oh yes, many HHA's are a mess! But thank goodness there are so many agencies out there to choice from. There is no reason to stay with a bad one. I do know changing jobs frequently takes a toll on the nurses' psyche, but its better than being used and abused.
The caseload number can be deceiving, as some of those patients may be 1/month catheter changes, so the important number is visits per week. A full time nurse in home care is expected to see 5-6 patients a day. Many agencies use a point system and a FT nurse must have between 28-30 points a week. RV=1 point, SOC= 2, Re-cert=1.5, Resume=1.5, D/c=1. It is very common to have a scheduler. Their job is to assign new patients to the nurses and other disciplines. I do know of some agencies that try to actually schedule what day and time the nurse will see the patient, but it never works!