Calling all HH Nurses, roll call - page 28

Hi, as a newly appointed moderator, I want to live this forum up a bit. I just resigned my position as a HH supervisor, to go back to the field. I have been a nurse 20 years, 17 in critical care,... Read More

  1. by   tracey1968
    Hello, I have been a HH nurse for the past 4 years. Some of that time with an agency, and the past 2 years as an IP (independant provider). I used to like the agency visits, but I realized how much the agency made off me per visit and decided to go IP. I absolutely love it. I have worked up to 12 hour shifts, and I have done quick visits. I prefer the shorter shifts like 6 hours or less. The pay is great, the atmosphere is soooo much better than the facilities and you get to spend more 1:1 time with your patients, you know the stuff you learn in school but never really get to do in a facility.I will never go back to the facility work, I just never felt like I was doing actual nursing, just contributing to the "corporations" fat wallet, cutting corners that they knew about but never wanted to hear about. It is an industry, and it's sad. Now I know alot of nurses that will argue that facility work is great, and all I can say is that that is their niche, I found mine in HH and love it!! By the way I have been a nurse for a total of 11 years. I have also worked in life support, juvenile corrections, geriatrics, pediatrics, and as an on call supervisor of HHA's. Still never enjoyed any other nursing as much as HH.
    Last edit by tracey1968 on Mar 8, '07 : Reason: left sonething out
  2. by   lossforimagination
    I've been in HH over 2 years. I've done mostly the Medicare program (horrendous paperwork), but lately I've been doing Medicaid CBA, and so far I like it. Paperwork is also horrendous, but much easier in terms of seeing the clients only quarterly for a nurse assessment . I found the weekly visits for the Medicare program to be a drag when you had to come up with something different to teach on for every single visit. That was soooooo tiring. Of course, in CBA, if it involves hiring attendants, the nurse will probably see the client more often than every 3 months. (Attendants who aren't family members don't often stay around long.) The only thing I don't like is that the RN Supervisor (me) is expected to cover for the attendant if one is not available. My clients are as far as 2 hour drive away.....that isn't really realistic, but that's what the company expects. I prefer HH because I'd much rather be on the road than stuck in a facility for 12 hours!
  3. by   anrn1995
    Home Health RN here for the last 8 years. Have been a visiting nurse, Nurse Educator, Branch Manager and now just a Team Leader. I like middle management much better.
  4. by   diana, lpn
    I am a new lpn nurse trying to become independent. I have a patient that wants me to care for her. My question is this: Do we have to work for CareStar clients? If I had someone who wanted to pay me directly, is this okay?

    Any and all responses would be appreciated. Would love to hear from nurses working on their own and not through an agency or organizatoion.

    Thank you. Bless all of you. This field is Tough.
  5. by   helpinghands
    Hi everyone,

    I just started my new HH job last Monday and I'm very excited about my new job. I've been a nurse for 3 years, 1 as an LPN and 2 as an RN.

    Everyone is right about the paperwork! There sure is alot of it!

    The people I work with are wonderful! Several have pulled me aside to warn me it can be overwhelming at first, but not to give up and give myself atleast 6-12 months. Many have encouraged me to call them if I need help. So far I feel very supported, seems like everyone wants to help the newbie out.

    The job is salary and on a point system which breaks down to 4/5 visits a day. Mileage is reimbursed and there's an opportunity to get bonuses. My base salary is more than I was making in the hospital working nights!

    I really hope things keep going well, this seems like a job I could really come to love!
  6. by   Deusadomar
    I am in need of some advice about home health nursing. I am about to graduate in a few days, should be taking the Nclex sometime in May or June, and I have been thinking a lot about what I like and where I would serve my community better. I am about to be offered an opportunity at a PCU floor in a 230-bed hospital, and I believe I should take it, so I can gain the experience I need to transition from a student nurse to a competent nurse... I know I have a lot of "mileage" to cover, and the learning trully starts now... but I'm already trying to figure out where I belong in the field of nursing. I know I love the interaction with my patients, I have a good way with people, I am very patient and very dedicated person, can function as a good patient advocate, and I am good at speaking to people's heart, not only to their minds... I am not crazy for hospital nursing because it does not give me enough time to really make a difference, I feel that I could touch people more deeply on their environment. I love teaching also. So, in talking to a friend of mine, she suggested that I would be a good fit in the home health care. I would very much appreciate if you could share your thoughts and provide some guidance to me. How experienced a nurse need to be to work in HH? I intend to stay in the PCU for about 1 year and take it from there. I thank you for any suggestions you all can give me...

    "Searching for my place in the world..."

    Quote from hoolahan
    Hi, as a newly appointed moderator, I want to live this forum up a bit. I just resigned my position as a HH supervisor, to go back to the field.

    I have been a nurse 20 years, 17 in critical care, mostly cardiac critical care, and the last 2.5 years in HH, or asthma disease management , which I also had to leave because I hated to be in a cube farm all day.

    I still love HH, even though PPS is the pits, even though the OASIS would make good kindling for a massive bonfire, and even with all the rest of the paperwork, it is the most rewarding nursing I have ever done!!

    PS, I went back to my former VNA who is now paying $30/hr, yes, you read that right, to work 3 out of 4 weekends. Since weekends work well for me, it's a good deal.

