home nurses

When everyday living becomes more challenging, a little help can go a long way. It can make the difference in helping you or your beloved one stay at home, where most of us are happiest.

Whether it’s a few hours a week or full 24/7 home care living in, N&N provides fully customized, attentive, professional in-home care that fits the needs of your family.

We aim to deliver caregiver personnel for the elderly to live well and age gracefully. Those who love to make their clients smile no matter in which severe health condition they encounter themselves in.

what we do

Our certified professionals provide services that increase safety, build well-being and preserve independence – making life easier for your aging or disabled family member and providing peace of mind for those that contract us. We fully understand that a simple caring mistake can spell tragedy for another’s life. To us attention to detail is of utmost importance as it can literally be the difference between life and death.

who does it

N&N staff always operates in accordance with our principles of care including interest & compassion, technical work knowledge, highest respect for privacy and confidentiality, sense of responsibility and safety always coming first.
We carefully select our personnel and understand that if they do what they love to do they will always perform at their best. In addition to that, our home nurses mostly speak the language of the country where they are working plus have a great knowledge of English. Most of our home nurses are accompanying their families for many years.

We offer flexible home-care for elderly as well as physically and mentally challenged children and adults:

Personal Home Care: help with daily activities such as dressing, bathing, safe transferring from bed to wheelchair, meal planning & cooking, etc

Homemaker Care: assistance with safely managing tasks around the house

Companionship & Social Care: personal assistance to the ill and elderly to be able to live their life independently to the highest degree possible

Special Home Care: for clients with an illness, disease, disability and/or severe medical conditions such as Alzheimer, Dementia, Cancer

Medical Nursing Home Care: including care for diseases and conditions such as traumatic brain injury (TBI), spinal cord injury (SCI), ventilator care, tracheostomy care, monitoring vital signs, feeding tube and catheter care

After-Rehabilitation Care: short-term, physician-directed care designed to help a patient prevent or recover from an illness, injury, or hospital stay

Household/Homemaker care: Management of the entire household including cleaning, grocery shopping, cooking and maintaining the space well

N&N provides the following home nurse service categories:

Regular hourly care: as from four hours per week. Includes weekends, evenings and early morning hours. Flexibility in terms of location and time

Regular full day care: as from one to 7 day per week

Regular annual care: as from 5 days per week/ 48 weeks per year

Regular 24/7 home care: our caregiver is living in, working 7 days a week

Holiday care: Wether for holiday home nurse substitutions,or special events (2 weeks minimum)

why choose us

Our mostly Filipino candidates are the most qualified, well-vetted professionals in the areas we serve, having passed a rigorous process of screening before being part of our pool of experts. The wisdom the N&N founders gained over the last 15 years in the home care staffing business enables us to find the best candidates more efficiently, saving you time, hassle, and risk. We are happy to help families to provide joy, safety and a meaningful life to those who can not care for themselves anymore. A happy father, mother, grandparent, aunt, uncle or child with a handicap are priceless. It is our duty to give back to the ones who loved and cared for us when it is our turn.

how to prepare

Once you’ve found the perfect home nurse for your family, it is time to explain all the specific rules, health history or show how everything works — like your complicated old dishwasher? You can’t be over-prepared when it comes to the care of your most beloved ones. Use this checklist below to make sure you and your home nurse are on the same page before she gets started. She’ll thank you for all the specifics when something unexpected pops up. If it helps, print out this page and check items off as you complete them to ensure peace of mind and a successful start to this journey with your new home nurse.

CONTACT AND PERSONAL INFORMATION

Exchange contact information. This includes things like home address, phone numbers (work and cell) and email for your home nurse and for all members of your family. Determine the best way to reach each other during the day or in case of an emergency. A complete emergency list, specifically for patients with severe health conditions is strongly recommended. This should include contacts of head doctor, to which hospitals to go in case of emergency, a summary of the health history/disease of the patient, Copy of regular and additional health insurance cards, list of regular medication the patient is taking, blood group, if the patient has any type of allergic reactions. rules for who goes on an ambulance. The emergency contact list should always be with the home nurse.

Make important numbers easy to access. Write down all contact details – address, phone, email - for regular doctors, therapists, friends and any other person seeing your patient regularly and keep them in an easy place to find in case she needs them.

Keep signed copies of your home nurse contract on hand. You and your home nurse should each have a copy of the signed work agreement. This should include the agreed-upon pay, days and hours for work and any extra things, such as agreed-upon housework, cooking, etc.

