Hi guys.....I am glad to see the interest in home care, but as someone mentioned, I feel that you need 2-3 years of acute experience, preferably more, before coming to home care. I noticed that the above poster has paramedic/emergency type experience.....congrats, that is not a field I have experience in, I am sure you will be a fab nurse.....however....it is not "dire" situations where inexperience shows. Those are the easiest things to deal with in home care....call EMS. It is the day to day managment of patients, watching their response to meds and treatments, and making good clinical decisions where inexperience really shows. In a hospital, you have the benefit of learning from other nurses, docs, resp therapists, etc......you also have the ability to be exposed to numerous pt situations that will allow you to develop your "sixth nursing sense". That is the sense you need when your pt appears fine....all vs wnl, no apparent problem. An experienced RN can detect things.....the sublte shade of color, a smell, an expression....something you cannot put your finger on and you cannot teach, but something that tells you something is amiss....and then, an experienced nurse will have a suspicion of what it is and how to deal with it. The thing is guys, you don't know what you don't know. In homecare, as you may have discovered, certian sitiations come up once in a blue moon. In the hospital, you would have regular exposure to those situations.....daily, whereas in home care you might see them once or twice a year. The only way to quickly become a jack of all trades is that hospital experience. I understand people are desperate for jobs and that may be how some new grads are ending up in home health, but I encourage you to keep looking at the hospital, maybe a per deim position in acute care to compliment what you are learning in the home setting? I think you will be surprised at what you learn. I did inpatient oncology for five years, but have spent the past ten in homecare, so I do know a bit about it. My agency has never hired new grads, and they rarely even hire an RN without homecare experience, so you guys are lucky to have found jobs. Good luck to all of you, and welcome to home care!