New Grad Home Health Possible or Impending Doom?

Specialties Home Health

Published

Hi guys,

I am a new grad with license of one month. I was offered a HH position at an agency and the DON made the position sound straight forward (admission head-to-toe, pain assessment, report abnormal findings, d/c, pt edu, IV antx, foleys, labs) After weeks of desperate job hunting with zero calls back, I said I'm on board.

BUT the thing that scares me is that while she's willing to train me with OASIS, she said I don't need to train/shadow an RN before I go on visits on my own. Not even once. So come Monday I'm on my own! I'm afraid that since training isn't provided, I'm basically going by what I learned in the program. What if that's not enough and I make a mistake? What IF my IV infiltrates after I leave the patient? What IF the foley is faulty? What IF I make a piggy back error? At the hospital I'm there with the patient after the intervention. A mistake is observable and fixable with charge nurse to help. What scares me is that a mistake will happen and I won't know until after I leave. I don't want to harm anyone and lose my license. Anyone have any suggestions?

I am all for working hard on this, I want to be good at HH. But if there's anything I learned in nursing school is that RANDOM freak accidents can happen, even with careful nurses. The difference is, at the hospital you're there to fix your mistakes. In HH you're gone after the visit and ill prob spend many sleepless nights wondering if my foley was inserted correctly or if that IV was okay... Does any other HH nurses worry about this?? Help!

As a new grad you would benefit greatly with some kind of support. You need that support more than you even know right now. Do what Silver said above.

"You may feel alone but you are not. You have a supervisor that you can consult and also make friends with the other nurses so you can consult them as needed. Make sure you have all their contact information."

I started out in HH and it was not good for me as a new grad. You don't know what you don't know and the best thing to do is get phone numbers of support people, other nurses, whomever, and call them with any questions if you must take the job. Also remember that you have to be careful not to take offense or offend any of your clients or at least not verbalize it or else you will jeopardize your job. The clients pay and customer satisfaction is still very important besides protecting your license. If you are young and pretty you may hear sexual remarks directed at you so be prepared to blow these off and turn the situation around, or you will not enjoy some of the job. Know your rights and remember you do not have to take any abuse from anyone. Be strong and stand your ground with your nursing knowledge and what you lack learn from others, this forum, and youtube. If at all possible try to work around other nurses as a new grad.

In home health nursing, you have to have STRONG clinical skills and the ability to work with minimal resources and no one down the hall to give you a hand. I personally believe you need to become a bit more "seasoned"

New Grad in HH here.

Yes, it is possible.

Yes I sometimes have sleepless nights wondering if I did the right thing for my patient(s).

However, as another new grad working in HH as a FIRST JOB in Healthcare I would NOT recommend it for any typical new grad. Time management is extremely difficult to master when you are juggling 10 other balls in the air.

I am the ONLY person in my graduating class that is employed in HH. Everyone else got into the hospital they worked at or they work at Nursing Homes.

My first choice was HH despite the odds and rejections from larger agencies saying

"come back after you have had a couple years experience with MedSurg in a hospital".

The hospitals I applied at had to choose between me and a dozen other new grads that all worked there for 2 years as PCTs.

No one wants to hire an unknown with no work experience when they have other options.

I have no prior work experience in healthcare. None.

But I do have other assets.

So when I found a place that agreed to interview me and try me out, I jumped on it and so far have tried to put up with anything and everything. I will take any referral, go to any patient, any location, any day, any hour. Fortunately the acuity level of most of the patients in the census is pretty low.

Yeah, I should get paid for orientation and training. But if I insisted on that, I would still be looking for a job.

The market is VERY tight where I am.

I was told I would get to shadow another Field Nurse, but that never happened. Instead I got assigned a patient that no other nurse would touch. (Really far away)

Orientation consisted of a lecture on "bag technique" and then I was given a HH bag (used) with one zipper stuck due to some corrosion and an XL adult BP cuff (that leaked) and some other supplies. It was going to take a month to get a replacement $10 cuff.

I just bought my own gear and use it.

Yeah, I know, everything should be supplied by the agency.

I should just Run Away.

I recently took on (for a week) the patient load of an RN that had been there for a decade. I guess I am doing something right. Either that or this place is desperate.

My DON is also relatively new (to HH) but she is whip-smart and very supportive. That helps a lot.

It is part time. All the other nurses are part time and have other part time jobs elsewhere.

However it is perfect for ME because if I want to take all day to figure out how to fill out the OASIS forms properly, I can.

Now I just bring a paper pad to visits and can spend more time assessing and making sure I don't miss anything.

If I want to spend more time with a patient, I can.

Yeah, I fill out the OASIS forms at home. I don't care. I'm working as an RN.

Maybe after I have worked for a few years and can pick and choose, I will choose something different.

But RIGHT NOW....I'm working as an RN.

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