I worked in home health as as admin assistant for about 2-1/2 years and was involved in all aspects of paperwork, regulations, went through CHAP, Medicare, Medi-Cal, and Kaiser surveys etc. I am very well versed in all aspects of the required documentation.
I'm now a new grad RN and would very much like to work in home health. I do understand your statement about physical assessment. I have a few points to make regarding seasoned nurses' physical assessment skills. Both in my clinical experiences, as well as home health, seasoned nurses seem to have lost the art of comprehensive assessment. During my clinicals many of the assessments by the staff RNs were a BIG JOKE. Nurses never even listened to lung sounds, for instance, and charted it anyways. I understand why this happens. They are simply too busy to really assess. They may then end up losing their assessment skills. Just FYI I did my clinicals in very well known and highly reputable hospitals. My former boss, an Administrator/DPCS who has been in home health for 20 years, also calls me and tells me how awful the assessment skills are with some seasoned nurses.
At least when a new grad comes out of school, she is fresh with the latest knowledge re: how to assess well. Some nurses I had observed don't even know the latest guidelines. Having said that, it is certainly true that a new grad RN needs MUCH guidance and a great mentor and they will do just fine.
And another issue I have not gotten clarification for in the board. In CA at least, an RN should have at least a year of acute care experience to work in home health or the home health company may get cited at the time of survey. The only way I've learned that the companies get around this, is if a home health has a new grad program. Is that what you had, assuming you are in California? And Zazak, this is why I am very curious as to which home health would take you in as I have not found one with a training program in Los Angeles.
Thank you very much.