    Let's hear from all the HH nurses out there. Out of all those registered members, there's got to be plenty of us on this BB!!
  7. by   dmg213
    Hi to all you HH nurses.

    It's so great to hear positive things about HH nursing. I'm starting on Thursday as a HH RN in So Cal. Have been a nurse for over a year & a half & have been miserable. Started out on nights at one hospital a town away. Then, switched to days at a local hospital. It was so crazy during days especially on a post surgical floor. I'm so tired of the fast turnover of patients. So I switched to nights & have been ok with it but not happy about scheduling. It's just not ok with me to give students preferential days off for school when I can't even get time off to go to church once a week! Then there's the fact that they don't tell us to get our time off requests in by a certain date before the new schedule is made. Instead we get to work to find a sign that states time off requests aren't being accepted until after a certain date which is 4 weeks away.

    So here I am getting ready to start HH nursing. The agency has a good reputation. I hear the paperwork is the worst part of it but it's better than going crazy out of my head trying to get 3 post op patients settled in at the same time. Then I can make my own schedule. I have to work every 4th weekend but I already stated in my interview that I wanted time off on Sunday to at least attend church with my family.

    Three days a week is considered part time. No medical/dental but I accrue vacation & sick days. (I'm already on my husbands med/dental plan). They provide a cell phone & computer. Mileage is $5.80 per visit.

    Looking forward to my new job. Thanks again for all the great posts.
  8. by   homecareadmin
    I've been in HH for over 30 years now and wouldn't trade it for anything. I started my career as an ER nurse also (which I loved) but ER nursing is for the young and skinny and eventually I decided it was taking too much of a toll on me as I got older.

    I work in MA in a multioffice private homecare company. Salaries range from $35-$60 per visit and the average visit is 40 mins long! The work is highly rewarding and you cannot beat the flexibility of this job. Our nurses all self schedule and therefore they never miss a kid's game, grocery shopping during the day or dropping a load of laundry in while they run out to a visit. Nurses who aren't mom's also benefit as they schedule their visits into 3-4 days and have full paying jobs but only work 3-4 days a week.

    So anyone out there wanting the best of the nursing world should be directed only to the home health field.
  9. by   jill48
    I'm a home health nurse as of yesterday. Just got hired. I'm an LPN with 11 years experience in med/surg and geriatrics. Looking forward to the personalized experience of home health.
  10. by   benami313
    Hi all,
    After the required 1 year of medsurg in the hospital post nursing school,(hated it!) I have decided to try home health. I am starting part time, so no mileage, no benefits, and no computer. I'll try it out and see. I went out with a nurse today, and I had to drive my shiny new car through horendous neighborhoods and park there! Got it scratched too! I am a bit spoiled and sheltered, and this is a little scary! I do want to make a difference and be a good nurse bla bla... Sigh! Pay is per visit. I got hopelessly lost on my way home, and decided to splurge $500 on a GPS navigation system. I cannot afford to be lost on winding highways, when I have to pick up kids from school!
  11. by   ruseenmetoo RN
    Quote from jill48
    I'm a home health nurse as of yesterday. Just got hired. I'm an LPN with 11 years experience in med/surg and geriatrics. Looking forward to the personalized experience of home health.
    You are going to LOVE HH!! Welcome!
  12. by   catjmoses RN
    Good Day.
    I have been reading the threads on HH nursing for over a couple of hours now. This evening I 'e'-submitted an app for a VNA position at the local office here in western MA. I am so glad I came to this site to check it out. I have 11 years in hospital nursing (I'm 48). I have been a traveler for a few years and now want to stay 'home' to work. I wanted to get back into the CCU where I was pre-traveler, but those jobs are far and few between and they don't want to pay to train me up to speed. The thought of doing med surg again give me ulcers just thinking about it!
    I have toyed with HH nursing but wasn't sure I would like it. After reading 'Typical day for aHH nurse....' I think it will be a good thing. I love the idea of the autonomy, not having 7-8 pts to literally 'run' to and from in an 8-12 hr shift and that the pay is comparable. AND not having to deal with hospital politics--priceless!
    And the paperwork can't be any worse than some places I have been!---esp if it is computerized.
    I will go to the office tomorrow to see if they got my app --with a resume in hand!
    Thank you all for the posts --even the 'rant and rave' ones usually have ended with 'I wouldn't trade it for anything'---that say it all!
    I found some questions to ask duing an interview but any other info, hints, tips would be greatly apppreciated. Thanks again,....justwannacraft,CathyM (My first REAL love)
    Last edit by catjmoses RN on Jun 5, '07 : Reason: Update: Got a call last week, the day after I submitted my app. I have an interview tomorrow. I hope all goes well.
  13. by   peace_solace
    Hi all,
    I'm a new grad RN and will be starting a job as a home health visit nurse next Monday. I know many of you don't recommend starting right out of school, but I'm hoping you'll accept me here anyway? The company I'm starting with has an extensive orientation and preceptorship and they seem very supportive. They said they will not send me out on my own until I feel comfortable, and help is only a phone call away. I have done well in school and catch on quickly so I feel confident I can handle it. Anyway, I'm really excited about it and wanted to introduce myself.