New RN in dd nursing

Specialties Disabilities


Hi guys, I was just hired as an RN to provide nursing oversight for group homes. Wondering if anyone has any advice for me. Also down the line I would love to work from home as on call rn for group homes. How hard is it to get a position like that?? Is my goal realistic? Thanks for the help


12 Posts

My advice is to use your team for resources and call your back-up nurse when you're unsure of regulations or when something you haven't dealt with before comes up. As for being an on-call nurse, that goal is quite realistic. Where I work, they just want you to have one year of experience in the field before they'll let you switch over to on-call.


1,109 Posts

Specializes in NCSN.

I'm working as a community nurse now and I get to do all of my paperwork at home which is amazing. I still go to my group home daily and I teach new hire courses but the flexibility in with being a nurse in the DD population is truly amazing


8 Posts

I worked in this setting for many years and learned a lot. Your assessment skills have to be exceptionally good because your clients are already compromised and with the newer medications that are being used. It really takes a special person to work with a client that has been perhaps placed in a facility early on in there life. Go for it but make sure that you get all you can get from the care/protocal before you consider home care with these clients

I am an RN with 15 years experience in home health, hospice and have been in the ER fulltime for 9 years and hospice prn for 6 years. I applied and interviewed for a job for 3 group homes. I am wanting to do this on my days off from my full time job. I am planning on leaving my prn job with hospice if I take it. But keeping my fulltime ER job. My question is, will I be able to complete all the job requirements in the group home in just 1- 2 days per week?

feelix, RN

373 Posts

I have worked in this field for 9 years now. I do at home meetings and assessments for clients that live in group homes or with their own families. Most clients I see monthly, some quarterly. On a rare occasion, more frequently. I do this part-time. I am very selective in my caseload and have only a few long-term regular clients. It gives me pocket money, but I can do this along with a full-time job. It is very important to be very familiar with your client to be able to catch on to changes. It is important to understand that you will not be compensated for time spent driving, documenting or filing. You get paid only for face-to-face and telephone time and review of documentation. You have to keep time-sheets meticulously to get paid. My employer screwed me over initially by making me file and spend time in the office and then refused to pay for it as the time is not reimbursable. The charting is not as detailed and time consuming as home health, so it is very doable.

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