LisaMR, I am doing the same thing as you. I have been out of nursing for 16 years raising 2 children and it is time for me to go back. I never thought that I would have to but the economy has forced me to. I have taken a refresher course with SD state. 120 book hours and then 80 clinical hours. I live in South Carolina so we have to set up our own clinicals and have them approved by South Dakota State and then the SC board of nursing. I have also been thinking about home health but just don't know yet. The job situation is much different then it was 20 years ago. Good luck to you.