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Home care?

duskyjewel duskyjewel (Member)

Specializes in hospice.

I have been licensed as a CNA since October 2011, and for the last six months I have been employed in a hospital telemetry unit. Some days are better than others, but, bottom line, I am fairly miserable. I think I could be happy in this job with different parameters. My main complaint with the hospital, and I'm sure it would be the same in LTC, is that my patient load is too large. I leave pretty much every morning (night shift) feeling like I did someone wrong. The lower-maintenance people basically don't see me outside of their Q4 vitals and picking up dinner trays/refilling water. I don't want to be that way! I just have no choice when I have other people messing their beds every hour, or whose blood sugar went in the basement, etc. I think home care could be a better fit for me. An agency near me is hiring for 12 hour shifts, so that would minimize beating up my car. Could those of you with home care experience share, please? And if it's not allowed to mention company names on open boards, PM me with recommendations for or against ones you know a lot about? Thank you for anything you can offer.

Juryizout

Specializes in Psych, geriatrics.

Try being a hospice cna. I'm doing that this summer full time until nursing school starts back up in august.

I totally feel your pain. I worked at a hospital on a telemetry floor for 6 months and had the same complaints. I was also night shift (7pm - 7:30am). The workload was horrible and I was tired all the time. I felt guilty leaving, because I know how hard it is to get a job in a hospital, but I was going home crying almost every night, and it just wasn't worth it. I interviewed for and got a job as a caregiver at a retirement community close by. There are individuals living independently in apartments, assisted living, and SNF and hospice care, all in the same community.

I only work one-on-one with the residents, about 20 hr. per week, and I LOVE IT! I'm not really doing CNA work, and I don't make lots of money, but I am so much happier! Some of the caregivers work up to 60 hours per week! 12 hour shifts with one person might be kind of hard, though. 2-6 hours with one person is perfect!

I also work for a home health agency (although they haven't called for awhile). I am much happier providing one-on-one care.

WannaBNursey, ADN, ASN, RN

Specializes in ER, Med-surg.

They're hiring for 12 hour shifts? Wow! Having worked in home health for my entire CNA career I can say that I only worked 12 hour shifts on special occasions. Home Health is nice, it's easier (for the most part) than working in a facility and can be more relaxing. I would say that the biggest con is that you really can't know when your next job will be. Sure you might have some clients on a consistant basis, but if they decide one day that they don't like you or that you don't cook well enough or don't clean up to their standards, then there goes that job and you're waiting until something else comes up. There have been some weeks where I worked myself silly and other weeks where I was lucky if I got 2 hours. I love the job, but I can't stand the unpredictability of the paycheck. I wouldn't believe an agency that says that they can consistently give you 3 12 hour shifts a week.

I would recommend that you don't go with a mom and pop company. My first job was with one of those and I will say that there was some shady stuff going on. I would be scheduled for a client, and then another CNA would show up 15 minutes later and I would have to leave, having to wait on my pay check for a month because the company had already spent the money, being lied to about how much I would get paid an hour per client, hearing about clients being charged twice CNA visits or being charged when no CNA showed up, the list goes on. Make sure you go with somebody reputable. I'm with a reputable company now and it makes a world of difference.

duskyjewel

Specializes in hospice.

Thank you so much for the replies, and for posting that older thread. It has pretty much confirmed what I thought. As to the driving, I really don't mind driving (I used to deliver newspapers...now THAT is a driving job!), I just worry about my car being able to take it. I will just have to keep up with maintenance if I decide to go that route. The agency I said was hiring for 12 hour shifts also says they have 4 hour shifts, 1 hour bath visits, etc.... so I am sure that whatever schedule I end up with will be a hodgepodge. I interviewed with them last year but my availability didn't fit with their needs. They are a nationwide home care agency (initials V.A. and no not the Veterans Administration) and I have researched them. The office I interviewed with... I cannot find ONE negative review or complaint about them anywhere! What kind of company can say that these days?! I worry about not being able to get or stay full time though and I don't think they offer benefits. There is also an outstanding hospice company near me that I am thinking of applying with. I have researched them too, and again, can find only good things people say about them. A former employee called working with them "an honorable experience." Isn't that what we all want? I need to stay full time and have benefits if I can. My husband can get benefits at his work, but they cost almost one of my current paychecks per month! Honestly, though, I have begun to see the admittedly good insurance plans for very low cost as a trap this hospital system uses to keep people working for them, no matter how awful the conditions.

