Home health is a unique field of nursing. You are going into someone's home and caring for a family member that is usually chronically ill. In the hospital or LTC facility, you do get close to people but on hospital turf. In the home setting, you get to know these people intimately, their problems, their family life, their issues good and bad. Some people are very clean and organized. Some people are not. Some people are naturalists. Others like to follow AMA advice to the letter. In the home setting, instead of the hospital having jurisdiction, the family has jurisdiction. You can offer advice and share your concerns, but ultimately in this setting, we are doing things their way. . . up unto the point that it is unethical. This can be very tricky because things can creep up unexpectedly.
I love home health better than hospital because I enjoy the closeness and offering my help to people. I like the slower pace and I like giving one-on-one care. I am much better at that. But there is one thing that is a major downside and that is money. HH agencies do not pay more than what either an insurance company or Medicaid will pay per hour for the nurse. Insurance companies pay much better than Medicaid does. Those jobs are offered to the more seasoned folks. There is case management where you oversee the clients and keep track of the records. That pays well.
I just recently got a pay cut because Medicaid declared my position something that an LPN could do. That is heart wrenching for me. I can't get a job in the hospital because they are refusing to hire me.
So, I am doing the only job that was available - HH.