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    PPEC for Epilepsy

    PPEC for Epilepsy in Miami-Dade and Broward County

    Blessed Pediatric Care is South Florida's dedicated Prescribed Pediatric Extended Care (PPEC) provider for children living with epilepsy. From single seizure-type focal epilepsy to medically refractory and Lennox-Gastaut presentations, our Registered Nurses deliver continuous monitoring, prescribed anti-seizure medication, rescue protocols, and integrated therapy throughout a structured medical day.

    Why Choose PPEC Over Home Nursing for Children with Epilepsy

    Epilepsy in children is rarely a single-event diagnosis. It typically requires daily anti-seizure medication, predictable sleep, hydration management, watchful monitoring for breakthrough activity, and rapid response when seizures cluster or progress toward status epilepticus. For families across Miami-Dade and Broward, Prescribed Pediatric Extended Care provides a clinical setting that delivers all of these elements in one location, under continuous Registered Nurse supervision, for up to twelve hours per weekday.

    Home private duty nursing is a valuable benefit, but it depends on consistent nurse staffing — a challenge in South Florida's tight nursing market. When a private duty shift cancels, families are forced to absorb the medical workload themselves. PPEC eliminates that risk: the facility is staffed every operating day with multiple Registered Nurses, Licensed Practical Nurses, and pediatric trained caregivers, so a single call-out does not interrupt your child's medical care.

    PPEC also delivers something home care cannot: a structured, developmentally appropriate environment where children with epilepsy can socialize, participate in physical and occupational therapy, eat balanced meals, and follow a sleep-wake schedule that often reduces seizure frequency. The combination of medical safety and developmental enrichment is what makes PPEC the standard of care for medically complex children in Florida.

    Continuous Seizure Monitoring and Rescue Protocols

    Every child enrolled at Blessed Pediatric Care is admitted with an individualized seizure action plan signed by their treating neurologist. The plan documents seizure semiology — what your child's seizures actually look like — typical duration, known triggers, baseline neurological status, and the exact rescue medication protocol the physician has prescribed (typically intranasal midazolam, rectal diazepam, or buccal midazolam).

    Our nursing team maintains 1:3 staff-to-child ratios during active monitoring periods and documents every observed event in real time: time of onset, duration, presentation, post-ictal recovery, oxygen saturation, vital signs, and any rescue medication administered. After any seizure of clinical concern, the family is contacted immediately and a written incident report is shared with the neurologist the same day.

    Blessed Pediatric Care is equipped with bedside pulse oximetry, suction, oxygen, and emergency response equipment. Every Registered Nurse on the floor is current in Pediatric Advanced Life Support (PALS). When a seizure exceeds the duration defined in the action plan, our team initiates the rescue protocol within seconds and coordinates with Emergency Medical Services if required.

    Medication Management for Anti-Seizure Therapy

    Children with epilepsy are often on complex multi-drug regimens — levetiracetam, oxcarbazepine, lamotrigine, valproic acid, topiramate, clobazam, cannabidiol, or ACTH preparations. Missed doses, double doses, or doses taken without food can trigger breakthrough seizures or serious adverse effects. PPEC removes this risk from a working parent's morning rush.

    Our Registered Nurses administer every scheduled and PRN medication exactly per physician order, including liquid preparations, crushed and G-tube administered formulations, and ketogenic-diet-compatible vehicles. All administrations are documented in the electronic medication administration record (eMAR), reconciled with the physician orders at each shift change, and reviewed monthly with the treating neurologist.

    When a neurologist changes a dose, adds a medication, or initiates a wean, our intake nursing team obtains the updated order, updates the eMAR, contacts the family, and confirms supply within the same business day.

    Integrated Therapy for Children with Epilepsy

    Epilepsy is frequently accompanied by developmental delays, motor planning deficits, speech and feeding challenges, and learning differences — particularly in children with infantile spasms, Lennox-Gastaut syndrome, Dravet syndrome, tuberous sclerosis, or post-traumatic epilepsy. Blessed Pediatric Care delivers physician-ordered Physical Therapy, Occupational Therapy, and Speech-Language Pathology on-site, woven into the daily schedule so therapy is never missed because of a clinic conflict or transportation issue.

    Our therapists are credentialed in pediatric neurodevelopmental treatment and coordinate with each child's neurologist when seizure activity, medication changes, or hospitalization affects tolerance, fatigue, or cognition. Goals are reviewed quarterly and shared with the family and physician.

    Service Areas Across Miami-Dade and Broward

    Blessed Pediatric Care is located in Miami Gardens, placing our facility within a short drive of nearly every major South Florida pediatric neurology practice — Nicklaus Children's Hospital, Joe DiMaggio Children's Hospital, Memorial Regional, Jackson Memorial, and Holtz Children's Hospital. Children traveling from Hialeah, North Miami, Aventura, Miami Lakes, Doral, Hollywood, Hallandale Beach, Pembroke Pines and Miramar typically reach our door in 15 to 25 minutes.

    Blessed Pediatric Care serves families across Miami-Dade and Broward County from our Miami Gardens facility at 4715 NW 157th St, including Miami, Hialeah, Opa-Locka, North Miami, Miami Lakes, Aventura, Doral, Hollywood, Hallandale Beach, Pembroke Pines and Miramar.

    Coordinating Care With Your Child's Neurologist

    PPEC works best when it operates as an extension of the neurology team. Our Director of Nursing maintains direct communication with each treating physician's office, transmitting seizure logs, medication administration records, growth data, and therapy progress notes ahead of every clinic visit and after every notable event.