TRANSPORTATION

Public Transportation: If there are any rules to follow, make sure you deliver them written as well

Explain all the specifics of your vehicle. A nice thing to do is to program your GPS with the addresses to go to. It may seem like a pain, but it's easier than shouting directions over the phone while you’re at work.

Update your car insurance. Your car insurance plan should be updated to cover your home nurse, if she’s going to be driving your car.

HOUSE RULES

Make sure the home nurse has necessary access. Your home nurse needs her own set of house keys, as well as entry cards or passes any regular places that are being attended with the patient.

Explain all housing operations. Make sure the home nurse knows how to operate the heat/air conditioning, TV, washing machine, dishwasher and any other household appliances she may need to use. If you expect her to be answering the phone a lot or taking messages, make sure she is aware. Be aware and point out any potentially dangerous zones in the house where there is an easier risk of falling, slippery, etc.

Lay out kitchen rules. Explain which dishes and kitchenware are OK to use if she is going to be doing any cooking

Notify your nanny of expected visitors. Be sure your home nurse is aware of any visitors you’re expecting each day. That includes pool cleaners or any other maintenance workers who may be around the house.

Detail all pet care. Does your home-nurse need to let any pets out to go to the bathroom, walk them or feed them? Is there any weird behavior to look out for, such as digging under or jumping fences or excessive barking?

DAILY ROUTINE

Have a written protocol. For the first week, write down protocol until your home nurse is into a routine: Therapy schedule, naps, meal times, desired activities. Loop your home nurse into the timing of things, such as when to be outside for a walk in fresh air with your beloved one, how long it may take to do all personal care, dressing and breakfast in the morning.

Daily dairy, bookkeeping and recording vital parameters. Make sure you hand over the templates for keeping a daily diary with all points necessary to record, the household budget book if your home nurse is managing a household budget and does all the grocery shopping as well as the book to record vital parameters such as blood pressure, body temperature and if your beloved one could go to the toilet.

Create a collaborative calendar. Consider making a calendar for her (and you) to refer to and encourage her to add to it as she gets more comfortable. On the calendar, schedule regular check-ins with your home nurse to go over any concerns that come up.

SAFETY AND HEALTH

Discuss the meal plan, feeding support, allergies and intolerances. Explain in detail the type of food that your beloved one can take and his or her preferences. If the home nurse needs to keep an eye on chewing or swallowing or if your beloved one can only consume soft food make sure this is well understood. The ideal situation is that you set up a menu plan for the first month and a list of breakfast, lunch, dinner and snack dishes your beloved one is used to take and likes. Remind your home nurse of any allergies or particular food issues your beloved one may have and whether there are any items of food that are off limits, like super sugary items. For patients with serious allergies and dietary issues, put food away that would be harmful them. If drinking water is an issue ensure to detail the protocol for that.

Go over bathing and showering rituals as well as hair and nail care. Explain things like which shampoo and soap to use, cremes for skin protection and remind her about safety concerns. It is important to indicate if your beloved one wears a prothesis, who takes it out and who takes it in, how to clean it and how is the tooth and mouth washing procedure. Detail also the rules for nail and hair care.

Explain the diaper situation. If the home nurse is changing daily diapers, tell her how often she should do it and what ointments to use, if any. Explain also well the situation of preparation for going to bed, which diapers need to be used at night and if your beloved ones needs to change diapers during the night.

Set rules for daytime organization, naps in between and naptime. . Give your home nurse a clear indication of what the daily routine of your beloved one should be. This includes wake up and night times, eating times, personal care times, napping times, regular physical and social activity times and so on.

• Covid-19 and other safety & hygiene rules. . Make sure that your home nurse is aware of the Covid-19 protocols inside the house and when spending time out of the house. Make sure she is aware of the things that she needs to always carry with her when leaving the house such as phone, hand sanitizer, diapers, set of mask, new underwear, blood pressure device, etc. Make clear what are the caring rules for the safety of your beloved one so that no accident can happen. Ensure that your home nurse is aware of all the regular support materials your beloved one is using such as wheel chair, showering chair, etc, how to maintain them well and where are the proper places to store them.

SPREAD THE WORD

Let everyone know about your new home nurse. Alert your family members, doctors, therapists, building's doorman and friends about your new home nurse and give them her name.