Home Health Per Diem

[As75181n]

Hello my fellow nurses!

I am looking for some insight if you all would be so kind. I am currently as Med Surg Nurse in Los Angeles and I am looking for Per Diem work but I feel dread at the thought of taking another inpatient per diem job. Honestly, it's not good for my health. The lack of sunlight, no breaks ever, abusive MDs, and general lack of support on the floor...I think I can only handle one full-time job like this. I met a lovely registry nurse the other day at my facility that recommended Home Health as an alternative due to my having four little ones. I previously looked into school nursing but the pay I was offered was not liveable in LA county so I had to keep my full time. For those of you who have experience in Home Health, I would appreciate feedback on the learning curve from bedside to Home Health setting PRN, in your opinion, is it worth it or should I bite the bullet and look for per diem bedside in the financial aspect? Do you like what you do and what do your days look like? I want to work extra days but I don't want to sacrifice one to two fourteen-hour days and not see my kids any more than I already don't.

Thank you so much for your time!!

[caliotter3]

From what I perceive from your post, I would advise that an extended care home health assignment would be preferable to a traditional intermittent visit home health position. Too much involvement for the visit nurse work. Extended care you can commit to as little as one four hour shift per week to the same client. The care is routine. There is continuity of care. If you want to work more than one four, six, eight, or twelve hour shift, you can. If you do not mesh well with the assigned client, then you can ask for a new case. You are not driving all over Timbuktu and you don't take charting home to complete. Go to a home health agency and discuss what is available, both visit and extended care, and see what you can work out.

[NurseChickErica]

If I were in your position, I would try to get with an agency to see if they will let you do one day a week. You could do strictly LPN and HHA supervisory visits, as well as admissions and recertifications. I don't know how much supplemental income you are wanting, but you could make a significant amount of you are willing to put no limitations on the number of visits you do, and how long you are out in the field for that one day a week. Another often overlooked/feared option is correctional nursing. The pay is often much higher because it is a difficult position to fill. Doing just one 12 hour shift per week could significantly boost your income. The work is not hard, but you definitely won't be getting much sunshine that day. Good luck. I know you will find a great fit.

[As75181n]

On 3/29/2020 at 9:02 AM, NurseChickErica said:

If I were in your position, I would try to get with an agency to see if they will let you do one day a week. You could do strictly LPN and HHA supervisory visits, as well as admissions and recertifications. I don't know how much supplemental income you are wanting, but you could make a significant amount of you are willing to put no limitations on the number of visits you do, and how long you are out in the field for that one day a week. Another often overlooked/feared option is correctional nursing. The pay is often much higher because it is a difficult position to fill. Doing just one 12 hour shift per week could significantly boost your income. The work is not hard, but you definitely won't be getting much sunshine that day. Good luck. I know you will find a great.

I have been hired on to two separate home health agencies and have been so disappointed. I have not picked up any days as the census seems to be really low. I am fully available two days a week with no limit on visits but have not seen any income. I have considered working PRN in a prison since my original career was in criminology. I work in the Los Angeles area and have to find out how to get into a PRN job like that which would be a great option for me as well. Thank you so much!