I feel a bit like a quitter and a wimp, but I have to admit my limitations, and I need something different! If I am doing caregiving, then I need to feel like I am actually CARING for a person, not just trying to get done with them as fast as possible because I have three call lights going off and four blood sugars that are due. But it's the people who I neglect that really sit on my conscience. Maybe they need me less, but that doesn't mean they need to feel cared about less. I have been really afraid to make a change, for fear of jumping out of the frying pan and into the fire, ending up stuck with an even worse situation than I have now. Being a job hopper looks BAD and I don't want to do that. But taking no risks leads to getting no rewards....so, here I go.

duskyjewel

Specializes in hospice.

[deleted] Sorry, tried to post resume for advice and it was unreadable!

Edited by duskyjewel
Delete

I have a question for you CNAs..I am a PHIL grad with BSN and I wasnt eligible to take the NCLEX..so I figure with a BSN do I still have to do training and clinicals..I've heard being a CNA is a stepping stone if you really want your career in healthcare/nursing..some say I can take the exam some say take a CNA course because CA doesnt approve PHIL grads..what is the real deal...need info any info on CNA certification/examination in CA...

duskyjewel

Specializes in hospice.

Woo hoo....got called for a hospice interview! Applied on the 3rd, they called on the 5th. Now that's confidence inspiring!

WannaBNursey, ADN, ASN, RN

Specializes in ER, Med-surg.

Congrats! We only have one hospice company in my area and they're not hiring :( If they were hiring I would apply in a heartbeat. Good luck!

Juryizout

Specializes in Psych, geriatrics.

Coolness! Keep us posted!

CONGRATULATIONS!!!!!duskyjewel....Is there difference with CNA,hospice,home health and caregiver?....

duskyjewel

Specializes in hospice.

First interview went great. Their CNA recruiter is a LPN and we talked for about an hour. She is forwarding my information to the clinical supervisors who run the resource team (kind of like pool - but full time with benes) and I should get a call Monday to set up my second interview with them. She said the greatest need for the resource team is on the east side of the Phoenix Metro area, so yay for me... hopefully won't have to drive all the way across to the west side much. I have really wanted to get in at one of their inpatient units near my home, but in this job I may get a chance to work in them now and then if they have a need for me.

Feeling hopeful. :-) Also having a great night at my current job....got floated and OMG compared to telemetry this unit is cake!

duskyjewel

Specializes in hospice.

CONGRATULATIONS!!!!!duskyjewel....Is there difference with CNA,hospice,home health and caregiver?....

Home health aides/caregivers can get certified, but at least where I am in AZ, it's a much simpler process (takes a weekend or two), and they can only do home care. CNAs of course are licensed by their state boards of nursing, take 120 hours of training (in AZ), and can work in home care, hospitals, long term care, or hospice. Hospice focuses on end-of-life palliative (comfort) care, hospitals focus on curing disease and repairing injuries, and home health and long term care seek to maintain health in those who need help with their daily activities, or at least to slow down their decline as much as possible. I hope that answers your question! :-)

Home health aides/caregivers can get certified, but at least where I am in AZ, it's a much simpler process (takes a weekend or two), and they can only do home care. CNAs of course are licensed by their state boards of nursing, take 120 hours of training (in AZ), and can work in home care, hospitals, long term care, or hospice. Hospice focuses on end-of-life palliative (comfort) care, hospitals focus on curing disease and repairing injuries, and home health and long term care seek to maintain health in those who need help with their daily activities, or at least to slow down their decline as much as possible. I hope that answers your question! :-)
thank u for that info...:bow:

are there any CNAs from CAL here?..are there any CNAs that plan on advancing to LPN or RN in CAL?

duskyjewel

Specializes in hospice.

Second interview this Thursday! Will keep y'all posted. I am a tiny bit annoyed though, because the resource pool director who called me today asked if I was only looking for night shift, or if I would be willing to work any day hours. The job was posted as a NIGHT SHIFT job! Still excited, but wondering if I might have to consider saying no to an offer if they are going to try to make me work days when I can't. :-{

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