You can expect to be reimbursed per mile to the recommended state's requirements, tax wise. Usually fluctuates a bit depending on the current economical state of gas expense. Planning your visits depending on geographical locales helps immensely with conserving fuel. You can also expect an average of six to seven minimum visits per day. Opening cases or doing admissions counts for a two visit point system. So if you had a two hour admission to do and opened a case for the company, that is 2 pts. Over a certain number of miles is another point. So, some days you're driving 100 to 200 miles average. Some days you have paperwork that requires a couple of hours either done at home during your off duty hours and eats into time with family and rest. Remember to figure in the $$ amount of wear and tear on tread of tires and engine wear, too, in allowing for the reimbursement of mileage. Lots of smart nurses don't even think about that one. Gas isn't the only thing being drained out of your automobile during home visits. Yes, some areas are rather dangerous. Some homes are absolutely filthy. I've seen roaches, other vermin, smelled smells and seen garbage I thought would be a definite biohazard even in a dump site! But, loved the autonomy of doing home visits. Paperwork is a thorn in the side. Once you get that down though it shouldn't be tooo bad. Just try to get as much done in the home as you possibly can. Oh, and the dangerous neighborhoods. Usually if you go during the early morning hours to not past 12 noon, you can avoid the late risers who've been up the night before partying, selling drugs, etc. and would be "dangerous" people to be on the same sidewalk with! LOL! Otherwise, if they see you and realize you're a nurse, they also think, well, she's here to help one of our people who're sick and need her. They are generally smart enough to realize that you don't have narcotics in your possession just because you're a nurse. I would wear all white, hang a stethoscope on my rearview mirror, anything to alert any troublemakers that I wasn't in their neck of the woods for any other reason than to make a quick visit in, help one of their own, and always got the heck out of there quickly. You can do their paperwork later in the office or at home where you are safe.
Good luck. Home health and hospice visiting is a good way to become more independent and more secure and confident. It isn't too bad. Has it's good and not so good points. Be prepared to either type a lot if you have pda or computer system or write a lot if not.