I am a new grad - graduated in May 2001 and have been working in a hospital since Sept. Floor nursing is definitely challenging, and there are a lot of politics. I have two young children and would love to find something a little more flexible. My dream is to go into home health. I did a clinical and followed a home health nurse around and my one friend did it for many years. I spoke to someone in my area who referred me to a home health hospice agency who is willing to hire new grads. They would train me but I'm wondering how scary this would be
!! I know they hire new grads in ER and ICUs, but don't think this is a good idea with no prior experience. I may check it out but don't want to do something out of my realm of experience. What do you think? Do you think it's something a new grad could jump into without much difficulty? Please let me know what you think?
PS: Anyone know how to change my username ----it's kinda old. LOL
Dec 7, '01
amy, I'm not a home health nurse, but graduated the same time you did. I would think some experience would definately be necessary in order to properly monitor someone....BY YOURSELF. The thing that would scare me about HH is that you are not able to run down the hall to ask someone a question...you have to be able to rely on yourself and your assessment skills. I would rather go to ICU or ER, where you have help available, than HH anyday....just my opinion. Also, keep in mind that some patients have had MAJOR operations and been sent home once they are "stable". Insurance would rather send someone home than keep them 1 or 2 more days, right?
Hospice would be different, I guess.....they are terminal already. I am guessing that you would be monitoring pain control and counseling pt and family.
Don't know...would be scary for me.
Last edit by KC CHICK on Dec 7, '01
Dec 24, '01
Hi Amy. I agree with the previous posters. Maturity, keen assessment skills, and good common sense are crucial for HH. In the hospital setting, you're in a controlled environment. In the home, you're in an uncontrolled environment, you're on the patient's turf. You'll find the most successful HH nurses are those that go into the home with an attitude and objective to find a way to help the patient and family help themselves. Not to go in and dictate and overwhelm patients and families with nurses and doctor's orders. That, IMO, differentiates HH from facility-based nursing.
As NRSKaren has pointed out, external influences has significantly impacted our ability to deliver HH care in a way that would maximize patient and family benefits and help them reach their goals. Before you go into HH, study information as recommended and look deep into HH before making a complete switch. Particularly compare hospital based HH to independent HH companies. Best wishes.
Last edit by Mijourney on Dec 24, '01