Private Duty Nursing

Private Duty Nursing (PDN) at Little Engine Homecare, Inc. is nursing care ordered by a physician and provided hourly by a RN (Registered Nurse) or by an LVN (Licensed Vocational Nurse) under RN supervision to children from birth through 20 years of age who meet predefined criteria for medical necessity. Private Duty Nursing is provided in shifts as apposed to visits and is available around the clock, 365 days a year. 

We work closely with families, and physicians, as well as other medical and healthcare professionals to develop and implement a comprehensive plan of care directed toward improving the quality of life, as well as bring peace of mind to families and loved ones.

Common Diagnoses and Specialized Care may include: 

  • Cerebral Palsy (CP)
  • Traumatic Brain Injury (TBI)
  • Short Bowel Syndrome (SBS)
  • Congenital Heart Defect (CHD)
  • Congenital/Genetic disorders

  • Ventilator Dependence
  • Tracheostomy
  • Feeding Tubes
  • G-Tubes
  • TPN (IV nutrition)  

Our Nurses

At Little Engine Homecare Inc., we provide high quality professional RNs and LVNs in the San Antonio and Austin area. Our nurses go through a comprehensive orientation program prior to caring for a client in the home. In addition to the hands-on pediatric specific skills lab offered through Little Engine Homecare, Inc., nurses who care for clients with specialized needs will also receive specialized training geared specifically toward each child.

All of our nurses are screened and complete a comprehensive background check prior to employment. We also administer a pediatric exam to ensure clinical competency and knowledge. 

Coordination of Care

Our nursing staff goes above and beyond to coordinates care with many different professionals, resources, and organizations in order to ensure that each child’s individual Plan of Care is implemented and re-evaluated for the best clinical outcome.  This includes but is not limited to coordination with:

Cloud(no background) Your DME

Cloud(no background) Schools

Cloud(no background) Multiple Specialists

Cloud(no background) Hospitals such as NICU/PICU

Cloud(no background) Case Managers

Cloud(no background) Resources within the community

Cloud(no background) Therapy Services

Our PDN families benifit from: 

Cloud(no background) Easy transition from hospital to home

Cloud(no background) Early detection of complications

Cloud(no background) Frequent updates to physicians 

Cloud(no background) Fewer ER visits

Cloud(no background) Fewer hospital stays

Cloud(no background) Caregiver training & education

Cloud(no background) Compassionate pediatric nurses

Accepted InsurancesRefer a child or Schedule an appointment-roundJoin TeamServices Brochure PDF






San Antonio Area

3201 Cherry Ridge, Suite D-400
San Antonio, TX 78230
Ph: (210) 692 ~”Oh Choo Choo Choo” (0222)
Fax: (210) 692-0223

Austin Area

3520 Executive Center Drive, Suite 128
Austin, TX 78731
Ph: (512) 343 ~ “Oh Choo Choo Choo” (0222)
Fax: (512) 343-0223

Call us Toll Free: (877) 314 ~ "Oh Choo Choo Choo" (0222)