I've been a hospice nurse for almost 2 years & I have to say it's the best career choice I've ever made...I love what I do. I have both inpatient and homecare (Case Management) experience. I much prefer CM. It's not an easy job by any means. Your car will become your "office". You have to be flexible, your schedule may change 2-3 times in one day, hour, minute...no, that's not an exaggeration. There's a great deal of autonomy, you have to be able to work independently. There's also the interdisciplinary team, so you also have to be able to communicate effectively. Sharp all-around (physical as well as emotional) assessment skills are an absolute must in hospice care, especially CM where you're on your own so much, you are the relied on eyes & ears of the team. One of the main differences between hospice & hospital care is "family care". Many times your care will be more centered around the family than the pt, especially in the home setting. Family dynamics will sometimes dictate much of the pt care. Teaching is a huge part of hospice. Also, CM requires good organizational skills. Hospice nursing is often much more emotionally draining than hospital nursing. You can't allow yourself to take personal hits in hospice nursing. It's a difficult time & many times people will say/do things that they ordinarily would not say/do. You must learn to take care of yourself as well. Just remember that your Chaplain's are there for you, too, & it is confidential. It is a specialty all it's own &, in it's own way, it is a very rewarding job. Through all the ups & downs, ins & outs, & sometimes roller coaster type days I have to say...."I'm a hospice nurse, & I love what I do!". I hope you find it as rewarding as I do, all my best to you.