I recently switched from med/surg to home hospice, it is very different. I am a case manager so depending on what your position is such will determine your responsibilities. I do bedside but manage the care for all my patients, aides, supplies, plan of care etc. Other RN just do home visits they are over flow, nights weekends etc. It is different for me because I have to show decline to make sure they qualify for hospice where as the hospital I had to show improvement. The charting is the worst part of the job, I spend a lot of time at home charting. I like the flexibility and being on my own and one on one with my patients. The families are usually harder to deal with than the patients. It is difficult to keep nurses in hospice, many don't like being in peoples home, but I really enjoy it. My company has had a high turnover with staff, the pay is really good(I am in Las Vegas), I moved here from NJ. Having med/surg experience is an asset in hospice, many nurses turn to me because of my experience with central lines, chest tubes etc.