Home health as first job? - page 2

My LPN class will be complete in the fall. I'd like to try home health after I pass boards. It would be ideal since it is done during the day (I want to go back right away for my RN). Anyway,... Read More

  1. by   byrd262
    It's also important to recognize that not all home care RN work is "skilled" work like trachs, vents, and feeding tubes. Some agencies use their nurses for "supervision" of home health aides, CNAs, and LPNs. The RN makes visits to make sure the patient is getting all the services being paid for, the nursing support person is coming when scheduled, that the HHA/LPN/CNA has all the supplies they need...stuff like that. Of course an RN has to do the initial assessment and focused assessments per supervision visit but there's no blood draws and other skills that a new nurse may need support with (i.e. 15-30 min per visit because the LPN/HHA/CNA is with the client 3-7 days a week taking care of everything else)

    For example, you may have blind patient who recieves their meds via home delivery and the RN goes every week to sort their meds into a dose organization pack because they can't see or open the meds themselves. Any new grad can do that. Your best bet is to find out what the expectations of the agencies are whether it be for a LPN/RN position. If the agency does not take new RNs it's because they have a high volume of "skilled" cases.
  2. by   Copper4
    I have worked alot of homecare and i agree with the consensus... you need to gain experience and confidence in an institutional setting first. The strides you can make caring for patients in either a hospital or ecf will lead you to be a better, more organized nurse, that can think on your feet. In homecare, you do not have anybody to immediately ask for help. If a patient is having a strange symptom, or a problem, you need to have the ability to differentiate between urgent, and emergent. Good Luck whichever path you choose to follow.