I am in Home Health, so the commute is only a part of the distance. My office is 37 miles one-way on the highway, BUT, I have to add the miles for the supervisory and quarterly visits as well as the skilled visits, so the total varies per day from 74 to over 150. However, since I have the best boss and am in the best job I have ever worked at in 22 years of being an RN, I grin and bear it. I just wish I could be re-imbursed for the milage after I arrive at work. I do keep a very detailed driving log, with gas reciepts, and deduct the non-commute miles from my taxes. That does help a little. I do agree with others that doing the IV visits all over the place was no fun, I'm much happier now. I also take my '74 MG Midget to work on the good days. With the top down, and taking the long way home via the country backroads, the commute is VERY enjoyable.