The reality is home health care is where the jobs are. - page 2

This is the new reality. Medicare wants patients out of the hospital as soon as possible and does not want them readmitted (at least within 30 days). So one of the specialties with the most jobs for... Read More

  1. Visit  LadyFree28 profile page
    4
    I started out as a new grad in HH. It allowed me to learn to advocate, hone my assessment skills, make decisions that will benefit a pt, be comfortable in interventions regarding sending pt's out, HCP collaboration, educate and. collaborate with families, and acquire a multitude of skills; ie trach vent certification. The current agency i worked with was very supportive, you shadowed with a HC nurse, even if you have experience. It really depends on the agency, as well as the person. A lot of HH position gives you opportunities to do complex wound care, and infusion therapy. If anything the more complex the pt , the opportunities to move into acute care can happen. My HH experience allowed me to be hired in CC, as a new RN...so there is a plus in being in HH, you have to be receptive of it. And most facilities are aware if how many complex pts are going home and receive HH services...HH can be as highly skilled as acute care, just with one pt. With the RIGHT type of agency, you are never alone.
    nurseinstinct, gemberly, njgrl622, and 1 other like this.
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  3. Visit  grneyes8 profile page
    0
    I agree wholeheartedly with QueenNasus! There are some things that you can only learn from experience and I don't feel home care is the place to learn. You need to be able to walk in, look at that pt and know if something isn't right! There is no back up in the home, you're it and one bad move could cost a pt their life!
    Last edit by grneyes8 on Jan 6, '13 : Reason: missed a word
  4. Visit  paradiseboundRN profile page
    0
    Quote from grneyes8
    I agree wholeheartedly with QueenNasus! There are some things that you can only learn from experience and I don't feel home care is the place to learn. You need to be able to walk in, look at that pt and know if something isn't right! There is no back up in the home, you're it and one bad move could cost a pt their life!
    I agree. But how are new grads going to get their experience if the hospitals are not hiring? We all agree what's best. But what about reality?
  5. Visit  grneyes8 profile page
    2
    I know that the hospitals aren't hiring new grads but a new nurse in home care could lose her license pretty quickly if she doesn't know what she's doing. Ideally they would offer extra training to new nurses but we know that probably isn't going to happen in most cases. They're going to want them out there making money. Not sure what the answer is.
    tewdles and Not_A_Hat_Person like this.
  6. Visit  LadyFree28 profile page
    1
    I started out as a new grad LPN in HH. The companies I have worked for in the Northeast have at least 20 hours of preceptorship for a new grad, as well as the Clinical managers who make weekly visits, as well as classroom time before you are out on the field-experienced nurse get 8hrs class room and 12-16hrs preceptorship ...these are the requirements set by Medicare and insurance companies to make sure they are compliant-as well as Joint Commission standards. It does depend on the company you work for, if its Joint-Commission based, expect that process. You also don't get a complex case in the beginning, regardless of your experience. The purpose is to make sure you are comfortable in handling basic nursing care..give you opportunities to build on complex skills by going through educational courses, making sure you can handle a complex case, i.e. TPN/infusion, trach/vent cases, wound care visits, etc. The educational/competency evaluation is more if a liability issue, so if you don't think you are getting enough education and support, you can always report them...they want to be accountable to provide safe care so they won't be dinged by the government, as well as lose a case-they will be hit double time if they did not have education on risk management, ethics, documentation, safety, all the things that are required to be aware of as a nurse.

    I found that most of my co-workers were able to get hospital jobs, especially in critical care, because they were trach-vent nurses...there are ALWAYS a shortage of trach/vent nurses in home care, especially in pediatric HH. I am grateful of the support that they were willing to be always available to support me, as well as the critical thinking, and advocacy skills I was able to develop in HH. I am a better teacher to pts and families because of HH...I think there is a MYTH that HH nurses can't cut it the hospital, but that's the opposite...it seems like hospitals are taking in HH nurses (like myself) and HH is welcoming hospital nurses with open arms, for the invaluable skills that both arenas possess.
    paradiseboundRN likes this.
  7. Visit  nekozuki profile page
    0
    Certain home health jobs are ridiculously easy to get into in my city. Within 1 week of taking the nclex, I walked into two pediatric HH agencies and was immediately offered employment. One wants to start me on patients with g-tubes only, the other wants me to start trach care right away. I was blown away by how one can get a job by simply showing up. The pay is comparable to LTC's in my area, and it's an easy way to get your year of experience. In fact, the recruiters use that as a way to get LPN's to sign up, advertising that you can work for them and receive no benefits/per diem work, but they will grant you what is so difficult to get: new grad training.

    It's a scary world out there sometimes.


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