    Families consistently tell us their neurology appointments became more productive once their child enrolled at Blessed Pediatric Care — the neurologist arrives with a complete, professional clinical picture rather than fragmented parent recall.

    Therapy

    On-Site Pediatric Therapy

    Physician-ordered Physical, Occupational, and Speech-Language therapy delivered as part of the daily plan of care — coordinated with each child's neurology team.

    Physical Therapy

    Gross motor strengthening, gait training, postural control, and safe mobility for children with epilepsy and movement comorbidities.

    Occupational Therapy

    Fine motor, sensory regulation, ADL skills, and adaptive strategies — important after medication changes that affect coordination or cognition.

    Speech-Language Pathology

    Receptive and expressive language, oral-motor and feeding therapy for children with seizure-related developmental and dysphagia concerns.

    See the full pediatric therapy program.

    Admission Process

    How to Enroll Your Child

    Most epilepsy admissions are completed within 5 to 10 business days from the first inquiry.

    1. 1. Inquiry & eligibility

      Call (305) 260-6621 or use the contact form. Our intake team verifies Medicaid coverage and the child's managed care plan.

    2. 2. Physician order & records

      We collect the PPEC prescription, most recent History & Physical, current medication list, and signed seizure action plan from the treating physician.

    3. 3. Prior authorization

      We submit clinical documentation to the managed care plan and track approval — no family paperwork required.

    4. 4. Facility tour & intake

      Parents visit the facility, meet the nursing and therapy team, and complete intake paperwork.

    5. 5. Plan of care

      The Director of Nursing builds an individualized plan of care matching every physician order and seizure action plan parameter.

    6. 6. First day & transportation

      Daily Medicaid-funded transportation is scheduled, and your child begins attending. Family receives a daily summary.

    Physician Referrals

    For Neurologists, Pediatricians, and Hospital Case Managers

    Refer in minutes — our intake team handles eligibility, prior authorization, and managed care coordination.

    What to send

    • Signed PPEC prescription / order
    • Most recent History & Physical
    • Current medication list
    • Signed seizure action plan
    • Medicaid card / insurance information

    How to send it

    Call our intake team at (305) 260-6621 or email blessedpediatriccare@gmail.com. Confirmation within one business day; family contact same day.

    Parent Education

    Supporting Families of Children With Seizures

    A confident family is a safer family. Education is part of our standard of care.

    Seizure recognition

    Identifying focal, generalized, absence, and myoclonic seizures — and what to document.

    Rescue medication training

    Hands-on instruction in intranasal midazolam and rectal diazepam administration for home.

    Medication adherence

    Strategies for consistent dosing, refill timing, and managing missed doses safely.

    Trigger management

    Sleep, hydration, illness, and screen exposure — practical guidance personalized to your child.

    School coordination

    Working with Miami-Dade and Broward County Schools on 504 plans, IEPs, and Hospital/Homebound.

    Emergency planning

    When to call 911, when to give rescue medication, and what to bring to the emergency room.

    See our parent resources and education programming.

    Transportation

    Daily Medicaid-Funded Transportation

    Reliable round-trip rides for children authorized for PPEC across Miami-Dade and Broward.

    Medicaid-covered non-emergency medical transportation is typically available for every authorized child. Daily routes serve Miami Gardens, North Miami, Opa-Locka, Hialeah, Miami Lakes, Aventura, North Miami Beach, Doral, Hollywood, Hallandale Beach, Pembroke Pines and Miramar.

    Higher-acuity children — including those with active seizure disorders, oxygen dependence, or tracheostomies — may qualify for ambulance or stretcher transport. Our intake team coordinates with each managed care plan's transportation broker so service is in place before the first day of attendance.

    FAQ

    PPEC for Epilepsy: Frequently Asked Questions

    Yes. Florida Medicaid covers PPEC when a treating physician documents medical necessity. Eligibility is determined individually based on medical stability, skilled nursing needs, physician orders and applicable coverage requirements. A diagnosis alone does not establish eligibility. Our intake team verifies your child's Medicaid eligibility, how PPEC and any separately billed therapy services are covered, and any required authorization before enrollment. Contact us to confirm your current coverage.

    Yes. Every child with a physician-ordered rescue protocol — intranasal midazolam (Nayzilam, Valtoco), rectal diazepam (Diastat), or buccal midazolam — has the protocol kept on-site and administered by a Registered Nurse the moment criteria are met, with EMS coordination when required.

    Our facility is in Miami Gardens, directly off the Florida Turnpike and I-75 corridor — a 12 to 20 minute drive from Miramar, Pembroke Pines, Hollywood, and Hallandale Beach. Medicaid-funded daily transportation is available for qualifying children.

    Nocturnal-only epilepsy still benefits from PPEC. Daytime medication adherence, hydration, sleep regulation, post-ictal recovery support, and therapy participation all reduce seizure burden — and our nursing staff documents any breakthrough daytime activity that helps the neurologist refine treatment.

    Most epilepsy admissions are completed within 5 to 10 business days from initial inquiry, once we receive the physician order, recent History & Physical, current medication list, and seizure action plan.

    PPEC is a medical day program, not a school. Many of our children receive Hospital/Homebound or in-facility educational services through Miami-Dade or Broward County Public Schools, and we coordinate with school district staff to support continuity of learning alongside medical care.

    Talk With Our Epilepsy Intake Team

    Same-day response. We coordinate physician orders, prior authorization, and transportation so your child can start safely and quickly.

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