After doing home health for six years for two different agencies I just turned in my 30 day notice last Friday with mixed feelings. I am burned out and I don't want my patient care to suffer, ever, because of it. I have always taken excellent care of my patients and been the most productive nurse in the office. I have just reached the end. The paperwork is tremendous. I am tired of taking it home night after night. We are required to do our own coding and I sit and look through the coding books and do my best to get a case mix on any patient that I can to increase reimbursement. I try to do the best job I can. Problem is, I don't feel like this is recognized or appreciated. During the time I worked in hh I went back to school and earned my BSN and am now working toward my MSN with a focus in education all on my nickel. The company did not even recognize that I did any of this. The CWOCN certification has interested me and I asked if the co. would support me in getting this (it would benefit the co. greatly) and I was turned down flat. I feel like there is no upward or even lateral mobility with my company and I'm sure not recognized for the job I do right now. I'm also getting so so tired of hearing about everyone's ailments and having to go through all of the cabinets in the house to get all of the meds together. I'm tired of getting wet, cold, jumped on by dogs, chased by roosters, having to watch for meth labs, etc. I'm tired of 6 years of one week on call a month and having to go out at all hours to strange places. I may go back to hh one day and I have some wonderful memories of it. I am such a better nurse clinically because of home health. My assessment skills are superb now and the way I interact with patients has changed because of home health. I need to get out now before my memories become bitter.