My area is home health after experience in LTC. It basically was sink or swim in the beginning, a lot of playing it by ear so to speak. Your people skills are very important because when you first go to meet the patient and the family, you find yourself being interviewed extensively about your qualifications, so you have to be able to balance "selling" yourself and being honest about your limitations. This holds especially true with peds patients. I am as upfront as I can be on the get acquainted, first visit. Sometimes we (I mean self, patient, and family) together can tell immediately that it will not be a good fit. Sometimes you have to gently let the family know that they can not be so "picky" about who the agency sends out. It all depends on the individual situation, diagnosis, how long has this patient been in home care, if at all, how many agencies (and nurses) have they "been through", etc., etc. You have to do your homework before you go out for the first visit. Look at the Form 485, the MAR, any available documentation, talk to the supervisor nurse or any other nurse who is familiar with the pt. It is best if your employing agency will let you orient with a seasoned HH nurse for a bit, just so you get the hang of things. Maybe a session with the supervisor. The best way to do things, is to orient with an established nurse on an established case for the shift you will be assigned to (or the type of intermittent visits you will be responsible for). If you start out right with the right agency and co-workers, you can find HH very rewarding. How can you beat doing your best for one patient and one patient's family. Very hard to top the satisfaction you can get.
I forgot to say that most of the time, as in all areas, you will be told that you must have a minimum of experience before you will even be considered for the position. With the right preceptor, you can be "trained for the case" right out of nursing school as long as you can establish a level confidence base and are provided with a good support system. I've seen it done, so I know it's possible.