I've always prepped myself as much as possible before going out for my first visit. Just like I was approaching a patient when I was in nursing school. I find that doing this prep helps to calm my nerves. Usually my agencies provide an orientation visit, or orientation along with an interview visit. This gives one the opportunity to immediately decide whether a case is suitable or not. I also tell my patient's parents/family at my first visit what my expectations are and ask them to provide their expectations. It is good to get on the same sheet of music as soon as possible. Generally, you will find levels of parent/family involvement that run from one extreme to the other. You will need to tell the parents that it is important to keep the lines of communication open. Hope that you find this area of nursing to your liking. It can be challenging at times but usually very rewarding.