Hiring a private duty nurse is one of the most important healthcare decisions you'll make for a loved one—and it's also deeply personal. Getting it wrong can mean poor care, uncomfortable dynamics, or wasted money; getting it right transforms daily life. Before you sign a contract or hand over access to your home, ask the right questions upfront.
Verify Licensing and Credentials
Start by confirming the nurse holds a valid state license. Ask to see their RN (Registered Nurse) or LPN (Licensed Practical Nurse) credential directly—don't rely on an agency's assurance alone. Request proof of current CPR certification and any specialty certifications relevant to your situation (wound care, IV therapy, dementia care, pediatric care, etc.).
Also confirm whether they carry malpractice insurance and what the coverage limits are. A quality nurse working independently or through an agency should have this protection in place.
Understand the Service Model and Costs
Private duty nursing costs typically range from $25–$50+ per hour depending on your location, the nurse's experience level, and the complexity of care needed. Clarify whether you're hiring directly or through an agency—agency placements usually cost 20–40% more but handle payroll taxes, background checks, and liability.
Ask for a detailed quote that breaks down:
- Hourly rate or shift pricing
- Minimum hours required per week
- Travel time charges (if applicable)
- Holiday or overtime rates
- Cancellation or call-out fees
Assess Experience With Your Specific Needs
Don't assume all nurses can handle your situation equally. If your loved one has Parkinson's disease, ask how many patients with Parkinson's the nurse has cared for and what specific skills they bring. For post-surgical recovery, confirm they've managed similar procedures and know your surgeon's protocols.
Ask about their experience with the medical equipment you'll need—feeding tubes, catheter care, ventilators, pain pumps, or dialysis machines. Theoretical knowledge isn't enough; you need demonstrated competence.
Check References and Background
Request at least three professional references from recent clients (within the last year or two). Call them directly. Ask about the nurse's reliability, communication style, problem-solving ability, and whether they'd rehire them.
Confirm the nurse has passed a thorough background check covering criminal history, abuse registry checks, and drug screening. If hiring through an agency, ask what their screening process includes and how recent it was.
Define Expectations for Communication and Care Coordination
Ask how the nurse will communicate with you about your loved one's condition. Will they provide daily written notes? Weekly check-ins? How will they alert you to changes or concerns? Miscommunication here causes real problems.
Clarify who the nurse reports to if complications arise. If your loved one is under a physician's care, does the nurse coordinate directly with that doctor, or do you act as the middleman? Will they attend medical appointments or just execute instructions afterward?
Discuss Flexibility and Contingency Plans
Ask what happens if the nurse calls in sick. Do they have a backup? How much notice do they give for planned time off? If you need extended hours during a health crisis, can they accommodate that, or should you have a backup provider identified?
Find out their long-term availability. Are they planning to stay in your area? Do they take extended vacations? For families counting on consistent care, turnover is costly and stressful.
Explore Training and Ongoing Development
Ask whether the nurse stays current with continuing education or holds additional certifications beyond the minimum required. A nurse invested in their own development typically delivers better care.
Also ask how they handle situations outside their usual scope. If something unexpected comes up, will they research it, consult with the physician, or admit knowledge gaps honestly? You want someone confident but not overconfident.
Frequently Asked Questions
Q: Should I hire a nurse directly or through an agency? Agencies handle background checks, taxes, and liability but cost more; direct hire is cheaper but puts you in the employer role. For most families without HR experience, an agency reduces risk and administrative burden.
Q: What's a realistic timeline to find the right nurse? Budget 2–4 weeks from initial contact to having someone start. Rushing this process increases the chance of poor fit or undiscovered red flags.
Q: Can I trial a nurse before committing to a regular schedule? Many nurses and agencies allow 1–2 trial shifts to ensure compatibility. Use these sessions to observe their hands-on skills and interpersonal fit.
Use Mercoly to compare vetted private duty nursing providers in your area, read verified reviews, and connect with trusted options—all in one place. Start asking these questions today to find care that actually works for your family.