Scope, exclusions, and what to expect

What this page covers

Hudson Valley Private Nursing (HVPN) is an RN-led private nursing practice operating through an individual New York RN professional practice model, not a licensed home care agency, not a staffing service, and not a multi-clinician practice. HVPN provides hands-on nursing care, by appointment, when clinically appropriate and supported by provider orders where required, in addition to education and care coordination support. This page documents the full scope of that model: what is accepted, what is excluded, and when a different licensed provider is the right call. Our service pages focus on what HVPN offers; this page is the reference for boundaries and exclusions.

Practice model

All services are provided personally by Andreen Robinson, MSN, RN, and are accepted case by case based on clinical fit, RN scope of practice, provider direction where required, patient safety, and availability. Engagements are scheduled by appointment; HVPN does not provide same-day dispatch, on-call nursing, or around-the-clock access.

Services not provided, in general

• Continuous or recurring nursing coverage, nursing shifts, or overnight care
• Licensed Home Care Services Agency, Certified Home Health Agency, or nurse staffing/placement services
• Personal care aide, companion care, or home health aide services (bathing, dressing, meals, housekeeping)
• Physician-directed home health services, or physical, occupational, or speech therapy
• Hospice care, hospice-level services, or palliative care program enrollment or management
• Home infusion management, IV therapy administration, or infusion agency services
• Prescribing, adjusting, or discontinuing medications, which stays with the patient’s physician or pharmacist
• Case management, supervision of aides or staff, or licensed social work / care management services
• Mental health counseling or social work services
• Emergency or urgent clinical intervention of any kind

When a need falls into any of the categories above, HVPN will say so clearly and help identify the appropriate licensed provider rather than extending an engagement beyond appropriate individual RN scope.

Post Hospital Recovery Program: exclusions

• Ongoing nursing visits or recurring coverage at home
• Physician-directed home health services
• Physical therapy, occupational therapy, or speech therapy
• Personal care aide services (bathing, dressing, meals)
• Licensed home care agency-level coverage or staffing

Medication Safety Program: exclusions

• Prescribing, adjusting, or discontinuing any medication
• Replacing pharmacist counseling or physician medication review
• Providing infusion therapy or IV medication administration
• Managing chronic disease medications as an ongoing service

Complex Wound Recovery Program: exclusions

• Performing wound care without appropriate provider direction
• Operating an ongoing wound care program or providing wound care agency-level coverage
• Managing complex wounds requiring a wound care specialist, WOCN, or licensed home care agency
• Replacing recurring or continuous skilled nursing coverage for wound management

Caregiver Education Program: exclusions

• Performing or supervising ongoing wound care without provider direction
• Providing personal care aide services or companion care
• Situations requiring nurse staffing, shifts, or recurring nursing coverage
• Situations requiring licensed home health agency oversight

Healthcare Navigation Program: exclusions

• Acting as a case manager, care coordinator, or clinical decision-maker
• Providing licensed social work or care management services
• Managing physician-directed care plans or clinical treatment decisions
• Communicating with providers on behalf of a patient without appropriate patient authorization

Advanced Illness Support Program: exclusions

• Hospice services or hospice-level care
• Palliative care program enrollment or management
• Physician-ordered home health services
• Continuous nursing coverage, nursing shifts, or overnight care
• Mental health counseling or social work services

Transitional Care Program: exclusions

• Continuous, daily, or recurring nursing coverage, nursing shifts, or overnight care
• Licensed Home Care Services Agency or Certified Home Health Agency-level coverage
• Personal care aide, companion care, or home health aide services
• Open-ended or indefinite visit schedules, visits are planned for a defined recovery period

Palliative Nursing Support: exclusions

• Hospice services or hospice-level care
• Palliative care program enrollment or management
• Care beyond individual RN scope of practice
• Continuous nursing coverage, nursing shifts, or overnight care
• Emergency or urgent clinical intervention of any kind
• Replacing the treating physician, hospice team, or palliative care program

Referral partner scope

HVPN does not initiate contact with patients through referral partners; the patient or an authorized family member always contacts HVPN directly. HVPN does not pay or accept compensation in exchange for referrals; all referral arrangements are professional courtesy based solely on appropriate service fit. A referral is not appropriate when the situation requires continuous nursing coverage, a Licensed Home Care Services Agency or Certified Home Health Agency, personal care aide or home health aide services, hospice or palliative care program enrollment, home infusion or IV therapy administration, coordination of multiple clinicians or supervision of staff, or emergency/urgent clinical intervention.

Emergencies

For emergencies, call 911. HVPN does not provide emergency services and is not available for urgent or life-threatening situations. For urgent medical concerns, contact the treating provider directly.

Questions about scope or fit

See our FAQ for common questions, our Trust Center for credentials and practice philosophy, or request a consultation to discuss your specific situation directly.