan is developed in coordination with their physician and reflects their specific medical needs, medications, and emergency protocols.
We train parents on medical procedures, equipment troubleshooting, and emergency responses to build confidence in home caregiving.
Detailed nursing assessments, vital sign monitoring, and medication administration records ensure continuity of care with your child's physicians.
Nurses serve as the hub of communication between therapists, respiratory therapists, and physicians to coordinate total care.
All skilled nursing services at Elite PPEC are fully covered by Florida Medicaid at no cost to your family.
Elite PPEC offers a full spectrum of therapy and medical services under one roof.
Our licensed nursing team provides the skilled medical care your child needs in an environment that supports their growth and happiness. All services are 100% covered by Florida Medicaid.
Call us at (754) 263-2925