If this is your first rodeo I would say to give yourself some time, like at least another six months and your improvement will be like night and day. That is the best thing you can do because you need to alter your expectations and adjust for the learning curve that comes with going into home health. That may take a little of the frustration out of the picture if you have a talk with yourself and say, "you'll get it, you're getting better every day". Talk with your family and explain that you are in a learning stage and things may be a little different until you get your rhythm. How long are you spending at your visits? When at all possible take the extra time and chart as much as you can in the home, it makes a huge difference especially for the routine visits. Try to develop a systematic approach to your visits so that you can accomplish everything you need to and concentrate on improving efficiency. The less "unnecessary" time you waste in a patient's home the more time you have to chart "on the clock". Go right in and get vitals and do assessment, whatever skill or teaching you need to do, this should be the bulk of your visit. Then chart and make small talk. I used to do the opposite and try to glean information while we talked or I did some teaching and chart. I would leave my vitals, assessment and skill for last. Yeah...I was in the home an hour or more. If it's not an Oasis visit or an emergency I have no business in any patient's home for an hour is how I look at it. I average thirty five minutes including charting for a routine visit. This will take time because not every day or visit is the same but if you like home health at all you will have to give yourself a chance. I think we all share your frustrations with the doctor's offices. I don't understand the 14 days in a row, can't help you there. I hope things get better for you.